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510(k) Data Aggregation

    K Number
    K201690
    Date Cleared
    2020-07-21

    (29 days)

    Product Code
    Regulation Number
    870.1330
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    Mirage Hydrophilic Guidewire; X-pedion Hydrophilic Guidewire

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

    The Hydrophilic Guidewire is indicated for general intravascular use to aid in the selective placement of catheters in the peripheral, visceral and cerebral vasculature during diagnostic and/or therapeutic procedures.

    Device Description

    The Hydrophilic Guidewire is a stainless-steel guidewire with a radiopaque, platinum distal coil. The guidewire has a hydrophilic coating that spans the distal 170 cm. Included within the sterile pouch is a pin vise to assist in guidewire manipulation and an introducer needle to ease the introduction of the guidewire into the catheter hub and/or hemostasis valve.

    AI/ML Overview

    The provided text describes the 510(k) premarket notification for the Mirage™ and X-pedion™ Hydrophilic Guidewires, asserting their substantial equivalence to a predicate device. The information primarily focuses on bench testing rather than AI/ML algorithm performance. Therefore, many of the requested details, such as those related to AI model training, expert ground truth, and human reader studies, are not applicable or cannot be extracted from this document.

    Here's the relevant information based on the provided text:

    1. A table of acceptance criteria and the reported device performance

    TestAcceptance Criteria (Implicit: "met the acceptance criteria")Reported Device Performance
    Performance
    Visual Inspection and Dimensional VerificationMet the acceptance criteria for visual inspection and dimensional verification.The Mirage™ and X-pedion™ Hydrophilic Guidewires met the acceptance criteria for visual inspection and dimensional verification.
    Friction ForceMet the acceptance criteria for friction force.The Mirage™ and X-pedion™ Hydrophilic Guidewires met the acceptance criteria for friction force.
    FlexingMet the acceptance criteria for flexing.The Mirage™ and X-pedion™ Hydrophilic Guidewires met the acceptance criteria for flexing.
    ParticulateMet the acceptance criteria for particulate.The Mirage™ and X-pedion™ Hydrophilic Guidewires met the acceptance criteria for particulate.
    Tensile StrengthMet the acceptance criteria for tensile strength.The Mirage™ and X-pedion™ Hydrophilic Guidewires met the acceptance criteria for tensile strength.
    Corrosion ResistanceMet the acceptance criteria for corrosion resistance.The Mirage™ and X-pedion™ Hydrophilic Guidewires met the acceptance criteria for corrosion resistance.

    2. Sample size used for the test set and the data provenance

    The document does not specify the exact sample sizes (number of guidewires) used for each bench test. The data provenance is from non-clinical bench testing conducted by Micro Therapeutics, Inc. d/b/a ev3 Neurovascular (the applicant).

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

    Not applicable. This is a medical device clearance based on substantial equivalence demonstrated through non-clinical bench testing, not an AI/ML algorithm requiring expert-established ground truth. The "ground truth" for these tests would be the physical properties and performance measurements of the guidewires against engineering specifications.

    4. Adjudication method for the test set

    Not applicable, as this is bench testing of physical device properties, not a study involving human interpretation of data where adjudication would be necessary.

    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 document is for a physical medical guidewire, not an AI-powered diagnostic or assistive tool. No MRMC study was conducted or mentioned.

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

    Not applicable. This is for a physical medical guidewire.

    7. The type of ground truth used

    The "ground truth" for the bench tests would be the physical and mechanical specifications for guidewires, as referenced by standards such as ISO 11070 and USP , as well as internal quality procedures (QP50324, TM0047). The tests evaluated observed performance against these predefined criteria.

    8. The sample size for the training set

    Not applicable. There is no training set for a physical medical device.

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

    Not applicable. There is no training set for a physical medical device.

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    K Number
    K193548
    Date Cleared
    2020-01-18

    (29 days)

    Product Code
    Regulation Number
    870.1330
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    Mirage Hydrophilic Guidewire, X-pedion Hydrophilic Guidewire

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

    The Hydrophilic Guidewire is indicated for general intravascular use to aid in the selective placement of catheters in the peripheral, visceral and cerebral vasculature during diagnostic and/or therapeutic procedures.

    Device Description

    The Hydrophilic Guidewire is a stainless-steel guidewire with a radiopaque, platinum distal coil. The guidewire has a hydrophilic coating that spans the distal 170 cm. Included within the sterile pouch is a pin vise to assist in guidewire manipulation and an introducer needle to ease the introduction of the guidewire into the catheter hub and/or hemostasis valve.

    AI/ML Overview

    The provided text describes the 510(k) premarket notification for the Mirage™ Hydrophilic Guidewire and X-pedion™ Hydrophilic Guidewire. This document primarily focuses on demonstrating substantial equivalence to a predicate device through non-clinical (bench and biocompatibility) testing, rather than a study on an AI/ML-based medical device.

    Therefore, the information required to answer most of your questions about acceptance criteria for an AI/ML device, sample sizes for AI test sets, expert ground truthing, MRMC studies, standalone performance, training sets, and ground truth establishment for AI/ML models is not present in this document.

    However, I can extract information related to the acceptance criteria and performance data for the physical medical device as described:


    Acceptance Criteria and Device Performance (Based on Non-Clinical Bench Testing):

    The document details numerous non-clinical bench tests performed to demonstrate the safety and performance of the guidewires. The results consistently state that "The Mirage™ and X-pedion™ Hydrophilic Guidewires met the acceptance criteria for [Test Name]."

    Table of Acceptance Criteria and Reported Device Performance (Non-Clinical):

    Test CategorySpecific Test / ParameterAcceptance Criteria (Implied by positive outcome)Reported Device Performance
    Biocompatibility
    Chemical Characterization (Extractables/Leachables)No risk to the patient from Chemicals of Potential Concern (COPC).The extractables/leachables found are acceptable.
    CytotoxicityNo evidence of cell lysis or toxicity; grade , and USP .Met the acceptance criteria for bacterial endotoxin.
    Packaging
    Terminally Sterilized Medical DevicesMet criteria per ISO 11607.Met the acceptance criteria for packaging terminally sterilized medical devices.
    Performance (Bench)
    Device Compatibility/Distal AccessCompatible with ancillary devices, navigates tortuous vessels.Met the acceptance criteria for device compatibility/distal access.
    Distal FlexibilityNavigates through tortuous vessels.Met the acceptance criteria for distal flexibility.
    Visual FractureMet criteria per ISO 10555-1 and ISO 11070.Met the acceptance criteria for visual fracture.
    RadiopacityClearly visible during use.Met the acceptance criteria for radiopacity.
    Tip BucklingWithstands forces typical of clinical use.Met the acceptance criteria for tip buckling.
    Tip RetentionSatisfactory tip retention.Met the acceptance criteria for tip retention.
    Tip ShapeabilitySatisfactory tip shapeability.Met the acceptance criteria for tip shapeability.
    Torque ResponseDistal tip responds to proximal manipulations.Met the acceptance criteria for torque response.
    Turns to FailureWithstands torsional forces typical of clinical use.Met the acceptance criteria for turns to failure.
    Visual Inspection and Dimensional VerificationMeets specified dimensions.Met the acceptance criteria for visual inspection and dimensional verification.
    ParticulateMeets criteria per USP for particulate counts and sizes.Met the acceptance criteria for particulate counts and sizes.
    Friction ForceSatisfactory friction force.Met the acceptance criteria for friction force.
    FlexingMet criteria per ISO 11070.Met the acceptance criteria for flexing.
    Corrosion ResistanceMet criteria per ISO 11070.Met the acceptance criteria for corrosion resistance.
    Tensile StrengthMet criteria per ISO 11070.Met the acceptance criteria for tensile strength.

    Since this is a 510(k) submission for a non-AI/ML medical device, the following information is not applicable or not provided in the document:

    1. Sample sizes used for the test set and the data provenance: Not an AI device, so no "test set" in the AI sense. Bench tests follow specific standards, implying sample sizes per those standards, but not explicitly stated here.
    2. Number of experts used to establish the ground truth for the test set and the qualifications of those experts: Not applicable; ground truth for a physical device is established via standardized physical and chemical tests, not expert human interpretation of data for AI.
    3. Adjudication method for the test set: Not applicable for non-AI bench testing.
    4. If a multi reader multi case (MRMC) comparative effectiveness study was done: Not applicable.
    5. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done: Not applicable.
    6. The type of ground truth used: For a physical guidewire, "ground truth" is typically defined by adherence to engineering specifications, material properties, and performance under simulated clinical conditions, verified through empirical testing following established ISO and USP standards.
    7. The sample size for the training set: Not applicable; this is not an AI/ML device.
    8. How the ground truth for the training set was established: Not applicable; this is not an AI/ML device.

    In summary, this document is a regulatory submission for a physical medical device demonstrating substantial equivalence, not an AI/ML device requiring clinical validation for diagnostic or prognostic purposes.

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    Why did this record match?
    Device Name :

    HYDROPHILIC GUIDEWIRE, X-CELERATOR HYDROPHILIC EXCHANGE GUIDEWIRE, X-PEDION HYDROPHILIC GUIDEWIRE, MIRAGE

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

    The SilverSpeed™, Mirage™, X-celerator™ Exchange , and X-pedion™ Hydrophilic Guidewires are indicated for general intravascular use to aid in the selective placement of catheters in the peripheral, visceral and cerebral vasculature during diagnostic and/or therapeutic procedures.

    Device Description

    The Hydrophilic Guidewire is a stainless steel guidewire with a radiopaque, platinum distal coil. The guidewire is hydrophilically coated on the distal portion. For the Xcelerator ™ Hydrophilic Guidewire labeled as an "Exchange" quidewire, the proximal portion is coated with polytetrafluoroethylene (PTFE). The Exchange guidewire facilitates the exchange of one interventional device for another, while maintaining guidewire position in the anatomy.

    The following modifications have been made to the device:

    • Change in the degree of polymerization with the base coat . material.
    • . Elimination of Brown Oxide pigment from base coat material.
    AI/ML Overview

    The provided text describes a 510(k) premarket notification for a Hydrophilic Guidewire and its substantial equivalence determination. It does not include details of a clinical study or acceptance criteria with associated performance metrics for a device to meet specific performance targets. Instead, it focuses on non-clinical (bench and biocompatibility) testing to support changes to an existing device, and then a determination of substantial equivalence to predicate devices.

    Therefore, many of the requested sections (e.g., sample size for test sets, number of experts, adjudication methods, MRMC studies, standalone performance, training set details) are not applicable to the information provided.

    However, I can extract the information related to the non-clinical performance and substantial equivalence:

    1. Table of Acceptance Criteria and Reported Device Performance

    Since this is a 510(k) submission primarily relying on substantial equivalence and non-clinical testing for minor device modifications, the "acceptance criteria" are implied by successful completion of standard evaluations and demonstration of comparable performance to predicate devices. Specific quantitative targets for each test are not explicitly detailed in the provided text.

    Test CategorySpecific TestImplied Acceptance Criteria (Based on context)Reported Device Performance
    BiocompatibilityUSP Physiochemical ExtractionMeet established USP standards for physiochemical properties.Successfully passed.
    Cytotoxicity (ISO MEM Elution)Non-cytotoxic.Successfully passed.
    Sensitization (ISO Guinea Pig Maximization)Non-sensitizing.Successfully passed.
    ISO Intracutaneous ReactivityNon-irritating.Successfully passed.
    ISO Acute Systemic InjectionNo acute systemic toxicity.Successfully passed.
    Material Mediated Rabbit PyrogenNon-pyrogenic.Successfully passed.
    ASTM Hemolysis Assay (Direct Contact)Non-hemolytic.Successfully passed.
    Complement Activation C3a and SC5b-9 AssayAcceptable levels of complement activation.Successfully passed.
    Four Hour Thromboresistance Evaluation in DogsAcceptable thromboresistance.Successfully passed (no indication of issues).
    Bench TestingVisual InspectionConformance to visual specifications (e.g., no defects, complete coating).Successfully passed (implied, as no issues reported).
    Tip Buckling (Flexibility)Maintain appropriate flexibility and resistance to buckling.Successfully passed (implied comparable to predicate).
    Tip ShapeabilityMaintain intended shapeability for clinical use.Successfully passed (implied comparable to predicate).
    Tip RetentionMaintain tip integrity and retention.Successfully passed (implied comparable to predicate).
    Coating AdherenceMaintain coating integrity and adhesion.Successfully passed.
    Friction TestDemonstrate acceptable friction profile (e.g., comparable to predicate).Successfully passed (implied comparable to predicate).
    Torque ResponseMaintain expected torque response (e.g., comparable to predicate).Successfully passed (implied comparable to predicate).
    Shelf-life Testing36-month Accelerated AgingMaintain all functional and safety parameters for the specified shelf-life.Successfully passed.
    Overall SubstantialEquivalence to Predicate DevicesIdentical indications for use, similar design, materials, dimensions, and accessories.Achieved: FDA determined the device is substantially equivalent to predicate devices.

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

    • Sample Size (Test Set): Not specified for any of the non-clinical tests. The text indicates "no clinical or animal testing was performed" beyond the specified biocompatibility and bench tests. The dog study (thromboresistance) is an animal study, but its sample size is not mentioned.
    • Data Provenance: The tests are standard laboratory/bench tests and an animal study. No human clinical data from any country is presented. The testing would have been conducted by the manufacturer or contracted labs.

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

    • Not applicable. The "ground truth" here is determined by objective physical and chemical testing standards and biological responses in laboratory settings, not by expert interpretation of patient data.

    4. Adjudication Method for the Test Set

    • Not applicable. As above, this pertains to clinical data interpretation, not objective non-clinical testing.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done

    • No, a MRMC comparative effectiveness study was not done. The submission explicitly states "no clinical or animal testing was performed as there is no change in the indications for use or the fundamental scientific technology of the device," except for the listed biocompatibility and bench tests.

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

    • Not applicable. This device is a physical medical device (guidewire), not a software algorithm.

    7. The Type of Ground Truth Used

    • For biocompatibility: Established ISO and ASTM standards, and direct biological responses (e.g., cytotoxicity, sensitization, hemolysis, pyrogenicity, in-vivo thromboresistance in dogs).
    • For bench testing: Engineering specifications, performance characteristics comparable to predicate devices, and internal quality control standards.
    • For shelf-life: Stability and performance measurements over time, extrapolated from accelerated aging data.

    8. The Sample Size for the Training Set

    • Not applicable. This is for a physical device, not an AI/ML model that requires a training set. The "training" for this device's development would be engineering design, material science, and manufacturing process development.

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

    • Not applicable. See point 8.
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    K Number
    K113127
    Device Name
    MIRAGE QUATTRO
    Manufacturer
    Date Cleared
    2012-01-06

    (74 days)

    Product Code
    Regulation Number
    868.5905
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    MIRAGE QUATTRO

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

    The Mirage Quattro channels airflow noninvasively to a patient from a positive airway pressure device such as a continuous positive airway pressure (CPAP) or bilevel system.

    The Mirage Quattro is to be used by adult patients (>66lb />30kg) for whom positive airway pressure has been prescribed.

    The Mirage Quattro is intended for single patient re-use in the home environment and/or multi-patient reuse in the hospital/institutional environment.

    Device Description

    The Mirage Quattro provides an interface such that airflow from a positive pressure source is directed to the patient's nose and mouth. The mask is held in place with adjustable headgear that straps the mask to the face.

    The Mirage Quattro is safe when used under the conditions and purposes intended as indicated in the labeling provided with the product.

    The Mirage Quattro is a prescription device supplied non-sterile.

    AI/ML Overview

    Here's an analysis of the provided text regarding the acceptance criteria and study for the ResMed Mirage Quattro device:

    ResMed Mirage Quattro - Acceptance Criteria and Study Analysis

    This 510(k) summary focuses on a "Special 510(k): Device Modification" for the ResMed Mirage Quattro, comparing it to a previously cleared version (K063122). The primary modification appears to be an extended therapy pressure range.

    1. Table of Acceptance Criteria and Reported Device Performance

    The document doesn't explicitly state quantitative acceptance criteria for parameters like CO2 performance or pressure-flow characteristics. Instead, it relies on substantiating equivalence to the predicate device.

    Acceptance Criteria (Implied)Reported Device Performance
    Safety and Efficacy Equivalence to Predicate Device (K063122)Conclusion: "The modified Mirage Quattro is as safe and effective as the previously cleared Mirage Quattro device."
    Identical Intended Use"it has the same intended use"
    Identical Technological Characteristics (overall)"it has identical technological characteristics to the previously cleared device" (except for the extended pressure range, which was verified). This includes: sealing via silicone interface, various sizes for fit, integrated vents for CO2 flushing, anti-asphyxia valve (AAV), conventional air delivery hose connection (ISO 5356-1:2004), moulded plastic/silicone components and fabric/nylon headgear, all materials deemed safe (ISO10993-1).
    No New Questions of Safety or Effectiveness"the modified device did not raise any new questions of safety or effectiveness"
    CO2 Performance Equivalence"The CO2 performance of the modified device and the previously cleared device are substantially equivalent."
    Pressure-Flow Characteristics and Flow Impedance Equivalence"The pressure-flow characteristics and flow impedance of both the modified device and the predicate device are identical."
    Operability on Same Flow Generator Settings"Both the modified device and the previously cleared device are designed to operate on the same Full Face ResMed flow generator settings." (Note: The only difference mentioned is an extension of the therapy pressure range.)
    Extended Therapy Pressure Range (4-20cmH2O to 4-40cmH2O) - Verified"Verification testing of the modified device did not raise any new questions of safety and efficacy."
    Reusability in Home and Hospital/Institution Environment"Both the modified device and the previously cleared device can be reused in the home and hospital / institution environment."

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

    The document states that "Bench testing is sufficient to demonstrate safety and efficacy of the modified Mirage Quattro." This indicates that no clinical "test set" with human subjects was used for this modification. The testing was entirely bench-based, meaning it likely involved laboratory equipment and simulations rather than patient data.

    • Sample Size for Test Set: Not applicable, as testing was bench-based.
    • Data Provenance: Not applicable, as no human data was collected.

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

    Not applicable, as no clinical test set requiring expert ground truth establishment was conducted. The assessment was based on engineering and performance specifications, likely evaluated by internal ResMed engineers and regulatory affairs personnel.

    4. Adjudication Method for the Test Set

    Not applicable, as no clinical test set requiring adjudication was conducted.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done

    No. The document explicitly states, "Bench testing is sufficient to demonstrate safety and efficacy of the modified Mirage Quattro." This rules out any clinical studies, including MRMC studies, for this particular modification.

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

    This question is not directly applicable in the context of a medical device like a mask, which is a physical interface and not an algorithm or AI. The testing performed would be considered "standalone" in the sense that it was bench testing of the device itself, without human interaction.

    7. The Type of Ground Truth Used

    The "ground truth" for this modification was primarily:

    • The performance specifications and characteristics of the predicate device (Mirage Quattro K063122), which had previously demonstrated safety and efficacy.
    • Engineering and performance test results (e.g., pressure-flow, CO2 flush, material safety) showing that the modified device met these specifications and performed equivalently or acceptably within the extended pressure range.

    8. The Sample Size for the Training Set

    Not applicable, as no machine learning algorithm or AI model was involved in this device modification.

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

    Not applicable, as no machine learning algorithm or AI model was involved.

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    K Number
    K110444
    Device Name
    MIRAGE MICRO
    Manufacturer
    Date Cleared
    2011-03-16

    (28 days)

    Product Code
    Regulation Number
    868.5905
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    MIRAGE MICRO

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

    The Mirage Micro channels airflow non-invasively to a patient from a positive airway pressure device such as a continuous positive airway pressure (CPAP) or bilevel system.

    The Mirage Micro is:

    • to be used by adult patients (>66lb / >30kg) for whom positive airway pressure has been prescribed.
    • intended for single patient re-use in the home environment and multipatient re-use in the hospital/institutional environment.
    Device Description

    The headgear colour of the modified device has changed. The color of the outer layer of the fabric is being changed from dark blue to tan. All other aspects of the device remain unchanged.

    The modified Mirage Micro is safe when used under the conditions and purposes intended as indicated in the labelling provided with the product.

    The modified Mirage Micro is a prescription device supplied nonsterile.

    Both the masks incorporate vent holes to provide continuous air leak to flush out the dead space within the mask and minimize the amount of CO2 rebreathed by the patient. The design of the mask components is such that the incorporation of these vent-holes does not interfere with the intended performance of the masks. Both masks connect to a conventional air delivery hose between the mask and the positive airway-pressure source via standard conical connectors (ref: ISO 5356-1:2004)

    Both masks have provisions for connecting oxygen and pressure sensing tubing via luer ports.

    Both masks are constructed using molded plastic components and fabric headgear. All the components of both the masks are fabricated using materials deemed safe. (ref: ISO 10993-1).

    Both the modified device and the previously cleared device can be reused in the hospital / institution environment.

    AI/ML Overview

    1. Table of Acceptance Criteria and Reported Device Performance:

    Acceptance CriteriaReported Device Performance
    Same intended use as the predicate device (Mirage Micro Mask K072940).The modified Mirage Micro has the same intended use: channeling airflow non-invasively to adult patients from a positive airway pressure device (CPAP or bilevel system), for single-patient re-use at home and multi-patient re-use in hospital/institutional environments.
    Similar technological characteristics to the predicate device.The only change is the headgear color (from dark blue to tan). All other aspects (vent holes, connectors, provisions for oxygen/pressure sensing, construction materials, re-use capability) remain identical to the predicate device.
    Does not raise new questions of safety and effectiveness.The change in headgear color is asserted not to affect technological characteristics when used with a compatible ResMed flow generator, and the outer layer of the fabric does not come into contact with the patient, therefore not requiring ISO 10993-1. This implies no new safety or effectiveness concerns.
    At least as safe and effective as the previously cleared Mirage Micro (K072940).Due to the cosmetic nature of the change (headgear color) and the assertion that it does not affect the device's function or patient contact, the device is considered substantially equivalent in safety and effectiveness to the predicate.
    Bench testing not required as the change has no effect on technological characteristics when used with a compatible ResMed flow generator.No bench testing was performed due to the nature of the change. This implicitly serves as an acceptance criterion being met by the product's unchanged functional aspects.
    The headgear color change (from dark blue to tan) does not affect performance.The document states, "The headgear colour of the modified device has changed... All other aspects of the device remain unchanged." and "The headgear performance of the modified device and the previously cleared device are substantially equivalent." This indicates the color change did not impact performance.
    All components are fabricated using materials deemed safe (ref: ISO 10993-1)."All the components of both the masks are fabricated using materials deemed safe. (ref: ISO 10993-1)." This implies that while the outer layer of the headgear fabric doesn't come into patient contact, other components still adhere to this standard, ensuring overall safety.
    Design of vent-holes does not interfere with the intended performance of the masks."Both the masks incorporate vent holes to provide continuous air leak to flush out the dead space within the mask and minimize the amount of CO2 rebreathed by the patient. The design of the mask components is such that the incorporation of these vent-holes does not interfere with the intended performance of the masks." This characteristic is maintained from the predicate.

    2. Sample size used for the test set and the data provenance:

    • Sample Size: Not applicable. This document is for a Special 510(k) for a minor device modification (headgear color change). No new clinical or performance test data was generated with a specific test set. The submission relies on a comparison to the predicate device and the assertion that the change is cosmetic and does not impact performance.
    • Data Provenance: Not applicable for a new test set. The basis for substantial equivalence is the prior clearance of the predicate device (Mirage Micro Mask K072940) and the established safety and effectiveness of vented nasal masks with CPAP/Bilevel therapy.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:

    • Not applicable. No new ground truth was established for a test set as part of this Special 510(k) submission.

    4. Adjudication method for the test set:

    • Not applicable. No test set requiring adjudication was used.

    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:

    • No. This device is a passive medical device (a mask); it does not involve AI or human readers for interpretation. Therefore, an MRMC study is not relevant.

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

    • No. This device is a passive medical device and does not involve any algorithms or software-driven performance that would require standalone testing.

    7. The type of ground truth used:

    • The ground truth for the safety and effectiveness of the device is based on the prior clearance and established performance of the predicate device (Mirage Micro Mask K072940). The current submission argues that the modified device is substantially equivalent because the change is purely cosmetic (headgear color) and does not alter the fundamental design, materials, or intended use that were proven safe and effective by the predicate.

    8. The sample size for the training set:

    • Not applicable. This device is a passive medical device, and this submission is for a minor modification. It does not involve machine learning or AI, and therefore no training set.

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

    • Not applicable. As there is no training set involved, no ground truth needed to be established for it.
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    K Number
    K102746
    Device Name
    MIRAGE FX
    Manufacturer
    Date Cleared
    2010-12-28

    (96 days)

    Product Code
    Regulation Number
    868.5905
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    MIRAGE FX

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

    The Mirage FX channels airlow noninvasively to a patient from a positive airway pressure (PAP) device such as a continuous positive airway pressure (CPAP) or bilevel system.

    The Mirage FX is:

    • to be used by patients (> 66 lb/30 kg) for whom positive airway pressure has been prescribed .
    • intended for single-patient re-use in the home environment and multipatient re-use in the ● hospital/institutional environment.
    Device Description

    The Mirage FX provides an interface such that airflow from a positive pressure source is directed to the patient's nose. The mask is held in place with adjustable headgear that straps the mask to the face. Mirage FX is safe when used under the conditions and purposes intended as indicated in the labeling provided with the product. Mirage FX is a prescription device supplied non-sterile.

    AI/ML Overview

    Here's an analysis of the acceptance criteria and study information for the RESMED Mirage FX Traditional 510k submission, based on the provided text:

    Acceptance Criteria and Device Performance

    The submission describes the Mirage FX device as "substantially equivalent" to predicate devices, meaning it meets the same safety and effectiveness standards. The specific criteria are based on the technological characteristics and performance of the predicate devices.

    Acceptance Criteria CategoryAcceptance CriteriaReported Device Performance (Mirage FX)
    Intended UseIdentical intended uses to predicate devices. Indicated for the same user population."The new device and the predicate mask have identical intended uses. Both devices are indicated for the same user population." (Comparison with predicate ComfortLite 2)
    Technology Characteristics (Seal)Provide a seal via a silicone interface."Both masks provide a seal via silicone interface." (Comparison with predicate Mirage Micro)
    Technology Characteristics (Fit)Offered in various sizes to ensure adequate fit over the extended patient population."Both the new and predicate masks are offered in various sizes to ensure adequate fit over the extended patient population." (Comparison with predicate Mirage Micro)
    Technology Characteristics (CO2 Rebreath)Incorporate vent holes to provide continuous air leak to flush out and minimize the amount of CO2 rebreathed by the patient, without interfering with intended performance."Both masks incorporate vent holes to provide continuous air leak to flush out and minimize the amount of CO2 rebreathed by the patient. The design of the mask components is such that the incorporation of these vent-holes does not interfere with the intended performance of the masks." (Comparison with predicate Mirage Micro)
    "The CO2 performance of the Mirage FX has been demonstrated through bench testing to be substantially equivalent to the Ultra Mirage II." (Comparison with predicate Ultra Mirage II)
    Technology Characteristics (Hose Connection)Connect to a conventional air delivery hose between the mask and the positive airway-pressure source via standard conical connectors (ref: ISO 5356-1:2004)."Both masks connect to a conventional air delivery hose between the mask and the positive airway-pressure source via standard conical connectors (ref: ISO 5356-1:2004)" (Comparison with predicate Mirage Micro)
    Technology Characteristics (Materials)Constructed using molded plastic and silicone components and fabric/nylon headgear. Materials deemed safe (ref: ISO 10993-1)."Both the new and predicate devices are constructed using molded plastic and silicone components and fabric / nylon headgear. Components of the new and predicate masks are fabricated using materials deemed safe. (ref: ISO 10993-1)." (Comparison with predicate Mirage Micro)
    Non-clinical Performance (Pressure-Flow)Pressure-flow characteristics and flow impedance are substantially equivalent to the predicate device."The pressure-flow characteristics and flow impedance of the new devices was bench tested and demonstrated to be substantially equivalent to the predicate device." (Comparison with predicate Mirage Micro)
    Non-clinical Performance (Reuse)Reusable in home and hospital/institution environment."Both the new and the predicate devices can be reused in the home and hospital / institution environment." (Comparison with predicate Mirage Micro)
    Safety and EffectivenessDoes not raise new questions of safety and effectiveness; at least as safe and effective as predicate devices."Mirage FX is substantially equivalent to the predicate devices...- it does not raise new questions of safety and effectiveness; - it is at least as safe and effective as the predicate devices."

    Study Information

    Based on the provided text, the submission primarily relies on bench testing and comparison to predicate devices to demonstrate substantial equivalence. No clinical studies (on human subjects) are described in detail.

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

      • Test Set Sample Size: The document does not specify a distinct "test set" sample size in terms of patient data. The evaluation primarily involved bench testing of the device itself and comparison to physical characteristics of predicate devices.
      • Data Provenance: Not applicable in the context of a clinical test set. The bench testing would have been conducted by ResMed.
    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. Ground truth for a clinical test set (e.g., disease presence) was not established through expert review for this submission. The "ground truth" for the device's performance was established through engineering specifications and comparison to the performance of medically accepted predicate devices via bench testing.
    3. Adjudication method (e.g. 2+1, 3+1, none) for the test set

      • Not applicable. There was no clinical test set requiring expert adjudication.
    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

      • No MRMC study was mentioned. This device is a medical mask for positive airway pressure therapy, not an AI-assisted diagnostic or treatment device.
    5. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

      • Not applicable. This is not an algorithmic device. The "standalone" performance refers to the bench testing of the device's physical functions (e.g., pressure-flow characteristics, CO2 clearance) without a human user.
    6. The type of ground truth used (expert consensus, pathology, outcomes data, etc.)

      • The "ground truth" for this substantial equivalence claim is effectively the established safety and effectiveness of the predicate devices and the physical/engineering standards (e.g., ISO standards, pressure-flow characteristics) achieved through bench testing. For CO2 performance, it was deemed "substantially equivalent" to the Ultra Mirage II.
    7. The sample size for the training set

      • Not applicable. This device does not involve machine learning algorithms that require a "training set."
    8. How the ground truth for the training set was established

      • Not applicable. This device does not involve machine learning algorithms.
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    K Number
    K100772
    Manufacturer
    Date Cleared
    2010-06-09

    (83 days)

    Product Code
    Regulation Number
    868.5905
    Reference & Predicate Devices
    N/A
    Why did this record match?
    Device Name :

    MIRAGE MICRO MODEL 16333 (S), 16334 (M&L), 16335 (LW & XL)

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

    The Mirage Micro channels airflow noninvasively to a patient from a positive airway pressure device such as a continuous positive airway pressure (CPAP) or bilevel system. The Mirage Micro is: - to be used by adult patients (>66lb / >30kg) for whom positive airway pressure has been prescribed. - to be used for single-patient re-use in the home environment and multi-patient reuse in the hospital/institutional environment.

    Device Description

    Not Found

    AI/ML Overview

    This appears to be a 510(k) clearance letter from the FDA for a medical device (Mirage Micro™). It does not contain the information required to answer your prompt.

    The document is a regulatory approval, confirming that the device is substantially equivalent to legally marketed predicate devices. It discusses regulatory compliance, labeling, and reporting requirements.

    Specifically, the document does NOT include any of the following:

    • A table of acceptance criteria or reported device performance.
    • Information on sample sizes for test sets, data provenance, or training sets.
    • Details about expert involvement, ground truth establishment, or adjudication methods.
    • Any mention of multi-reader multi-case (MRMC) comparative effectiveness studies or standalone algorithm performance.

    Therefore, I cannot provide the requested information based on the provided text.

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    K Number
    K090490
    Device Name
    MIRAGE ECHO
    Manufacturer
    Date Cleared
    2009-05-06

    (70 days)

    Product Code
    Regulation Number
    868.5905
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    MIRAGE ECHO

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

    The Mirage Echo channels airflow noninvasively to a patient from a positive airway pressure (PAP) device such as a continuous positive airway pressure (CPAP) or bilevel system. The Mirage Echo is: to be used by adult patients (> 66 lb/30 kg) for whom positive airway pressure has been prescribed intended for single-patient re-use in the home environment and multipatient re-use in the hospital/institutional environment.

    Device Description

    The Mirage Echo provides an interface such that airflow from a positive pressure source is directed to the patient's nose. The mask is held in place with adjustable headgear that straps the mask to the face. Mirage Echo is safe when used under the conditions and purposes intended as indicated in the labeling provided with the product. Mirage Echo is a prescription device supplied non-sterile.

    AI/ML Overview

    Here's an analysis of the Mirage Echo Traditional 510k, based on the provided text, focusing on acceptance criteria and supporting studies.

    Based on the provided information, the 510(k) submission for the Mirage™ Echo nasal mask describes a comparative study against predicate devices (Mirage Micro and Ultra Mirage II Mask) to demonstrate substantial equivalence, rather than a study with explicit, quantitative acceptance criteria for device performance as one might see for an AI algorithm.

    The core of the "study" is a set of comparisons and assertions of substantial equivalence, relying on bench testing and the existing clinical acceptance of similar technology.

    1. Table of Acceptance Criteria and Reported Device Performance

    As this is a traditional 510(k) for a medical device (nasal mask), the "acceptance criteria" are primarily established implicitly by demonstrating substantial equivalence to predicate devices, focusing on safety, performance characteristics, and intended use. The performance is reported as "substantially equivalent" to the predicates.

    Acceptance Criteria (Implied from Substantial Equivalence to Predicates)Reported Device Performance (Mirage Echo)
    Safety: Materials deemed safe (ref: ISO 10993-1).All components are fabricated using materials deemed safe (ref: ISO 10993-1).
    Intended Use: Channels airflow noninvasively from a PAP device to adult patients (> 66 lb/30 kg) for single-patient home reuse and multipatient hospital/institutional reuse.Same intended use as predicates. Channels airflow noninvasively to a patient from a PAP device (CPAP/bilevel system), for adult patients (> 66 lb/30 kg), for single-patient home reuse and multipatient hospital/institutional reuse.
    Technological Characteristics:
    - Provides a seal via silicone interface.Provides a seal via silicone interface.
    - Offered in various sizes for adequate fit.Offered in various sizes to ensure adequate fit.
    - Incorporates vent holes for continuous air leak to flush CO2 and minimize rebreathing without interfering with performance.Incorporates vent holes to provide continuous air leak to flush out and minimize the amount of CO2 rebreathed. The design ensures vents do not interfere with intended performance.
    - Connects to conventional air delivery hose via standard conical connectors (ISO 5356-1:2004).Connects to a conventional air delivery hose via standard conical connectors (ref: ISO 5356-1:2004).
    - Constructed using molded plastic and silicone components.Constructed using molded plastic and silicone components.
    - Operates on the same ResMed flow generator settings.Designed to operate on the same ResMed flow generator settings.
    - Substantially equivalent pressure-flow characteristics and flow impedance.Pressure-flow characteristics and flow impedance of both the new device and the predicate device are substantially equivalent.
    - Can be reused in home and hospital/institution environment.Can be reused in the home and hospital/institution environment.
    - CO2 performance is substantially equivalent.The CO2 performance of the new device and the predicate device are substantially equivalent.
    Effectiveness: At least as safe and effective as the predicate devices and does not raise new questions of safety and effectiveness.Asserted to be at least as safe and effective and does not raise new questions of safety and effectiveness. "Use of vented nasal masks with CPAP or Bilevel therapy is Clinical Data proven technology and is well accepted by the medical community." "Bench testing is sufficient to demonstrate safety and efficacy of the Mirage ECHO, as was the case with the predicate device."

    2. Sample Size for the Test Set and Data Provenance

    The provided text does not mention a "test set" in the context of clinical data or patient-specific evaluation. The performance data refers to bench testing. Therefore, information regarding:

    • Sample size for the test set
    • Data provenance (e.g., country of origin, retrospective/prospective)
      is not applicable as no clinical test set data is described. The submission relies on "bench testing" and comparison of technical specifications.

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

    This information is not applicable. Since no clinical test set data is described, there's no mention of experts establishing a ground truth for such a set. The "ground truth" for this type of submission is typically derived from established engineering principles, international standards (e.g., ISO), and the performance of legally marketed predicate devices.

    4. Adjudication Method for the Test Set

    This information is not applicable. No clinical test set data is described that would require an adjudication method.

    5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

    A MRMC comparative effectiveness study was not done. This type of study is relevant for diagnostic devices where human readers interpret results, potentially with AI assistance. The Mirage Echo is a medical device (nasal mask) for therapy delivery, not a diagnostic tool requiring interpretation.

    6. Standalone (Algorithm Only) Performance Study

    A standalone performance study was not done, nor would it be relevant for this type of device. The Mirage Echo is a physical medical device, not an AI algorithm.

    7. Type of Ground Truth Used

    The "ground truth" in this context is established through bench testing results, adherence to international standards (e.g., ISO 10993-1 for biocompatibility, ISO 5356-1:2004 for connectors), engineering specifications, and the established performance and safety profile of legally marketed predicate devices. There is no mention of expert consensus, pathology, or outcomes data being used to establish ground truth for this submission, as it focuses on demonstrating substantial equivalence in physical and functional characteristics.

    8. Sample Size for the Training Set

    This information is not applicable. The Mirage Echo is a physical medical device, not an AI algorithm that undergoes a "training set" process.

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

    This information is not applicable. As it's not an AI algorithm, there is no "training set" or ground truth for such a set.

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    K Number
    K081321
    Manufacturer
    Date Cleared
    2008-10-09

    (150 days)

    Product Code
    Regulation Number
    868.5905
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    MODIFICATION TO MIRAGE MICRO

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

    The Mirage Micro channels airflow non-invasively to a patient from a positive airway pressure device such as a continuous positive airway pressure (CPAP) or bilevel system.

    The Mirage Micro is:

    • to be used by adult patients (>66lb / >30kg) for whom positive airway pressure has been prescribed.
    • intended for single patient re-use in the home environment and multi-patient re-use in the hospital/institutional environment.
    Device Description

    The Mirage Micro provides seal such that airflow from a positive pressure source is directed to the patient's nose. The mask is held in place with adjustable headgear that straps the mask to the face.

    Mirage Micro is safe when used under the conditions and purposes intended as indicated in the labeling provided with the product.

    Mirage Micro is a prescription device supplied nonsterile.

    AI/ML Overview

    The provided text is a 510(k) summary for the ResMed Mirage Micro, a vented nasal mask. This document focuses on demonstrating substantial equivalence to a predicate device rather than providing a detailed clinical study with acceptance criteria and a comprehensive study report. Therefore, much of the requested information regarding specific acceptance criteria, test sets, experts, and detailed study methodologies is not present in the provided text.

    Here is the information that can be extracted or reasonably inferred from the document:

    1. A table of acceptance criteria and the reported device performance

    Acceptance Criteria CategoryReported Device PerformanceComments / Context
    Intended Use EquivalenceSame intended use as predicate deviceThe modified device "has the same intended use" as the predicate Mirage Micro Mask (K072940).
    Technological Characteristics EquivalenceSimilar technological characteristics to predicate deviceBoth devices provide seal via dual wall silicone interface, are offered in various sizes, incorporate vent holes for CO2 flushing, connect to conventional air delivery hoses via standard conical connectors, have provisions for connecting oxygen and pressure sensing tubing via luer ports, and are constructed with molded plastic components and fabric headgear using materials deemed safe.
    Safety and EffectivenessDoes not raise new questions of safety and effectiveness; at least as safe and effective as the predicateStated explicitly as a conclusion for substantial equivalence.
    CO2 PerformanceSubstantially equivalent to predicate deviceBench testing was used to demonstrate this.
    Pressure-Flow Characteristics & Flow ImpedanceSubstantially equivalent to predicate deviceBoth devices are designed to operate on the same standard flow generator setting, and their pressure-flow characteristics and flow impedance are substantially equivalent. Bench testing was used to demonstrate this.
    Material BiocompatibilityAll components, including the modification to the swivel color, are fabricated using materials deemed safe (ref: ISO 10993-1).This is a general safety criterion for medical devices.

    2. Sample size used for the test set and the data provenance

    The document explicitly states: "Bench testing is sufficient to demonstrate safety and efficacy of the Mirage Micro, as was the case with the predicate devices."

    • Sample Size for Test Set: Not specified. Since it refers to "bench testing," it would involve testing physical prototypes or samples rather than human subjects. The number of masks tested is not provided.
    • Data Provenance: Bench testing results. Country of origin is not specified, but the applicant (ResMed) is a global company. Based on the submission being to the FDA, it's likely the testing was conducted in a manner consistent with US regulatory requirements, potentially in the US or by a facility accredited for such testing. The testing is prospective in the sense that it was performed to support this specific submission.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

    Not applicable. This was a bench testing study comparing the modified device to a predicate device based on physical characteristics and performance measurements (CO2, pressure-flow). There was no "ground truth" derived from expert interpretation of images or clinical outcomes in the traditional sense that would require a panel of experts.

    4. Adjudication method for the test set

    Not applicable, as no expert review or adjudication of clinical data was performed. The evaluation relied on objective measurements from bench testing.

    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 a medical mask for respiratory support, not an AI-powered diagnostic or assistive tool for human readers. No MRMC study was performed.

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

    Not applicable. This device is a physical medical device, not an algorithm.

    7. The type of ground truth used

    For the performance data (CO2, pressure-flow, flow impedance), the "ground truth" would be established by the objective measurements obtained from the bench testing against predefined engineering specifications and comparison to the predicate device's performance. For biocompatibility, the ground truth refers to compliance with ISO 10993-1 standards using validated material testing methods.

    8. The sample size for the training set

    Not applicable. This is not an AI/machine learning device, so there is no training set.

    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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    K Number
    K072940
    Device Name
    MIRAGE MICRO
    Manufacturer
    Date Cleared
    2007-12-13

    (57 days)

    Product Code
    Regulation Number
    868.5905
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    MIRAGE MICRO

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

    The Mirage Micro channels airflow non-invasively to a patient from a positive airway pressure device such as a continuous positive airway pressure (CPAP) or bilevel system.

    The Mirage Micro is:

    • to be used by adult patients (>66lb / >30kg) for whom positive airway pressure has been prescribed.
    • intended for single patient re-use in the home environment and multi-patient re-use in the hospital/institutional environment.
    Device Description

    The Mirage Micro provides seal such that airflow from a positive pressure source is directed to the patient's nose. The mask is held in place with adjustable headgear that straps the mask to the face.

    Mirage Micro is safe when used under the conditions and purposes intended as indicated in the labeling provided with the product.

    Mirage Micro is a prescription device supplied nonsterile.

    AI/ML Overview

    The provided document is a 510(k) summary for the ResMed Mirage Micro Traditional, a vented nasal mask, seeking substantial equivalence to predicate devices. It is not a study that proves the device meets acceptance criteria in the way typically seen for AI/ML-based medical devices or diagnostics. Instead, it demonstrates substantial equivalence through comparisons of technological characteristics and performance data via bench testing.

    Therefore, many of the requested fields (e.g., sample size for test set, number of experts, adjudication method, MRMC study, standalone performance, training set size) are not applicable to this type of submission.

    Here's a breakdown of the available information based on the provided text:

    1. Table of Acceptance Criteria and Reported Device Performance

    The submission does not explicitly state formal "acceptance criteria" with numerical thresholds in the sense of a diagnostic device. Instead, it relies on demonstrating substantial equivalence to predicate devices through comparative performance and technological characteristics. The "reported device performance" is essentially a statement of equivalence.

    Acceptance Criteria (Implied)Reported Device Performance
    CO2 performance substantially equivalent to predicate device."The CO2 performance of the new device and the predicate device are substantially equivalent."
    Pressure-flow characteristics and flow impedance substantially equivalent to predicate device."The pressure-flow characteristics and flow impedance of both the new device and the predicate device are substantially equivalent."
    Operation on the same standard flow generator setting as predicate device."Both the new device and the predicate are designed to operate on the same standard flow generator setting."
    Provision of seal via dual wall silicone interface."The new device and the predicate mask, provide seal via dual wall silicone interface."
    Incorporation of vent holes for continuous air leak."Both the masks incorporate vent holes to provide continuous air leak to flush out the dead space within the mask and minimize the amount of CO2 rebreathed by the patient."
    Connection to conventional air delivery hose via standard conical connectors."Both the masks connect to conventional air delivery hose between the mask and the positive airway-pressure source via standard conical connectors (ref: ISO 5356-1:2004)."
    Provisions for connecting oxygen and pressure sensing tubing."Both the masks have provisions for connecting oxygen and pressure sensing tubing via luer ports."
    Construction using molded plastic components and fabric headgear with safe materials."Both the masks are constructed using molded plastic components and fabric headgear. All the components of both the masks are fabricated using materials deemed safe. (ref: ISO 10993-1)."
    Intended use matching predicate devices."it has the same intended use;"
    Technological characteristics similar to predicate devices."it has similar technological characteristics to both predicates:"
    Does not raise new questions of safety and effectiveness."it does not raise new questions of safety and effectiveness:"
    At least as safe and effective as predicate devices."it is at least as safe and effective as the predicate devices Mirage Micro and Mirage Quattro."

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

    • Sample size for the test set: Not applicable. The submission refers to "bench testing" and "comparison with predicate" rather than a clinical trial or a test set of data points in the context of an AI/ML device.
    • Data provenance: Not applicable. Bench testing is typically performed in a laboratory setting. No country of origin for clinical data is mentioned as none was used.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

    • Number of experts: Not applicable. Ground truth establishment by experts is not described as part of this bench testing for a mechanical device.
    • Qualifications of experts: Not applicable.

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

    • Adjudication method: Not applicable. This concept is relevant for expert disagreement resolution in diagnostic studies, not for mechanical device bench testing.

    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

    • MRMC study: No. This is a medical device, not an AI/ML diagnostic.
    • Effect size: Not applicable.

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

    • Standalone performance: Not applicable. This is a medical device, not an AI/ML diagnostic.

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

    • Type of ground truth: Not explicitly stated as "ground truth" in the AI/ML sense. The performance of the new device was compared against the performance of the predicate devices (Mirage Micro K071808 and Mirage Quattro K063122) through bench testing parameters like CO2 performance, pressure-flow characteristics, and flow impedance. The "truth" is based on the established safety and efficacy of the predicate devices.

    8. The sample size for the training set

    • Sample size for training set: Not applicable. This is a medical device, not an AI/ML system.

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

    • Ground truth for training set establishment: Not applicable. This is a medical device, not an AI/ML system.

    Summary of the Study (as described in the 510(k) Summary):

    The submission for the Mirage Micro Traditional nasal mask relies on a bench testing study to demonstrate substantial equivalence to its predicate devices (Mirage Micro Mask K071808 and Mirage Quattro Mask K063122).

    The core of the "study" involved:

    • Comparison of Technological Characteristics: Detail how the new device's design, materials, and features are similar to the predicates. This includes aspects like the dual-wall silicone interface, vent hole design, standard connectors, luer ports, and biocompatible materials.
    • Performance Data Comparison (Bench Testing): Direct comparison of the new device's performance against the predicate Mirage Micro regarding:
      • CO2 performance: Stated as "substantially equivalent."
      • Pressure-flow characteristics: Stated as "substantially equivalent."
      • Flow impedance: Stated as "substantially equivalent."
      • Operation on standard flow generator settings: Stated as designed to operate on the same settings.

    The conclusion drawn from this comparison and bench testing is that the new Mirage Micro is substantially equivalent because it shares the same intended use, similar technological characteristics, does not raise new questions of safety and effectiveness, and is at least as safe and effective as the predicate devices. Clinical data was deemed unnecessary as "Use of vented nasal masks with CPAP or Bilevel therapy is proven technology and is well accepted by the medical community. Bench testing is sufficient to demonstrate safety and efficacy..."

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