K Number
K062365
Manufacturer
Date Cleared
2006-09-29

(46 days)

Product Code
Regulation Number
880.5860
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Arthrex Aspirate Kit is intended for the aspiration of bone marrow. autologous blood, plasma or other blood components with or without pre-filling with a bone void filler (allograft, autograft or synthetic bone graft material).

The kit is designed to facilitate the pre-mixing of autologous blood, bone marrow. I.V. fluids, platelet-rich plasma, or plasma with bone void filler and the delivery to an orthopedic surgical site, as deemed necessary by the clinical use requirements.

Device Description

The Arthrex Aspirate Kit contains piston syringes, aspirating needle, Luer-lock and Slip Tip adaptors, cannula, and prep tray (bowl).

The piston syringes consist of aspirating/delivery syringe and/or a mixing/delivery syringe. The piston syringes are designed with male Luer-lock connectors (nozzle) for fitting a female connector of a needle or an adaptor for connection to the other syringe or cannula used for mixing. The aspirating syringe is a 60 mL syringe, while the mixing syringe is 9 mL. Luer-lock and Slip Tip adaptors may be provided.

AI/ML Overview

The provided 510(k) premarket notification for the Arthrex Aspirate Kit (K062365) does not describe a study involving acceptance criteria and device performance in the way typically expected for an AI/ML medical device.

This document is for a Class II medical device (Piston Syringe) that is a physical kit containing syringes, needles, and adaptors. The approval is based on substantial equivalence to predicate devices, rather than a novel AI/ML algorithm requiring a performance study with detailed acceptance criteria.

Therefore, many of the requested points about acceptance criteria, study details, ground truth, and expert involvement are not applicable to this specific 510(k) submission.

Here's an breakdown of why and what information can be extracted:


1. Table of Acceptance Criteria and Reported Device Performance

Acceptance CriteriaReported Device Performance
Not ApplicableNot Applicable
This 510(k) submission for a physical kit relies on substantial equivalence to predicate devices. It does not define quantitative performance metrics and acceptance criteria in the manner of an AI/ML algorithm, nor does it report specific device performance data from a clinical or simulation study against such criteria. The device is a collection of components for aspiration and delivery, and its "performance" is implicitly tied to its ability to perform these mechanical functions safely and effectively, similar to the predicate devices.

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

Not Applicable.
This submission does not involve a "test set" in the context of an AI/ML algorithm evaluation. The approval is based on showing substantial equivalence to existing, legally marketed predicate devices, meaning that the new device has "basic features and intended uses" that are "the same" as the predicates, and any differences are "minor and do not raise any questions concerning safety and effectiveness" and "have been found to have no apparent effect on the performance, function, or intended use of the device." This implies a comparison of design, materials, and intended use, not performance on a dataset.


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

Not Applicable.
There is no "ground truth" establishment in the context of an AI/ML algorithm for this device. The evaluation is against predicate devices.


4. Adjudication Method for the Test Set

Not Applicable.
No test set in the AI/ML context was used.


5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done, and the Effect Size of How Much Human Readers Improve with AI vs. Without AI Assistance

Not Applicable.
This is not an AI/ML device, so no MRMC study involving human readers and AI assistance was conducted or would be relevant.


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

Not Applicable.
This is not an AI/ML algorithm.


7. The Type of Ground Truth Used

Not Applicable.
No "ground truth" in the AI/ML context was used. The basis for approval is substantial equivalence to legally marketed predicate devices.


8. The Sample Size for the Training Set

Not Applicable.
This is not an AI/ML algorithm, so there is no training set.


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

Not Applicable.
As there is no training set, there's no ground truth for one.


Summary based on the provided document:

The Arthrex Aspirate Kit (K062365) received 510(k) clearance based on substantial equivalence to existing predicate devices (Aspirex™ Bone Marrow Aspirate Kit, Symphony Graft Delivery System). The "study" in this context is the detailed comparison and assessment by Arthrex and then the FDA, determining that the new device's design, materials, and intended use are sufficiently similar to approved devices that it raises no new questions of safety or effectiveness. This is a common pathway for many medical devices, particularly those that are mechanical in nature or incremental improvements/variations of existing technology, rather than novel AI/ML solutions.

{0}------------------------------------------------

K062365

$\rho^{i/2}$

SEP 2 9 2006

510(k) SUMMARY OF SAFETY AND EFFECTIVENESS Arthrex Aspirate Kit

NAME OF SPONSOR: Arthrex, Inc. 1370 Creekside Boulevard Naples, Florida 34108-1945 510(K) CONTACT: Sally Foust, RAC Regulatory Affairs Project Manager

TRADE NAME:

Arthrex Aspirate Kit

FAX: (239) 598-5539

Telephone: (239) 643-5553 ext. 1251

COMMON NAME:

Piston Svringe

DEVICE PRODUCT CODE/CLASSIFICATION:

FMF: Class II 21 CFR 880.5860

PREDICATE DEVICES

K041991: Aspirex™ Bone Marrow Aspirate Kit, IsoTis OrthoBiologics K022246: Symphony Graft Delivery System, DePuy Acromed K012738: Symphony Graft Delivery System, DePuy Acromed

DEVICE DESCRIPTION AND INTENDED USE

The Arthrex Aspirate Kit contains piston syringes, aspirating needle, Luer-lock and Slip Tip adaptors, cannula, and prep tray (bowl).

The piston syringes consist of aspirating/delivery syringe and/or a mixing/delivery syringe. The piston syringes are designed with male Luer-lock connectors (nozzle) for fitting a female connector of a needle or an adaptor for connection to the other syringe or cannula used for mixing. The aspirating syringe is a 60 mL syringe, while the mixing syringe is 9 mL. Luer-lock and Slip Tip adaptors may be provided.

The Arthrex Aspirate Kit is intended for the aspiration of bone marrow, autologous blood, plasma or other blood components with or without pre-filling with a bone void filler (allograft, autograft or synthetic bone graft material).

The kit is designed to facilitate the pre-mixing of autologous blood, bone marrow, I.V. fluids, platelet-rich plasma, or plasma with bone void filler and the delivery to

{1}------------------------------------------------

an orthopedic surgical site, as deemed necessary by the clinical use requirements.

SUBSTANTIALLY EQUIVALENCE

Arthrex has determined that the Arthrex Aspirate Kit is substantially equivalent to the predicate devices where basic features and intended uses are the same. Any design differences between the Arthrex Aspirate Kit when compared to predicate devices are considered minor and do not raise any questions concerning safety and effectiveness. Any differences have been found to have no apparent effect on the performance, function, or intended use of the device.

{2}------------------------------------------------

Image /page/2/Picture/1 description: The image is a black and white logo for the U.S. Department of Health and Human Services. The logo features a stylized eagle with three heads, representing the department's mission to protect the health of all Americans. The eagle is surrounded by a circular border with the text "DEPARTMENT OF HEALTH AND HUMAN SERVICES - USA" written around it. The text is in all capital letters and is evenly spaced around the circle.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

SEP 2 9 2006

Arthrex, Inc % Sally Foust, RAC Regulatory Affairs Project Manager 1370 Creekside Boulevard Naples, Florida 34108-1945

Re: K062365

Trade Device Name: Arthrex Aspirate Kit Regulation Number: 21 CFR 880.5860 Regulation Name: Piston Syringe Regulatory Class: Class II Product Code: FMF Dated: August 11, 2006, Received: August, 14, 2006

Dear Ms. Foust:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate 101 about in the May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to such additional controls. Existing major regulations affecting your device ic may of basic to basis of Federal Regulations, Title 21, and Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must or uny I edolar the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set Of H in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

{3}------------------------------------------------

Page 2 - Sally Foust, RAC

This letter will allow you to begin marketing your device as described in your Section 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Office of Compliance at (240) 276-0120. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). You may obtain other general information on your responsibilities under the Act from the Division of Small Manufasturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (240) 276-3150 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

Mark N. Wilkerson

Mark N. Melkerson Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

{4}------------------------------------------------

Indications for Use

510(k) Number (if known): _ 3062365

Device Name Arthrex Aspirate Kit

Indications for Use:

The Arthrex Aspirate Kit is intended for the aspiration of bone marrow. autologous blood, plasma or other blood components with or without pre-filling with a bone void filler (allograft, autograft or synthetic bone graft material).

The kit is designed to facilitate the pre-mixing of autologous blood, bone marrow. I.V. fluids, platelet-rich plasma, or plasma with bone void filler and the delivery to an orthopedic surgical site, as deemed necessary by the clinical use requirements.

Prescription Use × (Per 21 CFR 801 Subpart D)

AND/OR Over-The-Counter Use (21 CFR 801 Subpart C)

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRA, Office of Device Evaluation (ODE)
Page 1 of 1
(Division Sign-Off)

Division of General, Restorative, and Neurological Devices

K062365

510(k) Number.

§ 880.5860 Piston syringe.

(a)
Identification. A piston syringe is a device intended for medical purposes that consists of a calibrated hollow barrel and a movable plunger. At one end of the barrel there is a male connector (nozzle) for fitting the female connector (hub) of a hypodermic single lumen needle. The device is used to inject fluids into, or withdraw fluids from, the body.(b)
Classification. Class II (performance standards).