K Number
K130804
Date Cleared
2013-05-22

(58 days)

Product Code
Regulation Number
876.5470
Panel
GU
Reference & Predicate Devices
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Uromax Ultra Balloon Catheters are recommended for dilatation of the urinary tract.

Device Description

The Balloon Dilatation Catheter, styled after the Gruntzig technique, is a multiple lumen catheter with a dilatation balloon mounted at the distal tip. Dilatation balloon catheters are used to exert radial force to dilate narrow ureteral segments.

AI/ML Overview

The Uromax Ultra™ Balloon Dilatation Catheter did not involve a study of software/AI performance, thus many of the requested categories are not applicable. The device is a physical medical device, not a software or AI product.

Here’s a breakdown of the available information regarding its acceptance criteria and the study that proves it meets those criteria, given the context of a physical device submission:

1. Table of Acceptance Criteria and Reported Device Performance

The submission does not explicitly list acceptance criteria in a table format with corresponding performance results. Instead, it describes "performance testing (bench evaluation)" conducted to evaluate the effects of a design change. The conclusion is that the device demonstrates "equivalence of the Uromax Ultra Balloon Catheter to the predicate balloon dilatation catheter (K980795)."

Below is a table summarizing the tested characteristics:

Acceptance Criteria (Characteristic Evaluated)Reported Device Performance
Effective Working LengthDemonstrated equivalence to predicate device.
Catheter Tip LengthDemonstrated equivalence to predicate device.
Deflated ProfileDemonstrated equivalence to predicate device.
CoatingDemonstrated equivalence to predicate device.
Deflation TimeDemonstrated equivalence to predicate device.
Balloon Diameter at RBPDemonstrated equivalence to predicate device.
Balloon Dilatation Length at RBPDemonstrated equivalence to predicate device.
Radiopaque Markerband to Balloon AlignmentDemonstrated equivalence to predicate device.
Balloon ComplianceDemonstrated equivalence to predicate device.
Multiple InflationDemonstrated equivalence to predicate device.
Balloon BurstDemonstrated equivalence to predicate device.
Proximal Balloon BondDemonstrated equivalence to predicate device.
Surface FinishDemonstrated equivalence to predicate device.
Scope CompatibilityDemonstrated equivalence to predicate device.
Guidewire Compatibility/PassabilityDemonstrated equivalence to predicate device.
Balloon Protector (Wingtool) Removal ForceDemonstrated equivalence to predicate device.
Biocompatibility (supported by K121614)Demonstrated equivalence to predicate device.

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

The document states that "Boston Scientific has conducted performance testing with samples aged at T=0 and T=7 months accelerated aging." However, it does not specify the exact sample size used for these tests. The data provenance is internal to Boston Scientific, as these are bench evaluations of a physical device. No country of origin for the data is explicitly mentioned beyond the company's location (Marlborough, MA, USA), and it is a prospective bench study (evaluating new design changes).

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

This information is not applicable. The device is a physical catheter, and the "ground truth" for its performance is established through objective engineering measurements and tests against predefined specifications and comparisons to a predicate device, not through expert consensus on interpretations.

4. Adjudication Method for the Test Set

This information is not applicable as the "test set" consists of physical device samples undergoing engineering performance evaluations, not human interpretations requiring adjudication.

5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done

No, an MRMC comparative effectiveness study was not done. This type of study is relevant for diagnostic devices that rely on human interpretation, often with AI assistance. The Uromax Ultra™ Balloon Dilatation Catheter is a therapeutic device, and its performance is evaluated through physical characteristics in bench testing.

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

No, this is not applicable. The device is a physical catheter, not an algorithm.

7. The Type of Ground Truth Used

The ground truth used for evaluating the Uromax Ultra™ Balloon Dilatation Catheter is based on objective engineering and performance specifications derived from the predicate device (K980795) and industry standards for balloon dilatation catheters. The goal was to demonstrate "substantial equivalence" regarding intended use, technological characteristics, and performance characteristics to the predicate device. Biocompatibility was supported by data from K121614 for a similar product.

8. The Sample Size for the Training Set

This information is not applicable as this is a physical device submission, not an AI/software submission that would involve a training set.

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

This information is not applicable for the reasons stated in point 8.

§ 876.5470 Ureteral dilator.

(a)
Identification. A ureteral dilator is a device that consists of a specially shaped catheter or bougie and is used to dilate the ureter at the place where a stone has become lodged or to dilate a ureteral stricture.(b)
Classification. Class II (performance standards).