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510(k) Data Aggregation

    K Number
    K120825
    Manufacturer
    Date Cleared
    2012-09-14

    (179 days)

    Product Code
    Regulation Number
    886.4390
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    SUPRA SCAN DELIVERY SYSTEM

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

    The SUPRA SCAN™ Delivery System when connected to a compatible laser system is indicated for use in the treatment of ocular pathology of anterior and posterior segments including, retinal photocoagulation, pan retinal photocoagulation for vascular and structural abnormalities of the retina and choroids including:

    • Proliferative and nonproliferative diabetic retinopathy;
    • Choroidal neovascularization;
    • Branch retinal vein occlusion;
    • Treatment of choroidal neovascularization associated with wet age-related macular degeneration;
    • Retinal tears and detachments
    • Macular edema
    • Retinopathy of prematurity
    • Iridotomy and trabeculoplasty in angle closure glaucoma and open angle glaucoma.
    Device Description

    SUPRA SCANTM Delivery System is a scanning laser delivery system that enables the use of proprietary pattern scanning technology when coupling with laser platforms. This offers existing commercially available laser platform the ability to deliver a full spectrum of pattern scanning options.
    The Quantel Medical SUPRA SCANTM Delivery System consists of the following system components:
    l ) Scanning Laser Delivery System adaptor with scanner controls that may be coupled to a slit lamp type Haag Streit or similar models, and connected to a currently cleared Quantel Medical 577nm retinal photocoagulator (SUPRA 5577.Y-K091581).
    2) Scanner control module with LCD/Touch screen, power supply, electronics and clectrical connections.

    AI/ML Overview

    Acceptance Criteria and Study for Quantel Medical SUPRA SCAN™ Delivery System

    This response outlines the acceptance criteria and the study conducted for the Quantel Medical SUPRA SCAN™ Delivery System, as detailed in the provided 510(k) summary.

    1. Table of Acceptance Criteria and Reported Device Performance

    The provided document does not explicitly present a table of quantitative acceptance criteria with corresponding performance results. Instead, the basis for clearance is substantial equivalence to predicate devices. The primary "performance" demonstrated is that the device met all design specifications and exhibited substantial equivalence to the predicates.

    Acceptance Criteria CategorySpecific CriteriaReported Device Performance
    Design SpecificationsMet all design specificationsLaboratory testing confirmed the device met all design specifications.
    Substantial EquivalenceEquivalent indications for use, safety compliance, similar design features, and functional features to predicate devices.The SUPRA SCAN™ Delivery System shares the same indications for use and safety compliance, similar design and functional features with the predicate devices (PASCAL Streamline 577 (K111108), IQ 577 (K071687), and Quantel Medical SUPRA SCAN™ Delivery System coupled to a SUPRA 532 (K100678)).
    Key Performance FeatureSimilar energy output performance at 400 microns spot size compared to predicate devices.The SUPRA SCAN™ Delivery System offers to treat at 400 microns with equivalent energy output performance.
    Clinical Significance of DifferencesAny differences from predicate devices should not be clinically significant.The only difference (maximum spot size of 500 microns vs. 400 microns for PASCAL Streamline 577) was deemed not clinically significant, as the SUPRA SCAN™ Delivery System also supports a 400-micron spot size with equivalent performance.

    2. Sample Size for Test Set and Data Provenance

    The document does not describe a clinical study with a "test set" in the traditional sense of patient data. The performance claims are based on laboratory testing to verify design specifications and substantial equivalence. Therefore:

    • Sample Size for Test Set: Not applicable, as no human subject test set was used for performance evaluation in the provided summary.
    • Data Provenance: Not applicable. The "study" was laboratory testing, implying in-house validation.

    3. Number of Experts Used to Establish Ground Truth and Qualifications

    • Number of Experts: Not applicable. Given the nature of the study (laboratory testing for design specifications and substantial equivalence), no external experts were used to establish ground truth from a clinical perspective.
    • Qualifications of Experts: Not applicable.

    4. Adjudication Method for the Test Set

    • Adjudication Method: Not applicable, as there was no clinical test set requiring expert adjudication.

    5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

    • MRMC Study Done: No. The provided information does not mention an MRMC comparative effectiveness study involving human readers. The device is a delivery system for a laser, not an diagnostic imaging tool that would typically be evaluated with MRMC studies.
    • Effect Size of Human Readers Improvement with AI vs. Without AI Assistance: Not applicable, as no MRMC study was conducted and the device is a laser delivery system, not an AI diagnostic tool.

    6. Standalone Performance Study

    • Standalone Performance Study Done: Yes, in the sense that laboratory testing was conducted to validate and verify that the SUPRA SCAN™ Delivery System met all design specifications. This laboratory testing evaluated the device's intrinsic characteristics and functions without direct human intervention as an evaluator of diagnostic output.

    7. Type of Ground Truth Used

    • Type of Ground Truth: The ground truth for this device's performance evaluation was defined by engineering and design specifications and the characteristics of the predicate devices. The goal was to prove that the device performs according to its intended design and is comparable to legally marketed devices.

    8. Sample Size for the Training Set

    • Sample Size for Training Set: Not applicable. The device is not an AI algorithm that requires a training set of data. Its development would likely involve engineering iterations and testing against specifications, not a data-driven training process.

    9. How the Ground Truth for the Training Set Was Established

    • How Ground Truth for Training Set Was Established: Not applicable, as there was no training set for an AI algorithm.
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    K Number
    K100678
    Manufacturer
    Date Cleared
    2010-07-21

    (133 days)

    Product Code
    Regulation Number
    878.4810
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    SUPRA SCAN DELIVERY SYSTEM

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

    The SUPRA SCAN™ Delivery System when connected to a compatible laser system is indicated for use in the treatment of ocular pathology of anterior segments including, retinal photocoagulation, pan retinal photocoagulation for vascular and structural abnormalities of the retina and choroids including:

    • · Proliferative and nonproliferative diabetic retinopathy;
    • · Choroidal neovascularization;
    • · Branch retinal vein occlusion;
    • · Age-related macular degeneration;
    • · Retinal tears and detachments
    • · Macular edema
    • · Iridotomy, iridectomy and trabeculoplasty in angle closure glaucoma and open angle glaucoma.
    Device Description

    SUPRA SCAN™ Delivery System is a scanning laser delivery system that enables the use of proprietary pattern scanning technology when coupling with laser platforms. This offers existing commercially available laser platform the ability to deliver a full spectrum of pattern scanning options.
    The Quantel Medical SUPRA SCAN™ Delivery System consists of the following system components:

      1. Scanning Laser Delivery System adapter with scanner controls that may be coupled to a slit lamp type Haag Streit or similar models, and connected to a currently cleared Quantel Medical 532nm retinal photocoagulator (SUPRA 532).
      1. Scanner control module with LCD/Touch screen, power supply, electronics and electrical connections.
    AI/ML Overview

    Here's an analysis of the provided text regarding the acceptance criteria and study for the SUPRA SCAN™ Delivery System:

    1. Table of Acceptance Criteria and Reported Device Performance

    The provided document describes the SUPRA SCAN™ Delivery System's equivalence to a predicate device rather than setting specific numerical acceptance criteria for performance in a clinical study. The "acceptance criteria" here are implicitly whether the device meets the specifications and safety standards of the predicate device, or relevant international and US standards. The "reported device performance" is essentially a comparison of its technical specifications to those of the predicate.

    Given the nature of the submission (510(k) for substantial equivalence), the acceptance criteria are primarily that the device's technical characteristics, safety profile, and intended use are sufficiently similar to the predicate device.

    Characteristic / Acceptance Criteria (Implicit)SUPRA SCAN™ Delivery System PerformancePredicate Device (PASCAL Synthesis™) PerformanceComparison / Outcome
    Intended UsePhotocoagulation of anterior and posterior segments of the eye for various ocular pathologies.Photocoagulation of anterior and posterior segments of the eye for various ocular pathologies.Equivalent
    Laser Energy SourceFrequency doubled Nd:YAGFrequency doubled Nd:YAGEquivalent
    Laser Energy DeliverySingle spot & Multi spotSingle spot & Multi spotEquivalent
    Spot PlacementCentered on Guide BeamCentered on Guide BeamEquivalent
    Laser energy IntensitySelected by PhysicianSelected by PhysicianEquivalent
    Pulsing SystemContinuousContinuousEquivalent
    Output Wavelength532 nm532 nmEquivalent
    Average Power (AP)2W (with SUPRA Scan)2 WEquivalent
    Laser Safety Class4/IV4/IVEquivalent
    Exposure Selections (t)0.007s to continuous0.01s to continuousSlightly broader range for SUPRA SCAN, but considered equivalent/safe.
    Cooling MethodSolid State Cooling with thermoelectric (Peltier) heat pumpAir cooledDifferent, but considered safe and effective to meet performance.
    Aiming Beam TypeRed diodeRed diodeEquivalent
    Aiming Beam Wavelength635 nm635 nmEquivalent
    Aiming laser power
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