K Number
K193181
Date Cleared
2020-04-15

(149 days)

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

The Serranator® PTA Serration Balloon Catheter is intended for dilatation of lesions in infrapopliteal arteries. Not for use in the coronary or neuro-vasculature.

Device Description

The Serranator® PTA Serration Balloon Catheter is an over-the-wire (OTW) balloon dilatation catheter designed to perform percutaneous transluminal angioplasty (PTA) for peripheral indications as described in the Indication for Use statement. The Serranator® has a nylon semicompliant balloon with three embedded external metal strips or scoring elements. The unique scoring elements are serrated, designed to modify the plaque by creating linear, interrupted scoring along the endoluminal surface. This occurs during balloon inflation and is designed to aid arterial expansion.

AI/ML Overview

This document is a 510(k) summary for the Serranator® PTA Serration Balloon Catheter. It describes non-clinical testing performed to demonstrate that the device meets design input requirements and is substantially equivalent to predicate devices. It does not contain information about acceptance criteria or a study with human readers with or without AI assistance. It also does not discuss standalone algorithm performance, or ground truth for training data in the context of an AI-powered device.

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

Based on the provided document, the acceptance criteria are implicit in the "Pass" results for various tests. The reported device performance is that it met all these acceptance criteria.

TestAcceptance Criteria (Implicit)Reported Device Performance
Shipping, environmental stressesDevice maintains integrity and function after exposure to shipping and environmental stresses.Pass
Flex/KinkDevice maintains patency and integrity when subjected to flexing and kinking.Pass
Visual InspectionDevice meets visual quality standards (e.g., no defects, proper assembly).Pass
Delivery, Deployment, RetractionDevice can be safely and effectively delivered, deployed, and retracted.Pass
FatigueDevice maintains integrity and function over its expected lifespan under repeated stresses.Pass
Rated Burst/ComplianceBalloon inflates to specified pressure and dimensions without bursting prematurely and complies as expected.Pass
TorsionDevice can withstand torsional forces without damage or loss of function.Pass
CorrosionDevice materials do not corrode under specified conditions.Pass
Tensile Test of JointsJoints of the device meet specified tensile strength requirements.Pass
CytotoxicityDevice materials are not toxic to cells.Pass
SensitizationDevice materials do not cause allergic reactions.Pass
IrritationDevice materials do not cause irritation.Pass
Systemic Toxicity (acute)Device materials do not cause acute systemic toxicity.Pass
PyrogenicityDevice materials do not cause fever (are non-pyrogenic).Pass
HemocompatibilityDevice materials are compatible with blood.Pass
Thrombogenicity (P. Porcine Study)Device does not induce thrombus formation.Confirmed (No thrombus formation or other adverse events)
Usability, Performance (Porcine Study)Device is usable and performs as intended in vivo.Confirmed (No adverse events)

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

  • Non-Clinical Testing/Performance & Biocompatibility: The document states that "Bench testing... was performed on sterile, unaged (Time Zero) and accelerated aged (Time Aged) test samples" and "Biocompatibility testing was conducted on sterile, finished devices". Specific sample sizes for each bench or biocompatibility test are not provided. The data provenance is from laboratory testing, not human subjects or real-world clinical data.
  • Animal Studies: A total of two porcine test subjects were used for the animal study. This is a prospective animal study.
  • Cadaver Studies: A diseased cadaver study was not performed for this specific device. However, a cadaver study was performed for the reference device (Serranator® Alto PTA Serration Balloon Catheter, K163380) to determine medial thickness of non-diseased infrapopliteal arteries. The sample size for this cadaver study is not specified, nor is the provenance beyond "cadaver artery assessment."
    • Data Provenance for device performance: Lab/bench testing, animal studies, and cadaver studies (for reference device). No country of origin is specified for the animal or cadaver studies.

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)

This device is not an AI/ML device, and therefore, there is no mention of experts establishing ground truth for a test set in the context of diagnostic or interpretive performance. The "ground truth" for the non-clinical and animal studies would be the objective measurements and observations made by laboratory personnel and veterinarians/pathologists during the respective tests, based on established protocols and standards. No specific number or qualifications are provided as this is a traditional medical device submission.

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

Not applicable, as this is not an AI/ML device requiring human adjudication of results for a test set. The non-clinical and animal studies are assessed against predefined pass/fail criteria.

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, as this is not an AI/ML device and there is no mention of human readers or AI assistance.

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

Not applicable, as this is not an AI/ML device.

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

The "ground truth" for this device's performance is established through:

  • Objective measurements and observations from bench testing against engineering specifications and regulatory standards (e.g., burst pressure, tensile strength, dimension checks).
  • Biological responses observed in biocompatibility tests (e.g., cell viability, immune response, blood compatibility).
  • In vivo observations in animal studies (e.g., absence of thrombus, dissection, perforations, successful deployment/retraction).
  • Anatomical measurements from cadaver studies (for the reference device) to inform design parameters.

8. The sample size for the training set

Not applicable, as this is not an AI/ML device. There is no concept of a "training set" for physical device testing as described.

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

Not applicable, as this is not an AI/ML 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).