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510(k) Data Aggregation

    K Number
    K200228
    Device Name
    ClearCam System
    Manufacturer
    Date Cleared
    2020-02-19

    (20 days)

    Product Code
    Regulation Number
    876.1500
    Reference & Predicate Devices
    Why did this record match?
    Reference Devices :

    K100346, K062779

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

    The ClearCam System is indicated to provide lens clearing during laparoscopic procedures.

    Device Description

    The ClearCam System is a laparoscopic accessory lens clearing device consisting of a sheath and handle that slides over the laparoscope. The handle contains a wire connected to a wiper at the distal end of the sheath that provides lens clearing when activated. The device is intended to clear the intra-operative view of the surgical site during minimally invasive surgery by physically removing debris, blood, and bodily fluids from the laparoscope lens.

    AI/ML Overview

    The provided text is a 510(k) premarket notification for the ClearCam System and describes its substantial equivalence to a predicate device, ClickClean (K170103). The document primarily focuses on demonstrating that the ClearCam System is as safe and effective as existing legally marketed devices, rather than presenting a performance study with acceptance criteria in the context of an AI/algorithm-driven medical device.

    Therefore, the information required to answer many of the specific points about acceptance criteria and a study proving performance (especially in the context of AI and human readers) is not present in the provided document. The ClearCam System is a physical medical device (a laparoscopic accessory lens clearing device) and not an AI-based diagnostic or assistive system.

    However, I can extract the information that is present and indicate where information is missing.

    Here's the breakdown of what is available and what is not:


    Acceptance Criteria and Study Proving Device Meets Acceptance Criteria for the ClearCam System

    Based on the provided 510(k) summary, the ClearCam System is a physical medical device designed to clear laparoscopic lenses during surgery. The "acceptance criteria" and "study" described in the document are primarily focused on demonstrating substantial equivalence to a predicate device (ClickClean) through mechanical, functional, pre-clinical, and biocompatibility testing, rather than statistical performance metrics of an algorithm or human-in-the-loop study typical for AI/diagnostic devices.

    1. Table of Acceptance Criteria and Reported Device Performance

    For a physical device, "acceptance criteria" are typically defined by engineering design specifications and regulatory standards. The document reports "Pass" for all tested criteria, indicating that the device met these predefined specifications.

    Test DescriptionMethodAcceptance Criteria (Implicit: Pass)Reported Device Performance
    Mechanical Testing
    SterilizationISO 14937:2009 Sterilization of healthcare productsPassPass
    Performance - MechanicalIn accordance with device performance specificationsPassPass
    Performance - FunctionalIn accordance with device performance specificationsPassPass
    Performance - Pre-ClinicalFunctional testing set by the standard ISO 8600-1:1997PassPass
    Biocompatibility Testing
    CytotoxicityISO 10993-5 (in vitro cytotoxicity)PassPass
    HemocompatibilityISO 10993-4 (selection of tests for interactions with blood)PassPass
    SensitizationISO 10993-10 (irritation and skin sensitization)PassPass
    Intracutaneous ReactivityISO 10993-10 (irritation and skin sensitization)PassPass
    Systemic Toxicity (acute)ISO 10993-11 (tests for systemic toxicity)PassPass
    PyrogenicityISO 10993-11 (tests for systemic toxicity)PassPass

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

    • Sample Size for Test Set: The document does not specify the sample size for the mechanical and biocompatibility testing. It only states that "devices were tested." For these types of tests, sample sizes are typically determined by relevant ISO standards or internal quality procedures, but the specific number is not disclosed here.
    • Data Provenance: Not applicable in the context of patient data for an AI/algorithm. The data provenance refers to materials and samples used for mechanical and biocompatibility testing of the device itself.

    3. Number of Experts Used to Establish Ground Truth for the Test Set and Qualifications:

    • This question is not applicable as the device is a physical tool for clearing lenses, not an AI or diagnostic device requiring expert interpretation of images/data to establish ground truth. The "ground truth" for this device's function is its ability to physically clean the lens and its biological compatibility.

    4. Adjudication Method for the Test Set:

    • Not applicable for this type of device and testing. Adjudication is relevant for subjective assessments, primarily in diagnostic accuracy studies involving multiple readers.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was done:

    • No, an MRMC study was not done. This type of study is specifically for evaluating the impact of an AI system on human reader performance, which doesn't apply to a physical lens-clearing device.

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

    • Not applicable. The ClearCam System is a physical accessory, not an algorithm.

    7. The Type of Ground Truth Used:

    • The "ground truth" for this device's performance is established by compliance with engineering design specifications, international standards (ISO), and successful completion of predefined functional and biocompatibility tests. For instance, "pass" for sterilization means it meets the defined sterility assurance level, and "pass" for functional testing means it performs its intended lens-clearing action as specified.

    8. The Sample Size for the Training Set:

    • Not applicable. This device is not an AI/machine learning algorithm, so there is no "training set."

    9. How the Ground Truth for the Training Set was Established:

    • Not applicable. See point 8.
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