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510(k) Data Aggregation

    K Number
    K960173
    Date Cleared
    1996-06-27

    (163 days)

    Product Code
    Regulation Number
    876.5365
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    INFRA VISION BOUGIE KIT, INFRA VISION ESOPHAGEAL KIT

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

    The InfraVision™ Bougie is intended to aid in the identification of the esophagus, rectum, rectosigmoid, other structures, and surgically produced cavities using infrared transillumination during laparoscopy, thoracoscopy, or open procedures. The indications for use are detailed below:
    a. Infrared transillumination of the esophagus to assist in the identification and location of the esophagus and its surrounding tissues during laparoscopic, thoracoscopic, and open procedures;
    b. Infrared transillumination of the rectum and rectosigmoid to assist in the identification and location of these structures and surrounding tissues during gynecological and colorectal laparoscopic and open procedures; and
    C. Infrared transillumination of other organs or provide transillumination or illumination to other natural or surgically produced cavities.

    Device Description

    The InfraVision™ Bougie is intended to aid in the identification of the esophagus, rectum, rectosigmoid, other structures, and surgically produced cavities using infrared transillumination during laparoscopy, thoracoscopy, or open procedures. The InfraVision™ Bougie is a disposable device ranging in diameters from 13 Fr to 60 Fr, all having bougie sheath lengths of 80 cm. The overall length of the Infra Vision™ Bougies is 250 cm. The Infra Vision™ Bougie has a translucent tip that is either tapered or rounded in shape and varies in length.

    AI/ML Overview

    This document describes the K960173 InfraVision™ Bougie, a medical device designed to aid in the identification of internal structures using infrared transillumination.

    Based on the provided text, there is no detailed information about acceptance criteria or a specific study proving the device meets them in the format typically seen for modern AI/ML medical devices. The document is from 1996 and pertains to a physical medical device (an illuminated bougie), not an AI/ML diagnostic or predictive tool, hence the requested metrics like sample size for test/training sets, ground truth establishment methods, expert qualifications, and MRMC studies are not applicable or detailed in the provided text.

    However, I can extract the information related to the "testing" section provided:


    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance CriteriaReported Device Performance
    Tissue heatingSignificantly less tissue heating observed using the InfraVision™ System dual fiber emitters compared to the EndoLumina predicate device (energized with a Cabot Medical System 3000 Xenon Videolap Light set to full power).

    Note: The document implies "less tissue heating" is a desirable outcome and thus serves as an implicit acceptance criterion. No specific numerical thresholds are provided.

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

    The testing was performed using "simulated test tissue."

    • Sample Size (Test Set): Not specified.
    • Data Provenance: Simulated tissue.

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

    Not applicable. The testing described focuses on a physical characteristic (tissue heating) using simulated tissue, not on diagnostic accuracy requiring expert consensus.

    4. Adjudication Method for the Test Set

    Not applicable, as the testing was on a physical characteristic using simulated tissue.

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

    No, an MRMC comparative effectiveness study was not done. This type of study is typically relevant for evaluating the performance of diagnostic tools (often AI-assisted) where human interpretation is involved. The InfraVision™ Bougie is a physical device used for illumination.

    6. Standalone (Algorithm Only Without Human-in-the Loop Performance) Study

    Not applicable, as this is a physical medical device, not an algorithm.

    7. Type of Ground Truth Used

    The "ground truth" implicitly used was the actual temperature measurements or observation of tissue heating in simulated tissue. The comparison was against a predicate device's heating profile.

    8. Sample Size for the Training Set

    Not applicable. This is a physical device, and the concept of a "training set" is not relevant to the described testing.

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

    Not applicable.

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