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510(k) Data Aggregation

    K Number
    K020889
    Date Cleared
    2002-06-05

    (78 days)

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

    ENDOSCOPIC LIGHT SOURCE XL202/L3

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

    The Endoscopic Light Source XL202/L3 is intended to be used with fiber optic endoscopes to provide illumination of body cavities, hollow organs and canals during endoscopic procedures.

    The device is classified as Cardiac Floating (CF) which allows the use in endoscopic cardiac procedures when used in conjunction with the proper instrumentation.

    Device Description

    The Endoscopic Light Source XL202/L3 uses a 180 W xenon lamp to provide illumination during endoscopic surgery through a fiber optic cable, which is connected to the device. Furthermore, the light source can be equipped with an additional 150 W halogen lamp for diagnostic applications in endoscopy. The 150 W halogen lamp also function as a backup up lamp to avoid interrupting a procedure in case of a malfunction of the xenon lamp. The color temperature of the xenon lamp and halogen lamp is approximately 6000 % and 3400 % respectively, the lamp life approximately 500 hours and 50 h respectively.

    AI/ML Overview

    The provided text is for a 510(k) summary for an Endoscopic Light Source. This type of document is for a medical device that provides illumination and is not an AI/ML powered device. Therefore, many of the requested categories related to AI/ML device studies and performance will not be applicable.

    Here's an analysis of the provided text in relation to your request:

    Acceptance Criteria and Device Performance Study for Endoscopic Light Source XL202/L3

    The 510(k) summary for the Endoscopic Light Source XL202/L3 does not describe a study involving specific acceptance criteria and performance metrics in the way one would for an AI/ML algorithm or a new diagnostic device requiring clinical performance evaluation. Instead, the "performance data" section focuses on compliance with established electrical safety and general medical device standards, and the demonstration of "substantial equivalence" to predicate devices.

    The underlying principle for the approval of this device is substantial equivalence, meaning it performs as safely and effectively as other legally marketed devices.

    1. Table of Acceptance Criteria and Reported Device Performance:

    Acceptance Criteria CategorySpecific Criteria/StandardReported Device Performance
    Electrical SafetyIEC 601-1Complies
    Electromagnetic Compatibility (EMC)IEC 601-1-2Complies
    General Medical Device DirectiveMedical Device Directive 93/42/EECConforms
    Underwriters Laboratories StandardUL2601-1Meets requirements
    Intended Use EquivalenceProvide illumination of body cavities, hollow organs and canals during endoscopic procedures.Similar in design and technological characteristics to predicate devices; intended use is identical.
    Safety and EffectivenessNo new questions of safety and effectiveness compared to predicates.Differences between the XL202/L3 and predicate devices are minor and raise no new questions of safety and effectiveness.
    Illumination Source (Xenon)180W Xenon lamp180W xenon lamp, color temperature approx. 6000K, lamp life approx. 500 hours.
    Illumination Source (Halogen - Backup)150W Halogen lamp150W halogen lamp, color temperature approx. 3400K, lamp life approx. 50 hours. Also functions as backup.

    2. Sample Size Used for the Test Set and Data Provenance:

    This information is not applicable as the document describes a traditional medical device (light source) without a test set of data in the context of an AI/ML or diagnostic performance study. The "testing" referred to is compliance testing against established engineering and safety standards.

    3. Number of Experts Used to Establish Ground Truth and Qualifications:

    This information is not applicable. Ground truth is not established in the clinical or diagnostic sense for a light source. Device functionality is assessed against engineering specifications and safety standards.

    4. Adjudication Method for the Test Set:

    This information is not applicable. There is no "test set" in the context of clinical or diagnostic performance that would require an adjudication method.

    5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study:

    This information is not applicable. The device is an endoscopic light source, not a diagnostic or AI-assisted interpretation tool. Therefore, a study to measure human reader improvement with or without AI assistance is irrelevant.

    6. Standalone (Algorithm Only) Performance Study:

    This information is not applicable. This is a hardware device (light source), not an algorithm.

    7. Type of Ground Truth Used:

    This information is not applicable in the context of clinical or diagnostic ground truth. For this type of device, the "ground truth" is defined by compliance with established engineering standards (e.g., light output specifications, electrical safety parameters) and the device's ability to perform its intended function (providing illumination) as reliably as predicate devices.

    8. Sample Size for the Training Set:

    This information is not applicable. There is no "training set" for a hardware medical device like a light source.

    9. How the Ground Truth for the Training Set Was Established:

    This information is not applicable. As there is no training set, there is no ground truth establishment for it.

    In summary: The provided 510(k) summary focuses on demonstrating that the Endoscopic Light Source XL202/L3 meets safety and performance standards equivalent to existing, legally marketed predicate devices through compliance testing and comparison of technical specifications. It is not an AI/ML-driven device or a device requiring a clinical performance study with a test set, ground truth, or expert adjudication.

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