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510(k) Data Aggregation

    K Number
    K231042
    Date Cleared
    2023-06-08

    (57 days)

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

    K190029

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

    The disposable laparoscopic trocar has applications in abdominal and gynecologic minimally invasive surgical procedures to establish a path of entry for endoscopic instruments.

    Device Description

    The proposed devices are available in two types, bladeless type and bladed type, which consist of puncture needle, puncture sleeve, injection valve and sealing cover. In order to obtain access to the surgical site during laparoscopic surgery, the puncture needle is introduced into puncture sleeve to accomplish cannula penetration of the abdominal wall. The sleeve is connected to the injection valve at its proximal end and once the abdominal/thoracic wall is puncture needle is removed. The sleeve acts as a channel for the introduction of the endoscopes and instruments. The bladeless type disposable laparoscopic trocar is available in 5mm, 10mm, 12mm four diameters, and the bladed type disposable laparoscopic trocar is available in 5mm, 10mm and 12mm three diameters to accommodate different sizes surgical instrument.

    AI/ML Overview

    This document describes the premarket notification (510(k)) for a Disposable Laparoscopic Trocar and its substantial equivalence to a predicate device, K190029. The information provided is primarily focused on demonstrating this equivalence through non-clinical testing.

    Here's a breakdown of the requested information based on the provided text:

    1. Table of Acceptance Criteria and Reported Device Performance

    The document does not explicitly present a table of "acceptance criteria" for the device's main function (e.g., specific force thresholds for insertion or leak rates). Instead, it lists various standard tests and their reported outcomes, or states that the proposed device performed similarly to the predicate. The "acceptance criteria" are implied by compliance with these standards and comparable performance to the predicate device.

    Test / Performance MetricAcceptance Criteria (Implied by Standards/Predicate Equivalence)Reported Device Performance
    BiocompatibilityCompliance with ISO 10993-7, 10993-5, 10993-10, 10993-11, and USPNo cytotoxicity, no intracutaneous reactivity, no sensitization, no acute systemic toxicity, no pyrogen
    Ethylene Oxide (EO) Sterilization ResidualsCompliance with ISO 10993-7Met requirements for EO and ECH residue
    Bacterial Endotoxin LimitCompliance with USP (20 EU per device)Met the limit of 20 EU per device
    Seal Strength of Flexible Barrier MaterialsCompliance with ASTM F88/F88M-15Performed testing
    Detecting Seal Leaks in Porous Medical PackagingCompliance with ASTM F1929-15Performed testing
    Determining Integrity of Seals (Visual Inspection)Compliance with ASTM F1886/F1886M-16Performed testing
    Performance Testing of Shipping Containers and SystemsCompliance with ASTM D4169-16Performed testing
    Instrument Insertion and Removal ForcesComparable to predicate device (implied)Bench tests conducted, performed comparably to predicate device
    Leak ResistanceComparable to predicate device (implied)Bench tests conducted, performed comparably to predicate device
    Snap Feature Retention ForceComparable to predicate device (implied)Bench tests conducted, performed comparably to predicate device
    Penetration Force (in vivo)Comparable to predicate device (implied)Evaluated on a porcine model, performed comparably to predicate device
    Fixation Force (in vivo)Comparable to predicate device (implied)Evaluated on a porcine model, performed comparably to predicate device
    Device Integrity after Removal (in vivo)No issues (implied)Visual inspection performed, device integrity maintained
    Sterility Assurance Level (SAL)$10^{-6}$Achieved $10^{-6}$
    Shelf LifeAcceptable for a medical device (stated as 3 years, predicate was 2 years)3 years
    Indications for Use (scope)Abdominal and gynecologic minimally invasive surgical procedures (for proposed device)Covers abdominal and gynecologic minimally invasive surgical procedures
    Shaft Diameter (Bladeless)Available in 5mm, 10mm, 12mm, 15mm (proposed)Available in 5mm, 10mm, 12mm, 15mm
    Shaft Diameter (Bladed)Available in 5mm, 10mm, 12mm (proposed)Available in 5mm, 10mm, 12mm
    Shaft LengthAvailable in 100mm (proposed)Available in 100mm
    Other Device Characteristics (Product Code, Regulation No., Class, Single Use, Operation Mode, Safety features, Label/Labeling, Packaging method)Same as predicate deviceSame as predicate device

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

    The document does not specify exact sample sizes for each non-clinical test (e.g., bench tests for insertion force, or the number of porcine models used for the in vivo study). It states that "Bench tests were conducted on the proposed device and predicate device" and "An in vivo study was conducted on both proposed device and predicate device".

    • Test Set Sample Size: Not explicitly stated for each test type. The term "test set" as typically used for AI/clinical studies isn't directly applicable here, as it's a medical device undergoing performance and safety testing.
    • Data Provenance:
      • Bench Tests: Likely conducted in a laboratory setting, presumably by the manufacturer or a contract testing organization. No country of origin is explicitly stated, but the manufacturer is Changzhou Ankang Medical Instruments Co., Ltd. in China.
      • In vivo study: Conducted on a "porcine model". No country of origin is explicitly stated for the in vivo study.
      • Biocompatibility, Sterilization, and Packaging tests: Conducted according to international and US standards (ISO, ASTM, USP). The specific testing facilities are not mentioned.
      • Retrospective or Prospective: These are non-clinical studies and simulations, not clinical studies involving human patient data, so the terms "retrospective" or "prospective" do not apply in the typical sense. They are prospective tests designed to evaluate device performance and safety.

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

    This information is not applicable (N/A). This document is for a traditional medical device (Disposable Laparoscopic Trocar), not an AI/Machine Learning diagnostic device. Therefore, there's no "ground truth" derived from expert consensus on medical images or patient data in the context of an "AI test set." The evaluations are based on objective physical measurements, material properties, and biological responses as per established standards for medical devices.

    4. Adjudication Method for the Test Set

    This information is not applicable (N/A) for the same reason as point 3. There is no ambiguous "ground truth" derived from multiple interpretations that would require an adjudication method like 2+1 or 3+1. The tests involve quantifiable measurements or pass/fail criteria against established standards.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was done, and the effect size of how much human readers improve with AI vs without AI assistance.

    This information is not applicable (N/A). This device is a physical surgical instrument (trocar), not an AI diagnostic/interventional algorithm. Therefore, an MRMC study and analysis of human reader improvement with/without AI assistance are irrelevant.

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

    This information is not applicable (N/A) for the same reason as points 3 and 5. There is no algorithm to be evaluated in a standalone or human-in-the-loop context.

    7. The Type of Ground Truth Used

    The concept of "ground truth" as typically applied to AI studies (e.g., pathology, outcomes data) is not directly applicable here. For this medical device, the "ground truth" or reference standards are:

    • Standardized Test Methods: Adherence to established international and national standards (ISO, ASTM, USP) for material properties, sterility, biocompatibility, and packaging integrity.
    • Predicate Device Performance: The predicate device K190029 serves as a benchmark for comparable performance in mechanical tests (insertion/removal forces, leak resistance, fixation force) and in vivo studies.
    • Objective Measurements: Directly measured physical properties and biological responses during the bench and in vivo tests.

    8. The Sample Size for the Training Set

    This information is not applicable (N/A). There is no AI algorithm being developed; therefore, there is no "training set" in the context of machine learning. The device development would have involved iterative design and testing, but not in the sense of an ML training set.

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

    This information is not applicable (N/A) for the same reason as point 8.

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