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510(k) Data Aggregation

    K Number
    K143356
    Date Cleared
    2015-07-21

    (239 days)

    Product Code
    Regulation Number
    878.5000
    Reference & Predicate Devices
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The NovoStitch Plus Meniscal Repair System is intended for approximation of soft tissue in meniscal repair procedures.

    Device Description

    The NovoStitch Plus Meniscal Repair System passes size 2-0 braided, non-absorbable, polyethylene surgical suture through soft tissue in arthroscopic surgery. It is comprised of a handheld surgical instrument to which cartridges preloaded with polyethylene suture are attached.

    AI/ML Overview

    The FDA 510(k) summary for the NovoStitch Plus Meniscal Repair System provides information on its acceptance criteria and the studies conducted. However, it does not contain all the requested information, especially regarding detailed statistical analysis, sample sizes for specific tests, and expert qualifications for ground truth establishment that would typically be found in a separate study report.

    Here's what can be extracted and inferred from the provided text:

    1. Table of Acceptance Criteria and Reported Device Performance

    The document mentions "pre-established acceptance criteria" but does not explicitly list them with specific values. Instead, it describes general claims of meeting these criteria through various tests.

    Acceptance Criteria CategoryReported Device Performance (as stated in the document)
    Mechanical Performance
    Device Strength & ReliabilityValidated
    Device InsertionValidated
    Suture DeploymentValidated
    Device RemovalValidated
    Reloading CapabilityValidated; device can reliably deliver up to six stitches (1 provided + 5 additional)
    Device Joint StrengthVerified
    Delivery Device PerformanceVerified
    Suture Tensile StrengthVerified (per USP requirements for non-absorbable surgical suture)
    Suture DiameterVerified (per USP requirements for non-absorbable surgical suture)
    Usability
    Handle Deployment ForceDemonstrated equivalent usability to predicate device
    Biocompatibility
    BiocompatibilityDemonstrated compliance with ISO 10993-1 requirements for permanent implants in contact with tissue and/or bone
    Sterilization & Packaging
    SterilizationValidated
    PackagingValidated
    Shelf LifeValidated

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

    The document does not explicitly state the sample sizes used for the various tests.

    • Test Set Sample Size: Not specified. The document mentions "product performance testing ... in a simulated use environment" and "bench testing."
    • Data Provenance: The document implies testing was conducted by Ceterix Orthopaedics Inc. ("Product performance testing for NovoStitch Plus Meniscal Repair System was performed..."), but does not specify the country of origin of the data or if it was retrospective or prospective. Given it's premarket notification, it would be prospective testing.

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

    This information is not provided in the document. The tests seem to be primarily engineering and bench testing, not reliant on expert human interpretation for "ground truth" in the way an AI diagnostic device would be.

    4. Adjudication Method for the Test Set

    This information is not applicable/provided as the "ground truth" for this device appears to be based on objective physical measurements and engineering specifications, rather than subjective expert assessment requiring adjudication.

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

    No, a Multi Reader Multi Case (MRMC) comparative effectiveness study was not done. This type of study is typically performed for AI or diagnostic imaging devices where human readers interpret results, and the document describes a surgical repair system.

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

    This question is not applicable to the NovoStitch Plus Meniscal Repair System, as it is a physical surgical device, not an algorithm or AI system. Its performance inherently involves a human operator (surgeon).

    7. The Type of Ground Truth Used

    The ground truth used for this device's performance evaluation appears to be:

    • Engineering Specifications/Standards: Such as USP requirements for suture tensile strength and diameter, and ISO 10993-1 for biocompatibility.
    • Pre-established Acceptance Criteria: Defined by the manufacturer for mechanical functions (insertion, deployment, removal, strength, reliability).
    • Simulated Use Environment Outcomes: Verification that the device performs its intended functions (e.g., reliably delivers stitches).

    8. The Sample Size for the Training Set

    This information is not provided and is not applicable in the context of this device. A "training set" is relevant for machine learning algorithms, not for physical medical devices being evaluated through bench and simulated use testing.

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

    This information is not provided and is not applicable for the same reasons as #8.

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