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510(k) Data Aggregation

    K Number
    K231277
    Device Name
    TissueStat
    Manufacturer
    Date Cleared
    2023-11-09

    (190 days)

    Product Code
    Regulation Number
    878.5035
    Reference & Predicate Devices
    Why did this record match?
    Product Code :

    NBY

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The TissueStat PTFE (polytetrafluroethylene) Suture and Delivery Device is indicated for use in all types of soft tissue approximation and / or ligation, including cardiovascular, dental, general surgical procedures and repair of the dura mater. TissueStat PTFE Sutures are not indicated for use in microsurgery, ophthalmic procedures, or peripheral neural tissues. TissueStat PTFE Sutures are provided sterile as a single use device.

    Device Description

    The TissueStat PTFE surgical sutures are monofilament surgical sutures composed from expanded polytetrafluoroethylene (ePTFE) material. They are available uncoated and undyed in USP size 2/0. The sutures are attached to standard stainless steel surgical needles. The TissueStat Suture Delivery Device is a Class I Manual Surgical Instrument that assists with suture placement. The PTFE suture is loaded into the Suture Delivery Device and is delivered to the desired location through the device tip by pressing the actuation button on the device handle.

    AI/ML Overview

    The provided documentation is a 510(k) premarket notification for a medical device called "TissueStat PTFE Suture and Delivery Device." This type of submission focuses on demonstrating substantial equivalence to a legally marketed predicate device, rather than proving the device meets specific acceptance criteria through a standalone clinical study with defined performance metrics.

    Therefore, many of the requested details about acceptance criteria, specific study designs, sample sizes for test sets, expert ground truth establishment, adjudication methods, or MRMC studies are not applicable to this type of regulatory submission and are not present in the provided text.

    The "Performance Data" section outlines verification and validation testing conducted to support substantial equivalence, not a comparative effectiveness study or a study to meet specific clinical acceptance criteria in the way typically expected for an AI/ML device.

    Here's the information that can be extracted or inferred from the provided text, and where the requested information is not available:

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

    The document does not present a table of acceptance criteria and reported device performance in terms of clinical outcomes or diagnostic accuracy. Instead, it lists the types of performance testing conducted to verify that the device meets engineering and material standards for substantial equivalence.

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

    Not applicable or not mentioned. The document primarily focuses on mechanical and biocompatibility testing for substantial equivalence, not a clinical study with a "test set" in the context of AI/ML or diagnostic performance. Therefore, there is no information about data provenance or sample sizes for such a clinical test set.

    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)

    Not applicable or not mentioned. The concept of "ground truth" established by experts is typically relevant for diagnostic or AI/ML device evaluations. This document describes a surgical suture and delivery device, where "ground truth" would relate to material properties and mechanical performance, established through standardized testing, not expert consensus on interpretations.

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

    Not applicable or not mentioned. Adjudication methods are relevant for expert consensus in clinical studies, which is not the type of study 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

    Not applicable. The "TissueStat PTFE Suture and Delivery Device" is a physical medical device (suture and delivery system), not an AI-powered diagnostic or assistive tool for human readers. Therefore, an MRMC study comparing human reader performance with and without AI assistance is irrelevant to this device and was not performed.

    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 the mechanical and biocompatibility testing mentioned, the "ground truth" or reference would be established by:

    • USP standards: For Suture Diameter (USP ), Suture Tensile Testing (USP ), and Needle Attachment Testing (USP ). These are standardized testing protocols.
    • ISO 10993 and FDA Guidance: For Biocompatibility Risk Assessment, adherence to these standards forms the basis for demonstrating safety.

    8. The sample size for the training set

    Not applicable. The device is not an AI/ML product developed using training data.

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

    Not applicable. The device is not an AI/ML product.


    Summary of Relevant Information from the Document:

    While the document does not present acceptance criteria and performance in the format of an AI/ML device evaluation, it does outline the type of performance data collected to demonstrate substantial equivalence:

    Verification and Validation Testing Conducted:

    • Mechanical Testing:
      • Suture Diameter Testing per USP
      • Suture Tensile Testing per USP
      • Needle Attachment Testing per USP
    • Biocompatibility Testing:
      • Conducted a Biocompatibility Risk Assessment in accordance with ISO 10993-1 (2018) and FDA Guidance (2020).
      • The PTFE suture is an implant with permanent (>30 days) contact with tissue.

    Conclusion:

    The submission concludes that, based on the indications for use, technological characteristics, and performance testing in comparison to the predicate device, the TissueStat PTFE Suture and Delivery Device has been shown to be substantially equivalent to the legally marketed predicate device for its intended use. This means the testing demonstrated that the device meets the established engineering and safety standards equivalent to the predicate, and therefore, does not raise new questions of safety or effectiveness.

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    K Number
    K192088
    Date Cleared
    2019-09-04

    (30 days)

    Product Code
    Regulation Number
    878.5035
    Reference & Predicate Devices
    Why did this record match?
    Product Code :

    NBY

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The GOLNIT Non-Absorbable PTFE Surgical Suture is indicated for use in all types of soft tissue approximation and/or ligation, including dental, cardiovascular and general surgeries, as well as repair of the dura mater. The device is not indicated for use in ophthalmic surgery, microsurgery and peripheral neural tissue.

    Device Description

    The GOLNIT Non-absorbable PTFE Surgical Suture is a sterile, disposable, non-absorbable suture that meets the requirements of the United States Pharmacopeia (U.S.P.) except for diameter. The suture is manufactured of a 100% polytetrafluoroethylene (PTFE) polymer as monofilament strands that are uncoated, undyed, and of various diameters and lengths that may be crimped or swaged to a standard, medical grade suture needle. The suture sizes range from U.S.P. 2-0 to 6-0. The surgical suture incorporates a monofilament manufactured from 100% virgin polytetrafluoroethylene (PTFE) resin that is extruded as an expanded porous (ePTFE) monofilament that is soft and supple. The final configuration of the GOLNIT Non-absorbable PTFE Surgical Suture consists of specified length and diameters of PTFE monofilaments with attached standard, medical grade suture needles. The suture is packaged into a labelled two-pouch packaging system consisting of medical grade heat-sealable pouches. The GOLNIT Non-absorbable PTFE Surgical Suture is sterilized by ethylene oxide and is intended for single use only.

    AI/ML Overview

    The provided document is a 510(k) summary for a medical device (GOLNIT Non-absorbable PTFE Surgical Suture). It describes the device, its intended use, and its comparison to predicate devices, but it does not contain information about acceptance criteria or a study that proves the device meets specific performance criteria through quantitative metrics.

    Instead, the document states:

    • "All testing demonstrated that the GOLNIT Nonabsorbable PTFE Surgical Suture is as safe and effective as the predicate device."
    • "Based on the performance data and comparison to the predicate devices. Antarma concludes that the GOLNIT Non-absorbable PTFE Surgical Suture has been shown to be substantially equivalent to the legally marketed predicate devices."

    This indicates that the submission relies on demonstrating substantial equivalence to existing predicate devices, rather than establishing new performance acceptance criteria and a study to meet them on a standalone basis against predefined metrics. The "performance data" mentioned refers to biocompatibility testing, which is generally focused on safety rather than detailed functional performance metrics of the suture.

    Therefore, most of the requested information cannot be extracted from this document as it pertains to a different type of submission (e.g., one requiring de novo classification or a PMA, or a 510(k) where more detailed performance testing against specific acceptance criteria is required and reported).

    However, I can provide what is available regarding performance data:

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

    • Acceptance Criteria: Not explicitly stated as quantitative metrics the device must achieve (e.g., tensile strength range, knot security value). The underlying criterion is "as safe and effective as the predicate device" based on biocompatibility testing.
    • Reported Device Performance:
      • Biocompatibility Testing: Performed according to ISO 10993-1. All testing demonstrated that the device is "as safe and effective as the predicate device." Specific results (e.g., cytotoxicity, sensitization, irritation indices) are not provided in this summary.

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

    • Not specified. The document only mentions "additional biocompatibility testing was performed."

    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)

    • Not applicable. This type of information is relevant for studies involving subjective human assessment, typically in fields like imaging or diagnostics, not for biocompatibility testing of a suture.

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

    • Not applicable. (See #3)

    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 is not an AI/imaging device submission.

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

    • Not applicable. (See #5)

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

    • For biocompatibility testing, the "ground truth" would be established by standardized laboratory testing methods and interpretation by qualified toxicologists/biologists according to ISO 10993 guidelines, demonstrating no significant biological reaction in comparison to controls or predicate material.

    8. The sample size for the training set

    • Not applicable. This device does not use a "training set" in the context of machine learning or AI.

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

    • Not applicable. (See #8)
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    K Number
    K180992
    Device Name
    Biotex
    Date Cleared
    2019-07-16

    (456 days)

    Product Code
    Regulation Number
    878.5035
    Reference & Predicate Devices
    Why did this record match?
    Product Code :

    NBY

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    Biotex Non-Absorbable PTFE Suture is indicated for use in dental soft tissue approximation and/or ligation. The device is not indicated for use in cardiovascular, ophthalmic surgery, microsurgery or peripheral neural tissue. Biotex is provided sterile as a single use device and the duration of use or contact with the body is less than 30 days.

    Device Description

    Biotex Non-Absorbable PTFE Suture is comprised of a single-arm, non-absorbable monofilament suture and the stainless-steel surgical needle connected to the suture. It is composed of 100% high-density PTFE provided uncoated, undyed and sterile for one-time use only.

    AI/ML Overview

    The Biotex Non-Absorbable PTFE Suture was evaluated for substantial equivalence to a predicate device through mechanical, physical, and biocompatibility testing.

    1. Table of Acceptance Criteria and Reported Device Performance

    Test CategorySpecific TestAcceptance CriteriaReported Device Performance
    Mechanical/PhysicalDiameterConforms to USP monograph for non-absorbable suturesConformed to USP monograph
    Tensile StrengthConforms to USP monograph for non-absorbable suturesConformed to USP monograph
    Needle AdhesionConforms to USP monograph for non-absorbable suturesConformed to USP monograph
    BiocompatibilityCytotoxicity (ISO 10993-5)Met acceptance criteriaAll acceptance criteria were met
    Sensitization (ISO 10993-10)Met acceptance criteriaAll acceptance criteria were met
    Intracutaneous Reactivity (ISO 10993-10)Met acceptance criteriaAll acceptance criteria were met
    Acute Systemic Toxicity (ISO 10993-11)Met acceptance criteriaAll acceptance criteria were met
    Genotoxicity (ISO 10993-3)Met acceptance criteriaAll acceptance criteria were met
    Implantation (ISO 10993-6)Met acceptance criteriaAll acceptance criteria were met
    SterilizationPyrogen TestingMet acceptance criteriaAll acceptance criteria were met
    EO Sterilization ResidualsMet acceptance criteriaAll acceptance criteria were met
    StabilityShelf-LifeMet acceptance criteriaAll acceptance criteria were met

    2. Sample Size and Data Provenance

    The document does not specify the exact sample sizes used for each test. The studies were performed in accordance with FDA's Class II Special Controls Guidance Document for Surgical Sutures and ISO 10993-1. These are likely prospective evaluations conducted in a laboratory setting, with data provenance typically from the device manufacturer's testing facilities.

    3. Number of Experts and Qualifications

    Not applicable. This is a medical device for approximation and/or ligation of dental soft tissue, not an AI/CADe device. The ground truth for this device is based on standardized physical, mechanical, and biological testing, not expert interpretation of medical images.

    4. Adjudication Method

    Not applicable. This is a medical device for approximation and/or ligation of dental soft tissue, not an AI/CADe device. The assessment relies on objective measurements against established standards.

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

    Not applicable. This is a medical device for approximation and/or ligation of dental soft tissue, not an AI/CADe system.

    6. Standalone Performance Study

    Yes, standalone (algorithm only) performance was done. The performance of the Biotex Non-Absorbable PTFE Suture was assessed independently against established standards such as the USP monograph for non-absorbable sutures and ISO 10993-1 for biocompatibility.

    7. Type of Ground Truth Used

    The ground truth used for performance evaluation was based on:

    • Established Standards: USP monograph for non-absorbable surgical sutures (for mechanical and physical properties).
    • International Standards: ISO 10993-1 "Biological Evaluation of Medical Devices Part-1: Evaluation and Testing Within a Risk Management Process" (for biocompatibility).
    • Internal Specifications: Derived from the above standards, for tests like pyrogenicity, EO residuals, and shelf-life.

    8. Sample Size for the Training Set

    Not applicable. This is a medical device, not an AI/CADe system that requires a "training set." Performance is evaluated against pre-defined, objective criteria.

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

    Not applicable, as there is no "training set" for physical medical devices of this nature. The ground truth for the performance evaluation relies on established scientific and regulatory standards.

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    K Number
    K191317
    Device Name
    StitchKit
    Manufacturer
    Date Cleared
    2019-07-12

    (58 days)

    Product Code
    Regulation Number
    878.5035
    Reference & Predicate Devices
    Why did this record match?
    Product Code :

    NBY

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The StitchKit® device facilitates minimally invasive robotic surgery by transporting suture to the operative field and removing used needles after suturing.

    Monotex® PTFE surgical suture is indicated for use in general soft tissue approximation and/or ligation, including cardiovascular, dental, general surgical procedures and repair of the dura mater. Monotex® PTFE sutures are not indicated for use in microsurgery, ophthalmic procedures, or peripheral neural tissues. Monotex® PTFE suture is provided sterile as a single use device.

    Device Description

    StitchKit® is a suture delivery canister which facilitates endoscopic robotic surgery by introducing multiple strands of suturing materials to the surgical site at one time and allowing for the safe retrieval of the needles.

    AI/ML Overview

    The provided text does not describe the acceptance criteria, reported device performance, or any study that proves the device meets specific acceptance criteria regarding a medical device that utilizes artificial intelligence.

    The document is a 510(k) Premarket Notification from the FDA for a device called "StitchKit® Suture Deliver Canister with PTFE Surgical Suture." The review is for a change to an existing legally marketed device, specifically:

    1. Alternate source for suture
    2. Choice of finish on stainless steel needle
    3. Longer shelf life based on real-time age testing

    The document lists performance data that was collected to support these changes. However, these are standard engineering and material tests for sutures and their components, not studies evaluating AI-driven performance or diagnostic accuracy.

    Therefore, I cannot provide the requested information from the given text. The text does not contain:

    • A table of acceptance criteria and reported device performance (for an AI device).
    • Sample size used for a test set or its provenance.
    • Number/qualifications of experts for ground truth.
    • Adjudication method.
    • Details of an MRMC comparative effectiveness study or effect size of AI assistance.
    • Standalone algorithm performance.
    • Type of ground truth used (for an AI device).
    • Sample size for a training set.
    • How ground truth for a training set was established.
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    K Number
    K181578
    Date Cleared
    2018-10-11

    (118 days)

    Product Code
    Regulation Number
    878.5035
    Reference & Predicate Devices
    Why did this record match?
    Product Code :

    NBY

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The DemeTECH PTFE Suture is indicated for use in all types of soft tissue approximation and/or ligation, including dental and general surgeries. The device is not indicated for use in ophthalmic surgery, microsurgery, and peripheral neural tissue.

    Device Description

    DemeTECH PTFE Suture is a nonabsorbable, sterile surgical monofilament suture composed of polytetrafluoroethylene. The DemeTECH PTFE Suture meets or exceeds all requirements in the latest edition of the USP monograph for nonabsorbable surgical sutures and is provided sterile in various sizes and configurations. The material is undyed and contains no additives and is white in appearance and may be provided with or without an attached needle(s).

    AI/ML Overview

    The provided document describes the FDA 510(k) clearance for the DemeTECH PTFE Nonabsorbable Surgical Suture. This is a medical device, not an AI/ML device, therefore, many of the requested criteria are not applicable. However, I can extract the relevant information regarding acceptance criteria and the studies performed.

    Here's the information based on the document:

    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance Criteria (USP 39)Reported Device Performance (Demetech PTFE Suture)
    Nonabsorbable Surgical Suture requirementsMeets or exceeds performance requirements
    Tensile Strength Requirements ()Meets or exceeds performance requirements
    Needle Attachment Requirements ()Meets or exceeds performance requirements
    Suture Length Requirement (95% of stated label length)Meets or exceeds performance requirements
    Biocompatibility (ISO 10993-1)Conforms to requirements
    SterilityConforms to requirements
    Suture DiameterConforms to requirements
    Extractable ColorConforms to requirements

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

    • The document does not specify the exact sample sizes for the non-clinical tests (e.g., number of sutures tested for tensile strength, needle attachment).
    • The data provenance is not explicitly stated in terms of country of origin, but the testing was conducted to meet USP (United States Pharmacopeia) and ISO (International Organization for Standardization) standards, which are internationally recognized. The studies were non-clinical (laboratory/bench top) and in-vitro/in-vivo.
    • The study was not a "test set" in the context of an AI/ML model; rather, it was a series of physical and biological tests on the device itself.

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

    • This question is not applicable as the device is a surgical suture, not an AI/ML system that requires expert ground truth for image interpretation or diagnosis. The "ground truth" for this device is its physical and biological performance as measured by established standards.

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

    • This is not applicable as there was no "test set" in the context of human interpretation or AI/ML model output requiring adjudication. The tests involved direct measurement against predefined standards.

    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:

    • This is not applicable. No MRMC study was conducted as this is a physical medical device (suture), not an AI/ML diagnostic or assistive tool. No human "readers" are involved in its performance assessment in this context.

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

    • This is not applicable. This is a physical nonabsorbable surgical suture, not a software algorithm or AI/ML device.

    7. The type of ground truth used:

    • The "ground truth" for the device's performance was established by internationally recognized standards:
      • United States Pharmacopeia (USP 39) monograph for nonabsorbable surgical sutures: This defines the physical and performance characteristics such as diameter, length, knot pull tensile strength, and needle attachment strength.
      • ISO 10993-1 for Biocompatibility: This defines the standards for evaluating the biological safety of medical devices.

    8. The sample size for the training set:

    • This is not applicable as the device is a physical medical device and does not involve AI/ML models that require training sets.

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

    • This is not applicable for the same reason as point 8.
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    K Number
    K180630
    Manufacturer
    Date Cleared
    2018-04-06

    (28 days)

    Product Code
    Regulation Number
    878.5035
    Reference & Predicate Devices
    N/A
    Why did this record match?
    Product Code :

    NBY

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    PTFE SURGICAL SUTURE is indicated for use in all types of soft tissue approximation and/or ligation, including dental and general surgeries. The device is not indicated for use in cardiovascular surgery, ophthalmic surgery, and neural tissue.

    Device Description

    PTFE SURGICAL SUTURE

    AI/ML Overview

    I am sorry, but the provided text does not contain information about acceptance criteria or a study proving a device meets those criteria. The document is an FDA 510(k) clearance letter for a "PTFE Surgical Suture," which confirms its substantial equivalence to a predicate device.

    The letter lists the device's name, regulation number, regulatory class, product code, and indications for use. However, it does not detail any specific performance acceptance criteria or describe a study that was conducted to demonstrate the device meets such criteria. Therefore, I cannot construct the table or answer the specific questions outlined in your request.

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    K Number
    K173922
    Manufacturer
    Date Cleared
    2018-03-26

    (90 days)

    Product Code
    Regulation Number
    878.5035
    Reference & Predicate Devices
    Why did this record match?
    Product Code :

    NBY

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The CP Medical nonabsorbable C-PTFETM Surgical Suture is a removable, nonabsorbable surgical suture intended for use in general soft tissue approximation and/or ligation, including dental surgical procedures. CP Medical C-PTFETM sutures are contra indicated for use in microsurgery, ophthalmic procedures, or peripheral neural tissue.

    Device Description

    The CP Medical C-PTFETM Surgical Sutures are Nonabsorbable, Polytetraflouroethylene, single use, sterile, disposable, monofilament sutures and are provided with or without needles. Individual sutures are available in a "racetrack" configuration, attached around a HDPE delivery system, and/or in a figure 8 in a Tyvek/film pouch. The CP Medical C-PTFETM Surgical Sutures are sterilized via EO in accordance with EN ISO-11135:2014

    AI/ML Overview

    This document is primarily a 510(k) premarket notification letter and summary for a surgical suture and does not describe a study involving an AI/Machine Learning device or a diagnostic device. Therefore, most of the requested information regarding AI/ML acceptance criteria and study design (e.g., sample sizes for test and training sets, expert ground truth, adjudication methods, MRMC studies, standalone performance) is not applicable to this document.

    The document discusses the substantial equivalence of the C-PTFE™ Surgical Suture to a predicate device based on non-clinical performance testing and biocompatibility.

    Here's a breakdown of what can be extracted from the provided text, and what cannot:

    Information that can be extracted:

    1. A table of acceptance criteria and the reported device performance (Non-Clinical Performance Testing):

    The document mentions that the C-PTFE™ Surgical Suture was tested against recognized standards to demonstrate substantial equivalence to the predicate device. While specific quantitative "acceptance criteria" and "reported performance" values are not provided in a detailed table format within this summary, the document states that the new device's performance was compared to the predicate device and found to be "substantially equivalent" or "comparable."

    Criterion/Test StandardAcceptance (Implied)Reported Performance (Implied)
    BiocompatibilityMet StandardsEvaluated in accordance with FDA Blue Book Memorandum #G95-1 and ISO 10993-1. Included: Muscle Implantation Study in Rabbits (4 weeks), Maximization Sensitization, Bacterial Reverse Mutation, Systemic Toxicity in Mice, USP Pyrogen Study, Cytotoxicity, Intracutaneous, Chemical Characterization. The device is considered a >30 implantable device (This is a classification based on implantation duration, not a performance metric per se, but part of biocompatibility assessment).
    Mechanical/Physical Properties (Non-Clinical Performance Testing)Met StandardsTested per recognized standards:
    • USP-40-NF35:2017, Nonabsorbable Surgical Suture (6-393)
    • USP-40-NF35:2017, Tensile Strength () (6-394)
    • USP-40-NF35:2017, Diameter () (6-395)
    • USP-40-NF35:2017, Sutures – Needle Attachment () (6-396)

    Conclusion: "Based on the technological characteristics and non-clinical performance testing, the CP Medical C-PTFE™ Surgical Suture performs comparably [to] the predicate device, MonoTex K140415." "Test report 17-033 confirmed equivalency." |
    | Sterility | Yes | Sterilized via EO in accordance with EN ISO-11135:2014. Confirmed as "Yes" (Sterile) and "EO" (Sterilization method) in comparison table. |
    | Electrical Safety and EMC | Not Applicable | No electrical components, no electrical safety information required. |
    | Software Verification and Validation | Not Applicable | No software in the device, no software required to function. |
    | Mechanical and Acoustical Testing | Not Applicable | This section does not apply to this device. |

    2. Sample sizes used for the test set and the data provenance:

    • Test Set Sample Size: Not explicitly stated as a number of devices or units. The testing refers to conformance with USP standards and biocompatibility tests, where sample sizes are typically defined by the standards themselves, but not detailed here.
    • Data Provenance: Not specified beyond the general nature of lab-based/bench testing and animal studies (for biocompatibility). No mention of country of origin or retrospective/prospective clinical data for performance assessment, as this is a non-clinical submission.

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

    • Not Applicable. This submission is for a medical device (suture) and relies on objective, standardized physical and material testing, and animal biocompatibility studies, not on human expert interpretation of images or clinical outcomes that would require "ground truth" establishment by multiple human experts.

    4. Adjudication method for the test set:

    • Not Applicable. As above, there's no "adjudication" in the context of expert consensus for a test set, as this is not a diagnostic or AI device study.

    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 is not a study for an AI/ML device.

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

    • Not Applicable. This is not an AI/ML device.

    7. The type of ground truth used:

    • Objective Test Standards and Biocompatibility Endpoints: The "ground truth" or reference for this device's performance is established by conformance to recognized industry standards (USP, ISO) for physical properties (e.g., tensile strength, diameter) and biological responses (e.g., tissue reaction in animal models for biocompatibility). There is no "pathology" or "outcomes data" in the typical diagnostic sense.

    8. The sample size for the training set:

    • Not Applicable. This is not a study for an AI/ML device, so there is no concept of a "training set."

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

    • Not Applicable. As above, no training set.

    In summary, this document pertains to the regulatory submission for a surgical suture, demonstrating its substantial equivalence to a predicate device through non-clinical laboratory testing and biocompatibility assessments, rather than an AI/ML or diagnostic device that would require comprehensive clinical performance studies with expert-adjudicated ground truth.

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    K Number
    K173335
    Manufacturer
    Date Cleared
    2018-02-08

    (108 days)

    Product Code
    Regulation Number
    878.5035
    Reference & Predicate Devices
    Why did this record match?
    Product Code :

    NBY

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    GazelleTM PTFE (polytetrafluroethylene) suture and Delivery Device is indicated for use in general soft tissue approximation and/or ligation, including; cardiovascular, dental, general surgical procedures and repair of the dura mater. Gazelle™PTFE sutures are not indicated for use in microsurgery, ophthalmic procedures, or peripheral neural tissues. GazelleTM PTFE suture and Delivery Device is provided sterile as a single use device.

    Device Description

    The Gazelle PTFE surgical sutures are monofilament surgical sutures composed from expanded polytetrafluoroethylene (ePTFE) material. They are attached to a standard stainless steel surgical needle. The Gazelle Delivery Device is a Class I Manual Surgical Instrument that assists with suture placement. The PTFE suture is loaded into the Gazelle Delivery Device and is delivered to the desired location through the Gazelle device tip by pressing the actuation button on the Gazelle device handle.

    AI/ML Overview

    The provided document describes the FDA 510(k) premarket notification for the "Gazelle PTFE Suture and Delivery Device." This document details the device's characteristics, intended use, and a summary of performance data to demonstrate substantial equivalence to a predicate device, rather than a clinical study establishing AI performance or diagnostic accuracy.

    Therefore, the requested information regarding acceptance criteria and a study proving a device meets these criteria, specifically in the context of AI performance, human reader improvement, and ground truth establishment, cannot be extracted from this document.

    The document does provide information pertinent to medical device approval, such as:

    • Device Name: Gazelle PTFE Suture and Delivery Device
    • Regulation Number and Name: 21 CFR 878.5035, Nonabsorbable expanded polytetrafluoroethylene surgical suture
    • Regulatory Class: Class II
    • Product Code: NBY
    • Predicate Device: Riverpoint Medical MONOTEX PTFE Suture – K140415
    • Indications for Use: General soft tissue approximation and/or ligation, including cardiovascular, dental, general surgical procedures, and repair of the dura mater. Not indicated for microsurgery, ophthalmic procedures, or peripheral neural tissues.
    • Performance Data General Statement: "Gazelle PTFE Surgical Sutures meet the requirements specified in FDA's Class II Special Controls Guidance Document: Surgical Sutures, Guidance for Industry and FDA". It also states that "the PTFE suture has passed performance testing, including mechanical testing in accordance to USP for nonabsorbable suture and biocompatibility testing of the suture material in accordance with ISO 10993-1. Packaging and sterilization validation and shelf life testing have been successfully performed. The Gazelle Delivery Device was tested for Button Push Force, Distal Tip / Shaft Pull Force, Handle / Shaft Pull Force, Stylet / Button Pull Force and underwent surgeon evaluation."

    However, none of this information relates to an AI/ML-based device or a study involving human readers and ground truth for diagnostic accuracy, which are the prerequisites for answering the specific questions about acceptance criteria and study design for AI-driven technologies.

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    K Number
    K170842
    Device Name
    WEGO-PTFE
    Date Cleared
    2017-07-31

    (132 days)

    Product Code
    Regulation Number
    878.5035
    Reference & Predicate Devices
    Why did this record match?
    Product Code :

    NBY

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    WEGO-PTFE is indicated for use in all types of soft tissue approximation and/or ligation, including cardiovascular, dental and general surgeries. The device is not indicated for use in ophthalmic surgery, microsurgery and peripheral neural tissue.

    Device Description

    The proposed device, WEGO-PTFE, is monofilament, synthetic, non-absorbable surgical suture composed of 100% polytetrafluoroethylene without any additives. The molecular formula is (C-F2)n. WEGO-PTFE is undyed and uncoated.

    The proposed device is composed of suture and needle.

    WEGO-PTFE is indicated for use in all types of soft tissue approximation and/or ligation, including cardiovascular, dental and general surgeries. The device is not indicated for use in ophthalmic surgery, microsurgery and peripheral neural tissue.

    The sutures are available in a range of gauge sizes and lengths attached to stainless steel needles of varying types and sizes.

    WEGO-PTFE complies with the requirements of the European Pharmacopoeia for Sterile Non-Absorbable Strands and the requirements of the United States Pharmacopoeia for Non-Absorbable Surgical Sutures.

    AI/ML Overview

    This document describes the premarket notification for the WEGO-PTFE surgical suture, asserting its substantial equivalence to a predicate device. It includes information on non-clinical testing performed to establish this equivalence, but no clinical study was conducted. Therefore, the device does not have acceptance criteria based on clinical performance.

    Here's a breakdown of the requested information based on the provided text:

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

    Since this is a premarket notification for a surgical suture claiming substantial equivalence to a predicate device, the "acceptance criteria" are based on compliance with recognized standards and biocompatibility, rather than clinical performance metrics. The "reported device performance" refers to the results of non-clinical tests demonstrating this compliance.

    Acceptance Criteria (Compliance with Standard)Reported Device Performance (WEGO-PTFE Test Results)
    USP 39-NF 34:2016 Nonabsorbable Surgical SutureComplies with the requirements
    USP 39-NF 34:2016 Sutures DiameterComplies with the requirements
    USP 39-NF 34:2016 Sutures Needle AttachmentComplies with the requirements
    USP 39-NF 34:2016 Tensile StrengthComplies with the requirements
    ISO 10993-3:2014 Biological Evaluation of Medical Devices, Part 3: Tests for Genotoxicity, Carcinogenicity and Reproductive ToxicityConforms to the requirements
    ISO 10993-5:2009 Biological evaluation of medical devices -- Part 5: Tests for in vitro cytotoxicityConforms to the requirements
    ISO 10993-6:2007 Biological evaluation of medical devices -- Part 6: Tests for local effects after implantationConforms to the requirements
    ISO 10993-10: 2010 Biological evaluation of medical devices -- Part 10: Tests for irritation and skin sensitizationConforms to the requirements
    ISO 10993-11:2006 Biological evaluation of medical devices -- Part 11: Tests for systemic toxicityConforms to the requirements
    USP Bacterial Endotoxins LimitComplies with the requirements
    ASTM F88/F88M-09 Standard Test Method for Seal Strength of Flexible Barrier MaterialsComplies with the requirements
    ASTM F1140/F1140M-13 Standard Test Methods for Internal Pressurization Failure Resistance of Unrestrained PackagesComplies with the requirements
    ASTM F1929-12 Standard Test Method for Detecting Seal Leaks in Porous Medical Package by Dye PenetrationComplies with the requirements
    ISO 10993-7:2008 Biological evaluation of medical devices -- Part 7: Ethylene oxide sterilization residualsConforms to the requirements
    ISO 11737-2:2009, Sterilization of medical devices-Microbiological methods-Part 2: Tests of sterility performed in the definition, validation and maintenance of a sterilization processComplies with the requirements
    Shelf life stability (Product performance and Package integrity)Supported by test reports for three years, two years, one year, and six months

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

    The document does not specify the sample sizes used for each of the non-clinical tests. It only states that "Non clinical tests were conducted to verify that the proposed device met all design specifications." The data provenance is not explicitly stated in terms of country of origin, but the submitting company is "Foosin Medical Supplies Inc., Ltd." located in Weihai, Shandong, China. The studies are non-clinical, likely laboratory-based, and therefore not categorized as retrospective or prospective in the human study sense.

    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 applicable. The "ground truth" for non-clinical performance and biocompatibility tests is established by adherence to recognized international and national standards (e.g., USP, ISO, ASTM), not by expert consensus on clinical cases. The tests themselves are designed to measure against predefined physical and biological parameters.

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

    This information is not applicable as no clinical study or expert-based evaluation of a test set for performance was conducted. The tests are laboratory procedures with defined pass/fail criteria based on standards.

    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

    No MRMC comparative effectiveness study was done. The document explicitly states: "No clinical study is included in this submission." This device is a surgical suture, not an AI-assisted diagnostic tool, so such a study would not be relevant.

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

    This information is not applicable as the device is a surgical suture, not an algorithm or AI system.

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

    For the non-clinical tests, the "ground truth" is defined by the specific parameters and requirements outlined in the referenced standards (e.g., USP for tensile strength and diameter, ISO for biocompatibility categories). These standards provide quantifiable criteria that the device must meet.

    8. The sample size for the training set

    This information is not applicable. There is no training set mentioned or implied as this is a physical medical device and not an AI/machine learning model.

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

    This information is not applicable as there is no training set for this device.

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    K Number
    K163049
    Date Cleared
    2017-06-21

    (232 days)

    Product Code
    Regulation Number
    878.5035
    Reference & Predicate Devices
    Why did this record match?
    Product Code :

    NBY

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    GOLNIT Non-Absorbable PTFE Surgical Suture is a removable, non-absorbable surgical suture intended for use in the approximation and ligation of soft tissue in the oral cavity including fixation of barrier membranes.

    Device Description

    GOLNIT Non-absorbable PTFE Surgical Suture is a sterile, disposable, non-absorbable suture that meets the requirements of the United States Pharmacopeia (U.S.P.) except for diameter. The suture is manufactured of a 100% polytetrafluoroethylene (PTFE) polymer as monofilament strands that are uncoated, undyed, and of various diameters and lengths that may be crimped or swaged to a standard, medical grade suture needle. The suture sizes range from U.S.P. 2-0 to 6-0.

    The surgical suture incorporates a monofilament manufactured from 100% virgin polytetrafluoroethylene (PTFE) resin that is extruded as an expanded porous (ePTFE) monofilament that is soft and supple.

    GOLNIT Non-Absorbable PTFE Surgical Suture is sterilized by ethylene oxide. The GOLNIT surgical suture is intended for single use only. The surgically invasive device is indicated to remain in the body for up to 30 days and is biocompatible.

    GOLNIT Non-Absorbable PTFE Surgical Suture is a removable, non-absorbable surgical suture intended for use in the approximation and ligation of soft tissue in the oral cavity including fixation of barrier membranes. The device is not intended for invasive procedures related to central nervous system and central circulatory system.

    AI/ML Overview

    The provided document describes the GOLNIT Non-absorbable PTFE Surgical Suture, a surgical device, and includes information relevant to its acceptance criteria and the study that proves it meets those criteria.

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

    1. Table of Acceptance Criteria and Reported Device Performance

    The document does not explicitly present a table of "acceptance criteria" alongside specific numerical "reported device performance" in a typical quantitative format. Instead, it refers to fulfilling requirements of the United States Pharmacopeia (U.S.P.) and ISO standards. The performance is generally described as meeting these standards.

    Based on the text, here's a reconstructed table:

    Acceptance Criteria (Standard / Test)Reported Device Performance
    U.S.P. Requirements for Non-Absorbable Sutures:
    - Tensile strengthMeets U.S.P. requirements.
    - Needle attachment strengthMeets U.S.P. requirements.
    - Suture Diameter (U.S.P. )Meets U.S.P. requirements except for variance in diameters (the suture is "oversized in diameter" and "differs from USP requirements for diameter"). This is noted as a difference from the standard U.S.P. nomenclature. The document states "Results of the non-clinical testing demonstrate conformance with the U.S.P. standards and requirements for Non-Absorbable Surgical Sutures except for the variance in suture diameter."
    - Non-Pyrogenicity (USP)Verified non-pyrogenic per USP.
    Biocompatibility (ISO 10993-1, -5, -10):
    - Cytotoxicity (ISO 10993-5)Non-cytotoxic.
    - Irritation (ISO 10993-10)Non-irritant.
    - Sensitization (ISO 10993-10)Non-sensitizer.
    Sterilization (ISO 11135)Sterilized by Ethylene Oxide, conforming to ISO 11135.
    Packaging (ISO 11607-1:2006, ISO 11607-2:2006, EN 868-5:2009)Conforms to these international product standards and norms. (Packaged in labelled two-pouch packaging system consisting of medical grade heat-sealable pouches).
    Shelf-lifeStability testing performed to support the proposed shelf life. (Specific shelf life not stated, but implied to be supported).

    The general conclusion states that all testing demonstrated the GOLNIT PTFE suture is "as safe and effective as the predicate, meets current performance requirements for nonabsorbable surgical sutures unless stated otherwise in labeling, and the sutures are substantially equivalent to the predicate devices."

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

    The document does not specify the sample size used for the test set for performance testing. It mentions "Testing is performed on each lot of product to verify that these USP requirements have been met," suggesting ongoing quality control, but not a specific sample size for a single substantial equivalence study.

    Data provenance (country of origin, retrospective/prospective) is not explicitly stated. The context implies it's internal testing conducted by Antarma dba GOLNIT Sutures for regulatory submission.

    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 question is not applicable to the type of device and study described. Surgical sutures are physical devices, and their performance is evaluated through objective, standardized physical and biological testing (tensile strength, biocompatibility, etc.), not by expert interpretation of images or clinical outcomes that require "ground truth" established by human experts in the traditional sense of AI/diagnostic device studies.

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

    Not applicable. This concept (adjudication for ground truth) is relevant for studies involving human interpretation or clinical endpoints, not for the physical and biological testing of a surgical suture.

    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 is a physical medical device (suture), not an AI-powered diagnostic or assistive tool for human readers.

    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 this device, "ground truth" is established by adherence to recognized national and international standards for medical devices and surgical sutures. Specifically:

    • Physical performance: United States Pharmacopeia (U.S.P.) standards for non-absorbable surgical sutures (e.g., tensile strength, needle attachment, diameter).
    • Biocompatibility: ISO 10993 series (e.g., ISO 10993-1, -5, -10).
    • Sterilization: ISO 11135.
    • Packaging: ISO 11607 series, EN 868-5.

    These standards serve as the "ground truth" or benchmark for acceptable performance.

    8. The sample size for the training set

    Not applicable. This device is a physical product, not an AI model requiring a training set.

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

    Not applicable. This device is a physical product, not an AI model requiring a training set.

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