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510(k) Data Aggregation

    K Number
    K181529
    Date Cleared
    2018-12-06

    (178 days)

    Product Code
    Regulation Number
    870.1250
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    Contego Medical, LLC

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Vanguard IEP Peripheral Balloon Angioplasty System with Integrated Embolic Protection is indicated for percutaneous transluminal angioplasty (PTA) and capture and removal of embolic material during angioplasty, for the femoral, iliac, popliteal and profunda arteries. The System is not intended for use in the renal, cerebral, coronary or carotid vasculature.

    Device Description

    The Vanguard IEP Peripheral Balloon Angioplasty System with Integrated Embolic Protection platform is similar to a catheter with a typical angioplasty balloon, but between the distal end of the balloon and the distal tip of the catheter, there is a nitinol-based filter. The device is over-the-wire (OTW) and is 0.018" guidewire compatible. The balloon catheter comes in sizes of 5 and 6 mms outside diameter (OD) and lengths 40, 80, 120 and 200 mms. The filter component is composed of a nitinol filter frame with an overlying membrane perforated with a set pattern of drilled holes. The balloon catheter shaft consists of a dual lumen inner shaft placed inside a single lumen outer shaft. The inner shaft extends beyond the balloon up to the distal catheter tip. Radiopaque markers placed on either side of the balloon and the distal tip of the filter assist with accurate placement. The nitinol filter frame has radiopaque markers, making the diameter of the filter visible when opened. The proximal end of the nitinol frame slides freely over the distal shaft. A pull-wire attaches the handle to the filter frame to activate the filter.

    AI/ML Overview

    Here's a breakdown of the acceptance criteria and study information for the Contego Medical Vanguard IEP Peripheral Balloon Angioplasty System, based on the provided text:

    1. Table of Acceptance Criteria and Reported Device Performance

    CriteriaAcceptance Value (Target)Reported Device Performance
    Safety: Freedom from Major Adverse Events (MAE) at 30 days post-procedure> 88% (pre-specified performance goal, PG)100.0% (with a 97.5% lower confidence limit of 96.2%)
    Effectiveness: Procedural Success (defined as
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    K Number
    K181128
    Date Cleared
    2018-09-06

    (129 days)

    Product Code
    Regulation Number
    870.1250
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    Contego Medical, LLC

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Paladin System with Integrated Embolic Protection (IEP) is indicated for Percutaneous Transluminal Angioplasty (PTA) in the carotid arteries with capture and removal of embolic material. This device is also indicated for post-dilation of self-expanding stents in the carotid arteries with capture and removal of embolic material. The diameter of the arterial site for filter deployment should be no more than 7.0 mm. The Paladin System with IEP should always be used in conjunction with an available embolic protection device.

    Device Description

    The Paladin System is a sterile, single use, rapid exchange (RX) PTA catheter with a nitinol-based filter between the PTA balloon and the distal tip of the catheter. The balloon has radiopaque markers to aid in accurate positioning under fluoroscopic guidance. The dilation balloon is designed to inflate to a known diameter and length at a specific inflation pressure. Paladin has balloon diameters Ø of 5.0 mm and 5.5 mm and balloon lengths of 20 mm and 30 mm. The embolic protection filter is composed of a nitinol braid chassis with an overlying polyurethane membrane with radiopaque markers on either end and radiopaque markers on the filter. The catheter has a guidewire lumen, an inflation/deflation lumen, and a filter activation wire lumen. The guidewire lumen permits the passage of a guidewire to facilitate advancement of the catheter to and through the stenosis to be dilated. The proximal end of the catheter has a handle that controls activation. The filter is identical across all sizes of balloons and can be expanded to a maximum diameter of 7 mm. The Paladin System is designed to be introduced through a 6 French vascular sheath.

    AI/ML Overview

    The provided text does not contain specific acceptance criteria for a device, nor does it detail a study proving the device meets those criteria in a format applicable to evaluating AI/ML models (e.g., performance metrics like accuracy, sensitivity, specificity, sample sizes for test/training sets, expert qualifications, or ground truth establishment).

    The document is a 510(k) summary for the "Paladin Carotid Post-Dilation Balloon System with Integrated Embolic Protection." It focuses on establishing substantial equivalence to predicate devices for regulatory clearance.

    Instead of acceptance criteria and a study proving their fulfillment, the document provides:

    • Indications for Use: The Paladin System is indicated for Percutaneous Transluminal Angioplasty (PTA) in carotid arteries and post-dilation of self-expanding stents in carotid arteries, with integrated embolic protection.
    • Summary of Non-Clinical Data: This includes design verification in-vitro testing (e.g., dimensional verification, torque response, balloon burst pressure, embolic capture efficiency), biocompatibility testing, and animal testing (acute and chronic studies in swine). These tests are designed to demonstrate the device's physical and biological safety and performance characteristics, but they are not presented as numerical acceptance criteria against reported device performance in the context of an AI/ML system's evaluation.
    • Summary of Clinical Data: A multi-center study in Germany with 106 subjects assessing acute safety and clinical performance.
      • Primary Outcome: Combined major adverse event (MAE) rate at 30 days (stroke, myocardial infarction, death) was 0.98%.
      • Related Events: One major stroke at day 12 (antiplatelet non-compliance), attributed to patient non-compliance, not the device.
      • Procedural Success Rate: 100%
      • Technical Success Rate: 99%
      • Patient Demographics: Age, gender, diabetes, hypertension, hyperlipidemia, smoking status, symptomatic status, lesion length, and percent diameter stenosis.

    Therefore, it is not possible to generate the requested table and information as the provided text pertains to a medical device's 510(k) submission, not an AI/ML model's performance evaluation.

    The document describes the traditional regulatory process for a medical device (a physical system) and its clinical trial outcomes, not the validation of an algorithmic device with respect to specific performance metrics like those typically outlined for AI/ML.

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