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510(k) Data Aggregation

    K Number
    K213831
    Manufacturer
    Date Cleared
    2022-01-04

    (27 days)

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

    Olympus PK Electrosurgical Instruments, PK J-hook, PK Spatula, PK Needle

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use
    1. The PK Needle is indicated for resection of soft tissue in laparoscopic and general surgical procedures.
    2. The PK Spatula is indicated for resection and coagulation of soft tissue and blood vessels in laparoscopic and general surgical procedures.
    3. The PK J-Hook is indicated for resection and coagulation of soft tissue and blood vessels in laparoscopic and general surgical procedures.
    Device Description

    The Olympus PK Electrosurgical Instruments: PK Needle, PK Spatula, and PK J-Hook are bipolar electrosurgical instruments with the capability to resect, cut, and coagulate soft tissue and blood vessels in laparoscopic and general surgical procedures. They pass through a 5mm cannula or operating laparoscope working channel of 5mm or larger diameter. The devices are activated via buttons on the handle or by a foot pedal and plug into compatible Olympus generators (ESG-400 and ESG-410). The generator and device make up a medical electrical system.

    AI/ML Overview

    This FDA 510(k) summary (K213831) describes the Olympus PK Electrosurgical Instruments (PK Needle, PK Spatula, PK J-Hook). The submission is a modification to the device labeling to add compatibility with an Olympus generator, ESG-410 cleared under K203277. The document states that the devices themselves are unchanged from their original clearances in terms of intended use, design, performance, and technological characteristics.

    Therefore, the study information requested is based on the original clearances of these devices (K142154 for PK Needle, K142289 for PK Spatula, and K142350 for PK J-Hook) and the specific testing performed for the current submission to confirm compatibility with the new generator.

    Here's the breakdown of the acceptance criteria and study information provided in the document:

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

    The document does not provide a specific table of quantitative acceptance criteria with reported numerical device performance as typically expected for software or diagnostic device studies. Instead, it refers to compliance with recognized consensus safety standards and successful completion of non-clinical testing.

    Acceptance Criteria CategorySpecific Standard/Test Ref.Reported Device Performance
    Safety and Essential PerformanceAAMI/ANSI ES 60601-1:2005/(R)2012 and C1:2009/(R)2012 and, A2:2010/(R)2012 (Medical electrical equipment - Part 1: General requirements for basic safety and essential performance)The design of the subject device complies with this standard.
    High Frequency Surgical Equipment SafetyIEC 60601-2-2 Ed. 6.0:2017-03 (Medical electrical equipment - Part 2-2: Particular requirements for the basic safety and essential performance of high frequency surgical equipment and high frequency surgical accessories)The design of the subject device complies with this standard.
    Risk ManagementANSI AAMI ISO 14971 2019 (Medical devices – Application of risk management to medical devices)A risk analysis was completed to identify any new risks associated with the update. The design of the subject device complies with this standard.
    Sterilization (Ethylene Oxide)ISO 11135: 2014 (Sterilization of health care products - Ethylene oxide - Requirements for development, validation and routine control of a sterilization process for medical devices)The product and packaging materials as well as the sterilization mode has not changed since the original clearance, therefore no additional testing was needed. The design complies with this standard.
    Labeling SymbolsISO 15223-1:2016 (Medical devices - Symbols to be used with medical device labels, labeling, and information to be supplied – Part 1 General requirements)The design of the subject device complies with this standard.
    Sterile Barrier PackagingISO 11607-1 Second Edition 2019-2 (Packaging for terminally sterilized medical devices - Part 1: Requirements for materials, sterile barrier systems and packaging systems)The design of the subject device complies with this standard.
    Biocompatibility (General)ISO 10993-1:2018 (Biological Evaluation of Medical Devices, Part 1: Evaluation and testing within a risk management process)Full biocompatibility information was provided in original clearance. The design complies with this standard.
    Biocompatibility (Cytotoxicity)ISO 10993-5:2009 (Biological Evaluation of Medical Devices, Part 5: Tests for In Vitro Cytotoxicity)Full biocompatibility information was provided in original clearance. The design complies with this standard.
    Biocompatibility (Irritation/Sensitization)ISO 10993-10:2010 (Biological Evaluation of Medical Devices, Part 10: Tests for Irritation and Skin Sensitization)Full biocompatibility information was provided in original clearance. The design complies with this standard.
    Biocompatibility (Ethylene Oxide Residuals)ISO 10993-7 Second Edition 2008-10-15 (Biological evaluation of medical devices - Part 7: Ethylene oxide sterilization residuals)Full biocompatibility information was provided in original clearance. The design complies with this standard.
    Non-clinical PerformanceElectrical, mechanical, functional, and cutting equivalency to predicate in original clearances.Testing was conducted and the performance criteria were met when used with the additional compatible generator.
    Generator CompatibilitySpecific tests for compatibility with the Olympus ESG-410 generator.Testing was conducted and the performance criteria were met when used with the additional compatible generator. The generator recognizes and automatically presets the default output settings.

    2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

    The document relates to electrosurgical instruments and their compatibility with a new generator. The testing described is primarily non-clinical (electrical, mechanical, functional). Therefore, the concept of a "test set sample size" as applied to patient data or images (common in AI/ML devices) is not directly applicable here. The document mentions "testing was conducted" on the subject device. Details on the specific number of devices tested for each non-clinical performance category are not provided within this summary.

    Data provenance: Not applicable as this submission primarily concerns non-clinical hardware compatibility performance rather than patient data analysis.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

    Not applicable. Ground truth, in the context of expert review for medical imaging or diagnostic devices, is not relevant for this type of electrosurgical instrument compatibility submission. The "ground truth" for electrosurgical instruments is their ability to perform cutting and coagulation safely and effectively, and this is assessed through engineering testing against established standards.

    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

    Not applicable. Adjudication methods are typically used for expert consensus on clinical findings in diagnostic studies. This is a non-clinical performance and compatibility submission.

    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. This is not an AI/ML device or a diagnostic device. It is an electrosurgical instrument.

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

    Not applicable. This is not an AI/ML algorithm. The performance of the device is described as "algorithm only" in the sense that its electrosurgical function is inherent to its design and energy delivery, rather than requiring human interpretation of an output. However, it is an instrument used by a human surgeon.

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

    Not applicable in the typical sense. The "ground truth" for this device's performance is established by engineering specifications, recognized international safety and performance standards (e.g., IEC 60601 series, ISO 14971), and the original performance characteristics of the predicate devices. Performance is measured against these technical benchmarks.

    8. The sample size for the training set

    Not applicable. This is not a machine learning device that requires a training set.

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

    Not applicable. This is not a machine learning device that requires a training set.

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    K Number
    K142154
    Device Name
    PK NEEDLE
    Manufacturer
    Date Cleared
    2014-12-19

    (135 days)

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

    PK NEEDLE

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

    The PK Needle is indicated for resection of soft tissue in laparoscopic and general surgical procedures when used with the Olympus ESG-400 Generator.

    Device Description

    The PK Needle is a bipolar electrosurgical instrument with the capability to resect soft tissue and blood vessels in laparoscopic and general surgical procedures. The instrument will pass through a 5mm cannula or through an operating laparoscope working channel of 5mm or larger diameter. The device has an active blunt needle shaped tip and is activated via a button on the handle, or by a foot pedal. The proposed device plugs into the Olympus ESG-400 generator (K141225). The generator and device make up a medical electrical system. The instrument is to be used only with the Gyrus ESG-400 Generator.

    AI/ML Overview

    This document is a 510(k) premarket notification for a medical device called the "PK Needle." It's a regulatory submission to the FDA demonstrating that the new device is substantially equivalent to existing legally marketed devices, and it primarily focuses on device safety and performance characteristics for regulatory approval rather than clinical study results establishing diagnostic or therapeutic accuracy against ground truth.

    Therefore, many of the requested categories are not applicable to this type of document because it details the physical and functional characteristics of an electrosurgical device, not a diagnostic AI or image analysis system.

    Here's an analysis based on the provided document:

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

    The document describes several performance tests, but it does not specify explicit "acceptance criteria" in a quantitative, tabular format as one might expect for a diagnostic device's performance metrics (e.g., sensitivity, specificity thresholds). Instead, it states that tests were conducted and the device performed "substantially equivalent" to its predicate.

    Acceptance Criteria (Implied)Reported Device Performance
    Dimensional measurements within specificationsPassed: Dimensional Measurements conducted.
    Cutting equivalency to predicate devicePassed: Cutting equivalency to predicate demonstrated.
    Withstand expected forcesPassed: Expected forces on devices tested.
    Proper design feature activation (button)Passed: Design feature testing (button activation) conducted.
    Maintain sterility and functionality over shelf lifePassed: Shelf Life and Sterilization tests conducted. Shelf life of three (3) years confirmed.
    Biocompatibility with patient contact materialsPassed: Biocompatibility testing carried out with passing results for new flouropolymer sheath and new ink.
    Compliance with relevant voluntary standards (ISO, ANSI/AAMI, IEC)Passed: Device design complies with listed standards.

    2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective):

    The document does not detail specific sample sizes for tests like "cutting equivalency" or "expected forces." The tests appear to be bench tests of the device itself rather than studies involving human subjects or clinical data sets on a large scale. Data provenance is not applicable as these are engineering and materials tests, not clinical data studies. The tests are prospective in the sense that they are performed on the manufactured device.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience):

    Not applicable. This device is an electrosurgical instrument, not a diagnostic device where "ground truth" would be established by experts interpreting medical images or pathology. The "truth" here relates to engineering specifications and performance characteristics.

    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set:

    Not applicable. Adjudication methods are relevant for studies involving human interpretation or clinical outcomes, not for bench testing of device functionality.

    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. This is not an AI-assisted diagnostic or image interpretation device.

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

    Not applicable. This is a physical electrosurgical instrument for direct surgical use.

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

    The "ground truth" for this device's performance is based on engineering specifications, material science standards (e.g., biocompatibility), and functional tests designed to mimic its intended use (e.g., cutting equivalency). It's not based on clinical "outcomes data" or "pathology" in the context of diagnostic accuracy.

    8. The sample size for the training set:

    Not applicable. This device does not involve a "training set" in the machine learning sense.

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

    Not applicable.

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