K Number
K963698
Date Cleared
1997-03-20

(185 days)

Product Code
Regulation Number
870.4410
Reference & Predicate Devices
N/A
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The IBC CMO2 Flow Through Cuvette is a single piece, single use, disposable component intended for use with the Bentley OxySat Monitor as a direct substitute for the Bentley OTC Flow Through Cuvette.

Device Description

The IBC CMO2 Flow Through Cuvette is a single piece, single use, disposable component intended for use with the Bentley OxySat Monitor as a direct substitute for the Bentley OTC Flow Through Cuvette. It is sold sterile and pyrogen free in a Tyvek peel pouch. It is constructed of a single piece of injection molded polycarbonate.

AI/ML Overview

This 510(k) summary describes a medical device, the IBC CMO2 Flow Through Cuvette, but it does not contain the information requested to perform the deeper analysis of acceptance criteria, study details, and ground truth establishment typically associated with AI/ML-based device submissions.

The document is a traditional medical device submission focused on demonstrating substantial equivalence to a predicate device (Bentley OTC Flow Through Cuvette) for a physical component, not a software algorithm. Therefore, many of the requested fields are not applicable to this type of submission.

Here's a breakdown of why the requested information cannot be fully provided based on the given text:

1. Table of Acceptance Criteria and Reported Device Performance:

The provided table is a "TABLE OF COMPARISON" demonstrating similarity to a predicate device, not pre-defined acceptance criteria for a novel performance study.

CharacteristicAcceptance Criteria (Implied by Substantial Equivalence to Predicate)Reported Device Performance (IBC CMO2 Cuvette)
PackagingSingle, sterile and disposableSingle, sterile and disposable
ConstructionSubstantially equivalent (single piece vs. 4 assembled pieces)Single piece molded
Sizes1/4", 3/8", 1/2"1/4", 3/8", 1/2"
MaterialPolycarbonatePolycarbonate
SterilizationEthylene OxideEthylene Oxide
AccuracyIdentical (r=.998) to predicateIdentical (r=.998)
ToxicityTripartite Guidelines compliantTripartite Guidelines
Blood CompatibilityNon-HemolyticNon-Hemolytic

Explanation: The "acceptance criteria" here are implicitly that the IBC CMO2 Cuvette performs identically or equivalently to the Bentley OTC Cuvette. The reported performance for the CMO2 Cuvette is that it meets these equivalent characteristics. The "Accuracy" value (r=.998) is stated as "Identical" to the predicate, implying it achieves this level of accuracy, but the context of this r-value and what it measures is not detailed (e.g., correlation with a gold standard, or correlation between the two devices).


The following sections are Not Applicable (N/A) to this traditional medical device submission of a physical component because the submission does not describe a study to evaluate an algorithm or AI/ML performance.

2. Sample size used for the test set and the data provenance: N/A (no test set for AI/ML performance described)

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts: N/A (no ground truth for AI/ML performance described)

4. Adjudication method for the test set: N/A (no adjudication for AI/ML performance described)

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: N/A (not an AI/ML device)

6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done: N/A (not an AI/ML device)

7. The type of ground truth used (expert consensus, pathology, outcomes data, etc): N/A (no ground truth for AI/ML performance described)

8. The sample size for the training set: N/A (no training set for AI/ML described)

9. How the ground truth for the training set was established: N/A (no ground truth for AI/ML described)


Summary of Device and Evidence Presented:

The IBC CMO2 Flow Through Cuvette is a single-piece, single-use, disposable component for use with the Bentley OxySat Monitor. Its primary claim is substantial equivalence to the Bentley OTC Flow Through Cuvette. The evidence provided is a comparison table highlighting identical functional characteristics (e.g., material, sterilization, sizes, accuracy value (r=.998), toxicity compliance, blood compatibility), with the key difference being the construction method (single-piece molded vs. four adhesively bonded pieces). The rationale for the single-piece construction is cost reduction, elimination of leak sources, and improved geometric control. Performance is stated to be identical when used according to manufacturer's instructions. This is a traditional 510(k) submission based on equivalence, not an AI/ML performance evaluation.

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K963698

MAR 2 0 1997

Image /page/0/Picture/2 description: The image shows a logo with the letters "IBC" in a stylized font. Each letter is overlaid with a globe graphic, suggesting an international or global theme. The letters are bold and black, creating a strong visual impact. The globe graphics add a layer of complexity to the design.

510(k) SUMMARY

IBC CMO2 Flow Through Cuvette

The IBC CMO2 Flow Through Cuvette is a single piece, single use, disposable component intended for use with the Bentley OxySat Monitor as a direct substitute for the Bentley OTC Flow Through Cuvette. It is sold sterile and pyrogen free in a Tyvek peel pouch. It is substantially equivalent to the Bentley OTC Flow Through Cuvette which is marketed by the Bentley Division of Baxter Healthcare.

CHARACTERISTICCMO2 CUVETTEOTC CUVETTE
PackagingSingle, sterile and disposableSingle, sterile and disposable
ConstructionSingle piece molded4 molded pieces assembled
Sizes1/4", 3/8", 1/2"1/4", 3/8", 1/2"
MaterialPolycarbonatePolycarbonate
SterilizationEthylene OxideEthylene Oxide
AccuracyIdentical (r=.998)Identical (r=.998)
ToxicityTripartite GuidelinesTripartite Guidelines
Blood CompatibilityNon-HemolyticNon-Hemolytic

TABLE OF COMPARISON

DISCUSSION OF SIMILARITIES AND DIFFERENCES

The IBC CMO2 Flow Through Cuvette is constructed of a single piece of injection molded polycarbonate while the Bentley OTC Flow Through Cuvette is Assembled by adhesively bonding 4 molded pieces together. The reason for the single piece construction in the CMO2 is to reduce cost of manufacture while at the same time eliminating a source of leaks and product failure (the bonds) and finally to control the final geometry for the least variation in the attachment fit with the OxySat Transducer. The functional geometry and material of construction are identical as is the performance when used according to manufacturer's instructions in the Bentley OxySat monitoring system.

§ 870.4410 Cardiopulmonary bypass in-line blood gas sensor.

(a)
Identification. A cardiopulmonary bypass in-line blood gas sensor is a transducer that measures the level of gases in the blood.(b)
Classification. Class II (performance standards).