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510(k) Data Aggregation

    K Number
    K072921
    Date Cleared
    2007-11-26

    (42 days)

    Product Code
    Regulation Number
    880.5725
    Reference & Predicate Devices
    N/A
    Why did this record match?
    Applicant Name (Manufacturer) :

    SYMBIOS MEDICAL PRODUCTS, LLC

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

    The Disposable Infusion Pump is a disposable, self-contained infusion system utilizing an inflatable elastomeric reservoir to mechanically provide percutaneous infusion of prescribed solutions at a presely for post-operative pain management.

    Device Description

    Not Found

    AI/ML Overview

    The provided text is a Food and Drug Administration (FDA) letter regarding the 510(k) premarket notification for the "GOPump Rapid Recovery System, Disposable Infusion Pump Kit." This document is a regulatory approval letter and does not contain the acceptance criteria or the study details that would demonstrate the device meets those criteria.

    Therefore, I cannot provide the requested information. The document focuses on the regulatory classification and approval process, not on the technical performance studies of the device.

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    K Number
    K071735
    Date Cleared
    2007-07-19

    (23 days)

    Product Code
    Regulation Number
    880.5725
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    SYMBIOS MEDICAL PRODUCTS, LLC

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

    The Disposable Infusion Pump is a disposable, self-contained infusion system utilizing an inflatable elastomeric reservoir to mechanically provide percutaneous infusion of prescribed solutions at a preset rate for post-operative pain management.

    Device Description

    The Symbios Disposable Infusion Pump Kit is a convenience kit that includes the components necessary to provide temporary infusion of a liquid into a patient. The components of the system are an elastomeric pump, a catheter needle/introducer, an infusion catheter and accessories. The pump is a disposable, self-contained, infusion system utilizing an inflatable elastomeric reservoir to mechanically pressurize a fluid and drive it through tubing to a small restrictor to provide infusion at a pre-set rate. The device is provided empty and no specific drug references are made in the labeling. The device is not intended for delivery of blood, blood products, lipids or fat emulsions.

    AI/ML Overview

    The provided text describes a 510(k) summary for a Disposable Infusion Pump Kit and does not contain information about an AI/ML-based device. Therefore, I cannot extract the specific details related to acceptance criteria and studies that prove an AI device meets these criteria.

    However, I can provide a summary of the device's characteristics and the changes that were submitted for 510(k) clearance, as an example of acceptance criteria and device performance for a traditional medical device:

    Device Acceptance Criteria and Performance (Based on Modified Device Information)

    The acceptance criteria for the modified Disposable Infusion Pump Kit and its reported performance are primarily based on equivalence to the predicate device K051474, with specific changes outlined below.

    1. Table of Acceptance Criteria and the Reported Device Performance

    Feature/ParameterAcceptance Criteria (Equivalent to Predicate)Reported Device Performance (Modified Device)
    Pump Performance
    Fill Volume100 ml (Predicate)150 ml (Modified, previously capable but not tested to this volume)
    Flow Rate2.0 ml/hr2.0 ml/hr
    Flow ProfileContinuousContinuous
    Accuracy± 15%± 15%
    Pressure SourceStrain energy of elastomeric membraneStrain energy of elastomeric membrane
    Reservoir MaterialSynthetic rubber, latex-free elastomeric membraneSynthetic rubber, latex-free elastomeric membrane
    Catheter Needle/Introducer
    FDA StatusExempt (878.4200)Exempt (878.4200)
    Material - NeedleStainless steelStainless steel
    Material - Introducer CatheterTeflonTeflon or Polyethylene (Modified)
    Needle Size16 GAUp to 14 GA (Modified)
    Needle Length2.75"Up to 10" (Modified)
    Sterility
    Sterility Assurance Level10^-610^-6
    Sterilization MethodANSI/AMMI/ISO 11135-1994 (EtO)ANSI/AMMI/ISO 11135-1994 (EtO)
    EtO ResidualsEthylene Oxide
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    K Number
    K051474
    Date Cleared
    2005-07-01

    (28 days)

    Product Code
    Regulation Number
    880.5725
    Reference & Predicate Devices
    N/A
    Why did this record match?
    Applicant Name (Manufacturer) :

    SYMBIOS MEDICAL PRODUCTS, LLC

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

    The Symbios Disposable Infusion Pump Kit is a disposable, self-contained infusion system utilizing an inflatable elastomeric reservoir to mechanically provide percutaneous infusion of prescribed solutions at a pre-set rate for post-operative pain management.
    The Disposable Infusion Pump is a disposable, self-contained infusion system utilizing an inflatable elastomeric reservoir to mechanically provide percutaneous infusion of prescribed solutions at a proset rate for post-operative pain management.

    Device Description

    The Symbios Disposable Infusion Pump Kit is a convenience kit that includes the components necessary to provide temporary infusion of a liquid into a patient. The components of the system are an elastomeric pump, a catheter needle/introducer, an infusion catheter and a bandage. The pump is a disposable, self-contained, infusion system utilizing an inflatable elastomeric reservoir to mechanically pressurize a fluid and drive it through tubing to a small restrictor to provide infusion at a pre-set rate.
    The device is provided empty and no specific drug references are made in the labeling. The device is not intended for delivery of blood, blood products, lipids or fat emulsions.

    AI/ML Overview

    I am sorry, but the provided text does not contain the information required to describe the acceptance criteria and the study that proves the device meets the acceptance criteria. The document is a 510(k) premarket notification for a "Disposable Infusion Pump Kit," which includes information about its classification, description, and intended use, along with FDA correspondence confirming substantial equivalence to predicate devices.

    However, it does not include:

    • A table of acceptance criteria and reported device performance.
    • Details about a study (like sample size, data provenance, ground truth establishment, expert involvement, or adjudication methods).
    • Information about MRMC comparative effectiveness studies or standalone algorithm performance.

    The document primarily focuses on regulatory approval based on substantial equivalence, rather than a detailed performance study with quantifiable acceptance criteria.

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