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510(k) Data Aggregation

    K Number
    K173392
    Device Name
    Pure-Vu System
    Date Cleared
    2017-12-12

    (43 days)

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

    The Pure Vu System is intended to connect to standard colonoscopes to help facilitate intra-procedural cleaning of a poorly prepared colon by irrigating or cleaning the colon and evacuating the irrigation fluid (water), feces and other bodily fluids and matter, e.g. blood.

    It is for use only by trained medical personnel located in hospitals, clinics and doctor offices.

    Device Description

    The Pure-Vu system comprises the following components:
    Oversleeve - The Oversleeve is mounted on standard commercially available colonoscopes allowing the physician to clean the colon.
    Workstation (WS) - The Workstation operates by using cyclic irrigation and evacuation of colon content. Irrigation is based on mixture of liquid and air. The workstation includes:
    Monitoring & Control Unit that continuously monitors and controls irrigation and evacuation. Inlet Module that includes pumps and regulators enabling water & airflow into the cleansing device. Outlet Module that includes pumps to evacuate fecal matter and fluids from the colon. External on\off foot pedals that operate the cleansing process to be used by the physician.
    WS Connector (WSC) connects the Oversleeve to the WS and saline or water bag.
    Loading fixture to aid the nurse in mounting the Oversleeve on to a colonoscope.

    AI/ML Overview

    The provided document is a 510(k) summary for the Pure-Vu System, which is an add-on device for colonoscopes. It describes modifications to an already cleared predicate device (Pure-Vu System K160015). As such, it focuses on demonstrating substantial equivalence rather than presenting an exhaustive clinical study to establish new performance criteria.

    Therefore, the document does not contain specific acceptance criteria, a detailed study proving performance against such criteria, data provenance, number of experts for ground truth, adjudication methods, MRMC comparative effectiveness studies, standalone algorithm performance, or details about training sets. Instead, it relies on performance tests to ensure the modified device functions as intended and remains substantially equivalent to its predicate.

    Here's a breakdown of the information that is available based on your request, and what is not:

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

    The document does not provide a table of explicit acceptance criteria with numerical targets. Instead, it states that "Performance tests were conducted for all modifications to the Pure-Vu System" and concludes that "In all instances, the Pure-Vu System functioned as intended." This implies that the device met internal performance specifications for the tested modifications, which would be aligned with the performance of the predicate device.

    The document lists the following performance tests conducted:

    • Biocompatibility
    • Electrical Safety and EMC
    • Software validation
    • Bench tests
    • Bond strength
    • Pressure test
    • System test
    • Steering test

    It also details changes in specifications for the modified device compared to the predicate, such as:

    CharacteristicModified Device PerformancePredicate Device Specification
    Air / Water pressure (bar)Up to 23 psiUp to 26 psi
    Water flow rate (cc / min)Up to 645 cc/minUp to 630 cc/min
    Air flow rate (cc / min)Same as predicateUp to 1350 cc/min
    Material (Biocompatibility)Re-tested to ISO 10993Complies with ISO 10993
    Safety Standards (Electrical)Re-tested to IEC 60601-1, IEC 60601-1-2IEC 60601-1, IEC 60601-1-2

    The acceptance criteria for these tests would likely be that the modified device's performance falls within an acceptable range, ideally demonstrating equivalence or improvement without introducing new safety or effectiveness concerns, and that it passes the listed regulatory standards (ISO 10993, IEC 60601-1/-1-2).

    2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

    This information is not provided in the document. The document refers to "Performance tests" and "Bench tests" but does not specify sample sizes for these tests or the data provenance. These are likely internal engineering and quality assurance tests rather than clinical studies with human subjects.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

    This information is not provided. Given that the listed performance tests are primarily engineering and safety assessments (biocompatibility, electrical safety, bench tests), there would typically not be "expert ground truth" in the clinical sense established by physicians.

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

    This information is not provided. Adjudication methods are typically associated with clinical studies involving expert reviews of outcomes, which is not described here.

    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

    There is no indication that a multi-reader multi-case (MRMC) comparative effectiveness study was done. The device is not an AI diagnostic tool; it's a mechanical system for intra-procedural colon cleaning. Therefore, the concept of "human readers improve with AI vs without AI assistance" does not apply to this device.

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

    This information is not applicable. The Pure-Vu System is a physical device that connects to colonoscopes and is operated by trained medical personnel. It is not a standalone algorithm.

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

    For the performance tests described (biocompatibility, electrical safety, bench tests), the "ground truth" would be engineering specifications, compliance with international standards (e.g., ISO 10993, IEC 60601-1), and the intended functional performance of the device's components against design requirements. Clinical ground truth like pathology or outcomes data is not mentioned for the modifications made in this 510(k).

    8. The sample size for the training set

    This information is not provided and is not applicable as this is a medical device, not an AI/ML algorithm that requires a training set.

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

    This information is not provided and is not applicable for the reasons stated above.

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