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510(k) Data Aggregation

    K Number
    K221177
    Manufacturer
    Date Cleared
    2022-08-11

    (108 days)

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

    Erbe's Tubing/Cap Sets

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

    The Erbe Tubing/Cap/Cap Sets provide sterile water and air from a single source to an endoscope for endoscopic procedures.

    Device Description

    Erbe's Tubing/Cap Sets are manufactured with medical grade materials or agents used in the medical device industry such as plastics, brass, adhesive, etc. The ERBEFLO CleverCap® devices provide a conduit for water for endoscopic irrigation and lens cleaning as well as air for insufflation; whereas, the ERBEFLO AeroRinse® devices provide a conduit for water for endoscopic lens cleaning as well as air for insufflation. There are four (4) and three (3) variants of Erbe's Tubing/Cap Sets for each group respectively (i.e., ERBEFLO CleverCap® and ERBEFLO AeroRinse®). All of the Sets respectively interface with a specified brand of scope (i.e., Pentax®, Olympus®, Fujifilm®, and Fujinon® Gastrointestinal Video Endoscopes). The Sets consist of tubing segment(s) and a cap. The cap of a Set attaches with an air tight seal to a water source (i.e., a sterile water bottle). Then from the water bottle cap, an irrigation tubing line (segment) of a Set (as applicable- only for the ERBEFLO CleverCap® Sets) interfaces with a designated peristaltic pump and via an ERBEFLO connector accessory attaches to the specified endoscopic lavage. The next segment, the air/water tubing (also coming from the same water bottle cap), connects to an air/water port of a specified endoscope for air insufflation as well as lens cleaning [Note: The air/water tubing is a tube in which the endoscope is used to pressurize the water bottle for functionality (air and water to the endoscope)]. Also, for the Pentax Set there is an additional air inlet tube that directs air from the endoscope's processor. For each Set, the irrigation tubing segment (as applicable) as well as the air/water tubing segment has a back flow check valve. The irrigation (as applicable) and air/water segments of the Sets have a clamp to close off the tubing while not in use. Additionally, each Set has an air/water connector(s) for its specified endoscope. Erbe's Tubing/Cap Sets are provided sterile and are disposable.

    AI/ML Overview

    The provided text describes the 510(k) premarket notification for Erbe's Tubing/Cap Sets. This submission is for a Class II medical device (Product Code OCX) which is tubing and cap sets for endoscopes. The submission demonstrates substantial equivalence to legally marketed predicate devices, not an AI/ML powered device. Therefore, the requested information pertaining to AI/ML device performance (such as sample size for test/training sets, data provenance, ground truth establishment, MRMC studies, standalone performance, and expert adjudication) is not applicable to this document.

    However, based on the provided text, the acceptance criteria and supporting studies for the Erbe's Tubing/Cap Sets can be summarized as follows:

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

    Test/Evaluation CategoryAcceptance Criteria (Implied)Reported Device Performance
    Biological EvaluationNo biocompatibility issues (per recognized standard)Demonstrated that there were no biocompatibility issues with the materials used for the Sets.
    2X Sterilization Functional TestingMeet established performance specifications after 2X sterilization for visual inspection, flow, back flow pressure, pressure decay, tensile strength, connection, and durability (including no leaks and connectability upon stressing)Visual inspection, flow testing, back flow pressure testing, pressure decay testing, tensile strength testing, connection testing, and durability testing (including ensuring no leaks and connectability upon stressing Sets) confirmed that the Devices upon 2X sterilization met established performance specifications.
    Packaging Inspection/Testing (Current Pouching)Maintain integrity (sterile barrier)Maintained their integrity. (Note: Inspection/Testing of the pouch (sterile barrier) was included in many of the previous ERBEFLO cleared 510(k)s including the predicate submissions. Visual packaging inspection as well as dye penetration, burst, and seal strength testing were used to evaluate, qualify the various size pouches).
    Packaging Inspection/Testing (New Automated System - Soft Pouch Trays)Maintained suitability after 2X sterilization, handling/transit simulation, and aging for package integrity (visual & barcode readability), dye penetration, bubble leak, burst, and seal strength.Inspection (visual for package integrity and barcode readability), dye penetration, bubble leak testing, burst testing, seal strength tensile testing) were performed on soft pouch trays upon 2X sterilization (as well as after handling/transit simulation), and upon aging. Inspection/Testing demonstrated the suitability of the new pouch trays for the Sets.
    Sterilization EvaluationDemonstrate product sterility and meet ethylene oxide residual requirements (per recognized standard)The evaluation was performed using the current recognized standard to demonstrate product sterility as well as that the products met ethylene oxide residual requirements.
    New Fujifilm Scopes (700 Series Endoscope) CompatibilitySet meets specifications for fitting (attaching/detaching) to the new Scope Series.Inspection/Testing demonstrated that the Set met specifications. (This refers to a minor change in the air/water scope connector for a new Fujifilm scope series).

    The following information is not applicable as the device is not an AI/ML powered device.

    1. Sample sized used for the test set and the data provenance: Not applicable.
    2. Number of experts used to establish the ground truth for the test set and the qualifications of those experts: Not applicable.
    3. Adjudication method: Not applicable.
    4. 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: Not applicable.
    5. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done: Not applicable.
    6. The type of ground truth used (expert consensus, pathology, outcomes data, etc): Not applicable.
    7. The sample size for the training set: Not applicable.
    8. How the ground truth for the training set was established: Not applicable.
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