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510(k) Data Aggregation

    K Number
    K130006
    Date Cleared
    2013-04-05

    (93 days)

    Product Code
    Regulation Number
    884.5980
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    BIODESIGN SURGISIS ANTERIOR POSTERIOR PELVIC FLOOR GRAFTS

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

    Cook® Biodesign® Surgisis® Anterior Pelvic Floor Graft is indicated for tissue reinforcement in women with pelvic organ prolapse, for transvaginal repair of anterior and anterior/apical vaginal vault prolapse.

    Cook® Biodesign® Surgisis® Posterior Pelvic Floor Graft is indicated for tissue reinforcement in women with pelvic organ prolapse, for transvaginal repair of posterior and posterior/apical vaginal vault prolapse.

    Device Description

    The Biodesign® Surgisis® Anterior and Posterior Pelvic Floor Grafts are non-synthetic, non-woven, resorbable layered sheets of natural Extracellular Matrix (ECM) collagen that are pre-configured and can be cut and further shaped by a surgeon to the desired size and shape. The grafts are manufactured from multiple layers of porcine Small Intestinal Submucosa (SIS), an acellular collagenous ECM material derived from porcine small intestine where the serosal. mucosal and muscle lavers have been removed. The collagenous material is not cross-linked and is designed to be eventually replaced by the patient's tissue. The shapes of the Biodesign® Surgisis® Anterior and Posterior Pelvic Floor Grafts are specifically designed to meet the clinical needs associated with the device's intended use. The Biodesign® Surgisis® Anterior and Posterior Pelvic Floor Grafts consist of 3 individual grafts: J-PF-ANT-USL, J-PF-ANT-SSL and J-PF-4-POST. J-PF-ANT-USL and J-PF-ANT-SSL are indicated for anterior prolapse repair and J-PF-4-POST is indicated for posterior prolapse repair. The Biodesign® Surgisis® Anterior and Posterior Pelvic Floor Grafts are all supplied sterile and are intended for one time use.

    AI/ML Overview

    The provided text is a 510(k) Summary for the Biodesign® Surgisis® Anterior and Posterior Pelvic Floor Grafts. This document details the regulatory submission for a medical device and primarily focuses on demonstrating substantial equivalence to existing predicate devices rather than proving performance against specific acceptance criteria through a clinical study.

    Therefore, the information required for a study that proves the device meets specific acceptance criteria (as would be typical for an AI/software device or a novel device requiring efficacy demonstration) is largely not present in the provided text. The submission is for a surgical mesh, and its approval hinges on demonstrating it is as safe and effective as a legally marketed predicate device, not on meeting predefined performance metrics from a study with acceptance criteria.

    However, I can extract the available information and highlight what is missing based on your request:


    Acceptance Criteria and Reported Device Performance

    The provided 510(k) summary does not list specific numerical acceptance criteria for a "device performance" metric in the way an AI algorithm's sensitivity/specificity would be evaluated. Instead, the "performance" here refers to physical and biological properties being comparable to predicate devices. The acceptance criteria for this type of device are generally qualitative in demonstrating substantial equivalence in the specified tests.

    Acceptance Criteria CategorySpecific TestAcceptance Criteria (Qualitative, inferred)Reported Device Performance (as stated)
    BiocompatibilityCytotoxicityPass"undergone and passed all relevant biocompatibility testing"
    SensitizationPass"undergone and passed all relevant biocompatibility testing"
    Acute Intracutaneous ReactivityPass"undergone and passed all relevant biocompatibility testing"
    Acute Systemic ToxicityPass"undergone and passed all relevant biocompatibility testing"
    Subchronic ToxicityPass"undergone and passed all relevant biocompatibility testing"
    Mechanical PerformanceSuture Retention StrengthComparable to predicate"passed all relevant...performance testing"
    Probe Burst StrengthComparable to predicate"passed all relevant...performance testing"
    Tensile StrengthComparable to predicate"passed all relevant...performance testing"
    StiffnessComparable to predicate"passed all relevant...performance testing"
    Tear ResistanceComparable to predicate"passed all relevant...performance testing"
    DelaminationComparable to predicate"passed all relevant...performance testing"
    Material/ProcessingImpurities RemovalNo adverse effect"additional processing to remove impurities from the SIS material" (implication is successful)
    Delamination PreventionSuccessful"include resorbable suture to improve handling and prevent delamination" (implication is successful)
    Shelf LifeMaintain properties over timeSuccessful"shelf life testing was also completed to support substantial equivalence."
    Clinical EquivalenceSafety and Effectiveness in UseEquivalent to predicate"clinical evidence including published clinical data, reinforces the conclusion that the Biodesign® Surgisis® Anterior and Posterior Pelvic Floor Grafts are substantially equivalent to the predicate devices."

    Study Information (Based on the provided text)

    1. Sample size used for the test set and the data provenance:

      • Test Set Sample Size: Not specified.
      • Data Provenance: The text refers to "clinical evidence including published clinical data" and "performance data." This implies a compilation of existing data rather than a single, dedicated randomized control trial or a specific "test set" for a novel algorithm. The country of origin is not specified, and it appears to be retrospective ("published clinical data").
    2. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:

      • This information is not provided. Given the nature of a surgical mesh submission based on substantial equivalence, "ground truth" in the context of expert consensus similar to an AI study wouldn't typically apply. The "ground truth" here is the established safety and effectiveness of the existing predicate devices and the physical/biological properties measured.
    3. Adjudication method (e.g. 2+1, 3+1, none) for the test set:

      • This information is not provided and is not applicable to the type of device and study described (demonstration of substantial equivalence to a physical predicate device).
    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:

      • No, an MRMC comparative effectiveness study was not done. This type of study is relevant for diagnostic devices, especially those involving human interpretation of images with AI assistance. This device is a surgical implant.
    5. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done:

      • Not applicable. This device is a surgical mesh, not an algorithm.
    6. The type of ground truth used (expert consensus, pathology, outcomes data, etc.):

      • The "ground truth," in a broad sense for this submission, appears to be:
        • Biocompatibility Standards: Established regulatory standards for biocompatibility.
        • Mechanical Property Measurement Standards: ASTM/ISO standards for testing material strength, etc.
        • Clinical Outcomes/Safety Profiles of Predicate Devices: The established safety and effectiveness of the Surgisis Sling™ (K992159) and Surgisis (K062696) in relevant clinical applications, informed by "published clinical data."
    7. The sample size for the training set:

      • Not applicable. This device is a surgical mesh, not an AI algorithm that requires a "training set."
    8. How the ground truth for the training set was established:

      • Not applicable. As above, no training set for an algorithm is involved.

    Summary of Study Context:

    This 510(k) submission primarily relies on non-clinical performance testing (biocompatibility, mechanical tests, shelf life) and reference to existing clinical data (published clinical data) related to the predicate devices and similar materials (SIS). The purpose is to demonstrate that the new device, despite some technological differences (pre-configured shape, perforations, resorbable suture), is substantially equivalent in safety and effectiveness to the legally marketed predicate devices. It is not a study designed to validate a novel performance claim against specific, pre-defined numerical acceptance criteria through a prospective clinical trial.

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    K Number
    K082682
    Manufacturer
    Date Cleared
    2009-02-27

    (165 days)

    Product Code
    Regulation Number
    878.3300
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    SURGISIS BIODESIGN ENTEROCUTANEOUS FISTULA PLUG

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

    The modified SIS Fistula Plug is indicated for implantation to reinforce soft tissue for repair of enterocutaneous fistulas.

    Device Description

    The modified SIS Fistula Plug is manufactured from porcine small intestinal submucosa (SIS) supplied in a tapered configuration with a flange to provide increased retention of the plug and improved blockage of the fistula. The device is packaged in a lyophilized (freeze-dried) state, and supplied sterile in a sealed double pouch system.

    AI/ML Overview

    This submission is for a Special 510(k) for a modified version of an existing device, the SURGISIS® Biodesign™ Enterocutaneous Fistula Plug. Special 510(k)s rely heavily on substantial equivalence to a predicate device, rather than new clinical studies with defined acceptance criteria and performance targets.

    Here's a breakdown of the requested information based on the provided text, with notable absences for items not typically found in a Special 510(k) for a material modification:

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

    Acceptance CriteriaReported Device Performance
    BiocompatibilityDevice is biocompatible.
    DisinfectionAdequately disinfected.
    Mechanical PropertiesAppropriate mechanical characteristics.
    Substantial Equivalence to PredicateSimilar to predicate device in intended use, materials, and technological characteristics.

    2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

    The document does not specify a "test set" in the context of a clinical performance study. The tests mentioned are bench testing and biocompatibility testing. Sample sizes for these types of tests are not provided in this summary. Data provenance (country of origin, retrospective/prospective) is also not specified, as this primarily relates to clinical data, which is not the focus of this Special 510(k).

    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)

    Not applicable. This Special 510(k) is based on bench and biocompatibility testing, not expert-adjudicated clinical data to establish ground truth for a diagnostic or therapeutic performance claim.

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

    Not applicable. There was no clinical test set requiring expert 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. This device is a surgical mesh, not an AI-powered diagnostic or decision support system.

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

    Not applicable. This device is a surgical mesh, not an algorithm.

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

    For the tests performed:

    • Biocompatibility: Likely evaluated against established biological safety standards.
    • Viral inactivation: Assessed against standards for viral clearance.
    • Mechanical testing: Compared to predetermined specifications for the device's physical properties.
    • Substantial Equivalence: Ground truth is the performance and characteristics of the legally marketed predicate device (SIS Fistula Plug, K050337).

    8. The sample size for the training set

    Not applicable. There is no mention of a "training set" as this is not an AI/machine learning device. The "training" for such devices typically refers to the manufacturing process and quality controls.

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

    Not applicable, as there is no training set in the AI/ML context.

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    K Number
    K073391
    Manufacturer
    Date Cleared
    2008-03-21

    (109 days)

    Product Code
    Regulation Number
    878.3300
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    SURGISIS BIODESIGN TISSUE GRAFT

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

    The SURGISIS® Biodesign Tissue Graft is intended to reinforce soft tissues where weakness exists. Indications for use include the repair of a hernia or body wall defect.

    The SURGISIS® Biodesign Tissue Graft minimizes tissue attachment to the device in case of direct contact with viscera.

    This device is intended for one-time use.

    Device Description

    The SURGISIS® Biodesign Tissue Graft is manufactured from porcine small intestinal submucosa (SIS) and is nominally supplied in a range of sizes. The device is packaged in a dried state, and is supplied sterile in a sealed double pouch system.

    AI/ML Overview

    This 510(k) summary describes a medical device, the SURGISIS® Biodesign Tissue Graft, and its substantial equivalence to a predicate device. It does not contain information about acceptance criteria and a study proving the device meets those criteria in the way a diagnostic AI/ML device submission would. This submission is for a material (surgical mesh), not a software algorithm.

    Therefore, many of the requested categories (e.g., sample size for test set, number of experts for ground truth, adjudication method, MRMC study, sample size for training set, how ground truth for training set was established, standalone performance) are not applicable to this type of device submission.

    Here's an interpretation based on the provided document:

    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance Criteria (Implied)Reported Device Performance
    Substantial equivalence to predicate device (SURGISIS® Biodesign Tissue Graft K062697 and Veritas® Collagen Matrix K062915) in terms of intended use, materials, and technological characteristics.The SURGISIS® Biodesign Tissue Graft is acting as its own predicate for K062697, and is substantially equivalent to Veritas® Collagen Matrix (K062915). It has the same technological characteristics and intended use, with the exception of the additional intended use for minimizing tissue attachment to viscera. Substantial equivalence was shown through bench and biocompatibility testing submitted in previous cleared 510(k)s.
    Minimize tissue attachment to viscera."All studies concluded that SURGISIS® Biodesign Tissue Graft demonstrates minimal tissue attachment to the viscera when compared to a named predicate."

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

    • Sample Size: Not specified in the provided text. The document refers to "a number of animal studies."
    • Data Provenance: "animal studies from published and unpublished literature." The country of origin is not specified but Cook Biotech Incorporated is based in West Lafayette, IN, USA. The studies would be considered prospective for the specific claims they aimed to prove.

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

    • This information is not provided. The studies are animal studies, so the "ground truth" would likely be based on pathological and gross examination findings by veterinarians or researchers, rather than expert human interpretation of images or signals.

    4. Adjudication method for the test set

    • Not applicable as this is not an AI/ML diagnostic study. The "ground truth" would be determined by direct observation and scientific assessment in animal studies.

    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 is not an AI/ML device.

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

    • Not applicable. This is not an AI/ML device.

    7. The type of ground truth used

    • The "ground truth" was established through direct observation and measurement in animal studies, focusing on outcomes like tissue attachment to viscera.

    8. The sample size for the training set

    • Not applicable. This is not an AI/ML device. There is no concept of a "training set" for this type of medical device submission.

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

    • Not applicable.
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    K Number
    K070405
    Manufacturer
    Date Cleared
    2007-10-17

    (247 days)

    Product Code
    Regulation Number
    878.3300
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    MODIFICATION TO SURGISIS SLR STAPLE LINE REINFORCEMENT

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

    The SURGISIS® SLR™ Staple Line Reinforcement is intended for use as a prosthesis for the surgical repair of soft tissue deficiencies using surgical staplers. The device may be used for buttressing and reinforcing staple lines during lung resection (e.g., wedge resection, blebectomy, lobectomy, bullectomy, bronchial resection, segmentectomy, pneumonectomy/pneumectomy, pneumoreduction) and other incisions and excisions of the lung and bronchus. The device can be used for the reinforcement of the gastric staple line during the bariatric surgical procedures of gastric bypass and gastric banding, and for reinforcement of staple lines during small bowel, mesentery, colon, and colorectal procedures. The device may be used with anastomotic staplers or with non-anastomotic staplers. The device is supplied sterile and is intended for one-time use.

    Device Description

    The SURGIS & SLR™ Staple Line Reinforcement device is produced from porcine small intestinal submucosa (SIS") that has been disinfected and treated for surgical use. The modified device is coated with an adhesive that eliminates the need for the application of a hydrogel to affix the device to the stapler arms. The device is supplied on a foam applicator, suspended in a form-fitting tray, and packaged in a sealed foil pouch to maintain sterility.

    AI/ML Overview

    I am sorry, but based on the provided text, I cannot extract the information required to describe the acceptance criteria and the study that proves the device meets them. The document is a 510(k) clearance letter and a 510(k) summary for a medical device (Modified SURGISIS® SLR™ Staple Line Reinforcement).

    While it mentions "performance bench and biocompatibility testing" and "Discussion of Tests and Test Results", it does not provide the specific details of these tests, their acceptance criteria, the reported device performance, sample sizes, ground truth establishment, or any information related to human reader studies (MRMC, standalone algorithm performance).

    The text focuses on establishing substantial equivalence to a predicate device, rather than detailing the specifics of the actual performance studies themselves.

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    K Number
    K062696
    Manufacturer
    Date Cleared
    2006-10-13

    (32 days)

    Product Code
    Regulation Number
    878.3300
    Reference & Predicate Devices
    N/A
    Why did this record match?
    Device Name :

    SURGISIS, SURGISIS ES

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

    Surgisis is intended for implantation to reinforce soft tissue. The device is intended for one-time use.

    Device Description

    Surgical mesh

    AI/ML Overview

    This document is a Special 510(k) Premarket Notification for a medical device called Surgisis®, a surgical mesh. The submission focuses on demonstrating substantial equivalence to a predicate device rather than presenting a study proving that the device meets specific acceptance criteria based on performance during testing.

    Here's an analysis based on the provided text:

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

    The provided document does not contain a table of acceptance criteria nor reported device performance data in the typical sense of a clinical or performance study. Instead, it focuses on demonstrating substantial equivalence to a predicate device through a comparison of characteristics. The document states:

    • "Both pass the same set of internal tests and release criteria."
      However, the specific "internal tests and release criteria" are not detailed, nor are the quantitative results of these tests provided.

    Therefore, a table of acceptance criteria and reported device performance cannot be generated from the given text.

    2. Sample size used for the test set and the data provenance (e.g., country of origin of the data, retrospective or prospective)

    This information is not provided in the document. The submission hinges on substantial equivalence based on material and process similarities, not on a test set of data from a study.

    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)

    This information is not applicable and therefore not provided. Since there is no described test set involving human assessment, there are no experts establishing ground truth in this context. The determination of substantial equivalence is made by the FDA based on the provided technical information.

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

    This information is not applicable and therefore not provided. There is no described test set requiring human 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

    A multi-reader multi-case (MRMC) comparative effectiveness study is not mentioned and is not applicable here. This document is for a surgical mesh, not an AI-assisted diagnostic or therapeutic device.

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

    This is not applicable as Surgisis® is a physical surgical mesh, not an algorithm or AI system.

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

    This is not applicable in the context of the provided document. The regulatory submission relies on demonstrating that the device is "substantially equivalent" to an already approved predicate device, meaning it has the same intended use, operating principles, basic design, materials, shelf-life, and passes the same internal tests and release criteria. The "ground truth" here is the established safety and effectiveness of the predicate device, which is inferred by the similarities.

    8. The sample size for the training set

    This is not applicable as this is not an AI/ML device requiring a training set.

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

    This is not applicable as this is not an AI/ML device requiring a training set.

    Summary of Acceptance Criteria and Study:

    The provided document is a Special 510(k) submission for a surgical mesh (Surgisis®). The regulatory pathway for this device, a 510(k), primarily focuses on demonstrating "substantial equivalence" to a legally marketed predicate device rather than conducting new, elaborate clinical or performance studies with specific statistical acceptance criteria for device performance as one might see for novel high-risk devices or AI/ML technologies.

    The "acceptance criteria" and "study" in this context are interpreted as the comparison points and the process of demonstrating substantial equivalence:

    Acceptance Criteria (Demonstrated Similarity to Predicate)Reported Device Performance (as stated in the submission)
    Same intended use"Both have the same intended use."
    Same operating principles"Both use the same operating principles."
    Same basic design"Both incorporate the same basic design."
    Same materials"Both incorporate the same materials."
    Same shelf-life"Both have the same shelf-life."
    Pass same set of internal tests and release criteria"Both pass the same set of internal tests and release criteria." (Specific tests and results not detailed in submission for public review, but affirmed to be the same)
    Packaged and sterilized using same materials and processes"Both are packaged and sterilized using the same materials and processes."

    The "study" that proves the device meets these "acceptance criteria" is the Special 510(k) submission itself, which presents a direct comparison between the new Surgisis® device and its identified predicate. The "proof" lies in the detailed technical information provided to the FDA (which is not fully available in this excerpt) asserting these similarities and justifying that a process change did not affect specifications or performance. This is a regulatory assessment, not a scientific study with a traditional experimental design, test sets, or ground truth adjudication by experts in the sense of AI/ML or diagnostic device validation.

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    K Number
    K062697
    Manufacturer
    Date Cleared
    2006-10-13

    (32 days)

    Product Code
    Regulation Number
    878.3300
    Reference & Predicate Devices
    N/A
    Why did this record match?
    Device Name :

    SIS HERNIA REPAIR DEVICE, SURGISIS GOLD HERNIA REPAIR GRAFT

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

    The SIS Hernia Repair Device is intended to be implanted to reinforce soft tissue where weakness exists. Indications for use include the repair of a hernia and body wall defect. The device is intended for one-time use.

    Device Description

    Not Found

    AI/ML Overview

    The provided text describes a Special 510(k) Premarket Notification for the SIS Hernia Repair Device. This type of submission focuses on demonstrating substantial equivalence to a legally marketed predicate device, rather than proving a device meets specific performance criteria through clinical studies or extensive testing against defined acceptance criteria.

    Therefore, the requested information regarding acceptance criteria, study details, sample sizes, ground truth establishment, expert qualifications, adjudication methods, and comparative effectiveness studies is not applicable to this type of regulatory submission as presented in the provided documents.

    The core of this 510(k) summary is to assert that the SIS Hernia Repair Device is substantially equivalent to an existing, legally marketed device with respect to its intended use, operating principles, basic design, materials, shelf-life, internal tests/release criteria, packaging, and sterilization. The only difference noted is a process change that did not affect specifications or performance. This means the existing evidence for the predicate device's safety and effectiveness implicitly applies to this device.

    In summary, based on the provided text, the following apply:

    • Acceptance Criteria Table: Not applicable. Performance is demonstrated through substantial equivalence to a predicate device, not by meeting new, explicitly defined acceptance criteria.
    • Sample size and data provenance: No new studies are presented with sample sizes or data provenance. The submission relies on the established safety and effectiveness of the predicate device.
    • Number of experts and qualifications: Not applicable. Ground truth for a test set is not established in this type of submission.
    • Adjudication method: Not applicable.
    • Multi-reader multi-case (MRMC) comparative effectiveness study: Not applicable.
    • Standalone (algorithm only) performance study: Not applicable, as this is a physical medical device, not an AI or algorithm-based device.
    • Type of ground truth used: Not applicable. No new ground truth is established for this device as no new clinical or performance studies are presented.
    • Sample size for the training set: Not applicable.
    • How the ground truth for the training set was established: Not applicable.
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    K Number
    K062729
    Manufacturer
    Date Cleared
    2006-10-10

    (27 days)

    Product Code
    Regulation Number
    878.3300
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    SURGISIS RVP RECTO-VAGINAL FISTULA PLUG

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

    The modified SIS Fistula Plug is for implantation to reinforce soft tissue for repair of recto-vaginal fistulas. The device is supplied sterile and is intended for one-time use.

    Device Description

    The modified SIS Fistula Plug is manufactured from porcine small intestinal submucosa (SIS) supplied in a tapered configuration with a button to provide increased retention of the plug and improved blockage of the fistula. The device is packaged in a lyophilized (freeze-dried) state, and supplied sterile in a sealed double pouch system.

    AI/ML Overview

    The provided text details a 510(k) submission for a modified medical device, the SIS Fistula Plug. However, it does not contain a study that demonstrates the device meets specific acceptance criteria in terms of performance (e.g., efficacy, accuracy, or clinical outcomes). The submission focuses on demonstrating substantial equivalence to a predicate device, specifically addressing modifications made to the original SIS Fistula Plug.

    Therefore, many of the requested sections about acceptance criteria, device performance, sample sizes for test/training sets, expert involvement, and ground truth cannot be extracted from this document as such studies were not part of this 510(k) submission.

    Here's an analysis of what can be extracted and an explanation of what cannot:

    1. Table of acceptance criteria and the reported device performance

    • Acceptance Criteria for this submission: The primary "acceptance criterion" for this 510(k) submission is to demonstrate substantial equivalence to the predicate device (the original SIS Fistula Plug [510(k) No. K050337]). This is achieved by showing that the modified device has similar intended use, materials, and technological characteristics, and that any modifications do not raise new questions of safety and effectiveness.
    • Reported Device Performance: The document states that the modified device underwent:
      • Biocompatibility testing
      • Viral inactivation testing
      • Mechanical testing
      • An analysis of risk factors.
      • Outcomes: "Outcomes show the device to be biocompatible, adequately disinfected, and with appropriate mechanical characteristics." Also, "Outcomes from the evaluation of the modified SIS Fistula Plug provide evidence of its suitability for use in soft tissue reconstruction and substantial equivalency to the predicate device in terms of intended use and technological characteristics."
    Aspect of EquivalenceAcceptance Criteria (Implicit for 510(k))Reported Device Performance
    Intended UseSame as predicate deviceSimilar to predicate device
    MaterialsSame as or comparable to predicate device with no new safety/efficacy concernsManufactured from porcine small intestinal submucosa (SIS) - same base material as predicate. Subjected to biocompatibility and viral inactivation testing.
    TechnologicalSimilar to predicate device, modifications do not raise new safety/efficacy concernsTapered configuration with a button for increased retention and improved blockage. Bench testing and biocompatibility testing performed. Mechanical characteristics found appropriate.
    SafetyBiocompatible and adequately disinfectedBiocompatible and adequately disinfected.
    EffectivenessAppropriate mechanical characteristics and suitable for soft tissue reconstructionAppropriate mechanical characteristics. Suitability for use in soft tissue reconstruction.

    2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

    • This information is not provided because this submission relies on demonstrating substantial equivalence through bench testing, biocompatibility testing, and risk analysis, rather than a clinical efficacy study with a test set of patients or data. The testing mentioned (biocompatibility, viral inactivation, mechanical) would typically involve laboratory samples, not human patient data sets.

    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)

    • Not applicable. There was no "test set" in the context of human data or diagnoses requiring expert ground truth in this 510(k) submission.

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

    • Not applicable. No test set requiring adjudication was used.

    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 mesh for fistula repair, not an AI-powered diagnostic tool, so MRMC studies are irrelevant here.

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

    • Not applicable. This is a physical medical device, not an algorithm.

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

    • For the assessments performed (biocompatibility, mechanical testing, viral inactivation), the "ground truth" would be established by standard scientific and engineering methodologies, accepted laboratory protocols, and regulatory guidelines for these types of tests, rather than expert consensus on clinical cases or pathology.

    8. The sample size for the training set

    • Not applicable. There is no mention of "training set" as this is not an AI/ML device.

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

    • Not applicable. There is no mention of "training set" as this is not an AI/ML device.

    In summary: This 510(k) submission is for modifications to an existing physical medical device (SIS Fistula Plug). The "study" referenced is a series of tests (biocompatibility, viral inactivation, mechanical, and risk analysis) intended to demonstrate that the modified device remains substantially equivalent to its predicate. It does not involve clinical studies with human participants, AI algorithms, or the kinds of intricate data analysis and expert review typically found in submissions for diagnostic AI devices.

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    K Number
    K062320
    Manufacturer
    Date Cleared
    2006-10-02

    (54 days)

    Product Code
    Regulation Number
    878.3300
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    SURGISIS PEYRONIE'S REPAIR GRAFT, MODEL SPR-100

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

    The SURGISIS® Peyronie's Repair Graft is intended for implantation to reinforce soft tissue where weakness exists in the urological anatomy, including but not limited to the repair of tunica albuginea defects, and reinforcement in the repair of Peyronie's disease. This device is supplied sterile and is intended for one-time use only.

    Device Description

    The SURGISIS® Peyronie's Repair Graft is manufactured from porcine small intestinal submucosa (SIS) and is nominally supplied in an oval configuration. The device is packaged in a lyophilized (dried) state, and is supplied sterile in a sealed double pouch system.

    AI/ML Overview

    The applicant, Cook Biotech Incorporated, sought to market the SURGISIS® Peyronie's Repair Graft, a surgical mesh made from porcine small intestinal submucosa (SIS), intended for reinforcing soft tissue in the urological anatomy, specifically for tunica albuginea defects and Peyronie's disease repair.

    1. Table of Acceptance Criteria and Reported Device Performance:

    Acceptance CriteriaReported Device Performance
    Biocompatibility Testing Requirements (e.g., cytotoxicity, sensitization, irritation, systemic toxicity, genotoxicity, implantation tests)Met the requirements of extensive biocompatibility testing.
    Viral Inactivation Testing RequirementsMet the requirements of viral inactivation testing.
    Mechanical Testing Requirements (e.g., tensile strength, burst strength, suture retention)Met the requirements of mechanical testing.
    Suitability for Use in Soft Tissue RepairDemonstrated suitability for use in soft tissue repair.
    Substantial Equivalence to Predicate DevicesDemonstrated substantial equivalence to predicate devices (SURGISIS® Sling (K992159), SURGISIS® Mesh (K980431), and AMS Collagen Dermal Matrix (K050445)) in terms of intended use, materials, and technological characteristics.

    2. Sample Size Used for the Test Set and the Data Provenance:

    The provided documentation does not specify a distinct "test set" in the context of an AI/ML device. The "tests" discussed are bench and biocompatibility tests conducted on the physical device itself. Therefore, specific sample sizes for a test set (e.g., number of patient cases) and data provenance (country of origin, retrospective/prospective) are not applicable or provided here. The testing was performed on the manufactured device.

    3. Number of Experts Used to Establish the Ground Truth for the Test Set and the Qualifications of Those Experts:

    Not applicable. This device is a physical surgical mesh, not an AI/ML diagnostic or prognostic tool requiring expert-established ground truth on a test set of data. The ground truth for its performance is established through laboratory and animal testing, evaluated against predetermined scientific standards and regulatory guidelines.

    4. Adjudication Method for the Test Set:

    Not applicable. The evaluation of test results (biocompatibility, viral inactivation, mechanical properties) for a physical device is based on objective measurements and established scientific protocols, not on an adjudication method involving human interpretation of data in the way one would for a diagnostic study.

    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 is not an AI/ML device, and therefore no MRMC study looking at human reader performance with or without AI assistance was conducted.

    6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) Was Done:

    Not applicable. This is not an AI/ML device.

    7. The Type of Ground Truth Used:

    The ground truth for this device's performance is based on:

    • Scientific Standards and Regulatory Guidelines: For biocompatibility (e.g., ISO 10993 series), viral inactivation (established methods to ensure safety), and mechanical properties (biomechanical testing standards).
    • Bench and Biocompatibility Testing Results: Objective measurements derived from laboratory tests the device underwent.
    • Comparison to Predicate Device Performance: Establishing equivalence based on the known safety and effectiveness profiles of already marketed, substantially equivalent devices.

    8. The Sample Size for the Training Set:

    Not applicable. This device does not involve a "training set" in the context of AI/ML.

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

    Not applicable. This device does not involve a "training set." The development and testing of this device relied on established scientific principles, engineering design, and regulatory compliance for medical device manufacturing.

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    K Number
    K053622
    Manufacturer
    Date Cleared
    2006-03-15

    (77 days)

    Product Code
    Regulation Number
    886.3130
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    SURGISIS OCULAR GRAFT

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

    The SURGISIS Ocular Graft is intended for implantation to reinforce and support the reconstruction of the soft tissue of the eyelid.
    The SURGISIS Ocular Graft is intended for implantation to reinforce and aid reconstruction of the eyelid and is labeled for single use.

    Device Description

    The SURGISIS Ocular Graft is derived from porcine small intestinal submucosa (SIS). The material is prepared into sheets of various sizes and thicknesses appropriate for the reconstruction and repair of soft tissues. The device is supplied sterile in a dry lyophilized state sealed in a double peel pouch system

    AI/ML Overview

    The provided text describes the SURGISIS Ocular Graft, an ophthalmic implant made from processed porcine small intestinal submucosa. It details the device's description, indications for use, and a summary that it is identical in material composition to predicate Surgisis devices and has undergone extensive biocompatibility, viral inactivation, and mechanical testing. The text states that these outcomes demonstrate safety and efficacy for soft tissue reconstruction and repair.

    However, the provided text does not contain the specific information requested about acceptance criteria and the study that proves the device meets those criteria. The information regarding acceptance criteria, reported performance, sample sizes for test sets, data provenance, number and qualifications of experts, adjudication methods, MRMC studies, standalone performance, type of ground truth, training set sample size, and how training set ground truth was established is not present in the provided document.

    The document focuses on establishing substantial equivalence to predicate devices, listing the predicate devices and their characteristics, rather than detailing the specifics of a study evaluating the performance against predefined acceptance criteria for the SURGISIS Ocular Graft itself in the manner requested. The "Summary of Testing" section is very high-level and does not provide quantitative results or detailed study methodology.

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    K Number
    K051048
    Manufacturer
    Date Cleared
    2005-09-23

    (151 days)

    Product Code
    Regulation Number
    878.3300
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    SURGISIS STAPLE LINE REINFORCEMENT II

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

    SURGIS Staple Line Reinforcement II is intended for use as a prosthesis for the surgical repair of soft tissue deficiencies using surgical staplers. The device may be used for buttressing and reinforcing staple lines during lung resection, (e.g., wedge resection, blebectomy, lobectomy, bullectomy, bronchial resection, segmentectomy, pneumonectomy/pneumectomy, pneumoreduction) and other incisions and excisions of the lung and bronchus. The device can be used for the reinforcement of the gastric staple line during the bariatric surgical procedures of gastric bypass and gastric banding, and for reinforcement of staple lines during small bowel, mesentery, colon, and colorectal procedures. The device may be used with anastomotic staplers or non-anastomotic staplers. The device is supplied sterile and is intended for one-time use.

    Device Description

    SURGIS® Staple Line Reinforcement II is manufactured from porcine small intestinal submucosa (SIS) and is nominally supplied in strip sizes (unfolded) of 1.0 x 10.8 cm to 1.2 x 19.8 cm. The device is surface treated to allow it to temporarily adhere to the stapler arms, is packaged in a lyophilized (dried) state, and supplied sterile in a sealed double pouch system.

    AI/ML Overview

    The provided text describes the 510(k) Premarket Notification for the SURGISIS® Staple Line Reinforcement II device. It includes information about the device's intended use, predicate devices, and a summary of testing for substantial equivalence. However, it does not contain the specific details required to complete your request for acceptance criteria and a study proving those criteria are met.

    Here's why and what information is missing:

    • Acceptance Criteria and Reported Device Performance: The document states "Outcomes show the device to be biocompatible, manufacturing processes to adequately disinfect the material, and mechanical characteristics to be sufficient." This is a general statement, not a table of specific acceptance criteria (e.g., tensile strength > X MPa, burst pressure > Y mmHg) and the corresponding numerical results obtained from testing.
    • Sample Size (Test Set), Data Provenance: This information is not present. The document mentions "extensive biocompatibility testing, viral inactivation testing, and mechanical testing," but does not detail the sample sizes for these tests or the origin of any data (human or animal, retrospective/prospective).
    • Number of Experts, Qualifications, Adjudication Method: These points are relevant to studies involving human interpretation or consensus, which are not described here. The tests mentioned are laboratory-based (biocompatibility, viral inactivation, mechanical), not studies requiring human expert adjudication.
    • Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study: This type of study would compare human performance with and without AI assistance. The SURGISIS® Staple Line Reinforcement II is a physical medical device (surgical mesh), not an AI algorithm. Therefore, an MRMC study is not applicable.
    • Standalone (Algorithm Only) Performance: As above, this device is a physical product, not an algorithm.
    • Type of Ground Truth Used: For physical device testing, "ground truth" typically refers to established standards and methods for measuring material properties. The document doesn't specify these, beyond general statements about "biocompatibility testing," "viral inactivation testing," and "mechanical testing." It doesn't mention expert consensus, pathology, or outcomes data in the context of establishing a benchmark for performance.
    • Sample Size for Training Set & How Ground Truth for Training Set was Established: These points are relevant to machine learning or AI development, which is not applicable to this physical device.

    In summary, the provided text describes a 510(k) submission for a physical surgical mesh. The "studies" mentioned are laboratory tests designed to demonstrate that the device is substantially equivalent to predicate devices based on its material properties and safety. It does not involve AI, human expert review, or clinical trials in the way your questions imply.

    Therefore, I cannot populate the table and answer the specific questions based only on the provided text. The document is a regulatory summary focusing on substantial equivalence, not a detailed scientific study report with specific performance metrics against defined acceptance criteria.

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