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510(k) Data Aggregation

    K Number
    K120375
    Manufacturer
    Date Cleared
    2012-06-28

    (143 days)

    Product Code
    Regulation Number
    880.5440
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The MED-RX® Patient Delivery Set is to be used in the injection of contrast agents and flushing solutions for the purpose of enhancing diagnostic images.

    Device Description

    The MED-RX® Patient Delivery Sets each consist of a male luer lock, two female luer locks, 3 tubing pieces, and either a dual check valve, a single check valve, or a Y-connector. The tube is made of polyvinyl chloride (PVC). The total length of the sets varies from 18″ to 86″ and is also available in a coiled configuration. The MED-RX® Patient Delivery Sets are provided sterile and are not to be resterilized.

    AI/ML Overview

    This document describes the design and testing of a medical device, the MED-RX® Patient Delivery Set, but does not describe an AI/ML device. The information requested, particularly regarding acceptance criteria and studies proving the device meets those criteria, is typically provided for AI/ML devices to demonstrate their performance against defined metrics and ground truth.

    Therefore, I cannot provide the requested information in the format of acceptance criteria and a study that proves the device meets those criteria from the provided text, as it pertains to a physical medical device and not an AI/ML system.

    However, I can extract the non-clinical test summary which details performance tests:

    1. Table of Acceptance Criteria and Reported Device Performance (Non-Clinical Test Summary)

    TestStandardAcceptance Criteria (Implied by standard)Reported Device Performance
    Tensile StrengthISO 8536-4:2010Withstand 15 N for 15 SecondsWithstand 15 N for 15 Seconds, Pass
    Resistance to LeakageAs per Benlan internal requirements(Not specified, but implied "Pass")Pass
    Particulate ContaminationISO 8536-4:2010Meet contamination index limitSamples met contamination index limit
    Chemical RequirementsISO 8536-4:2007 PER Clause 5 & 7(Not specified, but implied "Pass")Pass
    Natural Rubber Latex ContentModified Lowry MethodNot contain natural rubber latexDevice does not contain natural rubber latex
    Method of Validation (Sterilization)ANSI/AAMI/ISO 11135-1: 2007Achieve a Sterility Assurance Level of 1 x 10^-6Validated to a Sterility Assurance Level of 1 x 10^-6
    EO Sterilization ResidualsISO 10993-7: 2008(Not specified, but implied "Pass")Pass
    Bacterial EndotoxinsCurrent edition of ANSI/AAMI ST72(Not specified, but implied "Pass")Pass
    Hemolysis AssayASTM F-756-00Non-hemolyticProduct code 10-1254T is considered non-hemolytic and passes the test.
    Acute Systemic Injection TestISO 10993-11Meet ISO Acute Systemic Injection Test requirementsThe findings indicate that the requirements of the ISO Acute Systemic Injection Test have been met.
    Rabbit Pyrogen TestUSP 32:2009Non-pyrogenicProduct code 10-1254T was considered non-pyrogenic.
    Intracutaneous Reactivity TestISO 10993-10:2002Meet ISO Intracutaneous Reactivity Test requirementsThe requirements of the ISO Intracutaneous Reactivity Test have been met.
    Guinea Pig Maximization Sensitization TestISO 10993-10:2002No sensitization responseProduct code 10-1254T did not elicit a sensitization response.
    CytotoxicityISO 10993-5: 2009 ISO MEM Elution with L-929 Mouse Fibroblast CellsNon-cytotoxicProduct code 10-1254T is considered non-cytotoxic.

    Regarding the specific questions about AI/ML device studies:

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

    • This is not an AI/ML device; therefore, no test set of data (e.g., images, patient records) is described. The "samples" referred to in the non-clinical tests are physical units of the device.

    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)

    • Not applicable as this is not an AI/ML device.

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

    • Not applicable as this is not an AI/ML device.

    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 as this is not an AI/ML device.

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

    • Not applicable as this is not an AI/ML device.

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

    • For the physical device, the "ground truth" is established by compliance with the specified international and internal standards (e.g., ISO, ASTM, USP) for physical and biological characteristics.

    8. The sample size for the training set

    • Not applicable as this is not an AI/ML device.

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

    • Not applicable as this is not an AI/ML device.
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