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510(k) Data Aggregation

    K Number
    K142103
    Date Cleared
    2015-05-08

    (280 days)

    Product Code
    Regulation Number
    868.5750
    Reference & Predicate Devices
    N/A
    Why did this record match?
    Device Name :

    CUFF PILOT, SURE SEAL

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

    To monitor intra-cuff pressures of supraglottic airways.

    The SureSeal™ supraglottic airway with attached Cuff Pilot ™ is indicated for use in achieving and maintaining control of the airway during routine anesthetic procedures on fasted patients and emergency procedures using either spontaneous or Positive Pressure Ventilation (PPV).

    • An alternative to a face mask.
    • . An airway device in routine anesthesia procedures.
    • Securing the immediate airway in anticipated or unexpected difficult airway situations.
    • Use in elective surgical procedures where tracheal intubation is not necessary.
    • Establishing an immediate, clear airway during cardiopulmonary resuscitation (CPR) in the profoundly ● unconscious patient requiring artificial ventilation when tracheal intubation is not possible.
    Device Description

    The Cuff Pilot™ is a simple device which allows the user to monitor the cuff pressure of supraglottic airways. It has been designed to display pressure ranges via color coded zones. The Cuff Pilot™ is designed with an internal bellows, is compressed as pressure increases and expands when intra-cuff pressure is less. There is an O-ring indicator that is on the bellows and this indicates the status of pressure within the define color coded pressure zones.

    The SureSeal™ supraglottic airway is very similar in design, performance, indications for use, technology of operation, and materials to our LMA airways. It will have the Cuff Pilot™ attached and is considered MR Safe.

    AI/ML Overview

    Let me break down the information from the provided text regarding the acceptance criteria and study for the Cuff Pilot™ and SureSeal™ with Cuff Pilot™.

    Important Note: The provided document is a 510(k) summary, which focuses on demonstrating substantial equivalence to a predicate device rather than conducting a full clinical trial to prove efficacy against a specific set of acceptance criteria in the manner one might expect for a novel AI device. Therefore, some of the requested information, particularly regarding ground truth, expert adjudication, MRMC studies, and explicit acceptance numbers for performance metrics beyond general accuracy ranges, is not present because it's not typically part of a 510(k) for this type of device. The "acceptance criteria" here are largely implied by demonstrating equivalence to the predicate device's performance characteristics.


    Cuff Pilot™

    1. Table of Acceptance Criteria and Reported Device Performance:

    AttributeAcceptance Criteria (Implied by Predicate)Reported Device Performance (Cuff Pilot™)
    Pressure Range0 to 60 cm H₂O0 to 80 cm H₂O
    Detection of "good range"Color coded and a scaleColor coded zones
    Accuracy+/- 1 cmH₂O up to 30 cmH₂O; +/- 2 cmH₂O at 40 cmH₂O; +/- 5 cmH₂O at 60 cmH₂O+/- 5 cmH₂O up to 80 cmH₂O
    RepeatabilityTested for repeatability (predicate)Tested for repeatability
    Temperature Exposure StabilityTested for accuracy after exposure to high and low temperatures (predicate)Subjected samples to aging and exposure to cold and hot temperatures
    Shelf-lifeNot provided (predicate)3 years
    Drop/Shipping Test(Not explicitly mentioned for predicate)Drop / Shipping test
    Biocompatibility (Cytotoxicity)Performed (predicate)Non-reactive (ISO 10993-1 cytotoxicity testing performed)
    MRI UseNot labeled (predicate)MR Safe based on lack of metal/magnetic materials per ASTM F2052-06

    2. Sample size used for the test set and data provenance:

    • Sample Size: Not explicitly stated. The studies are described as "bench testing" and "subjected samples," which implies a set of physical devices were tested, but the exact number isn't quantified in this summary.
    • Data Provenance: The tests are non-clinical bench tests performed by the manufacturer (Teleflex Medical). There is no mention of country of origin for data as it's not human subject data. The studies are prospective in the sense that they were conducted for the purpose of 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 a mechanical pressure monitor, not an AI or diagnostic tool requiring expert interpretation for ground truth. The "ground truth" (actual pressure) would have been established using calibrated pressure measurement equipment during the bench testing.

    4. Adjudication method for the test set:

    • Not applicable for a mechanical device undergoing bench testing. The "adjudication" would be direct measurement against calibrated standards.

    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:

    • No. This is a medical device, not an AI or diagnostic imaging system. No human reader studies (MRMC) were conducted.

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

    • Not applicable. The Cuff Pilot™ is a standalone mechanical device. Its performance is evaluated intrinsically through the bench tests mentioned.

    7. The type of ground truth used:

    • Calibrated pressure measurements from laboratory equipment. The accuracy of the device's reading (color-coded zones) was compared against these known, precise pressure values.

    8. The sample size for the training set:

    • Not applicable. This is a mechanical device, not an algorithm that requires a training set.

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

    • Not applicable, as there is no training set.

    SureSeal™ with Cuff Pilot™

    This device is the SureSeal™ supraglottic airway (which includes the Cuff Pilot™ attached). The information provided focuses on the SureSeal™ component's equivalence to a predicate (LMA Classic™) and the overall device's MR safety.

    1. Table of Acceptance Criteria and Reported Device Performance:

    AttributeAcceptance Criteria (Implied by Predicate - LMA Classic™)Reported Device Performance (SureSeal™ with Cuff Pilot™)
    ClassificationProcode - CAE - airway, oropharyngeal; CFR – 868.5110; Class 1 - exemptProcode - CAE – airway, oropharyngeal; CFR – 868.5110; Class 1 - exempt
    Indications for UseAchieving and maintaining control of airway during routine anesthetic procedures, emergency procedures; alternative to face mask, airway device in routine anesthesia, securing immediate airway in difficult situations, elective surgical procedures (no intubation), CPR.Identical to predicate.
    Patient PopulationPatients who need an artificial airwayIdentical to predicate.
    Environments of UseHospitals, pre-hospital (EMS), extended care facilities, outpatient clinics, MRI suites (MR Conditional)Hospitals, pre-hospital (EMS), extended care facilities, outpatient clinics, MRI suites (MR Safe when attached to airways that are MR Safe).
    TechnologyInflatable cuff and tube that rest above the glottis openingIdentical to predicate.
    Method of Inflating CuffIntegrated pilot check valve with separate syringe. ManualUsed with Cuff Pilot™ and a separate syringe. Manual
    Available SizesSizes 1 to 6Sizes 1 to 6
    Single Patient, DisposableYesYes
    MRI UseMR ConditionalMR Safe based on lack of materials which contain metal or are magnetic per ASTM F2052-06.
    Biocompatibility (Surface and External)Surface and Externally communicating contact (indirect gas pathway); Tissue / Mucosa contact; Limited duration (
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