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510(k) Data Aggregation

    K Number
    K160479
    Manufacturer
    Date Cleared
    2016-03-23

    (30 days)

    Product Code
    Regulation Number
    882.4560
    Reference & Predicate Devices
    Why did this record match?
    Reference Devices :

    K141456

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

    The PointerShell Universal and PointerShell LS are intended as an aid for precisely locating anatomical structures in either open or percutaneous procedures. It is indicated for use with the Fiagon Navigation system using electromagnetic navigation.

    Both the instruments are indicated for any medical condition in which the use of stereotactic surgery may be appropriate, and where reference to a rigid anatomical structure in the field of ENT surgery, such as the paranasal sinuses, mastoid anatomy, can be identified relative to a CT or MR based model of the anatomy.

    Example procedures include, but are not limited to:

    ENT Procedures; Transphenoidal access procedures. Intranasal procedures. Sinus procedures, such as Maxillary antrostomies, Ethmoidectomies, Sphenoidotomies/Sphenoid explorations, Turbinate resections, and Frontal sinusotomies. ENT related anterior skull base procedures.

    Device Description

    The Fiagon Navigation - PointerShell Universal and PointerShell LS are reusable instruments intended to be used with the Fiagon Navigation system. The instruments are electromagnetically navigated devices that are

    • Instrument adapters (designed for mechanical connection to shavers or surgical instruments a. with different diameters without motor).
      Each device incorporates a sensor device, which is tracked by the navigation system with in the lowenergy magnetic field of a field generator (part of the navigation system)

    The navigation software (part of the navigation system) displays the position of the instruments in preoperative scans (e.g., CT, MRI, fluoroscopy)

    AI/ML Overview

    This document describes Fiagon GmbH's K160479 510(k) submission for the PointerShell Universal and PointerShell LS, which are intended as an aid for precisely locating anatomical structures in either open or percutaneous procedures using electromagnetic navigation.

    Here's an analysis of the provided information regarding acceptance criteria and the supporting study:

    1. Table of Acceptance Criteria and Reported Device Performance:

    The document doesn't explicitly state quantitative acceptance criteria in a dedicated table format. However, it indicates a comparison against the predicate devices. The implicit acceptance criterion for precision/accuracy is that the new devices perform comparably to or better than the predicate devices, which had a mean target registration error of less than 1.5 mm.

    Performance MetricAcceptance Criteria (Implied from Predicate)Reported Device Performance (PointerShell Universal)Reported Device Performance (PointerShell LS)
    Bench Accuracy (Mean Target Registration Error)
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    K Number
    K160369
    Device Name
    GuideWire
    Manufacturer
    Date Cleared
    2016-03-10

    (29 days)

    Product Code
    Regulation Number
    882.4560
    Reference & Predicate Devices
    Why did this record match?
    Reference Devices :

    K141456

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

    The GuideWire 0.6 is intended as an aid for precisely locating anatomical structures in either open or percutaneous procedures. It is indicated for use with the Fiagon Navigation system using electromagnetic navigation.

    It is indicated for any medical condition in which the use of stereotactic surgery may be appropriate, and where reference to a rigid anatomical structure in the field of ENT surgery, such as the paranasal sinuses, mastoid anatomy, can be identified relative to a CT or MR based model of the anatomy.

    Example procedures include, but are not limited to:

    ENT Procedures; Transphenoidal access procedures. Intranasal procedures. Sinus procedures, such as Maxillary antrostomies, Ethmoidectomies, Sphenoidotomies/Sphenoid explorations, Turbinate resections, and Frontal sinusotomies. ENT related anterior skull base procedures.

    Device Description

    The Fiagon Navigation - FlexPointer 1.5 is a reusable instrument intended to be used with the Fiagon Navigation system. The instrument is an electromagnetically navigated devices that is

    • a. Navigated pointing devices (maleable, sensor within the tip)
      Each device incorporates a sensor device, which is tracked by the navigation system with in the low-energy magnetic field of a field generator (part of the navigation system)

    The navigation software (part of the navigation system) displays the position of the instruments in preoperative scans (e.g., CT, MRI, fluoroscopy)

    AI/ML Overview

    The provided text describes the 510(k) premarket notification for the Fiagon Navigation – GuideWire 0.6. This document primarily focuses on demonstrating substantial equivalence to a predicate device rather than presenting a detailed study with acceptance criteria for a novel AI device. Therefore, much of the requested information (like multi-reader multi-case studies, expert adjudication for ground truth, or details on a training set for an AI) is not applicable or not available in this document.

    However, I can extract the available performance data and infer an acceptance criterion based on the comparison to the predicate device.

    1. Table of acceptance criteria and the reported device performance

    Acceptance Criteria (Implied)Reported Device Performance
    Bench accuracy comparable to the predicate device (mean 1.24 mm, SD 0.44 mm)Mean bench accuracy of 1.27 mm (Standard deviation 0.4 mm)

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

    The document does not explicitly state the sample size (e.g., number of measurements or trials) used for the bench accuracy test for the new device or the predicate. The data provenance (country of origin, retrospective/prospective) is also not mentioned, as this is a bench test, not clinical data.

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

    Not applicable. This was a bench accuracy test, not a clinical study involving expert interpretation of medical images.

    4. Adjudication method for the test set

    Not applicable. This was a bench test.

    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 document describes a medical device (guidewire) used in image-guided surgery, not an AI or imaging diagnostic tool that would typically involve human readers.

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

    Not applicable. This device is a guidewire, a physical instrument, not an algorithm.

    7. The type of ground truth used

    For the bench accuracy test, the 'ground truth' would be the known, precisely measured physical position or target, against which the device's measured position is compared. This is inherent to a bench accuracy test of a navigation device.

    8. The sample size for the training set

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

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

    Not applicable.

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