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510(k) Data Aggregation

    K Number
    K102919

    Validate with FDA (Live)

    Date Cleared
    2011-03-11

    (161 days)

    Product Code
    Regulation Number
    870.4400
    Reference & Predicate Devices
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The venous hardshell cardiotomy reservoir is used to collect, store and filter blood in extracorporeal circulation in cardiopulmonary bypass operations on pediatric patients for up to 6 hours: The reservoir can also be employed postoperatively as drainage and autotransfusion reservoir (e.g., for thorax drainage) to return the autologous blood to the patient which was removed from the thorax for the volume exchange.

    Device Description

    The Neonatal and Pediatric Venous Hardshell Cardiotomy Reservoirs are developed for the use in the field of cardiopulmonary bypass operation. They are used as blood buffer in the extracorporeal circuit and as collecting and defoaming device for sucked blood. The Neonatal and Pediatric Reservoirs may be applied during the surgery in the extracorporeal circulation for collecting venous blood by gravitation or vacuum assist venous drainage (VAVD), air removal in venous blood, as a volume depot of blood, for collecting, defoaming and filtering cardiotomy blood. The Reservoirs may also be applied after the surgery on the intensive care unit for vacuum operated thoracic drainage and for the autotransfusion of autologous blood. If the application occurs in the intensive care unit the reservoir which was employed in the operation is usually used. The blood contacting surfaces are coated optionally with SOFTLINE Coating. The Neonatal and Pediatric Reservoirs are sterile and non-pyrogenic devices, for single use only and are not to be re-sterilized by the user.

    AI/ML Overview

    Here's an analysis of the provided text, focusing on acceptance criteria and the study proving adherence:

    1. Table of Acceptance Criteria and Reported Device Performance

    The document does not explicitly state quantitative "acceptance criteria" in the sense of specific thresholds for a device's performance metrics (e.g., "filtration efficiency must be >X%"). Instead, the acceptance criteria are framed as compliance with recognized standards and demonstrating substantial equivalence to predicate devices. The "reported device performance" is essentially a statement of compliance.

    Acceptance Criteria CategoryReported Device PerformanceComments
    Biologic EvaluationComplies with ISO 10993-1This standard covers biocompatibility testing (e.g., cytotoxicity, sensitization, irritation). The reported performance indicates the device passed these tests.
    Performance (System)Complies with ISO 15674This standard specifically addresses "Cardiovascular implants and artificial organs - Hard-shell cardiotomy / venous reservoir systems (with/without filter) and softbag venous reservoir bags." Compliance indicates the device meets the functional and safety requirements outlined in this standard for its intended use.
    Substantial EquivalenceDemonstrated to be substantially equivalent to Capiox Reservoir RX 05 Baby (K022115) and Resevoir D101 Dideco Kids Infant (K072091).This is the overarching regulatory acceptance criterion for 510(k) clearance. The device's performance, integrity, biocompatibility, and intended use were compared to these predicate devices.
    IntegrityEvaluated and met requirementsThis likely refers to physical integrity, resistance to leaks, and structural soundness under operational conditions.
    SterilityEvaluated and met requirementsThis often involves demonstrating the ability to be sterilized to a specified Sterility Assurance Level (SAL) and maintaining sterility throughout its shelf-life.
    Indications for UseEvaluated and met requirementsThis confirms the device functions as intended for its specified uses (collecting, storing, filtering blood in CPB for pediatric patients up to 6 hours, and postoperative drainage/autotransfusion).

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

    The document does not specify a sample size for any "test set" in the traditional sense of a clinical trial or large-scale device performance study. The testing described is primarily laboratory and bench testing against international standards (ISO 10993-1, ISO 15674) and direct comparison to a predicate device.

    • Sample Size: Not specified.
    • Data Provenance: The studies were likely conducted internally by the manufacturer (Maquet Cardiopulmonary AG) or by contracted laboratories, as part of the regulatory submission process.
    • Retrospective or Prospective: Not explicitly stated, but typically, this type of non-clinical testing is prospective, meaning it's conducted specifically to support the 510(k) submission. There is no indication of patient data being used in this summary.

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

    This information is not applicable and not provided in the document. The "ground truth" for this medical device (a cardiotomy reservoir) is established by adherence to recognized engineering standards (e.g., ISO) and functional performance metrics, not by expert interpretation of data like in an AI/diagnostic imaging context. The "experts" involved would be engineers, biocompatibility specialists, and quality control personnel performing the tests according to standard protocols.

    4. Adjudication Method (e.g., 2+1, 3+1, none) for the Test Set

    This information is not applicable and not provided. Adjudication methods like 2+1 or 3+1 are used for establishing ground truth in studies involving human interpretation (e.g., reading medical images) where there can be disagreement among experts. For device performance testing against objective standards (like ISO norms for a physical device), the results are typically quantitative measurements that either pass or fail the specified criteria, not subjective interpretations requiring adjudication.

    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 and not provided. This document describes a physical medical device (a blood reservoir) and its regulatory clearance based on substantial equivalence and compliance with standards. It is not an AI algorithm or a diagnostic imaging device that would involve human readers or AI assistance.

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

    This information is not applicable and not provided. The device is a physical hard-shell cardiotomy reservoir, not an algorithm.

    7. The Type of Ground Truth Used

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

    • Compliance with International Standards: Specifically ISO 10993-1 (Biologic Evaluation) and ISO 15674 (Hard-shell cardiotomy/venous reservoir systems). These standards define performance characteristics, safety requirements, and test methods.
    • Comparison to Predicate Devices: Demonstrating that the new device performs as safely and effectively as legally marketed predicate devices (Capiox Reservoir RX 05 Baby and Resevoir D101 Dideco Kids Infant) in terms of indications for use, integrity, performance, biocompatibility, and sterility.

    No pathology, expert consensus, or outcomes data from patients are mentioned for establishing the "ground truth" of the device itself for this 510(k) submission.

    8. The Sample Size for the Training Set

    This information is not applicable and not provided. There is no "training set" as this is not an AI/machine learning device.

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

    This information is not applicable and not provided. Since there is no training set for an AI model, there's no ground truth established in this context.

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