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510(k) Data Aggregation

    K Number
    K222772
    Date Cleared
    2023-08-17

    (337 days)

    Product Code
    Regulation Number
    876.5980
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The device is intended for use as a dispenser, a measuring device and an oral fluid transfer device. It is intended to be used to deliver fluids into the body orally or enterally. It is intended to be used in clinical or home care settings by operators ranging from qualified medical practitioners to laypersons (under the supervision of a qualified medical practitioners) in all age groups.

    Device Description

    The Oral/Enteral Syringe with ENFit connector is a disposable enteral feeding syringe provided in a variety of sizes from 0.5ml to 60ml. The Oral/Enteral Syringe with ENFit connector consists of plunger, gasket/piston, barrel with ENFit connector, and used to deliver fluids into the body orally or connected to an enteral access device with male ENFit connector. The proposed syringe is sterilized by Ethylene Oxide Gas to achieve a SAL of 10-6 and supplied sterility maintenance package which could maintain the sterility of the device during the shelf life of three years.

    AI/ML Overview

    This document is a 510(k) premarket notification for an Oral/Enteral Syringe with ENFit connector, seeking substantial equivalence to a predicate device. As such, it does not describe a study to prove a device meets acceptance criteria in the way a clinical trial or performance study for a novel diagnostic algorithm might. Instead, it demonstrates substantial equivalence by showing that the device meets relevant performance standards and has similar technological characteristics to a predicate device.

    Therefore, many of the requested categories (sample size for test set, data provenance, number of experts, adjudication method, MRMC study, standalone performance, ground truth for test/training set, training set sample size) are not applicable in the context of this 510(k) submission for a non-active medical device like a syringe.

    However, I can extract the acceptance criteria where applicable (i.e., performance standards and biocompatibility) and report the device's performance against those standards as described in the document.


    Acceptance Criteria and Device Performance (Oral/Enteral Syringe with ENFit connector)

    Device Under Review: Oral/Enteral Syringe with ENFit connector (K222772)
    Predicate Device: Oral/Enteral Syringe with ENFit connector (K211025)

    1. Table of Acceptance Criteria and Reported Device Performance

    Category / Test TypeAcceptance Criteria (Standard Reference)Reported Device Performance / Conclusion
    BiocompatibilityISO 10993-1:2018 (Surface medical device-mucosal membrane, contact < 24 hours)Biocompatibility was evaluated and "does not show any adverse effect." Specific tests:
    In Vitro Cytotoxicity TestISO 10993-5:2009No Cytotoxicity
    Intracutaneous Reactivity TestISO 10993-10:2010No Irritation
    Skin Sensitization TestISO 10993-10:2010No Sensitization
    SterilizationISO 11135 (Sterilization of health care products — Ethylene oxide)Sterilization method validated to ISO11135, routine control, and monitoring parameters determined. Device is EO Sterilized to SAL 10-6.
    EO ResidueISO 10993-7:2008Complied
    ECH ResidueISO 10993-7:2008Complied
    Shelf LifeASTM F1980-16 (Standard Guide for Accelerated Aging of Sterile Medical Device Packages)Shelf life of three years determined based on stability studies, including accelerated aging test.
    Package IntegrityASTM F88/F88M-15 (Seal strength)All packaging deemed acceptable for protection of product and sterility maintenance after environmental conditioning and simulated transportation.
    ASTM F1929-2015 (Blue Dye Penetration)All packaging deemed acceptable for protection of product and sterility maintenance.
    ASTM F1886/F1886M-16 (Seal Integrity (Visual Inspection))All packaging deemed acceptable for protection of product and sterility maintenance.
    Product PerformanceASTM D638-22, ASTM D790-17 Procedure A (Mechanical properties of plastics)Report of PP 5090T provided, implying compliance with these material property standards.
    Dose AccuracyISO 7886-1:2017 (Sterile hypodermic syringes for single use Part 1: Syringes for manual use)Testing performed, implying compliance with dose accuracy requirements.
    Enteral ConnectorsISO 80369-3:2016 (Small-bore connectors for liquids and gases in healthcare applications — Part 3: Connectors for enteral applications)Performance testing performed, implying compliance with enteral connector standards. The Gasket difference from the predicate was determined not to raise new safety/effectiveness issues as the device "passed the verification of ISO 80369-3, ISO 80369-20 and ISO 7886-1 standard tests, and the results meet the requirements."
    General ConnectorsISO 80369-1:2018 (Small-bore connectors for liquids and gases in healthcare applications - Part 1: General requirements)Performance testing performed, implying compliance.
    Common Test MethodsISO 80369-20:2015 (Small-bore connectors for liquids and gases in healthcare applications - Part 20: Common test methods)Performance testing performed, implying compliance.

    2. Sample size used for the test set and the data provenance:

    • Sample Size: Not explicitly stated for each test, but standard test methods were followed. The number of devices required for each standard (e.g., ISO 7886-1, ISO 80369-3) would dictate the sample sizes.
    • Data Provenance: The tests are non-clinical (bench testing, material testing, biocompatibility testing) performed on the manufactured device. The location of testing labs is not specified, but the applicant is based in China. The data is prospective for the purpose of this submission (i.e., new tests performed on the specific device for this submission).

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:

    • Not Applicable. This is a non-clinical device submission. "Ground truth" in the diagnostic/AI sense is not relevant. Performance is measured against established international and harmonized standards.

    4. Adjudication method for the test set:

    • Not Applicable. This refers to clinical assessments or expert review, which is not part of this type of submission. Testing involves laboratory measurements against predefined criteria in standards.

    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 non-clinical syringe, not an AI-enabled diagnostic device.

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

    • Not Applicable. This is a non-clinical syringe, not an AI-enabled diagnostic device.

    7. The type of ground truth used:

    • Not Applicable. For this type of device, performance is evaluated against objective, measurable criteria defined in international scientific and engineering standards (e.g., ISO, ASTM). There isn't a "ground truth" derived from expert consensus, pathology, or outcomes data in the context of a diagnostic product.

    8. The sample size for the training set:

    • Not Applicable. This is a non-AI device submission; there is no "training set."

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

    • Not Applicable. This is a non-AI device submission; there is no "training set" or ground truth for it.

    Summary of Study (Based on Submitted Information):

    The "study" in this context is a collection of non-clinical performance evaluations and testing conducted to demonstrate that the Anhui Tiankang Medical Technology Co., Ltd. Oral/Enteral Syringe with ENFit connector is substantially equivalent to its predicate device. This involves:

    • Biocompatibility Testing: Evaluating the device's materials for cytotoxicity, irritation, and sensitization according to ISO 10993 series. The device reported "No Cytotoxicity; No Irritation; No Sensitization."
    • Sterilization Validation: Confirming the Ethylene Oxide (EO) sterilization process meets ISO 11135 standards and an SAL of 10-6, along with EO and ECH residue testing per ISO 10993-7. The device was found to comply.
    • Shelf Life Determination: Performing accelerated aging tests according to ASTM F1980-16 to support a 3-year shelf life.
    • Package Integrity Testing: Conducting tests like seal strength (ASTM F88/F88M-15), blue dye penetration (ASTM F1929-2015), and visual inspection (ASTM F1886/F1886M-16) to ensure packaging maintains sterility. All packaging was deemed acceptable.
    • Product Performance Testing: Evaluating the syringe against specific functional standards:
      • Dose accuracy according to ISO 7886-1:2017.
      • Enteral connector compatibility and performance according to ISO 80369-3:2016.
      • General connector requirements and common test methods from ISO 80369-1:2018 and ISO 80369-20:2015.
      • Material properties referenced by ASTM D638-22 and ASTM D790-17.

    The submission concludes that the non-clinical testing demonstrates the device's safety, effectiveness, and performance are comparable to the legally marketed predicate device, thereby establishing substantial equivalence. No clinical studies were included or deemed necessary for this type of device.

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    K Number
    K222773
    Device Name
    Feeding Tube
    Date Cleared
    2023-08-17

    (337 days)

    Product Code
    Regulation Number
    876.5980
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    This product is intended for use in neonatal and pediatric patients to provide nutrition via nasal or orogastric placement. The Polyurethane Feeding Tube is not intended for use beyond 30 days. The PVC Feeding Tube is not intended for use beyond 24 hours.

    Device Description

    The Feeding Tube consists of the following main components: a feeding tube single lumen catheter and an enteral only connector hub with integral tethered connection closure plug. The catheter tubing is made of Polyurethane or PVC. The catheter tubing has an orange or purple radiopaque stripe of barium sulfate embedded in the tubing wall which can be visualized on x-ray, for exact placement of the tip. The single lumen catheter tubing has side holes for better flow and to provide multiple openings for aspiration. The proposed Feeding Tube is sterilized by Ethylene Oxide Gas to achieve a SAL of 10-6 and supplied sterility maintenance package which could maintain the sterility of the device during the shelf life of three years.

    AI/ML Overview

    This document is a 510(k) premarket notification decision letter from the FDA to Anhui Tiankang Medical Technology Co., Ltd. regarding their "Feeding Tube" device. It primarily focuses on the device's substantial equivalence to a predicate device and outlines the non-clinical performance data provided to support this claim.

    Based on the provided text, the device is a medical feeding tube, and the "acceptance criteria" and "proof" relate to demonstrating its safety and effectiveness through non-clinical performance testing and biocompatibility testing, rather than a study involving human subjects or an AI algorithm. Thus, many of the typical elements of AI/ML device acceptance criteria (e.g., sample size for test set, expert adjudication, MRMC studies, standalone algorithm performance, training set details) are not applicable here as this is a traditional medical device submission.

    Here's an analysis of the acceptance criteria and the study (non-clinical testing) that proves the device meets them, based only on the information provided:

    1. Table of Acceptance Criteria and Reported Device Performance

    The acceptance criteria are primarily defined by adherence to recognized international standards and successful completion of specific physical and biological tests. The "reported device performance" indicates that the subject device met these standards and test requirements.

    Acceptance Criteria (Test/Standard)Reported Device Performance (as stated in the document)
    Biocompatibility Testing
    In Vitro Cytotoxicity Test (ISO 10993-5:2009)Performed, result not explicitly stated but implied to be acceptable as "does not show any adverse effect" for the material difference.
    Intracutaneous Reactivity Test (ISO 10993-10:2010)Performed, result not explicitly stated but implied to be acceptable as "does not show any adverse effect" for the material difference.
    Skin Sensitization Test (ISO 10993-10:2010)Performed, result not explicitly stated but implied to be acceptable as "does not show any adverse effect" for the material difference.
    Acute Systemic Toxicity (ISO 10993-11:2017)Performed, result not explicitly stated but implied to be acceptable as "does not show any adverse effect" for the material difference.
    Subacute Toxicity (ISO 10993-11:2017)Performed, result not explicitly stated but implied to be acceptable as "does not show any adverse effect" for the material difference.
    Implantation Effects (ISO 10993-6:2017)Performed, result not explicitly stated but implied to be acceptable as "does not show any adverse effect" for the material difference.
    Sterilization & Shelf Life Testing
    Sterilization Validation (ISO 11135)Validated to achieve a SAL of 10-6.
    EO Residue (ISO 10993-7:2008)Performed, result not explicitly stated but compliant.
    ECH Residue (ISO 10993-7:2008)Performed, result not explicitly stated but compliant.
    Ageing Test (ASTM F1980-16 for 3-year shelf life)Shelf life of three years determined based on stability studies.
    Package Integrity (ASTM F88/F88M-15, ASTM F1929-2015, ASTM F1886/F1886M-16)All packaging deemed acceptable for protection of product and sterility maintenance after testing (Seal strength, Blue Dye Penetration, Visual Inspection).
    Performance Testing (Mechanical/Physical)
    Radiopacity Verification (ISO 20695:2020)Compliant with ISO 20695:2020.
    Tube Markings (ISO 20695:2020)Compliant with ISO 20695:2020.
    Liquid Leakage Testing (ISO 20695:2020, 50-60 kPa internal pressure)"Feeding tube set shall not show signs of leakage sufficient to form a falling drop of water" - stated as tested and met the updated standard.
    Fluid Leakage - Connector (ISO 80369-3 and ISO 80369-20, 300-330 kPa)"The connector shall not leak" at applied pressure - stated as tested and met the standards.
    Stress Cracking - Connector (ISO 80369-3 and ISO 80369-20)"The connector shall have adequate resistance to stress cracking" - stated as tested and met the standards.
    Resistance to Separation from Axial Load - Connector (ISO 80369-3 and ISO 80369-20)"The connector shall not separate from the reference connector" - stated as tested and met the standards.
    Resistance to Separation from Unscrewing - Connector (ISO 80369-3 and ISO 80369-20, <0.26 N.m)"The connector shall separate from the reference connector applied unscrewing torque less than 0.26 N.m" - stated as tested and met the standards.
    Resistance to Overriding - Connector (ISO 80369-3 and ISO 80369-20, 0.15-0.17 N.m)"The connector shall not override the threads or lugs of the reference connector" - stated as tested and met the standards.
    Connector Compatibility (ISO 80369-3 reference connectors)"The connector shall be compatible with ISO 80369-3 reference connectors" - stated as evaluated per ISO 80369-3 for ENFit dimensional verification. "Non-ENFit Connector" also tested and results showed it "does not present the risks contemplated by ISO 80369-1".
    Tensile Testing (ISO 20695:2020)Tested and met the updated standard.

    2. Sample size used for the test set and the data provenance

    The document does not specify the exact sample sizes (number of units tested) for each non-clinical performance and biocompatibility test. It simply states that the tests were "performed" according to the relevant standards.
    Data provenance is not directly addressed in terms of "country of origin for data" or "retrospective/prospective" as these are non-clinical, in-vitro/bench tests, not clinical studies. The testing would have been conducted by the manufacturer or a contracted lab to demonstrate compliance.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

    Not applicable. Ground truth, in the context of device performance, is established by adherence to codified international standards and test methods (e.g., ISO, ASTM). These tests are objective measurements, not subjective evaluations requiring expert consensus from human readers or assessors.

    4. Adjudication method for the test set

    Not applicable. As described above, these are objective physical and biological tests, not human assessments requiring adjudication.

    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 a physical medical device (feeding tube), not an AI/ML diagnostic or assistive device for human readers. No MRMC study was performed or is relevant to this submission.

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

    Not applicable. This device does not involve an algorithm.

    7. The type of ground truth used

    The "ground truth" for this device's acceptance is established by international standards and validated test methodologies. For example, a successful biocompatibility test result (per ISO 10993) is the "ground truth" that the material is biocompatible. Similarly, meeting specified force or leakage requirements (per ISO 80369-3, ISO 20695) constitutes the "ground truth" for mechanical performance.

    8. The sample size for the training set

    Not applicable. This device is a physical medical device and does not involve AI/ML requiring a training set.

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

    Not applicable. As above, no training set is relevant for this type of device.

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    K Number
    K230756
    Date Cleared
    2023-08-12

    (145 days)

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

    The Pre-Filled Normal Saline Flush Syringe is intended to be used only for the flushing vascular access devices.

    Device Description

    Not Found

    AI/ML Overview

    I am sorry, but the provided text does not contain information about acceptance criteria or a study proving that a device meets those criteria. The document is an FDA 510(k) clearance letter for a medical device called "TK Pre-Filled Normal Saline Flush Syringe."

    The letter acknowledges the submission of a premarket notification and states that the device is substantially equivalent to legally marketed predicate devices. It also outlines regulatory requirements but does not include details about performance testing, study designs, sample sizes, ground truth establishment, or expert qualifications.

    Therefore, I cannot generate the requested table and information based on the given input.

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    K Number
    K222385
    Date Cleared
    2022-12-06

    (120 days)

    Product Code
    Regulation Number
    880.5570
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Bifurcated Needle is intended for use in administering vaccines by the scarification method or administering epidermal allergens.

    Device Description

    The proposed Bifurcated Needle have two prongs. A small drop of smallpox vaccine was placed between the prongs and approximately fifteen punctures would be made into the skin. The needles were sterilized by EO to achieve a SAL of 10-6 and supplied sterile in packaging with a shelf life of five years.

    AI/ML Overview

    The provided document is a 510(k) summary for a "Bifurcated Needle" and primarily focuses on proving substantial equivalence to a predicate device based on material properties, manufacturing processes, and adherence to performance standards. It explicitly states that "No clinical study is included in this submission." Therefore, the document does not contain information regarding a study that proves the device meets acceptance criteria related to AI/algorithm performance, human reader improvement, or clinical effectiveness.

    The request asks for details typically found in submissions for AI/ML-driven medical devices or diagnostic tools, which involve evaluating algorithm performance, human-in-the-loop studies, and the establishment of "ground truth" for test and training sets. Since this document is for a physical, non-AI medical device (a bifurcated needle for administering vaccines), these types of studies were not conducted or presented.

    Therefore, I cannot fulfill the request as the necessary information is not present in the provided text. The document does not describe:

    • A table of acceptance criteria and reported device performance in the context of AI/ML or diagnostic accuracy.
    • Sample sizes for a test set for AI performance or data provenance.
    • Number of experts or their qualifications for establishing ground truth for AI.
    • Adjudication methods for AI test sets.
    • MRMC comparative effectiveness studies.
    • Standalone (algorithm only) performance.
    • Type of ground truth (expert consensus, pathology, outcomes data) for AI performance.
    • Sample size for training set for AI.
    • How ground truth for training set was established for AI.

    The "performance data" section in the document refers to biocompatibility, sterilization, shelf life, and general physical performance testing for the needle itself, against standards like ISO 10993, ISO 11135, and ASTM standards. This is for the device's physical properties and safety, not for diagnostic or AI/ML performance.

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    K Number
    K220204
    Date Cleared
    2022-07-14

    (170 days)

    Product Code
    Regulation Number
    880.5860
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Disposable Syringe with permanently attached needle is intended for use by health care professionals for general purpose aspiration of fluid from vials, ampoules and liquid injection below the surface of the skin.

    The Safety Syringe with permanently attached needle is intended for use by health care professionals for general purpose aspiration of fluid from vials, ampoules and liquid injection below the surface of the skin. The Safety sheath of Syringe is designed to aid in the prevention of needle stick injuries and reduce the potential of syringe reuse.

    Device Description

    The proposed Syringes include Disposable Syringe with permanently attached needle and Safety Syringe with permanently attached needle. The Disposable Syringe with permanently attached needle have one kind of product configuration (TKSPN01) and the Safety Syringe with permanently attached needle has two kinds of product configurations (TKSSPN01 and TKSSPN02).

    The proposed syringes are available in different combination of syringe volumes and/or needle sizes. The syringe is sterilized by Ethylene Oxide Gas to achieve a SAL of 10f . The proposed device has a shelf life of three years.

    AI/ML Overview

    The provided text is a 510(k) Premarket Notification for medical devices, specifically Disposable Syringes with permanently attached needles and Safety Syringes with permanently attached needles. This document focuses on demonstrating substantial equivalence to predicate devices, not on proving overall safety and effectiveness through clinical trials or the type of performance studies typically associated with AI/ML-driven devices.

    Therefore, many of the requested elements for describing "acceptance criteria and the study that proves the device meets the acceptance criteria" in the context of an AI/ML device (e.g., ground truth
    establishment, adjudication methods, MRMC studies, effect sizes of human reader improvement with AI) are not applicable to this submission.

    This document describes the safety and performance testing for a physical medical device (syringes) based on established international and national standards and biocompatibility testing. The "acceptance criteria" here are compliance with these recognized standards and demonstrated equivalence to existing predicate devices.

    Here's an attempt to extract the relevant information based on the provided document, addressing the requested points where applicable and noting when information is not present or not relevant to this type of submission:


    Device: Disposable Syringe with permanently attached needle; Safety Syringe with permanently attached needle

    Regulatory Pathway: 510(k) Premarket Notification (demonstrates substantial equivalence to predicate devices)


    1. Table of Acceptance Criteria and Reported Device Performance

    The acceptance criteria for traditional medical devices like syringes are generally defined by compliance with recognized consensus standards and successful completion of specific performance and safety tests. The document doesn't present a "performance table" in the typical sense of AI/ML device metrics (e.g., sensitivity, specificity). Instead, it lists the standards the devices adhere to and states that testing was performed and found acceptable.

    Acceptance Criteria (Standards/Tests)Reported Device Performance (Compliance/Results)
    Biocompatibility Testing (ISO 10993-1:2018 for "Blood path indirect, Limited contact (< 24 hours)")Evaluated in accordance with ISO 10993-1:2018. The following tests were performed and presumably passed (results implied by successful submission):
    - Cytotoxicity (ISO 10993-5: 2009)Performed
    - Skin sensitization (ISO 10993-10: 2010)Performed
    - Hemolysis (ISO 10993-4: 2017)Performed
    - Intracutaneous reactivity (ISO 10993-10: 2010)Performed
    - Acute systemic toxicity (ISO 10993-11: 2017)Performed
    - Pyrogenicity (ISO 10993-11: 2017)Performed
    - Particulate matter (USP <788>)Performed
    Sterilization and Shelf Life Testing
    - EO/ECH residue (ISO 10993-7:2008)Testing performed, validation to ISO 11135, routine control parameters determined.
    - Bacterial Endotoxin (USP42-NF37 <85>)Testing performed, limit adhered to.
    - Shelf life (3 years) based on aging test (ASTM F1980-16)Determined based on stability studies, all packaging deemed acceptable for protection and sterility maintenance after environmental conditioning and simulated transportation.
    - Package integrity (ASTM F88/F88M-15, ASTM F 1929-2015, ASTM F 1886/ F 1886M-16)Testing performed, all packaging deemed acceptable.
    Performance Testing (Adherence to relevant ISO standards)
    - ISO 7886-1: 2017 (Syringes for manual use)Testing performed according to the standard.
    - ISO 7864: 2016 (Stainless Steel Needle Tubing)Testing performed according to the standard.
    - ISO 9626:2016 (Stainless Steel Needle Tubing)Testing performed according to the standard.
    - ISO 6009:2016 (Hypodermic needles - Colour coding)Testing performed according to the standard.
    - ISO 23908:2011 (Sharps injury protection)Testing performed according to the standard.
    Substantial EquivalenceDemonstrated through comparison to predicate devices, addressing differences, and showing continued safety and effectiveness through non-clinical testing.

    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: Not explicitly stated for each specific test. For medical devices like syringes, testing often involves a defined number of units per batch or per test series to meet statistical requirements of the standards (e.g., 30 samples for a particular mechanical test). The document confirms that various tests were "performed" according to the relevant standards, which implies the use of appropriate sample sizes as defined by those standards.
    • Data Provenance: The tests are non-clinical (laboratory/bench testing, material analysis, sterility validation). The manufacturer is Anhui Tiankang Medical Technology Co., Ltd. in Tianchang City, Anhui, China. The data would originate from their internal testing or qualified third-party labs, but the specific country of origin for each test data set is not detailed beyond the manufacturer's location. The studies are by nature prospective in the sense that they are conducted specifically to support this regulatory submission, but they are not clinical studies.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

    • Not Applicable. This is a physical medical device. "Ground truth" in the context of expert consensus and adjudication is typically relevant to AI/ML devices where the "truth" for image interpretation or diagnosis needs to be established by human experts. For syringes, the "truth" is determined by objective measurements, chemical analyses, and adherence to physical performance specifications outlined in the referenced ISO/ASTM standards. The "experts" involved would be qualified laboratory technicians, engineers, and quality assurance personnel performing the tests according to the standard operating procedures.

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

    • Not Applicable. See point 3. This concept is for AI/ML device performance evaluation methods, not for physical medical device testing.

    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 a manual syringe, not an AI-assisted diagnostic tool. No human reader involvement or AI assistance is mentioned or relevant.

    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 consensus, pathology, outcomes data, etc)

    • The "ground truth" for this device's performance is established by objective measurements against defined specifications in international and national consensus standards (e.g., ISO, ASTM, USP). This includes:
      • Physical and Mechanical Performance: e.g., plunger force, needle pull-out force, fluid leakage, needle sharpness, volume accuracy based on ISO 7886-1, ISO 7864, ISO 9626.
      • Material Properties and Biocompatibility: Chemical analysis, in vitro and in vivo biological tests (Cytotoxicity, Hemolysis, Skin Sensitization, etc.) as per ISO 10993 series for specific material components.
      • Sterility Assurance: Sterility testing, bacterial endotoxin testing, and ethylene oxide residue testing according to ISO 11135 and USP standards.
      • Shelf-Life Stability: Accelerated aging and real-time stability studies confirming physical properties, sterility, and package integrity over time per ASTM standards.

    8. The sample size for the training set

    • Not Applicable. This is a traditional medical device, not an AI/ML model that requires training data.

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

    • Not Applicable. See point 8.
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    K Number
    K212368
    Date Cleared
    2021-10-24

    (86 days)

    Product Code
    Regulation Number
    878.4040
    Reference & Predicate Devices
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Surgical Face Masks are intended to be worn to protect both the patient and healthcare personnel from transfer of microorganisms, body fluids and particulate material. These face masks are intended for use in infection control practices to reduce the potential exposure to blood and body fluids. This is a single use, disposable device(s), provided non-sterile.

    Device Description

    The Surgical Face Masks are single use, three-layer, flat –folded masks with ear loops/tie coverall and nose clamp. The Surgical Face Masks are manufactured with three layers, the inner and outer layers are made of spun-bond polypropylene, and the middle layer is made of melt blown polypropylene filter. The ties/ear loops are held in place over the users' mouth and nose by two ties/ear loops welded to the facemask. The loops are made of Nylon and spandex and the ties are made of polypropylene nonwoven. The nose clamp in the layers of facemask is to allow the user to fit the facemask around their nose, which is made of PP coated steel wire. The Surgical Face Masks will be provided in blue. The Surgical Face Masks are sold non- sterile and are intended to be single use, disposable devices.

    AI/ML Overview

    The provided document describes the acceptance criteria and the study that proves the device meets those criteria for a Surgical Face Mask (K212368) manufactured by Anhui Tiankang Medical Technology Co., Ltd.

    Here's the requested information:

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

    ItemPurposeAcceptance CriteriaReported Device Performance
    Synthetic Blood Penetration ASTM F1862Demonstrate resistance to liquid penetration≥ 29 samples out of 32 pass (AQL 4%) - Level 1: pass at 80mmHg - Level 2: pass at 120mmHg - Level 3: pass at 160mmHgPass
    Particulate Filtration Efficiency ASTM F2299Demonstrate particulate filtration29 out of 32 pass - Level 1: pass at ≥95% - Level 2: pass at ≥98% - Level 3: pass at ≥98%Pass
    Bacterial Filtration Efficiency ASTM F2101Demonstrate bacterial filtration29 out of 32 pass - Level 1: pass at ≥95% - Level 2: pass at ≥98% - Level 3: pass at ≥98%Pass
    Differential Pressure (Delta P) EN 14683 Annex CDemonstrate breathability29 out of 32 pass - Level 1: pass at ≤ 5.0 mmH₂0/cm² - Level 2: pass at ≤ 6.0 mmH₂0/cm² - Level 3: pass at ≤ 6.0 mmH₂0/cm²Pass
    Flammability 16 CFR 1610Demonstrate flame resistanceClass IPass
    Cytotoxicity ISO 10993-5Demonstrate cytotoxic biocompatibilityUnder the conditions of the study, the device is non-cytotoxic.Pass
    Skin Irritation ISO 10993-10Demonstrate non-irritabilityUnder the conditions of the study, the device is non-irritating.Pass
    Skin Sensitization ISO 10993-10Demonstrate non-sensitizationUnder the conditions of the study, the device is non-sensitizing.Pass

    2. Sample size used for the test set and the data provenance

    The sample sizes for the functional performance tests (Synthetic Blood Penetration, Particulate Filtration Efficiency, Bacterial Filtration Efficiency, and Differential Pressure) were 32 samples for each test. For these tests, the acceptance criteria are generally "≥ 29 samples out of 32 pass".

    The document does not explicitly state the country of origin for the studies, nor if they were retrospective or prospective. However, given that these are non-clinical performance tests for a device submitted to the FDA by a company in China, it is highly likely that the tests were conducted in a laboratory setting, potentially in China or a certified testing facility elsewhere. They are by nature prospective tests, performed specifically to evaluate the device.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

    This information is not applicable as the described studies are non-clinical performance tests of a physical product (surgical face mask), not diagnostic or interpretative studies requiring human expert ground truth.

    4. Adjudication method for the test set

    This information is not applicable for these types of mechanical and biological compatibility tests. The results are typically objectively measured by instruments or laboratory methods.

    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

    There was no MRMC study conducted. This document describes the performance testing of a physical medical device (surgical face mask), not an AI-powered diagnostic tool.

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

    This information is not applicable as the device is a physical surgical face mask, not an algorithm.

    7. The type of ground truth used

    The ground truth used for these tests is based on objective measurements and chemical/biological assays as defined by recognized international and national standards (ASTM, EN, ISO, CFR). For example:

    • Synthetic Blood Penetration: Measured resistance to fluid penetration at specific pressures.
    • Particulate/Bacterial Filtration Efficiency: Measured percentage of particles/bacteria filtered.
    • Differential Pressure: Measured breathability in mmH₂0/cm².
    • Flammability: Determined by specific flame resistance classifications.
    • Biocompatibility (Cytotoxicity, Skin Irritation, Sensitization): Determined by laboratory assays evaluating cellular responses or skin reactions under specified conditions.

    8. The sample size for the training set

    This information is not applicable as the described device is a physical product and not an AI/machine learning model that requires a training set.

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

    This information is not applicable as the described device is a physical product and not an AI/machine learning model.

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    K Number
    K191644
    Device Name
    TK Safety Needle
    Date Cleared
    2020-08-06

    (414 days)

    Product Code
    Regulation Number
    880.5570
    Reference & Predicate Devices
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    TK Safety Needle device is intended for use in the aspiration and injection of fluids for medical purposes. The TK Safety Needle is compatible for use with standard luer lock syringes. Additionally, after withdrawal of the needle from the body the attached needle safety shield can be manually activated to cover the needle immediately after use to minimize risk of accidental needle-stick.

    Device Description

    The TK Safety Needle consists of a hypodermic needle with a hinged safety sheath attached to the needle hub. The safety sheath is simultaneously activated when manually pressed over the needle after use and prior to disposal to minimize the possibility of sharps injury. The safety sheath is activated with one-hand operation by pressing the sheath either with the finger or thumb, or by surface activation. The locking mechanism is positioned within the center and proximal end of the sheath. The hinge feature allows the medical practitioner the flexibility to adjust the sheath to its desired position for use.

    AI/ML Overview

    The provided text describes a 510(k) submission for the "TK Safety Needle," which is a single lumen hypodermic needle with a safety shield. The submission aims to demonstrate substantial equivalence to a predicate device, the "TM Safety Needle" (K142765).

    Here's an analysis of the acceptance criteria and the study that proves the device meets them:

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

    The provided document details non-clinical testing performed against recognized ISO standards. These standards implicitly contain the acceptance criteria for various functional and safety aspects of a hypodermic needle. The report states that the device was "demonstrated to be in conformance" with these standards.

    Acceptance Criteria (Standard)Reported Device Performance
    Functional Performance Testing (ISO 7864:2016)Conforms to ISO 7864
    Fragmentation testConforms
    Determination of flow rateConforms
    Penetration force and drag forceConforms
    Bonding strengthConforms
    Small-bore Connectors (ISO 80369-7:2016)Conforms to ISO 80369-7
    Leakage by pressure decayConforms
    Falling drop positive-pressure liquid leakageConforms
    Subatmospheric-pressure air leakageConforms
    Stress crackingConforms
    Resistance to separation from axial loadConforms
    Resistance to separation from unscrewingConforms
    Resistance to overridingConforms
    Needle Tubing (ISO 9626)Conforms to ISO 9626
    Sharps Injury Protection (ISO 23908)Conforms to ISO 23908
    Sharps injury testing per FDA guidanceConforms
    Sterility (ISO 11135:2014, ISO 11607-1:2006, ISO 11607:2006, ISO 10993-7:2008)EO sterilization testing conducted
    Biocompatibility Testing (ISO 10993-1:2018)Conforms to ISO 10993-1
    Cytotoxicity (ISO 10993-5:2017)Conforms
    Sensitization (ISO 10993-10:2017)Conforms
    Irritation (ISO 10993-10:2017)Conforms
    Acute Systemic Toxicity (ISO 10993-11:2017)Conforms
    Pyrogenicity (ISO 10993-4:2017)Conforms
    Hemocompatibility (ISO 10993-4:2017)Conforms
    Particulate matter testing (USP<788>)Conforms

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

    The document does not explicitly state the sample sizes for the functional, sterility, or biocompatibility tests. It only indicates that "the sterile, single lumen hypodermic needles described in this summary were tested." The data provenance is implied to be from Anhui Tiankang Medical Technology Co., Ltd. in China, as they are the submitter and manufacturer. The testing described is prospective, as it was conducted specifically for this submission to demonstrate conformance.

    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 type of device (hypodermic needle) does not typically involve human expert interpretation for "ground truth" in the way an AI diagnostic device would. The "ground truth" for the tests performed is based on the objective measurements and pass/fail criteria defined by the cited ISO standards and USP<788>. Therefore, no experts in the sense of medical diagnosticians were used to establish ground truth.

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

    Not applicable. As noted above, the assessment of these types of medical devices against performance standards involves objective measurements and predefined pass/fail criteria, not subjective interpretation requiring an adjudication method.

    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

    No. The TK Safety Needle is a physical medical device, not an AI-powered diagnostic tool, and therefore an MRMC comparative effectiveness study is not relevant or applicable.

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

    Not applicable. As a physical medical device, this question is not relevant.

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

    The "ground truth" in this context refers to the defined specifications and limits set by the referenced international standards (e.g., ISO 7864, ISO 80369-7, ISO 10993, USP<788>). For example, the fragmentation test would have a specific maximum allowable fragmentation, and the flow rate test would have a specified range of acceptable flow rates. The device's performance is measured against these objective, predefined criteria.

    8. The sample size for the training set

    Not applicable. This device is a physical product and does not utilize a "training set" in the context of machine learning or AI.

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

    Not applicable for the same reason as above.

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