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510(k) Data Aggregation

    Why did this record match?
    Device Name :

    CHANNEL,3 ELECTRODES; BIS QUATRO SENSOR; BIS PEDI-XP SENSOR,2-CHANNEL (4 ELECTRODES); BIS EXTEND SENSOR; BIS
    BILATERAL SENSOR,4-CHANNEL (6 ELECRODES); BIS INSIGHT SENSOR,CVI-ENABLED,2-CHANNEL (4 ELECTRODES)

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

    The BIS Sensor is applied directly to the patient's skin to enable recordings of electrophysiological (such as EEG) signals.

    Device Description

    The BIS Sensor, generally speaking with regard to the four variations of the sensor, is a rectangular shaped, pre-gelled array of four zipprep electrodes that is applied to the patient's skin to record electrophysiological signals, such as EEG signals.
    It is a low impedance, single patient use, disposable electrode sensor designed for application to the frontal/temporal area. The sensor is designed to provide ease of use and electrode placement accuracy. It is in conjunction with Covidien BIS Monitors.
    The body of the sensor houses three (3) electrodes which are placed on the forehead, and a fourth electrode placed over the temple area. The sensor collects EEG signals from these areas, and the differential signals from the temple and above the eye relative to the center of the forehead are used to calculate the Bispectral Index (BIS) value.
    The "zipprep" design is constructed using flexible tine disks placed in pockets on a polyethylene basepad. A polyurethane foam disk and hydrogel is placed over the tines. The basepad has a medical grade pressure sensitive adhesive for adhering to the skin. A mylar substrate with conductive silver / silver chloride ink circuit is adhered to the other side of the basepad. The flexible tines, surrounded by hydrogel, are used to part the outermost layer of skin. While the flexible tines part the skin, hydrogel flows around the tines and forms a conductive bridge with the skin. The silver / silver chloride circuit provides signal continuity from each electrode (gel/tine/foam) to the monitor. A polyester insulation is used to restrict electrical contact to the electrode area.
    The sensor connects to the monitor at a single point (paddle tab) that is low profile and easy to insert and remove. The tab has an electronic smart card memory device that contains identification information (date of manufacture, number of connections, lot number).
    Each sensor is presented on a silicone liner tray and packed in individual heat-sealed pouches. Twenty-five (25) sealed pouches are packed into a cardboard box.

    AI/ML Overview

    The provided text describes a 510(k) premarket notification for a reformulation of the gel in Covidien BIS Sensors. The document focuses on demonstrating substantial equivalence to previously cleared devices rather than reporting on a study demonstrating clinical performance against acceptance criteria for an AI-based device.

    Therefore, many of the requested categories for AI device evaluation (such as sample size for test set, data provenance, number of experts for ground truth, adjudication method, MRMC study, effect size, standalone performance, training set sample size, and ground truth for training set) are not applicable or not provided in this document, as it concerns a change in a physical component (gel) of a medical device, not an AI algorithm.

    However, I can extract the relevant information regarding acceptance criteria and reported device performance from the provided text, specifically related to the gel reformulation, even though it's not in the context of an AI study.

    Here's a summary based on the provided text, adapted to the context of a physical device component change:


    Acceptance Criteria and Study for Covidien BIS Sensor Gel Reformulation

    The provided document describes a Traditional 510(k) submission (K143506) for a reformulation of the gel used in Covidien BIS Sensors (BIS Quatro Sensor, BIS Extend, BIS Pediatric Sensor, BIS Bilateral Sensor). The study aims to demonstrate that the new gel formulation does not change the device's fundamental safety and effectiveness and that the device remains substantially equivalent to its predicate devices.

    1. Table of Acceptance Criteria and the Reported Device Performance

    Acceptance Criteria CategorySpecific Acceptance Criteria (Implied/Explicit)Reported Device Performance (with new gel formulation)
    Electrical PerformanceMeets AAMI standard EC12:2000 (standard for disposable ECG electrodes)"All testing results are considered acceptable." The electrical testing results demonstrated compliance with the AAMI standard EC12:2000.
    Shelf LifeMaintains performance over its intended shelf life."All testing results are considered acceptable." Shelf life testing was performed, and results were acceptable.
    Biocompatibility - CytotoxicityNon-cytotoxic."All testing results are considered acceptable." Biocompatibility tests for Cytotoxicity were performed and passed.
    Biocompatibility - IrritationNon-irritating."All testing results are considered acceptable." Biocompatibility tests for Irritation were performed and passed.
    Biocompatibility - SensitizationNon-sensitizing."All testing results are considered acceptable." Biocompatibility tests for Sensitization were performed and passed.
    Hazard AnalysisNo new hazards introduced."This change does not result in any changes to the hazard analysis."
    Substantial EquivalenceRemains safe and effective and substantially equivalent to predicate devices."Covidien has concluded that the device is substantially equivalent to the predicate devices, with specific regard to the gel, and is safe and effective for its intended use."

    2. Sample size used for the test set and the data provenance

    • Sample Size for Test Set: Not explicitly stated in the provided text. The document refers to "test results" and "testing" without specifying the number of units or patients involved in each test category (electrical, shelf life, biocompatibility).
    • Data Provenance: Not explicitly stated. The manufacturer is Covidien (Boulder, CO, USA), and a contract manufacturer is Celestica Electronics PTE LTD. (Singapore). The testing would presumably have been conducted in facilities associated with these entities or their designated testing laboratories. The data is retrospective in the sense that it's reported after the completion of tests for submission.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

    • Not Applicable: This information is not relevant to the evaluation of a gel reformulation for a cutaneous electrode. The "ground truth" for the tests (e.g., cytotoxicity, electrical performance) would be determined by standard laboratory methods and equipment, not by human expert consensus or interpretation of complex medical data.

    4. Adjudication method for the test set

    • Not Applicable: Adjudication methods (like 2+1, 3+1) are typically used for interpreting subjective medical data or resolving disagreements among human readers in diagnostic studies. This is not reported for the technical and biological tests performed on a material reformulation.

    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 document describes changes to a physical medical device (electrode gel), not an AI-powered diagnostic system. Therefore, an MRMC study related to AI assistance is not relevant or reported here.

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

    • Not Applicable: This document is not about an algorithm or AI.

    7. The type of ground truth used

    • For electrical testing: Compliance with AAMI standard EC12:2000, which has defined objective electrical performance parameters.
    • For shelf life testing: Stability and performance of the device over time, likely assessed against engineering specifications.
    • For biocompatibility testing: Compliance with ISO 10993 standards (implied by "biocompatibility tests for Cytotoxicity, Irritation, and Sensitization" mentioned). These standards define objective criteria for biological safety.

    8. The sample size for the training set

    • Not Applicable: This is not an AI device, so there is no "training set."

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

    • Not Applicable: This is not an AI device, so there is no "training set."

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    K Number
    K062692
    Date Cleared
    2006-12-13

    (93 days)

    Product Code
    Regulation Number
    882.1320
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    BIS BILATERAL SENSOR

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

    The BIS Bilateral Sensor is applied directly to the patient's skin to enable recordings of electrophysiological (such as EEG) signals.

    Device Description

    The Sensor is a single patient use, disposable, pre-gelled 6 electrode array that is applied directly to the patient's forehead to record electrophysiological signals. It has an electronic smart card memory device in the tab area that contains configuration and identification information.

    AI/ML Overview

    This 510(k) submission (K062692) is for a medical device called the "BIS Bilateral Sensor," a cutaneous electrode. The submission primarily focuses on establishing substantial equivalence to a predicate device (K002734, Aspect Enhanced XP BIS Sensor) rather than presenting a detailed de novo clinical study with specific acceptance criteria and performance results directly related to an AI/algorithm.

    The document indicates that the device is a simple cutaneous electrode for recording electrophysiological (EEG) signals. The "study" referenced in the 510(k) summary is a comparison of similarities and differences between the new device and the predicate device. It does not describe a clinical study in the format typically used to prove performance against acceptance criteria for an AI or algorithm-based device.

    Therefore, many of the requested points for describing an AI/algorithm study are not applicable to this submission, as it's for a sensor, not an AI or algorithm.

    Here's an attempt to answer the questions based on the provided text, while acknowledging the inherent limitations due to the nature of the device and submission:

    1. A table of acceptance criteria and the reported device performance

    Based on the provided text, no specific "acceptance criteria" for performance metrics like sensitivity, specificity, or AUC are mentioned, as this is a sensor and not an AI/algorithm with such output. The "performance" described is in terms of substantial equivalence to the predicate device.

    Acceptance Criteria (Implied for Substantial Equivalence to Predicate)Reported Device Performance
    Same indications for useMet: "The indications for use remain the same as the Enhanced Sensor."
    Same intended useMet: "The intended use is the same as the predicate device."
    Same fundamental scientific technologyMet: "The fundamental scientific technology remains the same as the Enhanced Sensor predicate device."
    Incorporates the same basic designMet: "incorporates the same basic design"
    Same BIS channels (2)Met: "2 channels of BIS"
    Incorporates the same materials and biocompatibilityMet: "incorporates the same materials and biocompatibility"
    Same shelf lifeMet: "has the same shelf life"
    Packaged using the same materials and processesMet: "is packaged using the same materials and processes"
    Incorporates smart card memory deviceMet: "incorporates smart card memory device"
    Modifications do not raise new questions of safety or effectivenessMet: "Aspect Medical Systems believes these modifications do not raise new questions of safety or effectiveness." (This is a claim made by the submitter, not an objective finding presented in the document.)

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

    This information is not provided as this submission relates to a physical device (sensor) and its substantial equivalence to a predicate, not a dataset-driven AI/algorithm performance study. No test set for an algorithm is mentioned.

    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. There is no "test set" in the context of an AI/algorithm study described in this submission, and thus no ground truth established by experts.

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

    This information is not applicable. No adjudication method is described as there is no test set for an AI/algorithm.

    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. This is a submission for a sensor, not an AI algorithm. Therefore, no MRMC study or assessment of human reader improvement with AI assistance was conducted or reported.

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

    This information is not applicable. This is a submission for a sensor, not an algorithm.

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

    This information is not applicable. There is no ground truth data described in the context of an AI/algorithm performance study.

    8. The sample size for the training set

    This information is not applicable. There is no "training set" as this is not an AI/algorithm.

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

    This information is not applicable. There is no "training set" and no ground truth establishment for it mentioned.

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