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510(k) Data Aggregation

    K Number
    K020528
    Date Cleared
    2002-04-16

    (56 days)

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

    K991929

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

    The IntraStent® Mega™ LD (Large Diameter) Stent - Biliary Indication and the IntraStent® Max™ LD (Large Diameter) Stent - Biliary Indication are intended as a palliative treatment of malignant neoplasms in the biliary tree.

    Device Description

    The IntraStent Mega and Max LD Stents are balloon expandable stainless steel stents with an open lattice design. The device is provided unmounted, to be manually crimped onto a noncompliant PTA balloon catheter for biliary stent expansion of choice by the physician. Upon balloon inflation the crimped stent expands to conform to the duct inner luminal surface and retains the expanded state upon balloon deflation.

    AI/ML Overview

    Medical Device: IntraStent Mega LD and IntraStent Max LD Stents

    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance Criteria (Bench Test)Reported Device PerformanceStudy to prove device meets criteria
    Adherence to performance characteristics of predicate device (IntraStent™ Stent, K991929)Met the same performance characteristics as the predicate IntraStent™ Stent (K991929).Bench tests
    Substantial equivalence in materials, indication for use, and technological characteristics to predicate devices (IntraStent™ Stent K991929 and IntraStent DoubleStrut LD K993904)The modified IntraStent® stent is identical in materials, indication for use, and technological characteristics to the predicate devices.Comparison of specifications and characteristics; Performance testing (bench)

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

    The document does not specify any sample sizes for a human-based test set or any clinical data provenance. The study described is entirely based on bench testing of the devices.

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

    Not applicable. This was a bench test study, not a clinical study involving experts establishing ground truth from patient data.

    4. Adjudication Method for the Test Set

    Not applicable. There was no clinical test set requiring adjudication.

    5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

    No, a multi-reader multi-case (MRMC) comparative effectiveness study was not done. The submission focuses on device modifications and bench testing for substantial equivalence, not clinical effectiveness studies comparing human readers with and without AI assistance.

    6. Standalone (Algorithm Only) Performance Study

    Not applicable. This device is a physical medical implant (biliary stent), not a software algorithm or AI. The performance reviewed is mechanical/physical, not algorithmic.

    7. Type of Ground Truth Used

    The "ground truth" for this submission was the performance characteristics, materials, indication for use, and technological characteristics of the predicate devices (IntraStent™ Stent, K991929, and IntraStent DoubleStrut LD, K993904). The modified devices were compared against these established characteristics of the legally marketed predicate devices to demonstrate substantial equivalence.

    8. Sample Size for the Training Set

    Not applicable. This submission concerns physical medical devices, not an AI or algorithm that would require a training set.

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

    Not applicable. There was no training set in the context of an AI or algorithm.

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    K Number
    K992816
    Date Cleared
    1999-10-15

    (56 days)

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

    K991929

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

    The IntraStent™ Biliary Stent is indicated as a palliative treatment for malignant neoplasms in the biliary tree.

    Device Description

    The IntraStent™ is a balloon expandable stainless steel stent with an open lattice design. The device is provided unmounted, to be manually crimped onto a noncompliant PTA balloon catheter for biliary stent expansion of choice by the physician. Upon balloon inflation the crimped stent expands to conform to the duct inner luminal surface and retains the expanded state upon balloon deflation.

    AI/ML Overview

    The provided document describes a 510(k) premarket notification for a medical device, specifically the IntraStent™ Biliary Stent. This type of submission aims to demonstrate that a new device is substantially equivalent to a legally marketed predicate device, rather than proving its safety and effectiveness through extensive clinical trials.

    Therefore, the study described is not a typical clinical study with acceptance criteria in the usual sense (e.g., sensitivity, specificity, accuracy against a gold standard). Instead, the "acceptance criteria" here relate to demonstrating that the new device performs equivalently to existing devices through bench testing.

    Here's a breakdown based on the provided text:

    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance CriteriaReported Device Performance
    Meet same performance characteristics as predicate ITI Stent (K980290 & K991929)Bench tests were performed to verify this. (Specific performance characteristics are not detailed in the summary, but implied to be equivalent).
    Non-pyrogenicPyrogenicity testing performed on a lot-to-lot basis supports the claim.
    Identical materials to predicate stentsStated as identical materials (balloon expandable stainless steel stent with open lattice design, 316L stainless steel hypotube).
    Identical indication for use as predicate stentsStated as "as a palliative treatment for malignant neoplasms in the biliary tree," which is the same as the predicate devices.
    Identical technological characteristics to predicate stentsStated as having identical technological characteristics (e.g., laser-cut slots/apertures, cleaning, electro-polishing, packaging, sterilization method for the new device – ethylene oxide vs. CO60 for predicate Palmaz). Exception: new device is a smaller version allowing 4-7mm expanded diameter.

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

    • Test Set Sample Size: Not explicitly stated as a numerical sample size. The testing involves "bench tests" and "pyrogenicity testing on a lot to lot basis." For bench tests of medical devices like stents, this typically means a representative number of units from manufacturing lots are tested.
    • Data Provenance: Not specified. Bench testing is typically performed in a laboratory setting, and pyrogenicity testing would be performed on manufactured product lots. There is no mention of human clinical data or geographical origin.

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

    This type of information is not applicable to this submission. The "ground truth" for substantial equivalence is the performance of the predicate devices. The validation is against engineering and material specifications and the performance of existing, approved devices, not against expert interpretation of data.

    4. Adjudication Method for the Test Set

    This is not applicable. There is no "test set" in the sense of clinical cases requiring adjudication by experts.

    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. This submission is for a physical medical device (biliary stent), not an AI-powered diagnostic or interpretive tool. Therefore, MRMC studies and AI assistance are irrelevant.

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

    This is not applicable. This is a physical medical device, not an algorithm.

    7. The Type of Ground Truth Used

    • The "ground truth" for this submission is the established performance and characteristics of the legally marketed predicate devices (IntraTherapeutics, Inc. ITI Stent (K980290 & K991929) and Cordis Corporation PALMAZ™, PALMAZ-SCHATZ™, and PERFILEX™ Balloon-Expandable Biliary Stent (K905720, K911581, K964688, K980653)). The new device's performance is compared to these benchmarks through bench testing.

    8. The Sample Size for the Training Set

    This is not applicable. There is no "training set" as this is not a machine learning or AI-driven device.

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

    This is not applicable.

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