K Number
K150657
Date Cleared
2015-09-21

(192 days)

Product Code
Regulation Number
876.5820
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

This device is designed for use by hemodialysis professionals to verify the conductivity, temperature, and pH of solutions in the hemodialysis setting.

Device Description

This device is a hand-held battery powered, multi-test meter designed for use by hemodialysis professionals to measure the conductivity, temperature and pH of Dialysate solutions associated with the dialysis treatment. The unit houses the conductivity cell, electronic circuitry and digital display. A syringe attaches to the unit with luer connectors. When pulled, the syringe creates a vacuum and draws solution through the conductivity cell for measurement. The conductivity cell contains the conductivity electrodes, a thermistor, and a pH electrode. A 3.6 volt battery provides power.

AI/ML Overview

The provided text is a 510(k) Summary for the Phoenix XL Dialysate Meter. It focuses on demonstrating substantial equivalence to a predicate device rather than detailing specific acceptance criteria and the comprehensive study results of the new device. However, it does provide some information that can be used to infer acceptance criteria and aspects of the study.

Here's an analysis based on the provided text:

1. Table of Acceptance Criteria and Reported Device Performance

The table below reconstructs the acceptance criteria based on the "Technological Characteristics" comparison with the predicate device. The "Reported Device Performance" is implied to meet these criteria, as the document states the device is "substantially equivalent" and that "the results of the validations show that the pHoenix XL Dialysate Meter is equivalent to the pHoenix Dialysate Meter for measuring Conductivity, pH, and temperature."

CharacteristicAcceptance Criteria (Implied from Predicate Specifications)Reported Device Performance (Implied)
Conductivity Accuracy±0.01 mS/cm from 0.10 to 1.99 mS/cm±0.1 mS/cm from 2.0 to 19.9 mS/cm±2.0 mS/cm from 20.0 to 119.9 mS/cmMax ±30.0 mS/cm from 120.0 to 200.0 mS/cm±0.01 mS/cm from 0.10 to 1.99 mS/cm±0.1 mS/cm from 2.0 to 19.9 mS/cm±2.0 mS/cm from 20.0 to 119.9 mS/cm±5.0 mS/cm from 120.0 to 200.0 mS/cm
Conductivity Resolution0.01 mS/cm from 0.10 to 1.99 mS/cm0.1 mS/cm from 2.0 to 19.9 mS/cm1 mS/cm from 20.0 to 200.0 mS/cm0.01 mS/cm from 0.10 to 1.99 mS/cm0.1 mS/cm from 2.0 to 19.9 mS/cm1 mS/cm from 20.0 to 200.0 mS/cm
Conductivity Temperature Compensation15°C to 45°C15°C to 45°C
Temperature Range15°C to 90°C15°C to 90°C
Temperature Accuracy±1°C from 15°C to 90°C±1°C from 15°C to 90°C
Temperature Resolution1°C from 15°C to 90°C1°C from 15°C to 90°C
pH Range2.0 to 10.0 pH2.0 to 10.0 pH
pH Accuracy±0.1 from 2.0 to 10.0 pH±0.1 from 2.0 to 10.0 pH
pH Resolution0.1 from 2.0 to 10.0 pH0.1 from 2.0 to 10.0 pH

Note on Conductivity Accuracy: The new device (Phoenix XL Dialysate Meter) actually improves on the predicate's conductivity accuracy in the range of 120.0 to 200.0 mS/cm (±5.0 mS/cm for the new device vs. ±30.0 mS/cm for the predicate). This demonstrates it meets or exceeds the predicate's performance.

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

The document states: "Nonclinical Validation of the performance of the device was performed on units equivalent to production."

  • Sample size: Not explicitly stated. The phrase "units equivalent to production" suggests more than one unit, but a specific number is not provided.
  • Data provenance: Not explicitly stated. However, nonclinical validation of a device manufactured by Mesa Laboratories, Inc., located in Colorado, USA, implies the testing would have been conducted internally or by a contracted lab within the USA. The study design is a nonclinical validation, meaning it does not involve human subjects. It would be considered prospective as it's testing a new device designed for market.

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

Not applicable. This device measures physical parameters (conductivity, temperature, pH) directly, rather than interpreting images or clinical data where expert consensus would be required for ground truth. The "ground truth" would be established by reference standards or highly accurate laboratory equipment.

4. Adjudication method for the test set

Not applicable. As noted above, the measurements are direct physical parameters, not subjective assessments requiring adjudication.

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 device is not an AI-assisted diagnostic or interpretation tool. It is a measurement device where human readers are not involved in interpreting its "output" in a comparative effectiveness study sense.

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

Yes, a standalone performance evaluation was conducted. The "Nonclinical Validation" specifically assesses the device's ability to measure conductivity, pH, and temperature. The device itself (the "algorithm" in this context) directly provides the measurements without human interpretation or intervention in the measurement process.

7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.)

The ground truth for this type of device would typically be established by:

  • Reference standards: Calibrated solutions with known conductivity, temperature, and pH values.
  • Highly accurate laboratory equipment: Measurements taken simultaneously or sequentially by laboratory-grade instruments calibrated to primary standards.
  • This is an objective physical measurement and does not rely on subjective expert consensus, pathology, or outcomes data.

8. The sample size for the training set

Not applicable. This is a physical measurement device, not an AI or machine learning model that requires a "training set."

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

Not applicable, as there is no training set for this type of device.

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Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized image of a human figure, represented by three overlapping profiles, suggesting a sense of community and care. The logo is presented in black and white.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002

September 21, 2015

Mesa Laboratories, Inc. Jamie Louie Quality Manager 12100 West 6th Avenue Lakewood, CO 80228

Re: K150657

Trade/Device Name: Phoenix XL Dialysate Meter Regulation Number: 21 CFR§ 876.5820 Regulation Name: Hemodialysis system and accessories Regulatory Class: II Product Code: FIZ Dated: August 20, 2015 Received: August 21, 2015

Dear Jamie Louie,

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.

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.

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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/ResourcesforYou/Industry/default.htm.

Sincerelv vours.

for Benjamin R. Fisher, Ph.D. Director Division of Reproductive, Gastro-Renal, and Urological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known): K 150657

Phoenix XL Dialysate Meter Device Name:

Indications For Use:

This device is designed for use by hemodialysis professionals to verify the conductivity, temperature, and pH of solutions in the hemodialysis setting.

Prescription Use (Part 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 CDRH, Office of Device Evaluation (ODE)

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Image /page/3/Picture/0 description: The image shows the logo for MesaLabs. The logo consists of a blue square with a white trapezoid inside, stacked on top of the text "MesaLabs". The word "Mesa" is in black, and the word "Labs" is in blue.

510(k) Summary

Owner:Mesa Laboratories, Inc.12100 West 6th AvenueLakewood, CO 80228Phone: (303) 987-8000 FAX: (303) 987-8989
Contact Person:Jamie Louie, Quality Manager
Date:March 11, 2015
Device Name:Phoenix XL Dialysate Meter
Common Name:Meter, Conductivity, Non-Remote
DeviceClassification:Classification: IIClassification Panels: GastroenterologyRegulation Number: 21 CFR § 876.5820,Meter, Conductivity, Non-RemoteProduct Code FIZ
PredicateDevice(s):Phoenix Dialysate MeterMesa Laboratories Inc510(k) Number K955298Cleared February 29, 1996
DeviceDescription:This device is a hand-held battery powered, multi-testmeter designed for use by hemodialysis professionalsto measure the conductivity, temperature and pH ofDialysate solutions associated with the dialysistreatment. The unit houses the conductivity cell,electronic circuitry and digital display. A syringeattaches to the unit with luer connectors. When pulled,the syringe creates a vacuum and draws solutionthrough the conductivity cell for measurement. Theconductivity cell contains the conductivity electrodes, athermistor, and a pH electrode. A 3.6 volt batteryprovides power.
Indicationsfor Use:This device is designed for use by hemodialysisprofessionals to verify the conductivity, temperatureand pH of solutions in the hemodialysis setting

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Technological Characteristics: The technological Characteristics are summarized in the table below.

TechnologicalCharacteristicMesa Laboratories, Inc. PredicateDevice 1996 510(k) K955298Mesa Laboratories, Inc.New Device 2013
Intended UseThe Phoenix Dialysate Meter is designedfor use by hemodialysis professionals toverify proper conductivity, temperatureand pH of solution in the hemodialysissetting.The Phoenix XL Dialysate Meter isdesigned for use by hemodialysisprofessionals to verify proper conductivity,temperature and pH of solution in thehemodialysis setting.
UserInstructionsSee attached User ManualSee attached User Manual
ConductivityAccuracy±0.01 mS/cm from 0.10 to 1.99 mS/cm±0.1 mS/cm from 2.0 to 19.9 mS/cm±2.0 mS/cm from 20.0 to 119.9 mS/cm±30.0 mS/cm from 120.0 to 200.0 mS/cm±0.01 mS/cm from 0.10 to 1.99 mS/cm±0.1 mS/cm from 2.0 to 19.9 mS/cm±2.0 mS/cm from 20.0 to 119.9 mS/cm±5.0 mS/cm from 120.0 to 200.0 mS/cm
ConductivityResolution0.01 mS/cm from 0.10 to 1.99 mS/cm0.1 mS/cm from 2.0 to 19.9 mS/cm1 mS/cm from 20.0 to 200.0 mS/cm0.01 mS/cm from 0.10 to 1.99 mS/cm0.1 mS/cm from 2.0 to 19.9 mS/cm1 mS/cm from 20.0 to 200.0 mS/cm
ConductivityTemperatureCompensation15°C to 45°C15°C to 45°C
TemperatureRange15°C to 90°C15°C to 90°C
TemperatureAccuracy±1°C from 15°C to 90°C±1°C from 15°C to 90°C
TemperatureResolution1°C from 15°C to 90°C1°C from 15°C to 90°C
pH Range2.0 to 10.0 pH2.0 to 10.0 pH
pH Accuracy±0.1 from 2.0 to 10.0 pH±0.1 from 2.0 to 10.0 pH
pH Resolution0.1 from 2.0 to 10.0 pH0.1 from 2.0 to 10.0 pH
Battery Type522 9VDC Alkaline3.6 VDC Lithium
DimensionsH 10" x W 3.3" x T 1"H 11" x W 2.9" x T 1.7"
Weight7.33 oz.10.6 oz. (300q)

Mesa Laboratories Inc – 510(k) submission for pHoenix XL Dialysate Meter Section 6 – 510(k) Summary – Rev. A

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The Phoenix XL Dialysate Meter is similar to the predicate device in that they are both hand-held meters, measuring Conductivity, pH, and temperature. Both devices use conductivity cells using electrodes to measure the conductivity, a thermistor to measure temperature and a pH electrode to measure pH. Both devices are battery powered. Nonclinical Validation of the performance of the device was Performance: performed on units equivalent to production. The results of the validations show that the pHoenix XL Conclusions Drawn from Dialysate Meter is equivalent to the pHoenix Dialysate Meter for measuring Conductivity,pH, and temperature. Demonstrating Safety and Effectiveness:

The Phoenix XL Dialysate Meter is substantially equivalent to the legally marketed Phoenix Dialysate Meter (predicate device).

§ 876.5820 Hemodialysis system and accessories.

(a)
Identification. A hemodialysis system and accessories is a device that is used as an artificial kidney system for the treatment of patients with renal failure or toxemic conditions and that consists of an extracorporeal blood system, a conventional dialyzer, a dialysate delivery system, and accessories. Blood from a patient flows through the tubing of the extracorporeal blood system and accessories to the blood compartment of the dialyzer, then returns through further tubing of the extracorporeal blood system to the patient. The dialyzer has two compartments that are separated by a semipermeable membrane. While the blood is in the blood compartment, undesirable substances in the blood pass through the semipermeable membrane into the dialysate in the dialysate compartment. The dialysate delivery system controls and monitors the dialysate circulating through the dialysate compartment of the dialyzer.(1) The extracorporeal blood system and accessories consists of tubing, pumps, pressure monitors, air foam or bubble detectors, and alarms to keep blood moving safely from the blood access device and accessories for hemodialysis (§ 876.5540) to the blood compartment of the dialyzer and back to the patient.
(2) The conventional dialyzer allows a transfer of water and solutes between the blood and the dialysate through the semipermeable membrane. The semipermeable membrane of the conventional dialyzer has a sufficiently low permeability to water that an ultrafiltration controller is not required to prevent excessive loss of water from the patient's blood. This conventional dialyzer does not include hemodialyzers with the disposable inserts (Kiil type) (§ 876.5830) or dialyzers of high permeability (§ 876.5860).
(3) The dialysate delivery system consists of mechanisms that monitor and control the temperature, conductivity, flow rate, and pressure of the dialysate and circulates dialysate through the dialysate compartment of the dialyzer. The dialysate delivery system includes the dialysate concentrate for hemodialysis (liquid or powder) and alarms to indicate abnormal dialysate conditions. This dialysate delivery system does not include the sorbent regenerated dialysate delivery system for hemodialysis (§ 876.5600), the dialysate delivery system of the peritoneal dialysis system and accessories (§ 876.5630), or the controlled dialysate delivery system of the high permeability hemodialysis system § 876.5860).
(4) Remote accessories to the hemodialysis system include the unpowered dialysis chair without a scale, the powered dialysis chair without a scale, the dialyzer holder set, dialysis tie gun and ties, and hemodialysis start/stop tray.
(b)
Classification. (1) Class II (performance standards) for hemodialysis systems and all accessories directly associated with the extracorporeal blood system and the dialysate delivery system.(2) Class I for other accessories of the hemodialysis system remote from the extracorporeal blood system and the dialysate delivery system, such as the unpowered dialysis chair, hemodialysis start/stop tray, dialyzer holder set, and dialysis tie gun and ties. The devices subject to this paragraph (b)(2) are exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 876.9.