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510(k) Data Aggregation
(224 days)
URUS System is intended to be used by physicians to access, visualize, and perform procedures in the urinary tract and the kidney. The instrument enables delivery and use of accessories such as biopsy forceps, laser fibers, graspers and retrieval baskets at a surgical site.
The URUS System is a software-controlled single-use digital flexible ureteroscope system. That consist of the single-use digital flexible ureteroscope (DMG-SU100R) and a video processing unit (VP-100). The URUS System is intended to be used by physicians to access, visualize, and perform procedures in the urinary tract and the kidney.
The provided text is a 510(k) summary for the URUS System, a digital flexible ureteroscope. This document outlines the device's characteristics and its substantial equivalence to a predicate device, but it does not contain details about a clinical study comparing the device's performance to specific acceptance criteria in a human cohort.
Instead, the performance data section primarily discusses bench testing, compliance with standards, and software validation. There is an explicit statement: "The subject of this premarket submission did not require clinical studies were considered necessary and performed." This means there won't be information on sample sizes, ground truth establishment, expert qualifications, or MRMC studies that typically derive from clinical trials.
Therefore, I cannot fulfill all parts of your request as the provided document lacks a description of a clinical study that proves the device meets acceptance criteria defined by performance metrics like sensitivity, specificity, or reader improvement.
However, I can extract information related to the bench testing and other validations performed, which can be presented in a modified format to address the parts that are available.
Here's a summary based on the provided document:
Acceptance Criteria and Device Performance Study for the URUS System
The URUS System, a single-use digital flexible ureteroscope, underwent various types of testing, primarily bench testing, to demonstrate its performance and substantial equivalence to a predicate device (WiScope™ Digital Endoscope System, K181977). A clinical study was not considered necessary or performed for this premarket submission.
1. Table of Acceptance Criteria and Reported Device Performance
Since explicit "acceptance criteria" for clinical performance (like sensitivity, specificity) and "reported device performance" against those in a clinical setting are not available from the provided document, I will present the performance items tested in bench studies, which serve as a form of acceptance criteria for engineering and optical performance.
Performance Item (Acceptance Criteria per ISO 8600-1) | Reported Device Performance (Implied as "Passed" or "Complies") |
---|---|
Optical Performance Bench Testing | |
Field of View | Tested and Complies (Specific value: 85° diagonal, compared to 100° for predicate) |
Depth of Field | Tested and Complies (Specific value: 3 - 50 mm, compared to 2 - 50 mm for predicate) |
Resolution | Tested and Complies |
Distortion | Tested and Complies |
IIU (Image Intensity Uniformity) | Tested and Complies |
SNR/DR | Tested and Complies |
Mechanical Performance Bench Testing | |
Outer Shaft Diameter | Tested and Complies (Specific value: 9.5F, compared to 8.6Fr for predicate) |
Overall length | Tested and Complies (Specific value: 948 mm, compared to 905 mm for predicate) |
Working length | Tested and Complies (Specific value: 680 mm, compared to 670 mm for predicate) |
Working Channel Diameter | Tested and Complies (Specific value: 3.6Fr (1.2mm), same as predicate) |
Up/Down Deflection | Tested and Complies (Specific value: UP: 270°, DOWN: 270°, compared to UP: 275°, DOWN: 275° for predicate) |
Direction of View | Tested and Complies (Specific value: 0°, same as predicate) |
Tip Column Strength | Tested and Complies |
Lever Force | Tested and Complies |
Tip to Shaft Tensile Strength | Tested and Complies |
Accessory port | Tested and Complies |
Brightness Control | Tested and Complies (Same as predicate) |
White balance | Tested and Complies (Same as predicate) |
Connections tensile strength | Tested and Complies |
Torque and Leakage | Tested and Complies |
Flow rate and pressure | Tested and Complies |
Torque strength | Tested and Complies |
Fatigue | Tested and Complies |
Bending path | Tested and Complies |
Leakage | Tested and Complies |
Other Performance/Safety Data | |
Electrical, Mechanical and Thermal Safety | Complies with IEC 60601-1:2005/AMD2:2020 |
Electromagnetic Compatibility | Complies with IEC 60601-1-2:2014+A1:2020 and IEC TS 60601-4-2:2024 |
Usability | Complies with IEC 60601-1-6:2010/AMD2:2020 |
Endoscopic Equipment Safety | Complies with IEC 60601-2-18: 2009 |
Sterilization | Validated to ISO 11135:2014 with EO/ECH residual test per ISO 10993-7:2008 (SAL: 10^-6) |
Shelf-Life | 3 years, determined by stability study including accelerated aging test per ASTM F1980-16 for the Single-Use Digital Flexible Ureteroscope. |
Package Validation | Conducted according to ISO 11607-1:2019, ISO 11607-2:2019, ASTM F1886, F88/F88M-21, F1929-15, and ASTM D4169-22. |
Software Validation & Verification | Designed according to IEC 62304; evaluated for Basic level documentation (June 2023 FDA guidance) |
Cybersecurity | Provided in accordance with FDA guidance |
Biocompatibility | Evaluated for patient contacting components per ISO 10993-1:2018 and FDA Guidance for "externally communicating device contacting tissue/bone/dentin" with contact duration " |
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