K Number
K173956
Manufacturer
Date Cleared
2018-05-21

(144 days)

Product Code
Regulation Number
880.5970
Panel
HO
Reference & Predicate Devices
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Biowy PICC catheter is indicated for short or long term peripheral access to the central venous system for intravenous therapy and power injection of contrast media. For blood sampling, infusion or therapy, use 4 French or larger catheter. The maximum recommended infusion rate is 5ml/sec for power injection of contrast media. The maximum pressure of power injectors used with the Biowy catheter may not exceed 300psi.

Device Description

The Biowy PICC catheters are opened-ended radiopaque polyurethane catheters are sterile and for single use. They are available in 4F single lumen with 55cm usable length and 5F dual lumen with 60cm usable length. The catheters have a reverse taper design. Catheter shaft is marked with depth indicators, with "0" indicated to serve as a reference for the catheter taper point. Catheters are provided sterile in radiology and nursing configurations for single use. Colorants were added to the catheter shaft and hub to differentiate components. The extension leg, junction and clamp were printed with markings to identify the catheter and to include information to facilitate proper use of the device.

AI/ML Overview

The provided document is a 510(k) summary for the Biowy PICC Catheter, which is a medical device and not an AI/ML software device. Therefore, a Multi-Reader Multi-Case (MRMC) comparative effectiveness study, standalone algorithm performance, number of experts for ground truth, adjudication methods, or training set details are not applicable in this context. The acceptance criteria and performance are based on physical and biological testing of the catheter.

Here's the information pulled from the document regarding the acceptance criteria and the study that proves the device meets them:

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

TestStandards and Acceptance CriteriaReported Device Performance
Critical DimensionsISO 9626:2015 (Met requirements)Passed and met requirement
Priming VolumeInternal (Met requirements)Passed and met requirement
Tensile ForceISO 10555-1:2014 (Met requirements)Passed and met requirement
Elongation and StiffnessInternal (Met requirements)Passed and met requirement
Flexural FatigueInternal (Met requirements)Passed and met requirement
Aspiration Flow/Catheter collapseInternal (Met requirements)Passed and met requirement
Air Leakage during AspirationISO 10555-1:2014 (Met requirements)Passed and met requirement
Gravity FlowISO 10555-1:2014 (Met requirements)Passed and met requirement
Pump FlowISO 10555-1:2014 (Met requirements)Passed and met requirement
Power Injection and Leak TestingISO 10555-1:2014 (Met requirements)Passed and met requirement
Burst PressureISO 10555-1:2014 (Met requirements)Passed and met requirement
Power Injection/Burst PressureISO 10555-1:2014 (Met requirements)Passed and met requirement
Power Injection (10x)/Burst PressureISO 10555-1:2014 (Met requirements)Passed and met requirement
Printing MarkingISO 10555-3:2013 (Met requirements)Passed and met requirement
6% Luer TaperISO 594-1:1986 (Met requirements)Passed and met requirement
LuerISO 594-1:1986, ISO 594-2:1998 (Met requirements)Passed and met requirement
Luer Color OrientationInternal (Met requirements)Passed and met requirement
RadiopacityASTM F640-12 (Detectible)Passed and met requirement
CytotoxicityISO 10993-5Non-cytotoxic
SensitizationISO 10993-10Non-sensitizer
IrritationISO 10993-10Non-irritant
Acute Systemic InjectionISO 10993-11Non-toxic
Material Mediated PyrogenUSPNon-pyrogenic
LAL (Bacterial Endotoxins)USP ,Passed and met requirements
Hemolysis (extract)ISO 10993-4Non-hemolytic
Hemolysis (direct)ISO 10993-4Non-hemolytic
Complement ActivationISO 10993-4 (Similar to predicate)Similar when compared to predicate
Partial Thromboplastin Time (PTT)ISO 10993-4 (Minimal activator, same as predicate)Minimal activator (same as predicate)
Dog ThrombogenicityISO 10993-4 (Similar to control)Similar to control
ImplantationISO 10993-6Non-irritant
Subacute/sub Chronic Toxicity, Genotoxicity, Chronic Toxicity, and CarcinogenicityISO 10993-17, ISO 10993-18Passed and met requirement
EtO sterilizationISO 11135: 2014 (Met 10-6 SAL requirement)Met 10-6 SAL requirement
Clinical EvaluationInternalPassed
Accelerated Aging (1.5 year, 3.0 year)ISO 11607-1:2006, ASTM F88/F88M-15, ISO 10555-1:2014 (Met requirements)Passed and met requirement

2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

The document does not explicitly state the sample sizes for each specific test. The data provenance is not mentioned, and tests appear to be laboratory-based design verification rather than clinical data from human subjects. The study is a non-clinical performance test.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

Not applicable, as this is a medical device clearance based on non-clinical performance testing and biocompatibility, not an AI/ML algorithm requiring expert ground truth for interpretation of images or other data.

4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

Not applicable. This type of adjudication is for studies involving human interpretation or assessments, such as in clinical trials or AI/ML evaluations.

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 is for AI/ML software devices, not a physical medical device like a PICC catheter.

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

Not applicable. This is for AI/ML software devices, not a physical medical device.

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

The "ground truth" for this device is based on established engineering and biological standards (e.g., ISO, ASTM, USP). The device's performance is compared against these predetermined specifications and, in some cases for biocompatibility, against a legally marketed predicate device (5Fr DL PowerPICC® Catheter, K051672).

8. The sample size for the training set

Not applicable. This is not an AI/ML device.

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

Not applicable. This is not an AI/ML device.

§ 880.5970 Percutaneous, implanted, long-term intravascular catheter.

(a)
Identification. A percutaneous, implanted, long-term intravascular catheter is a device that consists of a slender tube and any necessary connecting fittings, such as luer hubs, and accessories that facilitate the placement of the device. The device allows for repeated access to the vascular system for long-term use of 30 days or more, and it is intended for administration of fluids, medications, and nutrients; the sampling of blood; and monitoring blood pressure and temperature. The device may be constructed of metal, rubber, plastic, composite materials, or any combination of these materials and may be of single or multiple lumen design.(b)
Classification. Class II (special controls) Guidance Document: “Guidance on Premarket Notification [510(k)] Submission for Short-Term and Long-Term Intravascular Catheters.”