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510(k) Data Aggregation

    K Number
    K042877
    Date Cleared
    2004-11-16

    (29 days)

    Product Code
    Regulation Number
    876.5130
    Reference & Predicate Devices
    N/A
    Why did this record match?
    Device Name :

    MICROVERTER URETERAL ACCESS SHEATH

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

    The MICROVERTER Ureteral Access Device is intended to facilitate the introduction of endoscopes and other instruments into the urinary tract. The device is indicated for use in endoscopic procedures to facilitate the passage of endoscopes, urological instruments and for the injection of fluids into the urinary tract, and as a lubricious barrier between the ureteral tissue and the endoscope or instrument.

    Device Description

    The MICROVERTER Ureteral Access Sheath consists of a film membrane covering an outer tube, and a pusher tube that provides a lumen for the introduction of endoscopes and instruments. The outer tube is pre-loaded with the film membrane.

    AI/ML Overview

    The provided text, a 510(k) summary for the MICROVERTER Ureteral Access Sheath, states that "Performance data demonstrated no significant difference in the performance of the MICROVERTER Ureteral Access Sheath and the predicate device." However, it does not explicitly list acceptance criteria nor detail the study that proves the device meets specific criteria.

    Instead, the submission relies on demonstrating substantial equivalence to predicate devices. This means that if the predicate devices were deemed to meet performance and safety requirements, and the new device is substantially equivalent, it is also considered to meet those requirements.

    Here's an analysis based on the available information:

    1. Table of Acceptance Criteria and Reported Device Performance:

    Acceptance CriteriaReported Device Performance
    Not explicitly stated in the provided document. The basis of acceptance is substantial equivalence to predicate devices."Performance data demonstrated no significant difference in the performance of the MICROVERTER Ureteral Access Sheath and the predicate device."

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

    The document does not specify the sample size used for any performance testing or the provenance (e.g., country of origin, retrospective/prospective) of the data. It merely mentions "Performance data."

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

    The document does not mention the involvement of experts to establish ground truth for any test set.

    4. Adjudication Method:

    The document does not describe any adjudication method as it does not detail a study involving expert assessment of a test set.

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

    The document does not mention or describe a MRMC comparative effectiveness study. As such, no effect size for human reader improvement with AI assistance can be reported. The device itself is a medical tool, not an AI diagnostic system.

    6. Standalone Performance Study:

    The document does not explicitly describe a standalone (algorithm only) performance study. The "Performance data" mentioned is likely a comparison of the device's functional characteristics to the predicate device, rather than an "algorithm only" study, as this is a physical medical device.

    7. Type of Ground Truth Used:

    The document does not specify the type of ground truth used. Given the nature of the device (ureteral access sheath), "ground truth" would likely relate to objective measurements of physical properties, functionality (e.g., ease of introduction, lubricity, fluid injection capabilities, integrity), or potentially in-vivo performance in animal models, rather than expert consensus on images or pathology. However, specific details are not provided.

    8. Sample Size for the Training Set:

    The concept of a "training set" is generally applicable to machine learning or AI models. Since this is a physical medical device and the document doesn't indicate the use of AI, the notion of a training set as typically understood does not apply in this context. The document does not provide information on any "training set" sample size.

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

    As the concept of a training set is not applicable (see point 8), the document does not describe how ground truth for a training set was established.

    Summary of the Study (as inferred from the 510(k) Summary):

    The "study" referenced in the 510(k) summary is not described in detail but broadly refers to the generation of "Performance data." The primary objective of presenting this data was to demonstrate that the MICROVERTER Ureteral Access Sheath has "no significant difference in the performance" compared to its predicate devices (PSI SLIP Urology Introducer Sheath, Cook Flexor Ureteral Access Sheath, Boston Scientific Navigator Ureteral Access Sheath). This approach is standard for 510(k) submissions, where substantial equivalence to legally marketed predicate devices is the pathway to clearance. The specific methods, sample sizes, or detailed results of this performance evaluation are not provided in the publicly available summary.

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