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510(k) Data Aggregation

    K Number
    K221930
    Manufacturer
    Date Cleared
    2023-03-09

    (251 days)

    Product Code
    Regulation Number
    870.1250
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    CEREGLIDE 71 Intermediate Catheter

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

    The CEREGLIDE™ 71 Intermediate Catheter is indicated for use in facilitating the insertion and guidance of appropriately sized interventional devices into a selected blood vessel in the neurovascular system. The CEREGLIDE™ 71 Intermediate Catheter is also indicated for use as a conduit for retrieval devices.

    Device Description

    The CEREGLIDE™ 71 Intermediate Catheter is a variable stiffness, single lumen catheter designed to be introduced over a steerable guide wire or microcatheter into the neuro vasculature. The catheter shaft is composed of a stainless steel variable pitch braid with a PTFE inner liner to facilitate movement of guide wires and other devices. The exterior of the catheter shaft is covered with polymer materials, which encapsulate the stainless steel braid construction. The catheter has a stiff proximal shaft which transitions into the flexible distal shaft to facilitate the advancement of the catheter in the anatomy. The distal end of the catheter has a radiopaque marker band to facilitate fluoroscopic visualization and has a hydrophilic coating to provide lubricity to reduce friction during navigation in the vasculature. The proximal end of the catheter has a luer fitting located on the end of the catheter hub. An ID band is placed at the distal end of the hub over a strain relief. The catheter is packaged with a Tuohy Borst rotating hemostasis valve (RHV) with a side port and two slit introducers as accessories. The RHV with side port is used for flushing and insertion of catheters. The slit introducers are designed to introduce the catheter into the base catheter and protect the distal tip of the catheter during insertion into the RHV of the base catheter.

    AI/ML Overview

    The CEREGLIDE™ 71 Intermediate Catheter is a medical device for facilitating neurovascular interventions. The document provided outlines the non-clinical performance data to demonstrate its substantial equivalence to a legally marketed predicate device, the CERENOVUS Large Bore Catheter (K191237).

    Here's an analysis of the acceptance criteria and the study that proves the device meets them:

    1. Table of Acceptance Criteria and Reported Device Performance

    The acceptance criteria for the CEREGLIDE™ 71 Intermediate Catheter are implicitly defined by a series of bench tests and biocompatibility tests, with the reported performance consistently being "PASS" or "Samples met the established acceptance criteria," sometimes exceeding comparator devices.

    Test CategorySpecific TestAcceptance Criteria (Implicit)Reported Device Performance
    Design VerificationVisual InspectionCatheter meets visual requirements described in ISO 10555-1 Section 4.4.PASS: Samples met the established acceptance criteria
    Catheter IDCatheter internal diameters meet requirements.PASS: Samples met the established acceptance criteria
    Catheter ODCatheter outer diameters meet requirements.PASS: Samples met the established acceptance criteria
    Catheter Working LengthWorking length of the catheter as defined in ISO 10555-1 Section 3.6.PASS: Samples met the established acceptance criteria
    Catheter Tip LengthCatheter tip length meets requirements.PASS: Samples met the established acceptance criteria
    System Air LeakageNo air leak into the hub subassembly.PASS: Samples met the established acceptance criteria
    System Liquid LeakageCatheter joint strength meets the freedom from leakage (liquid during pressurization) requirements of ISO 10555-1:2013, section 4.7.PASS: Samples met the established acceptance criteria
    Delamination of PTFE LinerPTFE appropriately adhered to the inner lumen of the Catheter with braid reinforcement.PASS: Samples met the established acceptance criteria
    Kink (Distal & Proximal)Catheter remains stable and does not kink during use.PASS: Samples met the established acceptance criteria
    Tip MovementCatheter meets the tip column stiffness requirement.PASS: Samples met the established acceptance criteria
    Tip Linear StiffnessTip flexibility of the Catheter is acceptable, relative to other devices of similar design.PASS: Samples met the established acceptance criteria
    Coating Lubricity and DurabilityLubriciousness and durability of the Catheter's hydrophilic coating are verified.PASS: Samples met the established acceptance criteria
    Coating LengthCatheter hydrophilic coating length meets the design requirements.PASS: Samples met the established acceptance criteria
    Peak Tensile StrengthCatheter joint strength meets the requirements of Section 4.5 of ISO 10555-1.PASS: Samples met the established acceptance criteria
    Introducer IDIntroducer internal diameters meet the requirements.PASS: Samples met the established acceptance criteria
    Particulate CountCoating integrity of the Catheter's outer surface meets the requirements for content of Particle Matter in alignment with USP counting methods and compared to the reference predicate device.PASS: Samples met the established acceptance criteria
    Burst PressureCatheter can withstand the maximum hydrostatic pressure.PASS: Samples met the established acceptance criteria
    Introducer Working LengthWorking length of the introducer is confirmed.PASS: Samples met the established acceptance criteria
    Introducer Separation ForceForce required to separate the introducer is confirmed.PASS: Samples met the established acceptance criteria
    Torque TestNumber of revolutions to failure of the Catheter in simulated anatomy meets or exceeds established criteria.PASS: Samples exceeded comparator devices in revolutions to failure
    Design ValidationIn Vitro Usability StudiesUsability parameters such as trackability, tip stability, durability, and (ancillary) device compatibility with tracking of the Catheter to target sites and delivery of a stent-retriever in the neurovascular model are acceptable.PASS: Samples met the established acceptance criteria
    BiocompatibilityChemical CharacterizationDetermination of extractable species from the test article in purified water, isopropyl alcohol, and hexane is acceptable.PASS
    CytotoxicityLack of potential cytotoxic effects using monolayers of L-929 mouse fibroblast cells when evaluated with 1X MEM extract.PASS
    Sensitization – Guinea Pig MaximizationNo allergenic potential or sensitizing capacity.PASS
    Irritation - Rabbit Intracutaneous ReactivityNo chemicals that may leach or be extracted capable of causing local irritation in the dermal tissues of rabbits.PASS
    Acute Systemic Toxicity in MiceNo potential toxic effects as a result of a single-dose systemic injection in mice.PASS
    Pyrogenicity – Materials Mediated Rabbit PyrogenNo febrile response in rabbits caused by a saline extract of the test article.PASS
    ASTM Hemolysis Study: Direct and Extraction MethodsAcceptable hemolytic potential of the test articles and test article extract according to ASTM method (F756-17).PASS
    SC5b-9 Complement Activation AssayTest article is not capable of generating the activation fragment, SC5b-9, which contributes to inflammatory immune response in humans, as measured in Normal Human Serum (NHS).PASS
    ASTM Heparinized Platelet and Leukocyte CountMedical materials exposed to human whole blood do not adversely affect the platelet and leukocyte ratios in whole blood.PASS
    ASTM Partial Thromboplastin Time (PTT)No coagulation abnormalities in the intrinsic coagulation pathway that would indicate an adverse effect.PASS
    In Vivo ThromboresistanceAcceptable thrombogenic potential of a blood contacting medical device in comparison to a predicate device.PASS
    Shelf-LifeStability TestingDevice maintains its performance and safety for 1 year when subjected to standard transportation conditioning and aging.PASS: Results of testing on the subject device all met established acceptance criteria.

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

    The document states: "All testing was conducted using sampling methods as required by internal procedure." Specific sample sizes for each test are not explicitly provided.

    The data provenance is non-clinical bench testing and in-vitro testing. There is no mention of human clinical data or patient data. Therefore, there is no country of origin or retrospective/prospective distinction for patient data.

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

    Not applicable. This device's evaluation relies on objective engineering and material science tests (bench and in-vitro, and biocompatibility tests), not expert interpretation of diagnostic images or clinical outcomes. Therefore, there is no "ground truth" established by experts in this context.

    4. Adjudication Method for the Test Set

    Not applicable. Adjudication methods (like 2+1, 3+1) are typically used for establishing ground truth in clinical or image-based studies where expert consensus is required for ambiguous cases. As the studies described are bench and biocompatibility tests, human adjudication is not relevant.

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

    No. A Multi-Reader Multi-Case (MRMC) comparative effectiveness study was not conducted as this is a device clearance based on substantial equivalence using non-clinical performance data, not an AI or diagnostic imaging device requiring human reader interaction.

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

    Not applicable. This pertains to an intermediate catheter, which is a physical medical device, not a software algorithm or AI.

    7. The Type of Ground Truth Used (Expert Consensus, Pathology, Outcomes Data, etc.)

    The "ground truth" for the non-clinical tests is established by pre-defined engineering specifications, material properties, and regulatory standards (e.g., ISO standards, ASTM methods, USP guidance). The device's performance is compared against these objective criteria. For the biocompatibility tests, the "ground truth" is typically the absence of adverse biological reactions as defined by the specific test (e.g., no cytotoxicity, no sensitization, no irritation).

    8. The Sample Size for the Training Set

    Not applicable. There is no "training set" as this is not a machine learning or AI-based device.

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

    Not applicable. As there is no training set, there is no ground truth establishment for it.

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    K Number
    K221934
    Manufacturer
    Date Cleared
    2023-03-09

    (251 days)

    Product Code
    Regulation Number
    870.1250
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    CEREGLIDE 71 Intermediate Catheter; Cerenovus Aspiration Tubing Set

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

    The CEREGLIDE™ 71 Intermediate Catheter, with the Cerenovus Aspiration Tubing Set and a compatible aspiration pump, is indicated for use in the revascularization of patients with acute ischemic stroke secondary to intracranial large vessel occlusive disease (within the internal carotid, middle cerebral -M1 and M2 segments, basilar, and vertebral arteries) within 8 hours of symptom onset. Patients who are ineligible for intravenous tissue plasminogen activator (IV t-PA) or who fail IV t-PA therapy are candidates for treatment.

    The Cerenovus Aspiration Tubing Set is intended to connect the Cerenovus Large Bore Catheter of the Nouvag Vacuson 60 Aspiration Pump (or equivalent vacuum pump) and to allow the user to control the fluid flow. The Cerenovus Aspiration Tubing Set is also intended to connect the CEREGLIDE™ 71 Intermediate Catheter to the canister of a compatible aspiration pump and to allow the user to control the fluid flow.

    Device Description

    The CEREGLIDE™ 71 Intermediate Catheter is a variable stiffness, single lumen catheter designed to be introduced over a steerable guide wire or microcatheter into the euro vasculature. The catheter shaft is composed of a stainless steel variable pitch braid with a PTFE inner liner to facilitate movement of guide wires and other devices. The exterior of the catheter shaft is covered with polymer materials, which encapsulate the stainless steel braid construction. The catheter has a stiff proximal shaft which transitions into the flexible distal shaft to facilitate the advancement of the catheter in the anatomy. The distal end of the catheter has a radiopaque marker band to facilitate fluoroscopic visualization and has a hydrophilic coating to provide lubricity to reduce friction during navigation in the vasculature. The proximal end of the catheter has a luer fitting located on the end of the catheter hub which can be used to attach accessories for flushing and aspiration. An ID band is placed at the distal end of the hub over a strain relief.

    The catheter is packaged with a Tuohy Borst rotating hemostasis valve (RHV) with a side port and two slit introducers as accessories. The RHV with side port is used for flushing, insertion of catheters, and connection to an external aspiration system. The slit introducers are designed to introduce the catheter into the base catheter and protect the distal tip of the catheter during insertion into the RHV of the base catheter. The CEREGLIDE™ 71 Intermediate Catheter can be connected to a compatible aspiration pump using the Cerenovus Aspiration Tubing Set.

    AI/ML Overview

    The provided text describes the regulatory clearance of a medical device (CEREGLIDE™ 71 Intermediate Catheter and Cerenovus Aspiration Tubing Set) and outlines the non-clinical performance data used to demonstrate its substantial equivalence to a predicate device. It does not contain information about an AI/ML-driven device or study parameters related to AI/ML performance evaluation. Therefore, I cannot extract the requested information based on the input.

    However, I can provide a summary of the non-clinical performance data presented in the document, which are described as meeting acceptance criteria, albeit not for an AI/ML device.

    Table of Acceptance Criteria and Reported Device Performance (Non-AI/ML)

    TestAcceptance Criteria SummaryReported Device Performance
    Visual InspectionCatheter meets visual requirements described in ISO 10555-1 Section 4.4.PASS: Samples met the established acceptance criteria
    Catheter IDCatheter internal diameters meet requirements.PASS: Samples met the established acceptance criteria
    Catheter ODCatheter outer diameters meet requirements.PASS: Samples met the established acceptance criteria
    Catheter Working LengthWorking length of the catheter as defined in ISO 10555-1 Section 3.6.PASS: Samples met the established acceptance criteria
    Catheter Tip LengthCatheter tip length meets requirements.PASS: Samples met the established acceptance criteria
    System Air LeakageNo air leak into the hub subassembly.PASS: Samples met the established acceptance criteria
    System Liquid LeakageCatheter joint strength meets freedom from leakage (liquid during pressurization) requirements of ISO 10555-1:2013, section 4.7.PASS: Samples met the established acceptance criteria
    Delamination of PTFE LinerPTFE appropriately adhered to the inner lumen of the Catheter with braid reinforcement.PASS: Samples met the established acceptance criteria
    Kink (Distal & Proximal)Catheter remains stable and does not kink during use.PASS: Samples met the established acceptance criteria
    Tip MovementCatheter meets the tip column stiffness requirement.PASS: Samples met the established acceptance criteria
    Tip Linear StiffnessTip flexibility of the Catheter, relative to other devices of similar design, is acceptable.PASS: Samples met the established acceptance criteria
    Coating Lubricity and DurabilityLubriciousness and durability of the Catheter's hydrophilic coating are verified.PASS: Samples met the established acceptance criteria
    Coating LengthCatheter hydrophilic coating length meets design requirements.PASS: Samples met the established acceptance criteria
    Peak Tensile StrengthCatheter joint strength meets the requirements of Section 4.5 of ISO 10555-1.PASS: Samples met the established acceptance criteria
    Introducer IDIntroducer internal diameters meet requirements.PASS: Samples met the established acceptance criteria
    Particulate CountCoating integrity of the Catheter's outer surface meets requirements for content of Particle Matter in alignment with USP counting methods and compared to the reference predicate device.PASS: Samples met the established acceptance criteria
    Burst PressureCatheter can withstand a specified maximum hydrostatic pressure.PASS: Samples met the established acceptance criteria
    Introducer Working LengthWorking length of the introducer is confirmed.PASS: Samples met the established acceptance criteria
    Introducer Separation ForceForce required to separate the introducer is acceptable.PASS: Samples met the established acceptance criteria
    Torque TestNumber of revolutions to failure of the Catheter in simulated anatomy.PASS: Samples exceeded comparator devices in revolutions to failure
    In Vitro Usability StudiesThrombus retrieval patency/durability, (ancillary) device compatibility, and accessory durability demonstrated. Simulated use evaluation of user requirements related to trackability and tip stability during thrombus removal.PASS: Samples met the established acceptance criteria
    Biocompatibility (Chemical Characterization)Determination of extractable species from the test article was performed in purified water, isopropyl alcohol, and hexane.PASS
    Biocompatibility (Cytotoxicity)Evaluation of potential cytotoxic effects using monolayers of L-929 mouse fibroblast cells with 1X MEM extract.PASS
    Biocompatibility (Sensitization)Evaluation of the allergenic potential or sensitizing capacity in guinea pigs.PASS
    Biocompatibility (Irritation)Determination of local irritation in the dermal tissues of rabbits.PASS
    Biocompatibility (Acute Systemic Toxicity)Screening of test article extracts for potential toxic effects from a single-dose systemic injection in mice.PASS
    Biocompatibility (Pyrogenicity)Determination if a saline extract causes a febrile response in rabbits.PASS
    Biocompatibility (ASTM Hemolysis Study)Evaluation of the hemolytic potential of the test articles.PASS
    Biocompatibility (SC5b-9 Complement Activation Assay)Measure of complement activation in Normal Human Serum (NHS).PASS
    Biocompatibility (ASTM Heparinized Platelet and Leukocyte Count)Determination if medical materials exposed to human whole blood would adversely affect platelet and leukocyte ratios.PASS
    Biocompatibility (ASTM Partial Thromboplastin Time (PTT))Screening for detection of coagulation abnormalities in the intrinsic coagulation pathway.PASS
    Biocompatibility (In Vivo Thromboresistance)Evaluation of the thrombogenic potential of a blood contacting medical device in comparison to a predicate device.PASS

    Since the provided document is a 510(k) clearance letter for a physical medical device (catheter and aspiration tubing set) and does not describe any AI/ML components or studies, I cannot answer the questions related to AI/ML specific evaluations:

    1. Sample size used for the test set and the data provenance: Not applicable, as there's no machine learning test set described.
    2. Number of experts used to establish the ground truth for the test set and the qualifications of those experts: Not applicable.
    3. Adjudication method for the test set: Not applicable.
    4. 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.
    5. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done: Not applicable.
    6. The type of ground truth used (expert consensus, pathology, outcomes data, etc.): The "ground truth" for the non-clinical tests would be the established engineering and biocompatibility standards and specific design requirements.
    7. The sample size for the training set: Not applicable.
    8. How the ground truth for the training set was established: Not applicable.
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