(279 days)
The Well lead Tracheostomy Tubes and Disposable Inner Cannula is a single patient disposable tracheostomy tube for airway management of tracheostomotized patients.
The Well lead Tracheostomy Tubes and Disposable Inner Cannula includes an outer cannula, disposable inner cannula, introducer, neck strap and obturator. The disposable inner cannula acts as a removable liner for the outer tube; it can be withdrawn and changed after the airway has been cleaned, such as phlegm suction. The disposable inner cannula facilitates the airway management to make it easy to clean and prolong the use of the device. The device is used to provide an artificial airway in order to provide access to the patient's airway for airway management. The device is introduced into a tracheotomy incision in the patient's neck that provides access to the trachea. The tracheostomy tube is secured by the means of the swivel neck plate/flange. When appropriately connected the device provides a secure artificial airway for spontaneous or mechanical ventilation.
The provided text describes a 510(k) summary for the Well Lead Tracheostomy Tubes and Disposable Inner Cannula. It focuses on establishing substantial equivalence to a predicate device rather than presenting a performance study with detailed acceptance criteria for a new, innovative device.
Instead, the submission demonstrates that the new device has the same intended use and similar technological characteristics as the predicate device (K042684). Therefore, the "acceptance criteria" here refer to demonstrating this equivalence through adherence to relevant standards and a comparative analysis of features.
Here's a breakdown based on the provided text, addressing your questions where possible:
1. A table of acceptance criteria and the reported device performance
For this specific submission, the "acceptance criteria" are not quantitative performance metrics but rather qualitative conformity to established standards and similarity to a predicate device.
| Acceptance Criteria (Demonstrated Equivalence) | Reported Device Performance (as presented) |
|---|---|
| Same Intended Use as Predicate Device (Well Lead Tracheostomy Tubes, K042684) | "The proposed device is substantial equivalent to the Well Lead Tracheostomy Tubes, which has been cleared under K042684. The proposed device has the same intended use..." "The Well lead Tracheostomy Tubes and Disposable Inner Cannula is a single patient disposable tracheostomy tube for airway management of tracheostomotized patients." (Same as predicate) |
| Similar Technological Characteristics to Predicate Device | "The proposed device... and similar technological characteristics as compared to the predicate device." "Both Well Lead Tracheostomy Tubes and Disposable Inner Cannula and Well Lead Tracheostomy Tube have the same intended use, there is no new indications or contraindications." "Both the modified and unmodified device include an outer cannula, introducer, neck strap. A disposable inner cannula and obturator are being added to the modified device, both devices continue to have cuffed and uncuffed versions." |
| Conformity to relevant International Standards (ISO 5366-1 and 5366-2 for dimension, design, material, sterility and packaging of tracheostomy tubes) | "The dimension, design, material, sterility and packaging of Well Lead Tracheostomy Tubes and Disposable Inner Cannula conform to ISO 5366-1 and 5366-2." |
| No new indications or contraindications | "there is no new indications or contraindications." |
| Maintain safety and effectiveness | "Well Lead Medical Instruments Ltd has demonstrated that Well Lead Tracheostomy Tubes and Disposable Cannula is safe and effective." |
2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)
This document describes a substantial equivalence submission, not a clinical performance study with a test set of patient data. The "testing" mentioned refers to engineering and quality assurance tests demonstrating conformity to ISO standards, not tests on a clinical population. Therefore, there is no sample size for a test set or data provenance in terms of patient data.
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. This is not a study requiring expert readers to establish a ground truth for a test set. The evaluation is based on technical specifications and comparison to a predicate device.
4. Adjudication method (e.g. 2+1, 3+1, none) for the test set
Not applicable. As there is no test set in the clinical sense, there is no adjudication method.
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 is not a study involving AI or human readers for diagnostic interpretation.
6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done
Not applicable. This device is a medical instrument (tracheostomy tube), not an algorithm or AI-powered system.
7. The type of ground truth used (expert consensus, pathology, outcomes data, etc)
Not applicable. The "ground truth" here is the established safety and effectiveness of the existing predicate device and the accepted international standards for such devices. The new device demonstrates conformance to these standards and equivalence to the predicate.
8. The sample size for the training set
Not applicable. This is not a machine learning or AI-driven device requiring a training set.
9. How the ground truth for the training set was established
Not applicable. See point 8.
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510(k) SUMMARY (as required by 807.92(c))
| Regulatory Correspondent: | AJW Technology Consultants Inc962 Allegro LaneApollo Beach, FL 33572Arthur Wardaward@ajwtech.com813-645-2855813-677-4787 |
|---|---|
| Submitter of 510(k): | Well LEAD Medical Device Instruments Ltd.A4-1# Jinhu Industrial EstateHualong, PanyuGuangzhou City, China 511434Han Guang Yuanhan@welllead.com.cn |
| Date of Summary: | November 29, 2010 |
| Trade/Proprietary Name: | Well Lead Tracheostomy Tubes and DisposableInner Cannula |
| Classification Name: | Tracheostomy Tube and Tube Cuff |
| Product Code: | BTO |
Intended Use:
The Well lead Tracheostomy Tubes and Disposable Inner Cannula is a single patient disposable tracheostomy tube for airway management of tracheostomotized patients.
Device Description:
The Well lead Tracheostomy Tubes and Disposable Inner Cannula includes an outer cannula, disposable inner cannula, introducer, neck strap and obturator. The disposable inner cannula acts as a removable liner for the outer tube; it can be withdrawn and changed after the airway has been cleaned, such as phlegm suction. The disposable inner cannula facilitates the airway management to make it easy to clean and prolong the use of the device. The device is used to provide an artificial airway in order to provide access to the patient's airway for airway management. The device is introduced into a tracheotomy incision in the patient's neck that provides access to the trachea. The tracheostomy tube is
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secured by the means of the swivel neck plate/flange. When appropriately connected the device provides a secure artificial airway for spontaneous or mechanical ventilation.
K042684 – Well Lead Tracheostomy Tubes Predicate Device:
Substantial Equivalence:
The proposed device is substantial equivalent to the Well Lead Tracheostomy Tubes, which has been cleared under K042684. The proposed device has the same intended use and similar technological characteristics as compared to the predicate device.
Device Performance:
The dimension, design, material, sterility and packaging of Well Lead Tracheostomy Tubes and Disposable Inner Cannula conform to ISO 5366-1 and 5366-2.
Comparison of Technological Characteristics
The intended use of the modified device remains unchanged as does its risk classification. The modified device will continue to be indicated for the same patient population and will continue to be a prescription device. Both devices are intended to be a component of life sustaining devices which are to be used for airway management.
Both Well Lead Tracheostomy Tubes and Disposable Inner Cannula and Well Lead Tracheostomy Tube have the same intended use, there is no new indications or contraindications.
Both the modified and unmodified device include an outer cannula, introducer, neck strap. A disposable inner cannula and obturator are being added to the modified device, both devices continue to have cuffed and uncuffed versions.
For fixing the inner cannula to the outer cannula a locking mechanism has been designed. As part of this design the component material has not changed.
Conclusions:
In summary, Well Lead Medical Instruments Ltd has demonstrated that Well Lead Tracheostomy Tubes and Disposable Cannula is safe and effective. The combined testing and analysis of results provides assurance that the device meets its specifications and is safe and effective for its intended use.
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Image /page/2/Picture/0 description: The image shows a circular logo with text around the perimeter and a symbol in the center. The text reads "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" and is arranged in a circular fashion around the edge of the logo. The symbol in the center consists of three curved lines that resemble a stylized bird or abstract design. The logo appears to be a government or organizational emblem.
DEPARTMENT OF HEALTH & HUMAN SERVICES
Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring, MD 20993-0002
Mr. Arthur Ward Regulatory Correspondent AJW Technology Consultants, Incorporated 962 Allegro Lane Apollo Beach, Florida 33572
MAR 2 4 2011
Re: K101721
Trade/Device Name: Well Lead Tracheostomy Tubes and Disposable Inner Cannula Regulation Number: 21 CFR 868.5800 Regulation Name: Tracheostomy Tube and Tube Cuff Regulatory Class: II Product Code: BTO Dated: March 3, 2011 Received: March 15, 2011
Dear Mr. Ward:
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 commerce prior to 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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.
If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.
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Page 2- Mr. Ward
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 comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth 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.
If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to
http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to
http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.
You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm.
Sincerely yours,
Wh for
Anthony D. Watson, B.S., M.S., M.B.A. Director
Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation
Center for Devices and
Radiological Health
Enclosure
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Indications for Use
510(k) Number (if known): K101721
Device Name: Well Lead Tracheostomy Tubes and Disposable Inner Cannula
Indication for Use:
The Well Lead Tracheostomy Tubes and Disposable Inner Cannula is a single patient disposable tracheostomy tube for airway management of tracheostomotized patients.
Prescription Use X (Part 21 CFR 801 Subpart D)
AND/OR
Over-The-Counter Use (21 CFR 807 Subpart C)
(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE OF NEEDED)
Concurrence of CDRH, Office of Defice Evaluation (ODE)
(Division Sign-Off)
Division of Anesthesiology, General Hospital
Infection Control, Dental Devices
| 510(k) Number: | K101721 |
|---|---|
| ---------------- | --------- |
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§ 868.5800 Tracheostomy tube and tube cuff.
(a)
Identification. A tracheostomy tube and tube cuff is a device intended to be placed into a surgical opening of the trachea to facilitate ventilation to the lungs. The cuff may be a separate or integral part of the tracheostomy tube and is, when inflated, intended to establish a seal between the tracheal wall and the tracheostomy tube. The cuff is used to prevent the patient's aspiration of substances, such as blood or vomit, or to provide a means for positive-pressure ventilation of the patient. This device is made of either stainless steel or plastic.(b)
Classification. Class II.