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510(k) Data Aggregation
(226 days)
Rapid-Medical Ltd.
The Drivewire 24 Guidewire is intended for general intravascular use, including the neuro and peripheral vasculature. The Drivewire 24 Guidewire is intended to facilitate the selective placement of diagnostic catheters. This device is not intended for use in the coronary arteries.
The Drivewire 24 Guidewire is a 0.024" diameter steerable guidewire with a deflectable tip to aid in accessing vasculature. The guidewire is supplied sterile (ETO sterilization) and is for single use only. The Drivewire 24 Guidewire is comprised of a stainless steel hypotube that is cut along its length to provide flexibility and tip deflection ability through control of the handle, an inner Nitinol braided flexible coil, an inner core wire, and a handle. The inner core wire runs inside the hypotube from the distal end to the handle. The distal end of the inner core wire is flattened, looped around and joined to the tip of the distal section of the hypotube, forming a deflectable tip. The hypotube is marked with fluoro-safe markers to provide visual clues to the user to initiate fluoroscopy guided insertion. In order to actuate the tip deflection in two directions, the Drivewire 24 Guidewire handle contains a tube assembly section. The handle is assembled to the proximal end of the core wire and controls the movement of the distal tip by pulling/pushing the inner moveable core wire, allowing the bending of the distal tip in two directions. The handle assembly has neutral landmarks to identify the location where the tip is straight. The Drivewire 24 Guidewire has a hydrophilic coating on its distal segment in order to reduce the friction of the guidewire while navigating. The Drivewire 24 Guidewire is provided with a torque accessory to facilitate use of the guidewire and is not intended to have patient contact.
The information provided does not describe an AI/ML device but rather a medical guidewire. As such, the typical acceptance criteria and study designs for AI/ML devices (e.g., test sets, ground truth, expert adjudication, MRMC studies, standalone performance, training sets) are not applicable here.
This document, K233791, is a 510(k) premarket notification for the Drivewire 24 Guidewire, a physical medical device. The submission demonstrates substantial equivalence to a predicate device (Aristotle 24 Guidewire) through non-clinical testing.
Here's an analysis of the provided information, framed to address the prompt's questions where applicable, but explicitly noting the absence of AI/ML-specific details:
1. A table of acceptance criteria and the reported device performance
The document provides a table of "Non-Clinical Testing" which outlines various bench tests, their methods, and results indicating they met acceptance criteria. While specific numerical acceptance criteria are not always stated, the results confirm successful performance.
Test | Acceptance Criteria (Implied) | Reported Device Performance |
---|---|---|
Visual and Dimensional Verification | Meet specified overall length, diameter, bend diameter, coating length; no damage. | Dimensional and visual inspection results meet acceptance criteria. |
Tip Flexibility | Comparable to predicate device. | Tip flexibility was shown to be comparable to the predicate device. |
Tip Deflection Force | Less than or equal to the predicate device's force. | The force applied by the tip is equal to or less than the predicate device's. |
Simulated Use - Delivery & Retrieval Force | Less than the predicate device's force. | The delivery and retrieval forces were less than the predicate device's. |
Simulated Use - Performance & Compatibility | Demonstrate intended use in challenging simulated conditions. | All devices met acceptance criteria in demonstrating the intended use of the guidewire in challenging simulated use conditions. |
Usability Evaluation | Meet acceptance criteria (as determined by physicians). | The device met the acceptance criteria. |
Torqueability | Required initial rotation to tip response equivalent to or less than predicate device. | All devices met acceptance criteria in having the required initial rotation to the point when the tip starts to respond be equivalent to or less than the predicate device. |
Kink Resistance | Withstand clinical use scenarios without kinking. | All devices met acceptance criteria for kink resistance which represent clinical use scenarios. |
Fracture Test | No fractures, loosening, or failures when wound around a cylinder. | All devices met the acceptance criteria of having no fractures, loosening, or failures. |
Flexing Test | No fractures, loosening, or failures after repeated bending. | All devices met the acceptance criteria of having no fractures, loosening, or failures. |
Tensile Force | Meet peak tensile force criteria established by delivery and retrieval force testing. | All joints met peak tensile force acceptance criteria established by delivery and retrieval force testing. |
Tip Mechanism Durability | Withstand a predetermined number of handle actuations. | All devices met acceptance criteria of withstanding a predetermined number of handle actuations. |
Torque Strength | Number of turns to failure no less than a predetermined value. | All devices met the acceptance criteria of having the number of turns to failure be no less than a predetermined value. |
Torquer Performance | No damage to handle or shaft; equivalent or higher tensile force and measured torque force at slipping to predicate device. | All devices met acceptance criteria of having no damage to the handle or shaft, and equivalent or higher tensile force and measured torque force at slipping to predicate device. |
Particulate | Particulates equivalent to or less than the predicate device. | All devices have particulates equivalent or less than the predicate device. |
Lubricity | Maximal and average force comparable to the predicate device. | All devices met the acceptance criteria of having a maximal force and an average force comparable to the predicate device. |
Coating Integrity | No coating separation after simulated use testing. | All devices met the acceptance criteria of having no coating separation after simulated use testing. |
Radiopacity | Visible under fluoroscopy. | All devices were visible under fluoroscopy. |
Corrosion | No evidence of corrosion. | The test sample did not have evidence of corrosion. |
Biocompatibility Tests (Cytotoxicity, Irritation, Sensitization, Hemocompatibility, Pyrogenicity, Acute Systemic Toxicity, Thrombogenicity) | Meet ISO 10993 standards and specific test requirements. | All tests confirmed that the Drivewire 24 Guidewire met biological safety requirements per the ISO 10993 standard, with specific positive results for each test (e.g., no toxicity, no irritation, not sensitizers, non-hemolytic, not complement activator, nonpyrogenic, no systemic toxicity, no thrombus formation). |
Sterilization | Achieve SAL of 10^-6 or less by EtO. | Demonstrate that the Ethylene Oxide (EtO) sterilization process will reliably sterilize the product loads to a sterility assurance level (SAL) of 10^-6 or less, according to the overkill half cycle approach and relevant standards. |
Shelf Life and Package Integrity | Meet acceptance criteria for 1 year shelf-life. | The Drivewire 24 Guidewire device and package met all shelf life and package integrity test acceptance criteria supporting a shelf-life of one (1) year. |
2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)
- Bench Tests: The specific number of devices tested for each bench test is not explicitly stated, but the results refer to "All devices," implying a sufficient sample was used to statistically validate the findings against acceptance criteria. Data provenance for bench tests is typically from the manufacturer's internal labs.
- Biocompatibility Tests: The description mentions "test article extract" or "test articles," indicating samples of the device or its materials were used according to ISO 10993 standards.
- Animal Study: The study was conducted in "domestic swine." The number of animals or devices used per animal is not specified but is implicitly sufficient for a GLP study.
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 as this is a physical medical device, not an AI/ML diagnostic system requiring expert ground truth for interpretation. The "Usability Evaluation" mentioned that "Physicians evaluated the guidewire in clinically relevant simulated use models," implying expert input, but details on their number or qualifications are not provided.
4. Adjudication method (e.g. 2+1, 3+1, none) for the test set
Not applicable, as this is not an AI/ML diagnostic study requiring expert adjudication of results.
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. No MRMC study was performed as this is a physical medical device. The efficacy is demonstrated through non-clinical testing and comparison to a predicate device.
6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done
Not applicable. This is a physical medical device, not an algorithm.
7. The type of ground truth used (expert consensus, pathology, outcomes data, etc)
For a physical device like a guidewire, the "ground truth" is established through physical and material science measurements, functional performance testing against defined engineering specifications, and biological safety testing against established international standards (e.g., ISO 10993). In the animal study, the "ground truth" for thrombogenicity was the direct examination of devices, renal arteries, and downstream organs for thrombus absence.
8. The sample size for the training set
Not applicable. This is a physical medical device, not an AI/ML model that requires a training set.
9. How the ground truth for the training set was established
Not applicable. No training set for an AI/ML model was involved.
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(155 days)
Rapid Medical Ltd.
The BraidE Embolization Assist Device is indicated for use in the peripheral vasculature as a temporary endovascular device used to assist in the coil embolization of wide-necked peripheral aneurysms with a neck width ≤ 10 mm. A wide-necked peripheral aneurysm defines the neck width as > 4 mm or a dome-to-neck ratio
The BraidE Embolization Assist Device is a sterile single use endovascular device intended to provide temporary assistance for the coil embolization of wide-necked peripheral aneurysms. The BraidE is comprised of a nitinol braided mesh, stainless steel shaft, nitinol core wire and a handle. The braided mesh at the distal portion of the device is shown in Figure 2. The shaft connects the mesh and the handle by the core wire that runs inside the shaft from the distal end of the mesh to the slider activation element in the handle. The mesh is expanded when the physician pulls the slider. Because the wires of the mesh are completely radiopaque, the physician sees the mesh under fluoroscopy and controls it until it conforms to the aneurysm neck morphology and vessel requirement.
This document describes the regulatory acceptance of the BraidE Embolization Assist Device, leveraging data primarily from the Comaneci Embolization Assist Device due to shared design features. The core of the acceptance criteria and supporting studies are presented below:
1. Table of Acceptance Criteria and Reported Device Performance
The acceptance criteria are derived from the "Special Controls" section, which outlines the requirements for clinical, animal, and non-clinical performance, as well as biocompatibility and labeling. The reported device performance is extracted from the "Summary of Clinical Information" and "Summary of Nonclinical/Bench Studies" sections.
Acceptance Criteria (Special Control) | Reported Device Performance |
---|---|
1. Clinical Performance Testing: Must demonstrate the device performs as intended under anticipated conditions of use and evaluate all adverse events (tissue/vessel damage, thromboembolic events, coil ensnarement). | Neurovascular Retrospective Study (Comaneci Device): |
- N=63 patients (64 intracranial aneurysms) treated.
- Technical Success: 93.65% (59/63 patients) had successful coil embolization without coil entanglement, ensnarement, prolapse, or protrusion into the parent vessel. (Table 6)
- Adverse Events: 11.1% (7/63) of patients experienced a serious neurological AE within 3 months post-procedure. (Table 5) Specific AEs detailed in Table 4 (e.g., symptomatic thrombotic event, vasospasm, hemorrhage). No mortality or subject device-coil entanglements reported.
Peripheral Case Studies (Comaneci Device): - 6 patients with peripheral VRAAs reported across 3 publications.
- Effectiveness: All visceral aneurysms completely excluded/occluded. All but one procedure concluded with complete patency of parent and branch vessels. (Table 7)
- Safety: Generally no immediate or periprocedural complications reported, except for one case of coil entanglement leading to non-target embolization of the splenic artery. (Table 7) |
| 2. Animal Testing: Must demonstrate device delivery to target, compatibility with coils, and evaluate adverse events (vessel/tissue damage). | Rabbit Model Study (Comaneci Device): - Evaluated acute (4 days) and chronic (28 days) safety and performance.
- Delivery & Performance: Successful delivery and coil embolization in 23 aneurysms (20 animals). No post-procedural mortalities, no angiographically-visible coil protrusions (acute). Patent parent vessels with normal aneurysmal sac embolization (chronic).
- Adverse Events: No morbidity, thrombosis, infection, hemorrhage, or downstream ischemia (acute). Mild embolic coil protrusion in 2 Comaneci-treated aneurysms (chronic). No perforations, dissections, erosions, or thrombus formation in device contact zones. Absence of thrombus in distal skeletal muscles. |
| 3. Non-clinical Performance Testing: Demonstrates device performs as intended, including:
a. Mechanical testing (tensile, torsional, compressive, tip deflection forces).
b. Mechanical testing (radial forces).
c. Simulated use testing (delivery in tortuous vasculature, coil compatibility).
d. Dimensional verification.
e. Radiopacity testing. | Bench Testing (leveraged from Comaneci): - a. Mechanical: Tensile Strength (verified compliance of joints), Kink Resistance (ability to reach tortuous vasculature), Tip Flexibility (maximum force deflected), Tracking Force/Torque (withstand typical forces/torquing). (Table 2)
- b. Radial Forces: Radial Force/Crush (withstand external forces, retain integrity, measure outward forces to ensure no serious vessel damage). (Table 2)
- c. Simulated Use: Functional and Microcatheter Compatibility (delivery in recommended microcatheter through tortuous silicone model), Simulated Use (device performance in in vitro anatomical model through femoral artery to target site). (Table 2, 4)
- d. Dimensional Verification: Verified various dimensional attributes. (Table 2)
- e. Radiopacity: Clinical study evaluated radiopacity (can be visualized under fluoroscopic guidance). |
| 4. Biocompatibility: Patient-contacting components must be demonstrated to be biocompatible. | Biocompatibility Testing (leveraged from Comaneci): - Classified as external communicating, limited contact (
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(59 days)
Rapid Medical Ltd.
The Tigertriever Revascularization Device is intended to restore blood flow by removing thrombus from a large intracranial vessel in patients experiencing ischemic stroke within 8 hours of symptom onset. Patients who are ineligible for intravenous tissue plasminogen activator (IV t-PA), or who fail IV t-PA therapy, are candidates for treatment.
The Tigertriever device is a stentriever that is comprised of an adjustable nitinol braided mesh, stainless steel shaft, nitinol core wire and a handle. The shaft connects the mesh and the handle by the core wire that runs inside the shaft from the distal end of the mesh to the slider activation element in the handle. The mesh is expanded when the physician pulls the slider, since the wires of the mesh are completely radiopaque, the physician sees the mesh under fluoroscopy and controls it until it conforms to the vessel diameter. The design of the wire mesh is optimized to penetrate the clot and encapsulate it during retrieval. The Tigertriever Revascularization Device is supplied sterile and is intended for single-use only by physicians trained in neurointerventional procedures and the treatment of ischemic stroke.
This document is a 510(k) summary for the Tigertriever 21, 17, and 13 Revascularization Devices. It largely references predicate devices and non-clinical testing for substantial equivalence, rather than a de novo clinical study with specific acceptance criteria.
Here's an analysis based on the provided text:
1. Table of Acceptance Criteria and Reported Device Performance
Since this is a 510(k) submission based on substantial equivalence to predicate devices and non-clinical testing, explicit numerical acceptance criteria and a single overall "device performance" metric are not presented in the same way they would be in a de novo clinical trial. Instead, the "acceptance criteria" are implied by successful completion of each test method as summarized in the tables below. The reported performance is that the device "met acceptance criteria" or "demonstrated acceptable performance."
Test Category | Test Name | Acceptance Criteria (Implied) | Reported Device Performance |
---|---|---|---|
Bench Tests | Simulated use test | Effective clot retrieval and restoration of flow in an in vitro tortuous path anatomical model. | The device was tested for handling and clot retrieval in an in vitro tortuous path anatomical model, which has been used in the evaluation of the predicate device. The subject device effectively retrieved clot and restored flow in the test model. |
Durability | No damage after delivery and withdrawal beyond recommended passes. Durability established acceptable performance for 3 passes. | Devices tested demonstrated no damage after delivery and withdrawal testing. Durability established acceptable performance for 3 passes, which is at least equivalent to the number of passes specified in the predicate labeling (2 passes per device). | |
Delivery, deployment, and retrieval forces | Acceptable performance in delivery, deployment, and retrieval in an in vitro tortuous path anatomical model. | The device was tested for delivery, deployment, and retrieval in an in vitro tortuous path anatomical model, which has been used in the evaluation of the predicate device. The subject device demonstrated acceptable performance with respect to delivery, deployment and retrieval. | |
Dimensions test | Dimensional conformance to specifications. | The subject device dimensions are within the range of existing predicate device dimensions. The minor differences in dimensions do not affect performance, safety or effectiveness. | |
Tensile test | Tensile strength meets ISO 10555-1 standards. | The tensile strength of the device met acceptance criteria based on recognized standards (ISO 10555-1). | |
Particulate test | Particulate generation similar to predicate device. | The particulate generated by the subject device was similar to the particulate generated by the predicate device. | |
Biocompatibility Testing | Cytotoxicity | Non-cytotoxic (Grade 0 reactivity). | Pass. Grade 0 reactivity observed 48 hours post exposure to test article extract. Non-cytotoxic. |
Irritation (Intracutaneous Reactivity) | Non-irritant (difference of overall mean score between test and control was 0). | Pass. Difference of overall mean score between test article and control was 0. Non-irritant. | |
Sensitization (Guinea Pig Maximization Test) | Does not elicit sensitization response (Grade 0). | Pass. Grade 0, no evidence of causing delayed dermal contact sensitization. Does not elicit sensitization response. | |
Hemocompatibility - Complement activation Assay | SC5b-9 concentration statistically less than positive control and not statistically higher than negative control. | Pass. SC5b-9 concentration of the test article sample was statistically less than the positive control and was not statistically higher than the negative control. | |
Hemocompatibility - In Vitro Hemolysis | Non-hemolytic. | Both the test article in direct contact with blood and the test article extract were non-hemolytic. Non-hemolytic. | |
Pyrogenicity (Material Mediated Pyrogenicity) | Non-pyrogenic (total rise of rabbit temperatures within acceptable USP limits). | The total rise of rabbit temperatures during the 3-hour observation period was within acceptable USP limits. Non-pyrogenic. | |
ISO Systemic Toxicity Testing Study in Mice | Non-toxic (no mortality or evidence of systemic toxicity). | No mortality or evidence of systemic toxicity from the extracts injected into mice. Non-toxic. |
2. Sample Size Used for the Test Set and Data Provenance
- Test Set Sample Size: The document does not specify a numerical sample size (e.g., number of devices, number of clots, number of anatomical models) for the bench tests. It refers to "devices" being tested. For biocompatibility, it refers to "a representative Tigertriever device."
- Data Provenance: The data is based on non-clinical (bench and in vitro) testing conducted by the manufacturer, Rapid Medical Ltd. The country of origin for the testing is not explicitly stated, but the manufacturer is based in Yokneam, Israel. The data is prospective in the sense that these tests were performed for this submission to demonstrate substantial equivalence.
3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications
- This information is not provided as the submission relies on non-clinical (bench) testing, not on human expert evaluation of images or clinical outcomes that would typically require ground truth establishment by experts.
- The simulated use test involved an "anatomical model," and the interpretation of its "effectiveness" would have been by the testers, not external experts establishing ground truth in the context of diagnostic performance.
4. Adjudication Method for the Test Set
- Again, this is not applicable as there was no clinical test set requiring expert adjudication. The tests described are engineering and chemical performance tests.
5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done
- No, an MRMC comparative effectiveness study was not done. The document explicitly states: "A clinical study was not deemed necessary to evaluate the modifications to the Tigertriever Revascularization Device." Therefore, no effect size of human readers improving with AI vs. without AI assistance can be reported.
6. If a Standalone (Algorithm Only Without Human-in-the-Loop Performance) Was Done
- No, this entire submission is for a physical medical device (stentriever), not an AI algorithm. Therefore, "standalone" algorithm performance is not relevant.
7. The Type of Ground Truth Used
- For the bench tests, the "ground truth" is established by the physical and chemical properties of the device meeting predetermined engineering specifications and international standards (e.g., ISO 10555-1 for tensile strength, USP limits for pyrogenicity). For the simulated use, the "ground truth" is the observed successful performance (clot retrieval, flow restoration) in the in vitro model.
- For biocompatibility tests, the ground truth is based on recognized biological endpoints and standard testing methodologies (e.g., Grade 0 reactivity for cytotoxicity/sensitization, specific SC5b-9 concentrations, non-hemolytic results, acceptable temperature rise for pyrogenicity).
8. The Sample Size for the Training Set
- This is not applicable. The device is a physical stentriever, not an AI model that requires a training set.
9. How the Ground Truth for the Training Set Was Established
- This is not applicable for the same reason as point 8.
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(129 days)
Rapid Medical Ltd.
The Tigertriever Revascularization Device is intended to restore blood flow by removing thrombus from a large intracranial vessel in patients experiencing ischemic stroke within 8 hours of symptom onset. Patients who are ineligible for intravenous tissue plasminogen activator (IV t-PA), or who fail IV t-PA therapy, are candidates for treatment.
The Tigertriever 13 device is a stentriever that is comprised of an adjustable nitinol braided mesh, stainless steel shaft, nitinol core wire and a handle. The shaft connects the mesh and the handle by the core wire that runs inside the shaft from the distal end of the slider activation element in the handle. The mesh is expanded when the physician pulls the slider, since the wires of the mesh are completely radiopaque, the physician sees the mesh under fluoroscopy and controls it until it conforms to the vessel diameter. The design of the wire mesh is optimized to penetrate the clot and encapsulate it during retrieval. The Tigertriever 13 Revascularization Device is supplied sterile and is intended for single-use only by physicians trained in neuro-interventional catheterization and the treatment of ischemic stroke.
The provided document does not describe acceptance criteria for an AI/ML device or a study proving that an AI/ML device meets acceptance criteria. Instead, it is a 510(k) summary for a medical device called the "Tigertriever 13 Revascularization Device," which is a stentriever used to remove thrombus in ischemic stroke patients. This type of device is a physical medical instrument, not an AI/ML software.
The document discusses non-clinical performance data, including biocompatibility, sterilization, shelf life, and various bench tests for the Tigertriever 13 Revascularization Device. It also mentions pre-clinical animal testing.
Therefore, I cannot provide the requested information about acceptance criteria and studies for an AI/ML device based on the given input.
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(105 days)
Rapid Medical Ltd.
The Tigertriever Revascularization Device is intended to restore blood flow by removing thrombus from a large intracranial vessel in patients experiencing ischemic stroke within 8 hours of symptom onset. Patients who are ineligible for intravenous tissue plasminogen activator (IV t-PA), or who fail IV t-PA therapy, are candidates for treatment.
The Tigertriever device is a stentriever that is comprised of an adjustable nitinol braided mesh, stainless steel shaft, nitinol core wire and a handle. The shaft connects the mesh and the handle by the core wire that runs inside the shaft from the distal end of the mesh to the slider activation element in the handle. The mesh is expanded when the physician pulls the slider, since the wires of the mesh are completely radiopaque, the physician sees the mesh under fluoroscopy and controls it until it conforms to the vessel diameter. The design of the wire mesh is optimized to penetrate the clot and encapsulate it during retrieval. Two versions of the device are available. The standard version Tigertriever (TRPP7155) has a net length of 32mm (unexpanded form) and it is delivered through a microcatheter with an internal diameter of 0.021 inches. The shorter version Tigertriever 17 (TRPP7166) has a net length of 23 mm (unexpanded form) and it is delivered through a microcatheter with an internal diameter of 0.017 inches. The Tigertriever is provided with a 3.5 Fr peelable loading sheath.
Here's a breakdown of the acceptance criteria and the study that proves the device meets them, based on the provided text:
Acceptance Criteria and Device Performance
The Tigertriever Revascularization Device's performance was evaluated against specific criteria established through a clinical trial (the TIGER study), with a performance goal derived from several other successful stroke device trials.
Table 1: Acceptance Criteria and Reported Device Performance
Endpoint | Acceptance Criteria (Performance Goal from Predicate Devices) | Reported Device Performance (TIGER Study) |
---|---|---|
Primary Effectiveness Endpoint: | Revascularization rate (mTICI ≥ 2b) of 60% or greater. | 73% (108/148 patients) |
Successful revascularization (mTICI ≥ 2b) after ≤ 3 passes of Tigertriever device | Lower Bound of 95% CI: 66.3% | |
Primary Safety Endpoint: | Composite of all-cause mortality at 90 days and/or symptomatic intracranial hemorrhage (sICH) within 24 hours (18-36 hours) of procedure of 30% or less. | 17.7% (26/147 patients) |
Composite of all-cause mortality at 90 days and/or sICH within 24 hours post-procedure | Upper Bound of 95% CI: 24.8% |
Note: The document explicitly states that "the TIGER study was successfully met all pre-defined success criteria." The reported performance for both primary endpoints falls within the predefined acceptable ranges/thresholds.
Study Details for Device Performance
The clinical study conducted to demonstrate the device meets the acceptance criteria is the TIGER (Treatment with Intent to Generate Endovascular Reperfusion) clinical trial.
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Sample Size used for the test set and the data provenance:
- Test Set Sample Size: 148 patients in the modified Intent-to-Treat (mITT) Cohort.
- Data Provenance: Not explicitly stated, but it is a multi-center clinical trial. Given the nature of medical device trials and FDA submissions, it would be considered prospective data collection. The document does not specify the country of origin of the data, but the sponsor is Rapid Medical Ltd. (Israel).
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Number of experts used to establish the ground truth for the test set and the qualifications of those experts:
- Ground Truth for Effectiveness (revascularization): The revascularization (mTICI scores) were adjudicated by a Core Laboratory. The number and specific qualifications of the experts within this Core Laboratory are not provided in this document.
- Ground Truth for Safety (sICH): The symptomatic intracranial hemorrhage (sICH) events were adjudicated by the Clinical Events Committee (CEC). The number and specific qualifications of the experts within this CEC are not provided in this document.
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Adjudication method for the test set:
- Effectiveness (mTICI): Adjudicated by a Core Laboratory (specific method like 2+1 not detailed).
- Safety (sICH): Adjudicated by a Clinical Events Committee (CEC) (specific method like 2+1 not detailed).
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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. This document describes a clinical trial for a physical medical device (thrombus retriever), not an AI-powered diagnostic or assistive tool. Therefore, an MRMC comparative effectiveness study involving AI assistance for human readers was not performed or relevant in this context.
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If a standalone (i.e. algorithm only without human-in-the loop performance) was done:
- No. This device is a manual thrombus retriever, requiring direct human intervention and skill in its operation. There is no "algorithm only" performance component to be evaluated in a standalone manner.
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The type of ground truth used (expert consensus, pathology, outcomes data, etc.):
- Clinical Outcomes Data:
- Revascularization (mTICI score): Based on angiographic imaging, adjudicated by a Core Laboratory (implies expert consensus).
- Clinical Outcome (mRS ≤ 2 at 90 days): Direct patient outcome survey/assessment.
- Safety (Mortality, sICH): Patient outcome data and clinical assessment, with sICH adjudicated by a Clinical Events Committee (implies expert consensus based on imaging and clinical presentation).
- Clinical Outcomes Data:
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The sample size for the training set:
- As this is a physical medical device used for treatment and not an AI/machine learning algorithm, there is no concept of a "training set" in the typical sense. The "training" for the device's design and preclinical development would come from engineering principles, in vitro testing, and animal studies, rather than a data-driven training set.
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How the ground truth for the training set was established:
- Not applicable as there is no "training set" in the context of an AI algorithm. The device's efficacy and safety were established through a combination of engineering design, non-clinical bench testing, pre-clinical animal testing, and finally, a human clinical trial.
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(304 days)
Rapid-Medical Ltd.
The Columbus Guidewire is intended for general intravascular use, including the neuro and peripheral vasculature. The Columbus Guidewire is intended to facilitate the selective placement of therapeutic catheters. This device is not intended for use in coronary arteries.
The Columbus guidewire is a 0.014" diameter steerable guidewire with a deflectable tip to aid in accessing vasculature. The guidewire is supplied sterile (ETO sterilization) and is for single use only. The Columbus guide wire is comprised of a Nitinol braided flexible distal cable, a proximal shaft, an inner core wire and a handle. The braided cable is attached to the proximal shaft via inner connector. The inner core wire runs inside the shaft and the cable from the distal end of the cable to the handle. The distal end of the inner core wire is flattened, looped around and joined to the tip of the distal cable, forming a deflectable tip. In order to actuate the tip deflection in two directions, the Columbus guidewire handle contains a tube assembly section which enables continuous stroke by a self-locking feature. The handle is assembled to the proximal end of the core wire and controls the movement of the distal tip by pulling/pushing the inner moveable core wire, allowing the bending of the distal tip in two directions. Two models are available, Columbus LR (large radius) PN: GWPP4464 which has radius curvature of 4mm and Columbus SR (small radius) PN: GWPP4463 which has radius curvature of 2mm. The Columbus guidewire is provided with a torque accessory to facilitate use of the guidewire and is not intended to contact the patient's body.
The acceptance criteria and the study that proves the device meets the acceptance criteria are detailed in the document provided, specifically for the Columbus Guidewire (K200374).
Here's a breakdown of the requested information:
1. Table of Acceptance Criteria (Non-Clinical Performance Tests) and Reported Device Performance:
The document lists various performance bench tests that the Columbus Guidewire underwent, along with the standards they followed and the results. The acceptance criteria for these tests are implied by the "Pass" result, indicating that the device met the requirements outlined in the specified FDA Guidance or ISO standards.
Test | Standards / Description | Reported Performance (Result) |
---|---|---|
Visual and Dimensions Verification | FDA Guidance for Industry and Food and Drug Administration Staff: Coronary, Peripheral, and Neurovascular Guidewires Performance Tests and Recommended Labeling, October 2019 ("FDA Guidewire Guidance"), Section G-3 | Pass |
Tip Flexibility | FDA Guidewire Guidance, Section G-15 | Pass |
Simulated Use - Delivery and Retrieval Force | FDA Guidewire Guidance, Section G-5 | Pass |
Simulated Use Model Testing and Product Compatibility | FDA Guidewire Guidance, Section G-5 | Pass |
Torqueability | FDA Guidewire Guidance, Section G-9 | Pass |
Kink Resistance | FDA Guidewire Guidance, Section G-14 | Pass |
Fracture Test | ISO11070 section 8.4 | Pass |
Flexing Test | ISO11070 section 8.5 | Pass |
Tensile Force | FDA Guidewire Guidance, Section G-6 | Pass |
Torque Strength | FDA Guidewire Guidance, Section G-8 | Pass |
Particulate | FDA Guidewire Guidance, Section G-11 | Pass |
Corrosion | FDA Guidewire Guidance, Section G-13 | Pass |
Tip deflection force | The maximum tip deflection force was measured during complete deflection in a simulated vessel diameter range of 0.5-5.5mm to verify it is within justifiable safe range. | Pass |
Deflectable tip cyclic fatigue testing | Testing was conducted to determine the tip deflection mechanism durability to 30 full handle actuations. | Pass |
2. Sample Size Used for the Test Set and the Data Provenance:
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Animal Testing (Pre-Clinical GLP Studies):
- Sample Size: "a total of 5 swine" were used across two controlled GLP studies.
- Data Provenance: The studies were conducted in "domestic swine," which implies prospective animal studies. The country of origin is not explicitly stated but is likely where Rapid-Medical Ltd. or its contract research organization operates, given that the company is based in Israel. The studies are described as "controlled GLP studies," indicating a high standard of preclinical research.
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Bench Tests: The document does not specify the exact sample sizes (e.g., number of guidewires tested for each parameter). The data provenance is laboratory-based non-clinical testing.
3. Number of Experts Used to Establish the Ground Truth for the Test Set and the Qualifications of Those Experts:
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Animal Testing: The document states "assessments by well qualified experts in accordance with recognized methods, standards, and guidelines." While the exact number of experts is not specified, their qualification is noted as "well qualified experts." This likely refers to veterinary professionals, pathologists, or interventional specialists involved in the animal studies. Specific experience levels (e.g., "10 years of experience") are not provided.
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Bench Tests: The "ground truth" for bench tests is established by adherence to specified engineering standards and internal requirements, not typically by human expert consensus in the same way as clinical or image-based studies. The "experts" involved would be the engineers and quality assurance personnel conducting and interpreting the tests.
4. Adjudication Method for the Test Set:
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Animal Testing: The document does not explicitly state an adjudication method (e.g., 2+1, 3+1) for the expert assessments in the animal studies. It implies a direct assessment by "well qualified experts" following recognized methods, which inherently requires agreement on the observed outcomes (e.g., presence/absence of perforations, thrombus).
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Bench Tests: Adjudication is not typically applicable in the classical sense for bench tests. The "ground truth" is determined by measured physical properties against predefined acceptance criteria.
5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was done:
No, an MRMC comparative effectiveness study was not conducted. This type of study (comparing human readers with and without AI assistance on various cases) is generally relevant for AI/imaging devices. The Columbus Guidewire is a mechanical medical device, and its evaluation focuses on physical performance, safety, and functional equivalence rather than diagnostic performance aided by AI.
6. If a Standalone (Algorithm Only Without Human-in-the-Loop Performance) was done:
This question is not applicable to the Columbus Guidewire. This device is a physical, mechanical medical guidewire, not an algorithm or AI system. Its "performance" is inherently human-in-the-loop, as it requires a physician to operate it. The bench tests evaluated the device's inherent mechanical properties and functionality.
7. The Type of Ground Truth Used:
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Animal Testing: The ground truth was established through direct observation and assessment by "well qualified experts" during and after the animal procedures. This included angiographic assessment for perforations/dissections/thrombus, and macroscopic assessment of internal organs for thrombi. This can be considered a form of outcomes data (in vivo biological response) from a controlled study.
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Bench Tests: The "ground truth" for bench tests was based on engineering specifications, physical measurements, and adherence to established national and international standards (e.g., FDA Guidewire Guidance, ISO 11070).
8. The Sample Size for the Training Set:
This information is not applicable and not provided in the document. The Columbus Guidewire is a physical medical device, not an AI/machine learning model that requires a training set.
9. How the Ground Truth for the Training Set Was Established:
This information is not applicable as there is no training set for a physical medical device like the Columbus Guidewire.
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Rapid-Medical Ltd.
The Comaneci Embolization Assist Device is indicated for use in the neurovasculature as a temporary endovascular device used to assist in the coil embolization of wide-necked intracranial aneurysms with a neck width ≤ 10 mm. A wide-necked intracranial aneurysm defines the neck width as ≥ 4 mm or a dome-to-neck ratio
The Comaneci Embolization Assist Device consists of three device models: Comaneci, Comaneci Petit, and Comaneci 17 (see Table 1). The Comaneci Embolization Assist Device is intended for temporary use and is introduced through an endovascular approach to the neurovasculature to assist in the coil embolization of wide-necked intracranial aneurysms with a neck width
The Comaneci Embolization Assist Device is a Class II device (Product Code: PUU, Regulation Number: 21 CFR 882.5955) intended for temporary use in the neurovasculature to assist in the coil embolization of wide-necked intracranial aneurysms with a neck width ≤ 10 mm.
The acceptance criteria for the Comaneci Embolization Assist Device, as derived from the provided text, are multifaceted, encompassing non-clinical bench testing, animal studies, and a retrospective clinical study.
1. Table of Acceptance Criteria and Reported Device Performance
The acceptance criteria are not explicitly presented in a single table with numerical targets, but rather are implicitly defined by the successful outcomes of various tests and the conclusions drawn from them. Below is a structured presentation of the implicit acceptance criteria based on the described studies and the reported device performance.
Acceptance Criterion Category | Specific Acceptance Criterion (Implicit) | Reported Device Performance and Evidence |
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Biocompatibility | Device components in contact with the patient (e.g., blood) must be biocompatible according to ISO 10993-1, covering hemocompatibility (complement activation, thrombogenicity, indirect/direct hemolysis), cytotoxicity, sensitization, intracutaneous reactivity, acute systemic toxicity, and material-mediated pyrogenicity. (Ref: Section 'BIOCOMPATIBILITY/MATERIALS') | Evaluated as an external communicating device of limited contact duration ( ( |
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