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510(k) Data Aggregation

    K Number
    K030684
    Manufacturer
    Date Cleared
    2003-06-03

    (90 days)

    Product Code
    Regulation Number
    876.1500
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    SCOPE GUARD PROTECTIVE SHEATH, MODEL TEL-SH

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

    The Scope Guard protective sheath is intended for use during the transport, storage and sterilization of certain ACMI scopes for protection of these delicate instruments. It is not intended to be used alone for terminal sterilization but can be used in conjunction with an approved sterilization wrap to maintain sterility until the device is required for use. The ACMI scopes with Scope Guard can be wrapped, or placed into an approved sterilization tray for sterilization processing.

    Device Description

    The Scope Guard Protective Sheath is a polymer tube in various widths and lengths with evenly distributed holes along the length of the shaft. It is designed to snap onto ACMI telescopes for protection during storage and sterilization.

    AI/ML Overview

    Here's an analysis of the provided text regarding the Scope Guard™ Protective Sheath, focusing on acceptance criteria and study details:

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

    The document does not explicitly present a table of acceptance criteria with corresponding performance metrics. Instead, it broadly states that "ACMI Scope Guards have been bench tested for durability, sterile efficacy and material compatibility with several sterilization methods." It then concludes that "The Scope Guard is substantially equivalent to the predicate described for the parameters tested."

    To extract conceptual acceptance criteria and reported performance from the provided text, we can infer the following:

    Acceptance Criteria (Inferred)Reported Device Performance (Inferred)
    DurabilityBench tested and found to be "substantially equivalent" to predicate device.
    Sterile EfficacyBench tested and found to be "substantially equivalent" to predicate device.
    Material CompatibilityBench tested and found to be "substantially equivalent" to predicate device for "several sterilization methods."

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

    The document does not provide specific sample sizes for any test sets.
    The document does not specify the data provenance (e.g., country of origin, retrospective or prospective) for any of the testing mentioned.

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

    The document does not mention the use of experts to establish ground truth for a test set. The testing described appears to be bench testing for physical and sterilization properties, not involving interpretative assessments by human experts.

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

    The document does not mention any adjudication method for a test set. This is consistent with the type of bench testing described, which typically involves objective measurements rather than expert consensus on subjective 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

    The document does not describe a multi-reader, multi-case (MRMC) comparative effectiveness study. This device is a protective sheath, not an AI-powered diagnostic tool, so such a study would not be relevant.

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

    The document does not describe a standalone algorithm performance study. As mentioned, this is a physical medical device, not an algorithm.

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

    For the bench testing described (durability, sterile efficacy, material compatibility), the "ground truth" would be established by:

    • Durability: Objective physical measurements against engineering specifications or established industry standards.
    • Sterile Efficacy: Microbiological testing results (e.g., sterility testing after sterilization cycles) against accepted sterility assurance levels.
    • Material Compatibility: Visual inspection or material analysis after exposure to sterilization methods to detect degradation or incompatibility issues.

    The document does not provide details on the specific methods used to establish these ground truths, but they would be based on objective scientific/engineering principles rather than expert consensus on medical images or pathology.

    8. The sample size for the training set

    The document does not mention any training set. As this is not an AI/machine learning device, the concept of a "training set" is not applicable.

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

    Not applicable, as there is no training set for this device.

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