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510(k) Data Aggregation

    K Number
    K972453
    Manufacturer
    Date Cleared
    1997-09-05

    (67 days)

    Product Code
    Regulation Number
    874.4250
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    This device is intended for the cutting and removal of bone and tissues in ENT, otorhinolaryngology / head and neck surgical procedures.

    Indications: Any ENT, otorhinolaryngological, or head and neck surgery requiring the incision and removal of bone or tissue, including removal and shaping of bone during rhinoplasty procedures and removal of soft tissue during plastic, reconstructive, and/or athestic surgery of the head and neck.

    Device Description

    The XPS microdebrider system is composed of the Power Control unit, a footswitch and a handpiece combined with various accessory blades and burs. The XPS system and replaceable blades and burs are intended for use by health care professionals and are labeled as prescription devices. The disposable blades and burs are provided in styles and sizes to remove the various tissues and bone typically resected in ENT and Head and Neck surgery.

    AI/ML Overview

    This looks like a 510(k) premarket notification for a surgical device, not an AI/ML device. Therefore, the typical acceptance criteria and study designs relevant to AI/ML (like sensitivity, specificity, MRMC studies, ground truth establishment for training sets) do not directly apply in the same way.

    However, I can extract information related to the device's intended use and the justification for substantial equivalence, which serves a similar purpose to demonstrating the device meets "acceptance criteria" for regulatory clearance based on a predicate device.

    Here's an attempt to answer your questions based on the provided document, adapting where necessary for a non-AI/ML device.

    1. A table of acceptance criteria and the reported device performance

    For a traditional surgical device like this, the "acceptance criteria" are typically related to safety, effectiveness, and substantial equivalence to a predicate device for its intended use, rather than quantifiable performance metrics like sensitivity/specificity.

    Acceptance Criteria (Implied from 510(k) Submission)Reported Device Performance (as demonstrated for Substantial Equivalence)
    Safety and Effectiveness for Rhinoplasty: The device can safely and effectively cut and remove bone and tissues during rhinoplasty procedures.The XPS Microdebrider System for rhinoplasty is deemed equivalent to the TreBay Microplaner handpiece (K954715), which was cleared for "removal of bone and tissues in rhinoplasty, for such procedures including nasal dorsum surgery and nasal osteotomy, and surgery for rhinoplasty." No new safety or effectiveness issues were identified.
    Safety and Effectiveness for Soft Tissue Removal in Plastic/Reconstructive/Aesthetic Surgery of the Head and Neck: The device can safely and effectively cut and remove soft tissues in these procedures.The removal of soft tissue under these indications is considered equivalent to the removal of any other soft tissue of the head and neck, raising no new safety or effectiveness issues. A "multi-institutional experience" (article of Becker, et al.) found the use of powered cutting blades safe and effective for such tissue removal.
    Substantial Equivalence: The modified indications for use (rhinoplasty and soft tissue removal) do not raise new questions of safety or effectiveness compared to legally marketed predicate devices.The submission asserts that the specific procedures (rhinoplasty and soft tissue removal) are substantially equivalent to the currently broadly stated indications for use of the predicate device (XPS System) and the TreBay Microplaner.

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

    This information is not provided in a way that aligns with an AI/ML device's test set. The submission refers to a "multi-institutional experience for these indications (article of Becker, et al.)" to support the safety and effectiveness for soft tissue removal. However, the specific sample size, study design, or data provenance (e.g., country of origin, retrospective/prospective) of this medical literature is not detailed in the 510(k) summary. This is typical for a 510(k) that relies on existing clinical experience and predicate device comparison rather than de novo clinical trials for new functionality.

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

    This concept is not applicable in the context of this 510(k) submission. The "ground truth" for a surgical device is typically established through clinical practice, medical literature, and regulatory precedent. The "experts" would be the surgeons who published the "multi-institutional experience" or who are generally recognized in the field for performing these types of surgeries, but their specific qualifications or role in establishing a "ground truth" for a test set are not described here.

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

    Not applicable. There is no mention of a "test set" requiring an adjudication method as would be relevant for an AI/ML performance study.

    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

    Not applicable. This is a surgical device, not an AI-assisted diagnostic or interpretive tool. Therefore, MRMC studies and "human readers" are not relevant.

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

    Not applicable. This is a physical surgical device intended for human use, not an algorithm.

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

    For this type of device, the "ground truth" for safety and effectiveness is established by:

    • Clinical experience/outcomes data: Referenced implicitly through the "multi-institutional experience (article of Becker, et al.)" which suggests safe and effective use of powered cutting blades for soft tissue removal.
    • Regulatory precedent and predicate device functionality: The device's substantial equivalence is based on its similarity to other legally marketed devices, whose safety and effectiveness have presumably been established through clinical use and regulatory review.
    • Medical literature and accepted surgical practices: The document refers to the commonality of the procedures and that the indications are "commonly carried out by the ENT/Head and Neck surgeon."

    8. The sample size for the training set

    Not applicable. This is a physical surgical device, not an AI/ML algorithm requiring a training set.

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

    Not applicable. (See answer to #8).

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