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510(k) Data Aggregation

    K Number
    K022186
    Manufacturer
    Date Cleared
    2003-02-26

    (236 days)

    Product Code
    Regulation Number
    886.4155
    Reference & Predicate Devices
    Why did this record match?
    510k Summary Text (Full-text Search) :

    03874-1651

    Re: K022186

    Trade/Device Name: Scleral Plugs, 19 And 20 Gauge Regulation Number: 21 CFR 886.4155

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

    The scleral plugs are intended to maintain patency of a previously made incision in the sclera of the eye, during ophthalmic surgical procedures.

    Device Description

    Scleral plugs, 19 and 20 gauge, for use in ophthalmic surgical procedures. Both 19 and 20 gauge plugs are stainless steel. The 19 gauge plugs are gold plated.

    AI/ML Overview

    This is a 510(k) premarket notification for a medical device (Scleral Plugs) and not an AI/ML medical device. Therefore, the information requested regarding acceptance criteria, study details, sample sizes, expert involvement, and ground truth establishment, which are typical for AI/ML device evaluations, is not applicable to this document.

    The document primarily focuses on establishing substantial equivalence to a predicate device based on material, construction, function, and biocompatibility testing. It states:

    • Basis for Substantial Equivalence (Section 6):
      • No change in materials, basic components, or manufacturing methods compared to the predicate device.
      • No change in basic configuration or construction.
      • Biocompatibility testing by an independent lab was performed.
      • The function and use are no different from the predicate device.

    The document asserts that the Micro Vision Scleral Plugs are substantially equivalent to the predicate device (Storz MVS 19 & 20 Gauge Scleral Plug, K854507) and that "any differences are minor and do not raise new issues of safety and effectiveness."

    Without further documentation detailing specific performance studies and acceptance criteria for this non-AI device, it is not possible to provide the requested table or additional information.

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