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510(k) Data Aggregation

    K Number
    K182425
    Date Cleared
    2018-11-06

    (61 days)

    Product Code
    Regulation Number
    882.5320
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    Universal Mesh - Sterile

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

    The Universal Mesh is indicated for reconstruction, stabilization, and/or rigid fixation subsequent to craniotomy, craniectomy, cranioplasty, and cranial fractures in adults and adolescents (age 12 and higher).

    The Universal Mesh is indicated for non-load-bearing reconstruction in the maxillofacial skeleton of patients in whom skeletal growth is complete.

    Device Description

    The Universal Mesh - Sterile consists of an assortment of titanium meshes with different dimensions (small 60x60, medium 90x90, and large 120x120 mm) within the framework of the predicate Stryker Universal Mesh. The design of the meshes is not changed. The only addition is to provide the meshes sterile in a suitable packaging system. These meshes are sterilized by exposure to Ethylene Oxide. The intended use, the principles of operation, and the materials of construction have not changed.

    AI/ML Overview

    This document describes the Stryker Universal Mesh - Sterile, a device that has received 510(k) clearance from the FDA. The 510(k) submission primarily focuses on the change from a non-sterile to a sterile presentation of an already cleared device.

    Here's an analysis of the acceptance criteria and study information provided:

    1. Table of Acceptance Criteria and Reported Device Performance

    The document does not explicitly present a table of acceptance criteria with numerical target values for each test. Instead, it lists the performance bench tests conducted and states that the device "met all pre-defined acceptance criteria and standards." The reported performance is a simple "Passed" for each test.

    CharacteristicTestAcceptance Criteria (Implied)Reported Device Performance
    BiocompatibilityEtO Residuals TestMust pass ETO Residuals testPassed
    BiocompatibilityCytotoxicityMust pass Cytotoxicity testPassed
    BiocompatibilityEndotoxin TestingMust pass Endotoxin testPassed
    BiocompatibilitySterilization ValidationMust pass Sterilization ValidationPassed
    BiocompatibilityBioburden VerificationMust pass Bioburden VerificationPassed
    Packaging PerformanceTransportation TestMust pass Transportation testPassed
    User ValidationSystem Handling TestMust pass System Handling testPassed

    2. Sample Size for the Test Set and Data Provenance

    The document does not specify the sample sizes used for the individual bench tests. It only states that these tests were performed.
    The data provenance is from bench testing conducted by Stryker Leibinger GmbH & Co. KG and Steris as part of the overall 510(k) submission process. There is no information regarding the country of origin of the data beyond the company's location in Germany and the testing occurring at Steris. The data is retrospective in the sense that it was generated for the purpose of the 510(k) submission, not from a prospective clinical trial.

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

    This section is not applicable as the studies performed were bench tests, not clinical studies requiring expert interpretation or ground truth establishment in a diagnostic context. The "ground truth" for these tests are the established standards and methodologies for biocompatibility, sterilization, and packaging tests.

    4. Adjudication Method for the Test Set

    This section is not applicable as the studies performed were bench tests. Adjudication methods are typically relevant for clinical studies where multiple expert opinions on a diagnosis or outcome are reconciled.

    5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

    No, a multi-reader multi-case (MRMC) comparative effectiveness study was not done. The device is a physical mesh for surgical reconstruction; therefore, an MRMC study comparing human readers with and without AI assistance is not relevant to this device.

    6. Standalone (Algorithm Only Without Human-in-the-Loop Performance) Study

    No, a standalone "algorithm only" study was not done. The device is a physical medical implant, not an AI software or diagnostic algorithm.

    1. The Type of Ground Truth Used

    The "ground truth" for the bench tests conducted is based on established industry standards and regulatory requirements for biocompatibility, sterilization, and packaging. For example, for "EtO Residuals Test," the ground truth would be that the residual levels of ethylene oxide must be below a specified regulatory limit. Similarly, for "Sterilization Validation," the ground truth is that the sterilization process achieves a predefined sterility assurance level (SAL).

    8. Sample Size for the Training Set

    This section is not applicable. This device is a physical implant, not an AI algorithm that requires a training set.

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

    This section is not applicable as there is no training set for this device.

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