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510(k) Data Aggregation

    K Number
    K250296
    Date Cleared
    2025-05-01

    (90 days)

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

    Disposable Distal Attachment D-201 Series

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

    The Disposable Distal Attachment D-201 Series have been designed to be attached to the distal end of the endoscope to keep the suitable depth of endoscope's view field within the gastrointestinal tract.

    Device Description

    The Disposable Distal Attachment D-201 Series is comprised of seven (7), sterile, single-use, distal attachments of varying diameters. Each distal attachment is a short transparent plastic tube which is attached to the distal end of an endoscope to facilitate observation of tissues during endoscopic procedures. A subset of the models includes a drainage side hole that allows egress of water and blood during use. The Disposable Distal Attachment D-201 Series is to be used with compatible endoscopes.

    AI/ML Overview

    The provided FDA 510(k) clearance letter and summary for the "Disposable Distal Attachment D-201 Series" does not describe a study involving an AI/Medical Imaging device that requires ground truth, human readers, or a test set as described in the prompt.

    Instead, this document describes a traditional medical device (a physical accessory for an endoscope) and the performance testing conducted to demonstrate its substantial equivalence to a predicate device. The performance data focuses on biocompatibility, sterilization, packaging, shelf-life, mechanical testing, and human factors. There is no mention of an algorithm, image analysis, or clinical performance in terms of diagnostic accuracy or reader improvement.

    Therefore, I cannot fulfill the request to describe the acceptance criteria and the study that proves the device meets the acceptance criteria using the provided information, as the requested elements (ground truth, expert consensus, MRMC studies, training/test sets for an algorithm, etc.) are not applicable to this type of device and its clearance process.

    The document states: "Clinical data is not required to demonstrate substantial equivalence." This further confirms that no studies involving analysis of images or AI performance were conducted or necessary for this device's clearance.

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