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510(k) Data Aggregation

    K Number
    K013066
    Date Cleared
    2001-12-11

    (90 days)

    Product Code
    Regulation Number
    876.4400
    Reference & Predicate Devices
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The HX-5/6-1 Clip Fixing Devices are intended to be used with an Olympus endoscope for the purpose of:
    (1) endoscopic marking,
    (2) hemostasis for
    (a) mucosal/sub-mucosal defects <3cm,
    (b) bleeding ulcers,
    (c) arteries <2mm,
    (d) polyps <1.5cm in diameter,
    (e) diverticula in the colon,
    (3) as a method for endoscopic closure of
    (a) mucosal/sub-mucosal defects <3cm,
    (b) polyps <1.5cm in diameter,
    (c) diverticula in the colon,
    (d) fistulas <20mm that can be treated conservatively.

    Device Description

    Not Found

    AI/ML Overview

    The provided text is a 510(k) summary for the Olympus HX-5/6-1 Endoscopic Clipping Device. While it describes the device's intended use and provides a comparison to predicate devices, it does not contain information about acceptance criteria, device performance studies, sample sizes, expert ground truth establishment, adjudication methods, MRMC studies, or standalone performance studies.

    Therefore, I cannot extract the requested information from the given text.

    The document discusses:

    • Device Name: Rotatable Clip Fixing Devices HX-5/6-1
    • Manufacturer: Olympus Optical Co., Ltd.
    • Regulation Number: 21 CFR 876.4400 (Hemorrhoidal Ligator, Class II)
    • Intended Use: Endoscopic marking, hemostasis (for mucosal/sub-mucosal defects, bleeding ulcers, arteries <2mm, polyps <1.5cm, diverticula in the colon), and as an aid to clip closure of GI tract perforations <20mm that can be treated conservatively.
    • Predicate Devices: HX-5/6-1 Endoscopic Clipping Device #K963160 and Olympus HX-5/6 Endoscopic Clipping Device #K990687.

    The document is primarily a regulatory filing (510(k) summary) demonstrating substantial equivalence to previously marketed devices rather than a detailed report of performance testing against specific acceptance criteria.

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