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510(k) Data Aggregation

    K Number
    K242255
    Manufacturer
    Date Cleared
    2025-04-29

    (272 days)

    Product Code
    Regulation Number
    880.5440
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    Qitexio® 4-Way Stopcock is intended to serve as a flow control and delivery device for I.V. fluids injection to the patient's vascular system. The device is indicated for medium pressure injection of fluids. It is also used for delivery of Lipiodol® (Ethiodized Oil) injection. It is intended for single use only. The device is not indicated for use in infusion.

    Device Description

    Qitexio® 4-Way Stopcock is intended to serve as a flow control and delivery device for I.V. fluids injection to the patient's vascular system. Qitexio® 4-Way Stopcock is not intended to facilitate bi-directional flows, thus is not designed to be used in infusion. Qitexio® 4-Way Stopcock is designated for single use only (disposable) and is MR safe. Qitexio® 4-Way Stopcock is robust under medium pressure and is verified to be used for Lipiodol (Ethiodized oil) delivery.

    Qitexio® 4-Way Stopcock is made of a body with four ports (3 female and one male) and one handle with a L-Shape diverter. The L-shaped diverter opens two neighboring ports at the same time, creating a L-shaped communication channel. The male connector includes a mobile ring assembled on the end of male port, and it enables connection locking over female Luer. A small amount of lubricant is applied on the handle stem before placing it in the Stopcock body. The neighboring female port(s) is connected to the I.V. set to accept the delivered drug or fluid. One female port, that is on the opposite side of the male port, does not directly communicate with the patient (male port). This extra port is designed to enable users to inject multiple I.V. fluids, if needed.

    The operating mechanism is manual and with a simple twisting handle position to determine direction of the fluids. Qitexio® 4-Way Stopcock has only two ports communicating at a time.

    AI/ML Overview

    This document is a 510(k) clearance letter for the Qitexio® 4-Way Stopcock, a physical medical device (an intravascular administration set), not an AI/Software as a Medical Device (SaMD).

    Therefore, many of the requested criteria related to AI/SaMD performance studies (e.g., sample size for test/training sets, ground truth establishment for AI, expert adjudication, MRMC studies, standalone performance) are not applicable to this type of device submission.

    The document primarily focuses on demonstrating substantial equivalence to a predicate device through:

    • Bench testing: Verifying physical properties, mechanical integrity, and resistance to fluids.
    • Biocompatibility testing: Ensuring the materials are safe for patient contact.
    • Sterilization and packaging integrity testing: Confirming the device remains sterile and its packaging intact.
    • User-related risk analysis: Assessing potential human factors issues.

    Below is an attempt to address your request based only on the information provided, highlighting why certain sections are not applicable to this physical device.


    Acceptance Criteria and Device Performance for Qitexio® 4-Way Stopcock

    As the Qitexio® 4-Way Stopcock is a physical medical device, not a software or AI-based device, the concept of "acceptance criteria" and "device performance" in this context refers to meeting established engineering, material, and safety standards rather than diagnostic accuracy or algorithmic performance metrics. The information provided in the 510(k) summary focuses on demonstrating that the device meets these standards and is substantially equivalent to a legally marketed predicate device.

    1. Table of Acceptance Criteria and Reported Device Performance

    The 510(k) summary does not present a single, consolidated table of quantitative acceptance criteria with specific performance values. Instead, it refers to compliance with recognized consensus standards (e.g., ISO, ASTM, USP) and internal criteria. The "Conclusions" column in Table 2 (Performance Testing) serves as the "reported device performance" by stating that the test results were "satisfactory for the requirements" or "compliant with Medex internal criteria."

    Here's an attempt to synthesize the closest equivalent based on the provided text, focusing on the key performance attributes mentioned:

    Type of Performance Test / Acceptance Criteria CategorySpecific Acceptance Criteria (Inferred from standards/statements)Reported Device Performance (as stated in document)
    Mechanical PerformanceBore connectors (Luer Lock standard): Compliance with ISO 80369-7, ISO 80369-20."The test results are satisfactory for the requirements."
    Stopcock Body Pressure Withstand: Compliance with ISO 80369-7, ISO 80369-20. Max pressure resistance of 550 psi."The test results are satisfactory for the requirements." Device withstands "medium pressure up to 500 psi" (in direct comparison to predicate) and "Up to 550 psi" (under its own specifications).
    Mechanical resistance to Lipiodol: Maintenance of physical performance (breakaway torque, mean torque, withstands pressure, stop resistance torque) after 24h exposure to Lipiodol."Lipiodol® analysis report is compliant with the Medex internal criteria." "maintains its physical performance characteristics after 24 hrs of exposure to Lipiodol®."
    Stopcock Lever Rotation & Tightness: Verification of breakaway torque and mean torque during rotation."Verification results met the Medex internal criteria."
    Sterilization & Package IntegritySterile Barrier Integrity: Compliance with ISO 11607-1, ASTM F1980-21, ASTM F1886/F1886M-16."The test results are satisfactory for the requirements."
    Microbiological Validation of Sterilization: Compliance with ISO 11137-1, ISO 11137-2, ISO 11737-1, ISO 11737-2."The test results are satisfactory for the requirements."
    BiocompatibilityCytotoxicity: Compliance with ISO 10993-5."The test results are satisfactory for the requirements."
    Irritation & Sensitization: Compliance with ISO 10993-10.(No specific conclusion stated, but implies compliance as part of overall biocompatibility)
    Acute Systemic Toxicity: Compliance with ISO 10993-11.(No specific conclusion stated, but implies compliance as part of overall biocompatibility)
    Hemocompatibility: Compliance with ISO 10993-4, ISO 10993-12, ASTM F756-17.(No specific conclusion stated, but implies compliance as part of overall biocompatibility)
    Chemical Characterization (Extractables): Compliance with ISO 10993-17, ISO 10993-18, ISO/TS 10993-19.(No specific conclusion stated, but implies compliance as part of overall biocompatibility)
    Material-mediated pyrogen: Compliance with USP<151>.(No specific conclusion stated, but implies compliance as part of overall biocompatibility)
    Particulate ContaminationCompliance with USP<788>."The test results are satisfactory for the requirements."
    PyrogenicityBacterial Endotoxins: Compliance with USP <85>, ANSI/AAMI ST72."The test results are satisfactory for the requirements."
    TransportationSimulated Transportation Study: Compliance with ISTA 3A-2018."The test results are satisfactory for the requirements."
    User Related Risk AnalysisNo use-related critical task identified per IEC 62366-1 and FDA Guidance "Human Factors and Usability Engineering to Medical Devices.""No Use-related critical task was identified due to differences between the predicate and the Qitexio® 4-Way Stopcock."
    Shelf LifeVerified by accelerated and real-time aging for 3 years."The shelf life of the subject device has been verified... 3 years."

    Information Not Applicable to This Device Type (Physical Medical Device)

    The following points are not applicable to this 510(k) submission as it pertains to a physical, non-AI/software medical device. If this were an AI/SaMD, this information would be critical.

    • 2. Sample size used for the test set and the data provenance: Not applicable. Performance testing for a physical device refers to bench testing on physical samples, not a data test set for an algorithm. There is no "data provenance" in the sense of clinical data from patients.
    • 3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts: Not applicable. Ground truth for a physical device is established through engineering and laboratory standards and measurements, not expert consensus on clinical data.
    • 4. Adjudication method (e.g. 2+1, 3+1, none) for the test set: Not applicable. Adjudication is for resolving discrepancies in expert labeling of data, which is irrelevant for physical device 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. MRMC studies are used for evaluating the impact of AI on human reader performance, which doesn't apply to a mechanical stopcock.
    • 6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done: Not applicable. This refers to AI algorithm performance, not a physical device.
    • 7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.): Not applicable. Ground truth for this device is based on established engineering and material science standards (e.g., "Luer Lock standard," "ISO," "ASTM," "USP" requirements).
    • 8. The sample size for the training set: Not applicable. There is no "training set" for a physical medical device.
    • 9. How the ground truth for the training set was established: Not applicable. No training set for a physical medical device.
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    K Number
    K231856
    Manufacturer
    Date Cleared
    2024-03-15

    (266 days)

    Product Code
    Regulation Number
    880.5860
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    TopFine® LDS (Low Dead Space) Syringe is intended for use to inject fluid into or withdraw fluids from the parts of body below the surface of the skin.

    Device Description

    The TopFine® LDS (Low Dead Space) Syringe is a device intended for medical purposes that consists of a calibrated hollow barrel and a movable plunger. At one end of the barrel there is a hypodermic single lumen needle which is a permanently attached. The device is used to inject fluids into, or withdraw fluids from, the body. It is made of plastic and silicone materials that allows for smooth plunger movement, and is manually operated. This is a single-use device. This product is packed by sterile paper and sterilized by Ethylene Oxide gas.

    The proposed device has 2 models depending on the diameter of the needle.

    AI/ML Overview

    The provided document is a 510(k) premarket notification for a medical device, specifically a syringe. It does not contain information about an Artificial Intelligence/Machine Learning (AI/ML) device. Therefore, it is not possible to describe acceptance criteria or a study related to AI/ML device performance.

    The document focuses on demonstrating substantial equivalence of the "TopFine® LDS (Low Dead Space) Syringe" to a predicate syringe through various performance tests and material comparisons.

    Here's an analysis based on the information provided, specifically addressing the technical performance of the syringe, not AI/ML:

    Acceptance Criteria and Reported Device Performance (Non-AI/ML Syringe)

    The document details various performance criteria for the syringe. There isn't a single table explicitly labeled "Acceptance Criteria and Reported Device Performance" with detailed numerical results for each criterion. However, the "Comparison of technological characteristics with the predicate device" section (page 5) and "Performance data" section (page 7) implicitly define the acceptance criteria by stating compliance with recognized standards and providing general results.

    Here's an attempt to construct a table based on the provided information, focusing on criteria where reported performance is available, even if only generally stated as "Same" or "Complies."

    Acceptance Criteria CategorySpecific Criteria / StandardAcceptance Criteria (Expected/Reference)Reported Device Performance (TopFine® LDS Syringe)
    General CharacteristicsRegulation Number21 CFR 880.5860Same (21 CFR 880.5860)
    Product CodeQNQSame (QNQ)
    Indications for UseIntended for use to inject fluid into or withdraw fluids from the parts of body below the surface of the skin.Same
    Type of usePrescription UseSame
    Mechanism of actionPlunger can be pulled and pushed along inside the barrel, allowing the syringe to take in and expel fluids through the connector to the patient.Same
    Number of usesSingle Use OnlySame
    Material (Needle)SUS 304Same (SUS 304)
    Material (Cap)PolypropyleneSame (Polypropylene)
    Material (Barrel)PolypropyleneSame (Polypropylene)
    Material (Plunger)PolypropyleneSame (Polypropylene)
    Material (Gasket)PolyisopreneSame (Polyisoprene)
    Needle Gauge23G, 25GSame (23G, 25G)
    Needle OD (23G)0.600 ~ 0.673 mmSame (0.600 ~ 0.673 mm)
    Needle OD (25G)0.500 ~ 0.530 mmSame (0.500 ~ 0.530 mm)
    Syringe nozzle typePermanently attachedSame
    Syringe capacity1 mlSame (1 ml)
    Performance - BiocompatibilityISO 10993-1 ClassificationExternally Communicating Device, Blood Path Indirect, Limited Contact (<24hours)Device classified the same.
    CytotoxicityComplies with ISO 10993-1Testing conducted and met criteria (implied by "following testing was conducted").
    SensitizationComplies with ISO 10993-1Testing conducted and met criteria.
    IrritationComplies with ISO 10993-1Testing conducted and met criteria.
    Acute Systemic ToxicityComplies with ISO 10993-1Testing conducted and met criteria.
    Material Mediated PyrogenicityComplies with ISO 10993-1Testing conducted and met criteria.
    HemolysisComplies with ISO 10993-1Testing conducted and met criteria.
    Particulate MatterUSP <788> acceptance criteriaMet USP acceptance criteria.
    Performance - PhysicalNeedle Length (23G, 25G)Predicate: 25.0 mm, 25.4 mm, 38.1 mmProposed: 26.5 mm (+1.5 / -2.5 mm) - Different, but performance verified.
    Hub/needle bond strength (23G)≥ 34 N (ISO 7864)Same (≥ 34 N)
    Hub/needle bond strength (25G)≥ 22 N (ISO 7864)Same (≥ 22 N)
    Dead space≤ 0.03 mlSame (≤ 0.03 ml)
    Performance Needle StandardISO 7864:2016Same (ISO 7864:2016)
    Needle Tubing StandardISO 9626:2016Same (ISO 9626:2016)
    Syringe StandardISO 7886-1:2017Same (ISO 7886-1:2017)
    Performance - SterilitySterilization MethodEO Gas, SAL=10-6Same (EO Gas, SAL=10-6)
    EO ResidueNot detected (LOD: 0.001)EO not detected.
    ECH ResidueNot detected (LOD: 0.02)ECH not detected.
    Pyrogen TestBacterial endotoxin USP <161>, USP <85>Testing conducted and met criteria.
    Package Integrity (ASTM D4169-22)Acceptable for protection and sterility maintenance after environmental conditioning and simulated transportation.All packaging is acceptable.
    Seal Peel TestComplies with ASTM F88/F88 -15Performed.
    Dye MigrationComplies with ASTM F1929-15Performed.
    Shelf Life3 years (validated using ASTM F1980-21)3 years validated.
    LabelingComplianceComplies with 21 CFR part 801Same (Complies with 21 CFR part 801)

    Since this is concerning a non-AI/ML medical device, the following points are not applicable or cannot be answered from the provided text:

    1. 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 specify exact sample sizes for each physical or biological test. It only mentions that tests were "conducted."
      • Data provenance (country of origin, retrospective/prospective) is not mentioned for the testing data.
    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)

      • Not applicable as this is not an AI/ML device requiring expert ground truth for image/data interpretation. This refers to standard performance testing.
    3. Adjudication method (e.g. 2+1, 3+1, none) for the test set

      • Not applicable. Adjudication methods are typically for clinical studies involving human interpretation or AI/ML output.
    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/ML device. "Clinical studies were not required to support substantial equivalence."
    5. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

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

      • For the syringe, "ground truth" would be established by direct physical measurements, chemical analyses, and biological assays according to the specified international and national standards (e.g., ISO, USP, ASTM). For example, the "dead space" measurement itself would be the ground truth for that specific characteristic, and the acceptance criterion is a predefined maximum value (≤ 0.03 ml).
    7. The sample size for the training set

      • Not applicable. This is not an AI/ML device with a training set.
    8. How the ground truth for the training set was established

      • Not applicable. This is not an AI/ML device.

    In summary, the document addresses a traditional medical device (syringe) and demonstrates its substantial equivalence to a predicate device through adherence to manufacturing standards, material comparisons, and performance testing against established physical, chemical, and biological criteria, rather than through AI/ML performance metrics.

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    K Number
    K203738
    Device Name
    Qitexio
    Manufacturer
    Date Cleared
    2022-03-14

    (447 days)

    Product Code
    Regulation Number
    880.5860
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    Qitexio Luer Lock Syringes are manual devices used to inject fluids into the body. They are also used for delivery of Lipiodol (Ethiodized Oil) Injection.

    Device Description

    Medex, a subsidiary of Guerbet Group, designed and manufactures the Qitexio® Luer Lock Syringe, a disposable, handheld syringe available in 3 different volumes (1, 3 and 20 mL). Oitexio® Syringes are standard syringes which are verified to endure the potentially damaging chemical effects of Lipiodol® (Ethiodized Oil), an oil-based contrast media manufactured by Guerbet.

    Qitexio® Luer Lock Syringes are manual devices used to inject fluids into the body. Qitexio® Syringes are also used for delivery of Lipiodol® (Ethiodized Oil) Injection.

    They are single-use devices, sterilized by gamma radiation.

    Standard five-piece piston syringe constructed with a clear hollow barrel into which is inserted a closely fitting movable plunger, O-Ring, rotative finger flange, and backstop. Fitting offered with male luer lock.

    AI/ML Overview

    This document describes the premarket notification (510(k)) for the Qitexio Luer Lock Syringes, a medical device. The information provided heavily focuses on proving the substantial equivalence of the new device to a predicate device, the Merit Syringe (K173601).

    The acceptance criteria for this type of device (a piston syringe) are primarily defined by conformity to established FDA recognized consensus standards and a battery of performance, biocompatibility, and sterilization tests. The document does not describe an AI/ML-driven device or study. Therefore, some of the requested information regarding AI/ML study design, such as MRMC studies, ground truth establishment for training sets, and expert adjudication, are not applicable to this submission.

    Here's a breakdown of the acceptance criteria and proof, based on the provided text:


    1. Table of Acceptance Criteria and Reported Device Performance

    For the Qitexio Luer Lock Syringes, acceptance criteria are generally met by demonstrating conformity to recognized consensus standards and by passing specific performance tests. The document repeatedly states that the device "complies with" or "met the established acceptance criteria" for these standards and tests. Specific numerical performance results are not provided in this summary, as is common for 510(k) summaries which focus on demonstrating equivalence rather than presenting raw data.

    Acceptance Criteria CategorySpecific Criteria (Standard/Test)Reported Device Performance
    Performance TestingISO 7886-1 Sterile Hypodermic Syringes For Single Use - Part 1: Syringes For Manual UseComplies; specific for Lipiodol® (Ethiodized Oil) Injection delivery.
    ISO 80369-7 Small-bore connectors for liquids and gases in healthcare applications — Part 7: Connectors for intravascular or hypodermic applicationsComplies.
    Functional performance testing (with preconditioning: double sterilization, accelerated/real-time aging)Met established criteria; performs as intended.
    BiocompatibilityISO 10993 Biological Evaluation of Medical Devices (Cytotoxicity, Irritation, Sensitization, Acute Systemic Toxicity, Hemolysis, Material-Mediated Pyrogenicity, Chemical Characterization)Non-toxic, biocompatible for intended use; all tests passed.
    USP <788> Particulate Matter in Injections (Method 1 Light Obscuration Particle Count)Met USP <788> 1B acceptance criteria (for ≤ 100 mL volume).
    SterilizationISO 11137-1:2006 (Sterilization, Validation, and Routine Control of a Sterilization Process for Medical Devices)Validated sterilization cycle; SAL 10-6 achieved; dose 25-50 kGy.
    ISO 11137-2:2013 (Establishing the Sterilization Dose)Determined 25 kGy requirement.
    USP 39 -NF 34 and European Pharmacopoeia (9th Edition) requirements for Material-mediated PyrogenicityConfirmed non-pyrogenicity (Rabbit Pyrogen study).
    Limulus Amebocyte Lysate (LAL) test for Bacterial endotoxinsMet criteria: < 20 endotoxin units. Device non-pyrogenic.
    Package IntegrityASTM F 1886/F 1886 M (Visual Inspection)Passed (after max dose sterilization; and after max dose + ISTA 3A).
    ISO 11607-1 (Peel Characteristics, Peel Test)Passed (after max dose sterilization; and after max dose + ISTA 3A).
    ASTM F 88/F 88 M (Peel Test)Passed (after max dose sterilization; and after max dose + ISTA 3A).
    ASTM F 1929 (Dye Test)Passed (after max dose sterilization).
    ASTM F 2096 (Bubble test)Passed (after max dose + ISTA 3A Simulated Transportation).
    Shelf-LifeDevice functionality and package integrity after 3 years aging (real-time or accelerated)Acceptable results supporting a 3-year shelf-life.

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

    The document does not specify the exact sample sizes (number of syringes) used for each individual test (e.g., performance, biocompatibility). It mentions "samples" or "representative device samples" were used.

    • Data Provenance: Not explicitly stated regarding country of origin for the test data. However, the manufacturer is Medex, a subsidiary of Guerbet Group, located in France. The testing was conducted to comply with international standards (ISO, ASTM, USP, European Pharmacopoeia) recognized by the FDA for market clearance in the US.
    • Retrospective or Prospective: The testing described is prospective, conducted specifically to gain regulatory clearance for the device.

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

    • Not Applicable. This submission is for a physical medical device (Piston Syringe), not an AI/ML diagnostic tool requiring expert interpretation as ground truth for a test set. The "ground truth" for this device's performance is established by objective measurements against engineering and biological standards.

    4. Adjudication Method for the Test Set

    • Not Applicable. As above, this is not an AI/ML diagnostic tool requiring human adjudication of subjective interpretations.

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

    • No. This type of study is typically performed for imaging or diagnostic AI/ML devices where the AI assists human readers. It is not relevant for a Piston Syringe.

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

    • Not Applicable. This is not an algorithm or software device. The "performance" is that of the physical syringe itself.

    7. The Type of Ground Truth Used

    The "ground truth" for this device's performance and safety is established through:

    • Conformity to recognized consensus standards (e.g., ISO 7886-1 for syringe function, ISO 10993 for biocompatibility, ISO 11137 for sterilization).
    • Objective bench testing measurements (e.g., particulate counts, endotoxin levels, peel force, functional performance like fluid injection).
    • Biological assay results (e.g., cytotoxicity, irritation, pyrogenicity).
    • Material characterization to ensure compatibility with intended fluids (e.g. Lipiodol).

    8. The Sample Size for the Training Set

    • Not Applicable. This is not an AI/ML device that requires a "training set."

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

    • Not Applicable. As this is not an AI/ML device, there is no training set or associated ground truth establishment. Device design and manufacturing processes are validated through engineering principles and quality system regulations (21 CFR Part 820).
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    K Number
    K172095
    Device Name
    Autokeeper
    Manufacturer
    Date Cleared
    2018-07-24

    (378 days)

    Product Code
    Regulation Number
    880.5570
    Reference & Predicate Devices
    N/A
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    Autokeeper® Safety Pen Needle is intended for use with pen injector devices for the subcutaneous injection of insulin. Additionally, the attached safety shield automatically locks in place and reduces the occurrence of accidental needle sticks from the patient end of the needle. The shield also serves to hide the needle before and after injection.

    Device Description

    Not Found

    AI/ML Overview

    This FDA letter is a 510(k) clearance for the Autokeeper® Safety Pen Needle. It primarily addresses regulatory compliance and substantial equivalence to a predicate device. It does not contain a detailed study report or acceptance criteria for device performance as would be found in a clinical study or detailed engineering report.

    Therefore, I cannot extract the requested information regarding acceptance criteria and performance study details from the provided text. This document is a regulatory approval letter, not a scientific study report.

    To provide the requested information, a different document, such as a summary of safety and effectiveness data or a clinical study report, would be necessary.

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    K Number
    K152410
    Manufacturer
    Date Cleared
    2016-02-02

    (160 days)

    Product Code
    Regulation Number
    880.5570
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    Top Fine® Pen Needle is intended for use with pen injector device for the subcutaneous injection of insulin.

    Device Description

    Top Fine® Pen Needles are single use, sterile, medical devices designed to be used in conjunction with pen injectors and pen cartridges. Pen needles are used by consumers, caregivers and health care professionals. They are offered in various gauge sizes (29G, 30G, 31G, 32G, 33G and 34G) and lengths (4mm, 5mm, 6mm, 8mm, 12mm). Top Fine® Pen Needles are sterile (EO gas sterilization), non-toxic and non-pyrogenic.

    Top Fine® Pen Needle assembly consists of hub, needle cap, sterile cap and sterile paper.

    AI/ML Overview

    The document provided describes the Top Fine® Pen Needle and its equivalence to a predicate device (Feel Fine Insulin Pen Needle). The acceptance criteria are based on bench testing to demonstrate equivalent performance to the predicate device.

    Here's a breakdown of the requested information:

    1. Table of acceptance criteria and the reported device performance

    Acceptance Criteria StudyStandard/MethodReported Device Performance (Top Fine® Pen Needle)
    Inside and outside dimensions of needlesNot specifiedCompliant (implied by overall conclusion of equivalence)
    Size designationNot specifiedCompliant (implied by overall conclusion of equivalence)
    Elasticity of the needle tubeISO 11608-2:2012Conforms to standard
    The flexural rigidityISO 11608-2:2012Conforms to standard
    Pull (referring to needle pull-out force)ISO 11608-2:2012Conforms to standard
    Lubricant (presence/effectiveness)ISO 7864:1993Conforms to standard
    Compatibility test (with pen injectors)Not specified (Specific compatible pens listed)Compatible with listed pens (BD Pen, FlexPen, HumalogPen, etc.)
    Needle dose accuracyNot specifiedCompliant (implied by overall conclusion of equivalence)
    Needle hub torque removalNot specifiedCompliant (implied by overall conclusion of equivalence)
    Endotoxin TestUSP 39: <85> Bacterial Endotoxin test and KP 11: <32> Endotoxin Test MethodCompliant (implied by overall conclusion of equivalence)
    SterilizationISO 11135: 2007 (EO Gas sterilization)Conforms to standard

    Notes:

    • The document explicitly states that the "principal device demonstrated equivalent performance to the predicate devices during bench testing" and that "The bench tests of Needles with 32G, 33G, 34G demonstrated conformances to ISO 11608-2 and ISO 7864." The general conclusion statement also implies compliance for other aspects.
    • For several criteria, specific numerical acceptance limits are not provided in the document, but compliance with the standards (ISO 11608-2, ISO 7864, ISO 11135, USP 39, KP 11) serves as the acceptance criteria.

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

    • Sample size for the test set: The document does not specify the exact sample sizes for each bench test conducted. It generally refers to "bench tests" being conducted.
    • Data provenance: The tests were conducted by MedExel Co., Ltd. in Korea (company address listed as "252, Geumgwangosan-ro, Geumgwang-myeon, Anseong-si, Gyeonggi-do, Korea"). The nature of bench testing implies the data would be prospective for the device being tested.

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

    Not applicable. The "ground truth" for a medical device like a pen needle typically refers to its physical and functional performance against established engineering and medical standards, not expert opinions or diagnoses. The "bench tests" are designed to objectively measure these parameters.

    4. Adjudication method for the test set

    Not applicable. As described above, the evaluation relies on objective measurements against engineering and medical standards, not subjective expert judgment 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 device is a hypodermic single lumen needle, not an AI-powered diagnostic tool. Therefore, MRMC effectiveness studies with human readers and AI assistance are not relevant to its evaluation.

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

    Not applicable. This device is a physical medical instrument, not an algorithm. Its performance is evaluated through physical and functional bench tests.

    7. The type of ground truth used

    The ground truth used is based on established engineering and medical device standards and objective physical and functional performance measurements. Specifically, the document mentions:

    • ISO 11608-2:2012 (Needle systems for medical use - Part 2: Needles for pen injectors)
    • ISO 7864:1993 (Sterile hypodermic needles for single use)
    • ISO 11135: 2007 (Sterilization of health care products - Ethylene oxide - Requirements for the development, validation and routine control of a sterilization process for medical devices)
    • USP 39: <85> Bacterial Endotoxin test
    • KP 11: <32> Endotoxin Test Method

    8. The sample size for the training set

    Not applicable. This device is a physical medical instrument, not an AI model requiring a training set.

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

    Not applicable. There is no training set for this type of device.

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    K Number
    K043419
    Date Cleared
    2005-04-15

    (123 days)

    Product Code
    Regulation Number
    880.5860
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    This device is a safety hypodermic syringe for intramuscular and subcutaneous injection of medication to patients. This device aids in prevention of needlestick injuries.

    Device Description

    The p&p Safety Syringe consists of a calibrated hollow barrel (which can contain the medication) and the distal end of the barrel has Luer Lock Tip. The needle can be changed depending on the required gauge, since the syringe is compatible with general needles. The Safety Cap can be moved back and forth as safety feature. The safety cap has a printing mark "LOCK LINE". The adaptor is colored with medical grade blue pigment . The plunger and gasket are the same shape as the conventional syringes. When user gives the intramuscular/subcutaneous injection, he/she pushes the knob of the plunger to the end. After completing the intramuscular/ subcutaneous injection, the user turns the safety cap to the left side, and then pushes it forward until the marking ("LOCK LINE") on the safety cap touches the bottom line of the blue adaptor in order to lock the safety cap and the adaptor. The blue color of the adaptor allows the user to distinguish the locking position clearly and easily. Then the safety cap can no longer be moved back and forth, thus preventing needlestick injury. Then the syringe can be disposed in the appropriate sharps container. This is a simple and elegant design which is highly reliable.

    AI/ML Overview

    The provided text describes a 510(k) submission for the "p&p Safety Syringe," seeking clearance based on substantial equivalence to a predicate device, the "SEZ safety syringe [K031163]". The document focuses on comparing the new device to the predicate device and does not contain detailed information about specific acceptance criteria or a dedicated study proving device performance against those criteria in a quantitative manner (e.g., sensitivity, specificity, accuracy, etc.) as might be found for a diagnostic algorithm.

    Instead, the "clinical investigation" mentioned is likely a human factors study or a performance study designed to demonstrate that the safety mechanism of the p&p Safety Syringe functions as intended and is comparable to or better than the predicate device in terms of preventing needlestick injuries, as per guidance documents like "Supplementary Guidance on Premarket Notifications for Medical Devices with Sharps Injury Prevention Features; Guidance for Industry and FDA."

    Given the information provided, here's a breakdown, with acknowledgements of missing details:

    1. Table of Acceptance Criteria and Reported Device Performance

    The acceptance criteria are not explicitly stated as quantitative targets (e.g., "must achieve X% reduction in needlestick injuries"). Instead, the primary "acceptance criterion" appears to be substantial equivalence to the predicate device, the SEZ safety syringe [K031163], in terms of:

    • Intended Use: Identical clinical application (intramuscular and subcutaneous injections, prevention of needlestick injuries).
    • Principle of Operation: While the mechanism of activation differs, the outcome (locking the needle to prevent injury) is equivalent. The provided text details the steps for each device's safety feature activation.
    • Performance Characteristics:
      • Volume: 3ml/cc (Identical)
      • Nozzle type: Male conical lock fitting (Luer Lock Tip) with rotatable internally threaded neck, functionally equivalent to the predicate's female conical lock fitting with rotatable internally threaded neck for needle attachment.
      • Barrel Marking: Conforms to ISO7886-1:1993(E) (Identical)
      • Reuse: Non-reusable (Identical)
      • Biocompatibility: Conforms to ISO 10993-1 (Identical)
      • Materials: Identical (Polypropylene, thermoplastic rubber, Medipeel film, Ethypel paper)
      • Sterility: Sterilized by ethylene oxide gas, SAL = 10-6 (Identical)

    The "reported device performance" is that "The results of the investigation showed that the p&p Safety Syringe is clinically acceptable" and "In all material respects, the p&p Safety Syringe is substantially equivalent to the predicate device." While not precise metrics, this is the reported performance against the overarching regulatory requirement of substantial equivalence.

    Acceptance Criteria (Implied by Substantial Equivalence to Predicate)Reported Device Performance (p&p Safety Syringe)
    Intended Use: Safety hypodermic syringe for intramuscular and subcutaneous injection, preventing needlestick injuries.Identical
    Volume (ml/cc): 33
    Nozzle type: Compatible with general needles, secure locking mechanism.Male conical lock fitting (Luer Lock Tip) with rotatable internally threaded neck, allowing for needle changes.
    Barrel Marking: Conforms to ISO7886-1:1993(E)Identical
    Reuse: Non-reusableIdentical
    Biocompatibility: Conforms to ISO 10993-1Identical
    Materials: Polypropylene, thermoplastic rubber, Medipeel film, Ethypel paper.Identical
    Sterility: Sterilized by ethylene oxide gas, SAL = 10-6Identical
    Needlestick Injury Prevention: Effective safety feature comparable to predicate."Clinically acceptable" and "Substantially equivalent" to predicate based on a clinical investigation guided by "Supplementary Guidance on Premarket Notifications for Medical Devices with Sharps Injury Prevention Features."

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

    The document mentions "A clinical investigation was performed," but does not specify the sample size used for the test set or the data provenance (e.g., country of origin, retrospective/prospective). This information would typically be detailed in the full study report, which is not provided here.

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

    This information is not provided in the document. For a medical device focused on safety features, "experts" might refer to healthcare professionals evaluating the ease of use and effectiveness of the safety mechanism.

    4. Adjudication Method for the Test Set

    This information is not provided.

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

    No, an MRMC comparative effectiveness study in the context of diagnostic AI (e.g., radiologists interpreting images with and without AI assistance) was not done. This submission is for a physical medical device (safety syringe), not a diagnostic algorithm. The "clinical investigation" mentioned would likely involve observational studies or human factors assessments of the syringe's physical safety mechanism.

    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 safety syringe, not a software algorithm.

    7. The Type of Ground Truth Used

    The "ground truth" for a safety syringe would primarily be established through:

    • Experimental testing: Verifying the mechanical function of the safety lock (e.g., does it consistently lock, can it be easily unlocked unintentionally).
    • Human factors evaluation/clinical observation: Assessing whether healthcare professionals can effectively activate the safety mechanism in a clinical setting and if it demonstrably reduces the risk of needlestick injuries.
    • Comparison to predicate device performance: Demonstrating that the new device performs at least as well as a legally marketed device in preventing injuries.

    The document states, "A clinical investigation was performed, and test for the comparison between p&p Safety Syringe and the legally marketed predicate device was performed in accordance with 'Supplementary Guidance on Premarket Notifications for Medical Devices with Sharps Injury Prevention Features; Guidance for Industry and FDA'." This guidance would outline the expected methods to establish "ground truth" or evidence of effectiveness for such devices, which primarily relies on performance testing and potentially user studies to confirm the safety feature's efficacy.

    8. The Sample Size for the Training Set

    This question is not applicable as the device is a physical safety syringe and does not involve AI model training.

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

    This question is not applicable as the device is a physical safety syringe and does not involve AI model training.

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    K Number
    K042432
    Manufacturer
    Date Cleared
    2005-01-04

    (118 days)

    Product Code
    Regulation Number
    880.5725
    Reference & Predicate Devices
    N/A
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    PharmGuard™ Toolbox is intended to provide a vehicle to create and securely upload user-defined configuration parameters, a library of drug names and associated user-defined infusion parameters to Medex Infusion Pumps. The PharmGuard Toolbox collects and downloads operational, infusion, and alarm history events, library usage counts, and PharmGuard™ safety events from motory overner lardly assomment it is intended to provide a rich dataset users can collect and analyze to improve overall processes and lessen the likelihood of operator error when entering infusion parameters into the Medex Infusion Pumps.

    Device Description

    Not Found

    AI/ML Overview

    This document is a 510(k) clearance letter from the FDA for a device called "PharmGuard™ Toolbox." It primarily addresses regulatory aspects and does not contain detailed information about the device's technical acceptance criteria or the specific study details you've requested.

    Therefore, I cannot provide the information you've asked for based on the provided text. The document confirms market clearance but does not include:

    1. A table of acceptance criteria and reported device performance.
    2. Sample sizes or data provenance for a test set.
    3. Information on experts, adjudication methods, or ground truth for a test set.
    4. Details of a multi-reader multi-case (MRMC) comparative effectiveness study or human-in-the-loop performance.
    5. Results of a standalone algorithm performance study.
    6. The type of ground truth used for a study.
    7. Sample size or ground truth establishment for a training set.

    The document describes the device's intended use: "PharmGuard™ Toolbox is intended to provide a vehicle to create and securely upload user-defined configuration parameters, a library of drug names and associated user-defined infusion parameters to Medex Infusion Pumps. The PharmGuard Toolbox collects and downloads operational, infusion, and alarm history events, library usage counts, and PharmGuard™ safety events from motory overner lardly assomment it is intended to provide a rich dataset users can collect and analyze to improve overall processes and lessen the likelihood of operator error when entering infusion parameters into the Medex Infusion Pumps."

    This indicates it's a software tool for managing and configuring infusion pumps and collecting data, rather than a diagnostic device that would typically have the performance metrics you've inquired about.

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    K Number
    K040899
    Manufacturer
    Date Cleared
    2004-04-30

    (24 days)

    Product Code
    Regulation Number
    880.5725
    Reference & Predicate Devices
    N/A
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Medex 3000 Series MRI Syringe Infusion Pump indications for use are as follows:

    • in the administration of fluids requiring precisely controlled infusion rates including blood or blood products, lipids, drugs, antibiotics, enteral solutions and other therapeutic fluids.
    • in the following delivery routes: arterial, epidural, intravenous, spinal, subcutaneous, and enteral.
    • in the following delivery modes: continuous, volume/time, mass, body weight, custom dilution, intermittent and bolus.
    • in critical care, anesthesia, neonatal and pediatric applications or other healthcare settings where the use of the syringe infusion pump can be monitored or supervised by a clinician.
    • inside the MRI room mounted outside the 150 Gauss line and with shielded magnets of field strength of 1.5 Tesla or less.

    The syringe infusion pump is contraindicated for use on the inlet side of Extracorporeal Membrane Oxygenation (ECMO) systems where the negative pressure is greater than -100mm Hg as the high negative pressures can result in uncontrolled fluid flow.

    Device Description

    Not Found

    AI/ML Overview

    The provided text is a 510(k) premarket notification letter from the FDA to Medex, Incorporated regarding their Medex 3000 Series MRI Syringe Infusion Pump. This document does not include information about acceptance criteria or a study that proves the device meets those criteria.

    The letter confirms that the FDA has reviewed the notification and determined the device is substantially equivalent to legally marketed predicate devices. It lists the indications for use of the device.

    Therefore, I cannot provide the requested information based on the input text. The document does not contain:

    1. A table of acceptance criteria and reported device performance.
    2. Sample sizes or data provenance for any test set.
    3. Number or qualifications of experts for ground truth establishment.
    4. Adjudication method for a test set.
    5. Information about a multi-reader multi-case (MRMC) comparative effectiveness study, effect sizes, or human reader improvement with/without AI assistance.
    6. Information about a standalone (algorithm only) performance study.
    7. The type of ground truth used.
    8. Sample size for the training set.
    9. How the ground truth for the training set was established.
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    K Number
    K020780
    Manufacturer
    Date Cleared
    2002-05-20

    (70 days)

    Product Code
    Regulation Number
    882.1620
    Reference & Predicate Devices
    N/A
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The TranStar Intracranial Pressure Transducer is intended for external monitoring of Intracranial pressures (ICP). Intracranial pressure waveforms are conducted from the patient to the transducer through a column of fluid. The fluid pressure waveforms are converted into electrical signals that can then be displayed using separate monitoring equipment.

    Device Description

    Not Found

    AI/ML Overview

    I am sorry, but the provided text does not contain the acceptance criteria or a study that proves the device meets specific acceptance criteria. The document is an FDA 510(k) clearance letter for the TranStar Intracranial Pressure Transducer, which states that the device is substantially equivalent to legally marketed predicate devices.

    The letter mentions the indications for use but does not detail any performance metrics, study results, sample sizes, ground truth establishment, or expert qualifications that would be required to fulfill your request. It's a regulatory approval document, not a scientific study report.

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    K Number
    K000328
    Manufacturer
    Date Cleared
    2000-05-09

    (97 days)

    Product Code
    Regulation Number
    880.5725
    Reference & Predicate Devices
    N/A
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use
    Device Description
    AI/ML Overview
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