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510(k) Data Aggregation

    K Number
    K041525
    Manufacturer
    Date Cleared
    2004-10-14

    (128 days)

    Product Code
    Regulation Number
    868.5830
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    HEMOVAC BLOOD REINFUSION SYSTEM

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

    The HEMOVAC® Blood Reinfusion System is a closed system intended for post operative collection, filtration, and reinfusion of autologous blood. It is the responsibility of the physician to determine if this therapy is appropriate for a specific procedure.

    Device Description

    The HEMOVAC® Blood Reinfusion System is a sterile, single patient use, closed, disposable system intended for post operative collection, filtration, and reinfusion of autologous blood. The system consists of a wound drain and trocars, blood lines, graduated 800ml blood collection reservoir (contains pre-filter, air filter, fat retention valve), Hemovac® evacuator, anticoagulant port, transfer tube, and blood reinfusion bag.

    AI/ML Overview

    This document describes the HEMOVAC® Blood Reinfusion System for post-operative collection, filtration, and reinfusion of autologous blood. The study presented is a non-clinical performance evaluation, not an AI or imaging-based study. As such, many of the requested categories related to AI/imaging studies are not applicable.

    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance Criteria (Standard)Reported Device Performance
    American National Standard for Autologous Transfusion Devices (ANSI/AAMI AT6-1991)Device meets the applicable sections.
    Biological evaluation of Medical Devices (ANSI/AAMI/ISO 10993-1:1997)Device meets the applicable sections.
    Hemocompatibility (AAMI/ANSI/ISO 10993-4:2002)Hemocompatibility was conducted in accordance with this standard.

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

    • Sample Size: Not explicitly stated in the provided text. The study was non-clinical (device testing in a lab setting), not involving human subjects or clinical data in the context of a "test set" as understood for AI/imaging.
    • Data Provenance: Not applicable. The study was non-clinical, evaluating device performance against established standards.

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

    • Not applicable. This was a non-clinical device performance study against established engineering and biological standards, not an AI/imaging study requiring expert ground truth for a test set.

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

    • Not applicable. This was a non-clinical device performance study.

    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 not an AI algorithm.

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

    • For this non-clinical study, the "ground truth" was defined by the requirements and test methodologies outlined in the specified industry standards (ANSI/AAMI AT6-1991, ANSI/AAMI/ISO 10993-1:1997, and AAMI/ANSI/ISO 10993-4:2002). Compliance with these standards served as the benchmark for device performance.

    8. The sample size for the training set

    • Not applicable. This is not an AI model, and thus there is no "training set."

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

    • Not applicable. This is not an AI model, and thus there is no "training set" or "ground truth for the training set."
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