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510(k) Data Aggregation

    K Number
    K994256
    Date Cleared
    2000-02-03

    (48 days)

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

    This device intends to provide pinpoint suction and irrigation to the surgical site during laparoscopic procedures. It is to be used in conjunction with a legally-marketed irrigation pump, irrigant bag or bottle, legally-marketed suction source, and a laparoscopic probe.

    For USE INDICATED DEVICE THIS FOR PATIENTS ELIGIBLE VIA GENERAL LAPAROSCOPIC TREATMENT SURGICAL PROCEDURES

    Device Description

    This device consists of the following parts already connected to each other:

    • Main Body to control suction and irrigation. A pool suction tip may be connected to the body
    • 10 ft Twin tubing to allow for suction and irrigation. The blue color tube allows for irrigation and the clean color tube allows for suction.
      A "Y" connector connects the blue tube to two branch tubes (clear color, 12" each). Each branch ends with spike with guard, allowing connection to saline bags. Also, each branch includes a clamp intended to avoid back-flow to the disconnected branch. Clamps may not be used if both branches are simultaneously connected.
      An adapter at the end of the other clear color tube allows connection to a suction machine.
    AI/ML Overview

    The provided K994256 submission is for a Suction Irrigation Trumpet Valve Set, which is a Class II medical device. This type of submission relies on demonstrating substantial equivalence to existing, legally marketed predicate devices rather than testing against specific performance acceptance criteria in the way a novel diagnostic algorithm might.

    Therefore, the concept of "acceptance criteria" and "study that proves the device meets the acceptance criteria" as typically applied to diagnostic AI devices with quantifiable performance metrics (like sensitivity, specificity, AUC) is not directly applicable here. Instead, the "acceptance criteria" for a 510(k) submission like this revolve around demonstrating that the new device is as safe and effective as its predicate.

    Here's how to interpret the request in the context of this device:

    1. Table of "Acceptance Criteria" and Reported Device Performance

    For this device, the "acceptance criteria" are the characteristics of the predicate device (Trump-It II and Magnum 250), and the "reported device performance" is the claim of equivalence for each of those characteristics.

    Characteristic ("Acceptance Criteria" from Predicate)Reported Device Performance (Claim for New Device)
    Indications for useEquivalent
    Target populationEquivalent
    DesignEquivalent
    MaterialsEquivalent
    PerformanceEquivalent
    SterilitySimilar
    BiocompatibilityEquivalent
    Mechanical safetyEquivalent
    Chemical safetyEquivalent
    Anatomical sitesEquivalent
    Human factorsEquivalent
    Energy used and/or deliveredEquivalent
    Compatibility with environment and other devicesEquivalent
    Where usedEquivalent
    Standards metEquivalent
    Electrical safetyEquivalent (not applicable)
    Thermal safetyEquivalent (not applicable)
    Radiation safetyEquivalent (not applicable)

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

    • Not applicable. This submission doesn't involve a "test set" or data provenance in the context of evaluating a diagnostic algorithm. It's about demonstrating equivalence to a predicate device. The assessment is based on comparing design, materials, intended use, etc., rather than performance on a clinical dataset.

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

    • Not applicable. There is no "test set" requiring expert ground truth for this type of device submission. The "ground truth" or standard for comparison is the established safety and effectiveness of the predicate device, which is based on its prior regulatory clearance and market history.

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

    • Not applicable. There is no "test set" and therefore no adjudication method required.

    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 device is a surgical instrument (suction irrigation set), not an AI diagnostic tool that assists human readers. Therefore, MRMC studies and AI effect sizes are irrelevant.

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

    • Not applicable. This device is a manual surgical tool, not an algorithm.

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

    • The "ground truth" for this 510(k) submission is the established safety and effectiveness profile of the predicate devices (Trump-It II and Magnum 250), as determined by their prior FDA clearance. The new device demonstrates "equivalence" by showing it shares the same fundamental scientific technology and intended use without raising new questions of safety or effectiveness.

    8. The sample size for the training set

    • Not applicable. This device is hardware and does not utilize a training set in the context of machine learning.

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

    • Not applicable. As above, no training set for this type of device.
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