Search Filters

Search Results

Found 1 results

510(k) Data Aggregation

    K Number
    K222766
    Date Cleared
    2024-04-12

    (577 days)

    Product Code
    Regulation Number
    880.5440
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    Disposable Extension Set

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

    The device is used for the administration of fluids from a container into the patient's vascular system through a vascular access device. The intended populations include adults and pediatrics except neonates.

    Device Description

    The proposed device is a single used device. It includes 30 models. For the 30 different models, each configuration comprises of various components which may include: Male luer lock and protector, Female luer lock and protector. Tube, Flow regulator, Clamp, multiple ways connector, Precision Liquid filter, Needle free connector, Check valve, Graduated flow regulator. Injection site and stopcock. The detail description of models is provided in Table 1.

    The proposed devices are sterilized by EO to achieve a SAL 106 and supplied in sterility maintenance package which could maintain the sterility of the device during the shelf life of 5 years.

    AI/ML Overview

    The provided text is a 510(k) summary for a medical device (Disposable Extension Set) seeking FDA clearance. It focuses on demonstrating substantial equivalence to a predicate device through non-clinical testing. This document does not include information about AI/ML algorithm performance, comparative effectiveness studies, or the types of ground truth typically associated with such studies.

    Therefore, many of your requested items cannot be extracted from this document, as they pertain to studies on intelligent algorithms rather than a physical medical device like an extension set.

    However, I can provide the available information:

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

    The document doesn't explicitly state "acceptance criteria" for each test in a numerical format. Instead, it states that the device "complies with the following standards" or that "test results demonstrated that the proposed device complies with the following standards." The "reported device performance" is implicitly that it met the requirements of these standards.

    Test CategoryStandard/RequirementReported Device Performance
    Performance TestingISO 8536-4:2019 (Infusion sets for single use, gravity feed)Complies with the standard
    ISO 8536-12:2007/AMD 1:2012 (Check valves)Complies with the standard
    ISO 8536-13:2016 (Graduated flow regulators for single use with fluid contact)Complies with the standard
    ISO 8536-14:2016 (Clamps and flow regulators for transfusion and infusion equipment without fluid contact)Complies with the standard
    ISO 80369-7:2021 (Small-bore connectors for liquids and gases in healthcare applications - Part 7: Connectors for intravascular or hypodermic applications)Complies with the standard
    ISO 80369-20:2015 (Small-bore connectors for liquids and gases in healthcare applications - Part 20: Common test methods)Complies with the standard
    Particular MatterUSP Particular Matter in InjectionsComplies with the standard
    SterilizationISO 10993-7 Amendment - 1 Biological evaluation of medical devices - Part 7: Ethylene oxide sterilization residuals AMENDMENT 1: Applicability of allowable limits for neonates and infants (2019)EO/ECH residual testing conducted; implies compliance.
    Shelf LifeAccelerated aging conducted, followed by package integrity and product performance testing to support 5-year shelf life.Adequately tested over the proposed shelf life.
    Packaging IntegrityASTM F88/F88M-15 (Seal Strength of Flexible Barrier Materials)Complies with the standard
    ASTM F1929-15 (Detecting Seal Leaks in Porous Medical Package by Dye Penetration)Complies with the standard
    ASTM F1886/F1886M-16 (Determining Integrity of Seals for Flexible Packaging by Visual Inspection)Complies with the standard
    ShippingASTM D4169-22 (Simulated transportation testing)Test conducted per standard, implying compliance.
    BiocompatibilityCytotoxicity (ISO 10993-5), Skin Sensitization (ISO 10993-10), Intracutaneous Reactivity (ISO 10993-10), Acute Systemic Toxicity (ISO 10993-11), Pyrogen (ISO 10993-11), Hemolysis (ISO 10993-4), Subacute toxicity testing (ISO 10993-11) for blood path, indirect contact, limited contact (exposure period ≤ 7 days).Data demonstrates no adverse effect from the material.
    Bacterial EndotoxinUSP Bacterial Endotoxin Limit (Endotoxin limit established as 20 USP Endotoxin Unit (EU))Test conducted by LAL method; implies compliance within limit.

    Regarding the other points, as per medical device clearance context:

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

      • This document does not specify sample sizes for the performance tests as it's a summary of a physical device's compliance with standards, not an AI/ML study.
      • Data provenance (country of origin, retrospective/prospective) is not applicable or specified for these types of engineering/material tests.
    • 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. "Ground truth" in the context of an AI/ML study does not apply to the regulatory clearance of a physical medical device like an extension set.
    • 4. Adjudication method (e.g. 2+1, 3+1, none) for the test set:

      • Not applicable.
    • 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-assisted device.
    • 6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done:

      • Not applicable. This is a physical medical device.
    • 7. The type of ground truth used (expert consensus, pathology, outcomes data, etc):

      • Not applicable. The "ground truth" for this device is its adherence to established engineering and biological safety standards (e.g., seal strength, biocompatibility, flow rates) through laboratory testing.
    • 8. The sample size for the training set:

      • Not applicable. There is no AI/ML component; therefore, no "training set."
    • 9. How the ground truth for the training set was established:

      • Not applicable.
    Ask a Question

    Ask a specific question about this device

    Page 1 of 1