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510(k) Data Aggregation

    K Number
    K990496
    Date Cleared
    1999-07-01

    (134 days)

    Product Code
    Regulation Number
    880.5440
    Reference & Predicate Devices
    N/A
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    An intravascular administration set intended to administer fluids from a fluid container (IV bag) to a patient's vascular system through a needle or catheter inserted into a vein.

    Device Description

    AnesFlow™ Dual Drip Intravenous Infusion Set is an intravenous infusion set incorporating two drip chambers of different flow characteristics (micro and macro drip chambers), intended to provide the operator with a greater flexibility of controlling the intravenous fluids infusion rate (i.g., slow rate through the micro-drip and/or fast rate through the macro-drip).

    AI/ML Overview

    Acceptance Criteria and Device Performance for AnesFlow™ Dual Drip Intravenous Infusion Set (K990496)

    This 510(k) summary for the AnesFlow™ Dual Drip Intravenous Infusion Set focuses on establishing substantial equivalence to predicate devices rather than proving specific device performance criteria through a dedicated study with pre-defined acceptance criteria. The submission aims to demonstrate that the new device is as safe and effective as legally marketed predicate devices. Therefore, the information provided primarily addresses the functional equivalence and intended use alignment.

    1. Table of Acceptance Criteria and Reported Device Performance

    As this is a 510(k) submission based on substantial equivalence, there are no explicit, quantifiable "acceptance criteria" presented as one might find in a performance study for a novel device. Instead, the "performance" is implicitly deemed acceptable if the device aligns with the predicate devices in its intended use and fundamental operating principles.

    Feature / CriterionAcceptance Criteria (Implicit for Substantial Equivalence)Reported Device Performance (as stated in 510(k) summary)
    Intended UseAdministration of intravenous (IV) fluids from a fluid container to a patient's vascular system."Disposable device, intended for administration of intravenous (IV) fluids."
    Basic FunctionalityAbility to safely and effectively administer IV fluids."intravenous infusion set incorporating two drip chambers of different flow characteristics (micro and macro drip chambers), intended to provide the operator with a greater flexibility of controlling the intravenous fluids infusion rate..."
    Flow Characteristics (Micro-drip)Should be comparable to existing micro-drip IV sets (e.g., 60 drops/ml).Incorporated a "60 drop" chamber, similar to predicate device #1.
    Flow Characteristics (Macro-drip)Should be comparable to existing macro-drip IV sets (e.g., 15 drops/ml).Incorporated a "15 drops/ml" chamber, similar to predicate devices #2 and #3.
    Fluid Infusion Rate ControlShould allow for controlled infusion rates."provide the operator with a greater flexibility of controlling the intravenous fluids infusion rate (i.g., slow rate through the micro-drip and/or fast rate through the macro-drip)."
    SafetyNo new safety concerns identified compared to predicate devices.Implicitly deemed safe through substantial equivalence to legally marketed devices.
    Material/Design CharacteristicsMaterials and design should be suitable for IV fluid administration and compatible with existing standards."Although the physical characteristics differ among the devices, the devices are substantially functionally equivalent in their intended use for administering IV fluids."

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

    The provided document does not describe a specific test set or a study with a defined sample size for the AnesFlow™ device itself. The submission relies on the established safety and efficacy of the predicate devices. Therefore, there's no information on:

    • Sample size: Not applicable, as no new performance study data is presented.
    • Data provenance: Not applicable.

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

    Not applicable. As no new performance study was conducted for the AnesFlow™ device, there was no need for experts to establish a "ground truth" for a test set. The substantial equivalence argument relies on the well-established clinical use and regulatory approval of the predicate devices.

    4. Adjudication Method for the Test Set

    Not applicable. No new test set data was presented or adjudicated.

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

    No, a Multi-Reader Multi-Case (MRMC) comparative effectiveness study was not done. This type of study is rarely required for 510(k) submissions focusing on substantial equivalence for devices like IV sets, as they generally don't involve interpretation tasks by multiple readers.

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

    Not applicable. The AnesFlow™ device is a medical device (intravenous infusion set), not an algorithm or AI system. Therefore, standalone algorithm performance is not relevant.

    7. The Type of Ground Truth Used

    The "ground truth" in this context is the established safety and efficacy of the legally marketed predicate devices. The claim of substantial equivalence means that the AnesFlow™ device is considered as safe and effective because its intended use, fundamental technological characteristics, and performance are similar to devices already found acceptable by the FDA.

    8. The Sample Size for the Training Set

    Not applicable. As this is not an AI/algorithm-driven device, there is no "training set."

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

    Not applicable. There is no training set for this type of device.

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