Search Filters

Search Results

Found 1 results

510(k) Data Aggregation

    K Number
    K190025
    Date Cleared
    2019-08-12

    (217 days)

    Product Code
    Regulation Number
    888.3040
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    EVOL**®** -SI Joint Fusion System

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

    The EVOL® -SI Joint Fusion System is intended for sacroiliac joint fusion for conditions including sacroiliac joint disruptions and degenerative sacroiliitis.

    Device Description

    The EVOL® -SI Joint Fusion System is designed to treat dysfunctions of the sacroiliac joint. It includes titanium alloy (Ti-6Al-4V ELI per ASTM F136-13) screws and optional washers as well as instruments to place them in the body. It is designed to cross the sacroiliac joint anchoring the sacrum to the pelvis. Each screw is treated with a hydroxyapatite (HA) surface treatment that is approximately 20 nanometers thick.

    AI/ML Overview

    Here's an analysis of the provided FDA 510(k) summary, specifically focusing on acceptance criteria and supporting studies.

    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance Criterion (Test)Criterion (Pass/Fail)Reported Device Performance
    Mechanical TestingSubstantial equivalent performance to predicate devices"The mechanical testing results demonstrate that the EVOL® -SI Joint Fusion System is substantially equivalent to the predicate device."
    Static 3-point bendingPer ASTM F543Passed
    Axial PulloutPer ASTM F543Passed
    Torque to FailurePer ASTM F543Passed
    Dynamic Three-PointPer ASTM F1264Passed
    Non-Pyrogenicity Endotoxin Testing)"The subject implants meet the 20 endotoxin units (EU)/device pyrogen limit specification."

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

    The document does not explicitly state the sample size for the mechanical and endotoxin tests. It refers to "the worst-case subject EVOL® -SI Joint Fusion System implants" for endotoxin testing, implying a limited number. The data provenance is not specified, but these are typically laboratory-based tests performed by the manufacturer or a contract research organization.

    3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications of Those Experts

    This information is not applicable. The device's performance is objectively measured against engineering standards (ASTM) and biological contamination limits (ANSI/AAMI, USP), not against expert interpretations of data.

    4. Adjudication Method for the Test Set

    This information is not applicable, as there is no human interpretation or adjudication involved in the mechanical or endotoxin testing.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done

    No. This document describes a medical device (surgical implant) and not an AI/imaging diagnostic tool. Therefore, an MRMC study is not relevant.

    6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) Was Done

    No. This document describes a physical medical device, not an algorithm.

    7. The Type of Ground Truth Used

    The ground truth is established through:

    • Established engineering standards: ASTM F543 and ASTM F1264 for mechanical properties.
    • Established biological safety standards: ANSI/AAMI ST72 and USP for endotoxin limits.
    • Comparison to predicate devices: The "substantial equivalence" is based on the new device's performance meeting or exceeding that of legally marketed predicate devices, which serve as a benchmark for safety and effectiveness.

    8. The Sample Size for the Training Set

    This information is not applicable. This is a 510(k) submission for a physical medical device, not an AI/machine learning model. There is no concept of a "training set" in this context.

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

    This information is not applicable (see point 8).

    Ask a Question

    Ask a specific question about this device

    Page 1 of 1