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510(k) Data Aggregation

    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?
    Reference Devices :

    K123811, K140415

    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
    K142639
    Device Name
    StitchKit
    Date Cleared
    2014-12-16

    (90 days)

    Product Code
    Regulation Number
    878.5010
    Reference & Predicate Devices
    Why did this record match?
    Reference Devices :

    K123811

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

    StitchKit® Suture Delivery Canister with Polypropylene Surgical Suture facilitates minimally invasive robotic surgery by transporting suture to the operative field and removing used needles after suturing. It contains polypropylene surgical suture indicated for use in general soft tissue approximation and/or ligation.

    Device Description

    The StitchKit® Suture Delivery Canister with Polypropylene Surgical Suture ("StitchKit") is a sterile, single-use plastic canister that is pre-loaded with multiple strands of legally marketed monofilament polypropylene surgical suture (with needles attached). The device facilitates robotic-assisted endoscopic surgery by introducing these multiple strands of suture to the surgical field all at once. The surgeon can then dispense the suture strands one at a time. The device is sized to be passed through a ≥12 mm trocar. As suturing is completed with each strand, used needles are deposited into a compartment within the StitchKit® canister. Once the surgeon has finished suturing, the device is removed along with the used needles inside. It is supplied sterile in a plastic tray with Tyvek® lid.

    AI/ML Overview

    The provided document is a 510(k) premarket notification for a medical device (StitchKit® Suture Delivery Canister with Polypropylene Surgical Suture). It describes the device, its intended use, and its substantial equivalence to predicate devices based on performance data. Importantly, this document is for a physical medical device (a suture delivery system), not an AI/ML algorithm or software device. Therefore, many of the requested fields regarding AI/ML study design are not applicable.

    Here's the information that can be extracted or stated as not applicable:

    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance CriteriaReported Device Performance
    Suture Testing:
    USP knopull testingPerformed (details not provided beyond "suture testing performed")
    DiameterPerformed (details not provided beyond "suture testing performed")
    Needle attachmentPerformed (details not provided beyond "suture testing performed")
    Mechanical Testing:
    Suture dispensing force testingPerformed (details not provided)
    Shelf life testingPerformed (details not provided)
    Biocompatibility:
    Physicochemical extraction testingPerformed (details not provided)
    LAL Pyrogen testingPerformed (details not provided)
    Sterilization:
    Sterilization included in original 510(k), K123811Proposed device included in original sterilization validation, no changes.

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

    • Sample Size for Test Set: The document does not specify exact sample sizes for the various tests. It generally states that "performance testing was performed."
    • Data Provenance: Not explicitly stated, but typically such testing is conducted in a controlled lab environment by the manufacturer. The document does not mention human patient data for testing device performance.

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

    • Not Applicable. This device is a physical suture delivery system. Its performance is evaluated through engineering and biocompatibility tests, not by expert interpretation of data or images. Ground truth as typically understood in AI/ML validation (e.g., expert consensus on medical images) does not apply.

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

    • Not Applicable. See explanation above. The performance tests are objective engineering and biological assessments.

    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, not an AI/ML diagnostic or assistive tool. No human reader studies with or without AI assistance were conducted.

    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 AI/ML algorithm.

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

    • Ground Truth for Physical Device Testing: The "ground truth" for this device's performance tests would be established by:
      • Validated Test Methods: Adherence to recognized standards (e.g., USP for suture properties).
      • Objective Measurements: Quantitative measurements of physical properties (knopull strength, diameter, dispensing force, shelf life parameters) and biological responses (pyrogenicity, extraction levels).
      • Predicate Device Performance: Comparison to the known performance characteristics of the legally marketed predicate devices.

    8. The sample size for the training set

    • Not Applicable. This is not an AI/ML device, so there is no training set.

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

    • Not Applicable. No training set exists for this device.
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