K Number
K161640
Manufacturer
Date Cleared
2016-07-12

(28 days)

Product Code
Regulation Number
870.1250
Panel
NE
Reference & Predicate Devices
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

Penumbra Reperfusion Catheters and Separators
As part of the Penumbra System, the Reperfusion Catheters and Separators are indicated for use in the revascularization of patients with acute ischemic stroke secondary to intracranial large vessel occlusive disease (within the internal carotid. middle cerebral - M1 and M2 segments, basilar, and vertebral arteries) within 8 hours of symptom onset.

Penumbra Aspiration Tubing
As part of the Penumbra System, the Penumbra Sterile Aspiration Tubing is indicated to connect the Penumbra Reperfusion Catheters to the Penumbra Pump MAX.

Penumbra Pump MAX
The Penumbra Pump MAX is indicated as a vacuum source for Penumbra Aspiration Systems.

Device Description

The Penumbra System ACE 68 Reperfusion Catheter is a component to the currently available Penumbra System. The ACE 68 Reperfusion Catheter is used with the Aspiration Pump to aspirate thrombus from an occluded vessel in the neurovasculature. ACE 68 is provided sterile, non-pyrogenic, and intended for single use only.

AI/ML Overview

The document describes the Penumbra System ACE 68 Reperfusion Catheter and its substantial equivalence to a predicate device. Below is a summary of the acceptance criteria and the study that proves the device meets them, based on the provided text.

1. Table of Acceptance Criteria and Reported Device Performance

AttributeAcceptance CriteriaReported Device Performance
Packaging InspectionConfirm the packaging and dimensions of the units meet all product specifications.Pass
Dimensional/VisualMeet product specifications.Pass
Kink ResistanceNo kinking when formed in a defined radius.Pass
Markerband VisibilityThe markerband is fluoroscopically visible.Pass
Simulated Use (Intracranial Access, Vessel Access Entry Performance & Clot Removal)Reperfusion Catheter does not collapse under vacuum; devices effectively remove clots in an anatomical model which simulated the tortuosity of the neurovasculature.Pass
Particulate testing (≥ 10 µm)≤ 6000 particlesPass
Particulate testing (≥ 25 µm)≤ 600 particlesPass
Particulate testing (≥ 75 µm)Measured for informational purposes only (FIPO)FIPO
Particulate testing (≥ 125 µm)Measured for informational purposes only (FIPO)FIPO
Coating IntegrityCoating has not delaminated, peeled, or flaked prior to or after simulated use particulate testing.Pass
Hub Air AspirationNo leaks detected when vacuum is pulled on the injection lumen.Pass
Static Burst Pressure Test45 psi for 30 sec minimum.Pass
ACE 68 / Sheath or 8F Guide Catheter Friction ForceMinimum value per specification.Pass
ACE 68 / 0.014 in. Guidewire Friction ForceMinimum value per specification.Pass
Joint sections bond strengthMinimum value per specification.Pass
Hub to shaft tensile strengthMinimum value per specification.Pass
Hub to hypotube tensile strengthMinimum value per specification.Pass
Elongation to failureElongation ≥ 5%Pass
TorsionNumber of turns will be recorded for informational purposes only.FIPO
CorrosionNo visible corrosion on Reperfusion Catheter immediately after corrosion testing procedure.Pass
Shelf LifeDevices underwent transportation conditioning per ASTM D4169 and accelerated aging equal to 8 months; successful testing verifies 8-month shelf life.Verified 8 months shelf life

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

The document does not explicitly state the numerical sample size for individual tests conducted as part of design verification or shelf-life testing. It merely states that "The physical and mechanical properties of the ACE 68 Reperfusion Catheter were assessed using standard test methods and pre-determined acceptance criteria." and "all tests passed successfully."

The data provenance is from bench-top testing conducted by the manufacturer, Penumbra, Inc. This is prospective data generated specifically for the device submission. The country of origin of the data is not specified beyond being generated by Penumbra, Inc. in Alameda, California, USA.

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

No information is provided regarding the number of experts or their qualifications for establishing ground truth for the test set. The tests described are primarily physical and mechanical properties and simulated use, not diagnostic interpretations requiring expert consensus.

4. Adjudication Method for the Test Set

Not applicable. The tests performed are objective physical and mechanical tests rather than subjective evaluations requiring adjudication.

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

No, a multi-reader multi-case (MRMC) comparative effectiveness study was not done for this device. The study focused on the physical and mechanical performance of the device and its substantial equivalence to a predicate, not on a human-in-the-loop performance with AI.

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

No, this device is a medical catheter system, not an AI algorithm. Therefore, an algorithm-only standalone performance study is not applicable.

7. The Type of Ground Truth Used

The ground truth used for these tests are engineering specifications, physical measurements, and observable outcomes (e.g., no kinking, fluoroscopic visibility, no leaks, effective clot removal in a simulated environment, no corrosion, specific pressure resistance values). For "Simulated Use," the ground truth is whether the device performed as expected in the anatomical model (e.g., did not collapse, removed clots).

8. The Sample Size for the Training Set

Not applicable. This device is a physical medical device, not an AI algorithm requiring a training set.

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

Not applicable, as there is no training set for a physical medical device.

§ 870.1250 Percutaneous catheter.

(a)
Identification. A percutaneous catheter is a device that is introduced into a vein or artery through the skin using a dilator and a sheath (introducer) or guide wire.(b)
Classification. Class II (performance standards).