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510(k) Data Aggregation

    K Number
    K162771
    Date Cleared
    2017-02-24

    (144 days)

    Product Code
    Regulation Number
    870.5150
    Reference & Predicate Devices
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The EkoSonic® Endovascular System is indicated for the:

    • · Ultrasound facilitated, controlled and selective infusion of physician-specified fluids, including thrombolytics, into the vasculature for the treatment of pulmonary embolism.
    • · Infusion of solutions into the pulmonary arteries.
    • · Controlled and selective infusion of physician-specified fluids, into the peripheral vasculature.
    Device Description

    The EkoSonic Endovascular System consists of an EkoSonic Device and the Control Unit 4.0 (CU 4.0). The EkoSonic Device consists of a disposable infusion catheter with removable ultrasound core. The infusion catheter contains multiple side holes distributed over the length of the treatment zone. The ultrasound core contains up to 30 ultrasound elements, evenly spaced over the treatment zone. Thermal sensors in the treatment zone monitor catheter temperature. The CU 4.0 generates and controls the delivery of radiofrequency energy to the ultrasound core while monitoring and controlling the temperature of the treatment zone.

    AI/ML Overview

    The provided text describes a 510(k) premarket notification for the EkoSonic® Endovascular System with Control Unit 4.0. This document focuses on demonstrating substantial equivalence to a predicate device rather than presenting a performance study with clinical endpoints and detailed acceptance criteria for an AI/ML-driven medical device. Therefore, much of the requested information regarding acceptance criteria, sample sizes for test/training sets, ground truth establishment, expert qualifications, and MRMC studies is not present in the provided text.

    Based on the information provided, here's what can be extracted:

    1. Table of Acceptance Criteria and Reported Device Performance

    The acceptance criteria are implied to be that the new Control Unit 4.0 (CU 4.0) functions as intended and is substantially equivalent to the predicate device, the EkoSonic Control Unit (PT-3B), without raising new questions of safety or effectiveness. The performance data presented consists of a series of hardware and software tests, all of which "Pass."

    CategorySpecific TestAcceptance Criteria (Implied)Reported Device Performance
    Hardware TestingSystem Tip TestPassPass
    Secondary Cell Battery TestPassPass
    Reliability PredictionPassPass
    Battery Life PredictionPassPass
    Electrical SafetyPassPass
    Hardware InspectionPassPass
    EMC/EMIPassPass
    RF Board TestsPassPass
    System IntegrationPassPass
    CIC Hardware TestsPassPass
    Shipping Package TestsPassPass
    Design Verification Hardware TestsPassPass
    UI Board Hardware TestsPassPass
    Environmental TestsPassPass
    Power Management Module TestsPassPass
    Software TestingPeriodic Self-TestPassPass
    User InterfacePassPass
    Firmware UpgradePassPass
    Event LoggingPassPass
    System Connect ValidationPassPass
    Single Channel RFPassPass
    GraphingPassPass
    Device CompatibilityPassPass
    Dual Channel RFPassPass
    Therapy SupportPassPass
    WorkflowPassPass
    System StartupPassPass
    Processor CommunicationPassPass
    Constant ParameterPassPass
    Source Code InspectionPassPass
    AC and Battery PowerPassPass

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

    The document does not specify a "test set" in the context of a typical AI/ML algorithm evaluation (e.g., a set of medical images or patient data). The evaluation appears to be based on engineering verification and validation testing of the hardware and software components of the device itself. Therefore, sample sizes for data (e.g., patient data) are not applicable or provided. The data provenance is internal testing performed by the manufacturer, EKOS Corporation, Inc.

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

    Not applicable. This submission is for a hardware/software device modification that does not involve diagnostic interpretation using AI/ML with a ground truth established by experts.

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

    Not applicable. The tests performed are engineering-based, not clinical evaluations requiring adjudication of expert opinions.

    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. An MRMC study is not mentioned as this device is a continuous flush catheter system, not an AI-assisted diagnostic tool.

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

    This concept is not applicable. The device is a physical system (catheter, control unit) that performs a therapeutic function (ultrasound-facilitated infusion), not a standalone algorithm. The "performance" refers to the device's functional integrity as a system.

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

    Not applicable. The "ground truth" for the engineering tests performed would be the design specifications and expected functional behavior of the hardware and software components.

    8. The sample size for the training set

    Not applicable. This document describes a device modification, not the development or training of an AI/ML algorithm.

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

    Not applicable. There is no mention of a "training set" in the context of AI/ML algorithm development.

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