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510(k) Data Aggregation

    K Number
    K022212
    Date Cleared
    2003-03-21

    (256 days)

    Product Code
    Regulation Number
    868.5800
    Why did this record match?
    Reference Devices :

    K983830, R027050, K852444, K963320, K932946, K962175, K032047

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

    To create a percutaneous dilational tracheostomy using guidewire, dilators, and components of this product which allows for tracheal access for airway management.

    Device Description

    The new kit is designed to permit percutaneous creation of a tracheostomy stoma for subsequent insertion of a size 7, 8 or 9mm tracheostomy tube. The kit contains all of the standard components to which the users are accustomed from use of the Rusch predicate device: scalpel, gauze swabs, needle and cannula, syringe, guidewire, guiding catheter, short pre-dilator and set of serial dilators which are also used for introduction of the tracheostomy tube.

    AI/ML Overview

    The provided text is a 510(k) summary for a medical device (Percutaneous Dilation Tracheostomy Kit) seeking market clearance. In 510(k) submissions, the primary "acceptance criterion" is often substantial equivalence to a predicate device, rather than specific performance metrics demonstrated through controlled studies with explicit acceptance criteria.

    The 510(k) process focuses on demonstrating that a new device is as safe and effective as a legally marketed predicate device. This is typically achieved by comparing technical characteristics and indications for use, and sometimes through performance testing if the device introduces new technology or significantly different characteristics.

    Based on the provided text, here's an analysis structured around your request:

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

    The submission does not explicitly list quantitative "acceptance criteria" in the way one might expect for an AI/algorithm-based device (e.g., AUC > X, sensitivity > Y). Instead, the core acceptance criterion is substantial equivalence to predicate devices. The "reported device performance" is essentially the claim of having similar technical characteristics and safety/effectiveness as the predicates.

    Acceptance Criteria (Implicit)Reported Device Performance
    Substantial Equivalence: The device is as safe and effective as legally marketed predicate devices. (Primary acceptance criterion for 510(k))"The testing performed and comparison to predicate devices demonstrate that the proposed device is safe and effective and substantially equivalent to the predicate devices." (Conclusion statement)
    Technical Characteristics Equivalence: Maintain similar technical characteristics to predicate."Percutaneous Dilation Tracheostomy Kit with Serial Dilators/Introducers for 7, 8 and 9mm tubes only, without Tracheostomy Tube (REF 100/566/000) has the same technical characteristics as the currently marketed Rusch "PercuQuick Set" Percutaneous Tracheostomy Kit." K011210." Additionally, specific components are equated to other predicates.
    Indications for Use Equivalence: Same intended purpose as predicate devices."To create a percutaneous dilational tracheostomy using guidewire, dilators, and components of this product which allows for tracheal access for airway management." (Identical to predicate's stated use, though not explicitly stated as 'identical' in the text, it's implied by the substantial equivalence claim).

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

    The document does not describe a clinical "test set" in the context of an algorithm or diagnostic device. For this type of physical medical device, "testing" likely refers to bench testing, biocompatibility testing, material testing, and potentially limited cadaver or animal testing (though not explicitly detailed here). There is no mention of a "test set" in terms of patient data.

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

    This information is not applicable to the provided 510(k) summary. The submission focuses on product design, materials, and comparison to predicates, not on establishing ground truth for a diagnostic algorithm.

    4. Adjudication method for the test set

    Not applicable, as no test set in the diagnostic sense is described.

    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

    This is not applicable. The device is a physical tracheostomy kit, not an AI or imaging-related device that would be subject to such a study design.

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

    Not applicable, as the device is a physical kit, not an algorithm.

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

    Not applicable. For this device, the "ground truth" to be demonstrated is largely based on the established safety and performance of its predicate devices and the physical characteristics/materials meeting design specifications.

    8. The sample size for the training set

    Not applicable, as there is no "training set" for an algorithm described.

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

    Not applicable.

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