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510(k) Data Aggregation
(230 days)
ELLAVI UBT
The ELLAVI UBT device is intended to provide temporary control or reduction of postpartum uterine bleeding when conservative management is warranted.
The ELLAVI UBT is an 18 cm long intrauterine balloon tamponade device primarily comprised of thermoplastic elastomer. The balloon and internal tubing are made of thermoplastic elastomer, while the exterior tubing is made of polyvinyl chloride. A supply bag is the filled, connected, and hung at a pre-determined height based on the patient's systolic blood pressure. The device consists of a balloon that is inserted into the uterus transvaginally into the postpartum uterus after delivery and removal of the placenta. A valve is then opened, and this allows the fluid to inflate the balloon and apply pressure to achieve a hemostatic effect.
The ELLAVI UBT device, intended for temporary control or reduction of postpartum uterine bleeding, underwent a series of non-clinical performance tests to demonstrate substantial equivalence to its predicate device, the Bakri Postpartum Balloon. The provided documentation primarily focuses on mechanical, biocompatibility, sterilization, and shelf-life testing. No clinical study data is provided in the document.
1. Table of Acceptance Criteria and Reported Device Performance
Test | Acceptance Criteria | Reported Device Performance |
---|---|---|
Mechanical Testing | ||
Visual Assessment | No visual defects | Verified no visual defects |
Dimensional Verification | Verification of tube and balloon dimensions | Verified tube and balloon dimensions |
Stretch Percentage | Verify the stretch percentage of the balloon when filled with 750 ml | Verified stretch percentage |
Tube Kinking | Verify that the tube is unable to kink when handled as per normal use | Verified no kinking |
External Wall Pressure | The external wall of the balloon must be able to exert 60 mm Hg to 120 mm Hg on the uterine wall | Verified pressure exertion within range |
Pressure Maintenance (Balloon) | Maintain a pressure of 12 kPa for 20 seconds (p-test) | Verified pressure maintenance |
Pressure Maintenance (Supply Bag) | Maintain a pressure of 12 kPa for 8 seconds (p-test) | Verified pressure maintenance |
Balloon Burst Volume | Verify the burst volume of the balloon | Verified burst volume |
Balloon Leak/Rupture | No leakage and/or rupture when subjected to 180 mm Hg for 24 hours | Verified no leakage/rupture |
Balloon Drop Strength | Withstand a drop from 1 m when filled to maximum fill level | Verified drop strength |
Balloon Fill Time | Verify the time it takes to fill the balloon to the normal fill level for different supply bag heights | Verified fill time |
Balloon Fill with Partial Blockage | Able to fill to the normal fill level while inner tube is pressed against balloon wall | Verified fill with blockage |
O-Ring Seal Force | Maintain a connection between the tube and the balloon | Verified connection maintenance |
Force to Separate Balloon from Tubing | Verify the force required to break the O-ring seal in emergency while balloon is filled | Verified force required |
Balloon Leak in Absence of O-Ring | No leaks when filled to maximum operating fill level with no O-ring | Verified no leaks |
Tube/Tap Removal Force | Verify the force required to remove the tube from the tap | Verified force required |
Supply Bag/Tap Removal Force | Verify the force required to pop the tube off the tap connection for a closed tap | Verified force required |
Balloon Draining Time | Verify the time it takes the balloon to drain back to the supply bag for different supply bag heights and tube orientations | Verified draining time |
Balloon Fill with a Kinked Tube | Can fill and/or drain with a kinked tube | Verified fill/drain with kinked tube |
Biocompatibility Testing | ||
Cytotoxicity (ISO 10993-5:2009) | Not cytotoxic | Not cytotoxic |
Maximization Sensitization (ISO 10993-10:2010) | Not sensitizing | Non-sensitizing |
Intracutaneous Irritation (ISO 10993-10:2010) | Not irritating | Non-irritating |
Acute Systemic Toxicity (ISO 10993-11:2017) | Not acutely systemically toxic | Not acute systemically toxic |
Material Mediated Pyrogenicity (ISO 10993-11:2017) | Does not elicit a material-mediated pyrogenic response | Does not elicit a material-mediated pyrogenic response |
Sterilization & Shelf-Life | ||
Sterilization | SAL of 10⁻⁶ | Achieved SAL 10⁻⁶ (Ethylene Oxide) |
Shelf-Life | 3-year shelf-life | Established based on accelerated aging (ASTM F1980-21) |
Simulated Shipping Distribution | In accordance with ASTM D4196-16 | Conducted in accordance with ASTM D4196-16 |
Package Integrity | In accordance with ASTM F1980-16, F88/F88M-15, and ASTM F1929-15 | Conducted in accordance with specified ASTM standards |
Endotoxin Testing | Less than ) |
2. Sample Size Used for the Test Set and Data Provenance
The provided document details non-clinical performance data (mechanical, biocompatibility, sterilization, and shelf-life testing). It does not describe a "test set" in the context of clinical or image-based studies with human subjects. Therefore, information about sample size, country of origin, or retrospective/prospective nature of such a test set is not applicable from this document. The tests performed are laboratory-based evaluations of the device's physical and material properties.
3. Number of Experts Used to Establish Ground Truth and Qualifications
Not applicable. The document describes non-clinical engineering and material science tests. "Ground truth" in the context of expert consensus for clinical diagnosis is not relevant to these types of tests.
4. Adjudication Method for the Test Set
Not applicable. There is no "test set" in the context of clinical or diagnostic performance that would require an adjudication method. The reported performance is based on direct measurements and observations from laboratory testing.
5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study
No MRMC comparative effectiveness study was mentioned or conducted, as this documentation pertains to non-clinical testing for substantial equivalence of a medical device.
6. Standalone Performance Study
The documented studies are standalone in the sense that they evaluate the device itself (its mechanical properties, biocompatibility, etc.) without human interaction as part of the performance evaluation. However, this is not a "standalone performance" in the context of algorithm-only performance for a diagnostic device, as the ELLAVI UBT is a physical medical instrument.
7. Type of Ground Truth Used
The "ground truth" for the non-clinical tests described is based on engineering specifications, material science standards, and established laboratory testing protocols. For instance:
- Mechanical Testing: Physical measurements against design specifications, established parameters (e.g., pressure ranges, fill volumes, time limits).
- Biocompatibility Testing: Compliance with ISO 10993 series standards, where reactivity or toxicity is evaluated against established biological models.
- Sterilization and Shelf-Life: Compliance with ISO 11135 and ASTM standards for sterility assurance levels, aging profiles, and package integrity.
8. Sample Size for the Training Set
Not applicable. The ELLAVI UBT is a physical medical device. It does not involve machine learning algorithms or a "training set" in the context of artificial intelligence.
9. How the Ground Truth for the Training Set Was Established
Not applicable, as there is no training set for this device.
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