AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use
  1. The Medtronic Marinr catheter is intended for use in diagnostic electrophysiologic procedures. The Medtronic Marinr catheter is designed for recording intracardiac electrograms and temporary pacing associated with electrophysiology studies.

  2. The Medtronic StableMapr catheter is intended for use in diagnostic electrophysiologic procedures. These catheters are designed for recording intracardiac electrograms and temporary pacing associated with electrophysiology studies.

Device Description

Medtronic diagnostic catheters are flexible radiopaque catheters constructed of extruded polymer over a stainless-steel braid. The catheters contain platinum-iridium sensing band electrodes and are designed for intracardiac recording or stimulation.

This premarket notification covers changes impacting Medtronic diagnostic catheters, including labeling updates, packaging design and packaging material changes, and product requirement updates.

AI/ML Overview

This document is a 510(k) premarket notification review for a medical device. It does not contain information about studies involving AI or human reader performance. The document describes changes to existing devices (Marinr and StableMapr Steerable Intracardiac Electrode Catheters) and demonstrates substantial equivalence to predicate devices through a series of performance (bench) and packaging tests.

Therefore, many of the requested categories (e.g., sample size for test set, data provenance, number of experts, adjudication method, MRMC study, standalone performance, training set sample size, ground truth for training set) are not applicable as this document does not describe a study involving an AI algorithm that produces diagnostic outputs requiring such analyses.

Here's the available information based on the provided text:

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

The document lists "product requirement changes" and "product requirement testing," implying that the tests performed served as acceptance criteria. However, explicit numerical acceptance criteria values are not provided within this document. Instead, the document states: "The results of the design verification testing completed in support of the proposed changes demonstrate that the diagnostic catheters in scope of this premarket notification meet all applicable proposed product requirements."

Item Tested (Implied Acceptance Criteria)Reported Device Performance
Corrosion resistanceMet all applicable proposed product requirements
Visual inspections (Foreign Material and Defects, Butt Joint, Band Electrodes, Tip Assembly, Serial Number)Met all applicable proposed product requirements
Catheter outer diameterMet all applicable proposed product requirements
Electrode Band SpacingMet all applicable proposed product requirements
Working LengthMet all applicable proposed product requirements
Actuation force for linearly activated controlsMet all applicable proposed product requirements
Tip SpringbackMet all applicable proposed product requirements
Reverse deflection (StableMapr only)Met all applicable proposed product requirements
Extent & Rate of Tip DeflectionMet all applicable proposed product requirements
Proximal curve reachMet all applicable proposed product requirements
Proximal curve planarityMet all applicable proposed product requirements
Lateral deflection control (Marinr only)Met all applicable proposed product requirements
Tip lateral deflection travel (Marinr only)Met all applicable proposed product requirements
Distal tip stiffnessMet all applicable proposed product requirements
Proximal shaft flexibility in 37°CMet all applicable proposed product requirements
Tip transition kinkingMet all applicable proposed product requirements
Lateral Stability (StableMapr only)Met all applicable proposed product requirements
Shaft Torque-abilityMet all applicable proposed product requirements
Joint - Tip Composite (Marinr only)Met all applicable proposed product requirements
Joint- Proximal Shaft to Distal Deflectable Tip TubingMet all applicable proposed product requirements
Electrode path AC impedance (Marinr only)Met all applicable proposed product requirements
Band Electrode Path DC ResistanceMet all applicable proposed product requirements
Simulated use: catheter pushability (StableMapr only)Met all applicable proposed product requirements
Simulated use: catheter shaft repeated torqueing (StableMapr only)Met all applicable proposed product requirements
Handle Control RequirementsMet all applicable proposed product requirements
Connector Interface RequirementsMet all applicable proposed product requirements
Packaging ConfigurationMet all applicable proposed product requirements
TraceabilityMet all applicable proposed product requirements
Material Sterilization CompatibilityMet all applicable proposed product requirements
Packaging Performance (Marinr only)Met all applicable proposed product requirements
Sterile Barrier IntegrityMet all applicable proposed product requirements
Seal strengthMet all applicable proposed product requirements
Specified loading configurationMet all applicable proposed product requirements
Storage and Shipping ConditionsMet all applicable proposed product requirements
Sterilization pre-conditioning (Packaging)Met all applicable proposed product requirements
Environmental pre-conditioning (Packaging)Met all applicable proposed product requirements
Label legibility testing (Packaging)Met all applicable proposed product requirements
Label durability testing (Packaging)Met all applicable proposed product requirements
Bubble leak testing (Packaging)Met all applicable proposed product requirements

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

The document mentions "test samples exposed to accelerated aging conditions equivalent to the product shelf life of 2 years" for product requirement testing. However, the specific sample sizes for each test are not provided. Data provenance (country of origin, retrospective/prospective) is not applicable as these are bench tests on manufactured products.

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. This is a bench testing study for substantial equivalence of physical medical devices, not a diagnostic study requiring expert ground truth or a human-in-the-loop performance evaluation.

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

Not applicable. This is a bench testing study.

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

No such study was done. This document pertains to the physical and packaging characteristics of diagnostic catheters, not an AI-assisted diagnostic system.

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

Not applicable. This document is not about an algorithm.

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

The "ground truth" for the performance tests would be the established engineering and materials specifications and accepted standards for medical device performance. For packaging, it would be packaging integrity and labeling standards.

8. The sample size for the training set

Not applicable. This is not an AI/machine learning study.

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

Not applicable. This is not an AI/machine learning study.

§ 870.1220 Electrode recording catheter or electrode recording probe.

(a)
Identification. An electrode recording catheter or an electrode recording probe is a device used to detect an intracardiac electrocardiogram, or to detect cardiac output or left-to-right heart shunts. The device may be unipolar or multipolar for electrocardiogram detection, or may be a platinum-tipped catheter which senses the presence of a special indicator for cardiac output or left-to-right heart shunt determinations.(b)
Classification. Class II (performance standards).