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510(k) Data Aggregation

    K Number
    K221302
    Date Cleared
    2022-08-15

    (102 days)

    Product Code
    Regulation Number
    874.4680
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    Recon Steerable Sheath

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

    The Recon Steerable Sheath is an extended working channel intended to be used with a compatible bronchoscope to guide endotherapy accessories to the target area within the respiratory system.

    Device Description

    The Recon Steerable Sheath is a sterile, single use transbronchial sheath with a unidirectional, steerable distal tip that provides access to the intrapulmonary regions. It is designed to guide endotherapy tools with an outer diameter of up to 1.9 mm and minimum length of 1100 mm to the target tissue. The Recon Steerable Sheath (Model RSS1000) includes the Steerable Sheath, Stylet, Bronchoscope Adapter and Pentax Adapter. The Recon Steerable Sheath is compatible with Olympus® 190 or Pentax® bronchoscopes that have a 2.8mm working channel and 600 mm working length. It is coupled to the selected bronchoscope using an adapter(s). The handle provides the user with control of device rotation, extension, retraction, and distal tip articulation of 90° minimum within a plane with the stylet inserted. A Luer connector on the proximal end of the device provides the connection for the stylet. The Recon Steerable Sheath with stylet is inserted and coupled to a bronchoscope via a clip on the handle. The telescope advances the device beyond the bronchoscope into the lung. Depressing the plunger articulates the distal end of the sheath by tensioning an internal pull wire. Once in the desired location, the Stylet is removed from the Steerable Sheath and the tool of choice can be inserted for access.

    AI/ML Overview

    The provided text is a 510(k) summary for the Recon Steerable Sheath. While it mentions performance data, it primarily focuses on bench testing, packaging, validation, usability, biocompatibility, and sterilization to demonstrate substantial equivalence to a predicate device. It does not contain information about a study proving the device meets acceptance criteria related to diagnostic performance, such as sensitivity, specificity, or accuracy. Therefore, I cannot generate the table and answer the requested questions in the format initially outlined.

    The document indicates that "All tests met the predefined acceptance criteria" for bench testing and packaging, and that "The Recon Steerable Sheath met the performance requirements and was found to be clinically acceptable by all evaluators" during validation testing. However, the exact quantitative acceptance criteria and the numerical results for these specific tests are not detailed in this public summary.

    If a study involving diagnostic performance (e.g., how well the device guides tools to a target) was conducted with metrics like accuracy or success rates, that information is not present here.

    Therefore, I will provide the available information regarding "acceptance criteria" and "study" based on the provided text, but it will not fully match the structure you requested for a device with measurable diagnostic performance metrics.


    Available Information from the Document:

    The document describes various tests performed to demonstrate the safety and effectiveness of the Recon Steerable Sheath, primarily focusing on its physical and functional integrity, biocompatibility, and sterilization, rather than a diagnostic performance study.

    Here's an overview of the "acceptance criteria" and "studies" mentioned, as much as can be extracted:

    1. Table of Acceptance Criteria and Reported Device Performance (Based on available information for engineering performance):

    Acceptance Criterion CategorySpecific Test/EvaluationAcceptance Criteria (General Description)Reported Device Performance (General Description)
    Bench TestingVisualNot specifiedMet specifications pre and post aging
    DimensionalNot specifiedMet specifications pre and post aging
    Insertion forceNot specifiedMet specifications pre and post aging
    Articulation angle, length, curve profile, curve stability, planarityMinimum 90° articulation for the device (specific quantitative criteria for other aspects not provided)Articulation to 90° (specific quantitative results for other aspects not provided)
    Coupling TensileNot specifiedMet specifications pre and post aging
    Tensile for all bonds/jointsNot specifiedMet specifications pre and post aging
    Bronchoscope Adapter Pneumostasis / Adapter VacuumNot specifiedMet specifications pre and post aging
    Simulated Use / Device robustnessNot specifiedMet specifications pre and post aging
    Plunger forceNot specifiedMet specifications pre and post aging
    Bending, BucklingNot specifiedMet specifications pre and post aging
    Torque Transmission and IntegrityNot specifiedMet specifications pre and post aging
    Lumen PatencyNot specifiedMet specifications pre and post aging
    PackagingEnvironmental, Distribution Simulation, Aging (per ASTM D4169, ISTA 3A, ASTM F1980, ISO 11607-1)Not specifiedPackages met specifications pre and post aging
    Visual (per ASTM F1886)Not specifiedPackages met specifications pre and post aging
    Bubble Leak (per ASTM F2096)Not specifiedPackages met specifications pre and post aging
    Seal Strength (per ASTM F88)Not specifiedPackages met specifications pre and post aging
    Validation TestingSimulated Use Conditions with Instructions for UseUser needs and intended use met, performance requirements met, clinically acceptableMet performance requirements and was found to be clinically acceptable by all evaluators
    UsabilityFormative and Summative Validation StudiesNo new use errors identifiedNo new use errors were identified
    BiocompatibilityCytotoxicity, Sensitization, Irritation, Toxicity (Acute Systemic, Rabbit Pyrogen), Bacterial EndotoxinEndpoints met (e.g., non-cytotoxic, non-sensitizing, non-irritating)All endpoints were met
    SterilizationEO Sterilization and Packaging ValidationEndpoints met (e.g., sterility assurance level)All endpoints were met

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

    • Test Set Sample Size: Not explicitly stated for any of the individual tests. The document refers to "evaluators" for validation and "intended user groups" for usability studies, but no numbers are provided.
    • Data Provenance: The studies were conducted by Serpex Medical, Inc. (the device manufacturer) in accordance with various FDA guidances and international standards. This is prospective testing performed for regulatory submission. Country of origin for data is not specified beyond being generated by the submitting company.

    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 in the context of the studies described. The "ground truth" here relates to engineering specifications, safety standards, and user-reported clinical acceptability, rather than expert-established diagnostic ground truth on a dataset. For "Validation testing", it states the device "was found to be clinically acceptable by all evaluators," but the number and qualifications of these evaluators are not specified. For "Usability," "intended user groups" were involved, but details are not provided.

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

    Not applicable. The tests described are primarily objective engineering and biological tests, or user evaluations, not diagnostic performance assessments requiring adjudication of interpretations.

    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 document does not describe an MRMC study or any AI component. The device is a physical medical instrument (steerable sheath), not a diagnostic algorithm.

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

    Not applicable. This is a physical device, not an algorithm.

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

    The "ground truth" for the various tests described refers to:

    • Predefined engineering specifications and performance benchmarks (for bench testing).
    • Compliance with international standards (for packaging, biocompatibility, sterilization).
    • User satisfaction and ability to perform intended tasks without (new) errors (for validation and usability).

    8. The sample size for the training set:

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

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

    Not applicable. This is a physical device, not an AI algorithm.

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