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510(k) Data Aggregation

    K Number
    K251070

    Validate with FDA (Live)

    Manufacturer
    Date Cleared
    2025-11-25

    (232 days)

    Product Code
    Regulation Number
    870.5150
    Reference & Predicate Devices
    Predicate For
    N/A
    Why did this record match?
    510k Summary Text (Full-text Search) :

    California 95032

    Re: K251070
    Trade/Device Name: Akura Thrombectomy System
    Regulation Number: 21 CFR 870.5150

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

    The Akura Thrombectomy Catheter System:
    As part of the Akura Thrombectomy System, the Akura Thrombectomy Catheter System is indicated for the removal of fresh, soft emboli and thrombi from vessels of the peripheral arterial and venous systems.

    The Akura Thrombectomy Accessory Kit:
    As part of the Akura Thrombectomy System, the Akura Accessory Kit is indicated to connect the Akura Thrombectomy Catheter to the Akura Thrombectomy Console.

    The Akura Thrombectomy Console:
    The Akura Thrombectomy Console is indicated as a vacuum source for the Akura Thrombectomy System.

    Device Description

    The subject Akura Thrombectomy System is designed to remove thrombus from the vasculature. The System is used by interventionalists trained in percutaneous endovascular thrombectomy procedures. The subject Akura Thrombectomy System is comprised of several devices.

    • Akura Thrombectomy Catheter System
      • Akura Thrombectomy Catheter
      • Akura Thrombectomy Sheath
      • Akura Thrombectomy Dilator
    • Akura Thrombectomy Console
    • Akura Accessory Kit
      • Saline Pump
      • Irrigation Tubing
      • Aspiration Canister Assembly

    During use, the Akura Thrombectomy Catheter System and Akura Thrombectomy Accessory Kit are connected to the Akura Thrombectomy Console that is placed outside the sterile field. The Akura Thrombectomy System is introduced through percutaneous access using a commercially available 16F vascular introducer sheath and a 0.035 in exchange length guidewire. The Akura Thrombectomy Catheter System is delivered to the target treatment site under fluoroscopic guidance. The Akura Thrombectomy Dilator is removed from the Akura Thrombectomy Sheath. The Akura Thrombectomy Catheter is inserted through the Akura Thrombectomy Sheath, and the Akura Thrombectomy Catheter funnel is deployed. Thrombus is removed by fragmentation using internal saline jets and aspiration. After the procedure, the Akura Thrombectomy Catheter System is removed from the vasculature and disposed of using standard hospital practices. The Akura Thrombectomy Console is cleaned and stored in accordance with the Akura Thrombectomy System User Manual.

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    K Number
    K252509

    Validate with FDA (Live)

    Date Cleared
    2025-11-24

    (108 days)

    Product Code
    Regulation Number
    870.5150
    Reference & Predicate Devices
    Predicate For
    N/A
    Why did this record match?
    510k Summary Text (Full-text Search) :

    Name:** AlphaVac Multipurpose Mechanical Aspiration (MMA) F1885 System
    Regulation Number: 21 CFR 870.5150
    Name:** AlphaVac Multipurpose Mechanical Aspiration (MMA) F1885 System
    Regulation Number: 21 CFR 870.5150

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

    The Cannula is indicated for:

    • the non-surgical removal of thrombi or emboli from the vasculature
    • aspiration and injection of contrast media and other fluids from and into the vasculature

    The Cannula is intended for use in the venous system and for the treatment of pulmonary embolism.

    The Handle is indicated as a vacuum source for the AlphaVac Multipurpose Mechanical Aspiration System.

    The Sheath is intended to be inserted in the vasculature to provide a conduit for the insertion of the AlphaVac Cannula/Obturator and other endovascular devices while minimizing blood loss associated with such insertions.

    Device Description

    The AlphaVac Multipurpose Mechanical Aspiration (MMA) System is a single use-over-wire catheter-based system that facilitates the removal of thrombus, embolus, or clot during minimally invasive percutaneous procedures. The AlphaVac MMA Systems are comprised of six main components packaged together:

    • a flexible AlphaVac Cannula with self-expandable, nitinol reinforced, angled funnel shaped distal tip
    • AlphaVac Sheath
    • AlphaVac Obturator
    • AlphaVac Handle
    • Collection Bags
    • AlphaVac Tubing

    The AlphaVac Cannula is placed within target vasculature using standard percutaneous vascular access techniques (i.e., Seldinger) and commonly available vascular access tools (e.g., guidewire, vascular introducers, etc.). Once the cannula is in place, the AlphaVac Handle and waste bag are connected and primed. The AlphaVac Cannula is advanced out of the sheath and the nitinol basket automatically expands into a funnel, aiding in the removal of thrombus, emboli, and clot. The aspiration handle is pulled back creating suction and pulling the material into the catheter, removing it from the vasculature. The aspirated material is captured and contained within the waste bag for disposal. Target vessels include, but are not limited to, the iliofemoral vein, Inferior Vena Cava (IVC), Superior Vena Cava (SVC), Right Heart (Atrium (RA)), and Pulmonary Artery Vasculature. The device is provided in ~85° angled configuration.

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    K Number
    K253407

    Validate with FDA (Live)

    Manufacturer
    Date Cleared
    2025-11-24

    (55 days)

    Product Code
    Regulation Number
    870.5150
    Reference & Predicate Devices
    Predicate For
    N/A
    Why did this record match?
    510k Summary Text (Full-text Search) :

    92106

    Re: K253407
    Trade/Device Name: NeVa PV Thrombectomy Device
    Regulation Number: 21 CFR 870.5150
    Cardiovascular

    • Regulatory Class: Class II
    • Product Code: QEX
    • Regulation Number: 21 CFR 870.5150
      Number** | K253407 | K171493 |
      | Company | Vesalio | Capture Vascular, Inc. |
      | Classification | 870.5150
      : Embolectomy catheter. | 870.5150: Embolectomy catheter. |
      | Product Code | QEX: Coronary Mechanical
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The NeVa PV Thrombectomy Device is indicated for:

    • The non-surgical removal of thrombus burden from coronary blood vessels,
    • Use with adjunctive aspiration and with the injection or infusion of contrast media and other fluids.
    Device Description

    The NeVa PV Thrombectomy Device ("NeVa") is a mechanical thrombectomy device that is temporarily inserted into the coronary vasculature under angiographic visualization in order to remove emboli and thrombus to restore blood flow to occluded vessels. The overall design of NeVa is similar to other commercially mechanical thrombectomy devices that use a self-expanding nitinol basket attached to a core pusher wire. To optimize emboli and thrombus removal, NeVa employs a capture cell design within the nitinol basket structure that incorporates a proprietary drop zone pattern. This proprietary drop zone design maximizes clot retrieval efficiency without changing the mechanism of action used by mechanical thrombectomy devices. As with other mechanical thrombectomy devices, NeVa is intended to be delivered through a compatible commercially available microcatheter to the target vessel. NeVa is intended to be retrieved into a guiding catheter with adjunctive aspiration to reduce potential emboli. NeVa is provided sterile and intended for single-use only. To accommodate different vessel diameters and clot sizes, NeVa is provided in multiple expandable tip sizes and configurations.

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    K Number
    K253323

    Validate with FDA (Live)

    Device Name
    Protrieve Sheath
    Manufacturer
    Date Cleared
    2025-10-29

    (29 days)

    Product Code
    Regulation Number
    870.5150
    Reference & Predicate Devices
    Predicate For
    N/A
    Why did this record match?
    510k Summary Text (Full-text Search) :

    California 92618

    Re: K253323
    Trade/Device Name: Protrieve™ Sheath
    Regulation Number: 21 CFR 870.5150
    Embolectomy Catheter |
    | Regulation name | Embolectomy Catheter |
    | Classification number | 21 CFR 870.5150

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

    The ClotTriever Thrombectomy System is indicated for:

    • The non-surgical removal of thrombi and emboli from blood vessels.
    • Injection, infusion, and/or aspiration of contrast media and other fluids into or from a blood vessel.

    The ClotTriever Thrombectomy System is intended for use in the peripheral vasculature including deep vein thrombosis (DVT).

    The Protrieve Sheath is indicated for use as a conduit for the insertion of endovascular devices into the vasculature while minimizing blood loss associated with such insertions.

    Device Description

    The Protrieve Sheath is a sterile, single-use over-the-wire introducer sheath with a hydrophilic coating, distal self-expanding funnel, aspiration port, and proximal hub. A dilator is provided to aid insertion and positioning of the sheath. Other provided accessories include a 60cc large bore syringe that provides a vacuum source and collects aspirated contents. Radiopaque markers aid sheath positioning under fluoroscopic visualization. The dilator tip is radiopaque, and there is a radiopaque marker band near the distal end of the sheath. Target vessels include, but are not limited to, the iliofemoral, upper and lower extremity, inferior vena cava (IVC), and superior vena cava (SVC).

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    K Number
    K251312

    Validate with FDA (Live)

    Manufacturer
    Date Cleared
    2025-10-24

    (179 days)

    Product Code
    Regulation Number
    870.5150
    Reference & Predicate Devices
    Predicate For
    N/A
    Why did this record match?
    510k Summary Text (Full-text Search) :

    Re: K251312
    Trade/Device Name: Vesalio Peripheral System
    Regulation Number: 21 CFR 870.5150
    Name:** Aspiration thrombectomy catheter
    Regulatory Classification: Embolectomy Catheter (21 CFR 870.5150
    Company** | Vesalio Inc. | Volcano AtheroMed Inc. | Walk Vascular, LLC |
    | Classification | 21 CFR 870.5150
    Embolectomy catheter 21 CFR 870.1250 Percutaneous Catheter | 21 CFR 870.5150 Embolectomy catheter |
    21 CFR 870.5150 Embolectomy Catheter |
    | Product Code | QEZ: aspiration thrombectomy catheter KRA

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

    The Vesalio Peripheral Catheter is intended for use in the peripheral arterial vasculature for:

    • the removal of fresh, soft emboli and thrombi
    • infusion of diagnostic agents, such as contrast media
    Device Description

    The Vesalio Peripheral System consists of 1) Peripheral Catheter, 2) Peel away Introducer Sheath and 3) an Aspiration Tubing Set.

    The Peripheral Catheter is a single-lumen, coil-reinforced, flexible, variable stiffness composite catheter that facilitates the removal of thrombus from the peripheral arterial vasculature when connected to a compatible aspiration pump and the Aspiration Tubing Set.

    The catheter is a hollow cylindrical tube constructed using a combination of medical-grade polymers with metal reinforcement, a lubricous inner liner made from PTFE and the outer jacket consisting of thermoplastics made of polyurethane, polyether block amide, and nylon 12. The distal end of the catheter has a hydrophilic coating aimed to reduce friction and aid tracking through the vasculature. The catheter employs radiopaque characteristics for angiographic visualization.

    On the proximal end, the catheter incorporates a flexible strain relief, which provides kink resistance, and a translucent, polycarbonate female luer hub to allow attachment of ancillary devices for navigation, infusion of fluids, and aspiration through the catheter.

    A peel-away introducer sheath is provided in the package to facilitate the insertion of the Peripheral Catheter's distal tip into an appropriate vascular sheath.

    The Aspiration Tubing Set is provided in a separate package and is made of common medical grade polymers. It comprises of a hollow cylindrical tube that is bonded to a standard male rotator fitting on one end. The male rotator allows the tubing to connect to an RHV or the female luer hub of the catheter. The other end of the tubing consists of a hose fitting to enable connection with a vacuum pump. A flow switch is connected in line to provide vacuum control. The Peripheral System is provided sterile, non-pyrogenic, and is intended for single use only.

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    K Number
    K251185

    Validate with FDA (Live)

    Manufacturer
    Date Cleared
    2025-10-22

    (189 days)

    Product Code
    Regulation Number
    870.5150
    Reference & Predicate Devices
    Predicate For
    N/A
    Why did this record match?
    510k Summary Text (Full-text Search) :

    Thrombectomy Catheter System (FG014, FG015, FG016, FG017, FG018, FG019, FG020)
    Regulation Number: 21 CFR 870.5150
    :** Peripheral Mechanical Thrombectomy With Aspiration
    Product Code/ Regulation: QEW / 21 CFR 870.5150
    Thrombectomy Catheter | Inari ClotTriever Bold Thrombectomy Catheter | N/A |
    | Regulation Number | 21 CFR 870.5150
    | 21 CFR 870.5150 | 21 CFR 870.5150 | Same |
    | Regulatory Class | Class II | Class II | Class II | Same

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

    The Recana Thrombectomy Catheter System is indicated for:

    • The non-surgical removal of thrombi and emboli from veins.
    • Injection, infusion, and/or aspiration of contrast media and other fluids into or from a vein.

    The Recana Thrombectomy Catheter System is indicated for use in peripheral venous vasculature.

    Device Description

    The Recana Thrombectomy Catheter System is designed to remove thrombus and emboli from native vessels or stented veins. The system is comprised of the debulking catheter, collection basket(s) with delivery sheaths, and a family of sheaths. Together, the Recana Thrombectomy Catheter System functions to capture and remove obstructive / occlusive thrombus from the venous vasculature.

    The debulking catheter utilizes an adjustable diameter stainless steel coring element to remove thrombus from the venous vasculature. Handle controls enable expansion and collapse of the coring element to achieve the desired working diameter. The debulking catheter is 0.035" guidewire and 0.060" basket shaft compatible and provides a working length of 80cm.

    18mm and 30mm Collection basket(s) are self-expanding nitinol wire-form and braided structures designed to ensure capture and removal of thrombi and emboli. The basket shaft has a 0.035" guidewire compatible lumen for over the wire delivery through a 9Fr Delivery Sheath with a working length of 95cm.

    Sheaths for introduction of the debulking catheter and collection baskets into the vasculature and for the recapture and removal of thrombi and emboli via the collection basket(s) are offered in four (4) size configurations (13Fr x 30cm, 13Fr x 90cm, 16Fr x 30cm, and 16Fr x 90cm) providing optionality based on access vessel size and location.

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    K Number
    K252612

    Validate with FDA (Live)

    Manufacturer
    Date Cleared
    2025-10-16

    (58 days)

    Product Code
    Regulation Number
    870.5150
    Reference & Predicate Devices
    Predicate For
    N/A
    Why did this record match?
    510k Summary Text (Full-text Search) :

    Tubing; INDIGO® Aspiration System - Lightning® Bolt Aspiration Tubing
    Regulation Number: 21 CFR 870.5150
    ** Cardiovascular
    Classification Name: Catheter, Embolectomy
    Regulation Number: 21 CFR §870.5150
    ** Cardiovascular
    Classification Name: Catheter, Embolectomy
    Regulation Number: 21 CFR §870.5150

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

    INDIGO Aspiration Catheters and Separators

    As part of the INDIGO Aspiration System, the INDIGO Aspiration Catheters and Separators are indicated for the removal of fresh, soft emboli and thrombi from vessels of the peripheral arterial and venous systems, and for the treatment of pulmonary embolism.

    INDIGO Aspiration Tubing

    As part of the INDIGO Aspiration System, the INDIGO Sterile Aspiration Tubing is indicated to connect the INDIGO Aspiration Catheters to the Penumbra Aspiration Pump.

    Penumbra Aspiration Pump

    The Penumbra Aspiration Pump is indicated as a vacuum source for Penumbra Aspiration Systems.

    Device Description

    The INDIGO® Aspiration System is comprised of several devices:

    • INDIGO Aspiration Catheter
    • Penumbra Aspiration Pump
    • INDIGO Aspiration Pump Canister
    • INDIGO Aspiration Tubing
    • INDIGO Separator

    The INDIGO Aspiration System is designed to remove thrombus from the vasculature using mechanical aspiration. The INDIGO Aspiration Catheter targets aspiration from the pump directly to the thrombus. The INDIGO Separator may be used to clear the lumen of the INDIGO Aspiration Catheter should it become blocked with thrombus. The INDIGO Aspiration Catheter is introduced through a guide catheter or vascular sheath into the peripheral vasculature and guided over a guidewire to the site of the primary occlusion. The INDIGO Aspiration Catheter is used with the Penumbra Aspiration Pump to aspirate thrombus from an occluded vessel. As needed, an INDIGO Separator may be deployed from the INDIGO Aspiration Catheter to assist with thrombus removal. The INDIGO Separator is advanced and retracted through the INDIGO Aspiration Catheter at the proximal margin of the primary occlusion to facilitate clearing of the thrombus from the INDIGO Aspiration Catheter tip. The INDIGO Aspiration Catheter may be provided with a steam shaping mandrel, rotating hemostasis valve, and introducer. The INDIGO Separator may be provided with an introducer and torque device. The devices are visible under fluoroscopy. For the aspiration source, the INDIGO Aspiration Catheter is used in conjunction with the Penumbra Aspiration Pump, which is connected using the INDIGO Aspiration Tubing and the INDIGO Aspiration Pump Canister.

    Lightning Flash and Lightning Bolt Aspiration Tubing:

    The Lightning Flash and Lightning Bolt Aspiration Tubing (INDIGO Aspiration Tubing) is designed to serve as a conduit to assist in thrombus removal, facilitating the transfer of vacuum between the Penumbra Aspiration Pump and the INDIGO Aspiration Catheter while providing intermittent, continuous, or modulated aspiration. Modulated aspiration is provided when the Lightning Bolt Aspiration Tubing alternates between connecting the INDIGO Aspiration Catheter to the Penumbra Aspiration Pump and a sterile saline intravenous (IV) bag at ambient pressure.

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    K Number
    K252057

    Validate with FDA (Live)

    Date Cleared
    2025-08-28

    (58 days)

    Product Code
    Regulation Number
    870.5150
    Reference & Predicate Devices
    Predicate For
    N/A
    Why did this record match?
    510k Summary Text (Full-text Search) :

    Symphony™ Thrombectomy System
    Symphony™ 16F 82cm Thrombectomy System
    Regulation Number: 21 CFR 870.5150
    Aspiration
    Regulatory Class: II
    Product Code: QEW (Primary), KRA
    Regulation: 21 CFR 870.5150
    Mechanical Thrombectomy with Aspiration
    Product Code: QEW (Primary), KRA
    Regulation: 21 CFR 870.5150
    System. |
    | Product Code | QEW (Primary)KRA | Same |
    | Regulation Name/Number | 21 CFR 870.5150

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

    The Symphony Thrombectomy System is intended for:

    • The non-surgical removal of fresh, soft emboli and thrombi from blood vessels.
    • Injection, infusion, and/or aspiration of contrast media and other fluids into or from a blood vessel.

    The Symphony Thrombectomy System is intended for use in the peripheral vasculature and for the treatment of pulmonary embolism.

    The Symphony 16F 82cm Thrombectomy System is intended for:

    • The non-surgical removal of fresh, soft emboli and thrombi from blood vessels.
    • Injection, infusion, and/or aspiration of contrast media and other fluids into or from a blood vessel.

    The Symphony 16F 82cm Thrombectomy System is intended for use in the peripheral vasculature. It is not for use in the pulmonary vasculature.

    Device Description

    The Symphony™ Thrombectomy System is comprised of the following devices:

    • 24F Symphony Catheter
    • 24F Symphony Standard Dilator
    • 24F Symphony Advance™ Long Dilator
    • 24F Symphony ProHelix™
    • 16F Symphony Catheter
    • 16F Symphony Dilator
    • 16F Symphony ProHelix™
    • Symphony Clot Container
    • TRUVIC Generator
    • TRUVIC Canister
    • TRUVIC Tubeset

    The Symphony™ 16F 82cm Thrombectomy System is comprised of the following devices:

    • 16F 82cm Symphony Catheter
    • 16F 82cm Symphony Length Matched Dilator
    • Symphony Clot Container
    • TRUVIC Generator
    • TRUVIC Canister
    • TRUVIC Tubeset

    Both Systems are designed to remove thrombus/embolus (also referred to as 'clot') from the peripheral vasculature using controlled aspiration. The Symphony Catheters and the Symphony 16F 82cm Catheter target aspiration from the TRUVIC Generator directly to the thrombus. The Symphony ProHelix may be used to facilitate aspiration and removal of the thrombus through the 16F Symphony Catheter or through the 24F Symphony Catheter. The Symphony ProHelix is not used with the 16F 82cm Symphony Catheter.

    The Symphony Catheters and Symphony Dilators are introduced through a vascular access sheath into the peripheral vasculature and guided over a guidewire to the site of the thrombus in the peripheral vasculature or pulmonary anatomy. The 16F 82cm Catheter and compatible Dilator are introduced through a vascular access sheath into the peripheral vasculature and guided over a guidewire to the site of thrombus in the peripheral vasculature. The Symphony 16F 82cm Catheter and compatible Dilator are not intended for use in the pulmonary anatomy. Both the Symphony Catheters and the Symphony 16F 82cm Catheter are used with the TRUVIC Generator, connected using the TRUVIC Tubeset and the TRUVIC Canister, to aspirate thrombus.

    As needed, the Symphony ProHelix may be introduced through a Symphony 16F Catheter or a Symphony 24F Catheter to assist with thrombus removal. The Symphony ProHelix is not used with the 16F 82cm Symphony Catheter. The Symphony ProHelix is manually advanced through the Symphony Catheter over a guidewire, remaining inside the Symphony Catheter during the procedure. During aspiration, the handle on the proximal end of the Symphony ProHelix is manually rotated, which rotates the tip of the Symphony ProHelix to facilitate thrombus removal through the Symphony Catheter. The tips of the devices are visible under fluoroscopy.

    AI/ML Overview

    Here's a breakdown of the acceptance criteria and study details for the Imperative Care, Inc. Symphony™ Thrombectomy System, specifically for the expanded pulmonary embolism indication, based on the provided 510(k) clearance letter:


    1. Table of Acceptance Criteria and Reported Device Performance

    MetricAcceptance Criteria (Performance Goal)Reported Device Performance
    Primary Efficacy Endpoint: Mean Reduction in RV/LV Between Baseline and 48-Hours (assessed by CT Angiography)Lower one-sided 97.5% confidence interval (CI) bound > 0.200.44 ± 0.42 (Mean ± SD) Lower one-sided 97.5% CI for Mean: 0.36 Met: Yes (0.36 > 0.20)
    Primary Safety Endpoint: Composite 48-Hour Major Adverse Events (MAE) Rate (all-cause major bleeding, device-related mortality, and device-related serious adverse events including clinical deterioration, pulmonary vascular injury, or cardiac injury)Upper one-sided 97.5% CI bound < 15.0%0.9% (1/109) Upper one-sided 97.5% CI: 5.7% Met: Yes (5.7% < 15.0%)

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

    • Sample Size for Clinical Study (SYMPHONY-PE):

      • ITT Cohort (Safety Analysis): 109 subjects
      • mITT Cohort (Efficacy Analysis - device only used, no thrombolytics/other devices within 48h): 106 subjects
      • Primary Efficacy Analysis Population (mITT with paired RV/LV measurements): 102 subjects
    • Data Provenance: The SYMPHONY-PE clinical study was a prospective, multicenter, single-arm, open label study conducted across 19 sites in the U.S.


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

    • Ground Truth for Clinical Endpoints:
      • Primary Efficacy Endpoints (RV/LV measurements): Adjudicated by an independent imaging core lab. The specific number and qualifications of experts within this core lab are not detailed in the provided document.
      • Primary Safety Endpoints (Major Adverse Events): Adjudicated by an Independent Safety Board (ISB). The specific number and qualifications of experts on this board are not detailed in the provided document.
      • Clinical Events Committee (CEC): Also reviewed safety endpoints data. The number and qualifications are not detailed.

    4. Adjudication Method for the Test Set

    • The document states that the primary efficacy endpoint (mean reduction in RV/LV) was "independent core-lab adjudicated."
    • The primary safety endpoint (MAE rate) was "adjudicated by the Independent Safety Board (ISB)."
    • No specific method like "2+1" or "3+1" concensus is described for the adjudication processes. It implies that the core lab and ISB performed their respective adjudications, likely following their own established protocols.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was done

    • No, an MRMC comparative effectiveness study was not done. The SYMPHONY-PE study was a single-arm study evaluating the safety and effectiveness of the device itself against pre-specified performance goals, not comparing its performance or human reader performance with and without AI assistance, or against another device.
    • Therefore, no effect size for human reader improvement with AI vs. without AI assistance is reported, as AI is not explicitly mentioned as part of the system or as an aid to human readers in this context.

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

    • No, a standalone (algorithm-only) performance study was not done. The Symphony™ Thrombectomy System is a medical device for mechanical thrombectomy, not an AI or software algorithm that provides a diagnostic output in a standalone manner. The clinical study evaluated the device in vivo during actual procedures.

    7. The Type of Ground Truth Used

    • Clinical Outcomes Data: For the SYMPHONY-PE clinical study, the ground truth was based on clinical outcomes measured in human subjects.
      • Efficacy: Reduction in RV/LV ratio, assessed by CT Angiography (CTA) and adjudicated by an independent imaging core lab. This is a quantitative, image-based clinical measurement.
      • Safety: Rates of Major Adverse Events (MAE) including bleeding, mortality, and device-related SAEs, adjudicated by an Independent Safety Board and CEC. This is based on clinical observations and event reporting.

    8. The Sample Size for the Training Set

    • Not applicable / Not provided. The Symphony™ Thrombectomy System is a mechanical device, not a machine learning or AI model. Therefore, there is no "training set" in the context of algorithm development.
    • The document does describe extensive in-vitro bench testing and in-vivo GLP pre-clinical animal testing to validate the device's performance prior to human clinical trials.

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

    • Not applicable / Not provided. As mentioned above, there is no "training set" for this mechanical device. The ground truth for its development and verification was established through various engineering tests and animal studies, which are designed to validate physical performance, material properties, and biocompatibility against established standards and safety profiles.
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    K Number
    K251488

    Validate with FDA (Live)

    Date Cleared
    2025-07-14

    (61 days)

    Product Code
    Regulation Number
    870.5150
    Reference & Predicate Devices
    Predicate For
    N/A
    Why did this record match?
    510k Summary Text (Full-text Search) :

    Re: K251488**
    Trade/Device Name: FLOWRUNNER Aspiration System
    Regulation Number: 21 CFR 870.5150
    General Information

    Trade Name: FLOWRUNNER Aspiration System
    Regulation Number: 21 CFR 870.5150

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

    The Expanse FLOWRUNNER Aspiration System is indicated for the removal of fresh, soft emboli and thrombi from vessels of the peripheral arterial and venous systems.

    Device Description

    The Expanse FLOWRUNNER Aspiration System is a peripheral thrombectomy system consisting of several components:

    • FLOWRUNNER Aspiration Catheter
    • FLOWRUNNER Aspiration Sheath
    • Vacuum Fitting
    • High Flow Stopcock Connector
    • Y-Connector with Hemostatic Valve
    • Hand Actuator Clip

    The FLOWRUNNER Aspiration System is designed for the minimally invasive removal of thrombus from the peripheral vasculature using aspiration. The system has demonstrated compatibility with standard vascular implants, including stents and filters. It is a single use, over-the-wire, catheter-based system with the ability to infuse fluid. The FLOWRUNNER Aspiration System consists of one aspiration catheter, one aspiration sheath, one vacuum fitting, one high flow stopcock connector, one Y-connector with hemostatic valve, and a hand actuator clip.

    The FLOWRUNNER Aspiration System is introduced to the site of the primary occlusion. The Aspiration Catheter is advanced through the Aspiration Sheath and targets aspiration directly to the thrombus. The Aspiration Catheter is then retracted back into the Aspiration Sheath. This process of extension and retraction of the Aspiration Catheter is then repeated to fully aspirate the clot. Suction is applied directly to the Aspiration Catheter from an external vacuum source to aspirate thrombus from an occluded vessel (maximum pressure -27.6 in Hg and minimum pressure of -8.0 in Hg).

    Sterile saline flows through the Aspiration Sheath and into the Aspiration Catheter when connected proximally. No saline is injected into the patient during aspiration. The Aspiration Catheter and Sheath are visible under fluoroscopy. The hand actuator is an optional, proximal clip attached to the Aspiration Catheter to assist the user.

    The FLOWRUNNER Aspiration System comes in 12F, 14F compatible diameters and 60cm, 80cm, 100cm and 120cm lengths.

    AI/ML Overview

    The provided FDA 510(k) clearance letter and summary for the FLOWRUNNER Aspiration System are for a medical device (an embolectomy catheter), not an AI/ML powered device. As such, the document does not contain information typically found in submissions for AI/ML devices regarding acceptance criteria, study design for AI performance, ground truth, or expert involvement in classification.

    The information provided focuses on the FLOWRUNNER Aspiration System's equivalence to a predicate device (ICE Aspiration System) for its intended use in removing emboli and thrombi from peripheral vessels. The "performance data" section refers to bench testing, which is standard for hardware medical devices, not AI/ML performance metrics.

    Therefore, I cannot extract the requested information about acceptance criteria, study details, human reader improvement with AI, standalone performance, ground truth establishment, or training set size. This document does not describe a study involving AI/ML.

    Here's a summary of what information can be extracted from the document, related to its non-AI performance claims:

    1. A table of acceptance criteria and the reported device performance:

    The document summarizes the performance testing generically as "Bench testing was performed to support a determination of substantial equivalence to the predicate." It lists the types of bench tests conducted but does not provide specific acceptance criteria values or detailed reported performance results against those criteria.

    Acceptance Criteria (Implied)Reported Device Performance
    In-Stent and IVC Filter compatibility"demonstrated compatibility with standard vascular implants, including stents and filters"
    Thrombus CapturePerformed (specific results not detailed)
    Conformance to intended use requirements"designed and tested to assure conformance to the requirements for its intended use"
    Reliability (general)"Performance testing demonstrated that the FLOWRUNNER Aspiration System reliably raises no new questions of safety and effectiveness."

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

    Not applicable, as this refers to bench testing on physical components, not a clinical test set with patient data.

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

    Not applicable. Ground truth for clinical data is irrelevant to bench testing of a hardware device.

    4. Adjudication method for the test set:

    Not applicable.

    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:

    No. This device is not AI-powered, so no such study was conducted or is relevant.

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

    No. This device is not an algorithm. Bench testing evaluates the physical device's performance.

    7. The type of ground truth used:

    Not applicable in the context of AI/ML. For the bench testing, the "ground truth" would be engineering specifications and validated test methods to assess the physical device's capabilities (e.g., ability to capture thrombus in a model, compatibility with stents).

    8. The sample size for the training set:

    Not applicable. This is not an AI/ML device.

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

    Not applicable. This is not an AI/ML device.

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    K Number
    K251189

    Validate with FDA (Live)

    Manufacturer
    Date Cleared
    2025-06-13

    (57 days)

    Product Code
    Regulation Number
    870.5150
    Reference & Predicate Devices
    Predicate For
    N/A
    Why did this record match?
    510k Summary Text (Full-text Search) :

    Re: K251189*
    Trade/Device Name: Aventus Thrombectomy System
    Regulation Number: 21 CFR 870.5150
    Catheter
    Regulatory Class: Class II
    Product Code: QEW, KRA
    Regulation Number: 21 CFR 870.5150

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

    The Aventus Thrombectomy System is indicated for:

    • The non-surgical removal of emboli and thrombi from blood vessels.
    • Injection, infusion, and/or aspiration of contrast media and other fluids into or from a blood vessel.

    The Aventus Thrombectomy System is intended for use in the peripheral vasculature and for the treatment of pulmonary embolism.

    Device Description

    The Aventus Thrombectomy System is a catheter-based manual aspiration system designed for the minimally invasive removal of emboli and thrombi from blood vessels, infusing fluids, and is intended to be used in the peripheral vasculature and for the treatment of pulmonary embolism. The System is comprised of the following major components:

    • Aventus Thrombectomy Catheter
    • Clot Management System consisting of:
      • Aspiration Syringe
      • Clot Canister

    The System is compatible with a standard 24-French (24F) introducer sheath, 4F Navigation Catheters and is to be used with 0.035" guidewires. The System is provided sterile and is intended for single use only.

    The Aventus Thrombectomy Catheter includes an atraumatic radiopaque Distal Tip with embedded sensors, and an angled aspiration orifice for directional aspiration and navigation without a dilator. The Catheter Handle assists the clinician in navigating within the vasculature and includes a Sensing Indicator and houses the Sensing electronics. The Aspiration Catheter shaft incorporates a metallic reinforcement layer made of stainless steel, an inner liner and polymeric outer jacket having variable stiffness.

    The System is provided with a 60-cc dual action manual syringe which allows for directional flow control and directs aspirated blood and clot into the Clot Canister.

    AI/ML Overview

    The provided text describes the regulatory clearance of a medical device, the Aventus Thrombectomy System, and outlines the performance data submitted to support its substantial equivalence. However, the document does NOT contain information about an AI/Software component that would require "acceptance criteria" based on metrics like sensitivity, specificity, accuracy, or an MRMC study.

    The software testing mentioned refers to:

    • "Software documentation was leveraged from the reference device as recommended by FDA Guidance: Content of Premarket Submissions for Device Software Functions, issued June 14, 2023." This indicates that the software functions are likely related to guiding the device's operation, sensing, or control rather than an AI-driven diagnostic or interpretative function. There is no mention of AI, machine learning, or algorithms for image analysis or diagnostic support.

    Therefore, I cannot provide the requested information about acceptance criteria, test set details (sample size, provenance, expert ground truth, adjudication), MRMC studies, standalone performance, or training set details because the provided document does not indicate the presence of such an AI/ML component.

    The performance data listed pertains to the physical device itself (biocompatibility, sterilization, packaging, electrical safety, bench testing, animal studies, and a clinical trial on the device's safety and effectiveness in treating pulmonary embolism).

    If the device did indeed have an AI/ML component, the type of information you requested (acceptance criteria, ground truth establishment, MRMC study, etc.) would be critical for its regulatory clearance. Based on the provided text, the Aventus Thrombectomy System appears to be a mechanical thrombectomy device with some electronic/software components for its control and sensing, but not for AI-assisted image analysis or diagnostic capabilities.

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