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510(k) Data Aggregation

    K Number
    K201861
    Device Name
    Bio Fluff System
    Manufacturer
    Date Cleared
    2022-03-02

    (604 days)

    Product Code
    Regulation Number
    876.5220
    Reference & Predicate Devices
    Why did this record match?
    510k Summary Text (Full-text Search) :

    Lumezzane, 25065 ITALY

    Re: K201861

    Trade/Device Name: Bio Fluff System Regulation Number: 21 CFR 876.5220
    |

    Date Summary Prepared:

    October 11, 2021

    Colonic Irrigation System

    21 CFR§ 876.5220
    |
    | Classification | 21 CFR§ 876.5220
    | 21 CFR§ 876.5220

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

    The Bio Fluff System is intended for colon cleansing to remove fecal residues when medically indicated, such as before radiological or endoscopic examination.

    Device Description

    The Bio Fluff System is intended to instill water through a disposable speculum into the colon. Intestinal Cleansing is carried out by inserting water in the patient's rectum at controlled temperature and pressure through the disposable specula. This action allows the cleaning of the lower tract of the colon. The Bio Fluff System comprises:

    • different models of the Bio Fluff device:
    • HT model, for professional use,
    • HTP model, portable version of HT model,
    • associated components:
    • disposable HT specula for both Bio Fluff model HT and Bio Fluff model HTP.
    AI/ML Overview

    The provided document is a 510(k) summary for the Bio Fluff System, a colonic irrigation system. Unlike submissions for AI/ML-based medical devices, which typically describe acceptance criteria based on metrics like sensitivity, specificity, or accuracy derived from clinical performance studies, this document focuses on demonstrating substantial equivalence to a predicate device through non-clinical bench testing and biocompatibility.

    Therefore, this document does not contain the specific information requested regarding acceptance criteria related to AI/ML device performance, such as:

    • A table of acceptance criteria and reported device performance based on AI/ML metrics.
    • Sample sizes used for test sets in the context of AI/ML performance evaluation.
    • Number of experts and their qualifications for ground truth establishment for AI/ML data.
    • Adjudication methods for AI/ML test sets.
    • Multi-reader multi-case (MRMC) comparative effectiveness studies for AI assistance.
    • Standalone (algorithm-only) performance evaluations relevant to AI/ML.
    • Specific types of ground truth (e.g., pathology, outcomes data) for AI/ML algorithm training or testing.
    • Sample sizes for training sets of AI/ML algorithms.
    • Methods for establishing ground truth for training sets of AI/ML algorithms.

    Instead, the document focuses on:

    • Biocompatibility Testing:
      • Acceptance Criteria (Implied): Compliance with ISO 10993-5 (Cytotoxicity), ISO 10993-10 (Sensitization), and ISO 10993-10 (Irritation).
      • Reported Performance: "The devices do not arise any issues of biocompatibility for their intended use." This indicates the tests were passed.
    • Bench Tests:
      • Acceptance Criteria (Implied): Correct operation for Pressure Safety, Flow Control, Temperature Safety, and Leak Resistance.
      • Reported Performance: "Functional testing showed correct operation of the Bio Fluff System as per its intended use." This indicates the tests were passed.

    The core of the submission is a comparison to a predicate device (Aqua Cleanse, K150381) to establish substantial equivalence based on:

    • Indications for Use: Substantially equivalent.
    • Classification, Product Code, Intended User, Insertion Point, Antibacterial Filters, Flow Regulator, Temperature Gauge, Timer, Outgoing Waste Material Observation, Circuit Cleaning System, Biocompatibility: All deemed substantially equivalent or same.
    • Temperature Safety, Flow Control, Pressure Control: Deemed substantially equivalent despite minor technical differences.
    • Electrical Components and Performance Test (Electrical Safety): Not present in the subject device, which the submission argues does not affect safety or effectiveness, thus still leading to substantial equivalence.

    In summary, this document describes the acceptance criteria and study findings for a traditional medical device (colonic irrigation system) based on non-clinical testing and comparison to a predicate device, not an AI/ML-based medical device. Therefore, it cannot provide the detailed information requested about AI/ML device validation.

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    K Number
    K180800
    Manufacturer
    Date Cleared
    2018-06-01

    (66 days)

    Product Code
    Regulation Number
    876.5220
    Reference & Predicate Devices
    Why did this record match?
    510k Summary Text (Full-text Search) :

    Trade/Device Name: Colonic Plus Regular, Small, and Straight Shape Hydrokits Regulation Number: 21 CFR& 876.5220
    |
    | CLASSIFICATION NAME: | COLONIC IRRIGATION SYSTEM (21 CFR 876.5220

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

    The use of this device is restricted to colon cleansing when medically indicated, such as before radiological or endoscopic examination.

    Device Description

    The Colonic Plus Regular, Small and Straight shape Hydrokits is a plastic, non-sterile, single use product colonic irrigation system that is used as an accessory with lower bowel Colonic irrigation systems intended to instill water into the colon through a nozzle inserted 2" 3" into the rectum to evacuate the contents of the lower colon.

    AI/ML Overview

    The provided text is a 510(k) premarket notification for a medical device called "Colonic Plus Regular, Small, and Straight Shape Hydrokits." Based on the content, it's a submission for a colonic irrigation system accessory, asserting substantial equivalence to a predicate device.

    Crucially, this document focuses on demonstrating physical and functional equivalence of a medical device (a hydrokit for colonic irrigation) to a legally marketed predicate device, as required for a 510(k) submission to the FDA. It is not a clinical study report for an AI/ML-based medical device addressing a specific disease or condition.

    Therefore, I cannot extract the information required to answer your questions regarding acceptance criteria and study proving device performance for an AI/ML device. The provided text discusses:

    • Device Description: A plastic, non-sterile, single-use product colonic irrigation system accessory.
    • Comparison to Predicate Device: Detailed comparison of design, materials, and intended use to the Transcom Hydrokit (K131852).
    • Non-Clinical Data: Water pressure leakage, tensile & compression tests, and biocompatibility testing (cytotoxicity, irritation, sensitization). These are engineering and material safety tests, not performance metrics related to diagnostic accuracy or clinical outcomes.
    • Clinical Data: Explicitly states, "No clinical studies are submitted to support this premarket notification."

    Since the device in question is a physical medical device and not an AI/ML algorithm, and no clinical studies were submitted, the requested information (performance metrics, test set details, expert involvement, MRMC studies, standalone algorithm performance, training set details) related to AI/ML device validation does not apply to this document.

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    Why did this record match?
    510k Summary Text (Full-text Search) :

    Large with Stop Collar 6 / Colonplus Colonkit Large with Stop Collar 10 Regulation Number: 21 CFR§ 876.5220
    |
    | Classification Name: | System, Irrigation, Colonic (per 21 CFR 876.5220

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

    The device is intended for colon cleansing when medically indicated, such as before radiological or endoscopic examinations.

    Device Description

    The disposable rectal speculum is a non-metal (Polypropylene) device used to introduce water into the colon and dispose waste from the colon during a colonic irrigation procedure.

    AI/ML Overview

    I apologize, but the provided text does not contain the information required to answer your request regarding the acceptance criteria and the study that proves the device meets those criteria.

    The document is a 510(k) premarket notification for a colonic irrigation system. It details the device's indications for use, technological characteristics, and claims substantial equivalence to predicate devices. However, it does not describe any specific performance acceptance criteria or a study that directly tests and proves the device meets such criteria.

    Instead, the document focuses on:

    • Substantial Equivalence: The primary argument for market clearance is that the device is substantially equivalent to legally marketed predicate devices in terms of intended use, indications for use, design, and materials.
    • Biocompatibility Testing: It mentions that the finished colonkit was tested for biocompatibility, indicating one type of non-clinical testing performed.

    Therefore, I cannot populate the requested table or provide details on the study's methodology, sample size, expert involvement, or ground truth establishment because this information is not present in the provided text.

    To answer your question, information about specific performance metrics (e.g., flow rate, safety pressure limits, material strength, etc.), the criteria set for these metrics, and the results of tests designed to meet these criteria would be needed. This depth of information is typically found in design verification and validation reports, which are part of the larger 510(k) submission but are not fully detailed in this summary letter.

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    K Number
    K150381
    Device Name
    AQUA CLEANSE
    Date Cleared
    2015-09-11

    (205 days)

    Product Code
    Regulation Number
    876.5220
    Reference & Predicate Devices
    Why did this record match?
    510k Summary Text (Full-text Search) :

    B-132 Surprise, AZ 85378

    Re: K150381

    Trade/Device Name: Aqua Cleanse Regulation Number: 21 CFR§ 876.5220
    SPECULUM KITS |
    | CLASSIFICATION NAME: | COLONIC IRRIGATION SYSTEM (21 CFR 876.5220

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

    THIS DEVICE IS INTENDED FOR COLON CLEANSING WHEN MEDICALLY INDICATED. SUCH AS BEFORE RADIOLOGICAL OR ENDOSCOPIC EXAMINATION.

    Device Description

    The proposed device "Aqua Cleanse" is for colon cleansing when medically indicated such as before radiological or endoscopic examination. It introduces water at a comfortable temperature into the large intestine. It fills and empties water into and out of the colon thus cleansing it of its contents. The device is equipped with a pressure regulated safety system; a self-contained cleaning system, and flow regulator. lt is used with the accessory, disposable rectal speculum kits.

    The associated disposable kit is intended to introduce water into the colon through a speculum inserted into the rectum to assist with the evacuation of the contents of the lower colon. This is a single-use only kit.

    AI/ML Overview

    The provided document is a 510(k) premarket notification for the "Aqua Cleanse" colonic irrigation system. As such, it does not contain the acceptance criteria or results from a study proving device performance in the manner typically associated with clinical trials of diagnostic or therapeutic devices.

    Instead, this document focuses on demonstrating substantial equivalence to a predicate device (HC-1 Classic, K131852) through non-clinical testing and comparison of technological characteristics.

    Therefore, many of the requested sections about clinical study design (sample size, ground truth, expert adjudication, MRMC studies) are not applicable to this submission.

    Here's a breakdown based on the information available:


    1. Table of Acceptance Criteria and Reported Device Performance

    Performance CharacteristicAcceptance Criteria (Implied)Reported Device Performance (Bench Test Results)
    Pressure SafetyMaintain pressure within safe limits for a colonic irrigation system."Proved safety": Accurate pressure range.
    Temperature SafetyMaintain temperature within a safe and comfortable range for colon cleansing."Proved safety": Accurate temperature range.
    Electrical SafetyCompliance with relevant electrical safety standards."Correct operation": Compliant.
    Leak ResistanceNo leaks during operation."Correct operation": Leak resistant.
    FunctionalityIntroduction, filling, and emptying of water into and out of the colon for cleansing."Correct operation": Per intended use.
    Colon Hydrotherapy TreatmentPerform treatment in accordance with device performance specifications."Correct operation": Per specifications.

    Note: The document states that "Bench test results proved safety and effectiveness when testing for accurate pressure and temperature range." The specific numerical acceptance criteria (e.g., pressure range, temperature range) are not explicitly detailed in the summary provided.


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

    • Sample Size: Not applicable. The document refers to "bench testing," which typically involves testing a limited number of manufactured units or prototypes to verify engineering specifications, not a clinical "test set" of patients.
    • Data Provenance: Not applicable. The data comes from the manufacturer's internal bench testing. No country of origin for clinical data is relevant as no clinical data was used.
    • Retrospective/Prospective: Not applicable, as no clinical study was performed.

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

    • Not applicable. Ground truth as typically understood for clinical studies (e.g., disease diagnosis) was not established for this non-clinical bench testing. The "ground truth" here would be adherence to engineering specifications and safety standards.

    4. Adjudication Method for the Test Set

    • Not applicable, as no clinical test set requiring expert adjudication was used.

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

    • No, an MRMC comparative effectiveness study was not done. The document explicitly states: "No animal or clinical testing was performed on the proposed device."
    • Effect Size: Not applicable, as no such study was conducted.

    6. Standalone (Algorithm Only) Performance Study

    • Not applicable. This device is a physical medical device (colonic irrigation system), not an AI algorithm. Its performance is evaluated through bench testing of its mechanical and electrical functions, not algorithmic accuracy.

    7. Type of Ground Truth Used

    • For the bench testing, the "ground truth" was adherence to established engineering and safety specifications, and proper mechanical/electrical function.
    • For the accessory kits, material biocompatibility was assessed against ANSI/AAMI/ISO 10993-5 standards by Nelson Laboratories ("certified to ANSI/AAMI/ISO 10993-5").

    8. Sample Size for the Training Set

    • Not applicable. There is no "training set" in the context of a physical device like this. The device is not based on a machine learning algorithm that requires training data.

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

    • Not applicable, as there is no training set for this device.
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    K Number
    K131852
    Date Cleared
    2014-04-17

    (300 days)

    Product Code
    Regulation Number
    876.5220
    Reference & Predicate Devices
    Why did this record match?
    510k Summary Text (Full-text Search) :

    |
    | CLASSIFICATION NAME: | COLONIC IRRIGATION SYSTEM (21 CFR 876.5220
    : TRANSCOM COLON HYDROTHERAPY MODELS HC-1 and HC-1 Classic And HYDROKITS Regulation Number: 21 CFR§ 876.5220

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

    The use of this device is restricted to colon cleansing when medically indicated, such as before radiological or endoscopic examination.

    Device Description

    The HC-1 and HC-1 Classic proposed device is a device for colon cleaning. It introduces water at a comfortable temperature into the large intestine. It automatically fills and empties water into and out of the colon thus cleansing it of its contents when medically indicated such as before radiological or endoscopic examination. It is hygienic, painless and odorless. The device is equipped with an automatic pressure safety system; integrated disinfectant container, flow regulator and a 3-way manifold. It is supplied with disposable probe/hose assemblies for single-use during colonic hydrotherapy.

    The HYDROKIT is a colonic irrigation system intended to instill water into the colon through a nozzle inserted into the rectum to evacuate the contents of the lower colon.

    AI/ML Overview

    Here's an analysis of the provided documentation regarding the acceptance criteria and study for the TRANSCOM COLON HYDROTHERAPY MODELS HC-1 and HC-1 Classic, and HYDROKITS:

    This device did not undergo a study to prove it met specific quantitative acceptance criteria related to its clinical efficacy or performance in a traditional sense. Instead, the FDA clearance via a 510(k) pathway was based on demonstrating substantial equivalence to a predicate device. This means the manufacturer argued the new device is as safe and effective as a legally marketed device (the predicate).

    Therefore, many of the typical study-related questions (sample size, ground truth, MRMC, etc.) are not applicable in this context.

    Here's the information based on your request:


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

    Since this was a substantial equivalence submission, there aren't explicit quantitative "acceptance criteria" for clinical performance in the document beyond meeting the functional specifications of a colon irrigation system comparable to the predicate. The "performance" is implicitly deemed equivalent to the predicate device.

    Acceptance Criteria (Implicit for Substantial Equivalence)Reported Device Performance (Summary of Comparison)
    HC-1 and HC-1 Classic:
    Equivalent intended useYes, intended use is "colon cleansing when medically indicated, such as before radiological or endoscopic examination" - same as predicate.
    Equivalent indications for useYes.
    Equivalent functionalityYes, based on technological characteristics listed below.
    Equivalent operationYes, based on technological characteristics listed below.
    Key Technological Characteristics:
    Chassis materialHC-1 / HC-1 Classic: Stainless steel casing
    Predicate HC-2000: Steel casing with zinc additive for anti-corrosion
    DimensionsHC-1: 530 x 600 x 1020 mm
    HC-1 Classic: 610 x 230 x 600 mm
    Predicate HC-2000: 970 x 600 x 120 mm
    Installation typeMobile (HC-1) / Fixed (HC-1 Classic)
    Predicate HC-2000: Fixed
    Pre-installation requirementsSimilar (Cold/hot water, pressure regulator, syphon, electrical water heater, waste output tube)
    Filters2 x 5μm filters (same as predicate)
    UV lightYES (same as predicate)
    Water heatingNeeds electric heater (same as predicate)
    Flow meter0 - 100 liter/hour (same as predicate)
    Manometer250 mbar (Predicate: 200 mbar)
    Presostat settingCuts out at 150 mbar (Predicate: 100 mbar)
    Features / Functions (e.g., process display, session time, counters, remote control, sample collection)Proposed device is a simpler version with fewer automated features than the predicate HC-2000. (e.g., NO process display, NO session time counter, NO irrigation liter/time counter, NO front panel/remote control, NO sample collection on proposed device).
    Cleaning system (water/disinfectant)Manual (Proposed) vs. Automatic (Predicate)
    Hydrokits:
    Equivalent intended useYes.
    Equivalent indications for useYes.
    Equivalent functionalityYes.
    Equivalent operationYes.
    (Substantially equivalent to SPO1 and SP02 disposable speculums K000388)Material: SASOL HNR100 polypropylene copolymer (meets FDA 21CFR 177.1520). Biocompatibility and mechanical testing performed.

    2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

    • Test Set Sample Size: Not applicable. No clinical test set data was provided.
    • Data Provenance: Not applicable for clinical testing. Bench testing was performed but details on sample size for components or systems are not specified in this summary.

    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. No establishment of ground truth by experts in a clinical study was performed or documented here.


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

    Not applicable. No clinical test set.


    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. No MRMC study was performed as this is a medical device (colon irrigation system), not an AI diagnostic tool involving human readers.


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

    Not applicable. This is not an algorithm-based device. Functional laboratory bench testing was performed to ensure correct operation of the device.


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

    Not applicable for clinical ground truth. For the device itself, the "ground truth" for demonstrating substantial equivalence rested on:

    • Bench testing: Verifying electrical safety, electromagnetic compatibility, and delivery of colon hydrotherapy according to specifications.
    • Biocompatibility testing: For the Hydrokits (cytotoxicity, sensitization, irritation/intracutaneous toxicity).
    • Mechanical testing: For the Hydrokits (tensile, compression).
    • Comparison to Predicate Device: Architectural and functional similarities to the legally marketed predicates.

    8. The sample size for the training set

    Not applicable. This device does not use an "algorithm" in a machine learning sense, so there is no training set.


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

    Not applicable. See above.


    Summary of the Study:

    The "study" presented here is a pre-market notification (510(k)) for substantial equivalence.

    • For the HC-1 and HC-1 Classic colon hydrotherapy units: The study primarily involved a comparison of technological characteristics and features to a previously cleared predicate device (TRANSCOM COLON HYDROTHERAPY MODEL HC-2000, K970482). Bench testing confirmed basic functional aspects like electrical safety, EMC, and operational specifications. No animal or clinical testing was performed. The conclusion was that the new devices' intended use, indications for use, functionality, and operation are essentially the same as the predicate, making them substantially equivalent.
    • For the HYDROKITS (disposable speculums and associated components): The study involved a comparison to a predicate device (SPO1 and SP02 disposable speculums, K000388). Bench testing included biocompatibility tests (cytotoxicity, sensitization, irritation or intracutaneous toxicity) and mechanical tests (tensile, compression) of the material (SASOL HNR100 polypropylene copolymer). No clinical data was submitted. The conclusion was substantial equivalence to the predicate disposable speculums.
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    K Number
    K094022
    Device Name
    THE WATER LILY
    Date Cleared
    2010-06-11

    (163 days)

    Product Code
    Regulation Number
    876.5220
    Reference & Predicate Devices
    Why did this record match?
    510k Summary Text (Full-text Search) :

    PREDICATE DEVICE

    1. m, n ∈ {1, 2}

    Water LilyTM Colon Hydrotherapy System Colonic Irrigation System 876.5220
    MD 21114

    JUN 1 1 2010

    · Re: K094022

    Trade/Device Name: Water Lily™ Regulation Number: 21 CFR §876.5220

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

    The Water Lily The is indicated for colon cleansing when medically indicated, such as before radiological or endoscopic examination.

    Device Description

    The Water Lily 10 is a professional colon hydrotherapy system for use when medically indicated. It introduces filtered water at a comfortable temperature into the large intestine, thus cleansing the colon of its contents. Water temperature is controlled by means of a mixing valve; flow is controlled by one switch operated by the user. The system is manually sanitized prior to each use with a suitable broad spectrum disinfectant (not included). The system includes disposable tubing and a sterile, disposable rectal nozzle intended for single use only (ConMed Corporation K050992).

    AI/ML Overview

    The provided document describes the K094022 510(k) submission for the Water Lily™ Colon Hydrotherapy System. This device is a colonic irrigation system and its acceptance criteria and the study proving it meets them are detailed primarily through a comparison to a predicate device, the Angel of Water™ Colon Hydrotherapy System (K003720), and non-clinical testing.

    1. Table of Acceptance Criteria and Reported Device Performance

    This device is cleared based on demonstrating substantial equivalence to a predicate device. The acceptance criteria are implicitly met by showing similar technical characteristics and performance to the predicate. The "reported device performance" below refers to the results of non-clinical testing for specific safety parameters.

    Acceptance Criteria (Inferred from Predicate Equivalence and Safety Tests)Reported Device Performance (Water Lily™)
    Intended UseColon cleansing when medically indicated, such as before radiological or endoscopic examination.
    Target PopulationSame as predicate
    DesignSame principles of operation as predicate
    PerformanceSimilar to predicate
    Materials UsedSimilar to predicate (e.g., single-use sterile disposable nozzle, ConMed K050992)
    Where UsedSimilar to predicate
    Patient ControlYes
    Temperature Range99°-103° F
    Temperature cannot rise above 103° F (safety mechanism)Yes. When water temperature reaches 104°F, an audible alarm sounds, and a solenoid valve closes water flow to the client. The therapist then cools the system to 104°F and resets the unit.
    Water flow controlled by mixing valveYes
    Filtration: UltravioletYes
    Filtration: Carbon FiltrationYes
    Pressure inside patient's colon will not exceed 2 psi (safety mechanism)Formula for PSI: 2.5 Ft drop = 1.075 psi. Confirmed by 0-3 psi gage.
    Electrical Safety - UV filtration systemApproved by UL and CSA
    Electrical Safety - Controller-thermocouple and solenoid valveApproved by UL and CSA

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

    The document does not detail a "test set" in the traditional sense involving human subjects or clinical data for evaluating the device's performance against the acceptance criteria. Instead, the evaluation is based on:

    • Non-clinical bench testing: This was used to verify specific safety parameters (pressure, temperature shutdown, electrical safety). There is no "sample size" indicated for these tests, as they are typically performed on a limited number of manufactured units to confirm design specifications.
    • Comparison to a predicate device: The Water Lily™ was compared to the Angel of Water™ (K003720) based on shared technical characteristics. This is a design and functional comparison, not a data-driven clinical comparison.
    • Data provenance: Not applicable in the context of clinical trials as no clinical trials were performed. The testing described is bench testing.

    Therefore, there is no explicit sample size for a "test set" or data provenance information (country of origin, retrospective/prospective) because the submission focuses on substantial equivalence through design and non-clinical engineering verification rather than clinical studies.

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

    Not applicable. This device's clearance is based on substantial equivalence to a predicate device and non-clinical bench testing. There was no "ground truth" derived from expert consensus for a test set as would be found in a clinical study for diagnostic accuracy or efficacy.

    4. Adjudication method for the test set

    Not applicable. As no clinical "test set" was described requiring expert assessment or ground truth establishment, no adjudication method was used.

    5. If a multi reader multi case (MRMC) comparative effectiveness study was done

    No. The document does not mention any clinical studies, including MRMC comparative effectiveness studies, demonstrating how human readers (or users in this context) improve with or without AI assistance. This device is a physical medical device, not an AI-driven diagnostic or assistive tool.

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

    No. This device is a colon hydrotherapy system and does not involve any algorithms or AI, thus rendering "standalone performance" (in the context of AI) irrelevant.

    7. The type of ground truth used

    Not applicable in the sense of clinical "ground truth." For the non-clinical tests, the "ground truth" equates to engineering specifications and safety standards (e.g., pressure not exceeding 2 psi, temperature shutdown at 104°F, UL/CSA electrical safety approvals). The primary ground for clearance is substantial equivalence to the legally marketed predicate device.

    8. The sample size for the training set

    Not applicable. This device does not involve machine learning or AI, so there is no concept of a "training set."

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

    Not applicable, as no training set was used.

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    K Number
    K092829
    Device Name
    INSERTEASE
    Date Cleared
    2009-12-02

    (78 days)

    Product Code
    Regulation Number
    876.4730
    Reference & Predicate Devices
    Why did this record match?
    510k Summary Text (Full-text Search) :

    This device does not include the colonic irrigation system (876.5220)."

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

    InsertEase™ is to be used as a device for the insertion of prescription and over the counter suppositories into the rectum

    Device Description

    The rectal suppository applicator, to be called, InsertEase™, is a plastic, non sterile, single use device for the insertion of prescription and over the counter suppositories into the rectum. The design of InsertEase™ is substantially equivalent to a vaginal applicator used for inserting vaginal suppositories, creams and tampons. One piece, the plunger, will be movably coupled within a second piece, the barrel. The barrel has an open end to receive and hold a suppository, which is then inserted into the anus. The plunger is then pushed into the barrel and places the suppository within the rectum. InsertEase™ functions in the same way and manner that vaginal applicators insert vaginal suppositories and tampons.

    AI/ML Overview

    The provided text describes a 510(k) submission for a rectal suppository applicator called "InsertEase™". The core of the submission revolves around demonstrating substantial equivalence to already legally marketed predicate devices, primarily vaginal applicators.

    Here's an analysis of the acceptance criteria and the study as described in the document, keeping in mind that the primary "study" is a comparison to predicate devices rather than a traditional clinical trial:

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

    Since this is a 510(k) submission based on substantial equivalence, the "acceptance criteria" are not quantitative performance metrics like sensitivity or specificity. Instead, the acceptance criteria are met if the device demonstrates equivalent:

    Acceptance Criteria CategoryPredicate Device (Vaginal Applicator)InsertEase™ (Rectal Suppository Applicator)Outcome / Performance
    Intended UseInsertion of medication into the vagina.Insertion of suppositories into the rectum.Equivalent Function: The document argues that the only difference is the anatomical orifice, and the function of inserting a suppository is the same.
    DesignTwo-piece, plunger within a barrel, open end to hold suppository.Two-piece, plunger within a barrel, open end to hold suppository.Equivalent Design: Described as "substantially equivalent" design.
    MaterialsPlastic (medical grade)Plastic (medical grade)Equivalent Materials: Both are plastic applicators to be extruded using medical grade plastic.
    SterilityNon-sterile (implied for common applicators)Non-sterileEquivalent Status: Both are non-sterile.
    Single UseSingle use (implied for common applicators)Single useEquivalent Status: Both are single use.
    Function/MovementInserts vaginal suppositories/tampons by pushing plunger.Inserts rectal suppositories by pushing plunger.Equivalent Function: "functions in the same way and manner".
    Manufacturing FacilityFDA approved manufacturing facilityFDA approved manufacturing facilityEquivalent Compliance: Will be manufactured in an FDA approved facility.
    Safety and EffectivenessDemonstrated by predicate devices.Not questioned when used as labeled, based on predicate equivalence.Equivalent Assumed: Safety and effectiveness are not in question due to the similarity in function to established predicate devices.
    ClassificationClass I (Rectal Applicator, Vaginal Applicator)Class IEquivalent Classification: Both are Class I devices.

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

    • Sample Size for Test Set: Not applicable in the context of a 510(k) based on substantial equivalence to a physical device. There wasn't a "test set" of performance data generated, but rather a comparison of technical characteristics and intended use.
    • Data Provenance: The "data" primarily comes from the established regulatory classifications and descriptions of existing predicate devices marketed in the United States (implied by FDA regulation). This is retrospective in the sense that it relies on the known characteristics and regulatory history of pre-existing devices.

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

    Not applicable. Ground truth, in the sense of expert review of performance, was not established for InsertEase™ using a test set. The "ground truth" for the substantial equivalence claim relies on the established regulatory framework and common understanding of how such applicators function, and their safety/effectiveness as previously determined by the FDA for similar devices.

    4. Adjudication method for the test set

    Not applicable, as there was no test set or expert adjudication process described for performance evaluation.

    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 is a medical device for physical application, not an AI-powered diagnostic or assistive technology for human readers. Therefore, no MRMC study was conducted or relevant to this submission.

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

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

    7. The type of ground truth used

    The "ground truth" for this submission is based on:

    • Predicate Device Characteristics: The established design, materials, intended use, and functional principles of legally marketed vaginal applicators (Product Code: 884.4520(7)) and other relevant devices like Enema Kits (876.5210) and Rectal Dilators (876.5450), and the precedent set by the FDA regarding the Rectal Speculum vs. Vaginal Speculum.
    • Regulatory Precedent: The FDA's prior determination of substantial equivalence for devices with similar function but different anatomical sites (e.g., vaginal vs. rectal speculums).

    8. The sample size for the training set

    Not applicable. This is a physical medical device, not a machine learning model, 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 for this type of device submission.

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    K Number
    K071057
    Date Cleared
    2007-10-05

    (172 days)

    Product Code
    Regulation Number
    876.5220
    Reference & Predicate Devices
    Why did this record match?
    510k Summary Text (Full-text Search) :

    78230-5352

    LIBBE Rectal Tube Dated: June 6, 1996 Received: June 12, 1996 Regulatory class: II 21 CFR §876.5220
    77384

    0CT 5 2007

    Re: K071057

    Trade/Device Name: LIBBE Colonic Nozzle Regulation Number: 21 CFR §876.5220

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

    The Libbe Colonic Nozzle is to be used as the Device/Nozzle inserted into the rectum when used with the LIBBE Lower Bowel Evacuation System. The Device/Nozzle is intended for colon cleansing when medically indicated, such as before radiological or endoscopic examination.

    Device Description

    The LIBBE Colonic Nozzle device is a plastic, non-sterile, single use product for use as an accessory with lower bowel evacuation systems or enema kits. The Device/Nozzle is intended to be inserted two to three inches into the rectum for instilling water into the colon region. The LIBBE Colonic Nozzle is designed as a one-piece, injection molded, medical grade plastic accessory. The nozzle has an open tip with a slight bulb shape that has two small holes in its wall. The proximal end of the nozzle has a barbed fitting for attachment to plastic tubing from the colonic irrigation, or enema, system.

    AI/ML Overview

    This document describes a 510(k) submission for the LIBBE Colonic Nozzle, a device that is substantially equivalent to a previously cleared device. Therefore, a comprehensive study proving the device meets acceptance criteria as would be expected for a novel device is not presented. The information provided focuses on demonstrating substantial equivalence rather than independent performance testing against predefined acceptance criteria.

    Here's an analysis of the provided text in relation to your request:

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

    The document does not explicitly define acceptance criteria in terms of specific performance metrics for the LIBBE Colonic Nozzle. Instead, it argues for substantial equivalence to a predicate device, the Libbe Rectal Tube (K962259).

    The performance "reported" is primarily a comparison of the new device's characteristics to the predicate device, implying that equivalence in these characteristics constitutes meeting the necessary "performance."

    Feature/CharacteristicAcceptance Criteria (Implicit from Predicate)Reported Device Performance (LIBBE Colonic Nozzle)
    Intended UseSame as cleared predicate"similar" but with differences in dimensions, material & the addition of a bulb shape at the tip
    Material/CompositionSafe and appropriate for intended use (implicit from predicate)Semi-rigid plastic (predicate was rigid plastic) ; Biocompatibility tested per ISO 10993
    Shape/DesignEffective for colon cleansing (implicit from predicate)Open tip with slight bulb shape and two small holes; Barbed fitting for tubing attachment (Predicate had smooth, open tip with two small holes; continuous straight tube with smooth wall for connection)
    SterilityNon-sterile (explicit for new device, implicit for predicate)Non-sterile
    Single UseSingle use (explicit for new device, implicit for predicate)Single use
    BiocompatibilityBiocompatible for patient contactMeets biocompatibility requirements as specified in FDA Guidance G95-1, and tested in accordance with ISO 10993.

    2. Sample size used for the test set and the data provenance (e.g., country of origin of the data, retrospective or prospective)

    No separate test set with a defined sample size for performance evaluation is mentioned. The submission relies on a comparison to a predicate device and biocompatibility testing. The data provenance for the biocompatibility testing (ISO 10993) is not specified in terms of country of origin or whether it was retrospective/prospective outside of the standard testing protocol.

    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)

    No experts were used to establish ground truth for a test set in the context of device performance, as no such test set is described. The “ground truth” related to safety and effectiveness is largely based on the predicate device's prior clearance and the existing regulatory framework for colonic irrigation systems.

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

    Not applicable. There was no test set requiring expert adjudication for performance evaluation.

    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 device is a physical medical device (a nozzle), not an AI-powered diagnostic or assistive technology. Therefore, an MRMC study related to human reader performance or AI assistance is irrelevant.

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

    Not applicable. This device is not an algorithm.

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

    The document relies on the "ground truth" established by the prior clearance of the predicate device (Libbe Rectal Tube K962259) and generally accepted standards for medical device safety and performance, specifically:

    • Substantial Equivalence: The primary ground truth is that the predicate device is safe and effective when used as intended.
    • Biocompatibility Standards: The device meets ISO 10993, which serves as a recognized standard for evaluating biological effects of medical devices.

    8. The sample size for the training set

    Not applicable. This is not an AI/machine learning device that requires a training set.

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

    Not applicable. There is no training set for this type of device.

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    K Number
    K051344
    Date Cleared
    2005-08-18

    (87 days)

    Product Code
    Regulation Number
    876.5220
    Reference & Predicate Devices
    Why did this record match?
    510k Summary Text (Full-text Search) :

    Sausalito IRVINE CA 92606

    Re: K051344

    Trade/Device Name: Colonic Nozzle Regulation Number: 21 CFR §876.5220

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

    The Colonic Nozzle is to be used as an attachment to gravity fed colonic systems for cleansing when medically indicated such as before radiological or endoscopic examination.

    Device Description

    This Colonic nozzle is made of medical grade tubing, has an opening on one end. The other end is sealed with a small hole in the middle and has two holes on the sides at the same end.

    AI/ML Overview

    This document is a 510(k) premarket notification for a medical device called a "Colonic Nozzle." The information provided in the document focuses on establishing substantial equivalence to a predicate device, rather than presenting a performance study with acceptance criteria.

    Therefore, I cannot provide the requested information about acceptance criteria or a study proving the device meets them, because this type of information is not typically included in a 510(k) summary for a Class II device seeking substantial equivalence. A 510(k) typically demonstrates that the new device is as safe and effective as a legally marketed predicate device, rather than establishing de novo performance criteria.

    The document states: "Technological characteristics of our device compared to the predicate device, Ultimate Professional Continuous Flow colonic System, K033149, are exactly the same except for material used and the addition of a hole at one end. The new material is still medical grade and therefore equivalent. The hole at the end is equivalent to the design of the Jimmy John nozzle, K973256." This explicitly indicates that the basis for approval is equivalence to existing devices, not a new performance study against defined acceptance criteria.

    If this were a de novo submission or a device with new indications requiring clinical validation against performance criteria, the information you requested would be relevant. However, for a 510(k) claiming substantial equivalence for this type of device, the primary "proof" is the comparison to the predicate device.

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    K Number
    K050992
    Manufacturer
    Date Cleared
    2005-07-14

    (86 days)

    Product Code
    Regulation Number
    876.5220
    Reference & Predicate Devices
    Why did this record match?
    510k Summary Text (Full-text Search) :

    UTICA NY 13502

    Re: K050992 Trade/Device Name: ConMed Irrigation Nozzle Regulation Number: 21 CFR §876.5220

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

    The ConMed Irrigation Nozzle is intended for colon cleansing when medically indicated, such as before radiological or endoscopic examinations.

    Device Description

    The device is sterile, for single-use and is intended for use as an accessory with The device is stome, for clingie nomercial distribution and acts as a nozzle when inserted into a patient's recturn to direct water into and cleanse the lower colon when medically indicated, such as before radiological or endoscopic examination. The nozzle is designed as a one-piece, injection molded plastic handpiece having a slight curvature at the end intended for insertion into the rectum. At the opposite end the device has a barbed fitting for attachment to the tubing from the colonic irrigation system. Several tip configurations are made available to provide options for the clinician.

    AI/ML Overview

    The provided text is a 510(k) Premarket Notification for a non-AI medical device (ConMed Irrigation Nozzle). As such, it does not contain information typically found in submissions for AI/ML-powered medical devices regarding acceptance criteria, performance studies, sample sizes, ground truth establishment, or expert involvement as requested in your prompt.

    Therefore, I cannot extract the requested information.

    The document discusses the device's substantial equivalence to predicate devices (Jimmy John III Rectal Nozzle and GC Irrigator) for its intended use in colon cleansing. It mentions that all devices are for similar use, made of similar materials, and have a similar design. This is a common approach for non-AI devices to demonstrate safety and effectiveness without needing extensive clinical trials in the same way an AI-powered device would.

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