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510(k) Data Aggregation

    K Number
    K123065
    Date Cleared
    2012-12-14

    (74 days)

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

    When left in place for five (5) minutes, DualCap Solo™ disinfects needleless luer access valves; thereafter the caps provide a physical barrier to contamination up to ninety-six (96) hours under normal conditions if not removed.

    Device Description

    The DualCap Solo™ is designed to fit securely on luer access valves. The cap contains 70% isopropyl alcohol. The product is intended for single-use and is provided sterile, this device is not made with natural rubber latex, non-pyrogenic, preservative free and DEHP free.

    AI/ML Overview

    This document is a 510(k) Summary of Safety and Effectiveness for the Catheter Connections DualCap Solo™. It doesn't describe an AI/ML device, but rather a medical device with an administrative change related to its packaging. Therefore, the requested information about AI model performance, training data, ground truth establishment, and expert involvement is not applicable.

    Instead, the document focuses on demonstrating substantial equivalence to a predicate device (the Sponsor's Cleared Device - K113842) by proving that a change in packaging configuration does not alter the device's safety or effectiveness.

    Here's an analysis of the provided information within that context:

    1. Table of Acceptance Criteria and Reported Device Performance

    The device is claiming substantial equivalence based on the packaging change not affecting the core characteristics or performance. The "acceptance criteria" here are essentially "identical" or "substantially equivalent" when compared to the previously cleared device.

    CharacteristicAcceptance Criteria (Compared to Cleared Device)Reported Device Performance (Modified Device)Result
    Hermetic foil/polymer lid materialIdenticalIdenticalMet
    Polymer sealing surfaceIdenticalIdenticalMet
    Process used to seal the hermetic foil/polymer lidIdenticalIdenticalMet
    Indications for Use StatementsIdenticalIdenticalMet
    DesignSubstantially EquivalentSubstantially EquivalentMet
    MaterialsSubstantially EquivalentSubstantially EquivalentMet
    Sterilization methodIdenticalIdenticalMet
    Method of operation (Instructions for Use)Substantially EquivalentSubstantially EquivalentMet
    Safety and EffectivenessEquivalent (No new questions)Equivalent (No new questions)Met
    Sterilization ValidationSubstantially EquivalentSubstantially EquivalentMet
    BiocompatibilitySubstantially EquivalentSubstantially EquivalentMet
    Seal Peel Force / Seal peel strength (performance data)IdenticalIdenticalMet

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

    The document does not specify a distinct "test set" in the context of an algorithm. Instead, it refers to various specifications and internal test methods.

    • For hermetic foil/polymer lid material, polymer sealing surface, and sealing process, "specifications" are compared. It does not mention a sample size for this comparison, suggesting a review of documentation rather than a physical test on a sample.
    • For indications for use, "label specifications" were compared, also implying documentation review.
    • For design, materials, sterilization method, and method of operation, "requirements (design input) and verification (design output)" were compared. Again, no specific test set sample size is mentioned.
    • For seal peel force/strength, an "Internal Test Method ATM 1208 based on ASTM F88" was used. The document mentions "performance data" but does not provide details on the sample size used for these tests.
    • The data provenance is internal to Catheter Connections, Inc., as indicated by references to internal document designations (e.g., "MSP 21-PX008", "ASC 1168", "ATM 1208"). The data is implicitly prospective in the sense that the testing was performed on the new modified device for this submission.

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

    Not applicable. This device is not an AI/ML device requiring expert ground truth for a test set. Ground truth, in this context, would be established by the engineering and quality control standards applied during the manufacturing and testing of the device, referencing industry standards (e.g., ISO-10993, ASTM F88).

    4. Adjudication Method for the Test Set

    Not applicable. There is no mention of an adjudication method as would be used for clinical or image-based studies. The assessment is based on comparing specifications and performance data to established standards and the predicate device.

    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

    Not applicable. This is not an AI device.

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

    Not applicable. This is not an AI device.

    7. The Type of Ground Truth Used

    The "ground truth" here is embodied by:

    • Identicality to predicate device specifications: For material, sealing process, indications for use, and sterilization method.
    • Substantial equivalence to predicate device characteristics: For design, materials (more broadly), and method of operation.
    • Compliance with recognized standards: Such as ISO-10993 (biocompatibility) and ASTM F88 (peel strength).
    • Risk Analysis: Performed according to internal methods to ensure no new safety or effectiveness questions are raised.

    8. The Sample Size for the Training Set

    Not applicable. This is not an AI/ML device.

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

    Not applicable. This is not an AI/ML device.

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