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510(k) Data Aggregation

    K Number
    K221531
    Date Cleared
    2023-02-06

    (256 days)

    Product Code
    Regulation Number
    870.5150
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    ClotTriever Thrombectomy System

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

    The ClotTriever Thrombectomy System is indicated for:
    · The non-surgical removal of thrombi and emboli from blood vessels.
    · Injection, infusion, and/or aspiration of contrast media and other fluids into or from a blood vessel.
    The ClotTriever Thrombectomy System is intended for use in the peripheral vasculature including deep vein thrombosis (DVT).

    Device Description

    The ClotTriever Thrombectomy System is a single-use, sterile medical device designed for use in the peripheral vasculature. The ClotTriever Thrombectomy System consists of the ClotTriever Sheath and the ClotTriever Catheter. The ClotTriever Sheath is made of a reinforced polymeric sheath equipped with a self-expanding distal mesh funnel, a flush/aspiration port and a proximal hemostatic valve. A dilator is included to aid insertion. Other provided accessories include the funnel loading tool and a large bore 60 cc syringe. The ClotTriever Catheter is made of reinforced polymeric coaxial shafts terminating in an expandable coring element and thrombus collection bag. Two ports terminating in stopcocks are provided for de-airing the catheter shafts. To aid in fluoroscopic visualization, the sheath dilator and ClotTriever Catheter distal tips are radiopaque.

    AI/ML Overview

    The provided text describes a 510(k) premarket notification for the ClotTriever Thrombectomy System, focusing on a labeling change rather than a study proving new performance claims or AI model acceptance criteria. The document states that the change is to replace "fibrous" and "adherent" with "predominantly fibrous" and "firmly adherent" from the contraindications. It explicitly mentions that Non-Clinical Testing was not required to support the change and that Clinical Testing was originally submitted in a previous 510(k) (K193462, cleared on September 9, 2020). Therefore, the document does NOT contain the information needed to answer the prompt regarding acceptance criteria and performance studies for a device, especially not those related to an AI model.

    The prompt specifically asks for details about AI model acceptance criteria and performance studies (e.g., sample size, expert ground truth, MRMC studies, standalone performance), which are not discussed in this FDA 510(k) clearance letter for a thrombectomy system.

    Therefore, I must state that the requested information is not available in the provided text.

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    K Number
    K220887
    Manufacturer
    Date Cleared
    2022-08-04

    (129 days)

    Product Code
    Regulation Number
    870.5150
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    Mini-ClotTriever Thrombectomy System

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

    The Mini-ClotTriever Thrombectomy System is indicated for:
    · The non-surgical removal of emboli and thrombi from blood vessels.
    · Injection, infusion, and/or aspiration of contrast media and other fluids into or from a blood vessel.
    The Mini-ClotTriever Thrombectomy System is intended for use in the peripheral vasculature.
    The Mini-ClotTriever Thrombectomy System is not intended for use in deep vein thrombosis (DVT) treatment.

    Device Description

    The Mini-ClotTriever (“MCT”) Thrombectomy System is a single-use, over-the-wire, catheter-based system for the minimally invasive treatment of thromboemboli in the peripheral vasculature. The system is comprised of two main components packaged separately:
    Mini-ClotTriever Sheath (8 Fr)
    Mini-ClotTriever Catheter (8 Fr)
    The MCT Sheath is placed in the target vessel, and, after its funnel is expanded, the MCT Catheter is inserted through the sheath and advanced past the thrombus. The MCT Catheter coring element is deployed to engage the clot and retracted into the MCT Sheath to capture the targeted thrombus. Additional clot may be removed by aspiration through the sheath with a syringe (not provided). After the procedure is complete, the MCT Catheter and MCT Sheath are removed from the patient.

    AI/ML Overview

    The provided text describes the 510(k) premarket notification for the Mini-ClotTriever Thrombectomy System. This submission focuses on demonstrating substantial equivalence to a predicate device (Inari ClotTriever Thrombectomy System, K210689) through non-clinical testing. It does not present a study proving the device meets acceptance criteria related to AI/algorithm performance.

    The document primarily covers:

    • Device Description: A mechanical thrombectomy system for non-surgical removal of emboli and thrombi from blood vessels in the peripheral vasculature.
    • Comparison to Predicate: Details on the similarities and differences in design, materials, and operational principles between the Mini-ClotTriever and its predicate device.
    • Non-Clinical Testing: A list of bench tests performed (e.g., biocompatibility, sterilization, dimensional inspections, simulated use, tensile testing, corrosion testing) to demonstrate that the device conforms to established product specifications and the modifications do not raise new questions of safety or effectiveness.
    • Conclusion: The device is substantially equivalent to the predicate device based on non-clinical testing, and neither animal nor clinical testing was required for this determination.

    Based on the provided text, none of the specific information requested about AI/algorithm acceptance criteria and performance (e.g., sample size for test sets, expert consensus, MRMC studies, standalone performance, training set details) can be extracted because the device is a medical instrument, not an AI/algorithm-based diagnostic or therapeutic tool for which such criteria would apply.

    Therefore, I cannot populate the table or answer the specific questions related to AI/algorithm performance. The document describes a mechanical device and its testing, not an AI study.

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    K Number
    K212632
    Date Cleared
    2021-10-18

    (60 days)

    Product Code
    Regulation Number
    870.5150
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    ClotTriever Thrombectomy System

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

    The ClotTriever Thrombectomy System is indicated for:
    · The non-surgical removal of thrombi and emboli from blood vessels.

    • · Injection, infusion, and /or aspiration of contrast media and other fluids into or from a blood vessel.
      The ClotTriever Thrombectomy System is intended for use in the peripheral vasculature including deep vein thrombosis (DVT).
    Device Description

    The ClotTriever Thrombectomy System is a single-use, sterile medical device designed for use in the peripheral vasculature. The ClotTriever Thrombectomy System consists of the ClotTriever Sheaths, the ClotTriever Catheter, and the ClotTriever Bold Catheter. The ClotTriever Sheaths are comprised of a reinforced polymeric sheath equipped with a self-expanding distal mesh funnel, a flush/aspiration port, and a proximal hemostatic valve. The ClotTriever Catheter and the ClotTriever Bold Catheter are comprised of reinforced polymeric coaxial shafts terminating in an expandable coring element and thrombus collection bag. Three ports terminating in stopcocks are provided for de-airing the catheter shafts. To aid in fluoroscopic visualization, the Sheath, ClotTriever Catheter and ClotTriever Bold Catheter distal tips are radiopaque. Other accessories provided with the ClotTriever Sheath include a pre-dilator, a funnel loading tool and a Large Bore 60 cc syringe.

    AI/ML Overview

    Here's an analysis of the acceptance criteria and the study that proves the device meets them, based on the provided text:

    This document is a 510(k) summary for a medical device modification, specifically the "ClotTriever Thrombectomy System" with the introduction of the "ClotTriever Bold Catheter." It focuses on demonstrating substantial equivalence to a previously cleared predicate device (K210689). Therefore, the "study" described is a set of non-clinical tests to verify that the modifications do not introduce new safety or efficacy concerns.

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

    The document doesn't explicitly list specific quantitative acceptance criteria values alongside corresponding performance results. Instead, it states that "Test results demonstrated that all acceptance criteria were met." The acceptance criteria would be derived from the product specifications for each test listed.

    Test Performed (Proposed Device)Reported Device Performance
    Visual and Dimensional InspectionMet all acceptance criteria
    ClotTriever Sheath CompatibilityMet all acceptance criteria
    Deployment/Retraction ForceMet all acceptance criteria
    Kink RadiusMet all acceptance criteria
    Fluid Leakage, SheathMet all acceptance criteria
    Vacuum Leakage, SheathMet all acceptance criteria
    Simulated Use, Track & TensileMet all acceptance criteria

    Tests leveraged from predicate device (K210689) also met their respective acceptance criteria, implying the performance was acceptable for those aspects as well.

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

    The document does not specify the sample size used for any of the non-clinical tests.
    The data provenance is non-clinical testing, performed to verify compliance with product specifications. It's a regulatory submission and not a clinical study involving human patients.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

    This information is not applicable as this is a non-clinical device verification study, not a study requiring expert clinical adjudication or ground truth establishment in the traditional sense of medical image analysis or diagnostic performance. The "ground truth" here is adherence to engineering specifications and performance standards.

    4. Adjudication method for the test set

    This information is not applicable for the same reasons as above. There is no clinical test set requiring adjudication.

    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, a multi-reader, multi-case comparative effectiveness study was not done. This device is a mechanical thrombectomy system, not an AI-powered diagnostic tool, and the submission is for a device modification, focusing on non-clinical performance.

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

    This question is not applicable as the device is not an algorithm or AI system. It's a physical medical device.

    7. The type of ground truth used

    The "ground truth" for this device's performance is established by engineering specifications and performance standards for medical devices. This includes mechanical properties, material compatibility, and functional performance in simulated environments.

    8. The sample size for the training set

    This information is not applicable as this is a physical medical device and not an AI/machine learning system that requires a "training set."

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

    This information is not applicable as there is no "training set" for this type of device.

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    K Number
    K210689
    Date Cleared
    2021-05-12

    (65 days)

    Product Code
    Regulation Number
    870.5150
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    ClotTriever Thrombectomy System

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

    The ClotTriever Thrombectomy System is indicated for:

    • · The non-surgical removal of thrombi and emboli from blood vessels.
    • · Injection, infusion, and/or aspiration of contrast media and other fluids into or from a blood vessel.

    The ClotTriever Thrombectomy System is intended for use in the peripheral vasculature including deep vein thrombosis (DVT).

    Device Description

    The ClotTriever Thrombectomy System is a single-use, sterile medical device designed for use in the peripheral vasculature. The ClotTriever Thrombectomy System consists of the ClotTriever Sheath and the ClotTriever Catheter. The ClotTriever Sheath comprises a reinforced polymeric sheath equipped with a self-expanding distal mesh funnel, a flush/aspiration port, and a proximal hemostatic valve. The ClotTriever Catheter is comprised of reinforced polymeric coaxial shafts terminating in an expandable coring element and thrombus collection bag. Three ports terminating in stopcocks are provided for de-airing the catheter shafts. To aid in fluoroscopic visualization, the Sheath dilator and ClotTriever Catheter distal tips are radiopaque. Other provided accessories include a pre-dilator, the funnel loading tool and a Large Bore 60 cc syringe

    AI/ML Overview

    The provided document is a 510(k) premarket notification for the ClotTriever Thrombectomy System. This type of submission is for demonstrating substantial equivalence to a legally marketed predicate device, primarily through non-clinical performance data. It does not typically involve extensive clinical studies with human subjects in the same way a PMA (Premarket Approval) submission would, especially for an AI/ML-driven device.

    Therefore, many of the requested elements for describing acceptance criteria and a study proving a device meets acceptance criteria in an AI/ML context (e.g., sample size for test/training sets, experts for ground truth, MRMC studies, standalone performance) are not applicable to this specific document. This document focuses on the mechanical and functional performance of a medical device (a thrombectomy system with a pre-dilator) through non-clinical testing.

    Here's the information based on the provided document:

    1. Table of Acceptance Criteria and Reported Device Performance

    The document states: "Test results demonstrated that all acceptance criteria were met; therefore, the device conforms to established product specifications." However, it does not explicitly list the quantitative acceptance criteria for each test. It only lists the types of non-clinical testing performed.

    Test TypeAcceptance Criteria (Not explicitly quantified in document)Reported Device Performance
    Visual and Dimensional InspectionDevice meets specified visual and dimensional requirements.All acceptance criteria were met.
    Guidewire CompatibilityDevice is compatible with specified guidewire.All acceptance criteria were met.
    Leak TestingDevice does not leak beyond acceptable limits.All acceptance criteria were met.
    Simulated UseDevice performs as intended during simulated use.All acceptance criteria were met.
    Insertion/Kink Radius TestingDevice resists kinking and can be inserted as intended.All acceptance criteria were met.
    Tensile TestingDevice meets specified tensile strength requirements.All acceptance criteria were met.
    In Vivo Functional Testing/Radiopacity VerificationDevice functions as intended in vivo (animal or cadaver model implied) and is radiopaque as specified.All acceptance criteria were met.
    Pouch Seal Visual Inspection and Dye PenetrationPouch seals are intact and prevent dye penetration.All acceptance criteria were met (leveraged from K163549).
    Pouch, Peel, Seal StrengthPouch seals meet specified strength requirements for opening.All acceptance criteria were met (leveraged from K163549).
    Sterilization ValidationDevice is effectively sterilized.All acceptance criteria were met (leveraged from K163549).

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

    The document does not specify the exact sample sizes (number of units tested) for each type of non-clinical test. The data provenance is internal testing performed by Inari Medical, Inc. The nature of the testing (bench, in-vitro, and potentially in vivo animal/cadaver for functional testing) indicates it's likely prospective data collection for the purpose of this submission. The origin of the data is the manufacturer's testing facility.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

    Not applicable. This is a medical device submission based on non-clinical engineering and performance testing, not an AI/ML algorithm requiring expert review for ground truth establishment.

    4. Adjudication method for the test set

    Not applicable. This is not an AI/ML study requiring expert adjudication of outputs. The tests are typically conducted according to standardized protocols with defined acceptance criteria.

    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 device is a mechanical thrombectomy system, not an AI-assisted diagnostic or therapeutic device.

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

    Not applicable. This device does not involve an algorithm. The testing described is for the mechanical and functional performance of the device itself.

    7. The type of ground truth used

    For the non-clinical tests, the "ground truth" is defined by the product specifications and performance standards for the device, and established engineering principles for evaluating medical device safety and effectiveness. For example:

    • Visual and Dimensional Inspection: Comparison against engineering drawings and design specifications.
    • Leak Testing: Absence of fluid egress under specified pressure.
    • Tensile Testing: Measurement against predefined force resistance requirements.
    • In Vivo Functional Testing: Successful and safe operation in a relevant biological model (e.g., animal or cadaver model, though the document does not specify which was used or the exact endpoints, only that the test was conducted).

    8. The sample size for the training set

    Not applicable. This is not an AI/ML device that requires a training set.

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

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

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    K Number
    K210190
    Date Cleared
    2021-02-23

    (29 days)

    Product Code
    Regulation Number
    870.5150
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    ClotTriever Thrombectomy System

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

    The ClotTriever Thrombectomy System is indicated for :

    • · The non-surgical removal of thrombi and emboli from blood vessels.
    • · Injection, infusion, and/or aspiration of contrast media and other fluids into or from a blood vessel.

    The ClotTriever Thrombectomy System is intended for use in the peripheral vasculature including deep vein thrombosis (DVT).

    Device Description

    The ClotTriever Thrombectomy System is a single-use, sterile medical device designed for use in the peripheral vasculature. The ClotTriever Thrombectomy System consists of the ClotTriever Sheath and the ClotTriever Catheter. The ClotTriever Sheath comprises a reinforced polymeric sheath equipped with a self-expanding distal mesh funnel, a flush/aspiration port, and a proximal hemostatic valve. A dilator is provided to aid insertion. Other provided accessories include the funnel loading tool and a Large Bore 60 cc syringe. The ClotTriever Catheter comprises reinforced polymeric coaxial shafts terminating in an expandable coring element and thrombus collection bag. Two ports terminating in stopcocks are provided for de-airing the catheter shafts. To aid in fluoroscopic visualization, the Sheath dilator and ClotTriever Catheter distal tips are radiopaque.

    AI/ML Overview

    This document is a 510(k) summary for the Inari Medical ClotTriever Thrombectomy System. It outlines the FDA's determination of substantial equivalence for a modified version of the device.

    Based on the provided text, the device in question is not an AI/ML powered device. It's a physical medical device designed for the non-surgical removal of thrombi and emboli. Therefore, the questions related to AI/ML device performance, such as acceptance criteria based on AI metrics, sample sizes for test/training sets for AI, expert adjudication, MRMC studies, and standalone algorithm performance, are not applicable to this document.

    The document states:

    • "Non-Clinical Testing: Non-clinical testing was not required to support the change to the Indications for Use."
    • "Clinical Testing: The CLOUT registry clinical data supporting this labeling change was previously submitted in the ClotTriever Thrombectomy System 510(k) (K193462, cleared on September 9, 2020). No additional clinical data was deemed necessary to determine substantial equivalence of the subject and predicate devices."

    This means that the current 510(k) submission (K210190) is for a labeling change (specifically, removing "chronic clot" from a contraindication) for an already cleared device, and no new performance testing (clinical or non-clinical) was conducted or required for this specific submission. The substantial equivalence determination is based on the previously submitted data for K193462.

    Therefore, I cannot provide the requested information about acceptance criteria and study details for an AI/ML device from this document. The document describes a traditional medical device and a submission for a minor labeling modification.

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    K Number
    K193462
    Manufacturer
    Date Cleared
    2020-09-09

    (268 days)

    Product Code
    Regulation Number
    870.5150
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    ClotTriever Thrombectomy System

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

    The ClotTriever Thrombectomy System is indicated for:

    • · The non-surgical removal of thrombi and emboli from blood vessels.
    • · Injection, infusion, and/or aspiration of contrast media and other fluids into or from a blood vessel.
      The ClotTriever Thrombectomy System is in the peripheral vasculature including deep vein thrombosis (DVT).
    Device Description

    The ClotTriever Thrombectomy System is a single-use, sterile medical device designed for use in the peripheral vasculature. The ClotTriever Thrombectomy System consists of the ClotTriever Sheath and the ClotTriever Catheter. The ClotTriever Sheath comprises a reinforced polymeric sheath equipped with a self-expanding distal mesh funnel, a flush/aspiration port, and a proximal hemostatic valve. A dilator is provided to aid insertion. Other provided accessories include the funnel loading tool and a Large Bore 60 cc syringe. The ClotTriever Catheter comprises reinforced polymeric coaxial shafts terminating in an expandable coring element and thrombus collection bag. Two ports terminating in stopcocks are provided for de-airing the catheter shafts. To aid in fluoroscopic visualization, the Sheath dilator and ClotTriever Catheter distal tips are radiopaque.

    AI/ML Overview

    The provided text describes the ClotTriever Thrombectomy System, its indications for use, and a clinical study (CLOUT Registry) conducted to support changes to its indications. However, the document does not contain a table of acceptance criteria and the device performance against those specific criteria. It outlines the results of a clinical registry and concludes that these results support the changes to the Indications for Use.

    Therefore, many of the requested details cannot be fully extracted from the provided text. I will answer based on the information available and explicitly state when information is not present.


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

    The document does not explicitly present a table of predefined acceptance criteria for the device's performance in a clinical study. Instead, it describes clinical outcomes observed in the CLOUT Registry, which are then used to justify the expanded Indications for Use.

    Performance Metric (Observed Outcome)Reported Device Performance (CLOUT Registry)
    Thrombus removal ≥75% (via core lab Marder scores)75.2% of treated limbs (including chronic disease)
    Proportion of patients treated in a single session99.2%
    Major adverse events through 30 days9 (6.8%)
    Device-related major adverse events0
    Access-site hematoma1 (0.8%)
    Acute renal injuries0
    Significant decrease in PTS patients (vs. baseline)p
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    K Number
    K192036
    Manufacturer
    Date Cleared
    2019-08-29

    (30 days)

    Product Code
    Regulation Number
    870.5150
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    ClotTriever Thrombectomy System

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

    The ClotTriever Thrombectomy System consists of the ClotTriever Sheath. The ClotTriever Thrombectomy System is indicated for:

    • · The non-surgical removal of soft thrombi and emboli from blood vessels.
    • · Injection, infusion, and/or aspiration of contrast media and other fluids into or from a blood vessel.
      The ClotTriever Thrombectomy System is intended for use in the peripheral vasculature.
    Device Description

    The ClotTriever Thrombectomy System is a single-use, sterile medical device designed for use in the peripheral vasculature. The ClotTriever Thrombectomy System is comprised of the ClotTriever Sheath and the ClotTriever Catheter. The ClotTriever Sheath consists of a reinforced polymeric sheath equipped with a self-expanding distal mesh funnel, a flush/aspiration port, and a proximal hemostatic valve. A dilator is provided to aid insertion. Other provided accessories include the funnel loading tool and a Large Bore 60 cc syringe. The ClotTriever Catheter consists of reinforced polymeric coaxial shafts terminating in an expandable coring element and thrombus collection bag. Two ports terminating in stopcocks are provided for de-airing the catheter shafts. To aid in fluoroscopic visualization, the Sheath dilator and ClotTriever Catheter distal tips are radiopaque.

    AI/ML Overview

    The provided text describes a 510(k) premarket notification for the ClotTriever Thrombectomy System, focusing on device modifications and non-clinical testing. It explicitly states that "Clinical testing was not required for the determination of substantial equivalence." This means that the information requested regarding acceptance criteria, study details, human reader performance, ground truth establishment for a training set, and sample sizes for training and test sets in a clinical context is not applicable to this submission, as no human clinical study was performed.

    The document primarily details non-clinical testing to demonstrate substantial equivalence to a predicate device.

    Here's a breakdown of the available information:

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

    The document broadly states: "Test results demonstrated that all acceptance criteria were met; therefore, the device conforms to established product specifications and intended use."

    While a specific table of acceptance criteria with numerical performance values is not provided, the following list represents the types of non-clinical tests conducted to meet internal specifications:

    Acceptance Criteria (Test Type)Reported Device Performance (Implied)
    Pouch Seal InspectionMet
    Dye Penetration InspectionMet
    Visual & Dimensional Inspections ClotTriever SheathMet
    Visual & Dimensional Inspections ClotTriever DilatorMet
    Visual & Dimensional Inspections Loading ToolMet
    Guidewire Compatibility Verification, ClotTriever DilatorMet
    Deployment Force ClotTriever Sheath from DilatorMet
    Retraction Force Dilator Thru ClotTriever SheathMet
    Insertion Verification ClotTriever Delivery Catheter thru SheathMet
    Retraction of the ClotTriever Catheter Thru ClotTriever SheathMet
    Kink Resistance/Radius Verification ClotTriever Sheath & DilatorMet
    Leakage Verification, ClotTriever SheathMet
    Leakage Verification, ClotTriever DilatorMet
    Fluid Test Thru ClotTriever Sheath/DilatorMet
    ClotTriever Dilator Retraction in Clot AnalogMet
    Simulated Use, Track and Rotation ClotTriever SheathMet
    Simulated Use, Track and Tensile ClotTriever DilatorMet
    Simulated Use, Track and Tensile ClotTriever SheathMet
    Insertion and Placement ResistanceMet
    Corrosion ResistanceMet

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

    This information is not provided in a clinical context as no human clinical study was performed. The non-clinical tests would have used physical samples of the device components. The document does not specify the number of samples for each non-clinical test or their provenance.

    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)

    Not applicable, as no human clinical study was conducted, and therefore no ground truth was established by medical experts for a test set.

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

    Not applicable, as no human clinical study was conducted.

    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. The device is a medical instrument (thrombectomy system), not an AI-assisted diagnostic tool.

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

    Not applicable. The device is a medical instrument, not an algorithm.

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

    For the non-clinical testing, the "ground truth" would be the established engineering and performance specifications for each test (e.g., a specific force for deployment, a tolerance for dimensions, absence of leakage). These are defined internally by the manufacturer during device development.

    8. The sample size for the training set

    Not applicable, as no algorithm or human reader training set was required for this device's regulatory submission based on non-clinical testing.

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

    Not applicable.

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    K Number
    K182531
    Manufacturer
    Date Cleared
    2018-10-10

    (26 days)

    Product Code
    Regulation Number
    870.5150
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    ClotTriever Thrombectomy System

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

    The ClotTriever Thrombectomy System consists of the ClotTriever Catheter and ClotTriever Sheath. The ClotTriever Thrombectomy System is indicated for:
    The non-surgical removal of soft thrombi and emboli from blood vessels.Injection, infusion, and/or aspiration of contrast media and other fluids into or from a blood vessel.
    The ClotTriever Thrombectomy System is intended for use in the peripheral vasculature.

    Device Description

    The ClotTriever Thrombectomy System is a single-use, sterile medical device designed for use in the peripheral vasculature. The ClotTriever Thrombectomy System is comprised of the ClotTriever Sheath and the ClotTriever Catheter. The ClotTriever Sheath consists of a polymeric sheath equipped with a self-expanding distal mesh funnel, a flush/aspiration port, and a proximal hemostatic valve. A dilator is provided to aid insertion. Other provided accessories include the funnel loading tool and a 60 cc syringe. The ClotTriever Catheter consists of polymeric coaxial shafts terminating in an expandable coring element and thrombus collection bag. At the proximal end of the catheter is a handle used to enable tensioning of the coring element. Two ports terminating in stopcocks are provided for de-airing the catheter shafts. To aid in fluoroscopic visualization, the dilator and ClotTriever Catheter distal tips are radiopaque.

    AI/ML Overview

    The provided document is a 510(k) summary for the ClotTriever Thrombectomy System, which is a medical device for removing thrombi and emboli. It describes non-clinical testing performed to demonstrate substantial equivalence to a predicate device, but it explicitly states that clinical testing was not required. Therefore, the document does not contain information about a study proving the device meets acceptance criteria related to clinical performance or human reader effectiveness.

    However, based on the non-clinical testing section, I can provide information about the acceptance criteria and performance as described for those tests.

    1. Table of Acceptance Criteria and Reported Device Performance

    TestAcceptance CriteriaReported Device Performance
    Visual & Dimensional InspectionsNot explicitly stated, implied to be conformity to design specifications.All acceptance criteria were met.
    Retraction Force of HandleNot explicitly stated, implied to be conformity to design specifications.All acceptance criteria were met.
    Syringe Leak TestingNot explicitly stated, implied to be conformity to design specifications.All acceptance criteria were met.
    Syringe Vacuum TestingNot explicitly stated, implied to be conformity to design specifications.All acceptance criteria were met.
    Syringe Tensile TestingNot explicitly stated, implied to be conformity to design specifications.All acceptance criteria were met.
    Clot burden Removal Performance TestNot explicitly stated, implied to be conformity to design specifications.All acceptance criteria were met.
    Simulated Use, Tensile TestNot explicitly stated, implied to be conformity to design specifications.All acceptance criteria were met.

    2. Sample size used for the test set and the data provenance:
    For the non-clinical tests listed, the sample sizes are not explicitly provided in this 510(k) summary. The data provenance is generally "non-clinical testing" conducted by the manufacturer, Inari Medical, Inc. The document does not specify country of origin for the data (as it's laboratory testing, this is typically internal to the manufacturer). It is, by definition, a prospective testing of the device prototypes/units.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:
    Not applicable. These are non-clinical engineering and performance tests, not clinical evaluations requiring expert interpretation of medical images or patient outcomes.

    4. Adjudication method for the test set:
    Not applicable for these non-clinical tests.

    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 device is a thrombectomy system (a mechanical device), not an AI-powered diagnostic tool. Clinical testing was also not performed or required for this particular submission.

    6. If a standalone (i.e., algorithm only without human-in-the-loop performance) was done:
    No. This is a physical medical device, not a standalone algorithm.

    7. The type of ground truth used:
    For the non-clinical tests, the "ground truth" would be established engineering specifications, performance standards, and physical measurements/observations during the tests. For example, for "Syringe Leak Testing," the ground truth would be the absence of leaks under specified conditions.

    8. The sample size for the training set:
    Not applicable. This is not an AI/ML device that requires a training set.

    9. How the ground truth for the training set was established:
    Not applicable.

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    K Number
    K180329
    Date Cleared
    2018-04-09

    (62 days)

    Product Code
    Regulation Number
    870.5150
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    ClotTriever Thrombectomy System

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

    The ClotTriever Thrombectomy System consists of the ClotTriever Catheter and ClotTriever Sheath. The ClotTriever Thrombectomy System is indicated for:
    • The non-surgical removal of soft thrombi and emboli from blood vessels.
    • Injection, infusion, and/or aspiration of contrast media and other fluids into or from a blood vessel.
    The ClotTriever Thrombectomy System is intended for use in the peripheral vasculature.

    Device Description

    The ClotTriever Thrombectomy System is a single-use, sterile medical device system designed for use in the peripheral vasculature. The ClotTriever Thrombectomy System consists of the ClotTriever Sheath and the ClotTriever Catheter. The ClotTriever Sheath consists of a polymeric sheath equipped with a self-expanding distal mesh funnel, a flush/aspiration port, and a proximal hemostatic valve. A dilator is provided to aid insertion. Other provided accessories include a clot reservoir, a funnel loading tool, and a 60 cc syringe. The ClotTriever Catheter consists of four pre- assembled polymeric coaxial catheters terminating in an expandable coring element and thrombus collection bag. At the proximal end of the catheter is a handle used to enable tensioning of the coring element. Two ports terminating in stopcocks are provided for de-airing the catheter shafts. To aid in fluoroscopic visualization, the dilator and ClotTriever Catheter distal tips are radiopaque.

    AI/ML Overview

    The ClotTriever Thrombectomy System underwent non-clinical testing to demonstrate substantial equivalence to its predicate device, specifically ClotTriever Thrombectomy System (K173470). The device is used for the non-surgical removal of soft thrombi and emboli from blood vessels and for the injection/aspiration of fluids in the peripheral vasculature.

    Here's an analysis of the provided information regarding acceptance criteria and the study:

    1. Table of Acceptance Criteria and Reported Device Performance

    The provided text lists numerous tests conducted to ensure the device's performance meets established specifications. For each test, the "reported device performance" is a blanket statement indicating that: "Test results demonstrated that all acceptance criteria were met; therefore, the device conforms to established product specifications and intended use."

    Without specific numerical or qualitative results for each individual test, a detailed table with specific acceptance criteria and performance metrics cannot be generated. However, the types of tests conducted serve as proxies for the acceptance criteria for various aspects of the device's functionality and safety.

    Test CategorySpecific TestAcceptance Criteria (Implied)Reported Device Performance
    Packaging & SterilityPouch Seal InspectionSeal integrity adequate to maintain sterilityAll acceptance criteria met
    Dye Penetration InspectionNo dye penetration, indicating seal integrityAll acceptance criteria met
    Pouch Peel TestAppropriate peel strength for safe openingAll acceptance criteria met
    Physical & DimensionalVisual & Dimensional Inspections (Sheath, Dilator, Clot Reservoir, Loading Tool)Conformance to design specifications and tolerancesAll acceptance criteria met
    Functional - Insertion & RetractionGuidewire Compatibility VerificationSmooth passage and compatibility with guidewiresAll acceptance criteria met
    Insertion Force - ClotTriever Dilator Handle into Sheath HubWithin specified force limits for user easeAll acceptance criteria met
    Retraction Force - Dilator Handle from Sheath HubWithin specified force limits for user easeAll acceptance criteria met
    Deployment Force - ClotTriever Sheath from DilatorWithin specified force limits for reliable deploymentAll acceptance criteria met
    Engagement Force - Dilator HandleSecure engagementAll acceptance criteria met
    Retraction Force - Dilator Thru ClotTriever SheathWithin specified force limits for smooth retractionAll acceptance criteria met
    Retraction Force - Dilator HandleWithin specified force limits for user easeAll acceptance criteria met
    Insertion Verification ClotTriever Delivery Catheter thru SheathSmooth and unobstructed passageAll acceptance criteria met
    Retraction of the ClotTriever Catheter Thru ClotTriever SheathSmooth and unobstructed retractionAll acceptance criteria met
    Mechanical IntegrityKink Resistance/Radius Verification ClotTriever Sheath & DilatorResistance to kinking at specified radiiAll acceptance criteria met
    Leakage Verification (ClotTriever Sheath, Dilator, Clot Reservoir)No fluid leakageAll acceptance criteria met
    Air Leakage, ClotTriever SheathNo air leakageAll acceptance criteria met
    Clot Reservoir Check Valve Cracking PressureWithin specified pressure range for proper functionAll acceptance criteria met
    Vacuum Testing (ClotTriever Sheath, Clot Reservoir)Ability to maintain specified vacuum levelsAll acceptance criteria met
    Push-Button Force Testing Garrote ValveWithin specified force limits for user operationAll acceptance criteria met
    Fluid Test Thru ClotTriever Sheath/DilatorUnobstructed fluid flowAll acceptance criteria met
    Corrosion ResistanceNo corrosion observedAll acceptance criteria met
    ClotTriever Dilator Retraction in Clot AnalogEffective retraction in a simulated clot environmentAll acceptance criteria met
    Simulated Use, Track and Tensile (ClotTriever Dilator, Sheath)Mechanical integrity and tracking performance in simulated useAll acceptance criteria met
    Simulated Use, Tensile – ClotTriever Clot ReservoirMechanical integrity under tensile stressAll acceptance criteria met
    Simulated Use Track and Turn-to-Failure, ClotTriever SheathDurability and functionality in simulated extreme useAll acceptance criteria met
    Torque Testing (Dilator, Garrote Valve, Flushing Stopcock)Resistance to breakage or failure under torqueAll acceptance criteria met
    Burst Testing (Garrote Valve, Flushing Stopcock)Resistance to bursting at specified pressuresAll acceptance criteria met
    Particulate EvaluationWithin acceptable limits for biocompatibilityAll acceptance criteria met

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

    The provided information focuses on non-clinical testing (e.g., bench testing, mechanical tests). There is no information provided regarding a "test set" in the context of patient data.

    • Sample Size: Not applicable for a clinical test set as no clinical testing was performed for this submission. For the non-clinical tests, specific sample sizes are not explicitly stated for each test, but it is implied that sufficient samples were used to meet the verification and validation requirements.
    • Data Provenance: Not applicable for a clinical test set. For the non-clinical tests, the data provenance is from the manufacturer's (Inari Medical) internal testing.

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

    This information is not applicable as the submission states: "Clinical testing was not required for the determination of substantial equivalence." Therefore, no clinical ground truth was established by experts for a test set in this context.

    4. Adjudication Method for the Test Set

    This information is not applicable as no clinical test set requiring expert adjudication was utilized.

    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

    An MRMC comparative effectiveness study was not done. The submission explicitly states: "Clinical testing was not required for the determination of substantial equivalence." This implies no human-in-the-loop performance evaluation or comparison with AI assistance.

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

    This information is not applicable. The ClotTriever Thrombectomy System is a physical medical device (catheter system), not an AI algorithm. Therefore, "standalone algorithm performance" is not relevant to this submission.

    7. The Type of Ground Truth Used

    For the non-clinical testing conducted, the "ground truth" used was established product specifications, engineering standards, and the performance of the predicate device (K173470). In other words, the device's performance was compared against predetermined acceptance criteria derived from its design requirements and the known characteristics of equivalent devices.

    8. The Sample Size for the Training Set

    This information is not applicable. As a physical medical device, there is no "training set" in the context of machine learning or AI.

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

    This information is not applicable for the same reason as point 8.

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    K Number
    K173470
    Manufacturer
    Date Cleared
    2017-12-04

    (26 days)

    Product Code
    Regulation Number
    870.5150
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    ClotTriever Thrombectomy System, ClotTriever Catheter, ClotTriever Sheath

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

    The ClotTriever Thrombectomy System consists of the ClotTriever Catheter and ClotTriever Thrombectomy System is indicated for:

    • · The non-surgical removal of soft thrombi and emboli from blood vessels.
    • · Injection, infusion, and/or aspiration of contrast media and other fluids into or from a blood vessel.
      The ClotTriever Thrombectomy System is intended for use in the peripheral vasculature.
    Device Description

    The ClotTriever Thrombectomy System is a single-use, sterile medical device system designed for use in the peripheral vasculature. The ClotTriever Thrombectomy System consists of the ClotTriever Sheath and the ClotTriever Catheter. The ClotTriever Sheath consists of a polymeric sheath equipped with a self-expanding distal mesh funnel, a flush/aspiration port with tubing clamp, and a proximal hemostatic valve. A dilator is provided to aid insertion. Other provided accessories include a clot reservoir, a flush port adapter, an aspiration insert, funnel loading tool, and a 60 cc syringe. The ClotTriever Catheter consists of four pre- assembled polymeric coaxial catheters terminating in an expandable coring element and thrombus collection bag. At the proximal end of the catheter is a handle used to enable tensioning of the coring element. Two ports terminating in stopcocks are provided for de-airing the catheter shafts. To aid in fluoroscopic visualization, the dilator and ClotTriever Catheter distal tips are radiopaque, and radiopaque marker bands are located on the coring element shaft at the proximal end of the expandable coring element, and at the distal ends of the ClotTriever Sheath and ClotTriever Catheter outer shaft.

    AI/ML Overview

    The prompt asks to describe the acceptance criteria and the study that proves the device meets the acceptance criteria, based on the provided text. However, the provided text does not contain details about specific acceptance criteria (e.g., numerical thresholds for performance metrics) or a study with detailed results that explicitly "prove" the device meets these criteria. Instead, it describes non-clinical testing performed to establish substantial equivalence to a predicate device.

    Therefore, many of the requested details cannot be extracted directly from the provided document. I will answer based on what is available, and explicitly state when information is missing.

    Here's the breakdown of what can be inferred/extracted:

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

    The document lists various non-clinical tests conducted but does not provide a table with specific acceptance criteria (e.g., "Deployment Force

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