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510(k) Data Aggregation

    K Number
    K143585
    Date Cleared
    2015-05-06

    (139 days)

    Product Code
    Regulation Number
    884.5160
    Reference & Predicate Devices
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The electric breast pump is intended to express and collect milk from the mother's breast, to alleviate engorgement of the breast, maintain the ability of lactation, and provide mother's milk for future feedings when separation of mother and baby occurs. The device is intended for a single user, not for hospital use.

    Device Description

    The electric breast pump is designed and manufactured by the Shantou Xinghe Electrical Apparatuses Co., Ltd. It is intended to express and collect milk from breast from the mother's breast, to alleviate engorgement of the breast, maintain the ability of lactation, and provide mother's milk for future feedings when separation of mother and baby occurs. The device is intended for a single user, not for hospital use. Model XN-2201M1, XN-2201M3, XN-2206M2, XN-2207M1, XN-2209M1, XN-2210M2 are included in this submission. The electric breast pump imitates a baby's sucking action to express milk with help of Single-Chip Microcomputer. It has multiple stimulation levels for breast massage, and multiple milk quantity of a baby's suction. The keyboard of the device control panel is soft. The screen is an LCD, and allows for process viewing.

    AI/ML Overview

    The document provided is a 510(k) premarket notification for an Electric Breast Pump (K143585). It details the device's substantial equivalence to a predicate device, rather than presenting a study proving performance against acceptance criteria in the typical sense of a clinical or algorithm validation study.

    Therefore, the requested information elements related to clinical studies, algorithmic performance (standalone, MRMC), ground truth establishment, expert adjudication, and sample sizes for test and training sets are not applicable (N/A) in this context, as this submission did not involve such studies.

    Here's an analysis based on the available information:

    1. Table of Acceptance Criteria and Reported Device Performance

    The acceptance criteria here are based on demonstrating that the proposed device's specifications (technology, performance parameters, etc.) are substantially equivalent to the predicate device and meet general safety and performance standards through bench testing.

    Feature/TestAcceptance Criteria (Predicate Device K122474)Reported Device Performance (Proposed Device K143585)Acceptance Status
    Specifications (Comparative Equivalence)
    Device nameLANSINOH Powered Electric Breast PumpElectric Breast PumpEquivalent1
    Indications for UseExpress and collect breast milk for feeding. Single user.Express and collect milk, alleviate engorgement, maintain lactation, provide milk for future feedings. Single user, not for hospital use.Equivalent2
    Patient PopulationBreastfeeding womenBreastfeeding womenEquivalent
    Pump StyleDiaphragm-type vacuum pumpDiaphragm-type vacuum pumpEquivalent
    Stimulation velocity93~144 T/min95~105 T/minWithin range3
    Stimulation intensity-0.007~-0.019MPa-0.002~-0.019MPaComparable4
    Sucking velocity36.6~91.2 T/min20~65 T/minComparable5
    Suction intensity-0.011~-0.029 MPa-0.011~-0.033 MPaComparable6
    Backflow protectionYesYesEquivalent
    Overflow protectionNoNoEquivalent
    Adjustable Suction LevelsYesYesEquivalent
    SoftwareYesYesEquivalent
    Anatomical SitesBreastBreastEquivalent
    Environment of UseHospital, institutions, homeHome and not for hospital useSubset/Different7
    Non-Clinical Tests (Regulatory Compliance)
    Performance within specificationsDevice performs within specificationsPerformed within specificationsMet
    Biocompatibility (in vitro cytotoxicity, irritation, sensitization)Met acceptance criteria (no adverse biological reactions)Met acceptance criteriaMet
    Electrical safetyMet acceptance criteriaMet acceptance criteriaMet
    EMC testingMet acceptance criteriaMet acceptance criteriaMet

    Footnotes for Table:

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

    • Test Set Sample Size: N/A (No clinical test set was required or presented for substantial equivalence).
    • Data Provenance: N/A. The non-clinical tests were bench tests performed by the sponsor (Shantou Xinghe Electrical Apparatuses Co., Ltd.) in China.

    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)

    • N/A (No ground truth established by experts for a test set in this context).

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

    • N/A.

    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

    • N/A. This is a physical medical device, not an AI/software as a medical device (SaMD) requiring MRMC studies.

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

    • N/A. This is not an AI/SaMD.

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

    • The "ground truth" for this submission largely relies on established engineering standards for performance, electrical safety, EMC, and biocompatibility, as well as the specifications and performance of the legally marketed predicate device (K122474). Therefore, the ground truth is derived from regulatory standards, predicate device characteristics, and internal bench test results demonstrating compliance with specifications.

    8. The sample size for the training set

    • N/A (No training set for an AI/ML algorithm was involved).

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

    • N/A.

    Footnotes

    1. The device names are different, but the fundamental function is the same, indicating equivalence in purpose.

    2. The proposed device's indications extend to alleviating engorgement and maintaining lactation, which are considered consistent with and an elaboration of the predicate's general use for breast milk expression. The "not for hospital use" is a difference in the environment of use, but not in the core indication.

    3. The proposed device's stimulation velocity (95105 T/min) falls within the range of the predicate (93144 T/min), indicating technical equivalence for this parameter.

    4. The proposed device's stimulation intensity (-0.002~-0.019MPa) overlaps significantly with the predicate's (-0.007~-0.019MPa), indicating comparable functionality. The slightly shallower minimum (less intense) could be a design choice but doesn't preclude substantial equivalence.

    5. The proposed device's sucking velocity (2065 T/min) is within a similar order of magnitude as the predicate's (36.691.2 T/min), indicating comparable performance. The lower end of the range is different, but not noted as a safety or effectiveness concern in this type of submission.

    6. The proposed device's suction intensity (-0.011~-0.033 MPa) largely overlaps with and extends slightly beyond the predicate's (-0.011~-0.029 MPa) on the more intense end. This is considered comparable or an improvement not raising new safety/effectiveness concerns.

    7. The predicate mentions "Hospital, institutions and home" while the proposed device specifies "Home and not for hospital use." This is a difference in environment of use, which the FDA implicitly accepts as not affecting substantial equivalence based on the final decision.

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    K Number
    K132882
    Date Cleared
    2014-04-24

    (223 days)

    Product Code
    Regulation Number
    884.5160
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The electric breast pump is to express and collect milk from breast, to alleviate engorgement of the breast, maintain the ability of lactation, and provide mother's milk for future feedings when separation of mother and baby occurs. The device is intended for single user.

    Device Description

    The Electric Breast Pump, model Horigen, XN-2203H2 and model Droplet, XN2203H4 are designed and manufactured by the Shantou Xinghe Electrical Apparatus Co., Ltd. It is intended to express and collect milk from a lactating woman's breast. This action helps to alleviate engorgement of the breast, maintain the woman's ability to lactate, and provide a mother's milk for future feedings when separation of the mother and baby occur. Two models of this device, Horigen, XN- 2203H2 and Droplet, XN-2203H4, are included in this Premarket Notification submission. The primary differences between the two models, Horigen XN- 2203H2 and Droplet, XN-2203H4 are the shape of the breast shield and the settings of the stimulating velocity, stimulating intensity, sucking velocity and sucking intensity. The specific settings are listing under the summary of non-clinical tests. The product uses a Single-Chip Microcomputer to imitate a baby's suckling action. The device is ergometrically designed to create comfortable milk stimulation, massage, and suction from the breast. Three (3) stimulation levels and five (5) speeds are available to imitate the rhythm and action of a baby's suckling. The control panel is soft and viewing is provided by a LCD screen. Once programmed, the pump's electronic memory stores the selected rhythm. The Electric Breast Pump, model Horigen, XN-2203H2 and model Droplet, XN2203H4 are designed to mechanically interface with a mother's breast via a breast shield and withdraw, then collect, the breast milk. The device is driven by a microcomputer which electrically controls piston components. The pistons perform a reciprocating movement in the device cylinder and pump seat. A breast cup is fixed between the piston and the piston head on which negative and positive pressure is created by the piston action. A mobile magnet detects the mechanical movement and creates an electrical signal to the microcontroller.

    AI/ML Overview

    The provided text describes a 510(k) Summary for an electric breast pump, models Horigen XN-2203H2 and Droplet XN-2203H4. The summary details the device's description, intended use, technology, and a comparison to a predicate device to establish substantial equivalence.

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

    1. Table of Acceptance Criteria and Reported Device Performance

    The document lists "acceptance criteria of performance testing" and reports the specifications for the proposed devices.

    Acceptance Criteria CategorySpecific Acceptance Criteria (Implied/Direct)Reported Device Performance (Proposed Device)
    PerformanceTo perform "Stimulation, suction and collection" as well as the predicate device.Model Droplet XN-2203H4:- Stimulating velocity: 88 T/min- Stimulating intensity: -0.018 MPa (Max.), 3 adjustable degrees- Sucking intensity: -0.028 MPa (Max.), 5 adjustable degrees- Sucking velocity: 34-63 T/min, 5 adjustable speedsModel Horigen XN-2203H2:- Stimulating velocity: 90 T/min- Stimulating intensity: -0.012 MPa (Max.), 3 adjustable degrees- Sucking intensity: -0.024 MPa (Max.), 5 adjustable degrees- Sucking velocity: 35-63 T/min, 5 adjustable speeds
    BiocompatibilityNot cytotoxic, irritating, or a dermal sensitizer (met "FDA food additive criteria as set forth in 21 Code of Federal Regulations Part 176, 177 and 178")."Not cytotoxic, irritating or a dermal sensitizer" (implied to meet the criteria mentioned for predicate device).
    Electrical SafetyMeets IEC 60601-1-2."Meets IEC 60601-1-2." (Specific edition not elaborated for the proposed device, but stated in the standards met section as IEC 60601-1, 3rd Edition and IEC 60601-1-2 Edition 3:2007-03)
    EMC (Electromagnetic Compatibility)Meets IEC 60601-1-2."Meets IEC 60601-1-2." (Specific edition not elaborated for the proposed device, but stated in the standards met section as IEC 60601-1, 3rd Edition and IEC 60601-1-2 Edition 3:2007-03)
    Suction LevelComparable to predicate device (Predicate: 30-250, Proposed: 180 maximum).Suction level met (specific range is 180 maximum, which is considered "similar" to the predicate, with the discussion that the lower maximum vacuum range of the proposed device "would not involve any harm").
    Cycle TimeComparable to predicate device (Predicate: 30-80, Proposed: 90 maximum).Cycle time met (specific range is 90 maximum, considered "similar" to the predicate).
    Standards MetIEC 60601-1; IEC 60601-1-2; ISO 10993-1; ISO 10993-5; ISO 10993-10All listed standards were met, specifically: IEC 60601-1, 3rd Edition; IEC 60601-1-2 Edition 3:2007-03; ISO 10993-1:Fourth Edition 2009-10-15; ISO 10993-5:2009; ISO 10993-10;Third Edition 2010-08-01.

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

    The document states: "The sponsor has performed bench testing to demonstrate the electric breast pump performs within specifications." It does not specify a "test set" in terms of subject data (e.g., lactating women). The testing appears to be purely bench testing (laboratory-based performance measurements). Therefore, sample size for a test set of human subjects is not applicable/not provided. The "data provenance" is implied to be from the manufacturer's internal testing. There is no mention of country of origin for any human data or whether it was retrospective or prospective, as no human data appears to have been used in the performance testing described.

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

    Since the performance testing described is bench testing of physical parameters, there were no human experts used to establish ground truth for a clinical test set. The "ground truth" for the bench tests would be the established engineering specifications and international standards.

    4. Adjudication Method for the Test Set

    As no human experts or clinical test set are described, an adjudication method is not applicable/not provided.

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

    No, a Multi-Reader Multi-Case (MRMC) comparative effectiveness study was not done. The study described is bench testing of a physical device against technical specifications and a predicate device. This type of study is not relevant for evaluating human reader performance with or without AI assistance.

    6. If a Standalone (Algorithm Only Without Human-in-the-Loop Performance) Was Done

    This question is not directly applicable. The device is an electric breast pump, a mechanical and electrical device, not an AI algorithm. Its performance is inherent to its design and function. The "standalone" performance here refers to the device operating on its own as designed, which is what the bench tests demonstrate. There is no AI component to evaluate for standalone performance in the context of typical AI device submissions.

    7. The Type of Ground Truth Used

    The ground truth used for the performance evaluation consists of:

    • Engineering Specifications: The defined operating parameters for stimulating velocity, stimulating intensity, sucking intensity, and sucking velocity for both models.
    • International Standards: Compliance with ISO 10993 (biocompatibility), IEC 60601-1 (general safety), and IEC 60601-1-2 (electrical safety/EMC).
    • Comparison to Predicate Device: The performance parameters (vacuum range, cycle speed) were benchmarked against the predicate device (Ameda Platinum electric breast pump, K100435) to demonstrate substantial equivalence, implying that the predicate's established performance serves as a ground truth for comparison.

    8. The Sample Size for the Training Set

    This question is not applicable. The device is an electric breast pump, not an AI/machine learning algorithm that requires a "training set" of data.

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

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

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