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510(k) Data Aggregation

    K Number
    K130121
    Date Cleared
    2013-04-11

    (84 days)

    Product Code
    Regulation Number
    876.1500
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    This product has applications for surgery in the saphenous vein, or radial artery for establishment of a port of entry for endoscopic instruments.

    Device Description

    The Short Port Blunt Tip Trocar (BTT) is used to provide a port of access for insertion of endoscopic instruments into an incision site. The device consists of a main body with a Balloon on the distal end, a Balloon inflation port, an Endoscope seal on the proximal end, and an external port with a one-way valve for gas insufflation. It also includes a Cannula seal to allow insertion of the Harvesting Cannula. The balloon minimizes leakage and secures the port. A 30 cc syringe is provided for inflation/deflation of the Balloon.

    AI/ML Overview

    The provided text details a 510(k) premarket notification for a medical device, the MAQUET Cardiovascular Short Port Blunt Tip Trocar (BTT), rather than an AI/ML software device. Therefore, the information requested for AI/ML device acceptance criteria and study particulars is not present in the document.

    The document discusses the substantial equivalence of the Short Port BTT to predicate devices based on:

    • Intended Use: Same
    • Operating Principles: Same
    • Sterilization: Same materials and processes
    • Packaging: Same

    Differences noted:

    • Material change from Latex balloon (implying the new device does not use Latex, though not explicitly stated as such, it's inferred from the "Revision of Latex content statement").
    • Labeling change regarding Latex content.
    • Change from "converter door" to "Cannula Seal and 7mm O Seal."

    The document states that these differences are "not considered a technological difference and is substantially equivalent to the predicate devices."

    The "study" mentioned is the development process and testing conducted to demonstrate substantial equivalence, not an AI/ML specific study. The results of these in-vitro tests are cited as demonstrating that "the functionality and performance characteristics of the device are comparable to the currently marketed Short Port BTT."

    Therefore, I cannot populate the table or answer the specific questions about AI/ML device acceptance criteria and studies, as this document pertains to a traditional medical device (trocar) and not an AI/ML product.

    However, I can extract information relevant to a traditional medical device submission based on the provided text:

    Acceptance Criteria and Reported Device Performance (Traditional Medical Device Context):

    Acceptance Criteria (Demonstrated Equivalence)Reported Device Performance (Demonstrated Equivalence)
    Same intended useYes, same intended use.
    Same operating principlesYes, same operating principles.
    Same sterilization methods and materialsYes, sterilized using the same materials and processes.
    Same packagingYes, has same packaging.
    Functionality comparable to predicateFunctionality and performance characteristics proven comparable through in-vitro tests.

    Missing Information (for AI/ML context, not applicable here):

    1. Sample size for the test set and data provenance: Not applicable. The "test set" here refers to in-vitro performance tests of the physical device.
    2. Number of experts used to establish ground truth & qualifications: Not applicable.
    3. Adjudication method: Not applicable.
    4. Multi-reader multi-case (MRMC) comparative effectiveness study: Not applicable.
    5. Standalone (algorithm only) performance: Not applicable.
    6. Type of ground truth used: Not applicable. The ground truth here is the performance of the predicate device for comparison in physical tests.
    7. Sample size for the training set: Not applicable.
    8. How the ground truth for the training set was established: Not applicable.
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