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510(k) Data Aggregation

    K Number
    K133375
    Date Cleared
    2014-01-17

    (74 days)

    Product Code
    Regulation Number
    876.1500
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Banyan Medical Disposable Secondary Cannula and Trocar for Laparoscopic Use is indicated for applications in abdominal and gynecologic minimally invasive laparoscopic surgical procedures to establish a port of entry for endoscopic and laparoscopic instruments. The trocar is used with visualization for secondary insertions.

    Device Description

    The Banyan Medical line of Disposable Secondary Cannula and Trocars for Laparoscopic Use consists of a trocar, cannula sleeve and a silicone seal. The design has two possible trocars, a sharp faceted tip and a conical tip. An insufflation adapter, when supplied, is compatible with standard luer lock fittings and provides for insufflation of the abdominal cavity. The Cannula and Trocar will be sold in 5mm, 8mm, 10mm and 12mm sizes.

    AI/ML Overview

    The provided document describes the 510(k) summary for the "Banyan Medical Disposable Secondary Cannula and Trocar for Laparoscopic Use." This device is a medical instrument, not an AI/ML powered device, and therefore the provided Input does not contain the information required to populate most of the sections of this response.

    Here's a breakdown of the available information and how it relates to your request:

    1. Table of acceptance criteria and the reported device performance

    Acceptance CriteriaReported Device Performance
    Non-Clinical Performance Data
    Compression testing of the cannulaDemonstrated performance as intended
    Tensile testing of the knob to shaft of trocarDemonstrated performance as intended
    Puncture testing of the trocar tipDemonstrated performance as intended
    Shelf life testingDemonstrated performance as intended
    Accelerated age testingDemonstrated performance as intended
    Ship testingDemonstrated performance as intended
    Luer testing (gauging, liquid leakage, separation force, unscrewing torque, ease of assembly, resistance to overriding, stress cracking per ISO 594-1 and 594-2)Demonstrated performance as intended
    Sterilization Validation
    Sterilization according to ISO 11135:2007 (Part 1) and ISO 10993-7:2008 (Ethylene Oxide sterilization residuals)Achieved a sterility assurance level (SAL) of ≥ 10⁻⁶
    Sterilization data meets requirements of draft documents: "Submission and Review of Sterility Information in Premarket Notification (510(k) Submissions for Devices Labeled as Sterile"Met requirements
    Package and Product Integrity
    Testing according to ISO 11607-1:2006 and ASTM-F-1980-07(2011)Demonstrated integrity
    Biocompatibility
    Determined by guidelines in ISO 10993-1:2009Materials determined to be biocompatible

    2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

    The document specifies "Non-Clinical Performance Data" and "bench testing." It does not provide specific sample sizes for these tests, nor does it mention data provenance in terms of country of origin or whether it was retrospective or prospective.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

    This information is not applicable. The device is a physical medical instrument (trocar and cannula), not an AI/ML-based diagnostic or imaging device that would require expert-established ground truth for a test set.

    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

    This information is not applicable due to the nature of the device (physical medical instrument).

    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

    This information is not applicable. The device is a physical medical instrument, not an AI/ML system.

    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

    This information is not applicable. The device is a physical medical instrument, not an AI/ML algorithm. The performance evaluation focuses on the physical and material characteristics of the device.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.)

    For the non-clinical performance and bench testing, the "ground truth" or acceptance criteria were based on established engineering and materials standards (e.g., ISO, ASTM) and the device's ability to perform its intended mechanical functions (e.g., compression strength, tensile strength, sterility level).

    8. The sample size for the training set

    This information is not applicable. The device is a physical medical instrument; there is no "training set" in the context of AI/ML.

    9. How the ground truth for the training set was established

    This information is not applicable. There is no training set for this type of device.

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