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510(k) Data Aggregation

    K Number
    K230849
    Device Name
    ELLAVI UBT
    Date Cleared
    2023-11-13

    (230 days)

    Product Code
    Regulation Number
    884.4530
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    SINAPI Biomedical (Pty) Ltd.

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

    The ELLAVI UBT device is intended to provide temporary control or reduction of postpartum uterine bleeding when conservative management is warranted.

    Device Description

    The ELLAVI UBT is an 18 cm long intrauterine balloon tamponade device primarily comprised of thermoplastic elastomer. The balloon and internal tubing are made of thermoplastic elastomer, while the exterior tubing is made of polyvinyl chloride. A supply bag is the filled, connected, and hung at a pre-determined height based on the patient's systolic blood pressure. The device consists of a balloon that is inserted into the uterus transvaginally into the postpartum uterus after delivery and removal of the placenta. A valve is then opened, and this allows the fluid to inflate the balloon and apply pressure to achieve a hemostatic effect.

    AI/ML Overview

    The ELLAVI UBT device, intended for temporary control or reduction of postpartum uterine bleeding, underwent a series of non-clinical performance tests to demonstrate substantial equivalence to its predicate device, the Bakri Postpartum Balloon. The provided documentation primarily focuses on mechanical, biocompatibility, sterilization, and shelf-life testing. No clinical study data is provided in the document.

    1. Table of Acceptance Criteria and Reported Device Performance

    TestAcceptance CriteriaReported Device Performance
    Mechanical Testing
    Visual AssessmentNo visual defectsVerified no visual defects
    Dimensional VerificationVerification of tube and balloon dimensionsVerified tube and balloon dimensions
    Stretch PercentageVerify the stretch percentage of the balloon when filled with 750 mlVerified stretch percentage
    Tube KinkingVerify that the tube is unable to kink when handled as per normal useVerified no kinking
    External Wall PressureThe external wall of the balloon must be able to exert 60 mm Hg to 120 mm Hg on the uterine wallVerified pressure exertion within range
    Pressure Maintenance (Balloon)Maintain a pressure of 12 kPa for 20 seconds (p-test)Verified pressure maintenance
    Pressure Maintenance (Supply Bag)Maintain a pressure of 12 kPa for 8 seconds (p-test)Verified pressure maintenance
    Balloon Burst VolumeVerify the burst volume of the balloonVerified burst volume
    Balloon Leak/RuptureNo leakage and/or rupture when subjected to 180 mm Hg for 24 hoursVerified no leakage/rupture
    Balloon Drop StrengthWithstand a drop from 1 m when filled to maximum fill levelVerified drop strength
    Balloon Fill TimeVerify the time it takes to fill the balloon to the normal fill level for different supply bag heightsVerified fill time
    Balloon Fill with Partial BlockageAble to fill to the normal fill level while inner tube is pressed against balloon wallVerified fill with blockage
    O-Ring Seal ForceMaintain a connection between the tube and the balloonVerified connection maintenance
    Force to Separate Balloon from TubingVerify the force required to break the O-ring seal in emergency while balloon is filledVerified force required
    Balloon Leak in Absence of O-RingNo leaks when filled to maximum operating fill level with no O-ringVerified no leaks
    Tube/Tap Removal ForceVerify the force required to remove the tube from the tapVerified force required
    Supply Bag/Tap Removal ForceVerify the force required to pop the tube off the tap connection for a closed tapVerified force required
    Balloon Draining TimeVerify the time it takes the balloon to drain back to the supply bag for different supply bag heights and tube orientationsVerified draining time
    Balloon Fill with a Kinked TubeCan fill and/or drain with a kinked tubeVerified fill/drain with kinked tube
    Biocompatibility Testing
    Cytotoxicity (ISO 10993-5:2009)Not cytotoxicNot cytotoxic
    Maximization Sensitization (ISO 10993-10:2010)Not sensitizingNon-sensitizing
    Intracutaneous Irritation (ISO 10993-10:2010)Not irritatingNon-irritating
    Acute Systemic Toxicity (ISO 10993-11:2017)Not acutely systemically toxicNot acute systemically toxic
    Material Mediated Pyrogenicity (ISO 10993-11:2017)Does not elicit a material-mediated pyrogenic responseDoes not elicit a material-mediated pyrogenic response
    Sterilization & Shelf-Life
    SterilizationSAL of 10⁻⁶Achieved SAL 10⁻⁶ (Ethylene Oxide)
    Shelf-Life3-year shelf-lifeEstablished based on accelerated aging (ASTM F1980-21)
    Simulated Shipping DistributionIn accordance with ASTM D4196-16Conducted in accordance with ASTM D4196-16
    Package IntegrityIn accordance with ASTM F1980-16, F88/F88M-15, and ASTM F1929-15Conducted in accordance with specified ASTM standards
    Endotoxin TestingLess than )

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

    The provided document details non-clinical performance data (mechanical, biocompatibility, sterilization, and shelf-life testing). It does not describe a "test set" in the context of clinical or image-based studies with human subjects. Therefore, information about sample size, country of origin, or retrospective/prospective nature of such a test set is not applicable from this document. The tests performed are laboratory-based evaluations of the device's physical and material properties.

    3. Number of Experts Used to Establish Ground Truth and Qualifications

    Not applicable. The document describes non-clinical engineering and material science tests. "Ground truth" in the context of expert consensus for clinical diagnosis is not relevant to these types of tests.

    4. Adjudication Method for the Test Set

    Not applicable. There is no "test set" in the context of clinical or diagnostic performance that would require an adjudication method. The reported performance is based on direct measurements and observations from laboratory testing.

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

    No MRMC comparative effectiveness study was mentioned or conducted, as this documentation pertains to non-clinical testing for substantial equivalence of a medical device.

    6. Standalone Performance Study

    The documented studies are standalone in the sense that they evaluate the device itself (its mechanical properties, biocompatibility, etc.) without human interaction as part of the performance evaluation. However, this is not a "standalone performance" in the context of algorithm-only performance for a diagnostic device, as the ELLAVI UBT is a physical medical instrument.

    7. Type of Ground Truth Used

    The "ground truth" for the non-clinical tests described is based on engineering specifications, material science standards, and established laboratory testing protocols. For instance:

    • Mechanical Testing: Physical measurements against design specifications, established parameters (e.g., pressure ranges, fill volumes, time limits).
    • Biocompatibility Testing: Compliance with ISO 10993 series standards, where reactivity or toxicity is evaluated against established biological models.
    • Sterilization and Shelf-Life: Compliance with ISO 11135 and ASTM standards for sterility assurance levels, aging profiles, and package integrity.

    8. Sample Size for the Training Set

    Not applicable. The ELLAVI UBT is a physical medical device. It does not involve machine learning algorithms or a "training set" in the context of artificial intelligence.

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

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

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