K Number
K964127
Date Cleared
1996-12-31

(77 days)

Product Code
Regulation Number
880.6740
Reference & Predicate Devices
N/A
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

These suction handles are used in conjunction with a vacuum-powered, single patient, body fluid suction apparatus. The handles provide a means to aspirate, remove or sample body fluids from a surgical wound or body orifice via vacuum.

Device Description

The Medi-Vac Flexi-Clear™ Suction Handles are made of polyvinyl chloride in a variety of sizes and are offered sterile.

AI/ML Overview

This is a 510(k) premarket notification for a medical device (Medi-Vac Flexi-Clear™ Suction Handles), not an AI/ML software device. Therefore, the requested information about acceptance criteria, study design, and performance metrics for AI/ML models (e.g., sample size for test sets, expert ground truth, MRMC studies) is not applicable to the provided text.

The document discusses the substantial equivalence of the Medi-Vac Flexi-Clear™ Suction Handles to a predicate device (Argyle® Yankauer Suction Tube) based on characteristics like intended use, size, configuration, materials, and physical properties.

The "Summary of Testing" table outlines the results of biocompatibility tests conducted on the device.

Here's the information that is extractable from the provided text, structured to align with your request where possible, but noting the inapplicability of AI/ML-specific fields:

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

TestAcceptance Criteria (Implied)Reported Device Performance
Cytotoxicity TestNo toxic reactions to acute application.Suction handle does not elicit any toxic reactions to acute application.
Intracutaneous ReactivityNo reactivity observed.No reactivity was observed.
HemocompatibilityNo lysis (hemocompatible).Suction handles are hemocompatible exhibiting no lysis.
Systemic ToxicityNo potential for irritation.Suction handle does not display potential for irritation.
SensitizationNo potential for irritation (sensitization).Suction handle does not display any potential for irritation.

Study Proving Device Meets Acceptance Criteria:

The study proving the device meets the acceptance criteria is summarized under "Summary of Testing" in the provided document. These are standard biocompatibility tests.

2. Sample size 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 specified for these biocompatibility tests. For medical device biocompatibility, samples of the device material are typically used for in vitro or in vivo testing according to ISO 10993 standards. The exact number of samples or biological replicates is not detailed in this summary.
  • Data Provenance: Not specified. Biocompatibility testing is generally performed in certified laboratories.

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. For biocompatibility testing, ground truth is established by standardized laboratory assays and protocols, interpreted by trained laboratory personnel and toxicologists, not by a panel of clinical experts in the same way an AI model's output would be adjudicated.

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

Not applicable. Adjudication methods like 2+1 or 3+1 are for expert consensus in diagnostic imaging or similar fields. Biocompatibility test results are typically objective measurements or observations against established 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. This is a physical medical device, not an AI/ML diagnostic or assistive software.

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 AI/ML algorithm.

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

For biocompatibility testing, the "ground truth" is based on standardized biological responses and endpoints measured according to recognized test methods (e.g., ISO 10993 series). This includes observing cellular responses (cytotoxicity), tissue reactions (intracutaneous reactivity, sensitization), and blood interactions (hemocompatibility), with results interpreted against predefined pass/fail criteria.

8. The sample size for the training set

Not applicable. There is no AI/ML model for which to define a training set. This is a physical medical device.

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

Not applicable. There is no AI/ML model for which to define a training set and its ground truth.

{0}------------------------------------------------

DEC 31 1996

SUMMARY OF SAFETY AND EFFECTIVENESS XI.

Image /page/0/Picture/3 description: The image shows the word "Allegiance" in a stylized font. The word is written in black and appears to be a logo or brand name. To the left of the word is a symbol that resembles a plus sign made up of small dots.

510(k) SUMMARY OF SAFETY AND EFFECTIVENESSMedi-Vac Flexi-Clear™ Suction Handles
Manufacturer:Allegiance Healthcare CorporationProductos Urologos de Mexico S.A. de C.V.Calle Norte Lote 1Parque Industrial IIIMexicali-Baja Cal. Mexico 21210
Regulatory Affairs Contact:Ingrid M. Hoos1500 Waukegan Road, Bldg. KMcGaw Park, IL 60085
Telephone:(847) 785-3312
Date Summary Prepared:October, 1996
Product Trade Name:Medi-Vac Flexi-Clear™ Suction Handles
Common Name:Suction Handle
Classification:Tip, Suction, Rigid
Predicate Devices:Argyle® Yankauer Suction Tube
Description:The Medi-Vac Flexi-Clear™ Suction Handles are made of polyvinylchloride in a variety of sizes and are offered sterile.
Intended Use:These suction handles are used in conjunction with a vacuum-powered, single patient, body fluid suction apparatus. The handlesprovide a means to aspirate, remove or sample body fluids from asurgical wound or body orifice via vacuum.

{1}------------------------------------------------

Substantial Equivalence: The Medi-Vac Flexi-Clear™ Suction Handles are substantially equivalent to Argyle® Yankauer Suction Tube in that they provide the following characteristics: - intended use - size, configuration, packaging

  • made of polyvinyl chloride
  • physical properties

Summary of Testing:

TestResult
Cytotoxicity TestSuction handle does not elicit any toxic reactions to acute application.
Intracutaneous ReactivityNo reactivity was observed.
HemocompatibilitySuction handles are hemocompatible exhibiting no lysis.
Systemic ToxicitySuction handle does not display potential for irritation.
SensitizationSuction handle does not display any potential for irritation.

§ 880.6740 Vacuum-powered body fluid suction apparatus.

(a)
Identification. A vacuum-powered body fluid suction apparatus is a device used to aspirate, remove, or sample body fluids. The device is powered by an external source of vacuum. This generic type of device includes vacuum regulators, vacuum collection bottles, suction catheters and tips, connecting flexible aspirating tubes, rigid suction tips, specimen traps, noninvasive tubing, and suction regulators (with gauge).(b)
Classification. Class II (special controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to § 880.9.