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510(k) Data Aggregation

    K Number
    K213413
    Date Cleared
    2023-09-01

    (682 days)

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

    Indications for Use (Rx): Hemostatic Dressing is intended for the external, temporary control of severely bleeding wounds.

    Indications for Use (OTC): Hemostatic Dressing is intended for temporary external use to stop bleeding of minor wounds, minor cuts and minor abrasions.

    Device Description

    Hemostatic Dressing is a sterile non-woven fabric dressing composed of hydrophilic fiber (a mixture of chitosan and chitosan derivative). When applied directly over a wound with pressure, this soft and highly absorbent dressing quickly absorbs blood and turns into a gel to seal the wound. It promotes control of wound bleeding and exudates absorption and promotes coagulation.

    AI/ML Overview

    The provided text describes a 510(k) premarket notification for a medical device called "Hemostatic Dressing." This document is from the FDA and focuses on demonstrating substantial equivalence to predicate devices, rather than a study proving the device meets specific performance criteria against a predefined acceptance table for a diagnostic or AI-driven device.

    Therefore, many of the requested criteria for a study proving a device meets acceptance criteria, such as details on sample sizes for test and training sets, expert adjudication, MRMC studies, or ground truth establishment relevant to an AI/diagnostic device, are not applicable to this document. This document is a regulatory submission for a physical medical product (a dressing).

    However, I can extract the information that is present and explain why other information is not included.

    Here's an attempt to answer the questions based only on the provided text, recognizing its limitations for the requested specifics:

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

    The document does not provide a table of acceptance criteria with specific quantitative performance metrics like sensitivity, specificity, or response times, which are typical for diagnostic or AI devices. Instead, it focuses on demonstrating substantial equivalence to a predicate device. The "performance" is demonstrated through a series of nonclinical tests to show safety and effectiveness comparable to the predicate.

    Below is information regarding the types of tests conducted, which imply certain performance expectations, but not a direct acceptance criteria table with reported quantitative results.

    Acceptance Criterion (Implied by Test Type)Reported Device Performance (Summary)
    Safety - BiocompatibilitySuccessfully underwent biocompatibility testing (cytotoxicity, sensitization, irritation, acute systemic toxicity, material-mediated pyrogenicity, subacute toxicity, hemolysis) and is "Biocompatible."
    Safety - SterilityAchieved SAL 10-6 (Sterility Assurance Level). Sterilization validated by Gamma radiation.
    Safety - Absence of harmful substancesTested for heavy metals and bacterial endotoxins. (Results not explicitly quantified but implied to meet standards).
    Physical Performance - AbsorbencyTested for absorbency and gelling characteristics. Described as "soft and highly absorbent dressing quickly absorbs blood and turns into a gel to seal the wound."
    Physical Performance - pH LevelTested for pH. (Result not explicitly quantified but implied to meet standards).
    Physical Performance - Loss on DryingTested for loss on drying. (Result not explicitly quantified but implied to meet standards).
    Physical Performance - Residue on IgnitionTested for residue on ignition. (Result not explicitly quantified but implied to meet standards).
    Retention of Sterility - Packaging IntegritySuccessfully tested for packaging sealing.
    Shelf Life StabilityUnderwent real-time shelf life stability testing. (Implied to be stable for specified shelf life, though not stated).
    Clinical Efficacy (Hemostasis)Underwent in-vivo hemostatic testing. Described indications for use: "control of wound bleeding and exudates absorption and promotes coagulation."

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

    The document does not specify sample sizes for the "test set" in terms readily comparable to an AI/diagnostic study (e.g., number of images or patient cases). It refers to "representative samples of Hemostatic dressing" for nonclinical tests.

    • Sample Size: Not specified quantitatively (e.g., number of units, number of animal subjects for in-vivo). The text only states "representative samples."
    • Data Provenance: Not explicitly stated (country, retrospective/prospective). The manufacturer is Jiangsu NewValue Medical Products Co., Ltd. in China, implying testing was likely conducted in China or by contracted labs. The tests are nonclinical, focusing on material properties and in-vitro/in-vivo animal models, not human patient data in the context of an AI study.

    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. This is a material hemostatic dressing, not a diagnostic or AI device that requires expert-established ground truth from images or clinical data. "Ground truth" for this device would relate to validated laboratory testing methods and established material standards.

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

    Not applicable. Adjudication methods are relevant for subjective interpretations by multiple experts, typically in diagnostic imaging or clinical assessment studies. This document describes physical, chemical, and biological performance tests, which are objective and do not involve human adjudication in that sense.

    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 hemostatic dressing, not an AI-assisted diagnostic device. Therefore, no MRMC study involving human readers or AI assistance would be conducted.

    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 this type of device, "ground truth" is established through:

    • Standardized laboratory assays: For biocompatibility, sterility, pH, absorbency, etc.
    • Validated animal models: For in-vivo hemostatic performance.
    • Material and chemical property standards: Industry and regulatory standards for composition and purity.

    No expert consensus, pathology, or outcomes data from human clinical trials is detailed in this 510(k) summary directly, as the primary goal is substantial equivalence through nonclinical data.

    8. The sample size for the training set

    Not applicable. This is not an AI/machine learning device; therefore, there is no "training set."

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

    Not applicable. As there is no training set for an AI model, this question does not apply.

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    K Number
    K202491
    Date Cleared
    2021-01-06

    (128 days)

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

    The Disposable 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, provided non-sterile.

    Device Description

    Disposable Surgical Face Mask is composed of three layers and is flat-pleated. The mask materials consist of an outer layer (spun-bond polypropylene), a middle layer, between the outer layer and inner layers (melt-blown polypropylene), and an inner layer (spun-bond polypropylene). Each mask contains tie strings (spun-bond polypropylene) or ear loops (Spandex elastic cord) to secure the mask over the users' mouth and face and includes a malleable nose piece (iron wire with plastic covering) to provide a firm fit over the nose.

    AI/ML Overview

    This document is a 510(k) summary for a Disposable Surgical Face Mask. To provide a comprehensive answer regarding acceptance criteria and study proving device meets them, I will focus on the non-clinical performance tests which are detailed for this device. This document does not describe a clinical study or an AI/human-in-the-loop system.

    Here's a breakdown based on the provided text, addressing your points where information is available:

    1. Table of Acceptance Criteria and Reported Device Performance

    The acceptance criteria are established by various ASTM standards (F2100, F1862, F2299, F2101) and others (MIL-M-36954C, 16 CFR Part 1610, ISO 10993 series). The device performance is compared to these standards across different performance levels (Level 1, Level 2, Level 3).

    Acceptance Criterion (Standard & Requirement)Subject Device Performance (Disposable Surgical Face Mask K202491)Predicate Device Performance (Surgical Face Mask K160269)Result
    Fluid Resistance (ASTM F1862)
    Pass at 80 mmHg (Level 1, 2)Pass at 80 mmHgPass at 80 mmHgSame
    Pass at 120 mmHg (Level 2)Pass at 120 mmHgPass at 120 mmHgSame
    Pass at 160 mmHg (Level 3)Pass at 160 mmHgPass at 160 mmHgSame
    Particulate Filtration Efficiency (PFE) (ASTM F2299)
    Level 1Pass at >99.8%Pass at 99.6%Same / Better
    Level 2Pass at 99.6%Pass at 99.7%Same
    Level 3Pass at 99.6%Pass at 99.7%Same
    Bacterial Filtration Efficiency (BFE) (ASTM F2101)
    Level 1Pass at ≥99.8%Pass at >98%Same / Better
    Level 2Pass at >98%Pass at >98%Same
    Level 3Pass at >99%Pass at >99%Same
    Differential Pressure (Delta P) (MIL-M-36954C)
    Level 1Pass at
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