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510(k) Data Aggregation

    K Number
    K134047
    Date Cleared
    2014-04-11

    (101 days)

    Product Code
    Regulation Number
    884.4530
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    JARIT GYNECOLOGICAL FORCEPS, MILTEX GYNECOLOGICAL FORCEPS, MEISTERHAND GYNECOLOICAL FORCEPS

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

    Integra® Gynecological Surgical Forceps are hand-held instruments with dual blades that are indicated for pulling, grasping, holding, or compressing tissue during gynecological procedures.

    Device Description

    Integra® Gynecological Surgical Forceps are designed to provide a secure grip on tissue during vaginal and abdominal hysterectomy procedures. These atraumatic instruments are designed to minimize laceration or perforation of the tissue even when required retraction is exerted. Due to differences in anatomy of the site and types of surgical procedures, a variety of configurations and models are offered to provide the surgeon with options to ensure clinical needs are met.

    AI/ML Overview

    Here's an analysis of the provided 510(k) summary regarding the acceptance criteria and the study that proves the device meets those criteria:

    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance Criteria Category (Standard Applied)Specific Test PerformedAcceptance CriteriaReported Device Performance
    AAMI TIR12:2010Manual Cleaning ValidationNot explicitly stated in the provided text. This standard covers "Designing, testing, and labeling reusable medical devices for reprocessing in health care facilities: A guide for medical device manufacturers," implying the device must be effectively cleanable to specified levels.Pass
    AAMI TIR30:2011Automated Cleaning ValidationNot explicitly stated in the provided text. This standard refers to "A compendium of processes, materials, test methods, and acceptance criteria for cleaning reusable medical devices," implying the device must be effectively cleanable to specified levels.Pass
    ANSI/AAMI ST79:2010/A1:2010/A2:2011/A3:2012Pre-Vacuum Steam Sterilization Validation (270°F (132°C) for 4 minutes)Not explicitly stated in the provided text. This standard is a "Comprehensive guide to steam sterilization and sterility assurance in health care facilities," suggesting the device must withstand and be effectively sterilized by this method without degradation or compromise.Pass
    ANSI/AAMI ST79:2010/A1:2010/A2:2011/A3:2012Gravity Displacement Steam Sterilization Validation (270°F (132°C) for 15 minutes)Not explicitly stated in the provided text. This standard is a "Comprehensive guide to steam sterilization and sterility assurance in health care facilities," suggesting the device must withstand and be effectively sterilized by this method without degradation or compromise.Pass
    ASTM F 1089-02Corrosion TestingNot explicitly stated in the provided text. This standard is for the "Corrosion of Surgical Instruments," implying the device must demonstrate resistance to corrosion under specified test conditions.Pass
    ISO 13402:1995Corrosion Testing (implied)Not explicitly stated in the provided text. This standard covers "Surgical and dental hand instruments -- Determination of resistance against autoclaving, corrosion and thermal exposure," suggesting the device must demonstrate resistance to corrosion and thermal degradation during autoclaving.Pass (Corrosion covered by ASTM F 1089-02, thermal exposure implicitly covered by sterilization tests)
    ASTM F 899-11 and ISO 7153-1:2001Biocompatibility (Material Selection)The material, Stainless Steel AISI 420, is recognized as suitable for surgical instruments per these standards and has a long history of safe and effective use. This serves as the acceptance criterion for biocompatibility, eliminating the need for specific biocompatibility testing.No specific biocompatibility testing was performed, but the material was deemed acceptable based on standards and historical use.

    Important Note: The provided 510(k) summary does not explicitly detail the specific quantitative acceptance criteria (e.g., "bacterial reduction of X logs," "no visible corrosion after Y cycles") for each test. It only states that the device "Passed," implying it met the criteria defined within those standards.

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

    This document describes a pre-market notification for a medical device (Integra® Gynecological Forceps) which is a mechanical surgical instrument, not an AI or software-based device. Therefore, the concept of a "test set" in the context of data for AI algorithms is not applicable here.

    The "test set" for this device comprises physical samples of the Integra® Gynecological Forceps that underwent various non-clinical performance and material validation tests (cleaning, sterilization, corrosion). The document does not specify the exact number of physical samples used for each test. All tests are prospective as they were conducted specifically for this 510(k) submission. The provenance of the data is from Integra York PA, Inc. (the manufacturer's internal testing or contracted labs).

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

    Not applicable. This is not an AI or diagnostic device that requires expert ground truth labeling. The "ground truth" for a physical instrument is its functional performance, which is objectively measured against engineering and regulatory standards (e.g., "does it corrode?", "can it be sterilized?"). The experts involved would be engineers, microbiologists, and other technical specialists conducting and evaluating the tests, but not in the sense of establishing a "ground truth" for a classification task.

    4. Adjudication Method for the Test Set

    Not applicable. There is no subjective interpretation or classification that would require an adjudication method like 2+1 or 3+1. The tests yield objective "Pass" or "Fail" results against predefined criteria in the referenced standards.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was done

    No. This is a physical surgical instrument, not a diagnostic imaging or AI-assisted system. MRMC studies are used to evaluate the effectiveness of diagnostic devices on human performance.

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

    Not applicable. This is not an algorithm or AI device.

    7. The Type of Ground Truth Used

    The "ground truth" for this device is based on objective performance metrics and material compliance as defined by recognized industry and regulatory standards (AAMI, ASTM, ISO). For example:

    • Cleaning: The ability to be thoroughly cleaned, likely measured by residual protein/bioburden levels after a cleaning cycle (criteria within AAMI TIR12 and TIR30).
    • Sterilization: The ability to withstand sterilization processes without damage and achieve sterility (criteria within ANSI/AAMI ST79).
    • Corrosion: Resistance to corrosion under specified conditions (criteria within ASTM F 1089-02 and ISO 13402).
    • Biocompatibility: Conformance to established material standards (ASTM F899-11, ISO 7153-1) for surgical instruments made of stainless steel known to be safe in the body.

    8. The Sample Size for the Training Set

    Not applicable. This is not an AI/ML device that requires a training set.

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

    Not applicable. No training set for an AI/ML model.

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