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510(k) Data Aggregation

    K Number
    K162075
    Device Name
    NICO TRIOwand
    Manufacturer
    Date Cleared
    2016-08-11

    (15 days)

    Product Code
    Regulation Number
    878.4400
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    NICO TRIOwand

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

    The NICO TRIOwand is a disposable device designed to be used in soft tissue surgical procedures that require slow to rapid fluid evacuation and low energy output for the coagulation of tissue.

    Device Description

    The NICO TRIOwand is a surgeon controlled device that enables the delivery of bipolar coagulation via third-party electrosurgical generators. Coagulation occurs between two stationary insulated electrodes which are continuously drip irrigated during use. Second, the TRIOwand provides user controlled delivery of aspiration/vacuum for the evacuation of fluids from the surgical site. Third, the TRIOwand provides the user the ability to deliver irrigation for flushing the surgical field.

    This submission covers a single configuration of the device:

    • . NICO TRIOwand - 4mm diameter, 14cm length, pre-bent (~30°)
      The direct patient contacting materials consist of PEBA and stainless steel. The indirect contacting materials are PVC, TPV, polycarbonate, ABS, PC/ABS, silicone, and glue.
    AI/ML Overview

    This document describes the NICO TRIOwand, an electrosurgical cutting and coagulation device. The provided text is a 510(k) summary for clearance of a modified version of the device (K162075), comparing it to a previously cleared predicate device (K150993).

    Based on the provided text, here's a breakdown of the acceptance criteria and the study that proves the device meets them:

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

    The document does not explicitly state "acceptance criteria" with numerical targets for performance metrics. Instead, the approach is one of demonstrating substantial equivalence to a predicate device. The performance is assessed by repeating nonclinical tests to ensure the modified device (K162075) meets applicable design and performance requirements, as compared to the predicate (K150993).

    The "acceptance criteria" are implied to be that the modified device's performance in these nonclinical tests is equivalent to or better than the predicate device and does not raise new questions of safety or effectiveness.

    Performance Characteristic TestedImplied Acceptance Criteria (relative to Predicate K150993)Reported Device Performance (K162075)
    BiocompatibilityNo new or increased risk (passes ISO 10993-1)Passes Cytotoxicity, Sensitization, and Irritation tests.
    Tensile TestingMeets strength requirementsResults support substantial equivalence.
    Irrigation/Flush Drip MeasurementProper drip rate performanceResults support substantial equivalence.
    Longevity TestingMaintains function over expected lifetimeResults support substantial equivalence.
    Usability/Human Factors AnalysisSafe and effective for user interactionsResults support substantial equivalence.
    Sterility BioburdenMeets sterility requirementsResults support substantial equivalence.
    Shelf Life and Packaging ValidationMaintained sterility and device integrityResults support substantial equivalence.
    Specification Review & Dimensional AnalysisConforms to design specificationsResults support substantial equivalence.
    Product StabilityMaintains function and integrity over timeResults support substantial equivalence.

    2. Sample size used for the test set and the data provenance

    The document does not specify the sample sizes used for the nonclinical tests.
    The data provenance is not explicitly mentioned as retrospective or prospective, nor does it detail the country of origin. However, given that these are nonclinical laboratory tests conducted for a 510(k) submission, they are typically performed in a controlled laboratory environment.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

    This information is not applicable and not provided in the document. The tests performed are nonclinical and involve laboratory measurements and comparisons to established standards (e.g., ISO 10993-1) or predicate device performance, not human expert interpretation of data to establish a ground truth as typically seen in in vivo or clinical studies.

    4. Adjudication method for the test set

    This information is not applicable and not provided. Adjudication methods are typically used in clinical studies involving human interpretation or outcome assessment. The listed studies are nonclinical performance tests.

    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

    There is no MRMC comparative effectiveness study mentioned. The device is an electrosurgical tool, and the studies performed are nonclinical engineering and safety tests, not related to AI or image interpretation by human readers.

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

    This information is not applicable. The device is a physical surgical instrument, not an algorithm or AI system.

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

    The concept of "ground truth" as it applies to clinical diagnosis or image interpretation is not directly applicable here. For the nonclinical tests:

    • Biocompatibility: Ground truth is established by adherence to recognized international standards (ISO 10993-1) and the results of laboratory tests (e.g., observing cell viability, skin reactions).
    • Tensile Testing, Irrigation/Flush Drip Measurement, Longevity Testing, Shelf Life, Product Stability, Specification Review: Ground truth is defined by engineering specifications, control samples (predicate device), and established physical/chemical testing methodologies. Performance is compared to these predetermined standards or to the predicate performance.
    • Usability/Human Factors Analysis: Ground truth for usability typically involves identifying potential use errors or difficulties based on user interaction protocols and expert review, aiming to ensure safe and effective operation.

    8. The sample size for the training set

    This information is not applicable and not provided. This is not a machine learning or AI device that requires a training set.

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

    This information is not applicable as there is no training set for this device.

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    K Number
    K150993
    Device Name
    NICO TRIOwand
    Manufacturer
    Date Cleared
    2015-04-23

    (8 days)

    Product Code
    Regulation Number
    878.4400
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    NICO TRIOwand

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

    Disposable device designed to be used in soft tissue surgical procedures that require slow to rapid fluid evacuation and low energy output for the coagulation of tissue.

    Device Description

    The NICO TRIOwand is a surgeon controlled device that enables the delivery of bipolar coagulation via third-party electrosurgical generators. Coagulation occurs between two stationary insulated electrodes which are continuously drip irrigated during use. Second, the TRIOwand provides user controlled delivery of aspiration/vacuum for the evacuation of fluids from the surgical site. Third, the TRIOwand provides the user the ability to deliver irrigation for flushing the surgical field.

    This submission covers a single configuration of the device:

    • . NICO TRIOwand - 4mm diameter, 14cm length, pre-bent (~30°)
      The direct patient contacting materials consist of PEBAX® and stainless steel. The indirect contacting materials are Tygon®, polycarbonate, ABS, PC/ABS, silicone, and Dymax glue.
    AI/ML Overview

    This document describes the NICO TRIOwand, an electrosurgical device. The information provided heavily focuses on regulatory aspects, comparisons to predicate devices, and a list of nonclinical tests performed. It does not contain the specific acceptance criteria or detailed results of a study that prove the device meets these criteria in the format requested.

    Therefore, I cannot populate the table or answer the specific questions about acceptance criteria, sample sizes, expert involvement, or ground truth as this information is not present in the provided text.

    The document states that "The following tests were performed and demonstrate that the subject device met applicable design and performance requirements, and supports a determination of substantial equivalence." However, it only lists the types of tests, not the detailed acceptance criteria for each test or the specific results that satisfied those criteria.

    For example, it lists "Ex-Vivo Animal Study for Comparison to Predicates" but does not provide details on the study design, sample size, or results. Similarly, "Design Validation/Simulated Use" is mentioned, but without any specifics on the validation metrics or outcomes.

    In summary, the provided text lacks the detailed scientific study results and acceptance criteria breakdown necessary to complete the requested table and answer many of the specific questions.

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