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510(k) Data Aggregation

    K Number
    K192404
    Date Cleared
    2020-06-22

    (293 days)

    Product Code
    Regulation Number
    870.2900
    Reference & Predicate Devices
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    Patient Monitoring Cables are intended to be used to connect sensors, placed at appropriate sites on the patient to a monitoring device for general monitoring by health care professional.

    Device Description

    Patient Monitoring Cables (SpO2 Extension Cable, CR002-5301) is comprised of Plug, Cable/Leadwires and Connector. It's intended to plug into monitoring device and connect with SpO2 sensor, for transmitting signals which generated by SpO2 sensor to monitoring device.

    AI/ML Overview

    The provided text describes the 510(k) premarket notification for a medical device: "Patient Monitoring Cable (SpO2 Extension Cable)" (K192404).

    Based on the content, this document does not describe a study involving an AI/ML algorithm or human readers for diagnostic purposes. Instead, it details the substantial equivalence review for a physical medical cable. Therefore, many of the requested points regarding AI/ML device acceptance criteria and study designs are not applicable.

    However, I can extract the relevant information regarding the acceptance criteria and the "study" (referring to the testing performed for this physical device) that proves it meets those criteria:

    Device: Patient Monitoring Cable (SpO2 Extension Cable)
    Purpose: Connects SpO2 sensors to a monitoring device to transmit signals.

    Here's the breakdown based on the provided document:

    1. Table of Acceptance Criteria and Reported Device Performance (as applicable for a physical cable):

    Acceptance Criteria (Standards/Tests)Reported Device Performance (Compliance Statement)
    Safety and Essential Performance (Electrical)
    IEC 60601-1: 2005+A1:2012 (Medical Electrical Equipment - Part 1: General Requirements for basic safety and essential performance)"subject device has assessed the differences to US national standard (ANSI AAMI 60601-1: 2005/(R)2012 And A1:2012), and the test report attaches the compliance." (Section 8)
    ANSI AAMI EC53: 2013 (ECG Trunk Cables And Patient Leadwires)Evaluated by lab bench testing according to this standard. (Section 8, Section 10 - Electrical safety and Performance row)
    ISO 80601-2-61: 2017-12 (Medical electrical equipment - Part 2-61: Particular requirements for basic safety and essential performance of pulse oximeter equipment)Evaluated by lab bench testing according to this standard. (Section 8, Section 10 - Electrical safety and Performance row)
    Performance Accuracy (Data Integrity)
    Integrity testing (to prevent measured data corruption)"Patient Monitoring Cables has also been evaluated the performance accuracy through integrity testing, which proves that no measured data corrupt during communication between SpO2 sensors and host monitors." (Section 8)
    Biocompatibility (Patient Contact)
    ISO 10993-1 (General principles governing biological evaluation of medical devices) for: Cytotoxicity, Sensitization, Irritation"Meets ISO 10993-5 Cytotoxicity, ISO 10993-10 Sensitization and Irritation" (Section 10 - Biocompatibility row). Specifically, "conduct biocompatibility test on the SpO2 extension cable CR002-5301 including the following: Cytotoxicity, Sensitization, Irritation" (Section 9). The cable jacket (TPU) is categorized as "Surface-contacting device: Patient Skin" with a contact duration of "< 24 hours".

    2. Sample Size Used for the Test Set and Data Provenance:
    This information is not explicitly stated in the document. The testing performed would involve internal lab bench testing on manufactured samples of the cable, not a "test set" in the context of clinical data or AI validation. Data provenance (country of origin, retrospective/prospective) is not applicable here as it's a physical device and not based on clinical data collection for performance evaluation.

    3. Number of Experts Used to Establish Ground Truth for Test Set and Their Qualifications:
    Not applicable. Ground truth for a physical cable's performance (e.g., electrical safety, material biocompatibility) is established by adhering to recognized international and national standards and performing lab tests. It does not involve expert consensus in the way an AI diagnostic algorithm would.

    4. Adjudication Method for the Test Set:
    Not applicable. There is no "adjudication method" in the context of a physical cable's testing for electrical and material performance.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done:
    No. This is not an AI/ML diagnostic device, so MRMC studies are not relevant.

    6. If a Standalone (Algorithm Only Without Human-in-the-Loop Performance) Was Done:
    Not applicable. This is not an AI/ML algorithm.

    7. The Type of Ground Truth Used:
    For this device, "ground truth" refers to compliance with recognized engineering and medical device standards (e.g., IEC 60601-1, AAMI EC53, ISO 80601-2-61 for electrical performance and signal integrity; ISO 10993 for biocompatibility) and physical testing results demonstrating adherence to these standards.

    8. The Sample Size for the Training Set:
    Not applicable. This device does not involve machine learning algorithms, so there is no training set.

    9. How the Ground Truth for the Training Set Was Established:
    Not applicable. There is no training set.

    In summary, the provided document details the regulatory clearance process for a physical medical cable, demonstrating its substantial equivalence to predicate devices through adherence to established safety, performance, and biocompatibility standards via lab bench testing. It does not involve any AI/ML components or associated study methodologies like MRMC studies or ground truth establishment by clinical experts for diagnostic tasks.

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    K Number
    K172797
    Date Cleared
    2018-02-28

    (166 days)

    Product Code
    Regulation Number
    870.2900
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The ECG Cable/Leadwires is intended to be used with ECG. The ECG Cable/Leadwires is used to connect electrodes placed at appropriate sites on the patient to ECG for general monitoring and/or diagnostic evaluation by health care professional.

    Device Description

    The ECG Cable/Leadwires is comprised of Plug, cable/leadwires and connector. The device is used to transmit ECG signals from electrodes which are affixed to the patient's body for both diagnostic and monitoring purposes. Each lead wire is attached to ECG patient electrodes. The leadwires connector plugs into one end of the external trunk cable which is plug into an ECG monitor.

    AI/ML Overview

    This is a 510(k) premarket notification for an ECG Cable/Leadwires device. The document states that no clinical tests were performed, which means no studies were done to establish the acceptance criteria for device performance or to prove the device meets those criteria in a clinical setting.

    The provided information focuses on demonstrating substantial equivalence to a predicate device (K120010) through nonclinical testing.

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

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

      Acceptance Criterion (Standard)Reported Device Performance
      Electrical Performance and Safety:
      IEC 60601-1:2005+CORR.1:2006+CORR.2:2007+AM1:2012 (Medical Electrical Equipment - Part 1: General Requirements For Basic Safety And Essential Performance)Comply
      AAMI/ANSI EC53:2013 (ECG Trunk Cables and Patient Leadwires)Comply
      Biocompatibility:
      ISO 10993-1:2009 (Biological Evaluation Of Medical Devices - Part 1: Evaluation And Testing Within A Risk Management Process)No cytotoxicity, No irritation, No sensitization (Implied)

      Note: The document states that the device "Comply with" these standards for electrical performance and safety, and lists biocompatibility results for "No cytotoxicity, No irritation, No sensitization," implying these are the acceptance criteria met through testing following ISO 10993-1.

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

      • Sample Size: Not specified for non-clinical tests.
      • Data Provenance: Not specified, but generally, bench testing (non-clinical) is conducted by the manufacturer or a contracted lab. The manufacturer is Shenzhen Coreray Technology Co., Ltd. in P.R China. The testing would be prospective in nature for device validation.
    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)

      • Not applicable as this is a medical device (ECG Cable/Leadwires) undergoing non-clinical bench testing for electrical safety, performance, and biocompatibility, not an AI/diagnostic software that requires expert ground truth for interpretation.
    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

      • Not applicable for non-clinical bench testing. Adjudication methods are typically used in clinical studies or for establishing ground truth in diagnostic accuracy studies.
    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

      • No. A MRMC comparative effectiveness study was not done. This device is an ECG cable/leadwire, which is a hardware component for signal transmission, not an AI-powered diagnostic tool for interpretation.
    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

      • No. This device is an ECG cable/leadwire, a hardware component for signal transmission. It is not an algorithm or AI.
    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc)

      • For the non-clinical tests, the "ground truth" is defined by the technical specifications and requirements outlined in the referenced international and national standards (IEC 60601-1, AAMI/ANSI EC53, ISO 10993-1). Compliance with these standards indicates the device adequately performs its intended function and is safe.
    8. The sample size for the training set

      • Not applicable. This is a hardware medical device; there is no "training set" in the context of machine learning or AI.
    9. How the ground truth for the training set was established

      • Not applicable for the same reason as above.
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