K Number
K111538
Device Name
SKAFFOLD CIS
Date Cleared
2011-10-25

(145 days)

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

CAAP (Calcium Apatite) Bone Wax is indicated to control the bleeding from cut or damaged bone by acting as a mechanical barrier or tamponade.

Device Description

The single use CAAP (Calcium Apatite) Bone Wax sterile kit contains: Calcium Phosphate Powder, Dilute Sodium Silicate Liquid, and a Mixing System (Mixing Bowl, Pestle and Spatula). CAAP Bone Wax is to be mixed immediately prior to use.

AI/ML Overview

The provided text describes a 510(k) summary for the CAAP (Calcium Apatite) Bone Wax, asserting its substantial equivalence to predicate devices rather than proving its performance against specific acceptance criteria through a clinical study. Therefore, much of the requested information regarding acceptance criteria, study sizes, ground truth establishment, and MRMC studies is not available in the given document.

The document states: "CAAP Bone Wax does not require clinical test."

However, it does mention non-clinical tests. Here's a breakdown of what information can be extracted and what cannot:

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

Acceptance Criteria (from non-clinical tests)Reported Device Performance
Biocompatibility (standard set forth in ISO 10993-1)CAAP Bone Wax is in accordance with ISO 10993-1.
Radiation sterilization validation (compliance to ANSI/AAMI/ISO 11137-2:2006)Radiation sterilization validation is in compliance to ANSI/AAMI/ISO 11137-2:2006.
Physiological pH and temperature range (bench testing)Bench testing demonstrated that CAAP Bone Wax remains within the physiological pH and temperature range and would be expected to show no adverse biological consequence.
Adequate hemostasis as a mechanical tamponade compared to predicate devices (animal study)The animal study provided substantial data that the use of CAAP Bone Wax as a mechanical tamponade to control bleeding in a bony site results in adequate hemostasis as compared with the predicate devices.

2. Sample size used for the test set and the data provenance

  • Test set sample size: Not specified. The document mentions an "animal study" but does not detail the number of animals or specific experimental setup.
  • Data provenance: Not specified beyond "animal study." No information on country of origin or whether it was retrospective/prospective.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

  • Not applicable/Not specified. The document does not describe a human-read test set or expert ground truth establishment for the animal study.

4. Adjudication method for the test set

  • Not applicable/Not specified.

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

  • No. This is not a study involving AI or human readers. The document states, "CAAP Bone Wax does not require clinical test."

6. If a standalone (i.e. algorithm only without human-in-the loop performance) was done

  • Not applicable. This is not about an algorithm or AI.

7. The type of ground truth used

  • For the animal study: The ground truth was based on the observed "adequate hemostasis" in comparison to predicate devices, implying a functional outcome assessment by the researchers conducting the study. No mention of pathology or other objective measures for this comparison.
  • For biocompatibility and sterilization: Ground truth is compliance with specified ISO standards.
  • For bench testing: Ground truth is remaining within physiological pH and temperature ranges.

8. The sample size for the training set

  • Not applicable. This device is not an AI/ML algorithm that requires a training set.

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

  • Not applicable.

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