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510(k) Data Aggregation

    K Number
    K000248
    Date Cleared
    2000-05-05

    (99 days)

    Product Code
    Regulation Number
    870.1425
    Reference & Predicate Devices
    N/A
    Why did this record match?
    Device Name :

    CARTO EP NAVIGATION SYSTEM

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use
    Device Description
    AI/ML Overview
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    K Number
    K000190
    Date Cleared
    2000-05-05

    (113 days)

    Product Code
    Regulation Number
    870.1425
    Reference & Predicate Devices
    N/A
    Why did this record match?
    Device Name :

    MODIFICATION TO CARTO EP NAVIGATION SYSTEM

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use
    Device Description
    AI/ML Overview
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    K Number
    K993729
    Date Cleared
    1999-12-03

    (29 days)

    Product Code
    Regulation Number
    870.1425
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    MODIFICATION TO CARTO EP NAVIGATION SYSTEM

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

    The intended use of the CARTO EP Navigation System is catheter-based cardiac mapping. The CARTO EP Navigation System allows real-time display of cardiac maps in a number of different formats. Maps may be displayed as cardiac electrical activation maps, cardiac electrical propagation maps, cardiac electrical potential maps, cardiac chamber geometry maps and cardiac impedance maps. The acquired patient signals, including body surface ECG and intracardiac electrograms may also be displayed in real time on the display screen.

    Device Description

    The CARTO EP Navigation System is designed to acquire, analyze, and display electroanatomical maps of the human heart. The maps are reconstructed using the combination of information gathered from the integration of intracardiac electrograms with their respective endocardial locations. In the CARTO EP Navigation System the location information needed to create the cardiac maps is acquired simultaneously with the local electrogram using locatable-tip catheters equipped with a magnetic location sensor.

    AI/ML Overview

    The provided text is a 510(k) summary for the CARTO™ EP Navigation System. It describes the device, its intended use, and states that non-clinical bench and animal testing show it is as safe and effective as the previously marketed device (CARTO mapping system, 510(k) No. K992968).

    However, the document is a regulatory submission summary and does not contain the detailed study information required to fully answer your request. Specifically, it lacks:

    • Explicit acceptance criteria, reported performance values, sample sizes for test sets (human or animal), details on ground truth establishment for test and training sets, expert qualifications, adjudication methods, or results of MRMC or standalone studies.

    The key takeaway is that the device's substantial equivalence and performance are based on non-clinical bench and animal testing, comparing it to a predicate device, rather than human clinical studies with specific performance metrics against defined acceptance criteria.

    Therefore, most of the information requested in your prompt cannot be extracted from the provided text.

    Here is what can be inferred or explicitly stated from the document:

    AspectInformation from Document
    1. Acceptance Criteria & Reported Device PerformanceNot explicitly stated. The document states: "The non-clinical bench and animal testing show that the device is as safe and as effective as the previously marketed device to which it is being compared and does not raise any new questions of safety or effectiveness." This implies the acceptance criterion was "equivalent safety and effectiveness to the predicate device" based on non-clinical data, but no specific performance metrics or thresholds are provided.
    2. Sample Size (Test Set) & Data ProvenanceNot specified. "Non-clinical bench and animal testing." No information on the number of animals or specific bench tests.
    3. Number & Qualifications of Experts (Ground Truth - Test)Not applicable/Not specified. As the testing was non-clinical (bench and animal), human experts establishing ground truth for a test set in the conventional sense is not described.
    4. Adjudication Method (Test Set)Not applicable.
    5. MRMC Comparative Effectiveness StudyNo. The document describes non-clinical testing.
    6. Standalone (Algorithm Only) Performance StudyImplied by non-clinical testing, but no specific study details are provided. The device's performance was assessed without human-in-the-loop given it's bench and animal testing for equivalence to a predicate.
    7. Type of Ground Truth UsedNot explicitly stated. For bench testing, "truth" would likely be engineering specifications or known electrical/spatial properties. For animal testing, it would involve direct anatomical/physiological measurements.
    8. Sample Size (Training Set)Not applicable/Not specified. The document does not describe an AI/ML algorithm that would undergo a training phase. It describes a system for acquiring, analyzing, and displaying electroanatomical maps using magnetic location technology.
    9. Ground Truth Establishment (Training Set)Not applicable/Not specified.
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    K Number
    K992968
    Date Cleared
    1999-09-29

    (26 days)

    Product Code
    Regulation Number
    870.1425
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    CARTO EP NAVIGATION SYSTEM

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

    The intended use of the CARTO mapping system is catheter-based cardiac mapping.

    The CARTO mapping system allows real-time display of cardiac maps in a number of different formats. Maps may be displayed as cardiac electrical activation maps, cardiac electrical propagation maps, cardiac electrical potential maps, cardiac chamber geometry maps and cardiac impedance maps. The acquired patient signals, including body surface ECG and intracardiac electrograms may also be displayed in real time on the display screen.

    Device Description

    The CARTO mapping system is designed to acquire, analyze, and display electroanatomical maps of the human heart. The maps are reconstructed using the combination of information gathered from the integration of intracardiac electrograms with their respective endocardial locations. In the CARTO mapping system the location information needed to create the cardiac maps is acquired simultaneously with the local electrogram using locatable-tip catheters equipped with a magnetic location sensor.

    AI/ML Overview

    Here's an analysis of the provided text regarding the CARTO Mapping System's acceptance criteria and studies, organized by your requested information:

    1. A table of acceptance criteria and the reported device performance

    The provided 510(k) summary (K992968) for the CARTO Mapping System does not explicitly state specific numerical acceptance criteria for performance metrics (e.g., accuracy, sensitivity, specificity) nor does it provide detailed quantitative results from studies that would match such criteria directly.

    Instead, the summary relies on a demonstration of substantial equivalence to a previously marketed device (CARTO mapping system, 510(k) No. K954395). The primary claim regarding performance is qualitative:

    Acceptance Criterion (Implicit)Reported Device Performance
    Safety and Effectiveness Equivalence"The non-clinical bench and animal testing show that the device is as safe and as effective as the previously marketed device to which it is being compared and does not raise any new questions of safety or effectiveness."
    Compliance with Safety StandardsComplies with EN 60601-111990, EN 60601-1 A1/1993, EN 60601-1 A2/1995, EN 60601-2-27/1994.
    Intended UseCatheter-based cardiac mapping, real-time display of various cardiac maps (electrical activation, propagation, potential, chamber geometry, impedance), and display of patient signals (body surface ECG, intracardiac electrograms).
    Radiation Exposure Reduction"may reduce exposure to dangerous ionizing radiation."

    2. Sample sizes used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

    The document mentions "non-clinical bench and animal testing" but does not provide details about the sample sizes for these tests, nor the data provenance (e.g., country of origin, retrospective/prospective nature). The specificity required to determine if these were "test sets" in the context of clinical performance evaluation for acceptance criteria is not present.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

    The document does not provide any information regarding the number of experts, their qualifications, or their involvement in establishing ground truth for any test set. This type of detail is typically associated with clinical studies involving human subject data, which are not detailed in this 510(k) summary beyond the general statement of "non-clinical bench and animal testing."

    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

    Since no details are provided about expert involvement or ground truth establishment (as per point 3), there is no information available regarding any adjudication method.

    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

    The document does not mention any MRMC comparative effectiveness study, nor does it discuss human reader improvement with or without AI assistance. The CARTO Mapping System is described as a cardiac mapping system utilizing magnetic location technology, and while it processes information, it predates the widespread use and regulatory discussion of "AI" in medical devices as commonly understood today.

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

    The 510(k) summary focuses on demonstrating substantial equivalence through "non-clinical bench and animal testing" and compliance with safety standards. While the device acquires and displays data, the document does not explicitly describe a standalone algorithm-only performance study in the way one might discuss an AI algorithm's performance without human input. The system is inherently designed to assist clinicians in cardiac mapping, implying a human-in-the-loop interaction.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc)

    Given the reliance on "non-clinical bench and animal testing" and the absence of detailed clinical study descriptions, the specific type of ground truth used is not specified. For animal studies, "ground truth" might refer to direct physiological measurements or post-mortem analysis. For bench testing, it would likely involve known physical parameters or simulated conditions.

    8. The sample size for the training set

    The document does not mention a training set or any details about machine learning model development. This 510(k) submission, dated 1999, predates the era where "training set" would be a common term in medical device submissions for AI/ML-driven devices.

    9. How the ground truth for the training set was established

    As no training set is mentioned (see point 8), there's no information on how its ground truth might have been established.

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