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510(k) Data Aggregation
(314 days)
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(24 days)
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(152 days)
TRAUMAGEL® is a hemostatic gel indicated for temporary external use for controlling moderate to severe bleeding.
TRAUMAGEL® is a single-use, hemostatic gel indicated for temporary external use only. The subject device is supplied as an individually pouched 30 mL hemostatic gel syringe, containing chitosan [poly (N-acetyl-D-glucosamine, D-glucosamine)] granules suspended in a sodium alginate hydrogel and is enclosed in a protective pouch. Each syringe is terminally sterilized with gamma irradiation to a sterility assurance level (SAL) of 10th. The hemostatic gel is viscous, opaque and tan in color.
The provided document is a 510(k) summary for the TRAUMAGEL® Hemostatic Gel. It primarily focuses on demonstrating substantial equivalence to a predicate device (CELOX Gauze Pro) based on design, technological characteristics, and non-clinical testing.
The document does not include the information requested regarding a study that proves the device meets specific acceptance criteria related to a human-in-the-loop or standalone AI/software performance. This is because TRAUMAGEL® is a medical device (hemostatic gel), not an AI or software-based medical device. Therefore, the questions about sample sizes for test sets, data provenance, expert ground truth establishment, MRMC studies, AI assistance, training data, etc., are not applicable to this product and its regulatory submission.
The "Acceptance Criteria" described in the document relate to biocompatibility testing and performance bench testing for a physical medical device, not a software algorithm.
Here's a breakdown of the relevant information provided in the document:
1. A table of acceptance criteria and the reported device performance (for biocompatibility testing):
| Biological endpoint | Acceptance criteria | Test Result |
|---|---|---|
| Cytotoxicity | Non-cytotoxic | Pass |
| Sensitization | Non-sensitizing | Pass |
| Irritation | Non-irritating | Pass |
| Material Mediated Pyrogenicity | Non-pyrogenic | Pass |
| Acute Systemic Toxicity | Non-toxic | Pass |
(Note: "Physical and/or Chemical Information" acceptance criteria is listed as N/A, as it's for information gathering, not a Pass/Fail test.)
2. Sample sized used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective):
- Sample Size: Not explicitly stated for each non-clinical test, but implied to be sufficient for the required ISO standards.
- Data Provenance: Not specified (e.g., country of origin). The studies appear to be non-clinical (laboratory and animal studies).
3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:
- Not applicable as this is not a diagnostic AI/software device requiring human expert annotation of images/data for ground truth. The "ground truth" for the non-clinical tests is established by the standardized test methods (e.g., ISO standards for biocompatibility) and direct measurement of physical or biological responses.
4. Adjudication method (e.g. 2+1, 3+1, none) for the test set:
- Not applicable for non-clinical device testing.
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 device is a physical hemostatic product, not an AI/software.
6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done:
- Not applicable; this is not a software algorithm.
7. The type of ground truth used:
- For biocompatibility: Adherence to ISO standards and observed biological responses.
- For performance bench testing: Physical and chemical properties measured against predefined specifications.
- For non-clinical animal studies: Direct observation of hemostatic performance in a porcine model. The document states: "testing demonstrated substantially equivalent performance between the device and the predicate."
8. The sample size for the training set:
- Not applicable; there is no AI/machine learning training set for this product.
9. How the ground truth for the training set was established:
- Not applicable.
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(131 days)
Polysaccharide Hemostatic Powder (HP-2, HP-3, HP-5) is indicated for external temporary use as a topical dressing on minor bleeding wounds such as minor cuts, minor lacerations and minor abrasions.
The Polysaccharide Hemostatic Powder (HP-2, HP-5) are sterile, topical wound dressings comprised of plant base polysaccharides. The hemostatic particles contained in powder absorb the water in the blood through physical adsorption, so that the blood components are concentrated to form a stable clot and achieve the purpose of hemostasis.
The information provided pertains to the regulatory submission for a medical device (Polysaccharide Hemostatic Powder) and does not describe acceptance criteria for a study showing device performance in the way typically associated with AI/ML-based diagnostic devices. The document focuses on demonstrating substantial equivalence to a predicate device for regulatory clearance, primarily through non-clinical testing.
Therefore, many of the requested categories (e.g., sample size for test set, number of experts for ground truth, adjudication method, MRMC study, training set information) are not applicable or not explicitly detailed in this type of submission.
However, I can extract the non-clinical testing performed and the conclusions drawn to fulfill the spirit of the request regarding "acceptance criteria" and "study proving the device meets the acceptance criteria" in the context of this regulatory document.
Here's a breakdown based on the provided text:
1. A table of acceptance criteria and the reported device performance
| Acceptance Criteria (Demonstrated through Non-Clinical Testing) | Reported Device Performance (Summary of Non-Clinical Testing) |
|---|---|
| Sterilization: Sterilization procedure validated per ISO 11135:2014. | Sterilization procedure validated in accordance with ISO 11135:2014, for ETO sterilization. |
| Shelf-Life: Demonstrate essential performance is achieved before and after shelf-life test at 2 years, validated per ASTM F1980-21 and packaging requirements per ISO 11607-1:2006. | Shelf-life for two years validated via accelerated testing (ASTM F1980-21) and packaging requirements (ISO 11607-1:2006) met. Essential performance achieved before and after shelf-life test. |
| Biocompatibility: Meet biocompatibility requirements per 2020 FDA Guidance (Use of International Standard ISO-10993-1) for cytotoxicity, sensitization, intracutaneous irritation, acute systemic toxicity, and pyrogenicity. | Biocompatibility evaluations conducted per FDA Guidance document 'Use of International Standard ISO-10993-1'. Tests performed for cytotoxicity, intracutaneous reactivity, sensitization, acute systemic toxicity, and material-mediated pyrogenicity. |
| Physical & Functional Requirements: Design verification testing demonstrates physical and functional requirements are met. | Design verification testing performed to demonstrate physical and functional requirements were met. |
| Safety and Effectiveness (Substantial Equivalence): Performed substantially equivalent to the predicate device in an animal model. | Safety and effectiveness study performed on a porcine animal model demonstrated substantial equivalence to the predicate device. |
2. Sample size used for the test set and the data provenance
- Sample Size: Not specified in terms of numerical size for the animal model or other non-clinical tests. The document only mentions "a porcine animal model."
- Data Provenance: The animal study was performed (implied as part of the manufacturer's testing). No country of origin for the data is specified, nor is it classified as retrospective or prospective (animal studies are typically prospective).
3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts
- Not Applicable. This information is typically required for studies involving human clinicians interpreting data or images. The current submission describes non-clinical and animal testing.
4. Adjudication method for the test set
- Not Applicable. Again, this is relevant for studies involving human interpretation and disagreement resolution, which is not described here.
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. No MRMC study was conducted, as this device is a physical hemostatic powder, not an AI-assisted diagnostic tool.
6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done
- Not Applicable. This is not an algorithm or software device.
7. The type of ground truth used
- For the animal study ("safety and effectiveness study on a porcine animal model"), the "ground truth" would likely be derived from direct observation of hemostasis and potentially histological examination of the wound site, compared to the performance of the predicate device. For other non-clinical tests (sterilization, shelf-life, biocompatibility, design verification), the ground truth is established by meeting predefined scientific and regulatory standards (e.g., bioassay results meeting specified limits, physical tests meeting design specifications).
8. The sample size for the training set
- Not Applicable. This is not an AI/ML device requiring a training set.
9. How the ground truth for the training set was established
- Not Applicable. This is not an AI/ML device requiring a training set.
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(268 days)
Hemoblock S (Prescription): For use as a temporary external dressing to control moderate to severe bleeding and manage external abrasions and lacerations
Hemoblock S (OTC): To control bleeding of minor lacerations, minor cuts and minor abrasions
The Hemoblock_S (Hemoblock_S (Prescription Use) and Hemoblock_S (OTC Use)) for being placed on the U.S.A Market is single use, hemostatic dressing made of Chitosan and Cotton. This device is called to Hemoblock Gauze on the Republic of Korea Market.
Chitosan is a naturally occurring polysaccharide usually derived from shellfish, and its hemostatic properties are widely recognized in the biomedical field. When applied directly on a wound with firm pressure, the Hemoblock_S acts as a mechanical barrier against bleeding by turning into a gel-like condition to absorb the blood and assist in temporarily controlling moderate to severe bleeding. The Hemoblock_S is provided in two different types to accommodate a variety of treatment regions, according to being based on the whether strap yan which is consisted with Nylon and handle for remove a device into any wound, with following;
- Gauze(N) Type: There is not strap yarn part on the Hemoblock_S
- Gauze(S) Type: There is strap yarn part on the Hemoblock_S
The Hemoblock_S is individually packaged in a foil pouch and is Irradiation sterilized in accordance with ISO 11137 Series.
The provided text does not contain information about the acceptance criteria and performance of a device based on a study; instead, it is a 510(k) premarket notification summary for a hemostatic dressing called "Hemoblock S". The document details the device's characteristics, its comparison to a predicate device, and non-clinical testing performed (biocompatibility, sterilization, shelf-life, and general performance tests like appearance, dimension, tensile strength, absorption, X-ray impermeableness, and in vitro blood clotting test). It also mentions an animal study for hemostatic testing.
There is no mention of a study involving a test set, data provenance, expert ground truth, adjudication methods, MRMC studies, standalone algorithm performance, or specific acceptance criteria with reported device performance in the context of diagnostic accuracy or AI assistance. The performance tests mentioned are related to the physical properties and sterilization of the dressing, not its diagnostic or assistive capabilities for human readers.
Therefore, I cannot fulfill the request as the provided text does not contain the necessary information regarding acceptance criteria and study results for device performance in the context of the questions asked.
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(29 days)
RESPONDER® Polysaccharide Hemostat OTC is indicated for the local management of bleeding such as lacerations, minor cuts and abrasions.
RESPONDER® Polysaccharide Hemostat (RESPONDER®) is a medical device composed of absorbable modified polymer (AMP®) particles. AMP® particles are biocompatible, non-pyroqenic and derived from plant starch. The device contains no human or animal components.
The provided text is a 510(k) Premarket Notification from the FDA for a medical device called RESPONDER® Polysaccharide Hemostat. This document is a regulatory approval, not a scientific study report. Therefore, it does not contain the detailed information requested regarding specific acceptance criteria, device performance metrics, sample sizes, expert qualifications, ground truth establishment, or comparative effectiveness studies (MRMC) typically found in clinical study reports.
The document primarily states that the new models (RP0002/RP0003/RP0005) of the RESPONDER® Polysaccharide Hemostat are substantially equivalent to a previously cleared device (K220525) for over-the-counter (OTC) indications. This substantial equivalence is based on the new models having the same raw material, production technique, packaging, sterilization, indications for use, composition, form of device, method of application, mechanism of action, biocompatibility, and resorption performance as the previously cleared predicate device.
Key takeaway for your request: The entire document points to "substantial equivalence" as the primary "acceptance criterion" rather than a specific numerical performance metric. The study proving this is essentially the demonstration that the new device models are identical in all relevant aspects to a previously cleared device.
Given the information available, I can provide what is implied by the document regarding your questions:
1. A table of acceptance criteria and the reported device performance:
| Acceptance Criteria (Implied by Substantial Equivalence) | Reported Device Performance (Implied) |
|---|---|
| Raw Material: Identical to predicate device | Identical to predicate device |
| Production Technique: Identical to predicate device | Identical to predicate device |
| Packaging: Identical to predicate device | Identical to predicate device |
| Sterilization: Identical to predicate device | Identical to predicate device |
| Indications for Use (OTC): Identical to predicate device | Identical to predicate device |
| Composition: Identical to predicate device | Identical to predicate device |
| Form of Device (Granules): Identical to predicate device | Identical to predicate device |
| Method of Application: Identical to predicate device | Identical to predicate device |
| Mechanism of Action: Identical to predicate device | Identical to predicate device (forms gel barrier to achieve hemostasis) |
| Biocompatibility: Identical to predicate device | Verified in predicate device's submission (K220525) |
| Resorption Performance: Identical to predicate device | Verified in predicate device's submission (K220525) |
| Safety: As safe as the predicate device | Concluded to be as safe as the predicate device |
| Effectiveness/Performance: Functionally equivalent to predicate device for local management of bleeding. | Can achieve hemostasis by forming a gel barrier, verified in predicate device's submission (K220525). |
2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective):
This document does not specify a distinct "test set" or its sample size for evaluating the new device models. The "study" here is largely a comparison to a previously cleared device. The equivalence is stated based on common characteristics. There is no information about data provenance.
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. The ground truth for this submission is based on the established safety and performance of the predicate device, not a new "test set" requiring expert ground truthing in the typical sense of a clinical or diagnostic study.
4. Adjudication method (e.g. 2+1, 3+1, none) for the test set:
Not applicable. This is a regulatory clearance based on substantial equivalence, not a clinical trial with adjudicated outcomes from a test set.
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. The device is a hemostat (a physical product to stop bleeding), not an AI-powered diagnostic or assistive tool for human readers.
6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done:
Not applicable. This is a physical medical device, not an algorithm.
7. The type of ground truth used (expert consensus, pathology, outcomes data, etc):
The "ground truth" in this context is the regulatory clearance and established safety/performance profile of the predicate device (RESPONDER® Polysaccharide Hemostat, K220525) based on previous submissions and evaluations.
8. The sample size for the training set:
Not applicable. This is a physical medical device, not an AI model 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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(649 days)
RESPONDER® Polysaccharide Hemostat Rx is intended to be used to achieve hemostasis in emergency situations for the temporary control of severe topical bleeding.
RESPONDER® Polysaccharide Hemostat OTC is indicated for the local management of bleeding such as lacerations, minor cuts and abrasions.
RESPONDER® Polysaccharide Hemostat (RESPONDER®) is a medical device composed of absorbable modified polymer (AMP®) particles. AMP® particles are biocompatible, non-pyrogenic and derived from plant starch. The device contains no human or animal components.
The provided text is a 510(k) summary for the RESPONDER® Polysaccharide Hemostat. This type of document is for demonstrating substantial equivalence to a legally marketed predicate device, not for proving a device meets specific, pre-defined acceptance criteria through a clinical or algorithmic performance study in the way one might for an AI/ML medical device.
Therefore, the document does not contain the information requested for acceptance criteria and a study proving the device meets those criteria, specifically:
- A table of acceptance criteria and reported device performance.
- Sample sizes for test sets, data provenance, number/qualifications of experts, or adjudication methods for ground truth.
- Details of MRMC or standalone performance studies, if done.
- Ground truth types (expert consensus, pathology, outcomes data).
- Sample size for training sets or how ground truth for training was established.
Instead, the document focuses on:
- Device Description: RESPONDER® Polysaccharide Hemostat is composed of absorbable modified polymer (AMP®) particles derived from plant starch.
- Intended Use/Indications for Use:
- Rx: Temporary control of severe topical bleeding in emergency situations.
- OTC: Local management of bleeding from minor lacerations, minor cuts, and minor abrasions.
- Predicate Device: CELOX Topical Hemostatic Granules (K061079).
- Technological Characteristics: Claims similar physical structure (granules), packaging (foil pouch), shelf life, and mechanism of action (forming a gel barrier) to the predicate.
- Performance (Demonstration of Equivalence, not specific acceptance criteria):
- Biocompatibility: Tests (ISO10993-5, -6, -10, -11, ASTM F756-17, USP41 NF36<85>) indicated it is biocompatible and safe.
- Sterility: Achieves a Sterility Assurance Level (SAL) of 10⁻⁶, despite a different sterilization method than the predicate.
- Animal Studies: Conducted to validate efficacy and safety compared to the predicate, with results demonstrating the proposed device is "as safe as" the predicate device. Specific performance metrics from these animal studies are not detailed in this summary, nor are "acceptance criteria" for these metrics provided.
In summary, this document is not a clinical study report or an AI/ML device performance study. It's a 510(k) summary demonstrating substantial equivalence to a commercially available predicate device based on technological characteristics, biocompatibility, sterility, and general safety/efficacy in animal models, not on specific, quantitatively defined acceptance criteria for human performance or algorithmic output.
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(260 days)
Celox Rapid X-Ray detectable Z-fold hemostatic Gauze is indicated for temporary external use to control moderate to severe bleeding. May also be indicate for temporary external use to control bleeding of lacerations, minor cuts, and abrasions.
Celox Rapid X-Ray Gauze is a sterile, single-use hemostatic gauze for external use. The gauze is stitch-bonded with a radiopaque strip and coated in chitosan-based hemostatic granules. The device is intended to control bleeding by forming a gel-like plug at the site of bleeding. Celox Rapid X-ray Gauze will be packaged in a tear-pouch for the pre-hospital market and a peel pouch for the hospital market and is available by prescription only. The subject device is a modification to the legally marketed predicate device Celox Rapid Gauze, with the inclusion of an x-ray detectable strip.
Celox Rapid X-Ray Gauze achieves its principle intended action (hemostasis) whereby the chitosan - hemostatic granules laminated to the gauze absorb blood and water creating a gelling action physically sealing the bleed site. As the water is absorbed, blood components are also amalgamated, in combination with manual pressure to the wound forming a gel coagulum at the site of bleeding. The device may be left in place for up to 72 hours. An additional standard gauze may be used if required.
This document, a 510(k) Premarket Notification for the Celox Rapid X-Ray Gauze, describes the device and its claimed substantial equivalence to a predicate device. However, it does not contain the detailed information necessary to fully address all aspects of your request regarding acceptance criteria and a study proving the device meets those criteria, particularly in the context of an AI/human reader performance study.
The provided document is for a hemostatic gauze, not an AI-powered medical device or software. Therefore, many of your questions, such as those related to AI model performance, expert ground truth establishment, MRMC studies, and training set details, are not applicable to this document. The "Performance Data" section in the document refers to in-vitro and in-vivo (animal) testing related to the physical and biological performance of the gauze itself, not the performance of an AI algorithm.
Based on the provided document, here's what can be extracted, acknowledging the limitations:
Acceptance Criteria and Device Performance (as covered by this document)
The document focuses on demonstrating that the new device, Celox Rapid X-Ray Gauze, is substantially equivalent to existing predicate devices, particularly the Celox Rapid Gauze (K110386), with the key difference being the addition of an X-ray detectable strip. The acceptance criteria, in this context, are primarily related to confirming that this modification does not negatively impact the device's hemostatic function and that it remains safe and effective for its intended use.
Table of Acceptance Criteria and Reported Device Performance (Reinterpreted for a Hemostatic Gauze)
Given this is a physical medical device (hemostatic gauze), not an AI, the "acceptance criteria" are not framed in terms of metrics like sensitivity, specificity, or AUC. Instead, they are about functional performance and safety.
| Acceptance Criteria (Inferred for Hemostatic Gauze) | Reported Device Performance (Summary from Document) |
|---|---|
| Material Properties / Functional Integrity: | |
| pH compatibility | All testing completed on both the subject device and primary predicate device meet the defined acceptance criteria. |
| Wet Tensile and Elongation | All testing completed on both the subject device and primary predicate device meet the defined acceptance criteria. |
| Absorbency | All testing completed on both the subject device and primary predicate device meet the defined acceptance criteria. |
| Blood Immobilization | All testing completed on both the subject device and primary predicate device meet the defined acceptance criteria. |
| Hemostatic Efficacy: | |
| Ability to achieve hemostasis | In-vivo studies (animal models) confirm that Celox Rapid X-ray Gauze can perform as intended under anticipated conditions of use and demonstrates efficacy in achieving hemostasis in various swine wound models with varying severities of bleeds. |
| Safety and Biocompatibility: | |
| Biocompatibility (cytotoxicity, sensitization, etc.) | Evaluated per ISO 10993-1 and FDA guidance for "Surface Contact medical device that contacts breached and compromised skin, for a prolonged duration >24 hours to <30 days." Assessed and evaluated to demonstrate compliance. |
| Pyrogenicity / Endotoxin levels | Material Mediated Pyrogenicity and Endotoxin testing has been assessed and meet the requirements of the relevant USP standards and FDA guidance documents. |
| Device detectability (X-ray) | The gauze is easily removed following hemostasis being achieved and is readily detectable if inadvertently left. (This implies it meets the functional requirement of being X-ray detectable, although no specific "acceptance criteria" for detectability are quantified in this summary). |
| Sterility: | |
| Sterility Assurance Level (SAL) | Sterilization justification provided to achieve SAL of 1 x 10^-6 in accordance with BS EN 556-1:2001, ISO 11137:2017 and ISO 13485:2016, utilizing Gamma Irradiation (same as predicate). |
| Removability: | The gauze is easily removed following hemostasis being achieved. |
| Shelf-life: | 5 years shelf-life. |
Regarding the other points in your request:
-
Sample sizes used for the test set and the data provenance:
- Non-Clinical Performance Data (In-vitro): "All testing completed on both the subject device and primary predicate device meet the defined acceptance criteria. Comparison testing was performed on the secondary predicate device to support the devices being comparable." The specific sample sizes for these in-vitro tests (e.g., number of pH measurements, tensile tests) are not detailed in this summary.
- In-vivo Animal Studies: "In-vivo studies included within this submission confirm that Celox Rapid X-ray Gauze... demonstrates efficacy in achieving hemostasis in various swine wound models with varying severities of bleeds." The exact number of swine, the number of wounds, or the specific types of wound models are not detailed in this summary.
- Data Provenance: The studies were conducted as part of the manufacturer's (Medtrade Products Ltd, United Kingdom) design control process. The document does not specify the country of origin for the animal studies or in-vitro tests beyond the company's location. These are retrospective tests conducted to support the 510(k) submission.
-
Number of experts used to establish the ground truth for the test set and the qualifications of those experts:
This question is not applicable. This document is for a hemostatic gauze. It does not involve human reading of medical images or data where expert ground truth establishment would be relevant for performance evaluation. The "ground truth" here is the physical and biological performance of the gauze itself, measured through laboratory and animal models. -
Adjudication method (e.g. 2+1, 3+1, none) for the test set:
This question is not applicable as there were no human readers or subjective interpretations requiring adjudication as part of the performance testing described. -
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 question is not applicable. No MRMC study was performed as this is a hemostatic gauze, not an AI-powered device. -
If a standalone (i.e. algorithm only without human-in-the-loop performance) was done:
This question is not applicable. This is not an algorithm-driven device. -
The type of ground truth used (expert consensus, pathology, outcomes data, etc.):
For this device, the "ground truth" for performance evaluation was based on:- Direct measurements from in-vitro (laboratory) tests (e.g., pH, tensile strength, absorbency).
- Observed hemostatic efficacy in predefined animal models (swine wound models).
- Standardized biocompatibility test results against established ISO and USP standards.
-
The sample size for the training set:
This question is not applicable. This is a physical, non-AI medical device; there is no "training set" in the context of machine learning. -
How the ground truth for the training set was established:
This question is not applicable as there is no training set for an AI model.
In summary: The provided document is about a conventionally regulated hemostatic gauze. Your detailed questions about AI model performance, expert readers, MRMC studies, and training/test sets are relevant to AI/software as a medical device (SaMD) but not to the product described in this 510(k) summary. The "acceptance criteria" here are aligned with the physical, chemical, and biological performance of the gauze itself.
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(265 days)
Prescription Use: Zeolite Hemostatic Gauze is intended for temporary external use to control traumatic bleeding.
Over-The-Counter Use: Zeolite Hemostatic Gauze is intended for temporary external use to stop bleeding of superficial wounds, minor cuts, and abrasions.
The Zeolite Hemostatic Gauze consists of zeolite and gauze. Zeolite Hemostatic Gauze is provided in a sterile dressing format that conforms readily to the wound. It is available in four types, which are P (Sheet), J (Rolled), Z (Folded) and L (Cubed). The difference between each type is the dressing shape. Each type is available in a range of different sizes.
This FDA 510(k) summary provides information for a medical device called "Zeolite Hemostatic Gauze" (K211570). The document asserts substantial equivalence to a predicate device, QuikClot® eXTM (K072474), and references another device, QuikClot (K013390).
Here's an analysis of the acceptance criteria and the study that proves the device meets them, based on the provided text:
Acceptance Criteria and Reported Device Performance
The acceptance criteria are derived from various standards and internal specifications, as indicated by the non-clinical test conclusions. The reported device performance is presented as meeting these requirements.
| Acceptance Criteria Category | Specific Criteria | Reported Device Performance |
|---|---|---|
| Physical Performance | Water Absorption ≥ 300% | Water absorption ≥300% |
| Hydration Temperature Rise ≤ 1.0°C | Hydration temperature rise ≤1.0°C. Maximum exothermic temperature of the proposed device is 0.5℃. | |
| Zeolite Content ≥ 10% | Zeolite amount ≥10% | |
| Sterile Barrier Packaging | Integrity of Seals (ASTM F1886/F1886M: 2016) | Test result showed that the device package can maintain its integrity. |
| Seal Strength (ASTM F88/F88M: 2015) | Test result showed that the device package can maintain its integrity. | |
| Dye Penetration (ASTM F1929: 2015 / F3039: 2015) | Test result showed that the device package can maintain its integrity. | |
| Leak Detection by Bubble Emission/Vacuum Leak (ASTM D3078-02 (Reapproved 2021)el) | Test result showed that the device package can maintain its integrity. | |
| Packaging Resistance Bacteria Performance (DIN 58953-6-2010) | Test result showed that the device package can maintain its integrity. | |
| Sterilization & Shelf Life | Bacterial Endotoxins Test (USP <85>). Endotoxin limit did not exceed 20 EU/device. | Endotoxin limit did not exceed 20EU/device. |
| Shelf Life Evaluation (Water absorption, zeolite content, and heat release, package tests on aging samples) | Shelf life test result showed that the device can maintain its performance during the claimed shelf life. | |
| Biocompatibility | Cytotoxicity (ISO 10993-5: 2009) | The results for the biocompatibility testing showed that the proposed device is biocompatible (No Cytotoxicity, No intracutaneous reactivity, No Sensitization, No Acute Systemic Toxicity, No pyrogen). |
| Sensitization (ISO 10993-10: 2010) | The results for the biocompatibility testing showed that the proposed device is biocompatible. | |
| Irritation (ISO 10993-10: 2010) | The results for the biocompatibility testing showed that the proposed device is biocompatible. | |
| Systemic Toxicity (ISO 10993-11: 2017) | The results for the biocompatibility testing showed that the proposed device is biocompatible. | |
| Pyrogen Test (USP <151>) | The results for the biocompatibility testing showed that the proposed device is biocompatible. | |
| Hemostatic Effectiveness | In vivo testing to support the indications for use. (No specific quantitative acceptance criteria are provided in the summary, but the predicate device serves as the benchmark for substantial equivalence in effectiveness). | A in vivo testing using pig as a model is conducted on the subject device and predicate device to supports the indications for use of the subject device. |
Study Details Proving Device Meets Acceptance Criteria
-
Sample Size used for the test set and the data provenance:
- Physical performance testing: "Three discrete batches of subject device were tested." No further details on the number of units per batch or the provenance (country, retrospective/prospective) are provided beyond the manufacturer being in China.
- Sterile barrier packaging testing: No specific sample size is provided beyond stating "sterile barrier packaging testing were performed." Provenance is assumed to be from the manufacturer in China.
- Sterilization and shelf life testing: No specific sample size is provided for these tests, except for "aging samples" for shelf life. Provenance is assumed to be from the manufacturer in China.
- Biocompatibility testing: No specific sample sizes for in vitro tests (cytotoxicity, sensitization, irritation, systemic toxicity) are provided. Provenance is assumed to be from the manufacturer in China.
- Animal Study: 16 animals were selected for hemostatic testing: 8 for the subject device and 8 for the predicate device. The model used was a pig. Provenance is not specified beyond the manufacturer being in China, implying the study was conducted there. The study is prospective in nature as it involves active testing.
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Number of experts used to establish the ground truth for the test set and the qualifications of those experts:
- For physical performance, sterile barrier packaging, sterilization, shelf life, and biocompatibility, the acceptance criteria are based on established international and national standards (e.g., ASTM, ISO, USP, DIN). The "ground truth" here is the adherence to these standard specifications demonstrated through validated test methods, rather than expert interpretation of data. No external experts are mentioned for establishing ground truth for these tests.
- For the animal study, the "ground truth" for hemostatic effectiveness is the measured outcome in the pig model. The document does not specify if external experts were used to establish the ground truth (e.g., blinded assessment of bleeding time/volume) or the qualifications of those who evaluated the results.
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Adjudication method (e.g. 2+1, 3+1, none) for the test set:
- No adjudication method is mentioned for any of the non-clinical tests or the animal study. Test results are reported directly against the specified standards or internal criteria.
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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:
- No MRMC or human reader study was mentioned. This device is a passive hemostatic gauze, not an AI-assisted diagnostic or therapeutic device that would involve human readers.
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If a standalone (i.e. algorithm only without human-in-the-loop performance) was done:
- This is not applicable as the device is a physical hemostatic gauze, not an algorithm. Performance testing (physical, biocompatibility, sterilization, and animal study) represents the "standalone" performance of the physical device.
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The type of ground truth used (expert consensus, pathology, outcomes data, etc.):
- Physical Performance, Sterile Barrier, Sterilization, Shelf-life: Ground truth is defined by published industry standards and specifications (e.g., ASTM, ISO, USP, DIN) and the results obtained from validated testing methods.
- Biocompatibility: Ground truth is established by the results of tests conducted according to ISO 10993 series and USP standards, indicating the absence of adverse biological responses.
- Animal Study: The ground truth for hemostatic efficacy is derived from direct observation and measurement of bleeding control in a live animal model (pig). This is a form of outcomes data within the controlled environment of an animal study.
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The sample size for the training set:
- Not applicable. This is not a machine learning or AI device that requires a training set. The device is a physical product whose performance is evaluated through conventional non-clinical and pre-clinical testing.
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How the ground truth for the training set was established:
- Not applicable, as there is no training set for this type of device.
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(202 days)
The Axiostat Patch is intended for local management of bleeding wounds and to provide a barrier to bacterial penetration of the dressing for patients and for the rapid control of moderate to severe bleeding. The dressing is indicated for the following wounds: lacerations, abrasions, surgical debridement sites, skin surface puncture sites. vascular procedure sites and sites involving percutaneous catheters, tubes and pins.
The Axiostat Patch is a sterile, single use, non-absorbable hemostatic dressing. It is composed of chitosan a well-known natural polysaccharide generally derived from shellfish which has widely recognized hemostatic properties. When applied directly to a wound with firm pressure, the dressing controls bleeding and provides a barrier against bacterial penetration. The hemostatic dressing can be removed after the clotting has occurred but should not remain on for more than 24 hours. The hemostatic dressing is not intended to be implanted. The Axiostat Patch is individually packaged in moisture proof packs and terminally sterilized using gamma irradiation.
The provided text describes the Axiostat Patch, a hemostatic dressing, and outlines the non-clinical studies performed to demonstrate its safety and performance for its intended use. However, it does not contain information related to acceptance criteria and a study that proves the device meets the acceptance criteria in the context of an AI-powered medical device.
The document details the following types of studies for a physical medical device (hemostatic patch):
- Biocompatibility testing: Performed according to ISO 10993-1:2009 for surface devices, including tests for cytotoxicity, skin sensitization, intracutaneous reactivity, acute systemic toxicity, material-mediated pyrogenicity, and bacterial endotoxin.
- Heavy metal testing: To ensure the finished, sterilized product met USP-232 limits.
- Bench performance testing: Including appearance, moisture content, absorbency, pH, integrity, tensile strength, and in vitro blood clotting.
- Barrier to bacteria testing: Evaluated the patch's ability to act as a barrier against gram-positive and gram-negative bacteria.
- Animal studies: Evaluated hemostasis in a vascular injury wound model in swine.
- Sterilization and packaging validation: Including seal strength, dye penetration, sterility, bacterial endotoxin, and bench performance tests to validate a 5-year shelf life.
Since the provided text does not describe an AI medical device or its performance criteria, I am unable to answer most of your specific questions related to AI device acceptance criteria, sample sizes for test/training sets, expert involvement in ground truth establishment, MRMC studies, or standalone algorithm performance.
Therefore, I cannot populate the table or provide details for points 2-9 as the provided document does not contain this information for an AI device.
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