K Number
K180739
Date Cleared
2019-05-28

(432 days)

Product Code
Regulation Number
880.5440
Panel
HO
Reference & Predicate Devices
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

For the administration of fluids from a container into the patient's vascular system through a vascular access device.

Device Description

The Clearlink System Non-DEHP Solution Set (2R8401) consists of a spike tip protector, non-vented spike, non-DEHP drip chamber, non-DEHP tubing, slide clamp, regulating roller clamp, Clearlink Luer activated valve (LAV), two-piece male Luer lock and male Luer cap. The Clearlink System Solution Set with Duo-Vent Spike (2R8875) consists of a spike tip protector, vented spike, non-DEHP drip chamber , non-DEHP tubing, tri-layer tubing, slide clamp, on-off roller clamp, Clearlink Luer activated valve (LAV), one-piece male Luer lock and male Luer cap.

The Clearlink System Non-DEHP Continu-Flo Solution Set (2R8519, 2R8546) consists of a spike tip protector, nonvented spike, non-DEHP drip chamber , non-DEHP tubing, check valve, slide clamp, regulating roller clamp, Clearlink Luer activated valve (LAV), two-piece male Luer cap. Configurations of these sets differ in drip chamber flow rate (60 drops/mL or 10 drops/ mL).

AI/ML Overview

This document describes the non-clinical testing performed on the Clearlink System Solution Sets to demonstrate their substantial equivalence to a predicate device.

1. Table of Acceptance Criteria and Reported Device Performance

TestAcceptance CriteriaReported Device Performance
Male Luer Cap/Spike Tip Protector Removal Force TestPer Baxter Test MethodAll tests met the acceptance criteria.
Male Luer Cap/Spike Tip Protector Retention TestPer Baxter Test MethodAll tests met the acceptance criteria.
Continuous Bubble Test (Pump Compatibility)Per Baxter Test MethodAll tests met the acceptance criteria.
Accumulated Bubble Test (Pump Compatibility)Per Baxter Test MethodAll tests met the acceptance criteria.
Administration Set Integrity After Maximum Delivery (Pump Compatibility)Per Baxter Test MethodAll tests met the acceptance criteria.
Upstream Occlusion (Pump Compatibility)Per Baxter Test MethodAll tests met the acceptance criteria.
Downstream Occlusion (Pump Compatibility)Per Baxter Test MethodAll tests met the acceptance criteria.
Flow Rate Accuracy (Pump Compatibility)Per Baxter Test MethodAll tests met the acceptance criteria.
Solvent Bond Tensile Strength TestPer Baxter Test MethodAll tests met the acceptance criteria.
Solvent Bond Pressure TestPer Baxter Test MethodAll tests met the acceptance criteria.
Top End Tubing Assembly Clear PassagePer Baxter Test MethodAll tests met the acceptance criteria.
Spike Assembly Visual InspectionPer Baxter Test MethodAll tests met the acceptance criteria.
Drop Volume Accuracy, 10 drops/mLPer Baxter Test MethodAll tests met the acceptance criteria.
Drop Volume Accuracy, 60 drops/mLPer Baxter Test MethodAll tests met the acceptance criteria.
Cannula Pull Out ForcePer Baxter Test MethodAll tests met the acceptance criteria.
Spike Assembly Insertion Force TestPer Baxter Test MethodAll tests met the acceptance criteria.
Spike Assembly Removal Force TestPer Baxter Test MethodAll tests met the acceptance criteria.
Slide Clamp Shut Off Test (Fixtured Slide Clamp)Per Baxter Test MethodAll tests met the acceptance criteria.
Slide Clamp Shut Off Test - Post 24 hours (Fixtured Slide Clamp)Per Baxter Test MethodAll tests met the acceptance criteria.
Slide Clamp 7 Day Subsystem and Tubing Damage Test (Fixtured Slide Clamp)Per Baxter Test MethodAll tests met the acceptance criteria.
Slide Clamp Flow Stability Test (Fixtured Slide Clamp)Per Baxter Test MethodAll tests met the acceptance criteria.
Slide Clamp Tug Stability Test (Fixtured Slide Clamp)Per Baxter Test MethodAll tests met the acceptance criteria.
Slide Clamp Shut Off Test (plastic slide clamp)Per Baxter Test MethodAll tests met the acceptance criteria.
Slide Clamp 7 Day Subsystem and Tubing Damage Test (plastic slide clamp)Per Baxter Test MethodAll tests met the acceptance criteria.
Roller Clamp Control Range TestPer Baxter Test MethodAll tests met the acceptance criteria.
Roller Clamp Force TestPer Baxter Test MethodAll tests met the acceptance criteria.
Roller Clamp Shut Off Test -Post 24 hoursPer Baxter Test MethodAll tests met the acceptance criteria.
Roller Clamp 7 Day Subsystem and Tubing Damage TestPer Baxter Test MethodAll tests met the acceptance criteria.
Roller Clamp Flow Stability TestPer Baxter Test MethodAll tests met the acceptance criteria.
Roller Clamp Tug Stability TestPer Baxter Test MethodAll tests met the acceptance criteria.
Roller Clamp Tubing Leak TestPer Baxter Test MethodAll tests met the acceptance criteria.
Roller Clamp Shut-Off TestPer Baxter Test MethodAll tests met the acceptance criteria.
Roller Clamp Force TestPer Baxter Test MethodAll tests met the acceptance criteria.
Check Valve Back Flow TestPer Baxter Test MethodAll tests met the acceptance criteria.
Check Valve High Pressure TestPer Baxter Test MethodAll tests met the acceptance criteria.
Clearlink Y-Site Valve Performance Post 100 ActuationsPer Baxter Test MethodAll tests met the acceptance criteria.
Clearlink Y-Site Valve Performance Post 96 Hour IndwellPer Baxter Test MethodAll tests met the acceptance criteria.
Clearlink Y-Site Clear Air PassagePer Baxter Test MethodAll tests met the acceptance criteria.
Clearlink Y-Site Back Pressure Leak TestPer Baxter Test MethodAll tests met the acceptance criteria.
Clearlink Y-Site Luer Connection Leak TestPer Baxter Test MethodAll tests met the acceptance criteria.
Clearlink Y-Site Basic 10-Cycle Actuation SequencePer Baxter Test MethodAll tests met the acceptance criteria.
ISO Luer Tests on Male Luer ConnectorsISO 594-1:1986 and 594-2:1998All tests met the acceptance criteria.
ISO Luer Tests on Clearlink ConnectorsISO 594-2:1998All tests met the acceptance criteria.
(Unscrewing Torque, Separation, Resistance to Overriding and Ease of Assembly Tests)Per Baxter Test MethodAll tests met the acceptance criteria.
Non-DEHP Claim VerificationPer Baxter Test MethodAll tests met the acceptance criteria.
Biocompatibility (Cytotoxicity, Sensitization, Intracutaneous (Irritation) Reactivity, Systemic Toxicity, Toxicological Assessment of Extractable Profile, Materials Mediated Pyrogen, Hemolysis, USP Physiochemical)ISO 10993 series, USP , and FDA GuidanceAll tests met the acceptance criteria, showing the device to be biocompatible.
SterilityANSI/AAMI/ISO 11137-1, ANSI/AAMI/ISO 11137-2Established and validated a 10⁻⁶ Sterility Assurance Level (SAL).
Shelf-LifeNot explicitly stated (likely internal Baxter standard for aging tests leading to shelf-life claim)Supported a shelf-life claim of 2 years.
Microbial Ingress TestingFDA's Guidance for Industry and Staff, Intravascular Administration Sets Premarket Notification Submissions [510(k)] Section 8, Baxter's test methodAll test results met acceptance criteria.

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

The document does not specify the exact sample sizes used for each individual performance test. The data provenance is from Baxter Healthcare Corporation, indicating internal company testing. The document states "Baxter Healthcare Corporation conducts risk analyses and design verification tests based on the result of these analyses."

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

Not applicable. This is a medical device clearance based on non-clinical performance and biocompatibility testing, not on diagnostic accuracy requiring expert interpretation of results. The "ground truth" for these tests is defined by the established acceptance criteria in the relevant standards or internal test methods.

4. Adjudication method for the test set

Not applicable. This is a medical device clearance based on non-clinical performance and biocompatibility testing. The "ground truth" is determined by meeting pre-defined acceptance criteria set by standards or internal protocols.

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 an intravascular administration set, not an AI-powered diagnostic or assistive technology.

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

Not applicable. This device is an intravascular administration set, not an algorithm.

7. The type of ground truth used

The "ground truth" for the non-clinical tests described is based on:

  • Standards and Regulations: ISO 594-1:1986, ISO 594-2:1998 for luer tests; ISO 10993 series and USP for biocompatibility; ANSI/AAMI/ISO 11137 series for sterility; FDA Guidance for microbial ingress.
  • Internal Baxter Test Methods: "Per Baxter Test Method" as explicitly stated for almost all functional performance tests. These methods would be based on engineering specifications and risk assessments to ensure the device performs as intended and is safe.

8. The sample size for the training set

Not applicable. This device is an intravascular administration set, not an AI model requiring a training set.

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

Not applicable. This device is an intravascular administration set, not an AI model.

§ 880.5440 Intravascular administration set.

(a)
Identification. An intravascular administration set is a device used to administer fluids from a container to a patient's vascular system through a needle or catheter inserted into a vein. The device may include the needle or catheter, tubing, a flow regulator, a drip chamber, an infusion line filter, an I.V. set stopcock, fluid delivery tubing, connectors between parts of the set, a side tube with a cap to serve as an injection site, and a hollow spike to penetrate and connect the tubing to an I.V. bag or other infusion fluid container.(b)
Classification. Class II (special controls). The special control for pharmacy compounding systems within this classification is the FDA guidance document entitled “Class II Special Controls Guidance Document: Pharmacy Compounding Systems; Final Guidance for Industry and FDA Reviewers.” Pharmacy compounding systems classified within the intravascular administration set are exempt from the premarket notification procedures in subpart E of this part and subject to the limitations in § 880.9.