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510(k) Data Aggregation

    K Number
    K192713
    Date Cleared
    2020-03-16

    (171 days)

    Product Code
    Regulation Number
    868.5260
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    Meditera Tibbi Malzeme San. ve Tic. A.S.

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

    Filter only - For use with ventilators, anesthesia machines and open flow systems where filtration of inspired and/or expired gases is desired. Use up to 24 hours.

    HME / Filter - For use with ventilators, anesthesia machines and open flow systems where filtration of inspired and/or expired gases is desired and to maintain moisture levels in the patient's respiratory tract during anesthesia, artificial respiration and other types of assisted ventilation. Use up to 24 hours.

    Environment of use - clinical setting including hospital, sub-acute, pre-hospital and home

    For patient with Tidal Volumes > 300 ml.

    Device Description

    The subject device is provided in two (2) configurations.

    • Filter only ●
    • . HME / Filter combination
    • The common features are:
      • Standard conical 15 mm / 22 mm fittings for connections
      • Female luer lock port for gas sampling for end-tidal CO2 ●
    AI/ML Overview

    The provided text describes a 510(k) premarket notification for a medical device called "Altera Filter and HME/Filter". It details the device's characteristics, indications for use, and a comparison with a predicate device, including performance data from nonclinical testing.

    Here's the breakdown of the requested information based on the provided text:

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

    Test Method (Attribute)Acceptance CriteriaReported Device Performance
    ISO 9360-1 (Resistance to Flow)Equivalent to a predicate76 kPa
    ISO 80369-7 Luer / ISO 5356-1 Conical (Connectors)Passes RequirementsMeets the Standards
    ASTM F2101 (Bacterial Filtration Efficiency - BFE)Equivalent to predicate>99.998%
    ASTM F2101 (Viral Filtration Efficiency - VFE)Equivalent to predicate>99.96%
    ISO 9360-1 (HME Performance - Moisture Output)Moisture Output equivalent to predicate39 mg/L (Vt = 1000 ml @ 24 hours)
    ISO 10993 and ISO 18562 (Cytotoxicity)Non-cytotoxicNon-cytotoxic
    ISO 10993 and ISO 18562 (Sensitization)Non-sensitizerNon-sensitizer
    ISO 10993 and ISO 18562 (Irritation)Non-irritantNon-irritant
    ISO 10993 and ISO 18562 (Chemical Characterization TRA)Margin of Safety > 1Margin of Safety > 1
    ISO 10993 and ISO 18562 (Acute Systemic Toxicity)Non-systemicNon-systemic
    ISO 10993 and ISO 18562 (Volatile Organic Compound)Identified VOCIdentified VOC
    ISO 10993 and ISO 18562 (Particulate Matter)
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    K Number
    K192563
    Date Cleared
    2020-01-17

    (122 days)

    Product Code
    Regulation Number
    868.1400
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    Meditera Tibbi Malzeme San. ve Tic. A.S.

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

    The Altera Gas Sampling Lines are intended to connect from a port in the breathing circuit to the expired gas monitor.

    Device Description

    The Altera Gas Sampling Lines consists of a disposable single patient use coextruded gas sampling line which is provided in 3 different lengths: 2, 2.5, and 3 meters. The disposable single patient use gas sampling lines are smooth narrow diameter tubes that have standardized male luer connectors at both ends.

    The gas sampling line connects from a port in a circuit to an expired gas monitor. The gas sampling line provides a conduit for drawing gas samples from the sampling port to the gas monitor to analyze respiratory gases. These disposable single patient use gas sampling lines are used to transmit one directional flow of gas sample from the patient breathing circuit port to the gas module host device. A vacuum source and gas measurement sensors are in the host device, which pull the gas from the sampling port to the host device for gas monitoring.

    AI/ML Overview

    This document is a 510(k) premarket notification for a medical device, specifically "Altera Gas Sampling Lines." It's important to understand that a 510(k) submission generally focuses on demonstrating substantial equivalence to a predicate device, rather than proving independent effectiveness through extensive clinical trials as might be seen for novel technologies or higher-risk devices.

    Based on the provided text, the device is a simple, single-use, disposable component (a gas sampling line) that connects a breathing circuit to an expired gas monitor. There is no evidence in this document of AI or machine learning components, nor any mention of a study involving human readers improving with AI assistance. Therefore, the questions related to AI performance, expert ground truth establishment for AI, MRMC studies, or standalone algorithm performance are not applicable to this submission.

    Here's an analysis of the provided information concerning the acceptance criteria and the study that proves the device meets them, primarily focusing on the device's physical and functional performance, as that is the scope of this 510(k).


    Acceptance Criteria and Device Performance for Altera Gas Sampling Lines

    Given the nature of this device (a gas sampling line), the "acceptance criteria" are primarily related to its physical and functional performance characteristics, ensuring it performs its intended function (transporting gas samples) safely and effectively, and equivalently to the predicate device. The "study" proving this involves various non-clinical performance tests.

    1. Table of Acceptance Criteria and Reported Device Performance

    The table below summarizes the key performance attributes tested and the results presented in the document. The general acceptance criterion for these tests is that the proposed device (Altera GSL) performs comparably or better than the predicate device (Vyaire Vital Signs) and meets relevant industry standards.

    Acceptance Criteria (Attribute)Predicate (Vyaire Vital Signs) Performance (Reference/Value)Proposed (Altera GSL) Performance (Reference/Value)Comparison
    ClassificationCCK - Carbon Dioxide Gas Analyzer, 21 CFR 868.1400CCK - Carbon Dioxide Gas Analyzer, 21 CFR 868.1400Same
    Indications for UseConnects from a port in the breathing circuit to the expired gas monitor. Used with specific GE Healthcare monitors.Connects from a port in the breathing circuit to the expired gas monitor.Similar
    Principle of OperationGas pulled from one end of the tube to the other by a pump in the gas sampling device.Gas pulled from one end of the tube to the other by a pump in the gas sampling device.Similar
    Patient PopulationAny patient population requiring gas monitoring.Any patient population requiring gas monitoring.Similar
    Environments of UseHospitals.Hospitals, sub-acute, pre-hospital.Similar
    CompatibilityDesigned for specific GE Healthcare modules.Designed for use with any gas monitoring device with luer connections.Similar
    Single patient use, disposableYes.Yes.Similar
    MaterialsISO 10993 tested, Co-extruded PE/EVA/PVC.ISO 10993 tested, Co-extruded PE/EVA/PVC.Similar
    Flow Resistance~26 cmH2O @ 150 ml/min.~12 - 17.5 cmH2O @ 150 ml/min.Similar
    Leakage (per ISO 80601-2-55)35 Newtons.>35 Newtons.Similar
    Leakage of Connectors0.02-0.05 ml/min.
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