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510(k) Data Aggregation

    K Number
    K091417
    Manufacturer
    Date Cleared
    2009-05-22

    (9 days)

    Product Code
    Regulation Number
    876.1500
    Reference & Predicate Devices
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The instrument has been designed to be used with Olympus endo-therapy accessories. The instrument is used for guiding and exchanging endoscopic accessories for biliary duct, including but not limited to the common bile, cystic, pancreatic and right and left hepatic ducts.

    Device Description

    The Single Use Guidewire consists of a Nickle Titanium alloy core wire with a gold coil and hydrophilic, PTFE and silicone coatings. The distal portion of the wire has been specially processed, which includes thinning, to increase the flexibility. This wire has been designed to be used with the Olympus Endo-therapy Accessories.

    AI/ML Overview

    The provided document is a 510(k) summary for a medical device called "Single Use Guidewire." This type of submission focuses on demonstrating substantial equivalence to a legally marketed predicate device rather than proving performance against specific acceptance criteria through a clinical study. Therefore, much of the requested information about acceptance criteria, study details, and ground truth establishment is not present in this document.

    However, I can extract the information related to the device's performance claims and how equivalence was established.

    1. Table of Acceptance Criteria and Reported Device Performance

    This document does not provide a table of explicit acceptance criteria with numerical targets. Instead, it states that the performance of the Single Use Guidewire is "substantially equivalent" to a predicate device based on bench testing.

    Acceptance Criteria CategoryReported Device Performance
    Overall PerformanceSubstantially equivalent to the predicate device (LinearGuide, K021179)
    Specific Performance TestsDemonstrated through bench testing. (Details of specific tests and their outcomes are not provided in this summary.)
    Manufacturing ControlsInclude visual, functional, dimensional, and sterility tests.
    BiocompatibilityBlood contacting materials were tested according to ISO-10993. Results demonstrate biocompatibility for externally communicating devices, tissue/bone/dentin communicating, limited contact (24 hrs).
    SterilizationValidated according to ANSI/AMMI/ISO 11135-1 to a SAL of 10⁻⁶.

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

    The document states that the equivalence was shown through "bench testing." It does not specify the sample size used for these tests, nor does it provide details about data provenance (e.g., country of origin, retrospective or prospective). Bench testing typically involves laboratory-controlled experiments rather than patient data.

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

    This document does not describe the establishment of a "ground truth" using experts. Bench testing typically relies on engineering specifications and physical measurements, not expert consensus on clinical cases.

    4. Adjudication method for the test set

    Not applicable. There is no mention of an adjudication process for a test set, as this involves bench testing.

    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 device is a guidewire, a physical medical instrument, not an AI-powered diagnostic or assistive tool. Therefore, an MRMC study related to AI assistance for human readers is irrelevant.

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

    Not applicable. This is a physical medical device, not an algorithm.

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

    For bench testing, the "ground truth" would be the engineering specifications, physical measurements, and performance benchmarks derived from the predicate device or established industry standards for guidewires. This is not explicitly detailed but inferred from the nature of "bench testing."

    8. The sample size for the training set

    Not applicable. As a physical device demonstrably equivalent through bench testing, there is no "training set" in the context of an algorithm.

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

    Not applicable. There is no training set for this type of device.

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