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510(k) Data Aggregation

    K Number
    K233635
    Manufacturer
    Date Cleared
    2024-02-12

    (91 days)

    Product Code
    Regulation Number
    884.1690
    Reference & Predicate Devices
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The SPY Cystoscopes/Hysteroscopes are intended to provide visualization in general urological and gynecological surgery through the minimally invasive approach, by utilizing natural orifices to access the surgical site.

    Device Description

    The SPY Cystoscope/Hysteroscope is part of Stryker's rigid endoscope product portfolio. The SPY Cystoscope/Hysteroscope is an optical instrument used to visualize or image a patient's anatomy during minimally invasive, endoscopic procedures for examination, diagnosis or therapy. The SPY Cystoscope/Hysteroscope transmits light in the visible spectrum to illuminate the anatomy, then forms and relays the image of the surgical site to a camera system for image processing and display.

    AI/ML Overview

    The provided text describes a 510(k) premarket notification for the Stryker Endoscopy SPY Cystoscope/Hysteroscope. It focuses on demonstrating substantial equivalence to a predicate device, rather than a standalone study proving specific clinical performance metrics with a test set, ground truth, or human reader involvement for an AI/ML device.

    Therefore, the requested information regarding "acceptance criteria and the study that proves the device meets the acceptance criteria" in the context of an AI/ML device with details like sample sizes, expert ground truth, adjudication methods, MRMC studies, or standalone algorithm performance, is not applicable to this document.

    This document details:

    • Device Type: A traditional medical device (optical instrument for visualization in surgery), not explicitly an AI/ML powered device.
    • Regulatory Pathway: 510(k) Pre-market Notification, which focuses on demonstrating substantial equivalence to an existing legally marketed predicate device.
    • Performance Testing: Primarily non-clinical bench testing and compliance with recognized voluntary consensus standards.

    Here's a breakdown of what is provided, framed as closely as possible to your request, but highlighting the absence of AI/ML specific criteria:

    1. Table of Acceptance Criteria and Reported Device Performance

    The document lists various performance tests and their "Pass" results, indicating that the device met the criteria set by the respective standards or comparative testing. The acceptance criteria themselves are implicitly defined by compliance with these standards (e.g., "In accordance with FDA-recognized voluntary consensus standard IEC 60601-1:2020").

    Test CategorySpecific Test / StandardAcceptance Criteria (Implicit from Standard Compliance)Reported Device Performance
    Electrical SafetyIEC 60601-1:2020 (19-49)Compliance with standardPass
    IEC 60601-2-18:2009 (9-114)Compliance with standardPass
    PackagingASTM D4169:2022 (14-576)Compliance with standardPass
    BiocompatibilityISO 10993-1:2018 (2-258)Compliance with standardPass
    ISO 10993-5:2009 (2-245)Compliance with standardPass
    ISO 10993-10:2021 (2-296)Compliance with standardPass
    ISO 10993-23:2021 (2-291)Compliance with standardPass
    Cleaning, Disinfection & Sterilization (Reprocessing)AAMI TIR12:2020Compliance with standardPass
    ANSI AAMI ST98:2022 (14-583)Compliance with standardPass
    ISO 15883-1:2009Compliance with standardPass
    ANSI AAMI ST79:2017 + A1:2020, A2:2020, A3:2020, A4:2020 (14-562)Compliance with standardPass
    ANSI AAMI ST58:2013/(R)2018 (14-432)Compliance with standardPass
    ISO 17664-1:2021 (14-578)Compliance with standardPass
    ISO 17664-2:2021 (14-579)Compliance with standardPass
    ISO 17665-1:2006 (14-333)Compliance with standardPass
    ISO 14937:2009 (14-337)Compliance with standardPass
    Performance – BenchComparative testing to currently legally marketed predicate device: Optical verification, ContrastEquivalence to predicate device for optical verification and contrastPass
    ISO 8600-1:2015 (9-110)Compliance with standardPass
    Hardware compatibility testingCompatibility with relevant hardwarePass

    2. Sample size used for the test set and the data provenance: Not applicable. This document describes non-clinical testing of a physical medical device, not a performance study on a test set of data (e.g., images for an AI algorithm).

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts: Not applicable. Ground truth for an AI/ML algorithm is not relevant to the described testing.

    4. Adjudication method (e.g., 2+1, 3+1, none) for the test set: Not applicable.

    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. The device is a direct visualization tool, not an AI-assisted diagnostic or interpretative system for human readers.

    6. If a standalone (i.e., algorithm only without human-in-the-loop performance) was done: Not applicable.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.): Not applicable. The "ground truth" here is compliance with established engineering and safety standards, and equivalence to a predicate device's performance.

    8. The sample size for the training set: Not applicable. The device does not involve a training set as it's not an AI/ML product.

    9. How the ground truth for the training set was established: Not applicable.

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