K Number
K093426
Manufacturer
Date Cleared
2010-02-22

(111 days)

Product Code
Regulation Number
868.5260
Panel
HO
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

For use with ventilators, anesthesia machines and open flow systems where filtration of inspired and / or expired gases is required. It is single patient use, disposable for patients with Tidal Volumes > 150 ml.

May be positioned at the machine end of the expiratory / inspiratory limb of the circuit, or at the patient end of the circuit.

Device Description

The Bact-Trap™ HEPA Midi filter incorporates standard 15 / 22 mm connectors with a gas sampling luer port. It utilizes an electrostatic media for the filtration function. The "HEPA" performance was tested in accordance to DOE 3020-97 and ASTM D2986 - 95a DOP at 30 Ipm.

The filter functions by electrostatic capture.

AI/ML Overview

The acceptance criteria and study proving the device meets these criteria for the Bact-Trap™ HEPA Midi are detailed below.
This device is a bacterial/viral filter, and the studies performed are primarily performance tests against established standards and metrics for such filters, rather than clinical studies involving human patients or ground truth from expert readings in a diagnostic context.

1. Table of Acceptance Criteria and Reported Device Performance

AttributeAcceptance CriteriaReported Device Performance
Resistance to flow99.97% (based on DOE 3020-97 and ASTM D2986 - 95a DOP)>99.97%
Dead Space (ml)Not explicitly stated as acceptance criteria, but based on predicate device46 ml for straight, 48 ml for angled
Standard 15/22 mm connectorsYes (ISO 5356-1)Yes
Gas sampling portYesYes
Housing materialPolystyrenePolystyrene
Filter mediaElectrostaticElectrostatic
Weight (gm)Not explicitly stated as acceptance criteria32 gm
Indications for use (To filter inspired and/or expired gases)YesYes
Intended for single patient useYesYes
PrescriptionYesYes
Intended population (> 150 ml tidal volume)YesYes
Intended Environment of UseHome, Hospital, sub-acute, Emergency servicesHome, Hospital, sub-acute, Emergency services
Placement in various locations in circuitYesYes
Compliance to ISO 5356-1 Conical 15/22YesYes
Compliance to ISO 594-2 Luer FittingsYesYes
Compliance to DOE 3020-97 and ASTM D2986 - 95a DOPYesYes

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

The document does not specify the exact sample sizes (number of devices tested) for each performance criterion. However, the data provenance for the bacterial and viral filtration efficiency (BFE and VFE) is stated as Nelson Lab. This indicates the testing was conducted by an external laboratory specializing in such evaluations. The filtration performance (HEPA, BFE, VFE) and resistance to flow are typical engineering performance tests that would involve a specific number of devices tested under controlled laboratory conditions. The data is retrospective in the sense that it was generated prior to the 510(k) submission to demonstrate compliance. The country of origin for the data is presumably where Nelson Lab is located (typically USA) and potentially Sweden for other internal testing by Pharma Systems AB.

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

Not applicable. For this type of medical device (bacterial/viral filter), the "ground truth" is established through physical and engineering performance measurements against established standards (e.g., DOE 3020-97, ASTM D2986 - 95a DOP, ISO standards) and laboratory testing protocols to determine filtration efficiency and resistance. There are no human experts establishing a "ground truth" through interpretation of data in the way radiologists or pathologists would for diagnostic devices. The experts involved would be the laboratory technicians and scientists performing the tests and verifying the methodologies.

4. Adjudication Method for the Test Set

Not applicable. As noted above, the "truth" is determined by direct physical/engineering measurements using standardized testing methods, not by expert consensus or adjudication in this context.

5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

No, a Multi-Reader Multi-Case (MRMC) comparative effectiveness study was not done. This type of study is relevant for diagnostic imaging devices where human readers interpret medical images with or without AI assistance. The Bact-Trap™ HEPA Midi is a filter for breathing circuits, not a diagnostic device.

6. Standalone (Algorithm Only Without Human-in-the-Loop Performance) Study

Yes, in a sense, a "standalone" performance evaluation was conducted. The device's performance was measured intrinsically against established physical and engineering standards (e.g., filtration efficacy, resistance to flow). These measurements are inherent to the device's design and materials and do not involve a "human-in-the-loop" for its function, nor an algorithm in the traditional sense of AI. The device operates mechanically/physically without software control or human intervention for its primary filtration function.

7. Type of Ground Truth Used

The "ground truth" used is based on:

  • Physical and Engineering Standards: Compliance with established international and national standards such as ISO 5356-1, ISO 594-2, DOE 3020-97, and ASTM D2986 - 95a DOP.
  • Laboratory Performance Measurements: Direct measurements of physical properties (e.g., dead space, weight) and functional performance (e.g., resistance to flow, bacterial and viral filtration efficiency) obtained from controlled laboratory tests. These are objective, quantifiable results.

8. Sample Size for the Training Set

Not applicable. The Bact-Trap™ HEPA Midi does not utilize an algorithm or AI that requires a "training set" of data. Its function is based on physical filtration principles and material properties.

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

Not applicable, as no training set was used.

§ 868.5260 Breathing circuit bacterial filter.

(a)
Identification. A breathing circuit bacterial filter is a device that is intended to remove microbiological and particulate matter from the gases in the breathing circuit.(b)
Classification. Class II (performance standards).