Search Filters

Search Results

Found 1 results

510(k) Data Aggregation

    K Number
    K213522
    Date Cleared
    2022-03-22

    (139 days)

    Product Code
    Regulation Number
    880.5200
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    AMSafe Pre-Filled Normal Saline Flush Syringe

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

    The AMSafe® Pre-Filled Normal Saline Flush Syringe, is intended for use in flushing compatible intravenous administration sets and indwelling intravenous access devices. Use according to the recommendations of the manufacturer for the appropriate device.

    Device Description

    AMSafe® Pre-Filled Normal Saline Flush Syringe is a polypropylene plastic syringe filled with 0.9% sodium chloride for injection, USP, and capped with a polypropylene syringe tip cap.

    AI/ML Overview

    This document describes the premarket notification (510(k)) for the AMSafe® Pre-Filled Normal Saline Flush Syringe. The information provided outlines the device's technical characteristics, intended use, and comparison to a legally marketed predicate device (K183473). The study performed is a non-clinical bench testing study, not an AI/ML-based clinical study, therefore, many of the requested elements for an AI/ML study (e.g., sample size for test set, number of experts, MRMC study, training set details) are not applicable.

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

    1. Table of Acceptance Criteria and Reported Device Performance

    The acceptance criteria and reported device performance are detailed in "Table 5-2" on page 6 of the document.

    ID#TestMethodAcceptance CriteriaConclusion
    1Physical testing of syringeISO7886-1 ISO80369-7ISO7886-1 ISO80369-7Pass
    Integrity test of packageASTM F2338-09No leakagePass
    Dimension testISO80369-7ISO80369-7Pass
    Lubricant of syringe testISO7886-1ISO7886-1Pass
    Dead space testISO7886-1ISO7886-1Pass
    Limits of acidity or alkalinity of syringeISO7886-1ISO7886-1Pass
    2Sodium Chloride Injection, USP Testing
    pH valueUSPPH: 4.5-7.0Pass
    Chemical Identification TestsUSPUSPPass
    0.9% normal saline content testUSP6-4660.86% -- 0.94%Pass
    Oxidizable substance testUSP6-471USP6-471Pass
    Iron testUSPUSP
    CalciumUSPUSPPass
    CarbonateUSPUSPPass
    SulfateUSPUSPPass
    Total organic carbonUSPUSPPass
    Limits of extractable metalsUSP USPUSP USPPass
    3Particulate matterUSP≥10um, ≤6000 ≥25um, ≤600Pass
    4Biocompatibility testing
    Bacterial endotoxins testUSPBacterial endotoxins≤0.5EU/mLPass
    Acute systemic toxicityISO10993-11No systemic toxicityPass
    Intracutaneous reactivityISO10993-10Non-irritantPass
    Pyrogen testISO10993-11Non-pyrogenPass
    Skin sensitizationISO10993-10Non-sensitizerPass
    In vitro cytotoxicityISO10993-5Non-cytotoxicPass
    In vitro hemolysis propertiesASTM F756-17Non-hemolyticPass

    Additionally, shelf life was evaluated:

    • Test: Shelf life
    • Method: ASTM F1980-16
    • Acceptance Criteria/Conclusion: Verify that the device will remain within specification during the prescribed shelf life when stored under labeled conditions. (Implied Pass, as per overall conclusion).

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

    The document describes non-clinical bench testing of manufacturing characteristics and chemical composition, not an AI/ML-based study with a "test set" composed of patient data. Therefore, the concept of sample size for a test set (e.g., number of images, patient records) and data provenance (country of origin, retrospective/prospective) as typically understood for AI/ML studies are not applicable. The tests were performed on samples of the device itself. The specific number of units tested for each criterion is not provided, but it would typically be a predetermined number based on the statistical requirements of the specific test methods (e.g., ISO, ASTM, USP standards).

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

    Not Applicable. This was a bench study, not an AI/ML study requiring expert labeling of data. The "ground truth" for these tests are the established physical, chemical, and biological standards and methodologies outlined in the referenced ISO, ASTM, and USP documents.

    4. Adjudication Method for the Test Set

    Not Applicable. This was a bench study; there was no human-in-the-loop expert adjudication process as would be typical for AI/ML algorithm evaluation.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was Done

    No, an MRMC study was not done. This is a review of a physical medical device (pre-filled syringe), not an AI/ML diagnostic or assistive tool where human reader performance would be a relevant metric.

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

    Not Applicable. This document describes the performance of a physical medical device, not an algorithm.

    7. The Type of Ground Truth Used

    The "ground truth" for the non-clinical tests is based on established industry standards and pharmacopeial specifications. This includes:

    • Physical Properties: Standards like ISO7886-1, ISO80369-7, ASTM F2338-09.
    • Chemical Composition: United States Pharmacopeia (USP) monographs such as USP, USP, USP6-466, USP6-471, USP, USP, USP, USP.
    • Biocompatibility: ISO10993 series (ISO10993-11, ISO10993-10, ISO10993-5) and ASTM F756-17.
    • Sterility Assurance: The mention of 10-6 SAL (Sterility Assurance Level) indicates adherence to established sterilization standards.

    8. The Sample Size for the Training Set

    Not Applicable. This is a physical device, not an AI/ML algorithm that requires a training set.

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

    Not Applicable. As there is no training set for a physical device, there is no ground truth establishment process in that context.

    Ask a Question

    Ask a specific question about this device

    Page 1 of 1