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510(k) Data Aggregation

    K Number
    K030642
    Date Cleared
    2003-05-23

    (84 days)

    Product Code
    Regulation Number
    876.1500
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    DEFLECTING URETERAL ACCESS SHEATH

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

    The Deflecting Ureteral Access Sheath is indicated for use in endoscopic urology procedures, facilitates the passage of endoscopes and other instruments through the urinary tract. The dilator may also be used to irrigate and aspirate fluids into the urinary tract and kidney.

    Device Description

    The Deflecting Ureteral Access Sheath consists of a tapered dilator and a sheath, which are both coated with a hydrophilic coating, which is activated when wet. The tip of the sheath is designed such that it may be deflected in order to position the tip of the sheath to a desired site within the kidney to allow better access to surgical site. The deflecting feature also aids in positioning/maneuvering instruments such as endoscopes positioned inside the sheath.

    The Deflecting Ureteral Access Sheath consists of two components, the sheath and the dilator, The sheath consists of an elongated body attached to a lever and handle assembly. Activation of the handle/lever mechanism results in desired deflection of the sheath. The dilator is assembled into the sheath during placement. The tapered tip of the dilator is designed for easy placement. The Deflecting Ureteral Access Sheath can be placed over a guidewire or by itself, The female luer fitting on the dilator is securely attached to the sheath handle during placement. Devices such as syringes and suction and irrigation equipment with luer port connectors may be attached to the dilator when irrigation and/or aspiration of the surgical site is desired. The dilator may also be used by itself in similar procedures.

    The Deflecting Ureteral Access Sheaths will be made available as disposable, single use, sterile devices in two sizes (35cm and 60 cm).

    AI/ML Overview

    The provided text describes a 510(k) summary for the "Deflecting Ureteral Access Sheath." This is a medical device, and the information presented focuses on regulatory approval rather than a detailed study comparing its performance against specific acceptance criteria in a quantitative sense as might be seen for an AI/CADe device.

    Therefore, many of the requested categories for AI/CADe studies (like sample size for test set, number of experts, adjudication methods, MRMC study, standalone performance, training set details) are not applicable to this type of device and submission.

    However, I can extract the acceptance criteria and the "reported device performance" in terms of what the performance data summary claims to demonstrate.

    Here's a breakdown derived from the provided text:

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

    Acceptance Criteria (Tests Performed)Reported Device Performance
    Surface Friction and Hydrophilic Coating Adhesion TestPerformance and functional testing demonstrates substantial equivalence to predicate devices.
    Kink Free TestPerformance and functional testing demonstrates substantial equivalence to predicate devices.
    Tip Deflection TestPerformance and functional testing demonstrates substantial equivalence to predicate devices.

    2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)
    Not applicable. This is a physical medical device, and the "performance data" refers to engineering and functional tests, not clinical data sets in the AI/CADe sense. The text does not specify sample sizes for these functional tests, nor their provenance.

    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)
    Not applicable. Ground truth as typically understood for AI/CADe studies (e.g., expert consensus on medical images or pathology) is not relevant here. The "ground truth" for the functional tests would be established by engineering specifications and physical measurements.

    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set
    Not applicable. Adjudication methods are relevant for human expert evaluation, which is not described for this device's performance data.

    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/CADe device, and no MRMC study is mentioned.

    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done
    Not applicable. This is not an algorithm. The device's performance is inherently standalone in that its physical properties are tested.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc)
    The "ground truth" for this device's assessment would be engineering specifications and physical testing standards. The text asserts that the device meets these standards and is "substantially equivalent" to predicate devices, which implies it performs comparably in these physical tests according to established benchmarks.

    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. See above.

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