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510(k) Data Aggregation

    K Number
    K202994
    Date Cleared
    2022-01-04

    (460 days)

    Product Code
    Regulation Number
    878.4300
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    InnoClip Disposable Clip Applier, InnoClip Clip Applier

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

    InnoClip™ Disposable Clip Applier is indicated for patients undergoing laparoscopic surgical procedures involving occlusion of blood vessel, ducts and other tubular structures, and for radiographic marking.

    The InnoClip™ Clip Applier is indicated for patients undergoing laparoscopic surgical procedures involving occlusion of blood vessel, ducts and other tubular structures, and for radiographic marking.

    Device Description

    InnoClip™ Disposable Clip Applier consists of a molded handle and trigger, a 360° rotational knob, a cartridge housing shaft and a pair of jaws which is easy for surgeon to hold the operation field in the natural position. This device includes models DC5T1-BX and DC5T1-B6 that are designed to be inserted through 5 mm trocar sleeves.

    InnoClip™ Disposable Clip Applier can be used on vessels or tubular structures. The multi-fire design of InnoClip™ Disposable Clip Applier enables the surgeon to apply a maximum number of 10 clips for DC5T1-BX or 16 clips for DC5T1-B6 during a laparoscopic procedure without withdrawing and reinserting the device. The pre-loaded clips in the shaft are advanced to the jaw to enclose and occlude the target vessel by gently pulling the trigger.

    InnoClip™ Clip Applier has two parts, Reusable Handle and a Disposable Clip Cartridge. The Reusable Handle consists of a molded handle, trigger, openable cover and a 360° rotational knob. The Disposable Clip Cartridge consists of a cartridge housing shaft and a pair of jaws which provide secured of the clip to the targeted vessel. The Disposable Clip Cartridge and the Reusable Handle can be easily assembled together by inserting the Disposable Clip Cartridge through a slot located in the Reusable Handle. This device includes models RC5T1-BX and RC5T1-B6 that are designed to be inserted through 5 mm trocar sleeves.

    InnoClip™ Clip Applier can be used on vessels or tubular structures. The multi-fire design of InnoClip™ Clip Applier enables the surgeon to apply a maximum number of 10 clips for RC5T1-BX or 16 clips for RC5T1-B6 during a laparoscopic procedure without withdrawing and reinserting the device. The reusable handle design also reduces the surgical cost and waste. The pre-loaded clips in the Disposable Clip Cartridge are advanced to the jaw to enclose and occlude the target vessel by gently pulling the trigger.

    AI/ML Overview

    The provided text is a 510(k) Summary for the InnoClip™ Disposable Clip Applier and InnoClip™ Clip Applier devices. It describes the device, its intended use, and provides a summary of performance testing to demonstrate substantial equivalence to a predicate device.

    Here's an analysis of the requested information based on the provided text:

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

    The document does not explicitly present acceptance criteria in a table format with specific quantitative thresholds. Instead, it describes performance testing and generally states that the devices "met all acceptance criteria" or "have similar device performance compared to the predicate."

    Here's a summary derived from the text:

    Test/Performance MetricAcceptance Criteria (Implied/General)Reported Device Performance
    In-vitro Tests
    Clipped Pull Out Force Test (Silicone tube)Similar performance to the predicate deviceBoth proposed devices have similar device performance compared to the predicate device.
    Air Leakage Test (Silicone tube)Similar performance to the predicate deviceBoth proposed devices have similar device performance compared to the predicate device.
    Clip Scissoring (Silicone tube)Met all acceptance criteria and performed as well as the predicate deviceThe proposed devices met all acceptance criteria and performed as well as the predicate device.
    In-vivo Tests
    Ligation in Swine ModelAbility to ligate target vessels and tubular tissue as intendedThe proposed devices and the predicate device can ligate the target vessels and tubular tissue as its intended use.
    Reusable Handle DurabilityMaintain performance functions for up to 300 uses after reprocessingThe reusable handle has been validated to maintain performance functions for up to 300 times following reprocessing.
    BiocompatibilityMeet ISO 10993-1 and FDA GuidanceAll biocompatibility met the acceptance criteria.

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

    • Sample Size: The document does not specify the exact sample sizes (number of devices, number of clips tested, number of animals) used for any of the performance tests. It mentions performing "in-vitro tests" and "in-vivo ligation tests" but lacks quantitative details on sample size.
    • Data Provenance: The document does not specify the country of origin of the data or whether the studies were retrospective or prospective. It is a submission by "Taiwan Surgical Corporation" but this does not confirm the location of the studies.

    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)

    This information is not provided in the document. The tests described (e.g., pull-out force, air leakage, in-vivo ligation) are largely objective performance tests of the device itself rather than assessments requiring human expert interpretation for ground truth.

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

    This information is not applicable and not provided in the context of this device. The tests are focused on mechanical and functional performance, not diagnostic interpretations requiring adjudication.

    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

    This information is not applicable and not provided in the document. This device is a surgical clip applier, not an AI-powered diagnostic tool, so MRMC studies are not relevant.

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

    This information is not applicable and not provided in the document. This is a mechanical surgical device and does not involve an algorithm.

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

    The concept of "ground truth" as typically defined for AI or diagnostic devices (e.g., expert consensus, pathology, outcomes) is not directly applicable to the performance testing described for this mechanical surgical device. The "ground truth" for these tests would be the objective measurement results (e.g., actual pull-out force, actual air leakage rate, observable successful ligation in a animal model) as measured by laboratory equipment and veterinary observation, compared against pre-defined performance acceptance thresholds or predicate device performance.

    8. The sample size for the training set

    This information is not applicable and not provided in the document. This is a mechanical surgical device and does not use a training set as would an AI/machine learning model.

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

    This information is not applicable and not provided in the document. This is a mechanical surgical device and does not use a training set.

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