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510(k) Data Aggregation

    K Number
    K172331
    Date Cleared
    2018-03-02

    (212 days)

    Product Code
    Regulation Number
    870.1340
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Brilliant Introducer Kits are intended for use to facilitate the introduction of guide wires, catheters and other accessory medical devices through the skin into a vein or artery and minimize blood loss associated with such introduction.

    Device Description

    The Brilliant™ Introducer Kit classifies into four types (Type I, II, III, and IV). Type I consists of a sheath introducer and a dilator. Type II consists of a sheath introducer, a dilator, a guide wire with a guide wire collimator and a puncture needle. Type III consists of a sheath introducer, a dilator, a guide wire with a guide wire collimator. Type IV consists of a sheath introducer, a dilator, a guide wire with a guide wire collimator, an Intravascular catheter (with needle) and a syringe. The puncture needle or an intravascular catheter incorporates a lumen, which provides a conduit for the insertion of the guide wire into the vascular system. The various types of guide wires, model dependent, are utilized as a guiding mechanism for the insertion of the introduction sheath into the vascular system. The guide wire contains a wire collimator, which assists in funneling the wire through the lumen of the puncture needle or the intravascular catheter. The guide wire is radio- detective under fluoroscopy. The sheath introducer provides a conduit for introducing other interventional devices, including guide wires and interventional catheters, into the vasculature. The main components of the sheath introducer assembly are a hydrophilic coated sheath introducer, hemostasis valve housing, and a side port tubing with a 3-way stopcock/valve. The hydrophilic coated dilator is used to provide support and stability to the sheath introducer during deployment into the vascular system. The proximal end of the dilator includes a luer port and has a tapered, atraumatic distal tip. The sheath introducer contains Barium sulfate (BaSO4), making the device visible under fluoroscopy. There is no radiocontrast agent in the dilator.

    AI/ML Overview

    The provided text is a 510(k) premarket notification for a medical device called the "Brilliant Introducer Kit." This document focuses on demonstrating substantial equivalence to a predicate device, rather than providing a detailed study proving the device meets specific performance acceptance criteria for a novel AI/software component within the device.

    Therefore, many of the requested points regarding AI/algorithm performance studies cannot be answered from this document.

    However, I can extract information related to the device's biocompatibility and performance testing, which are critical acceptance criteria for this type of medical device.

    Here's the information that can be extracted and a clear indication of what cannot be derived from the provided text:

    Acceptance Criteria and Reported Device Performance

    The acceptance criteria for this device are demonstrated through biocompatibility testing and general performance testing. The text does not provide quantitative acceptance criteria targets in the way one might for a software algorithm's accuracy, but rather indicates that the device "met the requirements" or "successfully passed" various tests based on established standards.

    Table 1: Acceptance Criteria (as implied by successful testing) and Reported Device Performance

    Test CategoryAcceptance Criteria (Implied)Reported Device Performance (Results)
    Biocompatibility
    CytotoxicityNo cytotoxicity potential (as per ISO 10993-5)Under the conditions of this study, the Mem test extracts would be considered no cytotoxicity potential. The negative controls, blank controls, and the positive controls performed as anticipated.
    ISO Intracutaneous StudyMet requirements, with no significant difference between test extract and control overall mean scores (as per ISO 10993-10)Under the conditions of this study, the test article met the requirements of the test since the difference between each test extract overall mean score and corresponding control overall mean score was 0.0 and 0.0 for the SC and CSO test extracts, respectively.
    ISO Guinea Pig Maximum SensitizationNo evidence of causing delayed dermal contact sensitization (as per ISO 10993-10)Under the conditions of this study, the test article extracts showed no evidence of causing delayed dermal contract sensitization in the Guinea pig. The test article was not considered a sensitizer in the Guinea pig maximization test.
    ISO Systemic ToxicityNo mortality or evidence of systemic toxicity (as per ISO 10993-11)Under the conditions of this study, there was no mortality or evidence of systemic toxicity from the extracts injected into mice. Each test article extract met the requirements of the study.
    Complement Activation AssayNot significantly different from negative control (P>0.05) (as per ISO 10993-4)Under the conditions of this study, the Sc5b-9 concentration from the test article were not significantly different from that of negative control sample and Control article (P>0.05).
    ASTM HemolysisNon-hemolytic (as per ISO 10993-4, ASTM F756)Under the conditions of this study, the Hemolytic Index for the test article in direct contact with blood was 1.9% and that for the test article extract was 0.6%. Both the test article in direct contact with blood and test article were non-hemolytic.
    USP Pyrogen StudyNon-pyrogenic (maximum rise of rabbit temperatures not showing a rise of 0.5 °C or more above baseline) (as per ISO 10993-11, USP <151>)Under the conditions of this study, the maximum rise of each rabbit temperatures did not show a rise of 0.5 °C or more above its baseline temperature during 3 hour observation period. The test article was judged as nonpyrogenic.
    Partial Thromboplastin TimeMild thrombogenicity response considered acceptable (as per ISO 10993-4)Under the conditions of this study, the % negative control is 72.32%, the test article would be considered mild thrombogenicity response.
    In Vivo ThromboresistanceThromboresistant (no thrombosis, similar to control) (as per ISO 10993-4)Under the conditions of this study, the test article showed no thrombosis which was similar with the control article. The test article would be considered as thromboresistant.
    Performance TestingSuccessfully passed all listed performance tests. Specific quantitative acceptance criteria are not provided, but passing indicates meeting internal or standard specifications for these parameters.The Brilliant™ Introducer Kit successfully passed all of the following performance tests: Radio-detectability (Sheath Introducer), Peak Tensile Force between Side Port Tubing and Hemostasis Valve, Dilator internal diameter, Radio-detectability (Dilator), Guidewire accessibility, Coating integrity, Coating efficacy, Particulate evaluation, Residual EO and ECH, Sterile, Bacterial endotoxin.
    SterilizationSterility Assurance Level (SAL) of 10-6 (as per AAMI / ANSI / ISO 11135:2014)The method used is based on practices recommended by AAMI / ANSI / ISO 11135:2014 and provides a Sterility Assurance Level (SAL) of 10-6.

    Additional Information Requests:

    1. 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 specified in the document for the biocompatibility or performance tests.
      • Data Provenance: The document does not specify the country of origin for the test data, nor whether the studies were retrospective or prospective. The applicant is Lepu Medical Technology (Beijing) Co., Ltd., which is located in P.R. China, implying the studies were likely conducted there or overseen by them.
    2. 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 question is not applicable to the type of device and testing described. The "ground truth" here is established by standardized laboratory testing procedures (e.g., ISO, ASTM, USP standards) for biocompatibility and engineering performance, not by expert interpretation of clinical images or data.
    3. Adjudication method (e.g. 2+1, 3+1, none) for the test set

      • This question is not applicable. Adjudication methods are typically for subjective clinical assessments or image interpretations, not for objective laboratory test results.
    4. 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 not an AI/software device that assists human readers.
    5. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

      • Not applicable. This is not an AI/software device.
    6. The type of ground truth used (expert consensus, pathology, outcomes data, etc)

      • For biocompatibility: Ground truth is established by the specific endpoints and methodologies defined in the referenced international standards (e.g., cell viability for cytotoxicity, skin irritation scores for intracutaneous reactivity, sensitization response for maximization tests, mortality/organ effects for systemic toxicity, complement activation markers for complement assay, hemolytic index for hemolysis, temperature rise for pyrogenicity, clotting times for thromboplastin, and visual/histological assessment for in vivo thromboresistance).
      • For performance testing: Ground truth is established by engineering specifications and measurements (e.g., tensile force measurements, diameter measurements, visual inspection for coating integrity, particulate counts, chemical residue analysis, microbial culture for sterility, endotoxin assays).
    7. The sample size for the training set

      • Not applicable. This is not a machine learning/AI device, so there is no "training set."
    8. How the ground truth for the training set was established

      • Not applicable (no training set).

    In summary, the provided document is a 510(k) premarket notification for a conventional introducer kit, primarily demonstrating substantial equivalence through adherence to existing medical device standards for biocompatibility and performance. It does not involve AI/machine learning components, and thus, metrics pertinent to AI/software validation are not present.

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    K Number
    K172099
    Date Cleared
    2017-10-05

    (86 days)

    Product Code
    Regulation Number
    870.1340
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The ShoocinTM Introducer Kits are intended for use to facilitate the introduction of guide wires, catheters and other accessory medical devices through the skin into a vein or artery and minimize blood loss associated with such introduction.

    Device Description

    The ShoocinTM Introducer Kit consists of a puncture needle, a guide wire with a guide wire collimator, a sheath introducer, and a dilator. The Puncture Needle incorporates a lumen, which provides a conduit for the insertion of the Guide Wire into the vascular system. The flexible stainless-steel guide wire is utilized as a guiding mechanism for the insertion of the Introducer Sheath into the vascular system. The Guide Wire contains a wire collimator, which assists in funneling the wire through the lumen of the Puncture Needle. The Guide Wire is radio-detective under fluoroscopy. The Sheath Introducer contains Barium sulfate (BaSO4), making the device visible under fluoroscopy and provides a conduit for introducing other interventional devices, including guide wires and interventional catheters, into the vascular system. The main components of this assembly are a non-hydrophilic coated Sheath Introducer, hemostasis valve housing, and a side port tubing with a 3-way stopcock/valve. The Dilator is used to provide support and stability to the Sheath Introducer during deployment into the vascular system. The proximal end of the Dilator includes a luer port and has a tapered, atraumatic distal tip. There is no radiocontrast agent on the dilator.

    AI/ML Overview

    The document provided is a 510(k) premarket notification for a medical device called the "Shoocin™ Introducer Kit." This type of submission is for demonstrating substantial equivalence to a legally marketed predicate device, not for proving that a device meets acceptance criteria related to AI/ML or diagnostic performance studies.

    Therefore, the information required to answer the prompt regarding AI/ML acceptance criteria and a study proving device performance (specifically, a diagnostic performance study for an AI/ML device) is not present in this document.

    The document primarily focuses on:

    • Substantial Equivalence: Comparing the modified device (Shoocin™ Introducer Kit) to its predicate (also Shoocin™ Introducer Kit, K123475) to demonstrate that changes (e.g., adding models, changing radiocontrast agent) do not alter its fundamental nature, intended use, or safety and effectiveness.
    • Biocompatibility Testing: Results from tests performed according to ISO 10993 standards (e.g., cytotoxicity, intracutaneous study, sensitization, systemic toxicity, complement activation, hemolysis, pyrogen study, partial thromboplastin time, in vivo thromboresistance). These are biological safety tests.
    • Performance Testing (Bench Tests): A list of physical and chemical bench tests performed on components of the introducer kit (sheath introducer, 3-way stopcock/valve, dilator, puncture needle, guidewire, particulate evaluation, chemical performance, biological sterility, bacterial endotoxin). These are engineering/material performance tests.
    • Sterilization: The method used and the Sterility Assurance Level.

    This document does not describe an AI/ML-based device, a study involving human readers, ground truth establishment for diagnostic images, or any of the other criteria relevant to the prompt's request for AI/ML device performance and acceptance criteria.

    To directly answer your numbered points based on the provided document, I must state that the information is absent:

    1. A table of acceptance criteria and the reported device performance: Not applicable. The document lists performance tests for physical properties and biocompatibility, not diagnostic or AI performance.
    2. Sample sizes used for the test set and the data provenance: Not applicable. The tests are bench tests and biocompatibility studies, not diagnostic studies with test sets of patient data.
    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts: Not applicable. No diagnostic ground truth is established.
    4. Adjudication method: Not applicable.
    5. If a multi-reader multi-case (MRMC) comparative effectiveness study was done: No, this is an introducer kit, not a diagnostic AI/ML device.
    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done: Not applicable.
    7. The type of ground truth used: Not applicable.
    8. The sample size for the training set: Not applicable.
    9. How the ground truth for the training set was established: Not applicable.
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    K Number
    K141707
    Date Cleared
    2015-01-21

    (211 days)

    Product Code
    Regulation Number
    870.1330
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The ULTRASKIN™ Hydrophilic Guide Wire is indicated to direct a catheter to the desired peripheral or coronary anatomical location during diagnostic or interventional procedure.

    Device Description

    The ULTRASKIN™ Hydrophilic Guide Wire consists of a Nitinol core wire, a plastic jacket with hydrophilic coating. The wire distal curve comes in different shapes such as straight, J angled and angled. The guide wire is radiopactitive under fluoroscopy.

    AI/ML Overview

    The provided text describes the ULTRASKIN™ Hydrophilic Guide Wire, a medical device, and its supporting data for FDA 510(k) clearance. The document focuses on demonstrating substantial equivalence to a predicate device through biocompatibility and performance testing.

    Here's an analysis of the acceptance criteria and study information based on the provided text:

    1. Table of Acceptance Criteria and Reported Device Performance

    The acceptance criteria for this device are largely derived from international standards and internal performance testing, demonstrating safety and effectiveness compared to a predicate device.

    Acceptance Criteria CategorySpecific Test/StandardReported Device Performance
    BiocompatibilityISO 10993-1 (Guidance on selection of tests for External Communicating Device in contact with Circulating Blood for a Limited Duration (<24 hours))Device produced by Lepu Medical was assessed against this standard.
    Cytotoxicity (ISO 10993-5)The test article extract showed no evidence of causing cell lysis or toxicity.
    Maximum Sensitization (ISO 10993-10)The test article extracts showed no evidence of causing delayed dermal contact sensitization in the guinea pig.
    Intracutaneous Irritation (ISO 10993-10)The test article met the requirements for the SC and SO test extracts.
    Systemic Toxicity (ISO 10993-11)There was no mortality or evidence of systemic toxicity from the extracts injected into mice.
    Haemolysis (ISO 10993-4)Both the test article in direct contact with blood and the test article extract were non-hemolytic.
    USP Pyrogen Study (ISO 10993-11)The test article was judged as nonpyrogenic.
    In Vivo Thromboresistance (ISO 10993-4)The test article and control were thromboresistant and comparable.
    Partial Thromboplastin Time (ISO 10993-4)The test article would be considered a minimal activator and met the requirements of the test.
    C3a Complement Activation Assay (ISO 10993-4)The test article was not considered to be a potential activator of the complement system.
    SC5b-9 Complement Activation Assay (ISO 10993-4)The test article was not considered to be a potential activator of the complement system.
    SterilizationAAMI / ANSI / ISO 11135:2007Provides a Sterility Assurance Level (SAL) of 10-6.
    Shelf LifeISO 11070 (Real-time aging)Demonstrated that the performance of specific components met standard requirements without significant difference to product performance requirements before aging. Product is stable.
    Performance TestingDimension Verification, Corrosion resistance, Fracture, Flexing test, Tensile strength, Torque strength, Torqueability, Tip flexibility, Coating integrity and particulate evaluation, Appearance, Chemical performance, Radiodetectability. (ULTRASKIN™ Hydrophilic Guide Wire Performance Testing)The ULTRASKIN™ Hydrophilic Guide Wire successfully passed all these performance tests. The materials comparison showed no new issues of safety or effectiveness compared to the predicate device, despite the addition of Wolfram Carbide in the plastic jacket.

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

    • Test Set Sample Size: The document does not explicitly state the sample sizes used for each specific biocompatibility and performance test (e.g., number of animals for toxicity tests, number of guide wires for mechanical tests). It generally states that "The ULTRASKIN™ Hydrophilic Guide Wire successfully passed all of the following performance tests" and provides "Results" for each biocompatibility test.
    • Data Provenance: The data is generated from testing conducted by Lepu Medical Technology (Beijing) Co., Ltd. The document does not specify the country of origin for the studies themselves (e.g., where the animal studies were conducted), but the manufacturer is based in Beijing, P.R. China. The studies are assumed to be prospective as they were conducted for the purpose of this 510(k) submission.

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

    This document describes technical and biological performance testing, not studies requiring expert interpretation of clinical data or images. Therefore, the concept of "experts establishing ground truth for a test set" with qualifications like "radiologist with 10 years of experience" is not applicable here. The "ground truth" for these tests is defined by the objective pass/fail criteria of the specified ISO standards and validated internal engineering tests.

    4. Adjudication Method for the Test Set

    Not applicable. The tests are objective measurements against predefined criteria in scientific standards, not subjective 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 is a medical device (guide wire), not an AI-powered diagnostic or assistive tool. MRMC studies are used for evaluating diagnostic performance of systems, often involving human readers and AI.

    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 the performance of the ULTRASKIN™ Hydrophilic Guide Wire is based on:

    • International Standards: Primarily ISO 10993 series for biocompatibility and ISO 11070 for shelf life, which define the acceptable limits and methodologies.
    • Engineering Specifications/Internal Standards: For performance tests like dimension verification, tensile strength, etc., the "ground truth" or acceptance criteria are derived from the device's design specifications and industry safety/performance expectations for guide wires.
    • Predicate Device Comparison: The ultimate "ground truth" for FDA 510(k) clearance is demonstrating substantial equivalence to a legally marketed predicate device (Radifocus® Glidewire® Advantage, K063372) by showing that any differences do not raise new questions of safety or effectiveness.

    8. The Sample Size for the Training Set

    Not applicable. This is not a machine learning or AI device that requires a "training set." The device's performance is established through direct physical, chemical, and biological testing.

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

    Not applicable, for the same reason as above.

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    K Number
    K142359
    Date Cleared
    2014-10-23

    (59 days)

    Product Code
    Regulation Number
    870.4450
    Reference & Predicate Devices
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Vasc Band hemostat is a compression device to assist hemostasis of arterial, venous and hemodialysis percutaneous access sites.

    Device Description

    Vasc Band hemostat (Vasc Band) is a compression device that applies mechanical pressure to achieve hemostasis of vascular access sites. Vasc Band consists of an adjustable retention strap, inflatable compression balloon, inflation tube, and an inflation valve. A 22 ml inflation syringe is also included with the device. Vasc Band is available in five band lengths: 21 cm, 27 cm, 29 cm, and 37 cm.

    AI/ML Overview

    The provided text is a 510(k) Summary for the Vasc Band hemostat. While it discusses the device's substantial equivalence to predicate devices and mentions "bench tests to provide evidence," it does not contain detailed information about specific acceptance criteria or the study that definitively proves the device meets those criteria in the way a clinical study or detailed performance report would.

    The document is a regulatory submission, primarily focused on establishing substantial equivalence to legally marketed predicate devices, rather than providing an in-depth scientific study report with specific performance metrics against pre-defined acceptance thresholds.

    Here's what can be extracted and what information is missing based on your request:

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

    Acceptance CriteriaReported Device Performance
    Not explicitly stated in a quantitative manner for specific performance metrics."Results of the verification tests met the specified acceptance criteria and did not raise new questions of safety or effectiveness." (Page 4)
    (Implicitly: Device functionality as a compression device for hemostasis)"Vasc Band is substantially equivalent to the specified predicate devices based on comparison of the device functionality, technological characteristics, and indications for use." (Page 4)
    (Implicitly: Balloon pressure and band size)"The device design has been verified through balloon pressure and band size tests." (Page 4)

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

    • Sample size: Not specified. The document mentions "bench tests" but does not detail how many units were tested or how many measurements were taken.
    • Data provenance: Not specified beyond "bench tests." It's typically ex-vivo or in-vitro for bench tests, but this isn't stated. Country of origin of the data is not mentioned. Whether retrospective or prospective is not applicable to bench tests as described here.

    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 and not provided. The "bench tests" would likely involve engineering or quality control personnel evaluating physical properties, not clinical experts establishing ground truth in a diagnostic sense.

    4. Adjudication method for the test set

    • This is not applicable and not provided. Adjudication methods are typically used in clinical studies for interpreting ambiguous results, which is not described for these bench tests.

    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, an MRMC comparative effectiveness study was not done. This device is a mechanical hemostat and not an AI-powered diagnostic or assistive tool for human readers.

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

    • This is not applicable. The Vasc Band hemostat is a physical medical device, not an algorithm.

    7. The type of ground truth used

    • For the "bench tests," the "ground truth" would be the engineering specifications and performance standards for physical properties like balloon pressure and band size. This is implicitly "engineering specifications" or "physical measurements" rather than expert consensus, pathology, or outcomes data, as those apply to diagnostic or treatment efficacy studies.

    8. The sample size for the training set

    • This is not applicable. The device is not an AI/machine learning model that requires a training set.

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

    • This is not applicable as there is no training set for this type of device.

    In summary: The provided document is a regulatory submission for a physical medical device. It attests to the device's substantial equivalence to predicates based on "bench tests" verifying device design (balloon pressure and band size). It does not provide the detailed scientific study data, specific acceptance criteria values, or expert review processes that would be typical for validating diagnostic algorithms or complex clinical interventions. The focus is on demonstrating that the new device is fundamentally similar in function and safety to already-approved devices, rather than proving novel effectiveness through a comprehensive, quantitative clinical or AI performance study against acceptance criteria.

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    K Number
    K123475
    Date Cleared
    2014-02-03

    (447 days)

    Product Code
    Regulation Number
    870.1340
    Reference & Predicate Devices
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The ShoocinTM Introducer Kits are intended for use to facilitate the introduction of guide wires, catheters and other accessory medical devices through the skin into a vein or artery and minimize blood loss associated with such introduction.

    Device Description

    The ShoocinTM Introducer Kit consists of a puncture needle, a guide wire with a guide wire collimator, a sheath introducer, and a dilator. The puncture needle incorporates a lumen, which provides a conduit for the insertion of the guide wire into the vascular system. The flexible stainless steel guide wire is utilized as a guiding mechanism for the insertion of the introduction sheath into the vascular system. The guide wire contains a wire collimator, which assists in funneling the wire through the lumen of the puncture needle and contains marking that are visible under fluoroscopy, which can determine in length of the guide wire within the vascular system. The sheath introducer provides a conduit for introducing other interventional devices, including guide wires and interventional catheters, into the vascular system. The main components of this assembly are a non-hydrophilic coated sheath introducer, hemostasis valve housing, and a side port with tubing connected to a 3-way stopcock/valve. The dilator is used to provide support and stability to the sheath introducer during deployment into the vascular system. The proximal end of the dilator includes a luer port and has a tapered, atraumatic distal tip. Both the sheath and dilator contain bismuth, making these devices visible under fluoroscopy.

    AI/ML Overview

    The provided text describes a medical device, the Shoocin™ Introducer Kit, and its substantial equivalence to a predicate device (Pinnacle Precision Access System). The acceptance criteria and the study proving the device meets them are primarily focused on biocompatibility and performance testing, rather than an AI/ML-based diagnostic or prognostic device study.

    Here's an analysis of the provided information, structured according to your request, with an emphasis on what is and is not present in the document.

    1. Table of Acceptance Criteria and Reported Device Performance

    The acceptance criteria are generally implied to be meeting the standards of the predicate device and relevant ISO standards. The document explicitly lists performance tests and biocompatibility tests from ISO standards as criteria. The reported performance is that the device "successfully passed all" these tests.

    Acceptance Criteria (Test/Standard)Reported Device Performance (Shoocin™ Introducer Kit)
    Biocompatibility (ISO 10993-1, External Communicating Device, Limited Duration <24 hours)
    Haemolysis (ISO 10993-4)Both the test article in direct contact with blood and the test article extract were non-hemolytic.
    Cytotoxicity (ISO 10993-5)The test article extract showed no evidence of causing cell lysis or toxicity.
    Maximum Sensitization (ISO 10993-10)The test article extracts showed no evidence of causing delayed dermal contact sensitization in the guinea pig.
    Intracutaneous Irritation (ISO 10993-10)The test article met the requirements for the SC and SO test extracts.
    Systemic Toxicity (ISO 10993-11)There was no mortality or evidence of systemic toxicity from the extracts injected into mice.
    USP Pyrogen Study (ISO 10993-11)The test article was judged as nonpyrogenic.
    In Vivo Thromboresistance (ISO 10993-4)The test article and control were thromboresistant and comparable.
    Partial Thromboplastin Time (ISO 10993-4)The test article would be considered a minimal activator and met the requirements of the test.
    Performance Testing
    Sheath Introducer: Free of defectsSuccessfully passed
    Sheath Introducer IDSuccessfully passed (Implied to meet specified dimensions or be comparable to predicate)
    Sheath Introducer Effective LengthSuccessfully passed (Implied to meet specified dimensions or be comparable to predicate)
    Radiodetectability (Sheath Introducer)Successfully passed
    Dilator accessibility (Sheath Introducer)Successfully passed
    Fracture Strength Test (Sheath Introducer)Successfully passed
    Leaking Performance Test (Sheath Introducer)Successfully passed
    Dilator: Free of defectsSuccessfully passed
    Dilator ODSuccessfully passed (Implied to meet specified dimensions or be comparable to predicate)
    Dilator IDSuccessfully passed (Implied to meet specified dimensions or be comparable to predicate)
    Dilator Effective LengthSuccessfully passed (Implied to meet specified dimensions or be comparable to predicate)
    Radiodetectability (Dilator)Successfully passed
    Guide wire accessibility (Dilator)Successfully passed
    Guide wire: Surface free from impuritySuccessfully passed
    Guide wire lengthSuccessfully passed (Implied to meet specified dimensions or be comparable to predicate)
    Guide wire ODSuccessfully passed (Implied to meet specified dimensions or be comparable to predicate)
    Radiodetectability (Guide wire)Successfully passed
    Corrosion Resistance (Guide wire)Successfully passed
    Fracture Strength Test (Guide wire)Successfully passed
    Flexing Resistance Test (Guide wire)Successfully passed
    Associative Guide Wire Strength TestSuccessfully passed
    Puncture Needle: Surface free from defectsSuccessfully passed
    Needle ODSuccessfully passed (Implied to meet specified dimensions or be comparable to predicate)
    Needle IDSuccessfully passed (Implied to meet specified dimensions or be comparable to predicate)
    Needle Effective LengthSuccessfully passed (Implied to meet specified dimensions or be comparable to predicate)
    Accessibility - Guide wire (Puncture Needle)Successfully passed
    Corrosion Resistance (Puncture Needle)Successfully passed
    Joint Strength - Needle to hubSuccessfully passed
    Sterility Assurance Level (SAL)10^-6 (achieved via AAMI/ANSI/ISO 11135:2007) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
    Shelf LifeStable and reliable within two-year useful life (demonstrated by real-time aging per ISO 11070 with no significant difference to product performance requirements before aging). ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

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

    • Sample Size for Test Set: Not explicitly stated for each performance or biocompatibility test. The document indicates that the tests were conducted, and results are reported as "non-hemolytic," "no evidence of causing cell lysis or toxicity," "met the requirements," etc. This suggests that the sample sizes were sufficient for the specific tests based on their respective ISO standards.
    • Data Provenance: Not specified in terms of country of origin or whether it was retrospective/prospective. The tests appear to be laboratory-based evaluations of the device's physical and biological properties.

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

    This question is not directly applicable to the type of device and study described. The "ground truth" for a medical introducer kit is established by objective measurements against engineering specifications and biological standards (e.g., ISO 10993 for biocompatibility), not by human expert opinion like in an AI/ML diagnostic context.

    4. Adjudication Method for the Test Set

    Not applicable. As this is a physical medical device being evaluated against engineering and biological standards, there isn't a need for expert adjudication in the way it would be applied to, for example, medical image interpretation. The testing results are objective measurements.

    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. The Shoocin™ Introducer Kit is a physical medical device, not an AI/ML-based diagnostic or prognostic tool involving human readers and AI assistance.

    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

    The "ground truth" for this device's evaluation is primarily established by:

    • Adherence to relevant international standards: ISO 10993 for biocompatibility and ISO 11070 for shelf life.
    • Meeting engineering specifications: Implied for dimensions (Sheath ID/OD, Lengths, Guide Wire OD, Needle OD/ID) and mechanical properties (Fracture Strength, Flexibility, Joint Strength).
    • Absence of manufacturing defects: (e.g., "Sheath Introducer should be free of defects," "Surface free from impurity").
    • Comparison to a predicate device: The overall claim is substantial equivalence to the Pinnacle Precision Access System (K111606).

    8. The Sample Size for the Training Set

    Not applicable. This document describes the evaluation of a physical medical device, not the development or training of an AI/ML algorithm.

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

    Not applicable, as there is no training set for an AI/ML algorithm.

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    K Number
    K123473
    Date Cleared
    2013-08-13

    (273 days)

    Product Code
    Regulation Number
    870.5100
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The balloon dilatation catheter is indicated for balloon dilatation of the stenotic portion of a coronary artery or bypass graft stenosis for the purpose of improving myocardial perfusion.

    This balloon dilatation catheter is not intended for the expansion or delivery of a stent.

    Device Description

    Hoper Rapid Exchange (LPRX) Balloon Dilatation Catheter is a Percutaneous Transluminal Coronary Angioplasty (PTCA) Rapid Exchange System. The proximal shaft is a polymer coated stainless steel tube. The steel construction is designed to optimize proximal pushability with a smooth transition to a distal shaft specifically designed to be highly trackable. The semi-compliant balloon material allows dilatation with precise control of balloon diameter and length. Two radiopaque platinum marker bands are located within the balloon segment. The catheter is compatible with 5F or larger guiding catheters. The internal lumen of the catheter accepts a standard 0.014 inch PTCA guide wire. The proximal part of the guide wire enters the catheter's tip and advances coaxially out the catheter's proximal port, thereby allowing both coaxial guidance and rapid exchange of catheters with a single standard length guide wire.

    Two marked sections are located on the hypo tube shaft to indicate catheter position relative to the tip of either a brachial or femoral guiding catheter.

    The design of this dilatation catheter does not incorporate a lumen for distal dye injections or distal pressure measurements.

    The product can be used to expand stenotic coronary vessel, and improve myocardial bleeding. This kind of balloon catheter possesses such merits as moderate compliance, high pressure resistance, minor diameter, etc.

    AI/ML Overview

    The provided text describes a medical device, the Hoper™ PTCA Balloon Dilatation Catheter, and its 510(k) summary for FDA clearance. However, it does not include information about acceptance criteria or a study proving the device meets those criteria in the context of clinical performance or a comparative effectiveness study with human readers.

    The "Performance Testing" section lists various in vitro performance tests and biocompatibility tests. It states that "The test results met all acceptance criterions, were similar to predicate devices, and ensured that the Hoper™ PTCA Balloon Dilatation Catheter design and construction are suitable for its intended use as recommended by the Class II Special Controls Guidance Document for Certain Percutaneous Transluminal Coronary Angioplasty (PTCA) Catheters (FDA, September 8, 2010)."

    This indicates that acceptance criteria were met for these technical and biological safety aspects, but the specific numerical acceptance criteria and detailed study results for each test are not provided in the summary.

    Based on the provided text, I cannot answer the specific questions about clinical acceptance criteria and related studies, as the document focuses on regulatory clearance based on substantial equivalence to predicate devices through technical performance and biocompatibility testing, rather than a clinical trial or AI performance evaluation.

    Therefore, for the requested information, the answer is:

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

      • The document states that "The test results met all acceptance criterions" for the listed in vitro performance tests and biocompatibility tests.
      • However, specific numerical acceptance criteria or detailed quantitative performance data for each test (e.g., maximum allowable balloon inflation/deflation time, minimum bond strength, specific cytotoxicity results) are not provided in this summary. The summary only confirms compliance without detailing the criteria or results.
    2. Sample sizes used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective):

      • This information is not provided for the in vitro performance tests or biocompatibility tests. No clinical test set is described.
    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 is not applicable, as no clinical test set or ground truth established by experts is mentioned in the provided text.
    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set:

      • This is not applicable, as no clinical test set requiring adjudication is mentioned.
    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:

      • This is not applicable. The device is a PTCA Balloon Dilatation Catheter, not an AI imaging analysis tool, and no MRMC study or AI assistance is mentioned.
    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done:

      • This is not applicable, as the device is not an algorithm or AI system.
    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.):

      • For the in vitro tests, the "ground truth" would be the engineering specifications and recognized standards (e.g., ISO, ASTM, FDA guidance documents) against which the device performance was measured. For biocompatibility, it's about meeting established safety limits for chemical and biological interactions. No clinical ground truth (like pathology or outcomes data) is mentioned as being used for these tests.
    8. The sample size for the training set:

      • This is not applicable, as the device is not an AI system that requires a training set.
    9. How the ground truth for the training set was established:

      • This is not applicable, as the device is not an AI system.
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    K Number
    K111837
    Date Cleared
    2011-09-27

    (90 days)

    Product Code
    Regulation Number
    870.4450
    Reference & Predicate Devices
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Radial Artery Compression Tourniquet Device is a compression device to assist haemostasis following a catheterization or other puncture into a blood vessel in a patient's arm, including radial artery catheterization, arterial or venous line removal, haemodialysis, and in patients on anticoagulation therapy.

    Device Description

    The Radial Artery Compression Tourniquet devices consist of a plastic belt with an adjustable fastener on each end, two compression balloons, tubing and a unilateral valve. The plastic belt has a support plate over the two compression balloons to assure that the balloons and belt conform to the contour of the wrist and are made of clear plastic which allows the physician to view the access site during the haemostasis process. The inflation device introduces air through the unilateral valve filling two compression balloons (large and small) at the same time. The top small balloon is layered and internally connected to the bottom large balloon. The result of the balloon inflation is the haemostasis of the puncture site within the patient's wrist.

    AI/ML Overview

    The provided text describes the Radial Artery Compression Tourniquet and its substantial equivalence to predicate devices, but it does not contain the specific information requested in points 1 through 9 regarding acceptance criteria and a study proving device performance in the context of an AI/algorithm-based device.

    The document details the device's description, intended use, contraindications, warnings, and cautions. It also mentions "Tests Conducted," which include:

    • Biocompatibility: Assessed against ISO 10993 Biological Evaluation of Medical Devices - Part 10 for Irritation and Sensitization and Part 5 Tests for Cytotoxicity. It states that the device "has been shown to meet the acceptance criteria, and did not raises additional safety and effectiveness concerns."
    • Performance: A "side-by-side comparison of the predicate TR Band®, Terumo Corporation, K070423 performance of the balloon’s maintenance of internal pressure was performed with the Lepu’s device." The conclusion is that "The balloon profile performance characteristics of both devices are very similar when factoring the balloon size and volume inflation difference and do not impose any additional safety or performance issues."

    However, this information is for a physical medical device (a tourniquet) and not for an AI/algorithm-based device. Therefore, the requested details like sample size for test sets, data provenance, number of experts for ground truth, adjudication methods, MRMC studies, standalone performance, training set details, and how ground truth for training was established are not present in the provided text.

    Based on the provided text, the answer to the specific questions regarding acceptance criteria and a study proving the device meets those criteria for an AI/algorithm would be:

    1. Table of acceptance criteria and reported device performance: Not applicable for an AI/algorithm performance study. The document mentions biocompatibility acceptance criteria (meeting ISO 10993 standards) and performance comparison of balloon pressure maintenance to a predicate device, concluding similarity.
    2. Sample size for the test set and data provenance: No test set information for an AI/algorithm is provided.
    3. Number of experts used to establish the ground truth for the test set and qualifications: Not applicable for an AI/algorithm.
    4. Adjudication method: Not applicable for an AI/algorithm.
    5. Multi reader multi case (MRMC) comparative effectiveness study: No MRMC study is mentioned.
    6. Standalone performance: No standalone (algorithm only) performance is mentioned.
    7. Type of ground truth used: Not applicable for an AI/algorithm. For the physical device, the "ground truth" for biocompatibility was meeting ISO standards, and for performance, it was comparable balloon pressure maintenance to a marketed predicate.
    8. Sample size for the training set: No training set information for an AI/algorithm is provided.
    9. How the ground truth for the training set was established: Not applicable for an AI/algorithm.
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