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510(k) Data Aggregation

    K Number
    K080613
    Date Cleared
    2008-11-06

    (247 days)

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

    The Clear-Vu System is a single-use, disposable laparoscopic accessory device intended to facilitate intra-operative defogging and cleaning of the lens of a laparoscope during minimally-invasive surgery while maintaining visualization of the surgical site.

    Device Description

    The Clear-Vu System consists of a multi-lumen sheath assembly mounted on the shaft of the laparoscope, which connects to the existing CO₂ insufflation circuit to defog the laparoscope lens and divert surgical debris, and connects to the existing surgical irrigation system to clean the lens via saline flush.

    AI/ML Overview

    The provided text describes the Clear-Vu™ System, an endoscope lens cleaning and defogging device. However, it does not contain the specific details required to fully answer your request, such as a table of acceptance criteria, reported device performance figures, sample sizes for test sets, expert qualifications, or details about MRMC studies.

    Based on the information available in the document, here's what can be extracted and what is missing:

    1. Table of Acceptance Criteria and Reported Device Performance

    • Acceptance Criteria: Not explicitly stated in the provided text. The document indicates that the device was subjected to simulated use testing and preclinical animal testing to "demonstrate its effectiveness." However, the specific metrics or thresholds that would define "effectiveness" (i.e., the acceptance criteria) are not provided.
    • Reported Device Performance: Not explicitly stated in the provided text. The document claims the device demonstrated "effectiveness" in simulated use and animal testing, but no quantitative performance results (e.g., success rates, time to clear, optical clarity improvements) are given.

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

    • Test Set Sample Size: Not provided. The text mentions "simulated use testing" and "preclinical animal testing in a porcine model" but does not specify the number of simulated cases or the number of animals used.
    • Data Provenance: The preclinical animal testing was conducted in a porcine model. For the simulated use testing, the provenance is a "surgical environment simulation chamber," implying a controlled laboratory setting. It is retrospective in the sense that the testing was completed before the 510(k) submission.

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

    • Not provided. The document does not mention the use of experts to establish ground truth for performance testing. Given the nature of the device (cleaning and defogging), "ground truth" during testing would likely be assessed through objective measures of lens clarity or subjective assessment by observers, rather than a diagnostic 'truth' established by experts.

    4. Adjudication Method for the Test Set

    • Not provided. Since the document doesn't detail how the effectiveness was measured, it also doesn't specify any adjudication method for those measurements.

    5. Multi Reader Multi Case (MRMC) Comparative Effectiveness Study

    • Not performed/reported. The document makes no mention of a human-in-the-loop study or an MRMC comparative effectiveness study involving human readers with or without AI assistance. The device is an accessory, not an AI diagnostic tool.

    6. Standalone Performance Study

    • Yes, a standalone study was done, but details are limited. The performance testing described (simulated use and preclinical animal testing) evaluates the algorithm/device's functionality in isolation, without direct human intervention as part of the performance measurement. The device "facilitates" cleaning and defogging, implying it performs this function on its own, and the tests were to demonstrate its effectiveness in performing this function. However, the specific metrics and results of this standalone performance are not provided.

    7. Type of Ground Truth Used

    • Observational effectiveness. For the simulated use and animal testing, the "ground truth" would be established by observing whether the device successfully defogged and cleaned the laparoscope lens as intended. This is an objective assessment of function rather than a diagnostic truth. For example, measures of visibility before and after cleaning, or the absence of fog/debris.

    8. Sample Size for the Training Set

    • Not applicable / Not provided. The Clear-Vu System is a mechanical accessory device, not an AI/ML algorithm that requires a "training set." Therefore, this question is not relevant to the described device.

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

    • Not applicable. As the device is not an AI/ML algorithm, there is no training set and no ground truth establishment for it.

    Summary of Missing Information:

    The most significant missing information for a complete answer includes:

    • Specific quantitative acceptance criteria for device effectiveness.
    • Quantitative results of the device's performance in simulated use and animal studies.
    • Actual sample sizes for the testing.
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