K Number
K031748
Date Cleared
2003-08-27

(83 days)

Product Code
Regulation Number
876.5130
Panel
GU
Reference & Predicate Devices
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

VitalCare Sterile Water and 0.9% Sodium Chloride. The10cc/30cc syringes are used for balloon inflation. Devices are not intended for wound irrigation, injection or IV Administration.

Device Description

Sterile Water and 0.9% Sodium Chloride are products that have been used in the medical community for decades, the only ingredient in the two solutions other than water is Sodium Chloride; there are no preservatives or stabilizers. The syringes are manufactured from 100% medical grade polypropylene and contain no color or preservatives or additives.

The containers are filled with distilled water and distilled saline solution, sealed, capped and gamma irradiated for single use only.

AI/ML Overview

This 510(k) summary (K031748) is for the VitalCare Sterile Water and 0.9% Saline 10cc, 30cc pre-filled inflation syringes. The document describes the device, its intended use, and compares it to a predicate device (Orion Life Systems Sterile Water and 0.9% 10cc pre-filled inflation syringes) to establish substantial equivalence.

The provided document does not contain information about acceptance criteria or a study that proves the device meets specific performance criteria in the way typically expected for a diagnostic or AI-driven medical device submission.

Instead, this 510(k) emphasizes substantial equivalence to an already legally marketed predicate device. This means the manufacturer is asserting their device is as safe and effective as the predicate device based on similar technological characteristics and intended use, rather than conducting a new, detailed performance study against specific acceptance criteria.

Therefore, many of the questions regarding acceptance criteria, study design, sample sizes, ground truth, and expert involvement are not applicable to this type of submission.

However, I can extract the relevant information from the provided text based on the 510(k) submission's structure:


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

This 510(k) submission, being for a pre-filled syringe (a manufacturing and material equivalence claim), does not present specific "acceptance criteria" and "reported device performance" in the way a clinical study would for a diagnostic or AI device. Instead, the "performance" is based on the equivalence of features and contents to the predicate device.

Feature / ClaimAcceptance Criteria (Implied by Predicate Equivalence)Reported Device Performance (VitalCare Device)
Intended UseSame as predicate device (catheter balloon inflation; not for wound irrigation or IV administration)."The intended use is the same." "Used for catheter balloon inflation. The devices are not intended to be used for wound irrigation or IV administration."
ContentsSterile water (for sterile water syringes) and 0.9% Sodium Chloride (for saline syringes); no preservatives or stabilizers."Sterile Water\0.9% Sodium Chloride." "The only ingredient in the two solutions other than water is Sodium Chloride; there are no preservatives or stabilizers." "The containers are filled with distilled water and distilled saline solution."
LabelingEquivalent to predicate device regarding contents, volume, intended use (balloon inflation), and prohibitions (not for injection, no antimicrobial/other substances)."Sterile Water\Saline 10cc\30cc syringes. For Balloon Inflation. Not for injection. No antimicrobial or other substances added." (Stated as "Similar" to predicate)
MaterialsMedical grade materials, specifically polypropylene for syringes and Santoprene rubber."Polypropylene, Santoprene rubber." "Manufactured from 100% medical grade polypropylene and contain no color or preservatives or additives." (Stated as "Similar" to predicate)
SterilizationSterilized for single use."Sealed, capped and gamma irradiated for single use only." (Implied to be equivalent to predicate in safety and effectiveness)
Performance AttributesEquivalent to predicate device."The performance attributes are the same."

2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective):

Not applicable. This is a 510(k) submission for substantial equivalence of a manufacturing product (pre-filled syringes), not a clinical trial or performance study involving a patient test set or data originating from a specific country. The "test" for this type of device is primarily a comparison of its physical and chemical properties, manufacturing processes, and intended use against a legally marketed predicate device.


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. There was no "ground truth" to establish in a clinical sense for a test set. The validation for this type of device involves scientific and engineering assessment of material properties, sterilization methods, and product design compared to the predicate device, typically performed by the manufacturer's internal quality and R&D teams and reviewed by the FDA.


4. Adjudication method (e.g. 2+1, 3+1, none) for the test set:

Not applicable. No test set requiring expert adjudication was conducted for this 510(k) submission.


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 pre-filled syringe, 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 device is a pre-filled syringe, not an algorithm or software device.


7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.):

Not applicable. The concept of "ground truth" as used in diagnostic or AI studies is not relevant here. The "truth" for this submission revolves around demonstrating that the device's physical and chemical attributes, along with its manufacturing process, result in a product that is safe and effective and functions equivalently to the predicate device.


8. The sample size for the training set:

Not applicable. There is no "training set" for this product.


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

Not applicable. There is no "ground truth" or "training set" for this product.

§ 876.5130 Urological catheter and accessories.

(a)
Identification. A urological catheter and accessories is a flexible tubular device that is inserted through the urethra and used to pass fluids to or from the urinary tract. This generic type of device includes radiopaque urological catheters, ureteral catheters, urethral catheters, coudé catheters, balloon retention type catheters, straight catheters, upper urinary tract catheters, double lumen female urethrographic catheters, disposable ureteral catheters, male urethrographic catheters, and urological catheter accessories including ureteral catheter stylets, ureteral catheter adapters, ureteral catheter holders, ureteral catheter stylets, ureteral catheterization trays, and the gastro-urological irrigation tray (for urological use).(b)
Classification. (1) Class II (performance standards).(2) Class I for the ureteral stylet (guidewire), stylet for gastrourological catheter, ureteral catheter adapter, ureteral catheter connector, and ureteral catheter holder. The devices subject to this paragraph (b)(2) are exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 876.9.