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510(k) Data Aggregation

    K Number
    K202796
    Date Cleared
    2021-09-06

    (348 days)

    Product Code
    Regulation Number
    876.5820
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The SANSIN Tubing Sets for Hemodialysis are single-use sterile medical devices intended to connect the patient to the hemodialyzer and the hemodialysis delivery system in hemodialysis treatment. The compatibility of available configurations is the responsibility of the physician/clinician in charge.

    Device Description

    The propose device, SANSIN Tubing Sets for Hemodialysis, is used to connect the patient to the hemodialyzer and the hemodialysis delivery system in hemodialysis treatment. The proposed devices are provided sterile and single use.

    The proposed device is intended to be used with Fresenius 2008K Home Hemodialysis manufactured by Fresenius Medical Care North America, which is a hemodialysis delivery system being submitted to FDA for premarket notification (K124035).

    The proposed device mainly consists of two tubes, which are arterial line with certain components in red and venous line with certain components in blue, as well as accessories such as priming piece, drain bag, priming needle, fluid replacement tube, connecting tube, monitor and transducer protector.

    The proposed devices are available in various specifications. Based on the different volume of air capture chamber, there are five models HDJ, HDK, HDL, HDM and HDN.

    AI/ML Overview

    This document describes the non-clinical performance evaluation of the SANSIN Tubing Sets for Hemodialysis for its 510(k) submission (K202796).

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

    1. Table of Acceptance Criteria and Reported Device Performance

    The acceptance criteria are generally established by a combination of internal test methods, recognized consensus standards, and specific performance attributes compared against the predicate device. The document explicitly states that the non-clinical tests were conducted to verify that the proposed device met "all design specifications" and was "Substantially Equivalent (SE) to the predicate device."

    Test/Performance CharacteristicAcceptance Criteria (Derived from standards/predicate)Reported Device Performance
    BiocompatibilityConforms to ISO 10993 Series (specifically, no cytotoxicity, no intracutaneous reactivity, no systemic toxicity, no chronic toxicity, no hemolysis, no complement activation, no significant difference in prothrombin time and partial thromboplastin time, no genotoxicity, no potential febrile reaction).Cytotoxicity: No cytotoxicity. Intracutaneous Reactivity Test: No intracutaneous reactivity. Acute Systemic Toxicity Test: No systemic toxicity. Sub chronic Toxicity Study: No chronic toxicity. Hemolysis Study: No hemolysis. Complement Activation: No complement activation. Prothrombin Time: Not significant statistically different compared to negative control. Partial Thromboplastin Time Study: Not significant statistically different compared to negative control. Genotoxicity (Bacterial Reverse Mutation, In Vitro Mammalian Chromosome Aberration Test): No genotoxicity. Pyrogenicity: No potential febrile reaction.
    Sterilization Assurance Level (SAL)10^-6SAL (10^-6) (Achieved via EO sterilization)
    Repeated Closing TestAbility to meet maximum closing time (Specific quantitative criteria likely defined in internal test protocol).Demonstrated that the proposed device is able to meet the maximum closing time.
    Tensile Strength TestAny connections between components (excluding protective caps) shall withstand a static tensile force (Specific quantitative criteria likely defined in internal test protocol).Demonstrated that any connections between the components of the transfusion set of the proposed device, excluding protective caps, shall withstand a static tensile force.
    Endurance Pump TestAbility to meet endurance requirements (Specific quantitative criteria likely defined in internal test protocol).Demonstrated that the proposed device is able to meet the endurance requirements.
    Stimulated Operation Test (Compatibility with Fresenius 2008K Home Hemodialysis System)Good compatibility performance in hemodialysis treatment conditions.Demonstrated good compatibility performance in hemodialysis treatment conditions with specific hemodialysis delivery system (Fresenius 2008K Home Hemodialysis System).
    Pressure Leak Test(Specific criteria defined in internal test protocol, implied by "meet the requirements of mechanical and performance characteristics").Conducted, approved that the proposed device met the requirements of mechanical and performance characteristics.
    Priming Volume Test(Specific criteria defined in internal test protocol, implied by "meet the requirements of mechanical and performance characteristics" despite differences from predicate).Conducted, approved that the proposed device met the requirements of mechanical and performance characteristics.
    Tubing Compliance Test(Specific criteria defined in internal test protocol, implied by "meet the requirements of mechanical and performance characteristics").Conducted, approved that the proposed device met the requirements of mechanical and performance characteristics.
    Mechanical Hemolysis Test(Specific criteria defined in internal test protocol, implied by "meet the requirements of mechanical and performance characteristics").Conducted, approved that the proposed device met the requirements of mechanical and performance characteristics.
    Endurance Pump Test after AgingAbility to maintain safety and effectiveness under -300 pressure.Approved that the product can maintain the safety and effectiveness of the product under -300 pressure.
    Blood FlowMeet blood flow requirements (Specific quantitative criteria likely defined in internal test protocol, especially concerning differences in negative pressure and inner diameter from predicate).Stimulated operation test conducted, approved that the proposed device meets the requirements of blood flow.
    Seal StrengthASTM F88/F88M-15: Standard Test Method for Seal Strength of Flexible Barrier Materials requirements.Complies with ASTM F88/F88M-15.
    Seal Leaks (Dye Penetration)ASTM F1929-15: Standard Test Method for Detecting Seal Leaks in Porous Medical Packaging by Dye Penetration requirements.Complies with ASTM F1929-15.
    Bacterial Endotoxins TestUSP 42-NF 37:2019 <85> Bacterial Endotoxins Test requirements.Complies with USP 42-NF 37:2019 <85>.
    Luer Lock FittingsISO 594-2:1998 Conical fittings with a 6 % (Luer) taper for syringes, needles and certain other medical equipment - Part 2 Lock fittings requirements.Complies with ISO 594-2:1998.
    Cardiovascular Implants and Extracorporeal Blood CircuitISO 8638:2010 Cardiovascular implants and extracorporeal blood circuit for hemodialyzers, hemodialfilters, and hemofilters requirements.Complies with ISO 8638:2010.

    2. Sample Size Used for the Test Set and Data Provenance

    The document does not explicitly state the specific sample sizes used for each non-clinical performance test. It mentions that tests were performed on "proposed device" or "relevant device configurations," implying that samples of the SANSIN Tubing Sets were used.

    Data provenance: Given that the manufacturer is Jiangxi Sanxin Medtec Co., Ltd. in Nanchang, Jiangxi, China, and the listed contact person is in Shanghai, China, the data provenance is China. All tests appear to be retrospective (performed on completed devices or materials) and conducted by the manufacturer or a third-party testing facility.

    3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications of Those Experts

    This section is not applicable as the studies described are non-clinical (bench testing) rather than clinical studies involving expert interpretation of patient data. The "ground truth" for these tests is based on objective, quantifiable measurements against established standards and design specifications.

    4. Adjudication Method for the Test Set

    This section is not applicable as no adjudication method is mentioned or required for non-clinical bench testing. The results are based on objective test measurements.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done

    No, a Multi-Reader Multi-Case (MRMC) comparative effectiveness study was not done. This type of study is relevant for diagnostic devices that involve human interpretation of medical images or data. The SANSIN Tubing Sets are physical medical devices used for delivering hemodialysis, and their performance is evaluated through non-clinical bench tests and compatibility assessments, not human reading studies.

    6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) Was Done

    This question is not applicable as the device is not an algorithm or AI system. It is a physical medical device. The "standalone" performance here refers to the device's ability to meet its specifications independently, which is what the non-clinical tests demonstrate.

    7. The Type of Ground Truth Used

    The ground truth used for these non-clinical tests is predominantly:

    • Established consensus standards: Such as various parts of ISO 10993, ISO 11135, ASTM F88, ASTM F1929, USP, ISO 594-2, and ISO 8638.
    • Internal design specifications: For tests like Repeated Closing, Tensile Strength, Endurance Pump, Pressure Leak, Priming Volume, Tubing Compliance, Mechanical Hemolysis, and Stimulated Operation where specific quantitative thresholds would be defined internally by the manufacturer to ensure functional performance and equivalence to the predicate.
    • Predicate device characteristics: For comparison of physical performance parameters (e.g., length, priming volume, negative pressure, inner diameter), although the proposed device did not always match the predicate, the testing demonstrated that the proposed device's different characteristics did not raise new safety or effectiveness concerns.

    8. The Sample Size for the Training Set

    This section is not applicable as the device is not an AI/ML algorithm that requires a training set.

    9. How the Ground Truth for the Training Set Was Established

    This section is not applicable as the device is not an AI/ML algorithm that requires a training set.

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    K Number
    K202719
    Date Cleared
    2021-01-04

    (109 days)

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

    The non-sterile disposable medical 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.

    The sterile disposable medical face masks are intended for single use by operating room personnel and other general healthcare workers to protect both patients and healthcare workers against transfer of microorganisms, blood and body fluids, and particulate materials.

    Device Description

    The proposed device. Disposable medical face masks, is provide in sterile and non-sterile two types.

    Both the non-sterile disposable medical face masks and sterile disposable medical face masks are available in five sizes, which are 95mm×155mm, 95mm×140mm, 95mm×145mm and 95mm×160mm. And both the non-sterile disposable medical face masks and sterile disposable medical face masks are available in two ear strap types, Type A, which is ear-loop type, and Type B, which is tie-on type.

    AI/ML Overview

    This document describes a 510(k) premarket notification for "Disposable Medical Face Masks" (K202719) by Jiangxi Sanxin Medtec Co., Ltd. The submission aims to demonstrate substantial equivalence to legally marketed predicate devices.

    Here's an analysis of the acceptance criteria and supporting studies, based on the provided text:

    1. Acceptance Criteria and Reported Device Performance

    The acceptance criteria for the Disposable Medical Face Masks are based on Level 2 requirements of the ASTM F2100:2019 standard. The study demonstrates that the proposed device meets these requirements.

    Table of Acceptance Criteria and Reported Device Performance:

    Performance CharacteristicAcceptance Criteria (ASTM F2100:2019 Level 2)Proposed Device Performance (Non-sterile)Proposed Device Performance (Sterile)
    Fluid resistancePass at 120 mmHgPass at 120 mmHgPass at 120 mmHg
    Particulate Filtration Efficiency (PFE)≥ 98%Average 98.17%Average 98.14%
    Bacterial Filtration Efficiency (BFE)≥ 98%Average 98.38%Average 98.64%
    Differential Pressure< 5.0 mmH₂O/cm²Average 1.78 mmH₂O/cm²Average 1.78 mmH₂O/cm²
    FlammabilityClass 1Class 1Class 1
    CytotoxicityNon-cytotoxicNon-cytotoxicNon-cytotoxic
    SensitizationNon-sensitizingNon-sensitizingNon-sensitizing
    IrritationNon-irritatingNon-irritatingNon-irritating

    2. Sample Size and Data Provenance

    The document does not explicitly state the specific sample sizes used for each non-clinical test (e.g., for BFE, PFE, fluid resistance). It only presents the "Average" values, implying that multiple samples were tested.

    The data provenance is from non-clinical tests conducted by the manufacturer, Jiangxi Sanxin Medtec Co., Ltd., based in China. The studies are retrospective in the sense that they are conducted on the finished device to demonstrate compliance with standards.

    3. Number of Experts and Qualifications for Ground Truth

    This information is not applicable as the evaluation relies on objective non-clinical performance standards and laboratory testing rather than expert-derived ground truth.

    4. Adjudication Method for the Test Set

    This is not applicable as the device performance is evaluated against predefined objective standards and laboratory test results, not through expert adjudication of ambiguous cases.

    5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

    No MRMC comparative effectiveness study was done. The device is a medical face mask, and its evaluation is based on material properties and barrier performance, not on interpretation by human readers.

    6. Standalone Performance Study

    Yes, a standalone (i.e., algorithm only without human-in-the-loop performance) study was done, though the "algorithm" here refers to the device itself, not a software algorithm. The non-clinical tests assess the inherent performance characteristics of the face mask (e.g., filtration efficiency, fluid resistance) independently of human interaction.

    7. Type of Ground Truth Used

    The ground truth used is based on objective performance standards and laboratory test results as defined by recognized standards such as ASTM F2100:2019. These standards specify quantitative thresholds for various performance metrics (e.g., filtration percentages, pressure differentials, fluid resistance levels).

    8. Sample Size for the Training Set

    This information is not applicable. The device is a physical product (medical face mask), not an AI/ML algorithm that requires a "training set." The materials and manufacturing processes are designed to meet the performance criteria, and the non-clinical tests verify this compliance.

    9. How the Ground Truth for the Training Set Was Established

    This is not applicable as there is no "training set" in the context of this device. The design and manufacturing are based on established engineering principles and material science to achieve the required performance for medical face masks as outlined in relevant standards.

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