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510(k) Data Aggregation

    K Number
    K182006
    Manufacturer
    Date Cleared
    2018-12-06

    (132 days)

    Product Code
    Regulation Number
    884.1690
    Reference & Predicate Devices
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Omni Hysteroscope is used to provide viewing of the cervical canal and the uterine cavity for the purpose of performing diagnostic and surgical procedures.

    Device Description

    The Omni Hysteroscope is a hysteroscope consisting of a (base) rigid hysteroscope with optics and lighting connections. The Omni Hysteroscope includes three compatible sheaths, one diagnostic and two operative, that attach to the base scope; Omni 3.7 mm Diagnostic Sheath, Omni 5.5 mm Operative Sheath, and Omni 6mm Operative Sheath. The Omni Hysteroscope also includes removable outflow channels for fluid drainage. The Omni Hysteroscope is supplied non-sterile and is designed for multiple use with the device being cleaned and sterilized prior to each use.

    AI/ML Overview

    This document, K182006, describes the 510(k) premarket notification for the Omni Hysteroscope. It focuses on demonstrating substantial equivalence to predicate devices, rather than an AI-driven system. Therefore, much of the requested information regarding AI model performance, ground truth establishment, expert adjudication, MRMC studies, and training set details for AI-based devices is not applicable.

    Here's the information that can be extracted relevant to the performance testing described for the Omni Hysteroscope:

    1. Table of Acceptance Criteria and Reported Device Performance:

    The document outlines various design verification tests conducted to ensure the device meets its specifications. It does not provide specific numerical acceptance criteria (e.g., "Field of view must be X degrees") nor does it report precise numerical performance results (e.g., "Field of view was measured at Y degrees"). Instead, it states that the devices comply with design specifications and that test results demonstrate substantial equivalence.

    Acceptance Criteria CategoryReported Device Performance (Compliance Statement)
    Dimensional VerificationComplies with design specifications
    Objective Lens Testing (Field of view, focal length, depth of field, direction of view)Complies with design specifications
    Level of IlluminationComplies with design specifications
    Luminous Energy Transmission RatioComplies with design specifications
    Magnification (eyepiece)Complies with design specifications
    Image Quality (Resolution, Distortion)Complies with design specifications
    Risk Management (ISO 14971:2007)Risks are mitigated to an acceptable level; benefits outweigh residual risks
    Biocompatibility (ANSI AAMI ISO 10993-1:2009)Patient contacting materials are biocompatible and comply with requirements
    Electrical Safety (ANSI AAMI ES 60601-1:2005/(R)2012 & A1:2012, C1:2009/R)2012 & A2:2010/(R)2012 and IEC 60601-2-18:2009)Testing was performed and passed
    Usability Testing (FDA Guidance, IEC 62366-1:2015)Testing was conducted in accordance with guidance and standards
    Cleaning ValidationSuccessfully performed
    Sterilization (ISO 14937:2009/(R)2013, ANSI/AAMI/ISO 17665-1:2006/(R)2013)Sterilizations were conducted in accordance with standards

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

    This document refers to "design verification testing" and "performance testing" of the physical device. It does not involve a "test set" in the context of an AI model using patient data. The provenance of the data is implicitly from Hologic, Inc.'s internal testing facilities. It is a prospective generation of test data based on the manufactured device.

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

    Not applicable. This is a physical medical device (hysteroscope), not an AI algorithm requiring expert ground truth for image interpretation or diagnosis. The "ground truth" for its performance relates to engineering specifications and physical measurements.

    4. Adjudication Method for the Test Set:

    Not applicable. There is no adjudication in the context of this device. Performance is measured against engineering specifications.

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

    No, an MRMC comparative effectiveness study was not done. This type of study is typically conducted for diagnostic imaging devices or AI algorithms that assist human readers. The Omni Hysteroscope is a tool for viewing and performing procedures.

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

    Not applicable. The Omni Hysteroscope is a physical instrument, not an algorithm.

    7. The Type of Ground Truth Used:

    The "ground truth" for this device's performance is based on engineering specifications and established regulatory and industry standards for medical devices (e.g., ISO, ANSI AAMI for biocompatibility, electrical safety, sterilization, etc.). For example, objective lens testing would have specific optical parameters as the ground truth.

    8. The Sample Size for the Training Set:

    Not applicable. This is a physical device, not an AI model requiring a training set.

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

    Not applicable.

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