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510(k) Data Aggregation

    K Number
    K081984
    Device Name
    LABORPRO SYSTEM
    Manufacturer
    Date Cleared
    2009-03-04

    (236 days)

    Product Code
    Regulation Number
    884.2800
    Reference & Predicate Devices
    Why did this record match?
    510k Summary Text (Full-text Search) :

    System, monitoring, for progress of labor, NPB

    • 5.7 Device Class: Class II
      5.8 Regulation Number: 884.2800
      ISRAEL

    MAR - 4 2009

    Re: K081984

    Trade/Device Name: LaborPro System Regulation Number: 21 CFR §884.2800

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

    The LaborPro System is intended for monitoring the active phase of labor in women with term gestations and a singleton fetus in vertex presentation. The device intermittently assesses fetal head station, position and cervical dilation. Cervical dilation using LaborPro is assessed using position sensors during vaginal examination. The Labor Pro also may be used to measure cervical length, pubic arch angle and interspinous diameter using position sensors during vaginal examination. The LaborPro combines a magnetic tracking system including a transmitter and position sensor with an ultrasound imaging system (not included with the LaborPro). Measurements are displayed numerically and graphically as a function of time to show the progress of labor.

    Device Description

    The LaborPro System is comprised of the following components:

    1. A magnetic based tracking system
    2. A system console which integrates the tracker unit electronics and the system computer,
    3. A touch screen monitor, used for display and operation.
    4. LaborPro software application
    5. Sensor Sleeve and reference sticker (an "off the shelf" tape and bandage adhesive).
    6. An 'off the shelf' ultrasound device; not supplied with the system
    7. An 'off the shelf CardioTocoGram (CTG) monitor (optional); not supplied with the system
      LaborPro System, a minimally invasive device, assesses labor The parameters intermittently by accompanying the physician during his/her routine examinations.
      The LaborPro magnetic position tracking system is designed for tracking the spatial location of the sensor tip. Spatial localization of landmarks may be simply obtained by either touching external landmarks of interest with the sensor tip and/or by marking structures of interest on a ultrasound image extracted from an "off the shelf" calibrated ultrasound probe aligned with a position sensor. The spatial localization of each sensor then may allow for the assessment of certain measurements such as cervical dilatation simply by touching points within the system's working area and yielding the relative distance/angles between the touched points in a caliper-like fashion. In addition, localization of key anatomical points either by touching external landmarks with a sensor tip or marking structures of interest on an ultrasound image enable mapping of the spatial position and orientation of the pelvis and specifically the level of the pelvic inlet plane; which is used as the relative plane for the fetal head station measurement.
    AI/ML Overview

    The provided text describes the "LaborPro System," a device intended for monitoring the active phase of labor. However, it does not include a table of acceptance criteria or specific reported device performance metrics tied to such criteria. The document focuses more on establishing substantial equivalence to predicate devices and detailing the general testing performed.

    Here's a breakdown of the information that can be extracted, and what is missing based on your request:


    Missing Information:

    • A table of acceptance criteria and the reported device performance: This crucial information is not present in the provided text. While it mentions "Performance Testing" and a "clinical study to validate the accuracy," specific numerical acceptance criteria (e.g., minimum accuracy, sensitivity, or specificity thresholds) and the corresponding test results are not detailed.
    • Effect size of how much human readers improve with AI vs without AI assistance (for MRMC comparative effectiveness study): The document does not describe an MRMC comparative effectiveness study involving AI assistance for human readers.
    • Sample size for the training set: This information is not provided.
    • How the ground truth for the training set was established: This information is not explicitly stated.

    Available Information (Categorized as per your request):

    1. A table of acceptance criteria and the reported device performance
    * Not Available. The document states: "A clinical study was conducted to validate the accuracy of the LaborPro System against two independent experienced attending physicians and/or caregivers (gold-standard). The study results establish the accuracy of the LaborPro System in measuring labor parameters." However, specific numerical performance results or acceptance criteria are not given.

    2. Sample sized used for the test set and the data provenance
    * Sample Size: Not specified in the provided text.
    * Data Provenance: The study was a "clinical study," implying prospective data collection during actual labor monitoring. The country of origin is not explicitly stated for the data itself, but the applicant (Trig Medical Ltd.) is located in Israel. The contact person for Keren Shtiegman, Ph.D., is also in Israel.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts
    * Number of Experts: "two independent experienced attending physicians and/or caregivers."
    * Qualifications: "experienced attending physicians and/or caregivers" (more specific details like years of experience or board certification are not provided).

    4. Adjudication method for the test set
    * The document implies a direct comparison to the "gold-standard" established by the two experts, stating the device was validated "against" them. It does not explicitly mention a formal adjudication method like 2+1 or 3+1 for discrepancies between the experts, but rather uses their combined assessment as the ground truth.

    5. If a multi reader multi case (MRMC) comparative effectiveness study was done
    * No. The study described is a clinical validation of the device's accuracy against human experts, not a comparative effectiveness study evaluating human readers with vs. without AI assistance.

    6. If a standalone (i.e. algorithm only without human-in-the loop performance) was done
    * Yes. The "clinical study" described appears to assess the LaborPro System's performance (algorithm only) in measuring labor parameters against the ground truth established by human experts. The device intermittently assesses parameters by "accompanying the physician during his/her routine examinations," suggesting it operates independently to generate measurements that are then compared to expert assessment.

    7. The type of ground truth used
    * Expert Consensus/Opinion: The ground truth was established by "two independent experienced attending physicians and/or caregivers (gold-standard)."

    8. The sample size for the training set
    * Not Available. The document does not mention a training set size.

    9. How the ground truth for the training set was established
    * Not Available. As the training set size or its use is not described, neither is how its ground truth was established.

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    K Number
    K082704
    Manufacturer
    Date Cleared
    2009-01-09

    (115 days)

    Product Code
    Regulation Number
    884.2800
    Reference & Predicate Devices
    Why did this record match?
    510k Summary Text (Full-text Search) :

    St. 44425 Kfar Saba ISRAEL

    Re: K082704

    Trade/Device Name: BirthTrack™ Regulation Number: 21 CFR §884.2800

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

    The BirthTrack System is an ultrasound device intended to be used for monitoring the active phase of labor in women with term pregnancies, vertex presentation, and ruptured membranes. It is intended to be placed when cervical dilation is between 3 cm and 7 cm. The device continuously measures cervical dilation and fetal head station with ultrasound transducers attached to the maternal abdomen and cervix and to the fetal scalp. These measurements are displayed numerically and graphically as a function of time to show the progress of labor.

    Device Description

    Barnev's BirthTrack system uses ultrasound technology to provide measurements of cervix dilatation and fetal head station. The BirthTrack Workflow and measurements cycle have not changed with this version and signals from disposable sensors located on the maternal cervix and fetal head provide objective and continuous cervical dilatation and fetal head station data, reducing the need for frequent vaginal examinations. However signal analysis was enhanced with a new algorithm- a "side inclination" correction algorithm. The system's GUI was also enhanced introducing a graphic illustration of CD and HS as measured by the BirthTrack system

    AI/ML Overview

    The provided text does not contain specific acceptance criteria or a detailed study proving the device meets those criteria. The document is primarily a 510(k) summary for the BirthTrack System, outlining its intended use, previous clearance, description, and substantial equivalence to predicate devices, but lacks the detailed performance study information requested.

    Therefore, many of the requested fields cannot be filled.

    Here's what can be extracted:

    1. Table of Acceptance Criteria and Reported Device Performance

    This information is not provided in the document. The document states "Substantial Equivalence: Based on bench studies and clinical evaluation..." but does not detail the specific performance metrics or acceptance criteria used in those evaluations, nor does it report the device's performance against them.

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

    This information is not provided in the document.

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

    This information is not provided in the document.

    4. Adjudication Method for the Test Set

    This information is not provided in the document.

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

    This information is not provided in the document. There is no mention of human readers or improved performance with AI assistance.

    6. Standalone Performance Study (Algorithm Only)

    The document mentions "bench studies and clinical evaluation" and that "signal analysis was enhanced with a new algorithm- a 'side inclination' correction algorithm." This suggests that the algorithm's performance was evaluated, but the details of a standalone study (e.g., metrics, results) are not provided.

    7. Type of Ground Truth Used

    This information is not provided in the document. The device measures cervical dilation and fetal head station, implying that a ground truth for these measurements would be obtained from clinical assessments (e.g., manual vaginal examinations). However, how this ground truth was collected and used in the reported "bench studies and clinical evaluation" is not detailed.

    8. Sample Size for the Training Set

    This information is not provided in the document.

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

    This information is not provided in the document.

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    K Number
    K080672
    Device Name
    BIRTHTRACK
    Manufacturer
    Date Cleared
    2008-07-08

    (120 days)

    Product Code
    Regulation Number
    884.2800
    Reference & Predicate Devices
    Why did this record match?
    510k Summary Text (Full-text Search) :

    KFAR SABA ISRAEL 44425

    Re: K080672

    Trade Name: BirthTrack™ Regulation Number: 21 CFR 884.2800 Regulation

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

    The BirthTrack System is an ultrasound device intended to be used for monitoring the active phase of labor in women with term pregnancies, vertex presentation, and ruptured membranes. It is intended to be placed when cervical dilation is between 3 cm and 7 cm. The device continuously measures cervical dilation and fetal head station with ultrasound transducers attached to the maternal abdomen and cervix and to the fetal scalp. These measurements are displayed numerically and graphically as a function of time to show the progress of labor.

    Device Description

    Barnev's BirthTrack system uses ultrasound technology to provide measurements of cervix dilatation and fetal head station. Signals from disposable sensors located on the maternal cervix and fetal head provide objective and continuous cervical dilatation and fetal head station data, reducing the need for frequent vaginal examinations.

    AI/ML Overview

    I am sorry, but the provided text does not contain information about acceptance criteria or a study proving the device meets those criteria. The document is a 510(k) summary for the BirthTrack System, primarily focused on its substantial equivalence to predicate devices and regulatory compliance.

    It outlines the device description, intended use, and compliance with performance standards and recognized standards. However, it does not present a table of acceptance criteria, reported device performance against those criteria, details of a specific study, sample sizes, data provenance, ground truth establishment, or any information regarding multi-reader multi-case studies or standalone algorithm performance.

    The document mainly focuses on regulatory approval and substantial equivalence with existing devices, rather than detailed performance evaluation against specific, quantified acceptance criteria.

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