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510(k) Data Aggregation

    K Number
    K192921
    Manufacturer
    Date Cleared
    2020-10-09

    (359 days)

    Product Code
    Regulation Number
    888.1100
    Reference & Predicate Devices
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The ZEOS AQUA VISION Pump is an arthroscopy pump system intended to provide fluid distension and irrigation of the knee, shoulder, hip, elbow, ankle and wrist joint cavities and fluid suction during arthroscopy procedures.

    Device Description

    The ZEOS AQUA VISION pump is a micro-processor controlled pump that functions according to the peristaltic principle. It transports sterile irrigation fluid to distend cavities and provides fluid aspiration for arthroscopic procedures. The pump connects via cable to various interfaces. The pump can be connected to various shaver systems.

    AI/ML Overview

    The provided text describes the 510(k) premarket notification for the ZEOS AQUA VISION PUMP and tube, which is an arthroscopy pump system. The document focuses on demonstrating substantial equivalence to a predicate device (FMS VUE Fluid Management & Tissue Debridement System) through various non-clinical performance tests.

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

    1. Table of Acceptance Criteria and Reported Device Performance

    The document does not explicitly state numerical acceptance criteria in the format of a typical performance study. Instead, it states compliance with recognized standards and guidelines as the acceptance criteria for each test category. The reported device performance is that the device meets these standards and demonstrated substantial equivalence to the predicate device.

    Test CategoryAcceptance Criteria (Implied)Reported Device Performance
    Electrical safety and electromagnetic compatibility (EMC)Compliance with IEC 60601-1 and IEC 60601-1-2 standardsEvaluation and testing demonstrated substantial equivalence to the predicate device.
    Biocompatibility testingCompliance with FDA Guidance "Use of International Standard ISO 10993, Biological evaluation of medical Devices Part 1" and ISO 10993-1, ISO 10993-5, ISO 10993-10, ISO 10993-11.Cytotoxicity, Sensitization, Irritation, and Acute systemic toxicity tests were performed and demonstrated substantial equivalence to the predicate device.
    Software Verification and Validation TestingCompliance with FDA guidance "General Principles of Software Validation" and IEC 62304Evaluation and testing demonstrated substantially equivalent performance to the identified predicate device.
    Sterilization ValidationCompliance with ISO 11135, ISO 11135-1, ISO 14937, and ISO 10993-7 for sterilization and residuals.Validation demonstrated substantial equivalence to the identified predicate devices. Residual ethylene oxide (EO) < 4 mg and ethylene chlorohydrin (ECH) < 5 mg after 3 days of aeration. Sterility Assurance Level (SAL) of 10^-6. Package and product integrity tested per ISO 11607-1 and ASTM-F-1980:2002.
    Bench Tests (Functional and Usability)Compliance with IEC 62366-1 (Usability Engineering), and functional/strength tests for tubing sets at t0 and after accelerated aging.Evaluation and testing demonstrated substantially equivalent performance to the identified predicate device.

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

    The document does not specify the exact sample sizes for the test sets in any of the mentioned tests (Electrical Safety, EMC, Biocompatibility, Software, Sterilization, Bench Tests). It refers to "evaluation and testing were performed on the subject device" or "on equivalent device" and "the tubing sets."

    The data provenance is from non-clinical performance tests conducted by the manufacturer (Hemodia SAS) in support of the 510(k) submission. No country of origin for the data is explicitly stated, other than the manufacturer being based in France and the correspondent in Germany, implying these are likely the origins of the testing. The studies are by nature retrospective for the purpose of this submission, as they were conducted to support a premarket notification.

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

    This information is not provided in the document. The studies performed are non-clinical, primarily engineering and laboratory-based tests comparing the device to standards and a predicate. Expert consensus for ground truth is typically relevant for clinical studies, which were not required or performed for this device.

    4. Adjudication method for the test set

    This information is not applicable as the studies are non-clinical performance tests against established standards and predicate device characteristics, not clinical studies requiring human adjudication of outcomes.

    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

    This information is not provided and is not applicable. This device is an arthroscopy pump system, which assists in surgery by providing fluid management, not an AI or imaging diagnostic device that would involve human readers or AI assistance.

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

    This information is not applicable. The ZEOS AQUA VISION PUMP is a medical device, not an algorithm, and is intended for human-in-the-loop use during arthroscopic procedures.

    7. The type of ground truth used

    For the non-clinical tests:

    • Electrical Safety and EMC: Ground truth is defined by the requirements of IEC 60601-1 and IEC 60601-1-2 standards.
    • Biocompatibility: Ground truth is defined by the requirements of ISO 10993 series standards.
    • Software Verification and Validation: Ground truth is defined by the software requirements, FDA guidance "General Principles of Software Validation," and IEC 62304 standard.
    • Sterilization Validation: Ground truth is defined by the requirements of ISO 11135, ISO 14937, ISO 10993-7, ISO11607-1, and ASTM-F-1980:2002 standards.
    • Bench Tests (Functional and Usability): Ground truth is defined by the functional specifications of the device, usability principles (IEC 62366-1), and the performance characteristics of the predicate device.

    8. The sample size for the training set

    This information is not applicable. The ZEOS AQUA VISION PUMP is a hardware medical device; it does not involve machine learning or AI models that require training sets. The software mentioned (IEC 62304) focuses on software life cycle processes and validation, not on training data for an algorithm.

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

    This information is not applicable as there is no training set for a machine learning model.

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