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510(k) Data Aggregation

    K Number
    K993138
    Date Cleared
    1999-10-20

    (30 days)

    Product Code
    Regulation Number
    876.5980
    Reference & Predicate Devices
    N/A
    Why did this record match?
    Device Name :

    BALLARD MIC-KEY G LOW PROFILE GASTROSTOMY REPLACEMENT KIT

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

    The MIC-KEY® G™ Low Profile Gastrostomy Replacement Kit is designed as a replacement Gastrostomy tube. It can be used in any well formed gastric tract where a low profile device is considered desirable.

    Gastrostomy tube feeding may be indicated for patients needing long term enteral support, including but not limited to, feeding, hydrating, medication delivery, and decompressing, secondary to a primary condition relating to the head or neck. These conditions may include:

    Stroke Cancer Head or neck tumors, injuries, or trauma Neurological disorders resulting in a chewing or swallowing disorder.

    Device Description

    The MIC-KEY® "G"™ Low Profile Gastrostomy Replacement Kit is intended to be used for patients requiring enteral support or decompression via a gastrostomy and is designed to be a balloon - secured replacement gastrostomy tube. A tapered distal tip eases insertion through the gastric tract and the balloon is then inflated to assure secure placement. The tapered tip makes the tube less traumatic to place than skin level tubes with mushroom type tips.

    Device modification: The modification to this device is a change in balloon material formulation.

    The device is packaged sterile and is marketed with a number of accessories; reference page 19 - Kit Certification, "Special" 510(k) Premarket Notification.

    AI/ML Overview

    The provided text describes a "Special" 510(k) premarket notification for a device modification. The modification is a change in the balloon material formulation of the MIC-KEY® "G"™ Low Profile Gastrostomy Replacement Kit. The submission focuses on demonstrating substantial equivalence to a predicate device, as such it relies on non-clinical data for performance evaluation.

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

    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance Criteria CategorySpecific TestAcceptance Criteria (from predicate device)Reported Device Performance (Proposed Device)
    Material IntegrityVisual/Dimensional InspectionIdentical to predicate devicePassed inspection
    Functional PerformanceBalloon Burst StrengthIdentical to predicate deviceMet acceptance criteria
    DurabilityHigh Acid Balloon Life StudyIdentical to predicate deviceMet acceptance criteria

    Note: The document explicitly states: "The testing of and acceptance criteria of the proposed device was identical to the testing and acceptance criteria of the predicate device." However, the specific numerical or qualitative criteria for each test are not detailed in the provided text. It only indicates that the proposed device met these unspecified criteria which were identical to the predicate.

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

    The document does not specify the sample size used for the non-clinical tests (Visual/Dimensional Inspection, Balloon Burst Strength, High Acid Balloon Life Study). It mentions "the proposed MIC-KEY® 'G'™ Gastrostomy Tube" as the subject of testing, implying that samples of the modified device were used.

    The data provenance is retrospective, as it refers to comparing the modified device's performance to an already legally marketed predicate device (MIC-KEY® "G"™ Low Profile Gastrostomy Tube -510(k) K922667/B). The tests were conducted "in vitro".

    The country of origin for the data is implicitly the United States, as Ballard Medical Products is located in Draper, UT, and the submission is to the US FDA.

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

    This information is not applicable as the study described is a non-clinical, in-vitro performance evaluation of a device modification, not a study involving human subjects or expert assessment of clinical data. The "ground truth" for these engineering tests would be the established specifications and performance characteristics of the predicate device.

    4. Adjudication Method for the Test Set

    This information is not applicable for the reasons stated in point 3.

    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 information is not applicable. The device is a medical tube for enteral feeding, not an imaging or diagnostic device that would involve "human readers" or AI assistance in the context of interpretation.

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

    This information is not applicable for the reasons stated in point 5.

    7. The Type of Ground Truth Used

    The ground truth used for these non-clinical tests was the established performance specifications and acceptance criteria of the legally marketed predicate device. The goal was to demonstrate that the modified device performed identically to the predicate device in terms of these engineering benchmarks.

    8. The Sample Size for the Training Set

    This information is not applicable. This is not a machine learning or AI-driven device, so there is no concept of a "training set."

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

    This information is not applicable for the reasons stated in point 8.

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