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510(k) Data Aggregation

    K Number
    K041582
    Date Cleared
    2004-07-07

    (23 days)

    Product Code
    Regulation Number
    876.5990
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    MODIFICATION TO TRIPTER X-1 COMPACT DUET

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

    The intended use of the Tripter-X1 Duet Extracorporeal Shock Wave Lithotripter is the fragmentation of urinary tract stones (i.e. renal calyceal, renal pelvic, and upper ureteral stones).

    Device Description

    The Duet is a transportable Electrohydraulic Extracorporeal Shock Wave Lithotripter, which consists of a Shock Wave Generator (SWAG), a Motorized Floating Treatment Table (MFT), and control means.

    AI/ML Overview

    The provided document is a 510(k) premarket notification for a medical device called the "Tripter X-1 Compact Duet with Sonographic Localization Option." This document relates to a device for Extracorporeal Shock Wave Lithotripsy (ESWL), which is a non-invasive procedure used to break up kidney stones.

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

    1. Table of Acceptance Criteria and Reported Device Performance

    The submission states, "No clinical tests were performed." Therefore, there are no specific acceptance criteria or reported device performance metrics in this document. The device is cleared via a "special 510(k)" because it is considered a minor modification that does not change the fundamental technology or reduce safety and effectiveness compared to a predicate device.

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

    Not applicable. No clinical tests or test sets were used for this submission.

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

    Not applicable. No clinical tests or test sets were used, so no ground truth establishment by experts was performed.

    4. Adjudication Method for the Test Set

    Not applicable. No clinical tests or test sets were used.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done, and the Effect Size of How Much Human Readers Improve with AI vs. Without AI Assistance

    Not applicable. This device is not an AI-based diagnostic tool, and no MRMC studies were performed.

    6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) Was Done

    Not applicable. This is not an algorithm-only device.

    7. The Type of Ground Truth Used

    Not applicable. No clinical tests were performed.

    8. The Sample Size for the Training Set

    Not applicable. This submission is for a physical medical device (lithotripter), not a machine learning algorithm requiring a training set.

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

    Not applicable. No training set was used.

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