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510(k) Data Aggregation

    K Number
    K961591
    Date Cleared
    1996-07-02

    (69 days)

    Product Code
    Regulation Number
    874.4760
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    DISPOSABLE ENDOSHEATH FOR E-F100 FLEXIBLE NASOPHARYNGOSCOPE

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

    The EndoSheath provides a sterile, disposable protective covering for the scope to be used during endoscopic examination of the upper airway, vocal chords, and/or nasal passages.

    Device Description

    The VSI EndoSheath for use with the VSI Model E-F100 Nasopharyngoscope consists of a sterile, disposable, protective sheath which covers the pation of the scope during a clinical procedure. The sheath is removed and disposed of following each procedure.

    AI/ML Overview

    This looks like a 510(k) summary for a medical device, specifically an EndoSheath for a nasopharyngoscope. This type of document generally focuses on demonstrating substantial equivalence to a predicate device through performance testing and does not typically involve the kinds of studies (e.g., studies with human readers, ground truth consensus panels) that are common for AI/ML-based diagnostic devices.

    Therefore, many of the requested fields cannot be directly answered from the provided text as they are not applicable to this type of device and submission.

    Here's an analysis based on the provided text, addressing what can be extracted and noting what cannot:

    1. Table of Acceptance Criteria and Reported Device Performance:

    The document lists "Functional and Burst Test", "Scope Angulation", etc., as tests performed, implying these are the areas where the device needs to perform adequately. However, specific quantitative acceptance criteria (e.g., "burst pressure must be > X psi") and the corresponding quantitative performance results were not provided in the summary. The summary only states that these tests were performed and implies satisfactory results based on the "Conclusion" statement.

    Test PerformedAcceptance Criteria (Not Explicitly Stated Quantitatively in Summary)Reported Device Performance (No Quantitative Data Provided)
    Functional and Burst TestImplied to meet functional/burst requirementsImplied acceptable
    Scope Angulation (With and Without Sheath)Implied that sheath does not unduly impede angulationImplied acceptable
    Scope OD (With and Without Sheath)Implied that sheath does not unduly increase ODImplied acceptable
    Sheath Longitudinal and Radial Strain when Loaded on ScopeImplied that sheath withstands strain without failureImplied acceptable
    Light TransmittanceImplied adequate light transmission for visualizationImplied acceptable
    Field of ViewImplied that sheath does not unduly obstruct field of viewImplied acceptable
    Scope Resolution (With and Without Sheath)Implied that sheath does not unduly degrade resolutionImplied acceptable
    Biocompatibility Tests:
    IrritationImplied to be non-irritatingImplied acceptable
    SensitizationImplied to be non-sensitizingImplied acceptable
    CytotoxicityImplied to be non-cytotoxicImplied acceptable
    Acute Systemic ToxicityImplied to be non-toxic systemicallyImplied acceptable
    HemolysisImplied to cause no undue hemolysisImplied acceptable
    ImplantationImplied to be suitable for contact without adverse effectsImplied acceptable
    Microbial Barrier Testing:
    Live Polio VirusImplied to be an effective barrier against virusImplied acceptable
    Phi X 174 BacteriophageImplied to be an effective barrier against bacteriophageImplied acceptable

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

    • Sample Size for Test Set: Not specified. The document only lists the types of tests performed ("in vitro functional tests," "biocompatibility data," "microbial barrier testing"). It does not mention the number of units or samples tested for each.
    • Data Provenance: Not applicable. These are in-vitro, engineering, and laboratory tests on physical components, not clinical data from patients.

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

    • Not Applicable. This device is a physical sterile sheath. Ground truth establishment by clinical experts (like radiologists for imaging devices) is not relevant for its safety and performance claims outlined here. The tests are direct measurements of physical and biological properties.

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

    • Not Applicable. As there are no human-read interpretations or clinical assessments, an adjudication method for a test set is not relevant.

    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/ML diagnostic device. It's a sterile, disposable protective sheath for an endoscope. No MRMC study involving human readers or AI assistance was performed or would be relevant.

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

    • Not Applicable. This is not an algorithm or AI device.

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

    • Not Applicable. Ground truth in the context of diagnostic performance (e.g., for AI) is not relevant here. The "ground truth" for the tests performed are the physical and chemical standards and methods used in laboratories (e.g., a burst test's "ground truth" is whether it burst at a certain pressure or not; a biocompatibility test's "ground truth" is whether a cytotoxic effect was observed).

    8. The sample size for the training set:

    • Not Applicable. This is not an AI/ML device that requires a "training set."

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

    • Not Applicable. No training set exists for this device.
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