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510(k) Data Aggregation

    K Number
    K191909
    Date Cleared
    2020-03-23

    (250 days)

    Product Code
    Regulation Number
    868.5260
    Reference & Predicate Devices
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    Flexicare's HepaShield Bacterial Viral Breathing System Filters are intended to reduce the transmission of bacteria and viruses to/from a patient during anesthesia. For use with ventilators, anesthesia machines and open flow systems where filtration of inspired and/or expired gases is desired.

    Flexicare's HepaShield Bacterial Viral Breathing System Filters are single patient for use on a single patient for up to 24hrs and are available in Adult size. FlepaShield Bacterial Viral Breathing System Filters are designed to be used in hospital environments by trained personnel.

    Device Description

    Flexicare's HepaShield Bacterial Viral Breathing System Filters are designed to reduce the transmission of bacteria and viruses to and from a patient who requires aesthesia, artificial respiration or other types of assisted respiration

    Flexicare's HepaShield Bacterial Viral Breathing System Filters consist of a top/bottom housing, pleated paper filter pack and a luer port cap. The Female luer-lock port allows connection of a luer-terminating monitoring line for monitoring of patient exhaled CO2 & is supplied with a tethered cap to seal port when not in use.

    The patient side of the Flexicare's HepaShield Bacterial Viral Breathing System Filters feature a 22mm Male and a 15mm Female conical. The machine side features a 22mm Female and a 15mm Male conical.

    All conical connectors comply with dimensions stated within BS EN ISO 5356-1 standard.

    Flexicare's HepaShield Bacterial Viral Breathing System Filters are available in Adult sizes.

    Flexicare's HepaShield Bacterial Viral Breathing System Filters are available in a both Sterile and non-sterile state, packaged in individually sealed polybags, or blister trays (if sterile).

    AI/ML Overview

    The provided text describes the acceptance criteria and study results for the Flexicare HepaShield Bacterial Viral Breathing System Filter, which is a medical device.

    1. Table of acceptance criteria and the reported device performance:

    TestStandard / Pre-Determined Acceptance CriteriaReported Device Performance (Results)
    Visual InspectionProduct packaging must remain sealed & undamaged. All components of devices must be free of flash, cracking, warping, discoloration or contamination.Pass
    Compliance testing (Internal Volume/dead space)BS EN ISO 9360: 2009 (Methodology only, no pass criteria)Methodology only, no pass criteria - Comparable performance outcome between Flexicare's new devices and the predicate devices (47ml vs 35ml for predicate)
    Pressure dropBS EN ISO 23328-2 (Refers to: BS EN ISO 9360: 2009) - Methodology only, no pass criteriaMethodology only, no pass criteria - Comparable performance outcome between Flexicare's new devices and the predicate devices (1.70 cmH2O @ 30LPM; 3.92 cmH2O @ 60LPM; 6.56 cmH2O @ 90LPM)
    Gas Leakage (for comparison only, HME aspects not applicable)Pre-determined Acceptance Criteria* (implies visual inspection criteria for gas leakage if unspecified)methodology only, no pass criteria
    Conical Connector complianceBS EN ISO 5356-1 2004Pass
    Leak testingNot explicitly stated (likely internal specification)Pass
    Drop testingNot explicitly stated (likely internal specification)Pass
    Cytotoxicity, Irritation, Sensitization, Systemic toxicity, Material MediatedBS EN ISO 10993-10:2010, BS EN ISO 10993-5:2009Pass
    PyrogenicityBS EN ISO 10993-11:2009Pass
    Bacterial Endotoxin(USP) guidelines <161> and <85>, ANSI/AAMI ST72:2011Pass
    Particulate emissions (gas pathway)EN ISO 18562-2:12017Pass
    VOC emissions (gas pathway)EN ISO 18562-3:2017Pass
    Gauging tests on luerNot explicitly stated (likely internal specification or part of ISO 80369-7)Pass
    Liquid leakage from luerNot explicitly stated (likely internal specification or part of ISO 80369-7)Pass
    Air leakage from luerNot explicitly stated (likely internal specification or part of ISO 80369-7)Pass
    Luer separation forceBS EN ISO 80369-7:2016Pass
    Luer unscrewing torqueNot explicitly stated (likely internal specification or part of ISO 80369-7)Pass
    Luer ease of assemblyNot explicitly stated (likely internal specification or part of ISO 80369-7)Pass
    Luer resistance to overridingNot explicitly stated (likely internal specification or part of ISO 80369-7)Pass
    Luer testing for stress crackingNot explicitly stated (likely internal specification or part of ISO 80369-7)Pass
    Shelf life testingStandards included within this table (implying all relevant performance criteria are met over shelf life)Pass
    Filter integrityBased on ASTM F2101 (Nelson Labs Protocol), BS EN ISO 23328-1 (2008) (Methodology only, no pass criteria within standard)Methodology only, no pass criteria within standard (Reported BFE - 99.99999%, VFE - 99.9999%, Salt Method filtration efficiency - 99.89%)
    Pressure Drop (as part of Filter integrity or separate measurement)BS EN ISO 23328-2 (2009) (Methodology only, no pass criteria within standard)Methodology only, no pass criteria within standard
    Housing LeakageBS EN ISO 23328-2(2009) (Methodology only, no pass criteria within standard)Methodology only, no pass criteria within standard (Reported <2 ml/min)

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

    The document primarily refers to non-clinical bench testing and adherence to consensus standards. It does not provide specific sample sizes for each test beyond stating that the device "passed all performance tests." The data provenance is from laboratory testing performed by Flexicare, likely at their facilities in the UK or a contracted lab. This is prospective testing as it's part of the premarket notification process for a new device.

    The document implicitly indicates that testing was done in accordance with international standards (e.g., ISO, EN ISO, ASTM, USP), which are globally recognized, but the specific country of origin for the data generation would be the UK or the location of any contracted testing laboratories.

    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)

    This is a medical device (filter), not an AI or diagnostic imaging device. Therefore, the "ground truth" is established through objective physical and biological measurements in a laboratory setting based on recognized international standards. There are no human experts "establishing ground truth" in the same way as for diagnostic image interpretation. The expertise lies in the engineers and technicians performing the tests and interpreting the results against the defined standards.

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

    Not applicable. This is not a study involving human interpretation or subjective assessments that would require an adjudication method. The tests are objective measurements against defined criteria in standards.

    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 a physical medical device (filter), not an AI-assisted diagnostic tool.

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

    Not applicable. This is a physical medical device (filter), not an algorithm. The testing described is for the standalone performance of the filter.

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

    The "ground truth" for this device is based on objective, quantifiable physical and biological measurements as defined by recognized international standards (e.g., ISO, ASTM, EN ISO, USP) for filtration efficiency, pressure drop, biocompatibility, connector compliance, and mechanical integrity.

    8. The sample size for the training set

    Not applicable. There is no AI component or "training set" for this physical device.

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

    Not applicable. There is no AI component or "training set" for this physical device.

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