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510(k) Data Aggregation

    K Number
    K200300
    Device Name
    VivAer Stylus
    Manufacturer
    Date Cleared
    2020-04-13

    (67 days)

    Product Code
    Regulation Number
    878.4400
    Reference & Predicate Devices
    N/A
    Why did this record match?
    Device Name :

    VivAer Stylus

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

    The VivAer® Stylus is indicated for use in otorhinolaryngology (ENT) surgery for the coagulation of soft tissue in the nasal airway, to treat nasal airway obstruction by shrinking submucosal tissue, including cartilage in the internal nasal valve area.

    Device Description

    The VivAer® Stylus is a disposable, handheld device capable of delivering bipolar radiofrequency energy to tissue. The stylus consists of an array of bipolar electrodes positioned on a non-conductive tip which is attached to a handle via a non-conductive shaft. A temperature sensor is located on the tip to monitor tissue temperature during treatment. The product's intended users are physicians including otolaryngologists, maxillofacial surgeons and other physicians specialized in nasal procedures.

    The VivAer® Stylus improves nasal breathing by modifying the soft tissues of the nasal airway through the use of low doses of radiofrequency energy. The low-power radiofrequency generates heat within the submucosal tissue, creating a coagulation lesion. As the lesion heals, the tissue retracts and stiffens. This decreases the nasal airflow resistance thereby improving inflow of air through the nose.

    AI/ML Overview

    Here's a breakdown of the acceptance criteria and study information for the VivAer Stylus based on the provided FDA 510(k) summary:

    1. Table of Acceptance Criteria and Reported Device Performance

    Test/CharacteristicAcceptance CriteriaReported Device Performance
    Packaging Validation
    Sterilization (Ethylene Oxide)Sterility Assurance Level (SAL) of 10-6Demonstrated ability to achieve SAL of 10-6
    Shelf-life (Accelerated Aging)Pass all testing acceptance criteriaPassed all accelerated aging and transit testing
    UsabilityNo use-related errors that may result in serious harmsNo use-related errors identified
    BiocompatibilityNot applicable (no new patient-contacting materials)Not repeated
    Device Performance Testing
    Thermocouple Accuracy & Response TimeMet all requirementsMet all requirements
    Treatment Parameter VerificationConfirmed correct programming of parametersConfirmed correct programming of parameters
    Reuse Prevention VerificationMet all requirementsMet all requirements
    Force Load Testing (Shaft Strength)Met all requirementsMet all requirements
    Tissue Heating & Conductive Gel CompatibilityConfirmed energy delivery to tissue samples at variety of treatment parametersConfirmed energy delivery to tissue samples at variety of treatment parameters

    2. Sample Size Used for the Test Set and Data Provenance

    The document does not explicitly state a specific sample size for a "test set" in the context of an AI/algorithm-based device. The testing described is primarily non-clinical performance testing of a physical medical device (VivAer Stylus) and its packaging.

    • Sample Size: Not specified in terms of numerical units for each test, but implied to be sufficient for demonstrating compliance with acceptance criteria.
    • Data Provenance: The studies were conducted internally by Aerin Medical Inc. in Sunnyvale, California, as part of their 510(k) submission. These are prospective tests performed on the manufactured device.

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

    This information is not applicable as the described testing is for a surgical device focused on its physical and functional performance, not for an AI/algorithm that requires expert-established ground truth for image interpretation or diagnosis. The ground truth for these tests is based on engineering specifications, regulatory standards, and objective measurements (e.g., temperature readings, force measurements, sterility verification).

    4. Adjudication Method for the Test Set

    This is not applicable as there is no mention of a human-in-the-loop diagnostic or interpretive task that would require adjudication. The testing involves engineering and performance validations.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done, and Effect Size

    No, a multi-reader multi-case (MRMC) comparative effectiveness study was not done. This type of study is typically performed for AI-powered diagnostic or screening devices to assess the impact of AI on human reader performance. The VivAer Stylus is a surgical device, not a diagnostic AI.

    6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) Was Done

    No, a standalone algorithm performance study was not done. This device is a physical electrosurgical tool and does not employ an AI algorithm in the manner described. The "algorithm" here refers to the pre-programmed treatment parameters of the device (power, temperature, time), which were verified for correct programming.

    7. The Type of Ground Truth Used

    The ground truth used for the described non-clinical tests is based on:

    • Engineering Specifications: E.g., for thermocouple accuracy, shaft strength, power output.
    • Regulatory Standards: E.g., for sterilization (SAL of 10-6), biocompatibility.
    • Objective Measurements: E.g., confirmed energy delivery to tissue samples, verification of programmed parameters.

    8. The Sample Size for the Training Set

    This is not applicable. The device is a surgical instrument, not an AI/machine learning model that requires a training set of data.

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

    This is not applicable for the same reason as #8.

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