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510(k) Data Aggregation

    K Number
    K020528
    Date Cleared
    2002-04-16

    (56 days)

    Product Code
    Regulation Number
    876.5010
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    INTRASTENT LD (LARGE DIAMETER) STENT

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

    The IntraStent® Mega™ LD (Large Diameter) Stent - Biliary Indication and the IntraStent® Max™ LD (Large Diameter) Stent - Biliary Indication are intended as a palliative treatment of malignant neoplasms in the biliary tree.

    Device Description

    The IntraStent Mega and Max LD Stents are balloon expandable stainless steel stents with an open lattice design. The device is provided unmounted, to be manually crimped onto a noncompliant PTA balloon catheter for biliary stent expansion of choice by the physician. Upon balloon inflation the crimped stent expands to conform to the duct inner luminal surface and retains the expanded state upon balloon deflation.

    AI/ML Overview

    Medical Device: IntraStent Mega LD and IntraStent Max LD Stents

    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance Criteria (Bench Test)Reported Device PerformanceStudy to prove device meets criteria
    Adherence to performance characteristics of predicate device (IntraStent™ Stent, K991929)Met the same performance characteristics as the predicate IntraStent™ Stent (K991929).Bench tests
    Substantial equivalence in materials, indication for use, and technological characteristics to predicate devices (IntraStent™ Stent K991929 and IntraStent DoubleStrut LD K993904)The modified IntraStent® stent is identical in materials, indication for use, and technological characteristics to the predicate devices.Comparison of specifications and characteristics; Performance testing (bench)

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

    The document does not specify any sample sizes for a human-based test set or any clinical data provenance. The study described is entirely based on bench testing of the devices.

    3. Number of Experts Used to Establish Ground Truth and Qualifications

    Not applicable. This was a bench test study, not a clinical study involving experts establishing ground truth from patient data.

    4. Adjudication Method for the Test Set

    Not applicable. There was no clinical test set requiring adjudication.

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

    No, a multi-reader multi-case (MRMC) comparative effectiveness study was not done. The submission focuses on device modifications and bench testing for substantial equivalence, not clinical effectiveness studies comparing human readers with and without AI assistance.

    6. Standalone (Algorithm Only) Performance Study

    Not applicable. This device is a physical medical implant (biliary stent), not a software algorithm or AI. The performance reviewed is mechanical/physical, not algorithmic.

    7. Type of Ground Truth Used

    The "ground truth" for this submission was the performance characteristics, materials, indication for use, and technological characteristics of the predicate devices (IntraStent™ Stent, K991929, and IntraStent DoubleStrut LD, K993904). The modified devices were compared against these established characteristics of the legally marketed predicate devices to demonstrate substantial equivalence.

    8. Sample Size for the Training Set

    Not applicable. This submission concerns physical medical devices, not an AI or algorithm that would require a training set.

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

    Not applicable. There was no training set in the context of an AI or algorithm.

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