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510(k) Data Aggregation

    K Number
    K241532
    Date Cleared
    2024-10-22

    (145 days)

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

    Flexible Video-Choledo-Cysto-Ureteroscope System (PL-2100)

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

    The Flexible Video-Choledo-Cysto-Ureteroscope System is indicated for endoscopic examination in the urinary tract and can be used percutaneously to examine the interior of the kidney, and using additional accessories, to perform various diagnostic and therapeutic procedures. The Flexible Video-Choledo-Cysto-Ureteroscope System is also indicated for the examination of bile ducts surgically, and using additional accessories, to perform various diagnostic and therapeutic procedures during cholecystectomy.

    Device Description

    Imaging Processor System (Including Light Source) is composed of lighting system, image processing board. The lighting system provides the light source for the endoscope probe at the back end. The image processing board receives electronic signals from the front-end camera module and processes them, and finally transmits them to the display through the video interface. Flexible Video-Choledo-Cysto-Ureteroscope is a kind of medical electronic optical instrument, also known as optical camera, which can enter into the human bladder, ureter, biliary and pancreatic duct for observation and diagnosis. The operator delivers the optical camera system to the site of diagnosis and treatment by means of a mechanical part with a flexible insertion tube and a system of bends. The product is equipped with tiny size digital imaging parts -- photoelectric sensors "CMOS", on which the objects in human cavity will be transferred though lens optical system, and converts light signals into electrical signals. The electrical signal will be transferred to Imaging Processor System (Including Light Source) and display images on it's monitor output for doctor observation and diagnosis.

    AI/ML Overview

    This document is a 510(k) premarket notification for a new medical device, the Flexible Video-Choledo-Cysto-Ureteroscope System (PL-2100). This type of submission relies on demonstrating "substantial equivalence" to a predicate device, meaning it's as safe and effective as a device already legally marketed. Therefore, the "study" referred to is primarily a non-clinical performance evaluation comparing the proposed device to a predicate device, rather than a clinical trial or AI-specific validation study typically associated with AI/ML devices.

    Here's an analysis of the provided information concerning acceptance criteria and the "study":

    1. Table of Acceptance Criteria and Reported Device Performance:

    The document provides a comparative table between the proposed device (PL-2100) and its primary predicate device (Flexible Video-Choledo-Cysto-Ureteroscope System, K211686, Model: PL-1000). The "acceptance criteria" are implied by the predicate device's characteristics, and the "reported device performance" are the proposed device's characteristics. The goal is to show they are "Same" or "Similar" in ways that don't raise new questions of safety or effectiveness.

    ItemAcceptance Criteria (Predicate Device)Reported Device Performance (Proposed Device)Comment
    Imaging Processor SystemModel: PL-1000Model: PL-2100
    Indication for UseSignals from the endoscope are converted to the image and displayed on an inspection monitor.Signals from the endoscope are converted to the image and displayed on an inspection monitor.Same
    Target patientsPatients who are considered suitable for the application of this product by the physicianPatients who are considered suitable for the application of this product by the physicianSame
    User qualificationsPhysicians (experts approved by endoscopic medical safety administrator at each medical facility, or as defined by government/academic society). Specific training is not required.Physicians (experts approved by endoscopic medical safety administrator at each medical facility, or as defined by government/academic society). Specific training is not required.Same
    Place of useMedical facilityMedical facilitySame
    Power input100-240V~50/60Hz45VA100-240V~50/60Hz48VASimilar
    Imaging outputHDMICVBS&DVI&S-VIDEODifferent
    Light SourceLED 2WLED 2WSame
    Lamp Life30,000 hrs30,000 hrsSame
    ScreenN/A (implied external display)10.1 inchesDifferent
    USB Flash MemoryUSB 2.0 (Max:128G; FAT32)USB 2.0 (Max:128G; FAT32)Same
    illumination≥2000LUX≥2000LUXSame
    Resolutiond = 10mm, MTF50 value of SFR at center not lower than 200lw/pH, MTF50 value at 70% FOV not lower than 80% of center position.d = 10mm, MTF50 value of SFR at center not lower than 200lw/pH, MTF50 value at 70% FOV not lower than 80% of center position.Same
    Field of View110°±10%110°±10%Same
    Observe the depth of field5-50mm, MTF50 ≥ 200 (LW/PH)5-50mm, MTF50 ≥ 200 (LW/PH)Same
    Direction of View0°±2°0°±2°Same
    TV distortion
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