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510(k) Data Aggregation

    K Number
    K152001
    Date Cleared
    2015-12-10

    (143 days)

    Product Code
    Regulation Number
    876.4400
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    Sterile Repositionable Hemostasis Clipping Device

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

    The Sterile Repositionable Hemostasis Clipping Device is indicated for endoscopic clip placement within the gastrointestinal tract for the purpose of:
    (1) endoscopic marking,
    (2) hemostasis for
    (a) mucosal / sub-mucosal defects

    Device Description

    The proposed device Sterile Repositionable Hemostasis Clipping Device is a sterile, single-use endoscopic clipping device, intended to be used for endoscopic marking, hemostasis for mucosal/submucosal defects in digestive tract. It consists of two main components, delivery system and clip assembly. And it is offered in different dimensions.

    AI/ML Overview

    The provided text describes a 510(k) premarket notification for a medical device, the "Sterile Repositionable Hemostasis Clipping Device". This document is submitted to the FDA to demonstrate substantial equivalence to a predicate device, not typically to prove a device meets specific clinical performance acceptance criteria through a study with ground truth. Therefore, many of the requested categories for AI/algorithm performance studies are not directly applicable.

    Here's an analysis based on the provided text:

    1. Table of Acceptance Criteria and Reported Device Performance

    The document does not explicitly state quantitative acceptance criteria or a direct performance table in the typical sense of algorithm-based device performance (e.g., sensitivity, specificity). Instead, it lists bench tests performed to demonstrate equivalence to a predicate device. The general acceptance criterion is that the device "meets the requirements" of relevant ISO standards and that "the testing performed demonstrated that the proposed and predicate delivery systems are equivalent."

    Test CategorySpecific Tests PerformedReported Device Performance
    Biological EvaluationISO 10993-1 (Evaluation and Testing)Meets requirements
    ISO 10993-7 (Ethylene oxide sterilization residuals)Meets requirements
    SterilizationISO 11135-1 (Ethylene Oxide Sterilization)Meets requirements
    Bench Tests - Mechanical IntegrityDimensional verificationDemonstrated equivalence to predicate delivery systems
    Mechanical Integrity of Clip AssemblyDemonstrated equivalence to predicate delivery systems
    Clamping Strength TestingDemonstrated equivalence to predicate delivery systems
    Tensile Strength TestingDemonstrated equivalence to predicate delivery systems
    Release Force TestingDemonstrated equivalence to predicate delivery systems
    Rotation TestingDemonstrated equivalence to predicate delivery systems

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

    Not applicable. This is a medical device for physical intervention, not an AI/algorithm-based diagnostic or prognostic device that uses a test set of data. The "tests" mentioned are bench tests on the physical 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 does not rely on expert-established ground truth for its performance evaluation in the context of this 510(k) submission.

    4. Adjudication method for the test set

    Not applicable.

    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

    No. The document explicitly states: "No clinical study is included in this submission." This is not an AI-assisted device.

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

    No. This is a physical hemostasis clipping device, not an algorithm.

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

    Not applicable in the context of AI/algorithm performance. For the bench tests, the "ground truth" would be the engineering specifications and performance characteristics of the predicate device and the relevant ISO standards.

    8. The sample size for the training set

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

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

    Not applicable.

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