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510(k) Data Aggregation

    K Number
    K153613

    Validate with FDA (Live)

    Date Cleared
    2016-03-16

    (90 days)

    Product Code
    Regulation Number
    882.5910
    Reference & Predicate Devices
    N/A
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Cerafix® Dura Substitute is indicated as a dura substitute for the repair of dura mater. This device is indicated for defects of 1.9 in² (12.5cm²) or less in area. For example, 1.2 in x 1.6 in (3 cm x 4 cm) would be an acceptable defect size.

    Device Description

    Cerafix® Dura Substitute is a resorbable implant for repair of dural defects and is to be used with tensionless sutures. Cerafix® Dura Substitute is a soft, white, pliable, nonfriable, porous polymer matrix. Cerafix® Dura Substitute is available in a variety of sizes and is supplied sterile and nonpyrogenic in a single-use nested pouch configuration, which is enclosed within a protective chipboard envelope.

    AI/ML Overview

    The provided text describes the Cerafix® Dura Substitute, a medical device intended for the repair of dura mater, and its journey through FDA 510(k) clearance. The document details the device's characteristics, indications for use, and the non-clinical testing performed to establish its substantial equivalence to predicate devices.

    Here's a breakdown of the requested information based on the provided text:

    1. Table of Acceptance Criteria and Reported Device Performance

    The acceptance criteria for many of the mechanical and biological tests were framed as "Equivalent to Predicate or Reference Device" or "Meets Final Device Specification." For some, specific thresholds were mentioned.

    TestAcceptance CriteriaReported Device Performance
    Mechanical Testing
    ThicknessEquivalent to Predicate or Reference DevicePASS
    Mass per AreaEquivalent to Predicate or Reference DevicePASS
    Tensile StrengthEquivalent to Predicate or Reference DevicePASS
    Suture Pull-Out StrengthEquivalent to Predicate or Reference DevicePASS
    Burst StrengthEquivalent to Predicate or Reference Device; and burst strength greater than anticipated intracranial pressuresPASS (burst strength greater than anticipated intracranial pressures)
    Shrink TemperatureShow stability at applicable temperaturesPASS (showed stability)
    Fiber DiameterMeets Final Device SpecificationPASS (meets specification)
    Pore SizeMeets Final Device SpecificationPASS (meets specification)
    Biocompatibility Testing
    ISO Cytotoxicity MEM ElutionNon-cytotoxicCell culture exhibited no reactivity; non-cytotoxic.
    Guinea Pig Maximization - SensitizationNon-irritating, no sensitization responseDid not elicit a sensitization response; non-irritant.
    Intracutaneous Irritation ReactivityNon-irritatingNon-irritating.
    Hemolysis AssayNon-hemolyticFound to be non-hemolytic.
    Genotoxicity (Mouse Lymphoma Assay)Non-genotoxicEquivalent to negative control; non-genotoxic.
    Genotoxicity (Mouse Micronucleus Assay)Non-mutagenicConsidered non-mutagenic.
    Genotoxicity (Bacterial Mutagenicity)Non-mutagenicConsidered non-mutagenic.
    Pyrogenicity (Rabbit Pyrogen Test)Non-pyrogenicExhibited a negative response; non-pyrogenic.
    Acute Systemic ToxicityNon-toxicConsidered non-toxic.
    Endotoxin TestingLess than 2.15 EU/deviceLess than 2.15 EU/device; non-pyrogenic.
    Subchronic Toxicity (90-day animal study)Non-toxicShowed the device to be non-toxic.
    Chronic Toxicity (180-day animal study)Non-toxicShowed the device to be non-toxic.
    Side-by-Side Animal StudyEquivalent safety and performance to predicate deviceShowed equivalent safety and performance.

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

    The document does not specify the exact sample sizes for each mechanical test (e.g., number of samples tested for tensile strength or burst strength). It mentions "side-by-side bench testing versus the predicate or commercially available reference device" for mechanical tests, and for biocompatibility, it refers to standard ISO/ASTM tests using animals (e.g., guinea pigs, rabbits, mice) and cell cultures. The data provenance is pre-clinical testing, likely conducted in a laboratory setting. There is no mention of country of origin for the data or whether it was retrospective or prospective in the context of human data, as this is a pre-market clearance based on non-clinical data.

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

    Not applicable. The "ground truth" for this device's clearance is based on established scientific principles and comparison to legally marketed predicate devices through defined acceptance criteria in mechanical and biocompatibility testing, not on expert consensus of clinical data.

    4. Adjudication method for the test set

    Not applicable. This device clearance relies on objective laboratory and animal testing, not human-based adjudication of clinical outcomes or images.

    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 document pertains to the pre-market clearance of a physical medical implant (dura substitute), not an AI-powered diagnostic or assistive technology. Therefore, no MRMC study or AI-related effectiveness is discussed.

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

    Not applicable, as this is not an algorithm or AI device.

    7. The type of ground truth used

    The "ground truth" for this regulatory submission is a combination of:

    • Predicate Device Equivalence: The primary ground truth is established by demonstrating that the Cerafix® Dura Substitute's technological characteristics, performance, and safety are substantially equivalent to a legally marketed predicate device (Ethisorb™ Dura Patch) and a reference device (DuraGen Plus™ Dural Regeneration Matrix).
    • Established Scientific Standards: Compliance with ISO and ASTM standards for biocompatibility and mechanical properties (e.g., non-cytotoxic, non-pyrogenic, appropriate burst strength).
    • Animal Study Outcomes: Equivalence in safety and performance based on side-by-side animal implantation studies compared to the predicate device.

    8. The sample size for the training set

    Not applicable. There is no "training set" in the context of this device's pre-market clearance, as it's not a machine learning model.

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

    Not applicable, as there is no training set.

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