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510(k) Data Aggregation

    K Number
    K192643
    Manufacturer
    Date Cleared
    2019-11-19

    (56 days)

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

    Dannik Laparoscopic Suction Irrigation System

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

    The DANNIK Laparoscopic Suction Irrigation System is indicated for use in patients undergoing a laparoscopic surgical procedure. It is designed to deliver sterile irrigation fluids to surgical sites during laparoscopic procedures and to evacuate blood, and tissue debris from the surgical site

    Device Description

    The DANNIK Laparoscopic Suction Irrigation System is indicated for use in patients undergoing a laparoscopic surgical procedure. It is designed to deliver sterile irrigation fluids to surgical sites during laparoscopic procedures and to evacuate blood, tissue debris from the surgical site.

    The system consists of a hand piece equipped with two trumpet style valves, a probe and connecting lines of tubing, one set designated to attach to supply of irrigation fluid, and the other designed to attach to an aspiration pump. The valves allow controlled irrigation and aspiration during a surgical procedure.

    This device is packaged and sterilized for single use only. Do NOT re-use, reprocess or resterilize. Discard after use with care.

    AI/ML Overview

    The provided document is a 510(k) summary for the DANNIK Laparoscopic Suction Irrigation System. It outlines the device's characteristics and its substantial equivalence to a predicate device. However, it does not contain acceptance criteria or study details in the format requested for AI/algorithm performance evaluation.

    This document describes a medical device (a physical instrument), not an AI/software device. Therefore, many of the requested fields, such as sample size for test/training sets, number of experts, adjudication methods, MRMC studies, standalone performance, and ground truth types, are not applicable in this context.

    Based on the document, here's what can be extracted and what cannot:

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

    Acceptance Criteria (from predicate device's established performance)Reported Device Performance (DANNIK Laparoscopic Suction Irrigation System)
    Functional Equivalence:
    - Deliver sterile irrigation fluids.- Designed to deliver sterile irrigation fluids.
    - Evacuate blood and tissue debris.- Designed to evacuate blood and tissue debris.
    - Controlled irrigation and aspiration.- Valves allow controlled irrigation and aspiration.
    Physical Characteristics Equivalence:
    - Handpiece design (Trumpet Valve Assembly).- Trumpet Valve Assembly. (Same as predicate)
    - Probe Length (e.g., 33cm/330mm).- 33cm (330mm). (Same as predicate; predicate also offers additional lengths).
    Safety & Biocompatibility:
    - Sterilization (e.g., Ethylene Oxide, ISO 11135-1).- Ethylene Oxide, ISO 11135-1.
    - Biocompatibility (e.g., Conforms to ISO 10993).- Conforms to ISO 10993.
    Performance Testing:
    - Appropriate fluid flow rates (implicitly from predicate).- Performance studies and bench testing included determining and verifying appropriate fluid flow rates.
    - Valve seal integrity (implicitly from predicate).- Performance studies and bench testing included verifying valve seal integrity.
    Regulatory:
    - Prescription use.- Yes. (Same as predicate)

    2. Sample size used for the test set and the data provenance: Not applicable. This is a physical medical device, not a software or AI product that uses test sets of data. The "test set" here refers to the device itself being tested.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts: Not applicable. The "ground truth" for a physical device is its manufacturing specifications and performance standards, established through engineering design and testing, not expert consensus on medical images or patient data. The document mentions evaluation by a "Design Engineer."

    4. Adjudication method (e.g., 2+1, 3+1, none) for the test set: Not applicable. Adjudication methods are typically used for establishing ground truth in medical imaging or clinical data for AI models.

    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 a physical surgical tool and does not involve human readers or AI assistance in the context of diagnostic interpretation.

    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done: Not applicable. Not an algorithm.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.): For this physical device, the "ground truth" is defined by established engineering and manufacturing standards, and the performance of the predicate device. This is confirmed through bench testing rather than clinical outcomes or pathological analysis.

    8. The sample size for the training set: Not applicable. There is no "training set" for a physical device in this context.

    9. How the ground truth for the training set was established: Not applicable.

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