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510(k) Data Aggregation

    K Number
    K093426
    Manufacturer
    Date Cleared
    2010-02-22

    (111 days)

    Product Code
    Regulation Number
    868.5260
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    For use with ventilators, anesthesia machines and open flow systems where filtration of inspired and / or expired gases is required. It is single patient use, disposable for patients with Tidal Volumes > 150 ml.

    May be positioned at the machine end of the expiratory / inspiratory limb of the circuit, or at the patient end of the circuit.

    Device Description

    The Bact-Trap™ HEPA Midi filter incorporates standard 15 / 22 mm connectors with a gas sampling luer port. It utilizes an electrostatic media for the filtration function. The "HEPA" performance was tested in accordance to DOE 3020-97 and ASTM D2986 - 95a DOP at 30 Ipm.

    The filter functions by electrostatic capture.

    AI/ML Overview

    The acceptance criteria and study proving the device meets these criteria for the Bact-Trap™ HEPA Midi are detailed below.
    This device is a bacterial/viral filter, and the studies performed are primarily performance tests against established standards and metrics for such filters, rather than clinical studies involving human patients or ground truth from expert readings in a diagnostic context.

    1. Table of Acceptance Criteria and Reported Device Performance

    AttributeAcceptance CriteriaReported Device Performance
    Resistance to flow99.97% (based on DOE 3020-97 and ASTM D2986 - 95a DOP)>99.97%
    Dead Space (ml)Not explicitly stated as acceptance criteria, but based on predicate device46 ml for straight, 48 ml for angled
    Standard 15/22 mm connectorsYes (ISO 5356-1)Yes
    Gas sampling portYesYes
    Housing materialPolystyrenePolystyrene
    Filter mediaElectrostaticElectrostatic
    Weight (gm)Not explicitly stated as acceptance criteria32 gm
    Indications for use (To filter inspired and/or expired gases)YesYes
    Intended for single patient useYesYes
    PrescriptionYesYes
    Intended population (> 150 ml tidal volume)YesYes
    Intended Environment of UseHome, Hospital, sub-acute, Emergency servicesHome, Hospital, sub-acute, Emergency services
    Placement in various locations in circuitYesYes
    Compliance to ISO 5356-1 Conical 15/22YesYes
    Compliance to ISO 594-2 Luer FittingsYesYes
    Compliance to DOE 3020-97 and ASTM D2986 - 95a DOPYesYes

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

    The document does not specify the exact sample sizes (number of devices tested) for each performance criterion. However, the data provenance for the bacterial and viral filtration efficiency (BFE and VFE) is stated as Nelson Lab. This indicates the testing was conducted by an external laboratory specializing in such evaluations. The filtration performance (HEPA, BFE, VFE) and resistance to flow are typical engineering performance tests that would involve a specific number of devices tested under controlled laboratory conditions. The data is retrospective in the sense that it was generated prior to the 510(k) submission to demonstrate compliance. The country of origin for the data is presumably where Nelson Lab is located (typically USA) and potentially Sweden for other internal testing by Pharma Systems AB.

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

    Not applicable. For this type of medical device (bacterial/viral filter), the "ground truth" is established through physical and engineering performance measurements against established standards (e.g., DOE 3020-97, ASTM D2986 - 95a DOP, ISO standards) and laboratory testing protocols to determine filtration efficiency and resistance. There are no human experts establishing a "ground truth" through interpretation of data in the way radiologists or pathologists would for diagnostic devices. The experts involved would be the laboratory technicians and scientists performing the tests and verifying the methodologies.

    4. Adjudication Method for the Test Set

    Not applicable. As noted above, the "truth" is determined by direct physical/engineering measurements using standardized testing methods, not by expert consensus or adjudication in this context.

    5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

    No, a Multi-Reader Multi-Case (MRMC) comparative effectiveness study was not done. This type of study is relevant for diagnostic imaging devices where human readers interpret medical images with or without AI assistance. The Bact-Trap™ HEPA Midi is a filter for breathing circuits, not a diagnostic device.

    6. Standalone (Algorithm Only Without Human-in-the-Loop Performance) Study

    Yes, in a sense, a "standalone" performance evaluation was conducted. The device's performance was measured intrinsically against established physical and engineering standards (e.g., filtration efficacy, resistance to flow). These measurements are inherent to the device's design and materials and do not involve a "human-in-the-loop" for its function, nor an algorithm in the traditional sense of AI. The device operates mechanically/physically without software control or human intervention for its primary filtration function.

    7. Type of Ground Truth Used

    The "ground truth" used is based on:

    • Physical and Engineering Standards: Compliance with established international and national standards such as ISO 5356-1, ISO 594-2, DOE 3020-97, and ASTM D2986 - 95a DOP.
    • Laboratory Performance Measurements: Direct measurements of physical properties (e.g., dead space, weight) and functional performance (e.g., resistance to flow, bacterial and viral filtration efficiency) obtained from controlled laboratory tests. These are objective, quantifiable results.

    8. Sample Size for the Training Set

    Not applicable. The Bact-Trap™ HEPA Midi does not utilize an algorithm or AI that requires a "training set" of data. Its function is based on physical filtration principles and material properties.

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

    Not applicable, as no training set was used.

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