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510(k) Data Aggregation

    K Number
    K130758
    Date Cleared
    2013-12-11

    (266 days)

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

    KRONNER SIDE-KICK UTERINE MANIPULATOR HOLDER

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

    The Kronner Side-Kick is intended to assist the surgical staff in mounting, positioning and holding a uterine manipulator during gynecological laparoscopic surgical procedures. It is intended for use by trained operating room personnel in an operating room environment.

    For holding uterine manipulators during laparoscopic or open surgery on female pelvic organs.

    Device Description

    The Kronner Side-Kick uterine manipulator holder is used to mount, position and hold in position uterine or vaginal manipulators used in laparoscopic surgical procedures. It is made mostly from aluminum and stainless steel and is mounted to standard operating room tables and locked in position allowing surgical devices to be securely held in position for long periods of time. Use of the Sidek-Kick frees operating room staff for other activities and reduces fatigue associated with manually maintaining a device in position during surgical procedures.

    The manipulator is inserted into the patient using standard technique, then the Side-Kick is joined to the manipulator.

    With proper adapters the Side-Kick may be used with various manipulators, such as the RUMI, the V-Care and the Arch Koh,

    A gas supply module, which can be attached to the operating table rail, transfers nitrogen or compressed air from the wall or a portable tank to the Side-Kick holder through two flexible lines. When the switch is turned on the Side-Kick joints are locked. When the switch is turned off the Side-Kick joints are unlocked.

    Pressing a foot pedal releases all the Side-Kick joints for position changes. When the foot pedal is released the joints lock. The foot pedal is connected to the gas supply module through two lines covered by a protective hose.

    A branched gas line connects the two luers of the Arm assembly to the gas supply module. A single gas line connects the gas supply module to the main pivot.

    The Kronner Side-Kick remains external to the patient's body at all times.

    AI/ML Overview

    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance CriteriaReported Device Performance
    1. Arch Koh, RUMI, and V care manipulators can be attached to Sidekick adapters satisfactorily and can be used, as required, for the intended use.Factory tested and confirmed to meet this criterion.
    2. Arch Koh, RUMI, and V care manipulators will be able to move the uterus through a range required for the surgery.Factory tested and confirmed to meet this criterion.
    3. Arch Koh, RUMI, and V care manipulators will be held with the strength required for holding the uterus during the surgery.Factory tested and confirmed to meet this criterion.
    4. All Sidekick components will perform as required.Factory tested and confirmed to meet this criterion.
    5. All Sidekick components can be easily assembled in an operating room environment.Factory tested and confirmed to meet this criterion.

    2. Sample Size and Data Provenance for Test Set

    The provided document states "Kronner Sidekick and Sidekick uterine manipulator adapters are factory tested." This implies that all manufactured units undergo this testing. Therefore, the sample size for the test set would be 100% of the production units. The data provenance is prospective, from factory testing conducted by Kronner Prototypes, Inc. The country of origin is not explicitly stated but is implied to be the USA, given the company's address (Roseburg, OR) and submission to the FDA.

    3. Number of Experts and Qualifications for Ground Truth (Test Set)

    The document does not mention the use of external experts to establish ground truth for the factory acceptance testing. The testing appears to be internal to Kronner Prototypes, Inc., and overseen by their design analysis and quality control processes.

    4. Adjudication Method (Test Set)

    No formal adjudication method (like 2+1 or 3+1) is described for the factory testing. The criteria are likely assessed against predefined specifications by internal personnel.

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

    No multi-reader multi-case (MRMC) comparative effectiveness study was mentioned in the provided document. The device is a physical holder, not an imaging or diagnostic AI tool that would typically involve such a study to compare human reader performance with and without AI assistance.

    6. Standalone Performance Study

    Yes, a standalone performance study was conducted in the form of "factory testing." The results of this testing are what is described under the "Reported Device Performance" in the table above. The document emphasizes that "Design analysis and testing has been conducted to confirm that basic functional characteristics of the subject device is substantially equivalent to the predicate device cited, and that design output meets the design input requirements." This pertains to the standalone performance of the device itself.

    7. Type of Ground Truth Used

    The ground truth used for the factory testing is based on predefined design input requirements and functional specifications for the device. These specifications would dictate what constitutes "satisfactory attachment," "required range of motion," "required strength," and proper performance and assembly.

    8. Sample Size for Training Set

    The concept of a "training set" is not applicable to this device. The Kronner Side-Kick Uterine Manipulator Holder is a physical medical device, not an AI or machine learning algorithm that requires a dataset for training.

    9. How Ground Truth for Training Set Was Established

    As there is no training set for a physical device, this question is not applicable.

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