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510(k) Data Aggregation

    K Number
    K220872
    Manufacturer
    Date Cleared
    2022-04-20

    (26 days)

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

    The SaberScope5 Laparoscope is intended to be used in diagnostic procedures for endoscopy and endoscopic surgery within the thoracic and peritoneal cavities including the female reproductive organs.

    Device Description

    The Articulating Xenoscope™ System is being renamed the SaberScope5 Laparoscope. The subject device contains two separate functioning components. First is the single-use, sterile SaberScope5 Laparoscope Device, which includes a 0° camera on 5 mm rigid shaft with a ± 90° articulating tip, 10 - 36 cm long shaft, and high-definition video image. For certain procedures the shorter 10 cm laparoscope is preferred. Likewise, for other procedures, the longer 36 cm laparoscope is preferred. Except for the length difference, the scientific principles, materials of construction and design are otherwise identical. The second is the XenoBox™, which converts the digital signal from the camera to HDMI signal for display onto the HD video screen for the surgeon to view.

    AI/ML Overview

    Here's an analysis of the provided text regarding the acceptance criteria and supporting study for the Xenocor® SaberScope5 Laparoscope, addressing your specific points:

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

    The document provides a comparative table (Table 2) between the predicate device (Articulating Xenoscope™ Laparoscope, K193315) and the subject device (SaberScope5 Laparoscope). The acceptance criteria implicitly are that the subject device's performance attributes are "Same" as the predicate device or demonstrate equivalent performance, with some notable differences.

    AttributePredicate Device Performance (K193315)SaberScope5 Laparoscope PerformanceAcceptance Criteria Met?Notes
    Indications for UseDiagnostic and therapeutic procedures for endoscopy and endoscopic surgery within the thoracic and peritoneal cavities including the female reproductive organs.SameYesMaintained same Indications for Use.
    Classification Info.GCJ, GCQ, HET; Class IISameYesMaintained same classification.
    Single UseYesSameYes
    SterileProvided Sterile (EO gas)SameYes
    PrescriptionYesSameYes
    Anatomical AccessThoracic and abdominal body cavities, hollow organs, and canals, including female reproductive organs.SameYes
    Fundamental Scientific TechnologyImaging sensor that sends digital video, converted to HDMI by Xenobox.Same as predicate with the additional manual focus capabilityYes (with enhancement)The addition of manual focus is highlighted as an improvement, not a deviation from acceptance.
    Part No.XSA-0-0510, XSA-0-0536SameYesThese are the model numbers for existing lengths.
    Design0° camera angle, 5 mm rigid shaft, articulating tip with fixed focus.Same, but with manual focus buttons on handleYes (with enhancement)The addition of manual focus buttons is an enhancement.
    Shaft Diameter (OD)5 mmSameYes
    Shaft TipArticulating Tip (± 90°)SameYes
    Shaft Lengths10 cm, 36 cmSameYes
    Shaft MaterialCarbon Fiber, covered with heat shrink sheathingSameYes
    Field of View65°-75° (Nominal 69º)SameYes
    HD Resolution1080pSameYes
    Camera FocusFixed Focus3-10cmYes (improved)This is a key difference. The SaberScope5 moves from "Fixed Focus" to a "3-10cm" focus range, which implies user-adjustable focus. The associated design change is the addition of focus control buttons. This is presented as an improvement that meets acceptance.
    Focus Control ButtonsN/A3 buttons: forward (manual mode), backward (manual mode), manual/auto toggleN/AThis is a new feature introduced in the SaberScope5. It's not a "met" or "not met" criteria against the predicate, but a feature leading to the "3-10cm" focus range.
    Frame Rate30 fpsSameYes
    Exposure/Gain ControlAutomatic (no user adjustments)SameYes
    **Latency (
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