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510(k) Data Aggregation

    K Number
    K983797
    Date Cleared
    1999-03-03

    (126 days)

    Product Code
    Regulation Number
    886.4150
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    D.O.R.C. HARMONY TOTAL VITRECTOMY SYSTEM

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

    The D.O.R.C. Harmony Total Vitrectomy System is a surgical system for ophthalmic surgery intended for use in surgery of the posterior segment (vitrectomy).

    Device Description

    The D.O.R.C. Harmony Total Vitrectomy System is an integrated system for posterior segment eye surgery. It provides the majority of functions required by the ophthalmic surgeon for performing a vitrectomy including vitreous cutting and aspiration, phacofragmentation, illumination, diathermy, air system and viscous fluid injection/extraction. The system is operated from one multifunction footswitch which gives the surgeon control over all of the surgical functions. The D.O.R.C. Harmony Total Vitrectomy System which includes the system, multifunction footswitch, trolley, automatic infusion pole and various sterile and non-sterile accessories provides the majority of functions needed to complete a posterior segment vitrectomy. The system is ac powered and also requires a source of medical grade compressed air to provide for some of the system functions.

    AI/ML Overview

    The provided text is a 510(k) premarket notification for the D.O.R.C. Harmony Total Vitrectomy System. This document focuses on demonstrating substantial equivalence to existing predicate devices, rather than presenting a study with specific acceptance criteria and performance metrics in the way one might for a novel diagnostic or AI-powered medical device.

    Therefore, many of the requested elements (e.g., sample size for test/training sets, number of experts, adjudication methods, MRMC studies, standalone performance, type of ground truth) are not applicable to this type of regulatory submission.

    The "study" in this context is the comparison of technological characteristics of the D.O.R.C. Harmony Total Vitrectomy System to its predicate devices. The acceptance criteria are implicit in the FDA's "substantial equivalence" determination, meaning the new device must be as safe and effective as a legally marketed predicate device.

    Here's an breakdown based on the provided text, addressing the points where information is available:

    1. Table of Acceptance Criteria and Reported Device Performance

    For a 510(k) submission like this, there isn't a formally stated "acceptance criteria" in terms of specific performance metrics with PASS/FAIL thresholds for a novel diagnostic. Instead, the acceptance criteria are satisfied by demonstrating that the new device's technological characteristics are substantially equivalent to legally marketed predicate devices. The "reported device performance" is essentially the listed specifications of the D.O.R.C. Harmony Total Vitrectomy System, as compared to the predicate devices.

    Feature/SpecificationAcceptance Criteria (Implicit: Comparable to Predicate)D.O.R.C. Harmony Total PerformancePredicate Devices (Range/Example)
    Intended UsePosterior segment ophthalmic surgeryPosterior segment ophthalmic surgerySame
    Vitrectomy TypeGuillotine cutter (or equivalent)Guillotine cutterGuillotine or radial reciprocating
    Vitrectomy Drive MechanismPneumatic or electricPneumatic or electricPneumatic
    Maximum Cut RateComparable to predicate devices800 cuts/minute750 - 2500 cuts/minute (predicates show a range)
    Aspiration TypeVenturi (or equivalent)VenturiVenturi
    Linear ControlPresentYESYES
    Maximum VacuumComparable to predicate devices500 mm Hg500 - 600 mm Hg
    PhacofragmentationPresent (if predicate has it)YESYES
    Phaco FrequencyComparable to predicate devices40 kHz28.5 kHz - 40 kHz
    DiathermyPresent (if predicate has it)YESYES
    Diathermy FrequencyComparable to predicate devices13.56 MHz600 kHz (one predicate)
    Diathermy Max PowerComparable to predicate devices12 watts7.5 - 10 watts
    Fiber Optic Light SourcePresent (if predicate has it)YESYES
    Light OutputDual/SingleDualDual
    Lamp TypeHalogen (or equivalent)HalogenUnknown for predicates
    Lamp WattageComparable to predicate devices150 wattsUnknown for predicates
    Air InfusionPresent (if predicate has it)YESYES
    Air Infusion Max PressureComparable to predicate devices95 mm Hg99 - 120 mm Hg
    Viscous Fluid InjectionPresent (if predicate has it)YESNO (for Storz, MID Labs, Scieran)
    Viscous Fluid Injection Viscosities1000 or 5000 cs1000 or 5000 cs1000 or 5000 cs (Alcon)
    Viscous Fluid ExtractionPresent (if predicate has it)YESNO (for Storz, MID Labs, Scieran)
    Multifunction FootswitchPresentYESYES

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

    • Not Applicable. This is a comparison of device specifications to predicate devices, not a study involving patient data or a "test set" in the context of diagnostic accuracy. The provenance of the data is the device's own specifications and publicly available information about predicate devices.

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

    • Not Applicable. No "ground truth" derived from expert assessment of a test set is mentioned or required for this type of submission. The "ground truth" is the demonstrated functionality and specifications of the device itself and its predicates.

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

    • Not Applicable. No adjudication process is described for a test set.

    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 is not an AI or diagnostic device that involves human readers.

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

    • Not Applicable. This is a surgical system, not an algorithm.

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

    • The "ground truth" for this submission is the functional specifications and intended use of the D.O.R.C. Harmony Total Vitrectomy System and its predicate devices. Substantial equivalence is established by demonstrating that these characteristics are similar enough to ensure equivalent safety and effectiveness.

    8. The sample size for the training set

    • Not Applicable. This is a hardware surgical system, not a machine learning model requiring a training set.

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

    • Not Applicable. See point 8.
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