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510(k) Data Aggregation

    K Number
    K191512
    Date Cleared
    2020-05-21

    (349 days)

    Product Code
    Regulation Number
    876.5130
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    LotusCatheter (Lotus No Balloon Catheter)

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

    The LotusCatheter (Lotus No Balloon Catheter) is used for continuous drainage of fluid, including continuous bladder irrigation and intermittent catheterization. Drainage is generally accomplished by inserting the catheter through the urethra, suprapubically into the bladder or through a nephrostomy tract. The LotusCatheter (Lotus No Balloon Catheter) is to be used in patients 5 years of age or older.

    Device Description

    The Lotus No Balloon Catheter is a sterile, single patient use drainage catheter made of silicone elastomer. The catheter is used to pass fluids to and from the urinary tract, suprapubically or through the nephrostomy tract. The catheter is supplied in French sizes ranging from 8Fr to 26Fr.

    AI/ML Overview

    The acceptance criteria and study proving the device meets them are described for the LotusCatheter (Lotus No Balloon Catheter) as follows:

    1. Table of Acceptance Criteria and Reported Device Performance

    The provided text details the types of tests conducted but does not present a formal table with specific numerical acceptance criteria and corresponding reported performance values. However, it states that the Lotus No Balloon Catheter passed the modifications of the tests.

    Acceptance Criteria CategoryDevice Performance (as stated)
    Components TestingPassed
    Flow RatePassed
    DimensionsPassed
    Expanded Wings IntegrityPassed
    Expanded Wings Response to PulloutPassed
    Strength of the CatheterPassed
    Biocompatibility (ISO 10993-5:2009, ISO 10993-10:2010, ISO 10993-11:2010, ISO 10993-11:2017, ISO 10993-6:2016)Passed

    The study that proves the device meets the acceptance criteria is described as follows:

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

    The document does not specify the exact sample size for each test conducted on the Lotus No Balloon Catheter. However, it indicates that testing was conducted "in accordance with modified performance requirements of its predicate device, the Hakki Urinary Catheter (K101900)." The provenance of the data (country of origin, retrospective/prospective) is not mentioned.

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

    This information is not applicable as the described study involves physical and biological performance testing of a medical device (catheter) against established standards, not interpretation of data by human experts for establishing ground truth.

    4. Adjudication Method for the Test Set:

    This information is not applicable for physical and biological performance testing of a medical device. The tests are designed to objectively measure performance against predefined specifications.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done, and the Effect Size of How Much Human Readers Improve with AI vs. Without AI Assistance:

    This information is not applicable as the LotusCatheter is a physical medical device (urological catheter), not an AI-powered diagnostic or assistive tool. Therefore, an MRMC study related to human reader performance with or without AI assistance would not be relevant.

    6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) Was Done:

    This information is not applicable as the LotusCatheter is a physical medical device.

    7. The Type of Ground Truth Used:

    The "ground truth" for the performance testing cited is based on established industry standards and predicate device performance requirements. Specifically:

    • ASTM F623-99:2013 (though modified)
    • Performance requirements of the predicate device, Hakki Urinary Catheter (K101900)
    • ISO 10993 series for biocompatibility (specific parts listed: 10993-5:2009, 10993-10:2010, 10993-11:2010, 10993-11:2017, ISO 10993-6:2016)

    8. The Sample Size for the Training Set:

    This information is not applicable for physical device performance testing. There is no concept of a "training set" in this context.

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

    This information is not applicable for physical device performance testing.

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