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510(k) Data Aggregation

    K Number
    K163214
    Date Cleared
    2017-02-07

    (83 days)

    Product Code
    Regulation Number
    884.4530
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Unicare System is indicated for manipulation of the uterus and injection of fluids during laparoscopic procedures such as Laparoscopic Assisted Vaginal Hysterectomy (LAVH), Total Laparoscopic Hysterectomy (TLH), minilap, laparoscopic tubal occlusion, or diagnostic laparoscopy and also maintains pneumoperitoneum during a colpotomy.

    The Unicare Manipulator is indicated for manipulation of the uterus and injection of fluids during laparoscopic procedures, such as minilap, laparoscopic tubal occlusion, or diagnostic laparoscopy.

    Device Description

    The new Unicare System™ is a sterile, disposable, single-use device for manipulation of the uterus and cervix during surgical and diagnostic procedures. The Unicare System™ consists of the Unicare Manipulator™, a rear Stabilizer™, and a set of interchangeable, forward Collars™.

    The Unicare Manipulator™ is a rigid, anatomically curved cannula having at its proximal end a tip for insertion into the uterus to manipulate and maintain the proper attitude of the uterus. The Unicare Manipulator incorporates a sliding tube component with a proximal ball that provides a positive stop from over-penetration of the uterine cavity and counter traction with the tip for manipulation. At the distal end of the device is a handle which allows the surgeon to manipulate the uterus to the position most desirable for the procedure being performed. At the extreme distal end of the device is a standard luer port suitable for attachment of a standard syringe for injection of fluids or gases into the uterus through the cannula.

    The Unicare System also incorporates a set of interchangeable, forward Collars™ and a rear Stabilizer™. The appropriately sized Collar surrounds the cervix, delineates the fornix, and supports and defines the vaginal wall. The rear Stabilizer and a sliding tube are slid along the cannula to adjust the depth of tip insertion and seal the vaginal cavity from within to maintain pneumoperitoneum and prevent abdominal deflation once the vagina is entered during laparoscopic procedures such as during a colpotomy. The rear Stabilizer and sliding tube components are secured at their proper depth with a locking mechanism situated distal to the sliding tube and external to the patient.

    The Unicare Manipulator™ will be offered and sold separately from the Unicare System™. The Unicare Manipulator"™ does not include a rear Stabilizer" or a set of interchangeable, forward Collars", and is therefore indicated only for a subset of procedures of the Unicare System™

    AI/ML Overview

    This document (K163214) describes a 510(k) submission for the Unicare System & Unicare Manipulator, a uterine manipulator. The submission focuses on demonstrating substantial equivalence to a predicate device (VCARE manufactured by Conmed Corporation, K071907) rather than providing extensive details on a standalone study with human readers or clinical performance.

    Here's a breakdown of the requested information based on the provided text:

    1. Table of acceptance criteria and the reported device performance

    Acceptance CriteriaReported Device Performance
    Biocompatibility:
    CytotoxicityNon-cytotoxic
    SensitivityNon-sensitizing
    IrritabilityNon-irritating
    Systemic ToxicityNot acutely toxic
    Non-Clinical Performance Testing:
    Mechanical performance (flow rates, strength, applied clinical forces)Met all acceptance criteria
    Packaging structural integrity (after transit)Met all acceptance criteria
    SterilityMet all acceptance criteria
    Accelerated aging (non-clinical performance after aging)Met all acceptance criteria

    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 explicitly states: "No clinical testing has been performed in support of this Unicare System™ and Unicare Manipulator™ 510(k) submission." Therefore, there is no test set in the context of clinical data for AI device performance. The testing performed was non-clinical (biocompatibility, mechanical, packaging, sterility, accelerated aging) and involved the physical devices. The sample sizes for these specific non-clinical tests are not detailed beyond "the device was evaluated." Data provenance is not applicable as it was non-clinical lab testing.

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

    Not applicable. As no clinical testing was performed, no ground truth was established by experts from patient data.

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

    Not applicable. No clinical testing or expert review of clinical data was conducted.

    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 MRMC comparative effectiveness study was done. The submission is for a physical medical device, not an AI-assisted diagnostic tool for human readers.

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

    No standalone algorithm performance study was done. This is a physical device, not an algorithm.

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

    For the non-clinical performance testing (biocompatibility, mechanical, packaging, sterility, accelerated aging), the "ground truth" would be established by the industry standards and methodologies (e.g., ISO and ASTM standards) that define acceptable performance. For instance, for sterility, the ground truth is "sterile" as determined by ISO 11137 standards. For biocompatibility, it's non-cytotoxic, non-irritating, etc., as per ISO 10993 standards.

    8. The sample size for the training set

    Not applicable. There is no AI algorithm being trained, so no training set is relevant.

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

    Not applicable. There is no AI algorithm being trained, so no training set or ground truth for it was established.

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