K Number
K171586
Date Cleared
2017-06-30

(30 days)

Product Code
Regulation Number
882.5550
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

Draining and monitoring of CSF flow from the lateral ventricles is indicated in selected patients to:

  • Reduce intracranial pressure (ICP), e.g., pre-, intra- or postoperative.
  • Monitor CSF chemistry, cytology, and physiology.
  • Provide temporary CSF drainage in patients with infected cerebrospinal fluid shunts.

Monitoring of intracranial pressure (ICP) is indicated in selected patients with:

  • Severe head injury
  • Subarachnoid hemorrhage graded III, IV, or V preoperatively
  • Reye's syndrome or similar encephalopathies
  • Hydrocephalus
  • Intracranial hemorrhage
  • Miscellaneous problems when drainage is to be used as a therapeutic maneuver

Monitoring can also be used to evaluate the status pre- and postoperatively for space-occupying lesions.

Device Description

The SED System is based upon traditional gravity-based drainage systems, but is designed to allow for the automated regulation of ICP without the need for continuous manual measurements, adjustments and interventions. The SED System consists of an electromechanical software embedded SED Console and a sterile, disposable SED Cartridge, which includes all components necessary to attach to the external ventricular drainage catheter via a luer-lock connector and to a drainage bag that collects the drained fluid.

The SED System is mounted on an IV pole, with the SED Console positioned by the user at an easy-to-view height, while the drainage bag is positioned below the lowest possible patient head position, which is considered to be below the height of a hospital bed.

The SED System automatically maintains a set ICP using pressure sensors (transducers) and an automated stepper-motor pinching mechanism that compresses or releases the system's compliant drain tubing in order to control the degree of CSF flow (i.e., equivalent to the alteration of CSF flow that happens when a traditional gravity drain is manually raised or lowered). The SED System displays the measured ICP information and also calculates and displays CSF flow volume output, while additionally incorporating multiple alarms given its automated functionality.

The SED System can thus automatically compensate for patient movement, allow greater mobility (via a battery backup) and also alert hospital staff if ever the ICP exceeds the set maximum or minimum levels for a particular patient, as well as if low or high CSF drainage values (as also set by the user) are ever exceeded.

The modifications included under this Special 510(k) include the following:

  • Added ICP Waveform Display to User Interface Screen.
  • Software loading via USB interface.
  • Optimization of the SED System's initialization sequence.
AI/ML Overview

The Aqueduct Critical Care, Inc. Smart External Drain (SED) System, as described in the provided 510(k) summary, underwent testing to demonstrate its performance and substantial equivalence to a predicate device.

1. Table of Acceptance Criteria and Reported Device Performance

The document does not explicitly present a table of numerical acceptance criteria alongside specific numerical performance results. Instead, it lists various performance tests and states that "All acceptance criteria for the test method were met" for each.

Given this, the table below is constructed based on the described tests and the consistent "PASS" outcome:

Test CategoryTest PerformedAcceptance Criteria (Inferred from "PASS" statement)Reported Device Performance
SED Cartridge PerformanceSED Cartridge Button VerificationButton activation force, leak resistance, and fatigue life met specified requirements.PASS - All acceptance criteria for the test method were met.
Drip Chamber Vent VerificationVent activates as intended and does not leak (in closed state) after worst-case anticipated vent cycles.PASS - All acceptance criteria for the test method were met.
Dimensional VerificationCartridge weight met specified weight requirement.PASS - All acceptance criteria for the test method were met.
Supplemental Verification (Size and Weight)Size and weight measurements for modified SED Cartridges met specified requirements.PASS - All acceptance criteria for the test method were met.
Bond Joint Testing, SED CartridgeThe 3 new bond joints met specified strength requirements during destructive pull tests.PASS - All acceptance criteria for the test method were met.
SED System PerformanceFunctionality and Pressure Resistance VerificationPerformance requirements for functionality, response time, pressure, and leak resistance were met, including fatigue cycling of the membrane assembly.PASS - All acceptance criteria for the test method were met.
Verification of SED System Initialization CycleModified software initialization cycle performed as intended.PASS - All acceptance criteria for the test method were met.
Verification of SED System RequirementsSystem-level performance of the SED System software modifications met specified requirements.PASS - All acceptance criteria for the test method were met.
Verification of the Pressure Measurement Range of the SED SystemDevice performed to the extremes of the pressure measurement range (-5 to 40 cm H2O).PASS - All acceptance criteria for the test method were met.
Software TestingSoftware Verification and ValidationCode verification and software verification and validation testing met specified requirements.PASS – modified SED System met all acceptance criteria for verification and validation.

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

The document does not specify the exact sample sizes used for each individual test or for the overall test set.
The data provenance is not explicitly stated beyond the tests being performed by the manufacturer, Aqueduct Critical Care, Inc. It does not mention country of origin or if the data was retrospective or prospective. Given the nature of a 510(k) submission for a modified device, these would typically be internal engineering and bench tests, not clinical studies involving patient data provenance in the same way.

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

This information is not applicable to the type of testing described. The tests are focused on the hardware and software performance of the medical device itself (e.g., button force, leak resistance, software functionality) through bench testing. They do not involve human interpretation of medical images or data requiring clinical expert ground truth in the traditional sense.

4. Adjudication Method for the Test Set

This information is not applicable. As the testing primarily involves objective measurements of device performance parameters against predetermined engineering specifications, an adjudication method for reconciling expert opinions is not relevant.

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

There is no mention of a Multi-Reader Multi-Case (MRMC) comparative effectiveness study. This product is a physical device (an external drain system) with automated features, not an AI/CADe (Computer_Assisted Detection) or AI/CADx (Computer_Assisted Diagnosis) system that would typically warrant such a study for human reader improvement.

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

The device is an electromechanical system with embedded software. The performance testing outlined (e.g., functionality, pressure resistance, initialization cycle, software verification) inherently represents the "standalone" performance of the algorithm and hardware working together. It's not an "algorithm-only" performance in the sense of an AI model analyzing data, but rather the system's automated functions operating independently as designed.

7. The Type of Ground Truth Used

The ground truth for the performance tests described would be the predefined engineering specifications and design requirements for the device's physical and functional characteristics. For example:

  • Bond Joint Testing: Ground truth is the specified minimum tensile strength for the bond joints.
  • Dimensional Verification: Ground truth is the specified weight range for the cartridge.
  • Pressure Measurement Range: Ground truth is the specified accurate operating range of -5 to 40 cm H2O.
  • Software Verification: Ground truth is the validated software requirements and expected outputs.

8. The Sample Size for the Training Set

This information is not applicable. This submission details a physical medical device (External Drain System) with embedded software, not an AI model that undergoes a "training" phase with a dataset. The software development process likely involved various verification and validation activities, but not "training" in the machine learning sense.

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

This information is not applicable as there is no "training set" in the context of an AI model for this device. The software development followed standard engineering and quality system processes, with ground truth established through design specifications, requirements, and testing protocols.

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

June 30, 2017

Aqueduct Critical Care, Inc. Thomas Clement President & CEO 11822 North Creek Parkwav North. Suite 110 Bothell. Washington 98011

Re: K171586

Trade/Device Name: Smart External Drain (SED) System Regulation Number: 21 CFR 882.5550 Regulation Name: Central Nervous System Fluid Shunt and Components Regulatory Class: Class II Product Code: JXG, GWM Dated: May 30, 2017 Received: May 31, 2017

Dear Mr. Thomas Clement:

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. 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

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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 contact the Division of Industry and Consumer Education 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. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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 Industry and Consumer Education 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.

Sincerely,

Carlos L. Pena -S ¯¯

Carlos L. Peña, PhD, MS Director Division of Neurological and Physical Medicine Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known)

K171586

Device Name Smart External Drain (SED) System

Indications for Use (Describe)

Draining and monitoring of CSF flow from the lateral ventricles is indicated in selected patients to:

  • · Reduce intracranial pressure (ICP), e.g., pre-, intra- or postoperative.
  • Monitor CSF chemistry, cytology, and physiology.
  • · Provide temporary CSF drainage in patients with infected cerebrospinal fluid shunts.

Monitoring of intracranial pressure (ICP) is indicated in selected patients with:

  • · Severe head injury
  • · Subarachnoid hemorrhage graded III, IV, or V preoperatively
  • · Reye's syndrome or similar encephalopathies
  • · Hydrocephalus
  • Intracranial hemorrhage
  • · Miscellaneous problems when drainage is to be used as a therapeutic maneuver

Monitoring can also be used to evaluate the status pre- and postoperatively for space-occupying lesions.

Type of Use (Select one or both, as applicable)
☑ Prescription Use (Part 21 CFR 801 Subpart D) ☐ Over-The-Counter Use (21 CFR 801 Subpart C)

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510(k) Summary

General Information:

Date of Summary Preparation:June 22, 2017
Name and Address of Manufacturer:Aqueduct Critical Care, Inc.11822 North Creek Parkway NorthSuite 110Bothell, WA 98011
Contact Person:Tom Clement, President and CEO
Phone: 425-985-1571Fax: 425-278-9377
Trade Name:Smart External Drain (SED) System
Common Name:External CSF Drainage System
Regulation Number:Primary: § 21 CFR 882.5550Secondary: § 21 CFR 882.1620
Regulation Description:Central Nervous System Fluid Shunt and ComponentsIntracranial Pressure Monitor
Regulatory Class:Class II
Classification Panel:Neurology
Product Code:Primary: JXGSecondary: GWM

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Device Description: The SED System is based upon traditional gravity-based drainage systems, but is designed to allow for the automated regulation of ICP without the need for continuous manual measurements, adjustments and interventions. The SED System consists of an electromechanical software embedded SED Console and a sterile, disposable SED Cartridge, which includes all components necessary to attach to the external ventricular drainage catheter via a luer-lock connector and to a drainage bag that collects the drained fluid.

The SED System is mounted on an IV pole, with the SED Console positioned by the user at an easy-to-view height, while the drainage bag is positioned below the lowest possible patient head position, which is considered to be below the height of a hospital bed.

The SED System automatically maintains a set ICP using pressure sensors (transducers) and an automated stepper-motor pinching mechanism that compresses or releases the system's compliant drain tubing in order to control the degree of CSF flow (i.e., equivalent to the alteration of CSF flow that happens when a traditional gravity drain is manually raised or lowered). The SED System displays the measured ICP information and also calculates and displays CSF flow volume output, while additionally incorporating multiple alarms given its automated functionality.

The SED System can thus automatically compensate for patient movement, allow greater mobility (via a battery backup) and also alert hospital staff if ever the ICP exceeds the set maximum or minimum levels for a particular patient, as well as if low or high CSF drainage values (as also set by the user) are ever exceeded.

The modifications included under this Special 510(k) include the following:

  • Added ICP Waveform Display to User Interface Screen. .
  • Software loading via USB interface.
  • Optimization of the SED System's initialization sequence. .

Indications for Use: The Indications for Use statement for the subject device is identical to the predicate device, as follows:

Draining and monitoring of CSF flow from the lateral ventricles is indicated in selected patients to:

  • Reduce intracranial pressure (ICP), e.g., pre-, intra- or postoperative. ●
  • Monitor CSF chemistry, cytology, and physiology. ●
  • Provide temporary CSF drainage in patients with infected cerebrospinal fluid shunts.

Monitoring of intracranial pressure (ICP) is indicated in selected patients with:

  • Severe head injury
  • Subarachnoid hemorrhage graded III, IV, or V preoperatively

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  • Reye's syndrome or similar encephalopathies ●
  • . Hydrocephalus
  • . Intracranial hemorrhage
  • Miscellaneous problems when drainage is to be used as a therapeutic maneuver ●

Monitoring can also be used to evaluate the status pre- and postoperatively for space-occupying lesions.

Predicate Device: Aqueduct Critical Care, Inc. cites the following as the predicate device that is being modified.

Predicate DeviceSmart External Drain (SED) System
K161605

Table 1 below provides a summary of the technological characteristics of the SED System in comparison to the predicate device.

Detail or TechnologicalCharacteristicModified Aqueduct Critical Care, Inc.SED SystemPredicate Aqueduct Critical Care, Inc.SED System (K161605)
Device Trade NameSameSmart External Drain (SED) System
Intended UseSameTo attach to an implanted, external drainagecatheter in order to externally draincerebrospinal fluid (CSF) and monitor bothCSF drainage and intracranial pressure (ICP)
Attaches to Separate,Commercially Available EVDCatheterSameYes
Sterile Disposable Tubing SetSameYes
CSF Drainage BagSameYes
Gravity Drainage of CSFSameYes
Method to Control GravityDrainage of CSFSameAutomated adjustment based on user settings(for max/min ICP) via a stepper-motorcontrolled, tube-pinching mechanism toeither compress or release the compliantdrainage tubing contained within the sterile,disposable SED Cartridge.
Pressure Transducer for ICPMeasurementSameYes(The SED System integrates transducers intoits design for drain line and reference linepressure measurements that are used tocalculate and regulate ICP.)
Software-based, PoweredConsole for User Interface, UserICP and Alarm SettingAdjustments, Data Display, andAlarms for ICP MonitoringSame(The modified SED System now alsoincorporates an ICP waveform display.)Yes
Method to Account for Locationof Ventricles via Patient HeadPositionSameReference shroud attached to patient behindthe ear (at the level of the External AuditoryMeatus) to account for patient's headpositioning.
Measured Pressure RangeSame-5 to 40 cm H2O (set ICP range)
Displayed ICPSameYes (via SED Console display)
Battery Back-upSameYes

Table 1: Comparative Summary of the Modified SED System and Predicate SED System

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Testing Summary: To demonstrate intended device performance, as well as to support the substantial equivalence of the modified SED System to the predicate SED System, the performance and technological characteristics were evaluated as summarized in Table 2 that follows.

TestingTesting SummaryResults/Conclusions
SED Cartridge Performance Testing
SED Cartridge ButtonVerificationModified SED Cartridges were tested to show that themodified manual pinch button location on the modifiedSED Cartridge met the following requirements:activation force, leak resistance, and fatigue life.PASS - All acceptance criteriafor the test method were met.
Drip Chamber VentVerificationModified SED Cartridges were tested to confirm that thevent activates as intended and that the vent does not leak(in its closed state) following exposure to the worst-caseanticipated number of vent cycles.PASS - All acceptance criteriafor the test method were met.
Dimensional VerificationModified SED Cartridges were weighed to confirm thatthe cartridge weight met the weight requirement.PASS - All acceptance criteriafor the test method were met.
Supplemental VerificationThe only supplemental verification which requiredverification based on the modifications was size andweight, which were measured for the modified SEDCartridges.PASS - All acceptance criteriafor the test method were met.
Bond Joint Testing, SEDCartridgeModified SED Cartridge subassemblies were used todestructively pull the 3 new bond joints.PASS - All acceptance criteriafor the test method were met.
SED System Performance Testing
Functionality and PressureResistance VerificationThe Modified SED System was tested to show thatperformance requirements were met for functionality,response time, and pressure and leak resistance, with theaddition of fatigue cycling of the membrane assembly.PASS - All acceptance criteriafor the test method were met.
Verification of SEDSystem Initialization CycleTesting of the modified software initialization cycle forthe modified SED System was performed.PASS - All acceptance criteriafor the test method were met.
Verification of SEDSystem RequirementsTesting was performed to verify the system-levelperformance of the SED System software modifications.PASS - All acceptance criteriafor the test method were met.
Verification of the PressureMeasurement Range of theSED SystemThe modified SED System was tested to the extremes ofthe pressure measurement range.PASS - All acceptance criteriafor the test method were met.
Software Testing
Software Verification andValidationCode verification and software verification andvalidation testing were performed on the modifiedsoftware.PASS – modified SED Systemmet all acceptance criteria forverification and validation.

Table 2: Summary Table for Modified SED System Testing

The results from these testing activities:

  • . demonstrate that the technological and performance characteristics of the modified SED System are comparable to the predicate SED System, and
  • ensure the modified SED System can perform in a manner equivalent to the predicate ● SED System with the same intended use.

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Conclusion (Statement of Equivalence): The information and summary of testing presented within this submission support a determination of substantial equivalence, and therefore market clearance of the modified SED System via this Special 510(k).

§ 882.5550 Central nervous system fluid shunt and components.

(a)
Identification. A central nervous system fluid shunt is a device or combination of devices used to divert fluid from the brain or other part of the central nervous system to an internal delivery site or an external receptacle for the purpose of relieving elevated intracranial pressure or fluid volume (e.g., due to hydrocephalus). Components of a central nervous system shunt include catheters, valved catheters, valves, connectors, and other accessory components intended to facilitate use of the shunt or evaluation of a patient with a shunt.(b)
Classification. Class II (performance standards).