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510(k) Data Aggregation

    K Number
    K232888
    Date Cleared
    2023-12-21

    (94 days)

    Product Code
    Regulation Number
    874.1820
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    Disposable Laryngeal Electrodes

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

    The disposable laryngeal electrodes are intended to be used as a disposable, self-adhesive electrodes attached to an endotracheal tube and positioned for continuous EMG monitoring of the larynx during surgical procedures.

    Device Description

    The Disposable Laryngeal Electrodes are single used electrodes constructed from an medical-grade ink with a conductive polymer film covered by an insulating coating, a connector made of polypropylene and a cable assembly. The electrodes are designed to monitor the recurrent nerve during thyroid, anterior cervical, carotid endartecrectomy surgery and vagus nerve monitoring during brain surgery. The monitoring is performed with a surface electrode that is attached to an endotracheal tube placed on the vocal cord. A neutral adhesive electrode is placed on the patient's shoulder. Both adhesive electrodes are connected to a reusable recording cable and to the nerve monitor.

    AI/ML Overview

    The provided document is a 510(k) summary for a medical device called "Disposable Laryngeal Electrodes." It describes the device, its intended use, and the testing performed to demonstrate its substantial equivalence to a predicate device.

    Here's an analysis of the acceptance criteria and the study conducted, structured according to your request:

    1. Table of Acceptance Criteria and Reported Device Performance

    TestAcceptance CriteriaReported Device Performance
    Adhesive propertyThe electrode should be able to be firmly adhered.Pass
    Electrode ImpedanceEach path of the electrode should be able to conduct, impedance: ≤100 Ω.Pass
    Security (Electrical)Normal state (μΑ): AC: ≤0.01mA (10μA) and DC: ≤0.1mA(100μA); Application part pressurized state (mA): ≤5mAPass
    Sterility testingThe products were sterile both before and after aged.Pass
    In vitro cytotoxicityNon-cytotoxic (as per ISO 10993-5)Non-cytotoxic
    Skin sensitizationNon-sensitive (as per ISO 10993-10)Non-sensitive
    Intracutaneous reactivityNon-irritation (as per ISO 10993-23)Non-irritation
    Acute systemic toxicityNon-acute systemic toxicity (as per ISO 10993-11)Non-acute systemic toxicity
    PyrogenNon-pyrogenic (as per ISO 10993-11)Non-pyrogenic
    Sterilization ETOSterility Assurance Level (SAL) of 10^(-6) demonstrated per ISO 11135:2014; Meets EO residuals per ISO 10993-7Demonstrated and met
    Shelf-life3 years (based on accelerated aging testing)Established 3 years
    Electrical safetyMeets requirements of IEC 60601-1Met requirements

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

    The document does not specify the sample sizes for the individual tests (adhesive property, electrode impedance, security, sterility, biocompatibility tests). It only states that testing was performed.

    The data provenance is from non-clinical laboratory testing conducted by Suzhou Haishen United Medical Device Associates Co., Ltd. The document does not specify the country of origin of the data beyond the manufacturer's location (Suzhou, Jiangsu Province, China). The studies are by nature prospective as they are conducted specifically for the purpose of demonstrating device performance.

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

    This information is not applicable to this type of device and study. The testing performed is bench testing (e.g., electrical, mechanical, biological) against established engineering and biological standards, not clinical performance requiring expert interpretation of diagnostic outputs or ground truth establishment by clinical experts.

    4. Adjudication method for the test set

    Not applicable. As the studies are bench tests against objective criteria and standards, there is no need for expert adjudication methods like 2+1 or 3+1. The results are quantitative measurements or pass/fail determinations based on predefined criteria.

    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

    No MRMC comparative effectiveness study was done. This device is a passive electrode for EMG monitoring during surgery, not an AI-powered diagnostic or assistive tool for human readers. Therefore, this section is not applicable.

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

    Not applicable. This device is an electrode, which is a hardware component. There is no algorithm or AI component to be evaluated in a standalone manner.

    7. The type of ground truth used

    The "ground truth" for the non-clinical tests are established international standards and internal requirements for medical devices. Specifically:

    • Performance (electrical/physical): Internal requirements, and likely general engineering principles for electrodes.
    • Biocompatibility: ISO 10993-1, ISO 10993-5, ISO 10993-10, ISO 10993-11, ISO 10993-23, and FDA guidance on ISO 10993-1.
    • Sterilization: ISO 11135:2014 and ISO 10993-7.
    • Electrical safety: IEC 60601-1.

    8. The sample size for the training set

    Not applicable. This device is a hardware component and does not involve AI or machine learning models that require a training set.

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

    Not applicable. As there is no training set, there is no ground truth to establish for it.

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