K Number
K213522
Date Cleared
2022-03-22

(139 days)

Product Code
Regulation Number
880.5200
Panel
HO
Reference & Predicate Devices
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The AMSafe® Pre-Filled Normal Saline Flush Syringe, is intended for use in flushing compatible intravenous administration sets and indwelling intravenous access devices. Use according to the recommendations of the manufacturer for the appropriate device.

Device Description

AMSafe® Pre-Filled Normal Saline Flush Syringe is a polypropylene plastic syringe filled with 0.9% sodium chloride for injection, USP, and capped with a polypropylene syringe tip cap.

AI/ML Overview

This document describes the premarket notification (510(k)) for the AMSafe® Pre-Filled Normal Saline Flush Syringe. The information provided outlines the device's technical characteristics, intended use, and comparison to a legally marketed predicate device (K183473). The study performed is a non-clinical bench testing study, not an AI/ML-based clinical study, therefore, many of the requested elements for an AI/ML study (e.g., sample size for test set, number of experts, MRMC study, training set details) are not applicable.

Here's a breakdown of the requested information based on the provided document:

1. Table of Acceptance Criteria and Reported Device Performance

The acceptance criteria and reported device performance are detailed in "Table 5-2" on page 6 of the document.

ID#TestMethodAcceptance CriteriaConclusion
1Physical testing of syringeISO7886-1 ISO80369-7ISO7886-1 ISO80369-7Pass
Integrity test of packageASTM F2338-09No leakagePass
Dimension testISO80369-7ISO80369-7Pass
Lubricant of syringe testISO7886-1ISO7886-1Pass
Dead space testISO7886-1ISO7886-1Pass
Limits of acidity or alkalinity of syringeISO7886-1ISO7886-1Pass
2Sodium Chloride Injection, USP Testing
pH valueUSPPH: 4.5-7.0Pass
Chemical Identification TestsUSPUSPPass
0.9% normal saline content testUSP6-4660.86% -- 0.94%Pass
Oxidizable substance testUSP6-471USP6-471Pass
Iron testUSPUSP
CalciumUSPUSPPass
CarbonateUSPUSPPass
SulfateUSPUSPPass
Total organic carbonUSPUSPPass
Limits of extractable metalsUSP USPUSP USPPass
3Particulate matterUSP≥10um, ≤6000 ≥25um, ≤600Pass
4Biocompatibility testing
Bacterial endotoxins testUSPBacterial endotoxins≤0.5EU/mLPass
Acute systemic toxicityISO10993-11No systemic toxicityPass
Intracutaneous reactivityISO10993-10Non-irritantPass
Pyrogen testISO10993-11Non-pyrogenPass
Skin sensitizationISO10993-10Non-sensitizerPass
In vitro cytotoxicityISO10993-5Non-cytotoxicPass
In vitro hemolysis propertiesASTM F756-17Non-hemolyticPass

Additionally, shelf life was evaluated:

  • Test: Shelf life
  • Method: ASTM F1980-16
  • Acceptance Criteria/Conclusion: Verify that the device will remain within specification during the prescribed shelf life when stored under labeled conditions. (Implied Pass, as per overall conclusion).

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

The document describes non-clinical bench testing of manufacturing characteristics and chemical composition, not an AI/ML-based study with a "test set" composed of patient data. Therefore, the concept of sample size for a test set (e.g., number of images, patient records) and data provenance (country of origin, retrospective/prospective) as typically understood for AI/ML studies are not applicable. The tests were performed on samples of the device itself. The specific number of units tested for each criterion is not provided, but it would typically be a predetermined number based on the statistical requirements of the specific test methods (e.g., ISO, ASTM, USP standards).

3. Number of Experts Used to Establish Ground Truth and Qualifications

Not Applicable. This was a bench study, not an AI/ML study requiring expert labeling of data. The "ground truth" for these tests are the established physical, chemical, and biological standards and methodologies outlined in the referenced ISO, ASTM, and USP documents.

4. Adjudication Method for the Test Set

Not Applicable. This was a bench study; there was no human-in-the-loop expert adjudication process as would be typical for AI/ML algorithm evaluation.

5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was Done

No, an MRMC study was not done. This is a review of a physical medical device (pre-filled syringe), not an AI/ML diagnostic or assistive tool where human reader performance would be a relevant metric.

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

Not Applicable. This document describes the performance of a physical medical device, not an algorithm.

7. The Type of Ground Truth Used

The "ground truth" for the non-clinical tests is based on established industry standards and pharmacopeial specifications. This includes:

  • Physical Properties: Standards like ISO7886-1, ISO80369-7, ASTM F2338-09.
  • Chemical Composition: United States Pharmacopeia (USP) monographs such as USP, USP, USP6-466, USP6-471, USP, USP, USP, USP.
  • Biocompatibility: ISO10993 series (ISO10993-11, ISO10993-10, ISO10993-5) and ASTM F756-17.
  • Sterility Assurance: The mention of 10-6 SAL (Sterility Assurance Level) indicates adherence to established sterilization standards.

8. The Sample Size for the Training Set

Not Applicable. This is a physical device, not an AI/ML algorithm that requires a training set.

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

Not Applicable. As there is no training set for a physical device, there is no ground truth establishment process in that context.

§ 880.5200 Intravascular catheter.

(a)
Identification. An intravascular catheter is a device that consists of a slender tube and any necessary connecting fittings and that is inserted into the patient's vascular system for short term use (less than 30 days) to sample blood, monitor blood pressure, or administer fluids intravenously. The device may be constructed of metal, rubber, plastic, or a combination of these materials.(b)
Classification. Class II (performance standards).