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510(k) Data Aggregation

    K Number
    K090196
    Device Name
    EG-3670URK
    Date Cleared
    2009-05-19

    (112 days)

    Product Code
    Regulation Number
    876.1500
    Reference & Predicate Devices
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The EG-3670URK, Ultrasound Video Gastroscope, is intended to provide optical visualization of, ultrasonic visualization of, and therapeutic access to, the Upper Gastrointestinal Track including but not restricted to the organs, tissues, and subsystems: Esophagus, Stomach, Duodenum, Small Bowel, and underlying areas. The instrument is introduced per orally when indications consistent with the requirement for procedure are observed in adult and pediatric patient populations.

    Diagnostic Ultrasound imaging or fluid flow analysis of the human body as follows: Endoscopy

    Device Description

    The EG-3670URK, Ultrasound Video Gastroscope, must be used with a Pentax Video processor (a software controlled device) and must be used with an Ultrasound Scanner (a software controlled device). The endoscope has a flexible insertion tube, a control body, PVE umbilical connector, and ultrasound scanner umbilical connector. The PVE connector will be attached to the Video Processor and has connections for illumination, video signals, air/ water/ and suction. The ultrasound umbilical connector will be attached to the ultrasound scanner unit. The control body includes controls for up/ down/ left/ right angulation, air/ water delivery, suction selection control, balloon insufflation/ evacuation, and an accessory inlet port. The endoscope contains light carrying bundles to illuminate the body cavity, a charge couple device (CCD) to collect endoscopic image data, and a radial array ultrasound transducer to collect ultrasonic image data. The instrument contains a working channel through which biopsy devices, or other devices, may be introduced. The video processor contains a lamp that light and is focused at the PVE connector light guide prong. The endoscope light carrying bundles present the light to the body cavity and the CCD collects endoscopic image data. Image data and other screen display information are formatted and presented to the video outputs of the video processor for display. The ultrasound transducer delivers ultrasonic pulses, reflections of the pulses are received and the signals are passed to the ultrasound scanner for processing and display. The instrument is immersable (with the use of supplied cleaning accessories) except for the ultrasound scanner connector (as described in the endoscope operator manual cleaning instructions).

    AI/ML Overview

    The provided 510(k) summary for the PENTAX EG-3670URK Ultrasound Video Gastroscope does not contain information about acceptance criteria or a study that proves the device meets such criteria.

    The submission explicitly states: "The submission for substantial equivalence is not based on an assessment of clinical performance data."

    Therefore, I cannot provide the requested information. The document focuses on demonstrating substantial equivalence to predicate devices primarily through mechanical drawings, material lists, labeling, standard components, optional accessories, and system performance testing (which likely refers to technical specifications rather than diagnostic performance in a clinical context) and acoustic power data.

    No clinical study, performance metrics, or ground truth establishment is described in this 510(k) summary.

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    K Number
    K061068
    Device Name
    EG-3670URK
    Date Cleared
    2006-05-03

    (16 days)

    Product Code
    Regulation Number
    876.1500
    Reference & Predicate Devices
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The EG-3670URK, Ultrasound Video Gastroscope, is intended to provide optical visualization of, ultrasonic visualization of, and therapeutic access to, the Upper Gastrointestinal Tract. The Upper Gastrointestinal Tract includes but is not restricted to, the organs; tissues; and subsystems; Esophagus, Stomach, Duodenum, Small Bowel, and underlying areas. The instrument is introduced per orally when indications consistent with the requirement for the procedure are observed in adult and pediatric patient populations.

    Device Description

    The EG-3670URK, Ultrasound Video Gastroscope, must be used with a Pentax Video Processor (software controlled device) and must be used with Ultrasound Scanner (software controlled device). The endoscope has a Flexible Insertion Tube, a Control Body, PVE Umbilical Connector, and Scanner Umbilical Connector. The PVE Connector connects to the Video Processor and has connections for illumination, video signals, air/water and suction. The Scanner Connector is connected at the Ultrasound Scanner. The Control Body includes controls for up/ down/ left/ right angulation, air/water delivery, suction selection/ control, balloon injection/ evacuation, and an accessory inlet port. The device contains light carrying bundles to illuminate the body cavity, a charge couple device (CCD) to collect image data, and a radial array ultrasound transducer to collect ultrasonic image data. The instrument contains a working channel through which biopsy devices, may be introduced. The Video Processor contains a lamp that provides white light that is focused at the PVE Connector Lightguide Prong. The endoscope light carrying bundles present the light to the body cavity and the CCD collects image data. Image data and other screen display information are formatted and presented to the video outputs of the Video Processor for display. The ultrasound transducer delivers ultrasonic pulses, reflections of the pulses are received and signals are passed to the Ultrasound Scanner for display. The instrument is immersable (with the use of supplied cleaning accessories as described in the Endoscope operator Manual cleaning instructions).

    AI/ML Overview

    This is an interesting case where the provided document is a 510(k) summary for a medical device, but it explicitly states that the submission for substantial equivalence was not based on an assessment of clinical performance data. Instead, it relied on a comparison of specifications and standard components to predicate devices. Therefore, the device was cleared without a study demonstrating that it meets specific acceptance criteria based on performance metrics such as accuracy, sensitivity, or specificity.

    As a result, I cannot provide the information requested in your prompt regarding acceptance criteria and a study proving the device meets them, because such a study was not performed or submitted for this particular 510(k) clearance.

    Here's a breakdown of what can be extracted from the document in relation to your request, and why other parts cannot be answered:


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

    • Cannot be provided. The 510(k) summary explicitly states: "The submission for substantial equivalence was not based on an assessment of clinical, performance, data." Therefore, there are no reported device performance metrics against acceptance criteria related to clinical efficacy or diagnostic accuracy. The substantial equivalence was based on a comparison to predicate devices, implying that if the new device is sufficiently similar to an already cleared device, it is considered safe and effective for its intended use without new performance data.

    2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

    • Cannot be provided. No test set data was used because no study assessing clinical or performance data was conducted for this 510(k) submission.

    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)

    • Cannot be provided. As no test set was used, no ground truth was established by experts for performance evaluation.

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

    • Cannot be provided. No test set, no adjudication method.

    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

    • Cannot be provided. This device is an ultrasound video gastroscope, not an AI-powered diagnostic tool. No MRMC study or AI-related comparative effectiveness study was performed or is relevant to this traditional medical device clearance.

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

    • Cannot be provided. Not applicable. This is a physical medical device (endoscope with ultrasound capability), not a standalone algorithm.

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

    • Cannot be provided. No ground truth was established for performance evaluation.

    8. The sample size for the training set

    • Cannot be provided. No training set was used as no performance study was conducted.

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

    • Cannot be provided. No training set, no ground truth establishment for it.

    Summary of Device and 510(k) Clearance:

    The EG-3670URK Ultrasound Video Gastroscope was cleared based on substantial equivalence to existing predicate devices (Pentax EG-3630UR Video Ultrasound Gastroscope and Hitachi EUB-5500 Ultrasound Diagnostic Scanner). The manufacturer provided specifications, standard components, and accessories, along with comparison tables to illustrate similarity to the predicates. This type of clearance, common for many medical devices, does not require new clinical performance data if the device is deemed sufficiently similar to a legally marketed predicate device.

    The FDA's clearance letter (K061068) confirms this, stating the device is "substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices." The only specific post-clearance requirement mentioned is a "special report" containing acoustic output measurements based on production line devices, which relates to safety rather than clinical efficacy or diagnostic performance in a clinical study context.

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