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510(k) Data Aggregation

    K Number
    K251664
    Date Cleared
    2025-07-29

    (60 days)

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

    Single Use Aspiration Needle (NA-201SX-4021); Single Use Aspiration Needle (NA-201SX-4022)

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

    The Single Use Aspiration Needle NA-201SX-4021 is intended to be used for ultrasound guided fine needle aspiration (FNA) of submucosal and extramural lesions of the tracheobronchial tree in combination with an ultrasound endoscope.

    The Single Use Aspiration Needle NA-201SX-4022 is intended to be used for ultrasound guided fine needle aspiration (FNA) of submucosal and extramural lesions of the tracheobronchial tree in combination with an ultrasound endoscope.

    Device Description

    The Olympus Single Use Aspiration Needle NA-201SX-4021 and NA-201SX-4022 are designed for use with ultrasound endoscopes for ultrasound-guided fine needle aspiration (FNA) of submucosal and extramural lesions of the tracheobronchial tree. These devices are single-use, disposable, sterile (Ethylene Oxide) needles available in two models with different specifications:

    • NA-201SX-4021:

    • Working Length: 700mm
    • Maximum Insertion Portion Diameter: 1.9mm
    • Needle Width: 21G
    • Normal Needle Length: 20mm
    • Maximum Needle Length: 40mm

    • NA-201SX-4022:

    • Working Length: 700mm
    • Maximum Insertion Portion Diameter: 1.8mm
    • Needle Width: 22G
    • Normal Needle Length: 20mm
    • Maximum Needle Length: 40mm

    Both models feature an adjustable sheath length and are intended for single use.

    AI/ML Overview

    This document is a 510(k) clearance letter for a physical medical device (Single Use Aspiration Needle), not an AI/Software-as-a-Medical-Device (SaMD). Therefore, the requested information pertaining to AI/SaMD performance evaluation criteria (such as test set size, data provenance, expert ground truth, MRMC studies, standalone performance, training set details, etc.) is not applicable and is not present in the provided document.

    The document discusses the substantial equivalence of the new aspiration needles to a predicate device based on their physical and functional characteristics. The performance data section refers to bench testing of physical attributes, not computational performance or diagnostic accuracy.

    Therefore, I cannot provide the requested information as it relates to AI/SaMD. I can, however, extract the acceptance criteria and reported device performance for the physical device based on the provided text.


    Acceptance Criteria and Reported Device Performance (Physical Device)

    This section summarizes the performance data for the Single Use Aspiration Needle (NA-201SX-4021 and NA-201SX-4022), based on the provided FDA 510(k) summary. These criteria relate to the physical and functional performance of the device, not an AI algorithm.

    1. Table of Acceptance Criteria and Reported Device Performance

    Performance TestAcceptance Criteria (Implied/Stated)Reported Device Performance
    Insertion performance into the endoscopeSmooth insertion and effective tissue penetrationAll results met acceptance criteria for smooth insertion and effective tissue penetration
    Piercing performance of the needleEffective tissue penetrationAll results met acceptance criteria for effective tissue penetration
    Ultrasound visibility of the needleVisibility of the needle under ultrasound imagingAll results met acceptance criteria for visibility of the needle under ultrasound imaging
    Needle extraction and retraction performanceSafe and effective needle extraction and retractionThe device met all predefined criteria for safe and effective needle extraction and retraction
    Needle aspiration performanceSuccessful aspiration of target material under test conditionsThe device successfully aspirated target material under test conditions
    Withdrawal performance from the endoscopeSmooth and safe withdrawal from the endoscopeThe needle was withdrawn smoothly and safely from the endoscope
    Needle slider performanceReliable functioning for needle deployment and retractionThe slider mechanism functioned reliably for needle deployment and retraction
    Limitation of needle depthEffective limitation of needle extension to within specified parametersThe device effectively limited needle extension to within specified parameters
    Needle-to-luer joint pull strengthWithstood required tensile forces without failureThe joint withstood required tensile forces without failure
    Sheath-to-handle joint pull strengthConnection between sheath and handle remained secure under stressThe connection between sheath and handle remained secure under stress
    Needle breakage strengthSufficient structural integrity under loadThe needle demonstrated sufficient structural integrity under load
    Coil separationCoil remained intact and did not separate under test conditionsThe coil remained intact and did not separate under test conditions
    Biocompatibility (various tests per ISO 10993-1)Met acceptance criteria for cytotoxicity, sensitization, irritation, acute systemic toxicity, material-mediated pyrogenicity, hemocompatibility, and aged cytotoxicityAll tests met acceptance criteria, confirming biological safety and biocompatibility
    Sterilization (Ethylene Oxide)Achieved a sterility assurance level of 10⁻⁶ and met endotoxin limitsAchieved a sterility assurance level of 10⁻⁶ and met endotoxin limits
    Shelf-lifeValidated a three-year shelf life through accelerated aging and simulated distribution, with packaging integrity and product performance tests passing acceptance criteriaValidated a three-year shelf life, with all packaging integrity and product performance tests passing acceptance criteria

    Regarding the AI/SaMD specific questions:

    As stated previously, the provided document is for a physical medical device (Single Use Aspiration Needle), not an AI/SaMD device. Therefore, the following information is not applicable and not provided in the source text:

    1. Sample size used for the test set and the data provenance: Not applicable. Performance testing was physical bench testing, not data-driven AI evaluation.
    2. Number of experts used to establish the ground truth for the test set and the qualifications of those experts: Not applicable. Ground truth for a physical device's performance is typically established by engineering specifications and direct measurement, not expert review of AI outputs.
    3. Adjudication method (e.g., 2+1, 3+1, none) for the test set: Not applicable.
    4. 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 applies to AI-assisted diagnostic or interpretive systems.
    5. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done: Not applicable. This applies to AI algorithms.
    6. The type of ground truth used (expert consensus, pathology, outcomes data, etc.): Not applicable. The "ground truth" for a physical needle refers to its engineered specifications and expected mechanical/biological performance, verified through bench testing.
    7. The sample size for the training set: Not applicable. This applies to machine learning models.
    8. How the ground truth for the training set was established: Not applicable. This applies to machine learning models.
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    K Number
    K050503
    Date Cleared
    2005-05-12

    (73 days)

    Product Code
    Regulation Number
    876.1075
    Reference & Predicate Devices
    N/A
    Why did this record match?
    Device Name :

    SINGLE USE ASPIRATION NEEDLE NA-201SX-4022

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

    This instrument has been designed to be used with ultrasonic endoscopes for ultrasonically guided fine needle aspiration (FNA) of submucosal and extramural lesions of the tracheobronchial tree and the gastrointestinal tract.

    Device Description

    The NA-201SX-4022 Single Use Aspiration Needle consists of a handle section, needle section, rne NN20 North section. The handle section is connected to the endoscopes instrument channel port via the single use adapter biopsy valve (MAJ-1414). The handle section facilitates the advancement of the needle section during puncture of the targeted site. The syringe (VACLOK Syringe and Stopcock) is attached to the aspiration port on the handle section of the NA-201SX-4022. The syringe is used to aspirate the specimen that was punctured with the needle. The syringe has a lock function which can lock the piston (plunger) is pulled. When the stopcock is closed and the piston (plunger) keeps it evacuated. For aspiration, the syringe should be connected with the needle and the stopcock should be opened just before aspiration. The lock Connected with the need for the operator to keep pulling the piston during the procedure thus improving usability. The position to lock the piston (plunger) is selected from 4 levels. Accordingly, the operator can select the specimen size required.

    AI/ML Overview

    The provided text is a 510(k) summary for the Olympus Single Use Aspiration Needle NA-201SX-4022. It explicitly states in section F that no clinical data was required to establish substantial equivalence for this device. Therefore, a study proving device acceptance criteria was not performed or reported in this document. The decision was based on the device not incorporating any significant change that impacts safety and effectiveness compared to predicate devices, thus obviating the need for clinical data.

    Reason for Not Requiring Clinical Data (as stated in the document):

    "When compared to the predicate device, the Single Use Aspiration Needle NA-201SX-4022, WAJ-1414 and Syringe does not incorporate any significant change that impacts safety and Mro-1414 and Dynings acos not history drive. Therefore, clinical data is not necessary to establish the subject device."

    Given this, the following sections cannot be answered based on the provided document:

    1. A table of acceptance criteria and the reported device performance: This would be generated from a clinical study, which was not performed.
    2. Sample sized used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective): No test set for a clinical study was used.
    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): No ground truth for a clinical study was established.
    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set: No test set required adjudication.
    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, as this is a medical device, not an AI-assisted diagnostic tool, and no clinical study was performed.
    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done: Not applicable, as this is a medical device, not an AI-driven algorithm.
    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc): No ground truth established for a clinical study.
    8. The sample size for the training set: No training set for a clinical study was used.
    9. How the ground truth for the training set was established: No ground truth for a training set was established.

    The document focuses on the substantial equivalence of the new device to existing predicate devices based on design and intended use, rather than presenting clinical performance data from a specific study.

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