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510(k) Data Aggregation

    K Number
    K223593
    Date Cleared
    2023-03-22

    (111 days)

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

    K130435, K112349, K151548

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

    The Inno-Port Disposable Bladeless Trocars are in a variety of gynecologic, general thoracic and urologic endoscopic procedures to create and maintain a port of entry.

    The Inno-Port Disposable Optical Trocars are intended for use in a variety of gynecologic, general thoracic and urologic endoscopic procedures to create and maintain a port of entry. The trocar may be used with or without visualization for primary and secondary insertions.

    Device Description

    The Inno-Port Disposable Bladeless Trocar and Inno-Port Disposable Optical Trocar are surgical trocars available in 5 mm, 5-11 mm, and 5-12 mm series. They consist of an obturator and a cannula with a self-adjusting seal and stopcock valve. The optical trocar obturator also contains a scope retention mechanism. The seal system accommodates instruments ranging from 5mm to 12mm in diameter depending on the trocar size.

    AI/ML Overview

    The provided document is a 510(k) summary for the "Inno-Port Disposable Bladeless Trocar" and "Inno-Port Disposable Optical Trocar." It focuses on demonstrating substantial equivalence to predicate devices rather than providing detailed acceptance criteria and study results in the format requested for AI/ML performance.

    Therefore, many of the requested details about acceptance criteria for AI/ML performance, sample sizes, expert qualifications, ground truth, and MRMC studies are not applicable or extractable from this document as it pertains to a medical device's physical performance, not an AI/ML algorithm.

    However, I can extract the acceptance criteria and reported device performance for the physical device characteristics as presented.

    Here's the information that can be extracted or inferred from the provided text:

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

    The document provides a comparison of performance criteria between the proposed device and its predicate devices. The "reported device performance" is essentially that the proposed devices met these criteria, as stated in the conclusion: "The test results showed that both proposed devices have the similar device performance compared to the predicate device."

    Performance TestCharacteristicAcceptance Criteria (Proposed & Predicate Device)Reported Device Performance (Inno-Port)
    Stability of TrocarPuncture force (5 mm)1,500 gfMet (similar to predicate)
    Removal force (5-11/12 mm)> 1,800 gfMet (similar to predicate)
    Operation of ObturatorInsertion Force (5 mm)
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    K Number
    K162584
    Manufacturer
    Date Cleared
    2016-10-18

    (32 days)

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

    K151548, K081169

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

    The VersaOne™ bladeless trocars are intended for use in a variety of gynecologic, general, thoracic and urologic endoscopic procedures to create and maintain a port of entry.

    Device Description

    Modifications to the design of the current VersaOne™ Bladeless Trocar (K151548) include diameter change to the cannula and obturator components to accommodate an 8mm instrument.

    AI/ML Overview

    Here's a breakdown of the acceptance criteria and the study proving the device's performance, based on the provided text.

    Important Note: The provided document is a 510(k) summary for a VersaOne™ Bladeless Trocar, a surgical instrument. It is NOT an AI/ML medical device submission. Therefore, many of the typical acceptance criteria and study elements associated with AI/ML systems (such as sample size for test/training sets, expert ground truth, MRMC studies, standalone algorithm performance, and training set ground truth establishment) are not applicable to this type of device. The document focuses on demonstrating substantial equivalence to a predicate device through engineering performance testing and biocompatibility.


    Acceptance Criteria and Device Performance for VersaOne™ Bladeless Trocar

    Since this is a traditional medical device (trocar), the "acceptance criteria" are not based on metrics like accuracy, sensitivity, or specificity as seen in AI/ML systems. Instead, they are comparative performance metrics against a predicate device and adherence to relevant standards.

    1. Table of Acceptance Criteria and Reported Device Performance

    The device's performance is demonstrated through comparative testing against its predicate, the VersaOne™ Bladeless Trocar (K151548), and adherence to standards.

    Acceptance Criteria (What was tested for equivalence/compliance)Reported Device Performance (How the device met the criteria)
    Design Modification: Accommodate 8mm instrumentDiameter change to cannula and obturator components to accommodate an 8mm instrument was implemented. Performance testing (bench top and animal) demonstrated functional equivalence.
    Sterilization Equivalence (EO sterilization processes)Performed to confirm equivalency to predicate per ISO 11135 requirements.
    Sterilization Equivalence (EO residuals)Performed to confirm equivalency to predicate per ISO 10993-7 requirements.
    Shelf Life PerformanceAssessed per Covidien standard operating procedures to confirm product performance over time.
    BiocompatibilityConfirmed all components are comprised of materials in accordance with ISO 10993-1 for their intended patient contact profile.
    Bench Top Functional Performance:Demonstrated equivalence to the predicate device. Specific tests included:
    - Leak rateResults supported substantial equivalence.
    - Insertion force & Removal forceResults supported substantial equivalence.
    - Penetration force & Fixation forceResults supported substantial equivalence.
    Animal Functional Performance:Demonstrated equivalence to the predicate device. Specific tests included:
    - Penetration force & Fixation forceResults supported substantial equivalence.

    Conclusion: The regulatory submission asserts that "The results of testing demonstrated the modified VersaOne™ Bladeless Trocar 8mm is substantially equivalent to the legally marketed device."

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

    This information is not provided in the 510(k) summary. For a traditional device, "sample size" would refer to the number of devices or test repetitions in bench-top and animal studies. Data provenance (country, retrospective/prospective) is also not specified, as the studies are likely internal engineering and animal model testing, not human clinical trials.

    3. Number of Experts Used to Establish Ground Truth and Qualifications

    Not applicable for this type of device submission. Ground truth for an AI/ML system involves expert labeling of data. For a surgical instrument, "ground truth" is established through engineering specifications, validated test methods, and compliance with industry standards.

    4. Adjudication Method for the Test Set

    Not applicable. Adjudication methods like 2+1 or 3+1 are used in AI/ML studies for resolving discrepancies in expert labeling. For this device, performance is measured against objective engineering parameters and physical tests.

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

    No, an MRMC study was not done. MRMC studies are specific to evaluating the impact of AI on human reader performance, which is not relevant for a surgical trocar.

    6. If a Standalone Performance (Algorithm Only Without Human-in-the Loop) was Done

    No, a standalone performance study was not done. This concept applies to AI algorithms operating independently, not to a physical surgical instrument. The performance testing described (bench top, animal) assesses the physical characteristics and function of the device itself.

    7. The Type of Ground Truth Used

    The "ground truth" for this device's performance is established through:

    • Engineering Specifications and Design Requirements: The device must meet predefined physical dimensions, material properties, and functional performance targets.
    • Predicate Device Performance: The modified device must perform equivalently to its legally marketed predicate.
    • Compliance with Standards: Adherence to international standards like ISO 11135 (sterilization) and ISO 10993-1/7 (biocompatibility and EO residuals).

    8. The Sample Size for the Training Set

    Not applicable. This device does not use machine learning, so there is no "training set."

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

    Not applicable. As there is no training set, there is no corresponding ground truth establishment process.

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    K Number
    K160230
    Manufacturer
    Date Cleared
    2016-03-01

    (29 days)

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

    K130435,K151548,K081169

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

    The VersaOne™ optical trocars are intended for use in a variety of gynecologic, general, thoracic and urologic endoscopic procedures to create and maintain a port of entry. The trocar may be used with or without visualization for primary and secondary insertions.

    The VersaOne™ bladeless trocars are intended for use in a variety of gynecologic, general, thoracic and urologic endoscopic procedures to create and maintain a port of entry.

    Device Description

    VersaOne™ Optical Trocar 15mm is available in 15mm diameter with a transparent fixation cannula and standard (100mm) length. The VersaOne™ Optical Trocar 15mm consists of an obturator component with a bladeless tip and a cannula assembly. The obturator has a dolphin nose (conical) shaped bladeless tip with transparent window at distal end. The transparent window at distal end of the obturator allows optical entry for visualization of tissue lavers during insertion. The obturator housing contains a scope retention mechanism. The cannula assembly is composed of a seal system, trocar housing, transparent cannula sleeve, and a stopcock. The seal system prevents loss of pneumoperitoneum when instruments are inserted or withdrawn. The seal system accommodates instruments ranging from 5mm to 15mm in diameter. The 15mm trocar housing is removable for specimen retrieval. The cannula sleeve has a bevel shape at the distal end to reduce penetration forces during insertion and transparent for better visualization. The stopcock valve is for insufflation and desufflation. The devices are supplied single-use. The VersaOne™ Optical Trocar 15mm is sterilized via Ethylene Oxide (EtO) sterilization method. The packaging configuration is one device packed in a sealed Nylon / Tyvek breather pouch, six pouches per display box, and both pouch and display box have appropriate labeling.

    VersaOne™ Bladeless Trocar 15mm is available in two lengths (long (150mm) and standard (100mm)); both are 15mm in diameter and contain transparent fixation cannulas. VersaOne™ Bladeless Trocar consists of an obturator component with a bladeless tip and a cannula assembly. The obturator has a dolphin nose (conical) shaped bladeless tip. The cannula assembly is composed of a seal system, trocar housing, transparent cannula sleeve, and a stopcock. The seal system prevents loss of pneumoperitoneum when instruments are inserted or withdrawn. The seal system accommodates instruments ranging from 5mm to 15mm in diameter. The 15mm trocar housing is removable for specimen retrieval. The cannula sleeve has a bevel shape at the distal end to reduce penetration forces during insertion and transparent for better visualization. The stopcock valve is for insufflation and desufflation. The devices are supplied sterile single-use. The VersaOne™ Bladeless Trocar 15mm is sterilized via Ethylene Oxide (EtO) sterilization method. The packaging configuration is one device packed in a sealed Nylon / Tyvek breather pouch, six pouches per display box, and both pouch and display box have appropriate labeling.

    AI/ML Overview

    The provided document is a 510(k) summary for medical devices (trocars) and does not describe an AI medical device. Therefore, it does not contain the specific information requested about acceptance criteria, study details, ground truth, sample sizes, or expert adjudication that would be relevant to an AI/ML medical device.

    The document discusses:

    • Device Name: VersaOne™ Optical Trocar 15mm and VersaOne™ Bladeless Trocar 15mm
    • Intended Use: To create and maintain a port of entry in various endoscopic procedures.
    • Modifications: Larger diameter (15mm) and a new seal system.
    • Testing: Sterilization assessment, shelf-life assessment, biocompatibility testing, and performance testing (ex vivo and in vivo).

    Since the device is a physical medical instrument (trocar) and not an AI/ML-based diagnostic or therapeutic tool, the requested information categories (e.g., sample size for test set, data provenance, number of experts, MRMC studies, standalone performance, training set sample size, ground truth for training set) are not applicable.

    The acceptance criteria mentioned are general performance tests for a physical device, such as:

    • Leak rate
    • Insertion force
    • Removal force
    • Penetration force
    • Fixation force

    The conclusion states that "The results of testing demonstrate the modified VersaOne™ Optical Trocar 15mm and VersaOne™ Bladeless Trocar 15mm are substantially equivalent to the legally marketed" predicate devices. This implies that the device met performance criteria comparable to the existing predicate devices. However, specific numerical acceptance criteria (e.g., "leak rate must be below X ml/min") and reported performance values are not detailed in this summary.

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