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510(k) Data Aggregation

    K Number
    K214016
    Date Cleared
    2022-03-18

    (86 days)

    Product Code
    Regulation Number
    876.5630
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    15L Cycler Drainage Bag

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

    This bag is intended for the collection of effluent during Automated Peritoneal Dialysis (APD) Therapy.

    Device Description

    Baxter's Cycler Drainage Bag product line currently consists of a sterile 15L Cycler Drainage Bag (5C4145P). This 15 L Cycler Drainage Bag is a single use device intended for the collection of effluent during Automated Peritoneal Dialysis (APD) Therapy and can be used with Baxter's APD Sets with Cassette, Manifold Sets and Extension Sets. The purpose of this drain bag is to allow the collection of the spent effluent in the event that a patient does not have access to a drain from the location where APD therapy is performed. The basis for this submission is the addition of a non-sterile version of the 15L Cycler Drainage Bag to the current product line. The product line does not come into direct or indirect contact with the patient's body tissue. The intended use, material, design, and function of the proposed device will be the same as the currently marketed 15 L Cycler Drainage Bag.

    AI/ML Overview

    The provided document describes a 510(k) premarket notification for a new non-sterile version of Baxter's 15L Cycler Drainage Bag (product code 5C4145NS), comparing it to the currently marketed sterile version (5C4145P) which serves as the predicate device. The primary difference is the sterility status.

    1. Table of Acceptance Criteria and Reported Device Performance:

    TestAcceptance CriteriaReported Device Performance (Implied)
    Capacity/Leak (5C4145P)The product shall hold 16 liters of water for 24 hours without leak.Met
    Capacity/Leak (5C4145NS)The product shall hold 16 liters of water for 48 hours without leak.Met
    Drain Line Spike/LeakForce to spike drain line connector shall be no more than 35 lbf with no leak at 8psig for 10 seconds.Met
    Drain Line Spike Removal (5C4145P)Force to remove spike connector after a 24-hour therapy shall be no less than 3 lbf.Met
    Drain Line Spike Removal (5C4145NS)Force to remove spike connector after a 48-hour therapy shall be no less than 3 lbf.Met
    Clamp Closure ForceManual shut-off clamp closure force on tubing lines shall be no more than 26 lbf.Met
    Clamp Opening ForceManual shut-off clamps on lines shall open with a force no more than 10 lbf.Met
    Bioburden MeasurementThe drain bag shall have less than or equal to 100 CFUs per set.Met
    Microbial Travel (5C4145NS)Upper boundaries for bacterial travel distance for both ascending and descending positions at 35-39℃ after 48 hours are less than the distance required to contaminate the APD cassette.Met (demonstrated mitigation of contamination risk)
    Cycler System Level (5C4145NS)For both the HomeChoice and HomeChoice Claria cyclers: Under least favorable conditions, the drain flow rate lower bound > 50ml/min.Met
    Spike Tip Protector Removal Force (5C4145P)The axial force to remove the spike tip protector shall not be less than 4.5 N (1.0 lbf) or greater than 45 N (10.0 lbf).Met
    Pull Ring Tip Protector Removal Force (5C4145P)The axial force to remove the pull ring tip protector shall not be less than 4.5 N (1.0 lbf) or greater than 54 N (12.0 lbf).Met
    Solvent Bond Leak Strength (5C4145P)The subsystem, after being subjected to a 5 lbf pull force shall not leak when subjected to 8 psig pressure for 10 seconds.Met
    Connection Duration Test (5C4145P)Drain bag and APD sets connected after 48 hours.Met
    BiocompatibilityEvaluation in accordance with ISO-10993 Biological Evaluation of Medical Devices Part 1, classified as "non-contact".Biocompatibility standards met for non-contact device.
    Sterilization (5C4145P)Sterility Assurance Level (SAL) of 10^-6 according to ANSI/AAMI ST67:2019 and ANSI/AAMI/ISO 11135-1:2014.Met (for sterile version; not applicable to the proposed non-sterile version)
    Shelf Life5 yearsSupported by aging testing.

    Note: The document states that "All results meet the acceptance criteria," therefore, the reported device performance for all listed criteria is implicitly "Met."

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

    The document does not explicitly state the sample sizes for each specific test or the data provenance (e.g., country of origin) for the test sets. The tests are described as "design verification tests" conducted by Baxter Healthcare Corporation. It is implied these are internal company tests, so the data provenance would be internal to Baxter, likely in the US (where Baxter is headquartered). The studies appear to be prospective, as they were conducted to support the premarket notification for a new product configuration.

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

    This information is not provided. The tests described are largely objective engineering and microbiological performance tests (e.g., leak tests, force measurements, bioburden, microbial travel), which typically rely on predefined specifications and instrumentation rather than expert consensus on a "ground truth" in the diagnostic sense.

    4. Adjudication Method for the Test Set:

    Not applicable. As noted above, the tests are objective performance evaluations against established engineering and safety specifications, not subjective assessments requiring adjudication.

    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:

    Not applicable. This device is a medical accessory (drainage bag), not a diagnostic imaging or AI-enabled device. Therefore, MRMC studies and AI-related effectiveness are not relevant.

    6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) Was Done:

    Not applicable. This device is a medical accessory, not an algorithm.

    7. The Type of Ground Truth Used (expert consensus, pathology, outcomes data, etc.):

    The "ground truth" for the performance tests outlined (Capacity/Leak, Drain Line Spike/Leak, Clamp forces, Bioburden, Microbial travel, Cycler System Level, Removal forces, Solvent Bond Leak Strength, Connection Duration) is based on engineering specifications, established industry standards (e.g., ISO, AAMI), and risk analyses. For biocompatibility, it's adherence to ISO-10993. For microbial travel, it's the lack of contamination reaching a critical point (APD cassette). These are objective, measurable criteria, not subjective human interpretations.

    8. The Sample Size for the Training Set:

    Not applicable. This device is a physical medical accessory, not an AI/machine learning algorithm requiring a training set.

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

    Not applicable. No training set is involved.

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