K Number
K955818

Validate with FDA (Live)

Date Cleared
1996-03-26

(91 days)

Product Code
Regulation Number
870.4210
Age Range
All
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticPediatricDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The FoamSeal Retrograde Cardioplegia Catheter is intended for use in perfusing cardioplegia solutions retrograde through the coronary sinus by means of transatrial introduction.

Device Description

The proposed modified FoamSeal Retrograde Cardioplegia Catheter is identical to the original FoamSeal Retrograde Cardioplegia Catheter (marketed under 510(k) # K941916), with the exception of a more rigid guide stylet.

AI/ML Overview

The provided text is a 510(k) summary for the FoamSeal Retrograde Cardioplegia Catheter. It describes the device, its intended use, and its substantial equivalence to predicate devices. However, this document does not contain any information about acceptance criteria or a study proving that the device meets acceptance criteria in the context of a machine learning or AI-powered medical device.

The document describes a physical device, a catheter, and the "study" mentioned is a mechanical engineering test to compare the rigidity of a stylet. It's a non-clinical, bench-top test of a physical characteristic, not a clinical study or a performance evaluation of a device with "acceptance criteria" in the way that would apply to an AI system.

Therefore, I cannot fulfill your request for the specific information points as they relate to AI/ML device performance. The information you're asking for (sample size, data provenance, experts, adjudication, MRMC, standalone performance, ground truth, training set size) is relevant to AI/ML device validation, which is not what this 510(k) describes.

The document states:

  • Study: "Stylet guide collapse testing was performed on the stylet guide from the proposed modified FoamSeal Retrograde Cardioplegia Catheter, and was compared to collapse values from the stylet guide used in the Research Medical retrograde cardioplegia catheter..."
  • Purpose of Study: "The purpose of this test was to evaluate the force that can be generated by the stylet before buckling occurs, thereby providing a means for comparing stylet rigidity."
  • Outcome/Finding: "Test results demonstrate that the modified FoamSeal Retrograde Cardioplegia Catheter stylet is less rigid than the Research Medical stylet, thereby presenting less of a potential for damage to the coronary sinus."

This is a physical test result, not an AI/ML performance metric.

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K955818

FoamSeal Retrograde Cardioplegia Catheter 510(k) Summary of Safety and Effectiveness

I. Device Name:

Cardiopulmonary Bypass Vascular Catheter, Cannula, or Classification Name: Tubing Retrograde Cardioplegia Catheter Common/Usual Name: FoamSeal Retrograde Cardioplegia Catheter Proprietary Name:

II. Predicate Devices:

FoamSeal Retrograde Cardioplegia Catheter - # K941916 Research Medical Retrograde Cardioplegia Catheter - K880103

III. Intended Use:

The FoamSeal Retrograde Cardioplegia Catheter is intended for use in perfusing cardioplegia solutions retrograde through the coronary sinus by means of transatrial introduction.

IV. Summary of Substantial Equivalence:

The proposed modified FoamSeal Retrograde Cardioplegia Catheter is identical to the original FoamSeal Retrograde Cardioplegia Catheter (marketed under 510(k) # K941916), with the exception of a more rigid guide stylet. Research Medical, Inc., markets a retrograde cardioplegia catheter (model # RC-014) under 510(k) # K880103. A comparison of the devices is shown in figure 1 below.

Stylet guide collapse testing was performed on the stylet guide from the proposed modified FoamSeal Retrograde Cardioplegia Catheter, and was compared to collapse values from the stylet guide used in the Research Medical retrograde cardioplegia catheter (Retroplegia® Cannula Model # RC-014, marketed under 510(k) # K880103). The purpose of this test was to evaluate the force that can be generated by the stylet before buckling occurs, thereby providing a means for comparing stylet rigidity.

Test results demonstrate that the modified FoamSeal Retrograde Cardioplegia Catheter stylet is less rigid than the Research Medical stylet, thereby presenting less of a potential for damage to the coronary sinus. We believe, that the modified device does not raise new questions of safety or effectiveness, and is substantially equivalent to legally marketed devices.

રેર

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Proposed ModifiedFRCCOriginal FRCC# K941916Research MedicalRC-014# K880103
Intended UseIntra-operativedelivery ofcardioplegia solutionIntra-operativedelivery ofcardioplegia solutionIntra-operativedelivery ofcardioplegia solution
MaterialSilicone catheterbody & extensiontubeSilicone catheterbody & extensiontubePVC catheter body &extension tube
Stainless steel styletStainless steel styletStainless steel stylet
PolycarbonatestopcockPolycarbonatestopcockPolycarbonate/polyethylenestopcock
Polypropylene clampPolypropylene clampPolypropylene clamp
Polycarbonate femaleluer connectorPolycarbonate femaleluer connectorPVC female luerconnector
Silicone balloonSilicone balloonPolyurethane balloon
Polyurethane foamPolyurethane foamNo foam
PackagingTyvek/polymylarTyvek/polymylarTyvek/paper
Sterilization100% EtO100% EtOEtO
BiocompatibilityTripartiteTripartiteUnknown
FeaturesFoam-filled cuff/auto inflatingFoam-filled cuff/auto inflatingSelf-inflating cuff
15 fr.size15 fr. size14 fr. size
Pressure monitoringportPressure monitoringportPressure monitoringport
Pinch clamp ondelivery lumenPinch clamp ondelivery lumenPinch clamp ondelivery lumen
Suture ringSuture ringSuture ring
Malleable styletFlexible guidewirestyletMalleable stylet

figure 1 - Comparison Table

Krista Oakes
Regulatory Affairs Specialist

12/22/95
Date

Date

32 26

§ 870.4210 Cardiopulmonary bypass vascular catheter, cannula, or tubing.

(a)
Identification. A cardiopulmonary bypass vascular catheter, cannula, or tubing is a device used in cardiopulmonary surgery to cannulate the vessels, perfuse the coronary arteries, and to interconnect the catheters and cannulas with an oxygenator. The device includes accessory bypass equipment.(b)
Classification. Class II (performance standards).