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510(k) Data Aggregation

    K Number
    K083155
    Date Cleared
    2009-01-13

    (81 days)

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

    HD CAMERA HEAD OTV-S7PROH-HD-L08E

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

    This camera head has been designed to be used with the CV-180 EXERA II video system center or OTV-S7Pro VISERA Pro video system center, endoscopes, light sources, video monitors and other ancillary equipment for endoscopic diagnosis and treatment within the bladder, urethra, ureter, and kidney.

    Device Description

    HD CAMERA HEAD OTV-S7ProH-HD-L08E is an imaging device used with specified HD CAMERA FILAD OTV-811 1011 1017 1072 120 120 0ther ancillary equipment for observation of endoscopic image on a video monitor.

    The new camera head is basically identical to predicate device shown in Table 14-1 in intended use, and similar in specifications, performance.

    AI/ML Overview

    The provided text is a 510(k) summary for a medical device (HD CAMERA HEAD OTV-S7ProH-HD-L08E). It focuses on demonstrating substantial equivalence to a predicate device rather than detailing specific acceptance criteria and study results in the typical format of a device performance study.

    Therefore, many of the requested details about acceptance criteria, study design, and ground truth establishment are not explicitly present in the provided document. The document primarily compares the new device's specifications to a predicate device to argue for substantial equivalence.

    Here's an analysis based on the available information:

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

    The document does not explicitly state "acceptance criteria" in the traditional sense of performance targets that were tested against. Instead, it provides a "Comparison of Specifications" between the subject device and its predicate. The implication is that the subject device's performance, as outlined in these specifications, is considered acceptable because it is similar to the legally marketed predicate device.

    ItemSpecifications (Predicate Device)Reported Device Performance (Subject Device)Implied Acceptance
    DimensionO.D. 21mm x 83mm (from mount surface) L-shape
    Camera HeadO.D. 40mm x 104mm (from mount surface) Straight shapeThe size differences (smaller, L-shape vs. straight) are presented as design changes, not deviations from a performance requirement. These are acceptable as long as they don't negatively impact intended use or safety, which is claimed in the conclusion by stating no "significant changes in intended use, method of operation, or design."
    CableO.D. 6.6mm x 4mO.D. 3.3mm x 4mSimilar to above, smaller cable diameter is a design change.
    Weight100g (excluding cable)60g (excluding cable)Lighter weight is a design change.
    Video plugRound shape type connectorCard-edge type connectorA different type of connector, indicating a design change, but functional equivalence is implied.
    Remote control switchesSeparatedEmbeddedDesign change for convenience, still providing the function.
    Observation
    Pickup SystemInterline type CCD solid-state image pickupInterline type CCD solid-state image pickupIdentical, thus meeting the implied standard of the predicate device.
    Auto IrisAvailableNot availableThe absence of Auto Iris is a functional difference. Its acceptability hinges on the overall system performance and whether manual control is sufficient or if the NBI feature compensates. The submission implies it's acceptable.
    Narrow Band Imaging (NBI) functionNot availableAvailableThis is an added feature. Its presence is considered an enhancement, not a failure to meet criteria.
    Operating Environment
    Ambient Temperature10 to 40°C10 to 40°CIdentical, meeting the implied standard.
    Relative Humidity30 to 85%30 to 85%Identical, meeting the implied standard.
    Atmospheric Pressure700 to 1060 hPa700 to 1060 hPaIdentical, meeting the implied standard.
    Reprocessing
    CleaningImmersible in detergent solution with a water-resistant capImmersible in detergent solution without water-resistant capThis indicates an improvement in design for ease of cleaning, implicitly acceptable.
    DisinfectionImmersible in disinfectant solution with a water-resistant capImmersible in disinfectant solution without water-resistant capThis indicates an improvement in design for ease of disinfection, implicitly acceptable.
    SterilizationEthylene oxide gas sterilizationEthylene oxide gas sterilizationIdentical, meeting the implied standard.
    Patient contacting materialNo patient contacting materialNo patient contacting materialIdentical, ensuring no new biocompatibility concerns.

    Study Details:

    The document describes a comparison to a predicate device for the purpose of demonstrating "substantial equivalence" to obtain 510(k) clearance, not a clinical performance study with specific acceptance criteria and detailed statistical analysis of performance metrics.

    Therefore, most of the following information is not available in the provided text.

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

    • Not applicable / Not provided. This document does not describe a clinical study with a "test set" of patient data. The comparison is based on device specifications and design characteristics.

    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)

    • Not applicable / Not provided. No ground truth establishment for a test set is mentioned.

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

    • Not applicable / Not provided. No adjudication method is mentioned.

    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

    • Not applicable / Not provided. This device is a camera head, not an AI-assisted diagnostic tool. No MRMC study is referenced.

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

    • Not applicable / Not provided. This device is a camera head, not an algorithm.

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

    • Not applicable / Not provided. No ground truth for a clinical study is referenced. The "truth" in this submission is the established safety and effectiveness of the predicate device, against which the new device's specifications are compared.

    8. The sample size for the training set

    • Not applicable / Not provided. No training set for an algorithm is mentioned.

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

    • Not applicable / Not provided. No ground truth for a training set is mentioned.

    Summary of the Document's Conclusion:

    The document concludes that the HD CAMERA HEAD OTV-S7ProH-HD-L08E is "basically identical to the predicate device in intended use" (with some limitation of application to specific anatomical regions) and "similar in specifications." It highlights the addition of Narrow Band Imaging (NBI) and embedded remote control switches, as well as an L-shaped configuration and smaller dimensions, as design changes. The key statement for regulatory purposes is: "When compared to the predicate device, the HD CAMERA HEAD OTV-S7ProH-HD-L08E does not incorporate any significant changes in intended use, method of operation, or design of the device." This statement, along with the detailed specification comparison, forms the basis for the FDA's substantial equivalence determination.

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