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510(k) Data Aggregation

    K Number
    K182051
    Date Cleared
    2018-10-02

    (63 days)

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

    ED-530XT is intended for the visualization of the duodenum and upper digestive tract, specifically for the observation, diagnosis, and endoscopic treatment of the esophagus, stomach, and duodenum.

    Device Description

    FUJIFILM Duodenoscope Model ED-530XT is comprised of three general sections: a control portion, an insertion portion and an umbilicus. The control portion controls the angulation of the endoscope. This portion also controls the flexibility of the distal end in the endoscope. The insertion portion contains glass fiber bundles, several channels and a complementary Charge-Coupled Device (CCD) image sensor in its distal end. The channels in the insertion portion assist in delivering air/suction as well as endoscope accessories, such as forceps. The glass fiber bundles allow light to travel through the endoscope and emit light from the tip of the insertion portion to illuminate the body cavity. This provides enough light to the CCD image sensor to capture an image and display it on the monitor. The umbilicus consists of electronic components needed to operate the endoscope when plugged in to the video processor and the light source. The endoscope is used in combination with FUJIFILM's video processors, light sources and peripheral devices such as monitor, printer, foot switch, and cart.

    AI/ML Overview

    Here's an analysis of the acceptance criteria and study information based on the provided text:

    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance Criteria CategorySpecific Test/CharacteristicReported Device Performance
    Electrical SafetyANSI/AAM ES 60601-1:2012Met standard
    IEC 60601-1-2:2007Met standard
    IEC 60601-1-6:2013Met standard
    IEC 60601-2-18:2009Met standard
    BiocompatibilityISO 10993-1:2009Met standard (adopted from predicate device testing)
    ISO 10993-5:2009Met standard (adopted from predicate device testing)
    ISO 10993-10:2010Met standard (adopted from predicate device testing)
    Functional PerformanceField of viewMet pre-defined acceptance criteria
    Bending capabilityMet pre-defined acceptance criteria
    Air supply rateMet pre-defined acceptance criteria
    Water supply rateMet pre-defined acceptance criteria
    Suction rateMet pre-defined acceptance criteria
    Working lengthMet pre-defined acceptance criteria
    Forceps standing angleMet pre-defined acceptance criteria
    Forceps standing tensionMet pre-defined acceptance criteria
    Forceps channel diameterMet pre-defined acceptance criteria
    Viewing directionMet pre-defined acceptance criteria
    ResolutionMet pre-defined acceptance criteria
    LG outputMet pre-defined acceptance criteria
    Transport & Storage ConditionsTemperature range (-20°C to 60°C)Supported (expansion of conditions)
    Humidity range (10 to 85% RH)Supported (expansion of conditions)

    2. Sample Size Used for the Test Set and Data Provenance

    The provided text does not explicitly state the sample size for the test set regarding the functional performance tests (e.g., field of view, bending capability, etc.). It only mentions that Fujifilm conducted "performance testing on the proposed device ED-530XT." Also, the provenance of the data (e.g., country of origin, retrospective or prospective) is not specified.

    3. Number of Experts Used to Establish Ground Truth and Qualifications

    The provided document does not mention the use of experts to establish ground truth for the performance tests. The nature of the tests (e.g., measuring field of view, bending capability) suggests objective measurements rather than expert interpretation.

    4. Adjudication Method for the Test Set

    Since experts are not mentioned in the establishment of ground truth for performance tests, an adjudication method is not applicable and not mentioned.

    5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

    The document does not indicate that a Multi-Reader Multi-Case (MRMC) comparative effectiveness study was done. The device in question is an endoscope, and the performance tests focus on its physical and functional attributes, not on its assistance to human readers in interpretation. Therefore, an effect size of human readers improving with AI vs. without AI assistance is not relevant or reported here.

    6. Standalone (Algorithm Only Without Human-in-the-Loop Performance) Study

    This is a physical medical device (an endoscope), not an AI algorithm. Therefore, a standalone performance study in the context of "algorithm only without human-in-the-loop performance" is not applicable and not mentioned. The tests performed are on the device itself.

    7. Type of Ground Truth Used

    The ground truth used for the performance tests appears to be objective measurements against pre-defined engineering and performance specifications. For electrical safety and biocompatibility, the ground truth is established by the relevant international consensus standards (e.g., IEC, ISO).

    8. Sample Size for the Training Set

    Since this is a physical medical device and not an AI algorithm, the concept of a "training set" in the context of machine learning is not applicable and not mentioned.

    9. How the Ground Truth for the Training Set Was Established

    As there is no training set for an AI algorithm, this information is not applicable. The "ground truth" for the device's performance is established by its adherence to specified engineering parameters and relevant safety and performance standards.

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