K Number
K962611
Manufacturer
Date Cleared
1996-10-21

(110 days)

Product Code
Regulation Number
876.5520
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The inflation device is intended for single use while performing urological balloon dilation procedures to inflate the balloon, monitor the pressure within the balloon and deflate the balloon.

Device Description

The Ryder Urological Balloon Catheter Inflation Device consists of a plastic syringe with a screw-type plunger and a locking lever and rotating palm grip that control the plunger, a manometer to measure pressure and a high pressure connecting tube. The Device has a fluid capacity of 20 cc and an operating pressure range of vacuum to 20 atm.

AI/ML Overview

This document is a 510(k) summary for a medical device (Ryder Urological Balloon Catheter Inflation Device) and does not contain detailed information about a clinical study with acceptance criteria, sample sizes, expert involvement, or adjudication methods in the way a diagnostic AI study would. Instead, it focuses on demonstrating substantial equivalence to a predicate device through technological characteristics and safety testing.

Therefore, many of the requested fields cannot be directly extracted from the provided text.

Based on the information given, here's what can be inferred and what cannot:

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

Acceptance Criteria (Inferred from Predicate Equivalence)Reported Device Performance
Operating Pressure Range (Vacuum to 30 bars - Predicate)Operating Pressure Range (Vacuum to 20 atm)
Fluid Capacity (Predicate not specified, but device has 20cc)Fluid Capacity (20 cc)
Biocompatibility for materials contacting contrast solutionMaterials meet USP guidelines for safety when contacting contrast solution

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

  • Sample Size for Test Set: Not applicable. This document describes a new device submission, not a study involving a "test set" in the context of clinical performance data. The device's safety was assessed through materials testing and comparison to a predicate.
  • Data Provenance: Not applicable.

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. No "ground truth" establishment in a diagnostic sense is described.

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

  • Not applicable.

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 not an AI-assisted diagnostic tool.

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

  • Not applicable. This is a physical medical device, not an algorithm.

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

  • For the safety testing, the "ground truth" was adherence to USP guidelines for biocompatibility of materials.

8. The sample size for the training set

  • Not applicable. No "training set" in the context of machine learning or clinical trials is mentioned.

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

  • Not applicable.

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Image /page/0/Picture/0 description: The image shows the word "RYDER" in large, bold, black letters. Below the word "RYDER" is the word "INTERNATIONAL" in smaller, thinner, black letters. The text appears to be a logo or branding for a company called Ryder International. The image is in black and white.

OCT 21 1996

SUMMARY OF SAFETY AND EFFECTIVENES 12.

K962611

Date of Preparation:June 28, 1996
Device Name:Ryder Urological Balloon Catheter Inflation Device
Classification Name:Balloon Inflation/Deflation Device
Manufacturer:Ryder International Corporation, PO Box 564, 1426 CurtFrancis Road, Arab, AL 35016
Contact:Mr. Dan Clark, Ryder International Corporation, PO Box 564,1426 Curt Francis Road, Arab, AL 35016Telephone: (205) 586-1580Fax: (205) 586-5553
Predicate:Ryder International Balloon Catheter (USCI® Ideal™) InflationDevice cleared for market under K953522.

Device Description/ Intended Use:

The Ryder Urological Balloon Catheter Inflation Device consists of a plastic syringe with a screw-type plunger and a locking lever and rotating palm grip that control the plunger, a manometer to measure pressure and a high pressure connecting tube.

The Device has a fluid capacity of 20 cc and an operating pressure range of vacuum to 20 atm.

The inflation device is intended for single use while performing urological balloon dilation procedures to inflate the balloon, monitor the pressure within the balloon and deflate the balloon.

Technological Characteristics:

The Ryder Urological Balloon Catheter Inflation Device has an operating pressure range of vacuum to 20 atm while the predicate device has a range of vacuum to 30 bars. There are no other significant technological characteristics that distinguish the two devices, and no differences that should pose a risk to patient safety.

Summary of Safety Testing:

The materials of the device which contact the contrast solution in use have been tested using USP guidelines and the results of these studies indicate that the product is safe for its intended use.

Ryder International Corporation 100 Curt Francis Road Arab, Alabama 35016 205-586-1580 of Alo Time Resen.

Image /page/0/Picture/14 description: The image shows the number 000042 in a bold, sans-serif font. The numbers are black against a white background. The numbers are evenly spaced and aligned horizontally.

§ 876.5520 Urethral dilator.

(a)
Identification. A urethral dilator is a device that consists of a slender hollow or solid instrument made of metal, plastic, or other suitable material in a cylindrical form and in a range of sizes and flexibilities. The device may include a mechanism to expand the portion of the device in the urethra and indicate the degree of expansion on a dial. It is used to dilate the urethra. This generic type of device includes the mechanical urethral dilator, urological bougies, metal or plastic urethral sound, urethrometer, filiform, and filiform follower.(b)
Classification. (1) Class II (special controls). Except when it is a mechanical urethral dilator, the device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 876.9.(2) Class I for the urethrometer, urological bougie, filiform and filiform follower, and metal or plastic urethral sound. The devices subject to this paragraph (b)(2) are exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 876.9.