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510(k) Data Aggregation

    K Number
    K201487
    Manufacturer
    Date Cleared
    2020-07-02

    (28 days)

    Product Code
    Regulation Number
    870.1330
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    Micro Vention Inc.

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

    Traxcess™ 7 Mini Guidewire is indicated for general intravascular use, including the neuro and peripheral vasculature. The guidewire can be steered to facilitate the selective placement of diagnostic catheters. This device is not indicated for use in coronary arteries.

    Device Description

    Traxcess™ 7 Mini Guidewire consists of a proximal coated 0.014" stainless steel core wire, and a distal coated 0.007" nitinol core wire. The distal core wire is tapered at the distal tip and is contained within platinum/nickel coil. The platinum/nickel coil is 6 cm in length. The distal 1.4 cm of the guidewire is shapeable by the physician. Traxcess™ 7 Mini Guidewire distal and proximal sections are coated with hydrophilic coating. There is no PTFE coating. The purpose of the hydrophilic coating is to provide lubricity when the MicroVention guidewire is passed through microcatheters. Shaping mandrels, insertion tool, and torque device are also included with the device.

    AI/ML Overview

    The provided text describes a 510(k) premarket notification for the "Traxcess™ 7 Mini Guidewire." This is a medical device submission seeking substantial equivalence to a previously cleared device, not an AI/ML powered device. As such, the concepts of "acceptance criteria" and "study that proves the device meets the acceptance criteria" are discussed in terms of traditional medical device performance testing, rather than clinical studies involving AI performance metrics like sensitivity, specificity, or reader studies.

    Here's a breakdown of the requested information based on the provided text, adapted for a non-AI medical device:

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

    Acceptance Criteria (Performance Requirement)Reported Device Performance
    Physical attributes: Met specified dimensional requirements for guidewire OD, overall length, length of Pt/Ni coil section, length of SS section, length of PTFE coated section, length of hydrophilic coated section, length of proximal docking section and accessory devices.Device met established dimensional specifications.
    Surface Contamination: Test article, when examined at magnification, should meet existing surface contamination and defects specification.Device was free from surface defects and contamination.
    Corrosion Resistance: Test article should be corrosion resistant.Device met established corrosion resistance.
    Guidewire Coating adherence: Coating adherence maintained after advance/retract cycles.Durability and lubricity of coating was maintained after advance/retract cycles.
    Guidewire fracture resistance: Test article should not show signs of fracture. There should be no coating flaking off the guidewire.Device met established fracture resistance specification.
    Guidewire tip shapeability: Test article should be greater than or equal to existing tip shapeability specification.Device met established Guidewire tip shapeability specification.
    Torque Strength: Test article should be greater than or equal to existing torque strength specification.Device met established torque strength specification.
    Torque Response: Test article should be equivalent to, or better than predicate device.Subject device torque response equivalent to predicate device.
    Flexing test: Test article should not show signs of defect, fracture or other damage. There should be no coating flaking off the guidewire.Device met established flexing test specification.
    Distal tip flexibility: Test article should be less than existing distal tip specification to deflect the distal tip of guidewire.Device met established distal tip flexibility specification.
    Tensile strength: Test article should be greater than or equal to existing tensile strength specification for distal tip and proximal joint section.Device met established distal tip and proximal joint tensile strength specification.
    Simulated use testing: Test articles achieved rating ≥ 3 for prep of device, introduction, and tracking.Device performed as intended under simulated use.
    Particulate Testing: Particle count of test articles ≤ 25 particles (≥ 10 microns) and ≤ 3 particles (≥ 25 microns).Device has comparable particulate results to the predicate device.

    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 used for each specific bench test (e.g., number of guidewires tested for tensile strength). The data provenance is described as "Bench Testing," meaning these are laboratory-generated results on physical samples of the device, not patient data. Therefore, concepts like "country of origin of the data," "retrospective or prospective" do not apply in the context of this submission.

    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 question is not applicable to this type of device submission. The "ground truth" for these physical performance tests are objective engineering specifications and measurements, not expert interpretations of clinical data. For example, a guidewire's diameter is measured with instruments, not subject to expert consensus.

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

    This question is not applicable as the tests are objective physical measurements and not subject to human adjudication of clinical findings.

    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 question is not applicable. The device is a physical guidewire, not an AI-powered diagnostic or assistive tool that would involve human readers or affect their performance.

    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 a physical guidewire, not an algorithm.

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

    For the bench testing, the "ground truth" is defined by established engineering and device specifications (e.g., dimensional requirements, material properties, mechanical performance criteria). For the biocompatibility aspect, the ground truth for the reference device (Traxcess™ 14 SELECT Guidewire) would have been established through a series of biocompatibility tests according to ISO standards, which evaluate the biological response to the device material.

    8. The sample size for the training set

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

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

    This question is not applicable as there is no training set for this physical device.

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    K Number
    K182602
    Manufacturer
    Date Cleared
    2019-05-15

    (236 days)

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

    Micro Vention Inc.

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

    The SOFIA® EX Catheter is indicated for general intravascular use, including the neuro and peripheral vasculature. The SOFIA® EX Catheter can be used to facilitate introduction of diagnostic agents or therapeutic devices. The SOFIA® EX Catheter is not intended for use in coronary arteries.

    Device Description

    The SOFIA® EX Catheter is a single-lumen, flexible catheter equipped with the coil and the braid reinforcement. The distal segment is designed to facilitate vessel selection with 55-65cm of distal shaft hydrophilic coating for navigation through the vasculatures. The radiopaque marker is located at the distal end of the catheter for visualization under fluoroscopy. The device is provided sterile and for single use. The catheter is placed in a dispenser tube (HDPE) and is placed on a packaging card (polyethylene) that is provided in a sterile barrier tyvek pouch and placed in a carton box.

    AI/ML Overview

    The provided document is a 510(k) premarket notification for the SOFIA® EX Intracranial Support Catheter. It describes the device, its intended use, comparison to predicate devices, and performance data used to demonstrate substantial equivalence.

    Here's the breakdown of the acceptance criteria and the study proving the device meets them, as extracted from the document:

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

    The document presents the performance data in a table format under section "VII. Performance Data" (pages 7-8). Each "Test" listed implicitly defines an acceptance criterion (e.g., "Device met acceptance criteria"). Because the document is a 510(k) summary, the specific quantitative acceptance criteria values are not explicitly stated, but the results confirm that the "Device met acceptance criteria" for each test.

    Test NameTest Method SummaryReported Device Performance
    Dimensional InspectionThe usable length, proximal and distal outer diameters, distal length and inner diameters were measured and recorded.Device met acceptance criteria for length, inner and outer diameters. The device size (5F) comparable to the 5F predicate and reference devices. The inner diameter is larger than the predicate device, while the outer diameter is larger, but still compatible with tested 6F guiding sheaths.
    Catheter Tip StabilitySimulated use of the delivery of a braided device is performed in a tortuous anatomical benchtop model and the movement of the subject device is measured and recorded.Device met acceptance criteria for tip stability. The device is able to support the delivery of braided devices and stent-retrievers without losing distal tip position. The stability of the distal tip was better (less movement) than the predicate device.
    Simulated Use and Physician Simulated UseThe device is put through simulated use. The device is navigated through a tortuous benchtop model to assess preparation, introduction, tracking, and support of the device.Device met acceptance criteria.
    Dynamic Burst TestingDevice hub is connected to a pressure control machine and was tested under pressures experienced during worst-case dynamic injections.Device met acceptance criteria and was able to withstand pressures experienced during worst-case dynamic injections.
    Liquid LeakageDevice was tested per ISO 10555-1, Annex C liquid leakage testing. Device is connected at hub and is pressurized with fluid and maintains the pressure for a specified duration of time.Device met acceptance criteria.
    Liquid Leakage at Rated Burst PressureDevice was tested per ISO 10555-2 Annex A, liquid leakage testing. Device is connected at hub and is pressurized with fluid and maintains rated burst pressure for a specified duration of time.Device met acceptance criteria and does not leak fluids at rated burst pressure.
    Air LeakageDevice was tested per ISO 594-2. Device is connected at hub and subjected to negative pressure and any air leaking into the device is recorded.Device met acceptance criteria. Device does not allow air to leak into the device when subjected to negative pressure.
    Static BurstDevice was connected at hub and tested under full-length static conditions to burst.Device met acceptance criteria. All devices burst above the rated burst pressure and had better results than the predicate device.
    Tensile StrengthDevice was tested per ISO 11070. The device is tensile tested to failure and the force at break is measured and recorded.Device met acceptance criteria.
    Tip BucklingDistal tip buckling force under compressive load was evaluated for stiffness.Device met acceptance criteria. Device has a softer distal tip than the reference device.
    Torque ResponseDevice was tested for full-length torque response. The device is tracked through a tortuous benchtop model and the proximal hub is turned, the distal tip torque response is measured and recorded.Device met acceptance criteria. Device has better torque response than the reference device.
    Radio-detectabilityDevice is put under fluoroscope to assess visibility.Device met acceptance criteria. Device is visible under fluoroscopy.
    Coating Lubricity and DurabilityDevice coating was evaluated for frictional force and durability.Device met acceptance criteria. Average friction is comparable to predicate device.
    Particulate TestingDevice was evaluated for particulate generation under simulated use in a representative tortuous anatomical model per USP.Number of particulates generated met acceptance criteria and is within the limits per USP and is comparable to the predicate and reference devices.
    Kink ResistanceDevice is evaluated for kink resistance by subjecting the device to bending experienced in tortuous anatomy.Device met acceptance criteria. Results matched results of the predicate device.
    Corrosion ResistanceDevice is tested per ISO 10555-1, Annex A and ISO 11070, Annex B to evaluate corrosion resistance.Device met acceptance criteria. Device is resistant to corrosion.
    Cytotoxicity (ISO Medium Eluate Method)1x CMEM Cell Growth Medium (MEM supplemented with 10% fetal bovine serum extract) L929 Mouse Fibroblast Cell Line (Extracted at 37°C/24 hrs, 6.0 cm²/mL)Non-cytotoxic. The test article is considered non-cytotoxic to cells.
    Sensitization (ISO Kligman Maximization Test)Normal Saline and Vegetable (Cottonseed) Oil Extracts Hartley Guinea Pigs (Extracted at 50°C/72 hrs, 6.0 cm²/mL)Non-sensitizing. The test article did not elicit a sensitization response.
    Irritation/Intracutaneous ToxicityNormal Saline and Vegetable (Cottonseed) Oil Extracts (Extracted at 50°C/72 hrs, 6.0 cm²/mL)Non-irritant. No evidence of irritation.
    Systemic Toxicity (ISO Systemic Injection Test)Normal Saline and Vegetable (Cottonseed) Oil Extracts Albino Swiss Mice (Extracted at 50°C/72 hrs, 6.0 cm²/mL)Non-cytotoxic (sic, likely meant non-toxic per the test type). No weight loss, mortality, or evidence of systemic toxicity from the extract exposure to the mice.
    Systemic Toxicity (ISO Rabbit Pyrogen Test)Normal Saline New Zealand White Rabbits (2 Male and 2 Female - non-pregnant and nulliparous) (Extracted at 50°C/72 hrs, 6.0 cm²/mL)Non-pyrogenic. All individual rabbits for both the test article and negative control showed a total rise in temperature of
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    K Number
    K172014
    Date Cleared
    2018-04-05

    (276 days)

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

    Micro Vention, Inc.

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

    The Wedge Microcatheter is intended for general intravascular use, including the peripheral, coronary and neuro vasculature for the infusion of diagnostic agents, such as contrast media, and to assist in the delivery of interventional devices, such as the SOFIA 6F Catheter, in the neurovasculature.

    Device Description

    The Wedge Microcatheter is a single lumen catheter designed to be introduced over a steerable guidewire to access small, tortuous vasculature. The microcatheter has a semi-rigid proximal section with an outer shaft made of Grilamid nylon. The catheter shaft transitions to progressively softer durometers and different lengths of Polyether block amide (Pebax). The distal-most length of the microcatheter, beyond the enlarged segment, consists of a softer, atraumatic polyurethane.

    The enlarged segment on the distal end of the Wedge is designed to reduce the gap between the OD of the guidewire and ID of the Sofia 6F. The tapered bulb section, approximately 1 cm length and located approximately 1.5 cm from the distal tip, can be identified on fluoroscopy between the two radiopaque proximal marker bands of the Wedge Microcatheter. The bulb OD (0.068") is sized specifically to work with the lumen ID (0.070") of the Sofia 6F allowing for continuous flush of saline through the Sofia.

    Three radiopaque markers at the distal end facilitate fluoroscopic visualization. The outer surface of the microcatheter is coated with a hydrophilic polymer coating to reduce friction during navigation in the vasculature. The lubricious inner liner is made from polytetrafluoroethylene (PTFE). A luer fitting on the Microcatheter hub is used for the attachment of accessories. The hub/strain relief provides for the kink resistance at the proximal end. The microcatheter has a straight tip that is designed to be steam shaped by the physicians at the time of the use. A steam shaping mandrel and introducer sheath (accessories) are packaged with the catheter.

    AI/ML Overview

    The provided document describes the MicroVention, Inc. Wedge Microcatheter and its substantial equivalence to predicate devices, rather than a standalone study with defined acceptance criteria and detailed device performance metrics in the way a clinical trial or a specific performance study for a diagnostic device might.

    However, based on the Verification Test Summary and the Biocompatibility Evaluation sections, we can infer the acceptance criteria and reported device performance for various engineering and biological aspects. The "Results" column in these tables implicitly represents the device's performance against an unstated "Pass" acceptance criterion.

    Here's an attempt to structure the information as requested, interpreting the "Pass" result as meeting the acceptance criteria.


    1. Table of Acceptance Criteria and Reported Device Performance

    Test DescriptionAcceptance Criteria (Inferred)Reported Device Performance
    Verification Test Summary
    Surface Contamination"Pass" standardPass
    Physical Attributes"Pass" standardPass
    Force at Break (Catheter Distal Section)"Pass" standardPass
    Force at Break (Catheter Hub Junction)"Pass" standardPass
    Freedom from Leakage (Low Pressure, Long Duration)"Pass" standardPass
    Freedom from Leakage (High Pressure, Short duration)"Pass" standardPass
    Freedom from Leakage - Air"Pass" standardPass
    Static Burst Pressure"Pass" standardPass
    Dynamic Burst Pressure"Pass" standardPass
    Coating Durability/Lubricity"Pass" standardPass
    Tip Shape and Tip Retention"Pass" standardPass
    Simulated Use"Pass" standardPass
    Flow Rate"Pass" standardPass
    Kink Resistance"Reference Only" standardReference Only
    Catheter Stiffness"Pass" standardPass
    Catheter Flexural Fatigue"Pass" standardPass
    Catheter Particle Testing"Pass" standardPass
    Dead Space"Reference Only" standardReference Only
    Torque Strength"Pass" standardPass
    Corrosion Resistance*"Pass" standardPass
    Gauging Test*"Pass" standardPass
    Separation Force*"Pass" standardPass
    Unscrewing Torque*"Pass" standardPass
    Resistance to Overriding*"Pass" standardPass
    Stress Cracking*"Pass" standardPass
    Radiopacity* (Visibility under fluoroscopy)"Pass" standardPass
    Pyrogenicity*"Pass" standardPass
    Ship Testing*"Pass" standardPass
    Shelf Life Testing"Pass" standardPass
    Biocompatibility Evaluation
    Cytotoxicity - Medium Eluate MethodNon-cytotoxicNon-cytotoxic
    Sensitization: Maximization Test in Guinea PigsNon-sensitizerNon-sensitizer
    Intracutaneous ReactivityNon-irritatingNon-irritating
    Systemic Injection Test in MiceSystemically non-toxicSystemically non-toxic
    Rabbit Pyrogen TestNonpyrogenic (rise
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    K Number
    K151358
    Date Cleared
    2015-09-25

    (128 days)

    Product Code
    Regulation Number
    870.3300
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    Micro Vention, Inc.

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

    The AZUR Peripheral Coil System is intended to reduce or blood flow in vessels of the peripheral vasculature. It is intended for use in the interventional radiologic management of arteriovenous malformations, arteriovenous fistulae, aneurysms, and other lesions of the peripheral vasculature.

    Device Description

    The AZUR CX Coils consist of implant coil made of platinum alloy with inner hydrogel core. The coils are designed in 3D spherical structure in various loop sizes and lengths. The AZUR CX Coil System (Detachable) consists of an implantable coil attached to a delivery pusher. The coil system is delivered to the treatment site through the microcatheter. The proximal end of the delivery pusher is inserted to the AZUR detachment controller. The detachment controller is activated by the user and this detaches the coil. The AZUR coils are designed for use with the AZUR Detachment Controller (Also known as AZUR Detachment Controller), specifically designed for coil detachment and is sold separately.

    AI/ML Overview

    This document is a 510(k) premarket notification for a medical device called the AZUR CX Peripheral Coil System - Detachable 35. It describes the device, its intended use, and compares it to predicate devices to establish substantial equivalence.

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

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

    The document provides a "Verification of Test Summary" and "Biocompatibility Summary" which can be interpreted as the acceptance criteria and the results of tests performed.

    Acceptance Criteria CategorySpecific Test / StandardReported Device Performance
    Bench Testing1. Simulated usePassed
    2. Advance/RetractPassed
    3. Gel ExpansionPassed
    4. Appendix StrengthPassed
    5. Spring ConstantPassed
    6. Pusher Sleeve RetentionPassed
    Biocompatibility - Coil Implant Segment1. Cytotoxicity (MEM Elution Test, ISO Cell Culture Agar Overlay)Passed (implied by "Summary of Substantial Equivalence")
    2. Sensitization (Guinea Pig Maximization Test)Passed (implied)
    3. Irritation (ISO Intracutaneous Reactivity Evaluation Test)Passed (implied)
    4. Hemocompatibility (Hemolysis, Prothrombin Time Assay)Passed (implied)
    5. Systemic Toxicity (IV injection, Rabbit Pyrogen Test)Passed (implied)
    6. Genetic Toxicology (Bacteria Reverse Mutation Assay)Passed (implied)
    7. Intramuscular Implantation (7-day, 13-week, 26-week)Passed (implied)
    Biocompatibility - Delivery Pusher Segment1. Cytotoxicity (MEM Elution Test, ISO Cell Culture Agar Overlay)Passed (implied)
    2. Sensitization (Guinea Pig Maximization Test)Passed (implied)
    3. Irritation (ISO Intracutaneous Reactivity Evaluation Test)Passed (implied)
    4. Hemocompatibility (Hemolysis, Prothrombin Time Assay)Passed (implied)
    5. Systemic Toxicity (IV injection, Rabbit Pyrogen Test)Passed (implied)

    Note: The document explicitly states "Passed" for bench tests. For biocompatibility, it lists test methods and standards, and the "Summary of Substantial Equivalence" implies that these tests were passed and support the equivalency claim.

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

    The provided document does not specify the sample sizes used for the bench tests or biocompatibility tests. It also does not provide information on the data provenance (e.g., country of origin, retrospective or prospective nature) for these tests. This information would typically be found in the detailed test reports, which are not included in this summary.

    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 document describes a medical device, the AZUR CX Peripheral Coil System, which is an implantable coil for embolization. The tests conducted are primarily mechanical/physical bench tests and biocompatibility tests, not studies involving expert interpretation of medical images or clinical outcomes that would require a ground truth established by medical experts for a test set. Therefore, this question is not applicable in the context of the information provided.

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

    As the tests are primarily bench and biocompatibility tests, there is no adjudication method described or relevant for establishing a clinical "ground truth" for a test set by human experts. The results are typically objectively measured or observed (e.g., a "pass" or "fail" for a mechanical test, or quantitative results against a standard for biocompatibility).

    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 MrMC comparative effectiveness study was done or is mentioned in this document. This filing is for a physical medical device (embolization coil), not an AI-powered diagnostic or assistive tool.

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

    Not applicable. This device is a physical implant, not an algorithm, so standalone performance in the context of AI is irrelevant.

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

    For the bench tests, the "ground truth" is defined by engineering specifications and performance requirements for the device's physical and functional characteristics. For biocompatibility tests, the "ground truth" is established by international standards (ISO 10993 series), which define acceptable biological responses to medical devices. There isn't a "ground truth" in the sense of clinical diagnoses or outcomes used in AI or clinical trials with human subjects.

    8. The sample size for the training set:

    Not applicable. The device is a physical medical implant, not an AI model that requires a training set.

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

    Not applicable. As there is no AI model or training set, there is no ground truth to establish for a training set.

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    K Number
    K142449
    Date Cleared
    2015-03-26

    (205 days)

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

    MICRO VENTION, INC.

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

    The Headway Microcatheter is intended for general intravascular use, including the peripheral, coronary and neuro vasculature for the infusion of diagnostic agents, such as contrast media, and therapeutic agents, such as occlusion coils.

    Device Description

    The Headway 27 Microcatheter is a single lumen catheter designed to be introduced over a steerable guidewire to access small, tortuous vasculature. The semi-rigid proximal section transitions to a flexible distal tip to facilitate advancement through vessels. Dual radiopaque markers at the distal end facilitate fluoroscopic visualization. An introducer sheath and shaping mandrel are also provided.

    AI/ML Overview

    The provided text describes the MicroVention, Inc. Headway 27 Microcatheter and its substantial equivalence to a predicate device (Headway 27 Microcatheter, K110813). The document primarily focuses on bench testing and biocompatibility testing to demonstrate this equivalence.

    Here's an analysis of the acceptance criteria and study data based on your request:

    1. Table of Acceptance Criteria and Reported Device Performance:

    Bench Testing CategoryAcceptance CriteriaReported Device Performance
    Surface Contamination• Liquid on surface
    • Particulate on external surface
    • Surface defects/sharp edges• Free from uncured hydrophilic coating.
    • No surface particulate > .02 mm² per tappi chart
    • Free from surface defect/no sharp edges
    • Embedded particulate acceptable if OD is in specification
    • Free from damage
    Dimensional Attributes• Catheter effective length
    • Catheter lumen
    • Catheter outer diameter
    • Length of distal OD (2.2Fr section)• 150 ± 2 cm
    • .027" (0.69 mm)
    • nominal .040"/.034-.028" (1.0/.86-.71 mm)
    • ≥ 6cm
    Force at BreakDevice shall not break during use≥ 1.12 lbs (5.0 N) for outer diameters from .030" to .045" (.76 to 1.1 mm)
    Freedom from Leakage (Liquid)(low pressure - long duration)
    Device shall not leak fluidsNo liquid leaking from hub and catheter shaft at 46 psi (317.2 kPa) for 30 second duration
    Freedom from Leakage (Air)(high pressure - short time)
    Device shall not leak fluidsNo liquid leaking from hub and catheter shaft at 300 psi/2068 kPa (rated burst pressure) for 10 second duration
    Burst Pressure of CatheterAir shall not leak into deviceNo air leaking into syringe for 15 seconds
    Dynamic Burst PressureMicrocatheter will not burst statically below rated burst pressure.Microcatheter: will not burst below 300 psi (2068 kPa)
    Durability and Lubricity of Hydrophilic CoatingVerification that hydrophilic coating does not delaminate during useRated 3 or higher (simulated use)
    Tip Shape and Tip RetentionNot explicitly stated, but implied to retain original shape sufficientlyTip retain better than 55% of its original shape
    Simulated UseNot explicitly stated, but implied to perform acceptably in tested categoriesRated 3 or higher in tested categories
    Compatibility with AgentsNot explicitly stated, but implied to perform acceptably with applicable agentsRated 3 or higher in tested applicable categories
    Flow RateReference dataN/A (Reference data, not performance against a specific criterion for this submission)
    Kink ResistanceNot explicitly stated, but implied to be comparable to competitorsEquivalent to or better kink resistance than competitive
    Catheter StiffnessDocument stiffness using Tinius Olsen - reference data onlyN/A (Reference data, not performance against a specific criterion for this submission)
    Catheter Flexural FatigueThe catheter must have acceptable results per the following conditions:
    • Flexural fatigue: simulated use, tip shaping testing
    • Hoop stress fatigue: flow rate, dynamic burst, liquid leakage | Passed |
      | Catheter Particle Testing | Per USP - less than 25 particles greater than 10 microns and less than 3 particles greater than 25 micron | Passed |
      | Dead Space | Reference data | N/A (Reference data, not performance against a specific criterion for this submission) |
      | Torque Test | 50 rotations without catheter breakage or equivalent to competitive product catheters. | Passed |
      | DMSO Test | Functional performance and chemical stability | Passed |
      | Biocompatibility (Cytotoxicity MEM Elution) | Cell culture tested with test article exhibited slight reactivity (Grade 1) | Non-toxic |
      | Biocompatibility (Cytotoxicity Cell Culture Agar Overlay) | Grade 2: zone limited to under specimen | Non-toxic |
      | Biocompatibility (Sensitization Guinea Pig Maximization Test) | Grade 0: No visible change | Non-irritant |
      | Biocompatibility (Irritation Intracutaneous Reactivity Evaluation Test) | Comparative between control and test article 10%. No reaction found. | Non-toxic effects |
      | Biocompatibility (Systemic Toxicity Rabbit Pyrogen Test) | Temperature increases was 0.0℃ from baseline. | Non-pyrogenic |

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

    The document describes general bench testing and biocompatibility testing. It does not specify the sample sizes (number of units tested) for each individual bench test or the biocompatibility studies.

    The data provenance is not explicitly stated as retrospective or prospective, nor does it mention the country of origin of the data. Given the context of a 510(k) submission, this data would typically be generated by the manufacturer (MicroVention, Inc., USA) as part of their device development and validation process, likely in a controlled laboratory environment.

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

    This information is not provided in the document. The studies performed are primarily physical and chemical bench tests, and in vitro and in vivo biocompatibility tests, which do not typically involve human expert interpretation for "ground truth" establishment in the way, for example, a diagnostic image review would. For "rated 3 or higher," "passed," etc., these would be based on predefined objective criteria in test protocols, not subjective expert consensus.

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

    This information is not applicable and not provided in the document. Adjudication methods are typically used in studies involving human interpretation or decision-making, such as clinical trials or diagnostic accuracy studies, to resolve discrepancies among multiple reviewers. The tests described are objective, physical, chemical, and biological assessments.

    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 and not provided. The device in question is a microcatheter, a physical medical device used for intravascular delivery. It is not an AI-powered diagnostic or assistive technology that would involve "human readers" or "AI assistance" in the sense of an MRMC study.

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

    This is not applicable and not provided for the same reasons as point 5. The device is a physical tool, not an algorithm.

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

    The "ground truth" for the bench tests are the pre-defined engineering specifications and performance criteria for the physical properties of the catheter (e.g., length, diameter, burst pressure, kink resistance, force at break). For the biocompatibility tests, the "ground truth" is established by standardized ISO 10993 biological evaluation test methods which define acceptable biological responses (e.g., non-toxic, non-irritant, non-hemolytic).

    8. The sample size for the training set:

    There is no mention of a "training set." This concept is relevant to machine learning or AI algorithms. The Headway 27 Microcatheter is a physical medical device, and its development and testing involve traditional engineering and biological validation, not machine learning model training.

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

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

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    K Number
    K131482
    Date Cleared
    2013-11-22

    (183 days)

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

    MICRO VENTION, INC.

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

    The SOFIA Distal Access Catheter is intended for general intravascular use, including The GOT IA Dicture al vasculature. It can be used to facilitate the introduction of the nours and therapeutic agents. It is not intended for use in coronary arteries.

    Device Description

    The SOFIA Distal Access Catheter is a single-lumen, flexible catheter designed with coil and braid reinforcement. The distal segment is steam-shapeable and it has a hydrophilic coating for navigation through the vasculature. The radiopaque marker is located at the distal end of the catheter for visualization under fluoroscopy. An introducer sheath and shaping mandrel are also provided.

    AI/ML Overview

    The provided text describes a medical device, the SOFIA™ Distal Access Catheter, and its verification testing for 510(k) clearance. This submission does not include information about AI/ML models, therefore, many of the requested fields related to AI/ML studies cannot be answered. The information pertains to traditional medical device testing.

    Here's an analysis based on the provided text:

    1. Table of Acceptance Criteria and Reported Device Performance

    Note: The document presents internal acceptance criteria implicitly through the "Results" and "Conclusions" sections of the verification tests. The "Conclusions" often state that the device "met established specifications" or "performs as intended," implying these were the acceptance criteria.

    Test CategorySpecific TestAcceptance Criteria (Implied)Reported Device Performance
    FunctionalSimulated UseAchieves a rating ≥ 3 for various parameters (preparation, tracking, lubricity, etc.) with no particles after procedures like clot aspiration or stent delivery.Test articles achieved a rating ≥ 3 for preparation/ease of assembly, introducer sheath interaction, introducer peel away, tracking with guidewire/microcatheter, microcatheter/guidewire lockup, lubricity and durability of hydrophilic coating, microcatheter/guidewire removal, removal/aspiration of clot, mechanical clot retriever and stent delivery with no particles.
    Equipment InterfaceCompatible with 0.035-inch and 0.038-inch guidewires, 6F+ guide catheter/sheath, common RHVs, and ≤ 0.027-inch microcatheters.Test articles compatible with 0.035-inch and 0.038-inch guidewires, 6F or larger guide catheter/guiding sheath, common RHVs using insertion tool, stopcocks and ≤ 0.027-inch microcatheters.
    Kink ResistanceNo kinks at specified distances (1, 4, 12, 25 cm) when wrapped around pin gauges (0.025-inch, 0.030-inch) and during simulated use.No kinks at 1 cm, 4 cm, 12 cm and 25 cm from distal tip when wrapped around 0.025-inch and 0.030-inch pin gauges. No kinks noted during simulated use testing.
    Tip ShapeabilityTip angle equivalent to competitive devices after steam shaping with a ~90° mandrel.Tip angle of test article equivalent to competitive devices after steam shaping using mandrel with an angle of approximately 90°.
    RadiodetectabilityDistal marker band visible under fluoroscopy, equivalent to or better than predicate/competitive devices.Distal marker band visible under fluoroscopy.
    Durability/Lubricity of Hydrophilic CoatingAchieves a rating of ≥ 3 during simulated use for coating durability and lubricity.Test article achieved a rating of ≥ 3 during simulated use testing for coating durability and lubricity.
    Catheter StiffnessStiffness equivalent to predicate and competitive devices to track in tortuous anatomy.Device stiffness equivalent to predicate and competitive devices.
    Torque StrengthNo catheter breakage after 50 rotations.No catheter breakage after 50 rotations.
    Catheter Flexural FatigueNo flexural fatigue during repeated bending in simulated use and hoop stress testing.No flexural fatigue following repeated bending during simulated use testing and repeated hoop stress following pressure and air aspiration testing.
    Flow RateFlow rate at 100 psi and 300 psi with diagnostic agents equivalent to or better than competitive devices.Flow rate at 100 psi and 300 psi with diagnostic agents (e.g., saline, contrast media) equivalent to or better than competitive devices.
    Static Burst PressureNo damage at 46 psi, meeting ISO 10555-1.No damage of pressurized catheter at 46 psi.
    Fluid Leakage at > 46 psiNo liquid leakage from hub and catheter shaft at 46 psi for 30 seconds, meeting ISO 10555-1.No liquid leakage from hub and catheter shaft at 46 psi for 30 seconds.
    Air LeakageNo air leakage at hub into syringe for 15 seconds, meeting ISO 10555-1.No air leakage at hub into syringe for 15 seconds.
    Dynamic BurstNo burst at or below 300 psi, meeting labeled maximum infusion pressure.Test articles did not burst at or below 300 psi.
    Dimensional/PhysicalDimensional and Physical AttributesMeets specified dimensional requirements for catheter OD, ID, lengths, etc.Test articles met the specified dimensional requirements for catheter OD, catheter ID, overall working length, length of distal section, length of distal tip to marker band and total length of hub/strain relief.
    Gauging (ISO 594-2)Gauging pin and hub align in limit planes (meets ISO 594-2).Gauging pin and hub align in limit planes.
    Separation Force (ISO 594-2)Mating parts separation force greater than 25 N (meets ISO 594-2).Mating parts separation force greater than 25 N.
    Unscrewing Torque (ISO 594-2)Luer remains attached after applying ≥ 0.02 Nm for ≥ 10 seconds (meets ISO 594-2).Test article luer remains attached after applying an unscrewing torque not less than 0.02 Nm for a minimum of 10 seconds.
    Stress Cracking (ISO 594-2)No stress cracks on test article hub (meets ISO 594-2).No stress cracks on test article hub.
    Ease of Assembly (ISO 594-2)Components fit securely with no resistance (meets ISO 594-2).Components fit together securely with no resistance observed between test article luer and reference fitting.
    Resistance to Overriding (ISO 594-2)Luer does not override reference fitting threads (meets ISO 594-2).Test article luer does not override reference fitting threads.
    Surface ContaminationFree from surface contaminants from uncured coating, particulates > 0.02 mm², embedded particulates. Distal tip smooth and tapered, PTFE not delaminated.Test article free from surface contaminants from uncured coating surface particulates > 0.02 mm², embedded particulates. Distal tip smooth and tapered. PTFE inner layer not delaminated.
    Force at Break (Distal and Hub)Catheter force at break ≥ 2.25 lbf for distal section and hub/catheter junction.Catheter force at break ≥2.25 lbf for distal section and hub/catheter junction.
    Particulate Test10 microns/mL, 70 microns.Less than 25 particles greater than 10 microns per ml volume and less than 3 particles less than 25 microns per ml volume. No particles greater than 70 microns.
    BiocompatibilityCytotoxicity - MEM Elution Assay (ISO 10993-5)Cell culture treated with test article exhibits slight reactivity (Grade 1) or less (non-cytotoxic).Cell culture treated with test article exhibited slight reactivity (Grade 1).
    Sensitization/Irritation - Kligman Maximization Test (ISO 10993-10)No reaction at challenge (0% sensitization) (weak allergic potential or sensitizing capacity).Extracts of the test article elicited no reaction at the challenge (0% sensitization) following the induction phase (Grade 1).
    Sensitization/Irritation - Intracutaneous Injection Test (ISO 10993-10)Extracts do not show significantly greater biological reaction than control sites (non-irritating).Extracts of the test article did not show a significantly greater biological reaction than the sites injected with the control article.
    Hemocompatibility - Rabbit Blood Direct and Indirect Contact (ISO 10993-4)Hemolysis index low (e.g.,
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    K Number
    K132083
    Date Cleared
    2013-10-28

    (115 days)

    Product Code
    Regulation Number
    870.3300
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    MICRO VENTION, INC.

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

    The AZUR PURE is intended to reduce or block the rate of blood flow in vessels of the peripheral vasculature. It is intended for use in the interventional radiologic management of arteriovenous malformations, arteriovenous fistulae, aneurysms, and other lesions of the peripheral vasculature.

    Device Description

    The AZUR PURE Peripheral Coil System, Pushable 35, consists of an implantable all-polymer coil housed in an introducer. A stainless steel stylet is used to deploy the coil from the introducer into a delivery catheter. The coil is delivered to the treatment site through the delivery catheter using a standard guidewire.

    AI/ML Overview

    The provided document describes a 510(k) submission for a design modification to the AZUR PURE Peripheral Coil System, specifically the addition of an "Overcoil." This type of submission relies on demonstrating substantial equivalence to a predicate device rather than conducting new clinical studies to prove device performance against specific acceptance criteria.

    Therefore, the information requested regarding acceptance criteria, study details, sample sizes, expert involvement, and ground truth establishment, which are typical for studies proving device performance, is not applicable or available in this summary. The submission focuses on verifying that the modified device's performance is equivalent to the predicate device through non-clinical testing.

    Here's a breakdown of why this information is not provided in the document:

    • Nature of 510(k) for design modification: Special 510(k)s for design modifications, like this one, aim to demonstrate that the changes do not raise new questions of safety and effectiveness. This is typically achieved by showing that the modified device performs similarly to a legally marketed predicate device through engineering tests and comparisons, rather than de novo clinical trials.
    • Focus on equivalence: The document explicitly states, "The subject of this submission are substantially equivalent to the predicate device with regard to intended use, patient population, device design, materials, processes, and operating principal." This is the core argument of the submission.

    Analysis based on the provided text:

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

    Verification & Validation TestAcceptance CriteriaReported Device Performance
    Simulated UseSame as predicateMet same criteria as predicate
    Advancement ForceSame as predicateMet same criteria as predicate
    Tensile Strength at glue jointSame as predicateMet same criteria as predicate
    Expansion CharacteristicsSame as predicateMet same criteria as predicate

    Explanation: The "acceptance criteria" for the modified device were to "Met same criteria as predicate." The actual quantitative criteria for the predicate device themselves are NOT provided in this document. The "reported device performance" is simply that the modified device met these (unspecified) criteria.

    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 specified.
    • Data provenance: Not specified. This would typically be non-clinical, in-vitro testing rather than human data.

    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)

    • Number of experts: Not applicable. These are engineering/performance tests, not human-read clinical evaluations.
    • Qualifications of experts: Not applicable.

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

    • Adjudication method: Not applicable. This refers to consensus among human readers for clinical ground truth, which is not relevant here.

    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

    • MRMC study: No, an MRMC study was not done. This is a non-clinical device modification submission, not an AI efficacy study.
    • Effect size: Not applicable.

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

    • Standalone study: Not applicable. This device is not an algorithm, but a physical medical device. The "standalone" performance here would refer to the device's physical and mechanical capabilities. The Verification & Validation test summary (Simulated Use, Advancement Force, Tensile Strength, Expansion Characteristics) can be considered "standalone" in this context, demonstrating the device's functional performance.

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

    • Type of ground truth: The "ground truth" for these engineering tests would be derived from established engineering specifications, mechanical testing standards, and the validated performance characteristics of the predicate device. For example, a tensile strength test would have a pre-defined pass/fail threshold based on the predicate.

    8. The sample size for the training set

    • Sample size: Not applicable. This is not an AI/machine learning device that requires a training set.

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

    • Ground truth establishment: Not applicable.
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    K Number
    K121785
    Date Cleared
    2012-08-10

    (53 days)

    Product Code
    Regulation Number
    870.4450
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    MICRO VENTION, INC.

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

    For use in the blood vessels of the peripheral and neurovasculature where temporary occlusion is desired. These catheters offer a vessel selective technique of temporary vascular occlusion which is useful in selectively stopping or controlling blood flow and for balloon assisted embolization of intracranial aneurysms.

    For use in the peripheral vasculature for the infusion of diagnostic agents, such as contrast media, and therapeutic agents, such as embolization materials.

    For neurovascular use for the infusion of diagnostic agents, such as contrast media, and therapeutic agents, such as embolization materials, that have been approved or cleared for use in the neurovasculature and are compatible with the inner diameter of the Scepter C/XC Balloon Catheter.

    Device Description

    The Scepter C and XC Occlusion Balloon Catheter is a dual coaxial lumen catheter with a nondetachable low inflation pressure compliant balloon attached to the distal end of the catheter. The catheter is designed to track over a steerable guidewire. The inner lumen can be used for infusion/delivery of diagnostic and therapeutic agents. The outer lumen is used for the inflation and deflation of the balloon independent of guidewire position. Radiopaque marker bands are located at ends of the balloon and distal tip of the catheter to facilitate fluoroscopic visualization. The outer surface of the catheter is coated with a hydrophilic polymer to increase lubricity. A luer fitting on the microcatheter hub is used for the attachment of accessories. The catheters are packaged sterile for single use only.

    AI/ML Overview

    The Scepter C and XC Occlusion Balloon Catheter is intended for temporary occlusion in peripheral and neurovasculature, controlling blood flow for balloon-assisted embolization of intracranial aneurysms, and infusing diagnostic and therapeutic agents in peripheral and neurovascular applications.

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

    1. Table of Acceptance Criteria and Reported Device Performance:

    The document describes pre-clinical testing performed on the Scepter C and XC Occlusion Balloon Catheter. The acceptance criterion for each test is implicitly "Pass," indicating that the device must meet the specified performance standards for each category.

    Acceptance Criteria (Implied)Reported Device Performance
    Visual Inspection must passPass
    Tensile strength must passPass
    Leakage (liquid and air) must passPass
    Static and dynamic burst pressure must passPass
    Simulated use must passPass
    Catheter flexural fatigue must passPass
    Compatibility with diagnostic and therapeutic agents must passPass
    Delivery of embolization materials (i.e. Onyx®) must passPass
    Balloon testing (burst, compliance, deflation time, fatigue) must passPass
    DMSO Compatibility must passPass
    Biocompatibility testing (Cytotoxicity, Sensitization/Irritation, Hemocompatibility, Systemic Toxicity) must passPass

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

    The document does not explicitly state the sample sizes used for each pre-clinical test. The testing is referred to as "Pre-clinical Testing," which typically involves laboratory-based assessments rather than human or animal studies with large sample sizes.

    • Sample Size for Test Set: Not explicitly stated.
    • Data Provenance: The document does not specify the country of origin for the data or whether the studies were retrospective or prospective. Given it's pre-clinical testing for a 510(k) submission, it's virtually certain to be prospective, laboratory-based testing conducted by the manufacturer, MicroVention, Inc., based in Tustin, California, U.S.A.

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

    Not applicable. For pre-clinical engineering and biocompatibility tests, ground truth is established by standardized test methods and criteria, not by expert consensus on clinical images or patient outcomes. The "ground truth" is defined by the physical or chemical properties being measured against established regulatory standards (e.g., ISO standards for biocompatibility).

    4. Adjudication Method for the Test Set:

    Not applicable. Adjudication methods like 2+1 or 3+1 are used in clinical trials or image interpretation studies where there's variability in expert assessment. For pre-clinical engineering tests, results are typically objective measurements against defined pass/fail criteria.

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

    No, a Multi-Reader Multi-Case (MRMC) comparative effectiveness study was not done. This type of study is relevant for evaluating diagnostic devices, especially those involving human interpretation of medical images (e.g., radiologists reading scans with and without AI assistance). The Scepter C and XC Occlusion Balloon Catheter is an interventional device, not a diagnostic one.

    6. Standalone (Algorithm Only) Performance Study:

    No, a standalone (algorithm only) performance study was not done. This type of study is specifically for evaluating the performance of AI algorithms without human intervention. The Scepter C and XC Occlusion Balloon Catheter is a physical medical device, not an AI algorithm.

    7. Type of Ground Truth Used:

    The ground truth used for these pre-clinical tests is based on engineering specifications, standardized test methods, and regulatory requirements (e.g., ISO 10993 for biocompatibility). For example, "Tensile strength Pass" implies the device met a pre-defined tensile strength threshold established by engineering design and industry standards; "Cytotoxicity (ISO 10993-5) Pass" means the device met the criteria outlined in that specific ISO standard for cytotoxicity.

    8. Sample Size for the Training Set:

    Not applicable. The Scepter C and XC Occlusion Balloon Catheter is a physical medical device, not an AI/ML algorithm that requires a training set.

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

    Not applicable, as there is no training set for this device.

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    K Number
    K120630
    Date Cleared
    2012-03-28

    (27 days)

    Product Code
    Regulation Number
    870.3300
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    MICRO VENTION, INC.

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

    The AZUR Peripheral Coil System is intended to reduce or block the rate of blood flow in vessels of the peripheral vasculature. It is intended for use in the interventional radiologic management of arteriovenous malformations, arteriovenous fistulae, aneurysms, and other lesions of the peripheral vasculature.

    Device Description

    The AZUR Peripheral Coil System - Detachable 18 Coils are designed in the helical structure in various diameter and lengths. The coils are comprised of platinum alloy that are wound around the mandrels to form into the helical shape. The implant segment is then attached to the delivery pusher. The pusher is inserted into detachment controller which when activated detaches the coil from the delivery pusher. The detachment controller utilizes battery power to detach the coils from the delivery pusher. The coils are specified to be delivered through a microcatheter with a minimum inner diameter of 0.021" (0.053 mm).

    AI/ML Overview

    The sponsor, MicroVention, Inc., submitted an amendment to their 510(k) for the AZUR Peripheral Coil System - Detachable 18. This device is a vascular embolization device intended to reduce or block blood flow in peripheral vasculature. The device has the same indications for use as predicate devices, MicroVention AZUR Detachable 18 HydroCoil (K090168) and AZUR Pushable 35 (K071939). In conclusion, the AZUR Peripheral Coil System - Detachable 18 is substantially equivalent to legally marketed predicate devices.

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

    Bench TestingAcceptance CriteriaReported Device Performance
    Dimensional MeasurementMet established criteriaMet established criteria
    TrackingMet established criteriaMet established criteria
    Repositioning / DeploymentMet established criteriaMet established criteria
    Detachment TestMet established criteriaMet established criteria

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

    Not applicable. The provided text details bench testing, not clinical studies with patients.

    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. Ground truth for bench testing is typically based on engineering specifications and measurement standards, not expert clinical interpretation.

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

    Not applicable. This information is relevant for clinical studies with subjective assessments, not for bench 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 vascular embolization device, not an AI-assisted diagnostic tool for human readers.

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

    Not applicable. This device 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 bench testing was based on "established criteria," which likely refers to engineering specifications, design parameters, and established industry standards for dimensional accuracy, device tracking, repositioning/deployment functionality, and detachment effectiveness.

    8. The sample size for the training set

    Not applicable. This information is not relevant for the type of bench testing described.

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

    Not applicable. This information is not relevant for the type of bench testing described.

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    K Number
    K113698
    Date Cleared
    2012-01-13

    (28 days)

    Product Code
    Regulation Number
    870.4450
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    MICRO VENTION, INC.

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

    The Scepter XC Occlusion Balloon Catheter is intended for use in the peripheral and neurovasculature where temporary occlusion is desired. The balloon catheter provides temporary vascular occlusion which is useful in selectively stopping or controlling blood flow. The balloon catheter also offers balloon assisted embolization of intracranial aneurysms.

    Device Description

    The Scepter XC Occlusion Batheter is a dual coaxial lumen catheter with a nondetachable low inflation pressure compliant balloon attached to the distal end of the catheter. The catheter is designed to track over a steerable guidewire. Radiopaque marker bands are located at ends of the balloon and distal tip of the catheter to facilitate fluoroscopic visualization. The outer surface of the catheter is coated with a hydrophilic polymer to increase lubricity. A luer fitting on the microcatheter hub is used for the attachment of accessories. The catheters are packaged sterile for single use only.

    AI/ML Overview

    The provided document describes a 510(k) premarket notification for the Scepter XC Occlusion Balloon Catheter, seeking substantial equivalence to a predicate device. This type of submission relies on demonstrating that the new device is as safe and effective as a legally marketed predicate device, rather than performing de novo clinical trials to establish efficacy and safety from scratch. Therefore, the information typically found in a study proving a device meets acceptance criteria (like specific performance metrics from a clinical study, sample sizes for test/training sets, expert qualifications, adjudication methods, or MRMC studies) is not present in this document.

    Instead, the submission focuses on non-clinical performance testing to demonstrate that the new device performs comparably to the predicate and meets design specifications.

    Here's an analysis based on the provided text, addressing the requested points where possible, and noting where information is not applicable or not provided in a 510(k) summary of this nature:

    1. Table of Acceptance Criteria and Reported Device Performance:

    The document provides a table of "Pre-clinical Testing" with "Pass" as the result for each test. This indicates that the device met the internal acceptance criteria for these engineering and performance tests, which are typically designed to ensure safety and functionality. However, the specific quantitative acceptance criteria for each test (e.g., "Tensile strength must be > X Newtons") are not explicitly stated in this summary, only the outcome "Pass."

    Pre-clinical TestingAcceptance Criteria (Implicit - met design specs)Reported Device Performance
    Surface and physical attributesMet internal design specificationsPass
    Tensile strengthMet internal design specificationsPass
    Leakage (liquid and air)Met internal design specificationsPass
    Static and dynamic burst pressureMet internal design specificationsPass
    Simulated useMet internal design specificationsPass
    Compatibility with devicesMet internal design specificationsPass
    Kink resistanceMet internal design specificationsPass
    Catheter flexural fatigueMet internal design specificationsPass
    Hydrophilic coatingMet internal design specificationsPass
    Hub testingMet internal design specificationsPass
    Torque testingMet internal design specificationsPass
    Balloon testing - burst, compliance, deflation time, fatigueMet internal design specificationsPass
    Biocompatibility testing (ISO 10993-1)Met ISO 10993-1 standardsPass

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

    • Test Set Sample Size: Not applicable in the context of clinical performance testing for this 510(k) submission. The "test set" here refers to physical devices undergoing pre-clinical engineering tests. The sample sizes for these specific tests are not provided in this summary.
    • Data Provenance: The device is submitted by MicroVention, Inc., based in Tustin, California, U.S.A. The pre-clinical testing would have been conducted by or for MicroVention.

    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 this submission focuses on pre-clinical engineering and performance testing, not a clinical study involving expert interpretation of data or images to establish a diagnostic ground truth.

    4. Adjudication Method for the Test Set:

    • This information is not applicable for the same reason as point 3. Adjudication methods are relevant for clinical studies where multiple reviewers assess outcomes or diagnoses.

    5. If a Multi Reader Multi Case (MRMC) Comparative Effectiveness Study was Done:

    • No, an MRMC comparative effectiveness study was not done or described in this 510(k) summary. This type of study is typically conducted for diagnostic imaging devices to compare human reader performance with and without AI assistance, which is outside the scope of this device (an occlusion balloon catheter).
    • Effect Size of Human Readers Improve with AI vs without AI assistance: Not applicable as no MRMC study or AI component is described.

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

    • No, this information is not applicable. The Scepter XC Occlusion Balloon Catheter is a physical medical device, not a diagnostic algorithm or AI system. Therefore, "standalone algorithm performance" is not relevant.

    7. The Type of Ground Truth Used:

    • For the pre-clinical tests, the "ground truth" equates to pre-defined engineering specifications and international standards (e.g., ISO 10993-1 for biocompatibility). The device either met these specifications ("Pass") or it did not. This is not clinical ground truth (like pathology or outcomes data).

    8. The Sample Size for the Training Set:

    • This information is not applicable. There is no "training set" in the context of this device, as it is a physical medical device and not an AI or machine learning system that requires data for training.

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

    • This information is not applicable for the same reason as point 8.

    In summary:

    This 510(k) submission for the Scepter XC Occlusion Balloon Catheter primarily relies on demonstrating substantial equivalence to a predicate device (Scepter C Occlusion Balloon Catheter, K110741) through pre-clinical engineering and performance testing. The "acceptance criteria" were internal design specifications and relevant international standards for medical devices, which the new device "passed." The submission does not involve clinical studies with human participants, expert ground truth establishment, or AI algorithm performance evaluations, which are typically associated with the other questions.

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