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510(k) Data Aggregation

    K Number
    K091117
    Manufacturer
    Date Cleared
    2009-09-15

    (151 days)

    Product Code
    Regulation Number
    892.5730
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    ADVANTAGE-STRAND/ ADVANTAGE-LOAD BRACHYTHERAPY KIT, MODEL IASLBKA

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The IsoAid Brachytherapy Kit is intended for the treatment of selected localized tumors. The devices are implanted as a source of nuclear radiation for therapy. The IsoAid Brachytherapy Kit is indicated for tumors that are localized, unresectable, or have low to moderate radiosensitivity.

    Device Description

    The IsoAid Brachytherapy Kit is a pre-sterilized kit containing brachytherapy needle and a custom-loaded strand (K013975) of seeds spaced at a precise distance within absorbable suture. The strand is optional, when no strand is requested the seeds and spacers are custom-loaded directly into the needle. A maximum total of 20 seeds and spacers can be loaded into a needle. The spacers (K010621) are made from the same material as the sutures. The stranded Pd-103 (K033770) and I-125 (K011205) implants are placed inside the needle. Bone Wax (K024372) is used at the tip of the need to keep the implants from falling out. The needle is made from 18-gauge stainless steel.

    AI/ML Overview

    The provided document is a 510(k) Summary for the IsoAid Advantage-Strand™ / Advantage-Load™ Brachytherapy Kit. This type of regulatory submission establishes substantial equivalence to a predicate device and typically does not include detailed studies with acceptance criteria, sample sizes for test/training sets, expert consensus, or specific performance metrics in the way a clinical trial or device validation study might.

    Instead, substantial equivalence is determined by comparing the new device's technological characteristics and indications for use to a legally marketed predicate device. The information provided heavily focuses on this comparison rather than presenting a performance study with acceptance criteria.

    However, based on the provided text, I can infer the "acceptance criteria" through the comparison to the predicate device, as the primary goal of this submission is to show that the new device is as safe and effective as the predicate.

    Here's an attempt to structure the information based on your request, understanding that the "study" here is essentially the substantial equivalence discussion, and not a traditional performance study as you might expect for AI/software devices.


    Acceptance Criteria and Device Performance Study for IsoAid Advantage-Strand™ / Advantage-Load™ Brachytherapy Kit

    1. Table of Acceptance Criteria and Reported Device Performance

    For a 510(k) submission, "acceptance criteria" are implicitly met if the new device demonstrates substantial equivalence to a predicate device in terms of indications for use, technological characteristics, and safety/effectiveness. The performance evaluation is primarily a comparison.

    Feature / CriterionAcceptance Criteria (Based on Predicate Device)Reported Device Performance (IsoAid Advantage-Strand™ / Advantage-Load™)
    Indications for UseTreatment of selected localized tumors that are localized, unresectable, or have low to moderate radiosensitivity. The device is implanted as a source of nuclear radiation for therapy. (Same as predicate: Bebig Brachytherapy Strand Device K040339)Same as predicate: "The IsoAid Brachytherapy Kit is indicated for tumors that are localized, unresectable, or have low to moderate radiosensitivity."
    Device DescriptionPre-sterilized kit with brachytherapy needle and custom-loaded strand of seeds/spacers in absorbable suture. Variable number of seeds/spacers. Pd-103 and I-125 implants. 18-gauge stainless steel needle. (Description of Bebig Brachytherapy Strand Device K040339)Pre-sterilized kit with brachytherapy needle and custom-loaded strand of seeds spaced at a precise distance within absorbable suture (optional). Maximum 20 seeds/spacers per needle. Spacers from same material as sutures. Pd-103 (K033770) and I-125 (K011205) implants. Bone Wax at tip. 18-gauge stainless steel needle. (Similar to predicate, with minor variations like max seed count).
    Radioactive Isotope(s)Iodine-125 and/or Palladium-103 (Same as predicate)Same: Iodine-125 and/or Palladium-103
    Application MethodThrough an 18 gauge needle (Same as predicate)Same: Through an 18 gauge needle
    Safety and EffectivenessDemonstrated by substantial equivalence to the predicate device (Bebig Brachytherapy Strand Device K040339), implying similar performance characteristics, risks, and benefits in clinical use. The FDA's determination acknowledges that the new device does not raise different questions of safety and effectiveness.The FDA determined the device is "substantially equivalent" to legally marketed predicate devices, implying it meets the same standards of safety and effectiveness.

    Note: For devices like this, "performance" is often related to manufacturing specifications, radiation characteristics (which are standardized for isotopes), and mechanical properties, not typically evaluated with metrics like sensitivity/specificity or human reader improvement. The document does not detail these specific engineering tests, but they would have been part of the underlying design controls.

    2. Sample Size Used for the Test Set and Data Provenance

    This document does not describe a clinical "test set" in the context of diagnostic accuracy or AI performance as you might expect. The "testing" for a device like this in a 510(k) submission primarily involves:

    • Bench testing to ensure manufacturing specifications, sterility, and mechanical integrity are met.
    • Comparison of technical specifications and intended use to a legally marketed predicate device.

    Therefore, there is no mention of a "sample size for a test set" or "data provenance" from clinical cases here. The evaluation is largely based on technical specifications and regulatory comparison.

    3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications of Those Experts

    Not applicable. This is not a study requiring expert-established ground truth for a test set of clinical data. The "ground truth" for a medical device's performance in a 510(k) context is often established by adherence to recognized standards, established material properties, and the known safety/efficacy profile of its predicate device and active components (radioisotopes).

    4. Adjudication Method for the Test Set

    Not applicable for the reasons stated above.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done, If So, What Was the Effect Size of How Much Human Readers Improve With AI vs Without AI Assistance?

    Not applicable. This device is a brachytherapy kit, not an AI or imaging diagnostic device that would involve human readers or AI assistance.

    6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) Was Done

    Not applicable. This device is a physical medical device, not an algorithm or AI system.

    7. The Type of Ground Truth Used (Expert Consensus, Pathology, Outcomes Data, etc)

    The "ground truth" for this regulatory submission is established through:

    • Predicate device's safety and effectiveness: The Bebig Brachytherapy Strand Device (K040339) is a legally marketed device whose safety and efficacy have been previously established.
    • Material specifications and established medical use: Components like Pd-103 and I-125 brachytherapy seeds have well-understood radiation characteristics and are standard in clinical practice. The materials used (e.g., absorbable suture, stainless steel) have established biocompatibility and properties.
      The submission essentially argues that because the new device is substantially equivalent in design, materials, and intended use to the predicate, its safety and effectiveness are also equivalent.

    8. The Sample Size for the Training Set

    Not applicable. There is no AI algorithm or "training set" for this type of device.

    9. How the Ground Truth for the Training Set Was Established

    Not applicable. There is no AI algorithm or "training set" for this type of device.

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