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510(k) Data Aggregation

    K Number
    K032958
    Date Cleared
    2004-02-17

    (148 days)

    Product Code
    Regulation Number
    876.5990
    Reference & Predicate Devices
    N/A
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Piezolith 3000 is intended to fragment urinary stones in the kidney (renal pelvis and renal calyces) and ureter (upper, middle, and lower ureter).

    Device Description

    The Piezolith 3000 is comprised of the following principal components: (1) a shock wave generator, which includes an adjustable therapy head/coupling mechanism mounted on an articulating arm or (when X-ray imaging is used) mounted to a swivel slide on C-arm; (2) a control console; (3) an X-ray; (4) ultrasound imaging system for localization; and (5) a treatment table.

    AI/ML Overview

    The provided text describes the UMS's Piezolith 3000 Lithotripter and its 510(k) submission. However, it does not contain detailed acceptance criteria or a comprehensive study report with the specific information requested in your prompt (e.g., sample sizes for test/training sets, data provenance, expert qualifications, adjudication methods, MRMC study results, types of ground truth for training).

    The document is a summary of the 510(k) submission and primarily focuses on demonstrating substantial equivalence to predicate devices, outlining the device's technical characteristics, and conforming to voluntary consensus standards.

    Here's a breakdown of what can be extracted and what cannot:

    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance CriteriaReported Device Performance
    Voluntary Consensus Standards:Conforms to the following standards:
    IEC 60601-1: 1988 with Amdt 1, 1991 and Amdt 2, 1995 "Medical electrical equipment"Conforms
    IEC 60601-1-1: 1992 with Amdt 1, 1995 "Medical electrical equipment; Part 1: General requirements for safety"Conforms
    IEC 60601-1-2: 1993 "Medical electrical equipment - Part 1-2: General requirements for safety - Collateral standard: Electromagnetic compatibility - Requirements and tests; 62A/336/FDIS"Conforms
    CISPR 11: 1990 "Limits and Methods of measurement of electromagnetic disturbance characteristics of industrial, scientific and medical (ISM) radio frequency equipment"Conforms
    IEC 60601-2-36: 1997 "Medical electrical equipment: Part 2 Particular requirement for the safety of equipment for extracorporeally induced lithotripsy"Conforms
    Reference for measurements:Utilized as reference:
    IEC 61846: 1998 "Ultrasonic - Pressure pulse lithotripters -Characteristics of field"Utilized as reference for measurements
    Functional Performance:Demonstrated Performance:
    Shock wave characterizationMeasurements performed and implied acceptable, as device "functioned as intended and performed as expected."
    Localization accuracyMeasurements performed and implied acceptable, as device "functioned as intended and performed as expected."
    Road testingPerformed and implied acceptable, as device "functioned as intended and performed as expected."
    Clinical Data (Substantial Equivalence)Clinical data demonstrated substantial equivalence to predicate devices.
    Overall Intended Use"In all instances, the Piezolith 3000 functioned as intended and performed as expected."

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

    • Not explicitly stated. The document mentions "clinical data" but provides no details on its size, country of origin, or whether it was retrospective or prospective.

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

    • Not stated. The document does not mention the use of experts for establishing ground truth or their qualifications.

    4. Adjudication method

    • Not stated. No adjudication method is described.

    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

    • Not applicable / Not stated. This device is a lithotripter, not an AI-assisted diagnostic tool. Therefore, an MRMC study comparing human readers with and without AI assistance is not relevant to this device and is not mentioned.

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

    • Not applicable / Not stated. This device is a physical medical device (lithotripter) with human operation, not an algorithm.

    7. The type of ground truth used

    • For the physical performance tests (shock wave characterization, localization accuracy, road testing), the ground truth would be based on physical measurements against engineering specifications and industry standards.
    • For the "clinical data" mentioned, the nature of the ground truth (e.g., successful stone fragmentation, patient outcomes) is not detailed. It is mentioned to demonstrate substantial equivalence, implying comparison to established outcomes of predicate devices.

    8. The sample size for the training set

    • Not applicable / Not stated. This document does not describe the development of an algorithm requiring a training set.

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

    • Not applicable / Not stated.

    In summary, the provided text is a regulatory summary for a medical device (a lithotripter) focusing on substantial equivalence and adherence to engineering standards. It does not contain the detailed study information typically found for an AI/algorithm-based device and therefore cannot fully answer many of your questions which are more relevant to those types of devices.

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