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510(k) Data Aggregation

    K Number
    K070414
    Date Cleared
    2007-10-12

    (242 days)

    Product Code
    Regulation Number
    876.5820
    Reference & Predicate Devices
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Gambro Cartridge® Blood Set is intended for single use in a hemodialysis treatment using the Phoenix and Centrysystem 3 Dialysis Delivery Systems. The Low Weight model is used when a low extra-corporeal blood volume is recommended. The Low Weight model with a priming volume of 75 ml is indicated for patients with body weight greater than 20 Kg and lower or equal to 40 Kg. The standard models with a priming volume ranging from 103 ml to 162 ml are indicated for patients with body weight greater than 40 Kg.

    Device Description

    The Gambro Cartridge® Blood Sets are single use sterile tubing sets employed in the Gambro hemodialysis equipments extracorporeal circulation. They convey the patient's blood from the arterial-venous access fistula to the dialyzing filter (arterial line) and back after purification (venous line) and they are commonly referred to as bloodlines. A Gambro Cartridge® Blood Set can be safely connected to hemodialyzers, vascular accesses and various perfusion lines, under the responsibility of the physician in charge.

    AI/ML Overview

    The acceptance criteria and study details for the Gambro Cartridge® Blood Set are outlined below based on the provided text.

    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance Criteria CategorySpecific Test/AttributeAcceptance CriteriaReported Device Performance
    Performance TestingFlow RateNot explicitly stated as a numerical criterion, but implied to "perform as well as or better than the legally marketed predicate device."Successful non-clinical testing demonstrating capability. The device's priming volumes are comparable to or slightly different from the predicate, but within expected ranges for hemodialysis blood sets.
    Validation of System Injection Ports (Access Sites)Not explicitly stated as a numerical criterion, but implied to "perform as well as or better than the legally marketed predicate device."Successful non-clinical testing demonstrating validation.
    Hemodialysis Machine CompatibilityCompatibility with Phoenix® and Centrysystem® 3 Dialysis Delivery Systems.Predicate: The Cobe Cartridge Blood Tubing Set may be used with Gambro Dasco Phoenix, Gambro Model Cx, and Cobe Centrysystem 3 (and 3+) Systems. Modified Device: The Gambro Cartridge® Blood Set is intended for single use in a hemodialysis treatment using the Phoenix® and Centrysystem® 3 Dialysis Delivery Systems. (Matches predicate compatibility)
    Mechanical HemolysisNot explicitly stated as a numerical criterion, but implied to "perform as well as or better than the legally marketed predicate device."Successful non-clinical testing demonstrated acceptable levels.
    Integrity of Strength Between ConnectionsNot explicitly stated as a numerical criterion, but implied to "perform as well as or better than the legally marketed predicate device."Successful non-clinical testing demonstrating integrity.
    Kink ResistanceNot explicitly stated as a numerical criterion, but implied to "perform as well as or better than the legally marketed predicate device."Successful non-clinical testing demonstrating resistance.
    Clamping of TubingNot explicitly stated as a numerical criterion, but implied to "perform as well as or better than the legally marketed predicate device."Successful non-clinical testing demonstrating proper clamping.
    Compliance with International StandardsCompliance with international standards applicable to extracorporeal blood circuits for hemodialyzers.Successful non-clinical testing ensuring compliance.
    BiocompatibilityGeneral BiocompatibilityNot explicitly stated as a numerical criterion, but implied that it should be safe for patient use.Successful non-clinical testing demonstrating biocompatibility. Predicate: Soft PVC material. Modified Device: Soft PVC material with DEHP-free plasticizer (an improvement by being DEHP-free, which addresses a potential biocompatibility concern). Injection Plug Material: Latex-free (matches predicate, addressing allergen concerns).
    Sterilization & Shelf LifeExpiration Dating3 yearsPredicate: 3 years Modified Device: 3 years (Matches predicate).
    Sterilization MethodRadiationPredicate: Radiation Modified Device: Radiation (Matches predicate).
    Physical AttributesPriming VolumesAcceptable priming volumes based on intended patient weight categories (e.g., 75ml for patients 20-40 Kg, 103-162ml for patients >40 Kg).Predicate: SN: 145 ml, DN: 103-120 ml, SNK: 45 ml, P: 75 ml. Modified Device: SN: 162 ml, DN: 103-119 ml, SNK: 45 ml, LW: 75 ml. (These appear to be within acceptable ranges for the specified patient populations, with slight variations from the predicate's ranges for some models, but the overall performance deemed equivalent).
    Blood Tubing Length (Patient, Dialyzer venous, arterial)Comparable to predicate lengths.Predicate Patient Length: SN: 198 cm, DN: 183-244 cm, P: 183 cm. Modified Device Patient Length: SN: 198 cm, DN: 183-244 cm, LW: 183 cm. (Matches predicate) Predicate Dialyzer Length (venous): SN: 46 cm, DN: 46-53 cm, SNK: 46 cm, P: 46 cm. Modified Device Dialyzer Length (venous): SN: 46 cm, DN: 46-53 cm, SNK: 46 cm, LW: 46 cm. (Matches predicate) Predicate Dialyzer Length (arterial): SN: 46 cm, DN: 30-46 cm, SNK: 50 cm, P: 30 cm. Modified Device Dialyzer Length (arterial): SN: 46 cm, DN: 30-51 cm, SNK: 51 cm, LW: 30 cm. (Minor variations, but within general equivalence).
    Blood Tubing ThicknessComparable to predicate thickness for blood pathway and blood pump segment.Predicate Blood Pathway: SN-DN: 1.16 mm, P: 1.62 cm. Modified Device Blood Pathway: SN-DN: 1.16 mm, SN-DN Connections to dialyzer lines: 1.32 mm, LW: 1.63 mm. (Minor variations, but within general equivalence). Predicate Blood Pump Segment: SN-DN: 1.59 mm, P: 1.59 mm. Modified Device Blood Pump Segment: SN-DN: 1.59 mm, LW: 1.59 mm. (Matches predicate).
    General Safety & Effectiveness Statement(Overall Conclusion)The device is safe and effective for its defined indications for use and performs as well as or better than the legally marketed predicate device."The successful non-clinical testing demonstrates the safety and effectiveness of the Gambro Cartridge® Blood Set when used for the defined indications for use and demonstrates that the device for which the 510(k) is submitted performs as well as or better than the legally marketed predicate device."

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

    The document mentions "non-clinical testing" and "performance testing (bench)" but does not specify numerical sample sizes for these tests.
    The data provenance is from bench testing (laboratory studies), rather than clinical data from human patients. The country of origin of the data is not explicitly stated, but the submission is from Gambro Renal Products in Lakewood, CO, USA. The testing is prospective in nature, as it was conducted to support the 510(k) submission for a new device.

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

    This information is not provided in the document. The testing described is non-clinical (bench testing) and does not inherently involve human expert consensus for "ground truth" in the way a clinical study or image interpretation study would. Performance criteria are likely established by engineering standards and regulatory requirements.

    4. Adjudication method for the test set

    This information is not applicable/not provided. Adjudication methods like 2+1 or 3+1 are typically used in studies involving human interpretation (e.g., imaging studies) to resolve discrepancies among experts. The described testing is non-clinical performance and engineering testing.

    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

    There was no MRMC comparative effectiveness study done. This submission is for a medical device (blood set), not an AI algorithm, and therefore such a study is not relevant to this device.

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

    A "standalone" study (in the context of an algorithm) was not done because the device is not an algorithm. The testing performed was standalone for the device itself (bench testing) to assess its physical and functional properties against established engineering and safety standards.

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

    The "ground truth" for this device's non-clinical testing would be based on engineering specifications, established performance standards (e.g., ISO standards for medical devices), regulatory requirements, and comparison to the predicate device's known performance characteristics. For example, the "truth" for flow rate would be a measured flow rate compared against a specified acceptable range, or the "truth" for biocompatibility would be determined by whether the materials passed standard biocompatibility tests.

    8. The sample size for the training set

    This information is not applicable/not provided as this is not an AI/machine learning device. The term "training set" is not relevant here.

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

    This information is not applicable/not provided as this is not an AI/machine learning device.

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