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510(k) Data Aggregation

    K Number
    K100798
    Manufacturer
    Date Cleared
    2010-06-23

    (93 days)

    Product Code
    Regulation Number
    880.5725
    Reference & Predicate Devices
    N/A
    Why did this record match?
    Device Name :

    MEDRAD INTEGO PET INFUSION SYSTEM, SOURCE ADMINISTRATION SET, PATIENT ADMINSTRATIN SET MODEL INT SYS

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

    The MEDRAD Intego™ PET Infusion System for 18F Fluorodeoxyglucose (FDG) or 18F Sodium Fluoride (NaF) is intended to deliver accurate doses of 18F Fluorodeoxyglucose (FDG) or 18F Sodium Fluoride (NaF) radiopharmaceuticals and commonly used flushing solutions to patients during molecular imaging (nuclear medicine) diagnostic procedures. The MEDRAD Intego™ PET Infusion System is also intended to provide effective radiation shielding to medical personnel from Fluorine-18 (18F) radiation exposure during nuclear medicine diagnostic procedures.

    Device Description

    The MEDRAD Intego™ PET Infusion System is a self-contained, shielded mobile cart. 18F-Fluorodeoxyglucose (19F-FDG) or 18F-Sodium Fluoride (18F-NaF) is stored within a shielded chamber within the body of the MEDRAD Intego™ PET Infusion System in a bulk container until the time of infusion. A multi-patient Source Administration Set (SAS) is installed within the shielded chamber at the same time a new bulk container of 187-Fluorodeoxyglucose (18F-FDG) or 18F-Sodium Fluoride (18F-NaF) is installed. Just prior to the infusion, the MEDRAD Intego™ PET Infusion System measures a dosage of ¹8F-Fluorodeoxyglucose (18F-FDG) or ™F-Sodium Fluoride (18F-NaF) and a volume of saline flush in the dose calibrator. Once the correct radiation level is achieved, the dose of 18F-Fluorodeoxyglucose (18F-FDG) or 18F-Sodium Fluoride (18 F-NaF) / saline is injected into the patient via a disposable patient administration set (PAS).

    AI/ML Overview

    The MEDRAD Intego™ PET Infusion System is intended to deliver accurate doses of 18F-Fluorodeoxyglucose (18F-FDG) or 18F-Sodium Fluoride (18F-NaF) and commonly used flushing solutions to patients during molecular imaging (nuclear medicine) diagnostic procedures. It also provides effective radiation shielding to medical personnel from Fluorine-18 (18F) radiation exposure.

    Here's an analysis of the acceptance criteria and study information provided in the 510(k) summary:

    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance CriteriaReported Device Performance
    a. For a typical 15mCi infusion per patient, 18F radiation exposure for medical personnel will be less than 6mRem finger dose and 0.3 mRem whole body dose.(Not explicitly stated in the provided text as a specific test result, but implied that the device "meets the following performance requirements," indicating it fulfills this criterion.) The system is intended to provide effective radiation shielding.
    b. Flexibility to program the required dose either by activity only or by activity per patient weight.(Implied as a feature of the device that it "meets the following performance requirements.") The device is described as "measur[ing] a dosage... Once the correct radiation level is achieved..." indicating programmable dosage.
    c. Ability to deliver 18F radiopharmaceuticals within +/- 10% of the prescribed dose and within +/- 2% of the measured dose, excluding ionization chamber calibration factor.(Not explicitly stated in the provided text as a specific test result, but implied that the device "meets the following performance requirements.") The system is intended to "dispense accurate dose."
    d. Capability to retain and print infusion history and dispensing records.(Implied as a feature of the device that it "meets the following performance requirements.")

    Note: The provided 510(k) summary states that the "MEDRAD Intego™ PET Infusion System meets the following performance requirements." However, it does not provide specific study results or data to quantify how these acceptance criteria were met. It merely lists the criteria themselves as statements of compliance.

    Study Details:

    Based on the provided text, a detailed study report proving the device meets the acceptance criteria is not included in this 510(k) summary. The document outlines the device's intended use and performance requirements but does not present data from specific studies.

    Therefore, the following information cannot be extracted from the provided text:

    1. Sample size used for the test set and the data provenance (e.g., country of origin of the data, retrospective or prospective): Not available.
    2. 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 no external "ground truth" for diagnostic accuracy or expert consensus is relevant for an infusion pump's performance. The ground truth for this device would be its actual physical output and radiation shielding efficacy, measured directly.
    3. Adjudication method (e.g., 2+1, 3+1, none) for the test set: Not applicable.
    4. 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/imaging diagnostic device.
    5. If a standalone (i.e., algorithm only without human-in-the-loop performance) was done: Not applicable. This is not an AI/algorithm device.
    6. The type of ground truth used (expert consensus, pathology, outcomes data, etc): For a device like this, the "ground truth" would be established via direct physical measurements using calibrated equipment (e.g., dose calibrators, radiation detectors) and engineering tests. The text does not detail these measurements.
    7. The sample size for the training set: Not applicable. This is not a machine learning device.
    8. How the ground truth for the training set was established: Not applicable.

    In summary, the provided 510(k) document outlines the performance requirements that the MEDRAD Intego™ PET Infusion System is stated to meet. However, it does not include a description of the studies, data, or specific results that demonstrate how these requirements were scientifically verified. The FDA's letter simply confirms that the device has been found substantially equivalent to a predicate device based on the information submitted by MEDRAD, Inc.

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    K Number
    K080297
    Manufacturer
    Date Cleared
    2008-06-17

    (134 days)

    Product Code
    Regulation Number
    880.5725
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    MEDRAD INTEGO PET INFUSION SYSTEM

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

    The MEDRAD Intego™ PET Infusion System is intended to deliver accurate doses of 18F Fluorodeoxyglucose (FDG) radiopharmaceuticals and commonly used flushing solutions to patients during molecular imaging (nuclear medicine) diagnostic procedures. The MEDRAD Intego™ PET Infusion System is also intended to provide effective radiation shielding to medical personnel from Fluorine-18 (18F) radiation exposure during nuclear medicine diagnostic procedures.

    Device Description

    The MEDRAD Intego PET Infusion System is a self-contained, shielded mobile cart. FDG is stored within a shielded chamber within the body of the MEDRAD Intego PET Infusion System in a bulk container until the time of the infusion. A multi-patient Source Administration Set (SAS) is installed within the shielded chamber at the same time a new bulk container of FDG is installed. Just prior to an infusion, the MEDRAD Intego PET Infusion System measures a dosage of FDG and a volume of saline flush in the dose calibrator. Once the correct radiation level is achieved, the dose of FDG / saline is injected into the patient via a disposable patient administration set.

    AI/ML Overview

    The MEDRAD Intego™ PET Infusion System is intended to deliver accurate doses of $^{18}$F Fluorodeoxyglucose (FDG) radiopharmaceuticals and commonly used flushing solutions to patients during molecular imaging (nuclear medicine) diagnostic procedures, and to provide effective radiation shielding to medical personnel from Fluorine-18 ($^{18}$F) radiation exposure during nuclear medicine diagnostic procedures.

    Here's a breakdown of the acceptance criteria and performance, along with details from the study:

    1. Table of Acceptance Criteria and Reported Device Performance:

    Acceptance CriteriaReported Device Performance
    For a typical 15 mCi infusion per patient, $^{18}$F radiation exposure for medical personnel will be less than 6 mRem finger dose and 0.3 mRem whole body dose.The document states, "For a typical 15 mCi infusion per patient, $^{18}$F radiation exposure for medical personnel will be less than 6 mRem finger dose and 0.3 mRem whole body dose." This implies the device is designed to meet and perform within these limits. The 510(k) summary does not provide specific numerical results from a performance study for radiation exposure, but rather states this as a performance requirement that the system meets. The FDA clearance suggests this requirement was deemed met.
    Ability to deliver $^{18}$F radiopharmaceuticals within +/- 10% of the prescribed dose and within +/- 2% of the measured dose, excluding ionization chamber calibration factor.The document states, "Ability to deliver $^{18}$F radiopharmaceuticals within +/- 10% of the prescribed dose and within +/- 2% of the measured dose, excluding ionization chamber calibration factor." This is stated as a performance requirement that the system meets. Similar to the radiation exposure, the exact numerical results from a performance study are not explicitly provided in the summary, but its inclusion as a met requirement in the 510(k) suggests testing confirmed this.
    Flexibility to program the required dose either by activity only or by activity per patient weight.The document describes this as a functional capability: "Flexibility to program the required dose either by activity only or by activity per patient weight." This is a design feature/functionality rather than a quantifiable performance metric that needs a numerical "reported performance" value. The device's design is assumed to incorporate this flexibility.
    Capability to retain and print infusion history and dispensing records.The document describes this as a functional capability: "Capability to retain and print infusion history and dispensing records." This is a design feature/functionality and not a quantifiable performance metric requiring a numerical "reported performance" value. The device is expected to have this capability built-in.

    Regarding the study that proves the device meets the acceptance criteria:

    The provided 510(k) summary does not detail the specific studies, methodologies, or results that prove these acceptance criteria were met. Instead, it states them as "performance requirements" that the system "meets." In a 510(k) submission, the manufacturer is expected to have conducted these studies, and the FDA's clearance (as indicated by the letter) means they have accepted the manufacturer's data showing the device meets these performance specifications. However, the summary itself doesn't provide the study specifics.

    Therefore, for the following points, based solely on the provided text, the answer is that this information is not detailed in the 510(k) summary.

    2. Sample size used for the test set and the data provenance (e.g., country of origin of the data, retrospective or prospective):
    This information is not provided in the 510(k) summary. Performance testing for medical devices, particularly for dispensing accuracy and radiation shielding, typically involves laboratory evaluations and may include animal or simulated human studies, but the specifics are absent here.

    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 for this type of device. The "ground truth" for an infusion system like this would be established through precise physical measurements (e.g., activity measurements using calibrated equipment, radiation dosimetry readings). It does not involve expert interpretation of images or clinical data.

    4. Adjudication method (e.g., 2+1, 3+1, none) for the test set:
    Not applicable for this type of device. Adjudication methods are typically used in studies involving human interpretation or clinical endpoints that require consensus.

    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 device is an infusion system, not an AI-assisted diagnostic tool for human readers.

    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done:
    Not applicable. This device is a physical infusion system, not a standalone algorithm. Its performance is measured by its physical operation.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.):
    For the dose accuracy, the ground truth would be established by controlled measurements using highly calibrated reference instruments (e.g., dose calibrators, mass scales for volume) to verify the actual dispensed amount against the programmed/prescribed amount. For radiation shielding, the ground truth would be established by dosimetry measurements using calibrated radiation detectors to quantify exposure levels.

    8. The sample size for the training set:
    Not applicable. This device does not use machine learning or AI that requires a "training set." Its operation is based on established physical and engineering principles.

    9. How the ground truth for the training set was established:
    Not applicable, as there is no "training set" for this device.

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