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510(k) Data Aggregation

    K Number
    K170997
    Date Cleared
    2017-07-25

    (113 days)

    Product Code
    Regulation Number
    870.1340
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    CARTO VIZIGO 8.5F Bi-Directional Guiding Sheath

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

    The Biosense Webster CARTO VIZIGO™ 8.5F Bi-Directional Guiding Sheath is indicated for introducing various cardiovascular catheters into the heart, including the left side of the interatrial septum.

    The sheath curve can be visualized when used with compatible CARTO® 3 EP Navigation Systems.

    Device Description

    The CARTO VIZIGO™ 8.5F Bi-Directional Guiding Sheath is designed to provide accessibility and maneuverability in the cardiac anatomy. The steerable sheath is fitted with a hemostasis valve to minimize blood loss during catheter introduction and/or exchange. A sideport with three-way stopcock is provided for air or blood aspiration, and fluid infusion. A handle equipped with a rotating collar to deflect the tip clockwise

    AI/ML Overview

    Here's a breakdown of the acceptance criteria and study information based on the provided document:

    1. Table of Acceptance Criteria and Reported Device Performance

    Test DescriptionAcceptance Criteria (Implied)Reported Device Performance
    Usable LengthNot explicitly statedPass
    Lumen Inner DiameterNot explicitly statedPass
    Distal Tip Inner DiameterNot explicitly statedPass
    Overall LengthNot explicitly statedPass
    Cap to hub retentionNot explicitly statedPass
    Sheath ODNot explicitly statedPass
    Sheath OD - Flex SectionNot explicitly statedPass
    PU adhesionNot explicitly statedPass
    Marker Band LocationNot explicitly statedPass
    Vent Hole LocationNot explicitly statedPass
    Vent Hole DiameterNot explicitly statedPass
    Vent Hole OrientationNot explicitly statedPass
    Sheath leakNot explicitly statedPass
    Vacuum decayNot explicitly statedPass
    In-Plane DeflectionNot explicitly statedPass
    Handle deflection directionNot explicitly statedPass
    Shaft torqueNot explicitly statedPass
    Tip drag forceNot explicitly statedSmall: Pass, Large: Pass
    Side loadNot explicitly statedSmall: Pass, Large: Pass
    Pigtail to ConnectorNot explicitly statedPass
    Pigtail to HandleNot explicitly statedPass
    Hub to shaftNot explicitly statedPass
    Stopcock to handleNot explicitly statedPass
    Stopcock to tubeNot explicitly statedPass
    Shaft distal segmentsNot explicitly statedPass
    Shaft proximal segmentsNot explicitly statedPass
    Hemostasis valve and sheath must not leakNo leakagePass
    Valve insertion forceNot explicitly statedPass
    Valve frictionNot explicitly statedPass
    Curve SpanNot explicitly statedSmall: Pass, Large: Pass
    Electrode LocationNot explicitly statedSmall: Pass, Large: Pass
    Electrical ResistanceNot explicitly statedSmall: Pass, Large: Pass
    Current LeakageNot explicitly statedSmall: Pass, Large: Pass
    Connector mating, flex fatigue, and pigtail torque testingNot explicitly statedPass
    Electrical IsolationNot explicitly statedSmall: Pass, Large: Pass
    External lead cable lengthNot explicitly statedPass
    CorrosionNot explicitly statedPass
    Continuous pouch sealNot explicitly statedPass
    Pouch particulateNot explicitly statedPass
    Label adhesion and legibilityNot explicitly statedPass
    Dilator ODNot explicitly statedPass
    Dilator to cap retention forceNot explicitly statedPass
    Dilator to dilator hub tensileNot explicitly statedPass
    Dilator hub has standard luerNot explicitly statedPass
    Dilator tip IDNot explicitly statedPass
    Dilator overall length (straightened)Not explicitly statedPass
    Pre-Clinical Study Endpoints:
    No damage or product integrity issuesNo damage/integrity issues expectedMet (No damage or product integrity issues related to CARTO VIZIGO™ 8.5F Bi-Directional Guiding Sheath)
    No leakage through hemostatic valveNo leakage expectedMet (No leakage through hemostatic valve)
    No thrombus observedNo thrombus expectedMet (No thrombus observed inside or at the tip of the sheath)
    No clinically significant tissue injuryNo significant tissue injury expectedMet (No clinically significant tissue injury related to the use of the Test article)

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

    The document does not explicitly state the specific sample sizes for each bench test. For the preclinical study:

    • Sample Size: Not explicitly stated as a number, but refers to "one Test or one Control sheath in the animal." This suggests a comparative animal study.
    • Data Provenance: Pre-clinical testing performed "under simulated clinical conditions" and "in the animal." This indicates an animal study, which is often considered prospective in nature. The country of origin is not specified.

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

    • The document does not provide information on the number of experts or their qualifications for establishing ground truth for either the bench tests or the pre-clinical study. The "Pass" results for bench tests imply internal testing against predetermined specifications, while the pre-clinical study endpoints would typically be assessed by veterinary or medical professionals, but this is not detailed here.

    4. Adjudication Method for the Test Set

    • The document does not specify an adjudication method. For bench tests, it's likely a pass/fail against internal criteria. For the pre-clinical study, the endpoints imply an assessment by the study investigators.

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

    • No, an MRMC comparative effectiveness study was not conducted or described. The device is a guiding sheath, not an imaging analysis algorithm that would typically involve human readers.

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

    • Not applicable. This device is a physical medical instrument (a guiding sheath), not an algorithm or AI system. While it has "visualization capabilities" with a compatible navigation system (CARTO® 3 EP Navigation System), the performance data presented focuses on the physical sheath itself rather than the performance of an independent algorithm for interpretation.

    7. The Type of Ground Truth Used

    • For Bench Tests: The ground truth is implied to be predefined engineering specifications and performance criteria. Each test has a "Pass" result, indicating it met these criteria.
    • For Pre-Clinical Study: The ground truth for safety and performance refers to direct observation of the animal model for damage, leakage, thrombus, and tissue injury during and after the procedure. This could be considered outcomes data or direct observational data from a controlled biological setting.

    8. The Sample Size for the Training Set

    • Not applicable. This device is a physical medical device, not an AI or machine learning model 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 this device.
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