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510(k) Data Aggregation

    K Number
    K241801
    Device Name
    Tornus ES
    Date Cleared
    2024-12-17

    (179 days)

    Product Code
    Regulation Number
    876.5010
    Reference & Predicate Devices
    Why did this record match?
    Reference Devices :

    K183036,K172057,K161203,K211909

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

    This device is used to dilate strictures in the pancreatobiliary systems and to dilate openings via the transgastric or transduodenal wall. This device is indicated for adult use only.

    Device Description

    The Tornus ES is a rotary-operated dilator designed for use in bile duct/pancreatic duct strictures and via transgastric/transduodenal dilation of openings. The Tornus ES is comprised of stainless-steel coils and polymeric materials. The Dilation and Shaft segments are composed of coils materials that are welded together. The Tornus ES is available for prescription use only.

    AI/ML Overview

    The provided text describes the performance data for the Tornus ES device, specifically focusing on non-clinical testing and biocompatibility assessments. It does not detail a study involving human subjects or AI assistance, which would typically involve acceptance criteria related to accuracy, sensitivity, specificity, or reader performance metrics. Therefore, several points of your request cannot be fulfilled as they are not applicable to the information provided.

    Based on the provided text, primarily pages 8 and 9, here's the information regarding the device's acceptance criteria and the study that proves it meets those criteria:

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

    The document provides acceptance criteria specifically for biocompatibility testing, and a general "Pass" for non-clinical performance tests.

    Table 1: Non-Clinical Testing Performance

    Test ItemReported Device Performance
    AppearancePass
    Tensile strengthPass
    Guidewire pass-through abilityPass
    Dilation abilityPass
    Slide durabilityPass
    Radio-detectabilityPass
    Corrosion resistancePass
    Polyurethane strengthPass
    Guide wire trackabilityPass
    Kink resistancePass
    Dimension measurementPass
    Simulated use and (torsional strength)Pass

    Table 2: Biocompatibility Testing Acceptance Criteria and Results

    Test MethodStandardAcceptance CriteriaReported Device Performance
    Cytotoxicity MEM Elution TestISO 10993-5 (No deviations)The test system is considered suitable if no signs of cellular reactivity (Grade 0) are noted for both the negative control article and the medium control.Non-cytotoxic
    Sensitization KLIGMAN Maximization TestISO 10993-10 (No deviations)The extracts should show no evidence of causing delayed dermal contact sensitization in the guinea pig.Non-Sensitizing
    Irritation Intracutaneous Injection TestISO 10993-10 (No deviations)The test extract and the negative control must exhibit similar edema and erythema scores.Non-Irritant
    Systemic Toxicity Acute System Toxicity TestISO 10993-11 (No deviations)The test article must not show significantly greater biological activity than the control.Non-toxic
    Systemic Toxicity Rabbit Pyrogen Test (material mediated)ISO 10993-11 (No deviations)The test article should not increase the rectal temperature of any of the animals by more than 0.5 degrees Celsius.Non-pyrogenic

    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 refers to "Non clinical laboratory testing" and "in vitro bench tests". This indicates that the testing was performed on units of the device itself and not on patient data. No specific sample sizes for these tests are provided, nor is the country of origin of the data or whether it was retrospective or prospective, as these terms are generally applicable to clinical trials or studies involving patient data, which is not the case here.

    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. The testing was non-clinical and benchtop, not requiring human expert interpretation or ground truth establishment in the context of imaging or clinical diagnosis.

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

    Not applicable, as this refers to adjudication of ground truth in clinical data, not bench testing.

    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 (a catheter) and its non-clinical performance and biocompatibility. It does not involve AI or human image readers.

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

    Not applicable. This device is a physical medical instrument, not an algorithm or AI.

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

    For the non-clinical tests, the "ground truth" would be the engineering specifications and performance standards established for the device. For biocompatibility, the ground truth is established by the methods and criteria defined in the ISO 10993 series of standards.

    8. The sample size for the training set

    Not applicable. This device is not an AI algorithm that requires a training set.

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

    Not applicable.

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