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510(k) Data Aggregation

    K Number
    K210917
    Date Cleared
    2021-05-28

    (60 days)

    Product Code
    Regulation Number
    876.1500
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    Single Use Injection Needle

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

    Single use injection needle is to be used in conjunction with an endoscopic injections, such as for the treatment of esophageal and gastric varies and for submucosal dye marking in the GI tract.

    Device Description

    The Single Use Injection Needles are sterile, single-use devices. The Single Use Injection Needles can is expected to be used in conjunction with an endoscope to perform endoscopic injections, such as for the treatment of esophageal and gastric varies and for submucosal dye marking in the GI tract. The Single Use Injection Needle is designed to pass through the endoscope's forceps to mark the lesions of the digestive tract and use it for injection. Compatibility with endoscopes, working lengths are 1800mm, 2000mm, 2300mm, and the minimum working clamp channel is φ 2.8 mm.

    AI/ML Overview

    The provided document is a 510(k) Summary for a Single Use Injection Needle, which is a medical device, not an AI/ML software. Therefore, the questions related to AI/ML software performance criteria, such as "effect size of how much human readers improve with AI vs without AI assistance," "standalone (i.e. algorithm only without human-in-the loop performance)," "training set," and "ground truth for the training set" are not applicable to this submission.

    The document describes the non-clinical performance testing conducted to demonstrate the essential performance of the proposed device and confirm it works as intended and is substantially equivalent to a predicate device.

    Here's the information extracted from the document regarding the acceptance criteria and study proving the device meets them:

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

    The document does not explicitly present a table of "acceptance criteria" side-by-side with "reported device performance" in the format typically seen for AI/ML models (e.g., sensitivity, specificity thresholds). Instead, it lists the types of performance tests conducted and concludes that the results demonstrated substantial equivalence. The predicate device's characteristics serve as the de-facto acceptance criteria for equivalence.

    Here's a summary of the non-clinical performance tests and the conclusion of equivalence:

    Acceptance Criteria (Implied by Predicate Equivalence)Reported Device Performance (Summary)
    Functional Performance:
    A. Inserting into endoscopeWorks as intended
    B. Withdrawing from endoscopeWorks as intended
    C. Advance of tubeWorks as intended
    D. Retraction of tubeWorks as intended
    E. Smooth puncturing of the needleWorks as intended
    F. Normal reaction force to needle puncturingWorks as intended
    G. Patency of lumenWorks as intended
    H. Needle retraction proprietyWorks as intended
    I. Luer lock connectorWorks as intended
    J. Dimension (e.g., outer sheath diameter, needle size, needle length, working length)Similar to predicate, differences determined not to affect compatibility/function (e.g., minor sheath diameter difference does not affect compatibility with 2.8mm channel; needle sizes/lengths within predicate range)
    Material/Processing Performance:
    Shelf-Life (3 years)Demonstrated through accelerated aging test (ASTM F1980-16); 3-year aging will be performed to support results.
    Sterilization Validation (SAL
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