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510(k) Data Aggregation
(27 days)
The Haemonetics® Cardiovascular Perioperative Autotransfusion System (cardioPAT™) is indicated for use to salvage red blood cells from blood lost intraoperatively and postoperatively during cardiovascular surgical procedures, where the expected rate of processing of salvaged blood and fluid aspirated from the surgical site is less than or equal to two liters per hour. Autotransfusion is indicated for patients who meet at least one of the following criteria: The patient is expected to lose sufficient blood in the perioperative period, so as to require red blood cell transfusion, and autotransfusion will likely reduce or eliminate the need for allogeneic blood transfusion. Religious beliefs cause the patient to refuse allogeneic transfusion, but accept autologous transfusion. Compatible allogeneic blood is not available. The patient is unable to donate sufficient quantities of autologous blood prior to surgery to adequately cover the anticipated transfusion requirement. The patient or physician prefers perioperative autotransfusion rather than preoperative autologous donation or transfusion of allogeneic blood.
The cardioPAT system is designed to provide perioperative autotransfusion for patients undergoing cardiovascular surgery. The system consists of an electromechanical device and a sterile single-use disposable set, which together collect and process red blood cells lost during or after surgery. It is designed to be used in the operating room to recycle blood lost during cardiovascular surgical procedures and in the recovery room to recycle blood lost after surgery, where the expected rate of processing of salvaged blood and fluid aspirated from the surgical site is less than or equal to two liters per hour. It is a small portable system which mounts on an IV pole.
Here's a breakdown of the acceptance criteria and the study that proves the device meets them, based on the provided text:
1. Table of Acceptance Criteria and Reported Device Performance
| Performance Metric | Acceptance Criteria (Implied) | Reported Device Performance (Mean) |
|---|---|---|
| Supernate Heparin Washout (%) | Not explicitly stated | 98.9% |
| Supernate Albumin Washout (%) | Not explicitly stated | 99.1% |
| Supernate Hemoglobin Washout (%) | Not explicitly stated | 97.3% |
| Red Blood Cell Recovery (%) | Not explicitly stated | 85.9% |
Note: The document states, "The quality of salvaged red blood cells returned to the donor during autotransfusion procedures with both the current cardioPAT and modified cardioPAT system is acceptable with respect to measured markers." While specific numeric acceptance criteria are not explicitly given, the presentation of these mean values, with the accompanying statement of acceptability, implies these are the performance targets or within acceptable ranges determined by the manufacturer.
2. Sample Size Used for the Test Set and Data Provenance
- Test Set Sample Size: The document does not explicitly state the total number of samples or "pools of different hematocrit blood" tested. It lists results for 5%, 15%, and 40% hematocrit levels, implying at least three distinct test conditions.
- Data Provenance: The study was conducted under "simulated use conditions." There is no information regarding the country of origin of the data or whether it was retrospective or prospective. The reference "From TP- & TR-DIS-02028" suggests an internal company test report.
3. Number of Experts Used to Establish Ground Truth for the Test Set and Qualifications of those Experts
This information is not provided in the document. The study appears to be a laboratory performance test measuring objective criteria (washout percentages, recovery percentage) rather than requiring expert assessment for ground truth.
4. Adjudication Method for the Test Set
This information is not applicable and therefore not provided, as the study involves objective measurements rather than subjective expert consensus.
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 information is not applicable as the device is an autotransfusion system, not a diagnostic AI system that would assist human readers in interpretation.
6. If a Standalone (i.e. algorithm only without human-in-the-loop performance) was done
This information is not applicable as the device is an electromechanical autotransfusion system, not an algorithm, and its performance relies on its mechanical and operational function, not an algorithm's interpretation.
7. The Type of Ground Truth Used
The ground truth for this device's performance is based on objective laboratory measurements of:
- Supernatant concentrations of Heparin, Albumin, and Hemoglobin (used to calculate washout percentages).
- Red blood cell recovery percentage.
These are direct measurements of the physical properties and efficacy of the device's processing function.
8. The Sample Size for the Training Set
This information is not applicable as the device is an electromechanical system, not an AI/machine learning algorithm that requires a training set.
9. How the Ground Truth for the Training Set was Established
This information is not applicable for the same reason as above.
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(53 days)
The Haemonetics® Cardiovascular Perioperative Autotransfusion System (cardioPAT™) is indicated for use to salvage red blood cells from blood lost intraoperatively and postoperatively during cardiovascular surgical procedures, where the expected rate of processing of salvaged blood and fluid aspirated from the surgical site is less than or equal to two liters per hour.
Autotransfusion is indicated for patients who meet at least one of the following criteria:
- The patient is expected to lose sufficient blood in the perioperative period, so as to require red blood cell transfusion, and autotransfusion will likely reduce or eliminate the need for allogeneic blood transfusion.
- Religious beliefs cause the patient to refuse allogeneic transfusion, but accept autologous transfusion.
- Compatible allogeneic blood is not available.
- The patient is unable to donate sufficient quantities of autologous blood prior to surgery to adequately cover the anticipated transfusion requirement.
- The patient or physician prefers perioperative autotransfusion rather than preoperative autologous donation or transfusion of allogeneic blood.
The cardioPAT system is designed to provide perioperative autotransfusion for patients undergoing cardiovascular surgery. The system consists of an electromechanical device and a sterile single-use disposable set, which together collect and process red blood cells (RBCs) lost during and after surgery. It is a small portable system which mounts on an IV pole. It is designed to be used in the operating room to recycle blood lost during cardiovascular surgical procedures and in the recovery room to recycle blood lost after surgery, where the expected rate of processing of salvaged blood and fluid aspirated from the surgical site is less than or equal to two liters per hour.
Here's an analysis of the provided text regarding the acceptance criteria and study for the Haemonetics® Cardiovascular Perioperative Autotransfusion System (cardioPAT™):
The provided document describes a 510(k) submission for a medical device (cardioPAT™), which is for autotransfusion. The study presented here is a comparative study to demonstrate substantial equivalence to a predicate device (OrthoPAT®), rather than a standalone clinical trial establishing new efficacy. The "acceptance criteria" are implied by the comparison to the predicate device's performance.
1. A table of acceptance criteria and the reported device performance
The acceptance criteria are implicitly defined by acceptable deviations from the predicate device's performance, specifically less than 2% difference in washout values and less than 3% difference in red blood cell (RBC) recovery.
| Performance Metric | Acceptance Criteria (Difference vs. Predicate) | Reported cardioPAT™ Performance (Difference vs. Predicate) | Meets Criteria? |
|---|---|---|---|
| Mean Washout (Supernate Heparin) | < 2% | +0.0% | Yes |
| Mean Washout (Supernate Albumin) | < 2% | +0.2% | Yes |
| Mean Washout (Supernatant Hemoglobin) | < 2% | -1.1% | Yes |
| Mean Red Blood Cell Recovery | < 3% | +2.1% | Yes |
Reported cardioPAT™ Performance Summary (from Table 1):
| Hematocrit | Mean Washout (Supernate Heparin) (%) | Mean Washout (Supernate Albumin) (%) | Mean Washout (Supernate Hemoglobin) (%) | Mean Red Blood Cell Recovery (%) |
|---|---|---|---|---|
| 5% | 99.88 | 99.90 | 99.38 | 77.83 |
| 15% | 99.68 | 99.80 | 98.18 | 88.77 |
| 40% | 97.19 | 97.67 | 94.37 | 91.00 |
| Mean | 98.9 | 99.1 | 97.3 | 85.9 |
2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)
- Sample Size for Test Set: The document mentions "pools of different hematocrit blood" processed. It does not specify the exact number of samples or "runs" for the cardioPAT system, but it presents mean values across these pools. For the predicate device (OrthoPAT®), it refers to "previously obtained, using similar pools of blood."
- Data Provenance: The study appears to be a laboratory-based performance test ("processed under simulated use conditions"). There is no mention of country of origin of data or whether it was retrospective or prospective in a clinical sense. It's a technical performance validation.
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. This is a technical performance study measuring physical properties (washout, RBC recovery) of blood, not a diagnostic or interpretative study requiring human expert ground truth.
4. Adjudication method (e.g. 2+1, 3+1, none) for the test set
Not applicable. This is a technical performance study based on direct laboratory measurements.
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 not an AI/diagnostic device and does not involve human readers interpreting data or assisting in a clinical decision.
6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done
This refers to a "standalone" performance of the device itself in processing blood. The data presented in Table 1 represents the "standalone" performance of the cardioPAT™ system under simulated use conditions.
7. The type of ground truth used (expert consensus, pathology, outcomes data, etc)
The "ground truth" in this context refers to the measured physical and chemical properties of the processed red blood cells, specifically:
- Concentration of Supernate Heparin
- Concentration of Supernate Albumin
- Concentration of Supernatant Hemoglobin
- Red Blood Cell Recovery
These are objective measurements performed in a laboratory setting.
8. The sample size for the training set
Not applicable. This device is an electromechanical system for physical processing of blood, not an AI/machine learning algorithm that requires a "training set."
9. How the ground truth for the training set was established
Not applicable. See point 8.
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