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510(k) Data Aggregation

    K Number
    K113683
    Manufacturer
    Date Cleared
    2012-01-12

    (28 days)

    Product Code
    Regulation Number
    880.5440
    Reference & Predicate Devices
    N/A
    Why did this record match?
    Device Name :

    LIFESHIELD VISION INFUSION SET WITH PRE-PIERCED RESEAL

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

    LIFESHIELD™ VISION™ Infusion sets are intended for the delivery of fluids including but not limited to blood and blood products from a container into a patients vascular system.

    Device Description

    The LIFESHIELD™ VISION™ infusion sets, are intended for use as gravity sets or with dedicated Hospira Infusion Pumps. These devices are obtainable in custom lengths and component options according to facility needs and physician preference, Hospira infusion sets are disposable devices for single patient use, which incorporate various set configurations and components. The components include Pre-pierced access ports (Pre-pierced Male Adapter Plug, Pre-pierced Y-site, and Pre-pierced T-connector) which are the subject of this submission, may be shared across Hospira set families may be used with sets for

    AI/ML Overview

    The provided document is a 510(k) summary for a medical device called LIFESHIELD™ VISION™ Infusion sets with Pre-pierced Reseal Modification. This document describes the device, its intended use, and the non-clinical tests performed to demonstrate its substantial equivalence to previously cleared predicate devices.

    Here's an analysis of the acceptance criteria and study information provided, structured as requested:

    1. Table of Acceptance Criteria and Reported Device Performance

    Characteristic / TestAcceptance Criteria (Standard/Test Method)Reported Device Performance
    Biocompatibility
    CytotoxicityISO 10993-5: 2009Pass
    SensitizationISO 10993-10: 2010Pass
    Irritation / Intracutaneous ReactivityISO 10993-10: 2010Pass
    Systemic Toxicity (Acute)ISO 10993-11: 2006Pass
    HemocompatibilityISO 10993-4: 2006Pass
    Sterility (SAL 10-6)ISO 11137-2: 2006Pass
    Dimensional Conformance and Connection CompatibilityISO 594-2 1998 (Conical fittings with a 6% (LUER) taper for syringes, needles and certain other equipment)Pass
    Other Performance CharacteristicsNot explicitly detailed as criteria, but mentioned as having met requirementsParticulate, Leakage, Tensile Strength, Filter characteristics: Met requirements

    2. Sample Size Used for the Test Set and Data Provenance

    The document does not specify the exact sample sizes (number of devices or tests performed) for each specific test in the "Performance Test Summary-New Device" table. It generally states that "The LIFESHIELD™ VISION™ Infusion sets with Pre-pierced reseal access ports have passed all specified test requirements."

    The data provenance is from non-clinical tests conducted by the manufacturer, Hospira, Incorporated, in the United States (based on the company's address). These tests are not human studies (clinical trials), so the concepts of retrospective or prospective human data do not apply directly. These are laboratory/bench tests.

    3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications of Those Experts

    This information is not applicable to this submission. The tests performed are non-clinical, bench testing (e.g., cytotoxicity, sterility, dimensional conformance) against established international standards (ISO). There is no "ground truth" derived from human expert consensus or interpretation of medical images/data in this context. The "ground truth" is adherence to the specified technical standards.

    4. Adjudication Method for the Test Set

    This information is not applicable. Adjudication methods like "2+1" or "3+1" are typically used in clinical studies involving interpretation of medical data by multiple experts. For non-clinical bench testing, results are typically determined by adherence to pre-defined pass/fail criteria of the standard.

    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 and no mention of AI assistance. This submission pertains to a modification of a physical medical device (infusion set), not an AI-powered diagnostic or assistive technology.

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

    There was no standalone (algorithm only) performance study. This is a physical device, not an algorithm.

    7. The Type of Ground Truth Used

    The "ground truth" for the tests performed is based on:

    • International Standards (ISO): Compliance with the specified parameters and methodologies outlined in standards like ISO 10993 (Biocompatibility), ISO 11137 (Sterility), and ISO 594-2 (Luer fittings).
    • Pre-defined Pass/Fail Criteria: Each standard has specific criteria that must be met for a "Pass" result. The device's physical attributes and performance were confirmed to meet these requirements.

    8. The Sample Size for the Training Set

    This information is not applicable. There is no "training set" as this is not a machine learning or AI algorithm. The device's design and manufacturing processes are validated against established engineering and quality control principles.

    9. How the Ground Truth for the Training Set Was Established

    This information is not applicable as there is no training set.

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