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510(k) Data Aggregation

    K Number
    K031502
    Manufacturer
    Date Cleared
    2004-08-27

    (472 days)

    Product Code
    Regulation Number
    876.5820
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    USFILTER

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

    The USFilter Bicarbonate Mixing and Dispensing (Bicarb) System is intended to be used in a Hemodialysis facility to allow safe and effective delivery of concentrates as well as central mixing and delivery of sodium bicarbonate solution necessary for a hemodialysis treatment.

    Device Description

    The consistent mixing and delivery of bicarbonate solution for use in hemodialysis

    AI/ML Overview

    The provided document is a 510(k) summary for the USFilter Bicarbonate Mixing and Dispensing (Bicarb) System. It focuses on demonstrating substantial equivalence to a predicate device rather than presenting a study proving a device meets specific acceptance criteria based on performance metrics like sensitivity or specificity.

    Therefore, many of the requested categories for a study proving device performance (such as sample size for test sets, number of experts for ground truth, MRMC studies, standalone performance, training set details) are not applicable to this type of submission.

    However, I can extract information related to the comparison with the predicate device, which serves as the basis for demonstrating equivalence.

    Here's a breakdown of the information that can be extracted and the reasons why other requested categories are not applicable:

    1. Table of Acceptance Criteria and Reported Device Performance

    Instead of traditional performance metrics like sensitivity/specificity, the "acceptance criteria" here relate to demonstrating that the new device is fundamentally similar and performs comparably to a legally marketed predicate device. The document uses a comparison table to show substantial equivalence in specifications and intended use.

    Acceptance Criteria (Demonstration of Substantial Equivalence to Predicate)Reported Device Performance (USFilter Bicarb System)Predicate Device Performance (MAR COR MCB 210)
    Intended UseThe USFilter Bicarbonate Mixing and Dispensing (Bicarb) System is intended to be used in a Hemodialysis facility to allow safe and effective delivery of concentrates as well as central mixing and delivery of sodium bicarbonate solution necessary for a hemodialysis treatment.The Bicarb Mixing and Distribution System (Bicarb System) designed and manufactured by Mar Cor Services is, safe, reliable and easy to use. This system will reduce staff time by providing consistent bicarb mixing, and through system cleaning and disinfection.
    Utility Requirements
    Water FeedRO or DI water produced to AAMI standards for HemodialysisRO or DI water produced to AAMI standards for Hemodialysis
    Electrical requirements115 VAC, Single Phase, 20 AMP115 VAC, Single Phase, 20 AMP
    Drain1" Minimum1" Minimum
    Physical Dimensions (50 Gallon System)
    Length70"85"
    Depth27"32"
    Height60"57"
    Operating Weight1800 LBS1300 LBS
    Physical Dimensions (100 Gallon System)
    Length83"85"
    Depth35"32"
    Height60"61"
    Operating Weight2500 LBS2050 LBS
    Dimensional/Operating Room (Common)
    Width6' 10"6' 10"
    Depth3' 3"3' 3"
    Height6' 0"6' 0"
    Installation Piping (Common)
    Feedwater½" schedule 80 PVC½" schedule 80 PVC
    Loop Distribution¾" schedule 80 PVC¾" schedule 80 PVC
    Loop Return¾" schedule 80 PVC¾" schedule 80 PVC
    Drain1" schedule 80 PVC1" schedule 80 PVC
    System Floats (Mix Tank)The mix tank is equipped with a high level float that will close the fill valve if the water in the tank exceeds 100 gallons (50 gallons for 50 gallon systems). The fill valve controller will not reactivate unless the water level is below the float level.The mix tank is equipped with a high level float that will close the fill valve if the water in the tank exceeds 100 gallons (50 gallons for 50 gallon systems). The fill valve controller will not reactivate unless the water level is below the float level.
    System Floats (Distribution Tank)The distribution tank is equipped with a low-level float that lights a warning light if the bicarbonate in the tank drops below 25 gallons. If the distribution tank is allowed to go empty an audible alarm will sound.The distribution tank is equipped with a low-level float that lights a warning light if the bicarbonate in the tank drops below 25 gallons. If the distribution tank is allowed to go empty an audible alarm will sound.
    Pumps (Mix Pump)½ hp Totally Enclosed Fan Cooled (TEFC) motor½ hp Totally Enclosed Fan Cooled (TEFC) motor
    Pumps (Distribution Pump)1/9 hp TEFC motor1/8 hp TEFC motor
    Tank MaterialPolyethylenePolyethylene

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

    This information is not applicable as this is a device submission for substantial equivalence based on design and technical specifications, not a performance study on a test dataset. The "test set" would effectively be the device itself being compared to the predicate.

    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 is not applicable. Ground truth, in the context of device performance, typically refers to a gold standard used to evaluate the accuracy of a diagnostic or analytical device. This submission is for a mixing and dispensing system where "ground truth" would not be established by experts in the same way.

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

    This is not applicable. Adjudication methods are used in studies where there's disagreement among reviewers establishing ground truth, which is not relevant for this type of device submission.

    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

    This is not applicable. An MRMC study pertains to the evaluation of diagnostic performance, often with AI assistance for human readers. This device is a bicarbonate mixing and dispensing system, not an AI-powered diagnostic tool.

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

    This is not applicable. This question relates to the performance of an algorithm independently of human involvement, which is relevant for AI or diagnostic software. The USFilter Bicarb System is a physical medical device.

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

    This is not applicable. As discussed above, "ground truth" in the typical sense of a performance study is not relevant for demonstrating substantial equivalence for this device. The "ground truth" for this submission is the accepted safety and effectiveness of the legally marketed predicate device.

    8. The sample size for the training set

    This is not applicable. Training sets are used for machine learning algorithms, which are not involved in this device or its submission.

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

    This is not applicable for the reasons mentioned in point 8.

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