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510(k) Data Aggregation
(259 days)
Prismaflex ST60 Set, Prismaflex ST100 Set, Prismaflex ST150 set
The Prismaflex ST set is a single use device that provides blood purification through a semipermeable membrane.
The Prismaflex ST set is for use only in conjunction with the PrismaFlex control unit or with the PrisMax control unit (in countries where PrisMax is cleared or registered).
All treatments administered via the PrismaFlex ST sets must be prescribed by a physician. The size, weight, state of uremia, cardiac status, and general physical condition of the patient must be carefully evaluated by the prescribing physician before each treatment.
If patients suffer from acute kidney injury and / or volume overload, the Prismatlex ST set is indicated for continuous renal replacement therapies (CRRT), in modalities such as:
- · Slow Continuous UltraFiltration (SCUF)
- · Continuous Veno-Venous Hemofiltration (CVVH)
- · Continuous Veno-Venous HemoDialysis (CVVHD)
- Continuous Veno-Venous HemoDiaFiltration (CVVHDF)
to perform fluid management and reduction of uremic toxins.
The Prismaflex ST100 and ST150 set is indicated for use in patients with a body weight equal or greater than 30 kg (661b) and Prismaflex ST60 set is indicated to patients with a body weight greater than 11kg (24lb).
The Prismaflex ST60/ST100/ST150 set is a disposable, extracorporeal circuit for use with the PrismaFlex system, or with the PrisMax system. The Prismaflex ST60/ST100/ST150 set consists of an AN69 ST hollow fiber haemofilter/dialyser and tubing system.
These Prismaflex disposable sets allow the following fluid management and renal replacement therapies to be performed :
- SCUF: Slow Continuous Ultrafiltration
- CVVH: Continuous Veno-Venous Hemofiltration
- CVVHD: Continuous Veno-Venous Hemodialysis
- CVVHDF: Continuous Veno-Venous Hemodiafiltration
The fluid pathways of the Prismaflex set are guaranteed sterile and pyrogen-free. The Prismaflex set is sterilized by ethylene oxide (EO).
The shelf life of the Prismaflex ST60/ST100/ST150 sets is 24 months from the date of sterilization. The device is intended for single use.
The provided text describes a 510(k) premarket notification for the "Prismaflex ST set" (ST60/ST100/ST150 sets), a high permeability hemodialysis system. The submission aims to demonstrate substantial equivalence to legally marketed predicate devices. The document focuses on non-clinical testing to support this claim.
Here's an analysis of the acceptance criteria and the study information based on the provided text:
1. Table of Acceptance Criteria and Reported Device Performance
The document does not explicitly present a table of acceptance criteria with corresponding device performance values like a clinical trial report would for specific endpoints (e.g., sensitivity, specificity for diagnostic devices, or specific measurable outcomes for therapeutic devices).
Instead, it states that the device was evaluated against established international standards and internal performance requirements. The "reported device performance" is described qualitatively as meeting these standards and requirements.
Here's a synthesized representation based on the information provided, inferring "acceptance criteria" from the standards and tests mentioned:
Acceptance Criteria Category | Reported Device Performance (as stated) |
---|---|
Structural Integrity | Successfully verified and validated. Complies with ISO 8637-1 (mechanical characteristics). |
Membrane Integrity | Successfully verified and validated. Complies with ISO 8637-1 (mechanical characteristics). |
Ultrafiltration Rate | Successfully verified and validated. Complies with ISO 8637-1 (performance characteristics - ultrafiltration coefficient). |
Clearances | Successfully verified and validated. Complies with ISO 8637-1 (performance characteristics - solute clearances). |
Sieving Coefficients | Successfully verified and validated. Complies with ISO 8637-1 (performance characteristics - sieving coefficients). |
Blood Pressure Drop | Successfully verified and validated. Complies with ISO 8637-1 (volume and pressure drop of blood compartment). |
Total Volume of Blood | Successfully verified and validated. Complies with ISO 8637-1 (volume and pressure drop of blood compartment). |
Priming Efficacy | Successfully verified and validated. |
Shelf Life | Successfully verified and validated. 24 months from sterilization date. Complies with ISO 8637-1 (expiry date) and ISO 8638 (expiry date). |
Sterilization Validation | Successfully verified and validated. EO sterilization. Complies with ISO 8637-1 (sterility) and ISO 8638 (sterility). |
Pyrogenicity / LAL | Successfully verified and validated. Complies with ISO 8637-1 (non-pyrogenicity) and ISO 8638 (non-pyrogenicity). |
EO Residuals | Successfully verified and validated. |
Biocompatibility | Successfully verified through a battery of tests (Cytotoxicity, Sensitization, Intracutaneous Reactivity, Acute Systemic Toxicity, Material Mediated Pyrogen, Subacute/Subchronic Toxicity, Hemolysis) in accordance with ISO 10993-1, -4, -5, -10, -11. |
Design Validation | The Prismaflex ST set design validation meets user needs and intended use, and is substantially equivalent to the predicate. |
Tubing Compliance | Complies with ISO 8638 (tubing compliance). |
Risk Assessment | Risk analysis confirms the device is appropriately designed, performs as expected, and in a safe manner. |
2. Sample Size Used for the Test Set and Data Provenance
The provided text describes non-clinical bench and pre-clinical testing. These are laboratory-based tests of the device's physical and chemical properties, as well as its interaction with biological models (e.g., blood, cell cultures).
- Sample Size for Test Set: The document does not specify the exact number of units/sets tested for each performance characteristic. In bench testing for medical devices, this often involves a pre-defined number of samples per batch or according to a statistical sampling plan to ensure reliability and representativeness for the specific test (e.g., n=3, n=5, n=10 per test condition). However, these specific numbers are not disclosed in this summary.
- Data Provenance: The data provenance is from non-clinical (bench and pre-clinical) laboratory testing. There is no mention of human subject data, retrospective, or prospective studies involving patients.
3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications
This question is not applicable to the type of study described. "Ground truth" established by experts (like radiologists for image analysis) is relevant for clinical studies, especially those involving human interpretation or diagnostic accuracy. The studies detailed here are non-clinical, focusing on the device's physical and chemical performance, where "ground truth" is typically defined by objective measurements against established engineering specifications and international standards, not expert consensus.
4. Adjudication Method for the Test Set
This question is not applicable. Adjudication methods (e.g., 2+1, 3+1) refer to procedures for resolving disagreements among multiple human readers/experts in clinical studies, particularly in diagnostic accuracy assessments. As this is a non-clinical device performance study, such a method would not be used.
5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study
No, an MRMC comparative effectiveness study was not done. The document explicitly states that the safety and performance were evaluated through non-clinical testing. There is no mention of human readers, AI assistance, or comparative effectiveness studies involving human-in-the-loop performance.
6. Standalone (Algorithm Only Without Human-in-the-Loop Performance) Study
This question is not applicable. The device described, the "Prismaflex ST set," is a medical device for blood purification (hemodialysis/hemofiltration), not an AI algorithm or a diagnostic tool that would typically have a "standalone" algorithmic performance. The "performance" here refers to its physical and functional operation.
7. Type of Ground Truth Used
The "ground truth" for these non-clinical tests is established by:
- Objective Measurements: Directly measuring physical and chemical properties (e.g., ultrafiltration rate, clearances, pressure drop) using calibrated equipment.
- International Standards: Compliance with recognized international standards (ISO 8637-1, ISO 8638, ISO 10993 series) which define acceptable ranges and methodologies.
- Device Specifications: Meeting internal design specifications for the device.
There is no use of expert consensus, pathology, or outcomes data as "ground truth" in these non-clinical tests.
8. Sample Size for the Training Set
This question is not applicable. The Prismaflex ST set is a hardware medical device; its development and validation do not involve "training sets" in the context of machine learning or AI algorithms. The "training" that occurs is in the manufacturing and quality control processes to ensure consistency and adherence to specifications.
9. How the Ground Truth for the Training Set Was Established
This question is not applicable, as there is no "training set" in the context of an AI/machine learning algorithm for this device.
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(262 days)
Prismaflex System 8.10
The Prismaflex control unit is intended for:
· Continuous Renal Replacement Therapy (CRT) for patients weighing 20 kilograms or more with acute renal failure and/or fluid overload.
• Therapeutic Plasma Exchange (TPE) therapy for patients weighing 20 kilograms or more with diseases where removal of plasma components is indicated.
All treatments administered via the Prismaflex control unit must be prescribed by a physician.
The Prismaflex control unit is a software controlled device that performs the following functions:
Loads and primes the Prismaflex disposable set automatically.
• Pumps blood through the blood flow path of the Prismaflex disposable set.
· Delivers anticoagulant solution into the blood flow path.
• Pumps sterile infusion solutions into the blood flow path of the Prismaflex disposable set according to therapy in use.
· Pumps sterile dialysate into the fluid compartment of the filter in CRRT therapies.
· Controls the patient fluid removal or plasma loss according to the therapy in use.
• Monitors the system and alerts the operator to abnormal situations through alarms.
· Provides treatment data to an external Patient Data Management Systems (PDMS)
The provided document, a 510(k) premarket notification letter from the FDA to Baxter Healthcare Corporation for the Prismaflex System 8.10, is a regulatory submission for a medical device. It does not contain information about an AI/ML-based medical device software or a study that proves a device meets acceptance criteria in the context of an AI/ML system's performance metrics (like sensitivity, specificity, or AUC).
The document details the device's substantial equivalence to a predicate device (Prismaflex System 7.10) based on its functional parameters, physical characteristics, and adherence to performance standards for a hemodialysis system. The "acceptance criteria" here refer to the predefined performance ranges and characteristics of the device itself (e.g., dialysate flow rate accuracy, blood flow rate accuracy, pressure sensor accuracy), and the "study" is the non-clinical testing (software and system verification and validation) done to prove that the updated Prismaflex System 8.10 meets these established parameters and functions equivalently to its predecessor.
Therefore, I cannot extract the requested information, which pertains to AI/ML device performance and testing, from this document. The document primarily focuses on demonstrating substantial equivalence for a non-AI/ML medical device based on established performance specifications and regulatory compliance.
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(100 days)
MARS MONITOR ITC US, MARS TREATMENT KIT TYPE 1116/1 - X-MARS US, PRISMAFLEX CONTROL UNIT
The MARS is indicated for the treatment of drug overdose and poisonings. The only requirement is that the drug or chemical be dialyzable (in unbound form) and bound by charcoal and/or ion exchange resins.
The MARS is indicated in the treatment of Hepatic Encephalopathy (HE) due to a decompensation of a chronic liver disease. Clinical trials conducted with MARS treatments in HE patients having a decompensation of chronic liver disease demonstrated a transient effect from MARS treatments to significantly decrease their hepatic encephalopathy scores by at least 2 grades compared to standard medical therapy (SMT).
The Prismaflex control unit is intended for:
- Continuous Renal Replacement Therapy (CRRT) for patients weighing 20 kilograms . or more with acute renal failure and/or fluid overload.
- Therapeutic Plasma Exchange (TPE) therapy for patients weighing 20 kilograms or . more with diseases where removal of plasma components is indicated.
- Continuous Renal Replacement Therapy (CRRT) in conjunction with the MARS . system to conduct MARS treatments for patients weighing 20 kilograms or more.
All treatments administered via the Prismaflex control unit must be prescribed by a physician.
Not Found
This document is a 510(k) premarket notification for a medical device (Molecular Adsorbent Recirculating System (MARS®) Prismaflex® System). It does not contain information about the acceptance criteria or a study proving the device meets those criteria.
Therefore, I cannot extract the requested information from the provided text. The document is primarily an FDA clearance letter and an "Indications for Use Statement," which lists the intended uses and contraindications of the device. It does not include details on performance studies, validation methods, or specific study results that would fulfill your request.
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(220 days)
PRISMAFLEX SYSTEM 7.10
The Prismaflex control unit is intended for: Continuous Renal Replacement Therapy (CRRT) for patients weighing 20 kilograms or more with acute renal failure and/or fluid overload. Therapeutic Plasma Exchange (TPE) therapy for patients weighing 20 kilograms or more with diseases where removal of plasma components is indicated. All treatments administered via the Prismaflex control unit must be prescribed by a physician.
Not Found
I am sorry, but the provided text does not contain the information needed to answer your request. The document is a 510(k) premarket notification letter from the FDA regarding the Prismaflex System 7.10, indicating it has been found substantially equivalent to a predicate device. It defines the device, lists its intended uses, and outlines regulatory requirements. However, it does not include any details about acceptance criteria, device performance studies, sample sizes, data provenance, expert ground truth establishment, adjudication methods, multi-reader multi-case studies, standalone algorithm performance, or ground truth types and establishment methods for training sets.
Therefore, I cannot populate the table or answer the specific questions about the device's performance study based on the provided text.
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(85 days)
PRISMAFLEX
The Prismaflex® control unit is intended for:
- Continuous Renal Replacement Therapy (CRRT) for patients weighing 20 kilograms or more with acute renal failure and/or fluid overload.
- Therapeutic Plasma Exchange (TPE) therapy for patients weighing 20 kilograms or more with diseases where removal of plasma components is indicated.
All treatments administered via the Prismaflex® control unit must be prescribed by a physician.
The Prismaflex control unit is a software controlled device that performs the following functions:
- Loads and primes the Prismaflex disposable set automatically.
- Pumps blood through the blood flow path of the Prismaflex disposable set.
- Delivers anticoagulant solution into the blood flow path.
- Pumps sterile infusion solutions into the blood flow path of the Prismaflex disposable set according to therapy in use.
- Pumps sterile dialysate into the fluid compartment of the filter in CRRT therapies.
- Controls the patient fluid removal or plasma loss according to the therapy in use.
- Monitors the system and alerts the operator to abnormal situations through alarms.
The Prismaflex® has a touch screen user interface that provides operating instructions.
The Prismaflex® provides color coding and bar-code identification of the filter sets that are automatically loaded. The Prismaflex continually monitors the operation of the machine and displays one of four (4) types of alarms if an abnormal situation occurs. The Prismaflex® has five (5) pumps that allow multiple therapeutic combinations; including a "pre-blood pump" that allows infusion of a supplemental solution for hemodilution or anticoagulation of the extracorporeal circuit.
The provided text describes a 510(k) submission for the Prismaflex® System, a hemodialysis delivery system. This type of submission is for demonstrating substantial equivalence to a predicate device, not for proving a device meets specific clinical acceptance criteria through a comparative effectiveness study in the same way an AI/ML device might. Therefore, many of the requested elements for an AI/ML study, such as sample size for test sets and training sets, expert qualifications, adjudication methods, and MRMC studies, are not applicable or not provided in the document.
The "acceptance criteria" here are implicitly the performance specifications of the device as compared to its predicate devices, along with compliance with relevant international standards for medical electrical equipment. The "study that proves the device meets the acceptance criteria" is broadly referred to as "Complete software and system verification and validation including functional, performance and safety requirements" and "Compliance has been demonstrated to the following international standards."
Here's the information extracted and adapted to the best extent possible given the nature of the document:
1. Table of Acceptance Criteria (as implied by comparison to predicates) and Reported Device Performance
The device's performance is implicitly evaluated against the predicate devices for key operational parameters. The document focuses on demonstrating that the Prismaflex® (Software Version 5.10) performs similarly to or within acceptable ranges of the predicate devices.
Acceptance Criteria (Implied by Predicate Performance) | Reported Device Performance (Prismaflex® v5.10) |
---|---|
Dialysate Flow Rate Accuracy | ± 30 ml/hr |
Replacement Flow Rate Accuracy | ± 30 ml/hr |
Blood Flow Rate Accuracy (CRRT) | ±10% of user set point |
Blood Flow Rate Accuracy (TPE) | ±10% of user set rate (if inlet pressure > -250 mmHg, outlet pressure |
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(109 days)
PRISMAFLEX M150 SET
The Prismaflex M150 Set is indicated for use only with the Prismaflex Control Unit in providing continuous fluid management and renal replacement therapies. The system is intended for patients who have acute renal failure, fluid overload, or both.
The Prismatlex disposable sets are sterile disposable extracomoreal circuits containing an AN69 hemofilter/dialyzer and fluid circuit for use with the Prismatlex control Unit. These Prismaflex disposable sets allow the following fluid management and renal replacement therapies to be performed:
- . SCUF: Slow Continuous Ultrafiltration
- CVVH: Continuous Veno-Venous Hemofiltration .
- Continuous Veno-Venous Hemodialysis CVVHD:
- CVVHDF: Continuous Veno-Venous Hemodiafiltration .
The provided text describes a 510(k) premarket notification for the "Prismaflex M150 Set," which is a medical device. This type of submission is for demonstrating substantial equivalence to a predicate device, not for proving novel effectiveness through studies that would typically involve acceptance criteria for artificial intelligence or image processing algorithms.
Therefore, many of the requested points are not applicable to this document as it pertains to a physical medical device (hemofilter and blood tubing set) and not a software algorithm or AI-powered diagnostic tool. The document explicitly states "Summary of Clinical Tests: Not applicable."
Here's a breakdown based on the provided text and the nature of a 510(k) for a physical device:
1. Table of Acceptance Criteria and Reported Device Performance
Not directly applicable as described for AI/algorithm performance. The submission focuses on demonstrating substantial equivalence to a predicate device (Prismaflex M100 Set). The "acceptance criteria" here relate to the non-clinical testing performed to show that the modified device performs as well as the predicate.
Acceptance Criterion (Implicit for Substantial Equivalence) | Reported Device Performance (Summary from Submission) |
---|---|
Design, Function, Composition, and Operation equivalence | "substantially equivalent in design, function, composition, and operation, to the predicate device" |
Performance equivalence through in vitro testing | "demonstrate that the proposed configurations are substantially equivalent to the predicate configurations and are suitable for the intended used." |
Safety and Effectiveness | "demonstrates that it is safe, effective and performs as well as the predicate devices" |
2. Sample Size Used for the Test Set and Data Provenance
Not applicable. The "test set" and "data provenance" concepts are typically used for evaluating algorithms on specific datasets. For this physical device, "in vitro testing" was conducted to compare performance to the predicate device. The document does not specify sample sizes for these in vitro tests, nor does it refer to data provenance in the context of patient data for an algorithm.
3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications
Not applicable. Ground truth establishment by experts is relevant for diagnostic algorithms. This is a physical device, and its performance was assessed through in vitro and manufacturing controls, rather than expert consensus on diagnostic outputs.
4. Adjudication Method for the Test Set
Not applicable. Adjudication methods (e.g., 2+1, 3+1) are used to resolve disagreements in expert interpretations for establishing ground truth for algorithmic evaluation. This process is not relevant to the 510(k) submission for this physical device.
5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done
No. The document explicitly states, "Summary of Clinical Tests: Not applicable." MRMC studies are used to evaluate the impact of a diagnostic aid on human reader performance. This device is a hemofilter and blood tubing set, not a diagnostic aid, and no clinical studies were deemed necessary for this 510(k) submission.
6. If a Standalone (i.e. Algorithm Only Without Human-in-the-Loop Performance) Was Done
Not applicable. This device is a physical medical product, not an algorithm, so the concept of standalone algorithmic performance is irrelevant.
7. The Type of Ground Truth Used
Not applicable. The concept of "ground truth" (expert consensus, pathology, outcomes data) is for evaluating the accuracy of a diagnostic or predictive system against a gold standard. For this physical device, the "ground truth" relates to its physical and functional specifications and its performance metrics (e.g., fluid management, filtration efficacy) which are assessed through engineering and bench testing.
8. The Sample Size for the Training Set
Not applicable. Training sets are used for machine learning algorithms. This document describes a physical medical device.
9. How the Ground Truth for the Training Set Was Established
Not applicable. As above, training sets and their ground truth are for machine learning.
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(186 days)
PRISMAFLEX SYSTEM, VERSION 3.20
The Prismaflex® System is intended for Continuous Renal Replacement Therapy (CRRT) for patients with acute renal failure and/or fluid overload weighing 20 Kilograms or more. All treatments administered via the Prismaflex® must be prescribed via a physician.
The Prismaflex® System is intended for Continuous Renal Replacement Therapy (CRRT) for patients with acute renal failure and/or fluid overload weighing 20 Kilograms or more. All treatments administered via the Prismaflex® must be prescribed via a physician. The goals of acute renal failure treatments are removal of waste products, restoration of acid-base balance; correction of electrolyte imbalances (e.g., hyperkalemia), patient fluid balance, nutritional support, and other conditions in which fluid removal is needed. Prismaflex® System offers four Continuous Renal Replacement Therapy (CRRT) options: Slow Continuous Ultrafiltration (SCUF), Continuous Veno-Venous Hemofiltration (CVVH), Continuous Veno-Venous Hemodialysis (CVVHD), and Continuous Veno-venous Hemodialfiltration (CVVHDF).
The provided text is a 510(k) summary for the Prismaflex® System 3.20. It details the device's intended use, comparison to a predicate device, and non-clinical testing. However, it does not include the specific information requested about acceptance criteria for device performance studies, such as sample sizes for test and training sets, expert qualifications, ground truth establishment, or any information regarding multi-reader multi-case studies or standalone algorithm performance.
The document states that the non-clinical testing for the Prismaflex® System 3.20 demonstrated its safety and effectiveness and that it "performs as well as or better than the legally marketed predicate device." This implies that the acceptance criteria for the new device were alignment with or improvement upon the performance of the predicate device (Prismaflex™ System 1.04).
Below is a summary of the available information and an explicit statement of what is missing based on your request:
1. Table of Acceptance Criteria and Reported Device Performance
The document implicitly uses the performance of the predicate device as the acceptance criteria for the modified device. The table below compares the specifications of the modified device to the predicate device. For some parameters, the modified device's performance aligns with the predicate, while for others (like Dialysate Flow Rate Accuracy, Replacement Flow Rate Accuracy, Pre-Blood Pump Accuracy, and Patient Fluid Removal Performance Range Accuracy), the modified device states a specific accuracy, which could be considered its performance target (acceptance criteria) and reported performance.
Parameter | Predicate Device (Prismaflex™ System 1.04) Acceptance Criteria (Implied) | Modified Device (Prismaflex® System 3.20) Reported Performance |
---|---|---|
Indications for Use | For continuous solute and/or fluid removal in patients with acute renal failure or fluid overload. | For Continuous Renal Replacement Therapy (CRRT) for patients with acute renal failure and/or fluid overload weighing 20 Kilograms or more. Prescribed by a physician. |
Dedicated Disposable Sets Available in U.S. | M60/M100, HF1000 & HF1400 | M60/M100, HF1000 & HF1400 |
Syringe Sizes | 10, 20 & 30 ml | 10, 20, 30 & 50 ml |
Anticoagulation | User-controllable as continuous or bolus | User-controllable as continuous or bolus |
Dialysate Flow Rate (CVVHD & CVVHDF) | 0 to 8000 ml/hr (CVVHD), 0 to 4000 ml/hr (CVVHDF); Increment: 50 ml/hr | 0 to 8000 ml/hr; Increment: 50 ml/hr |
Dialysate Flow Rate Accuracy | ±10% of user-set rate | ± 30 ml/hr |
Replacement Flow Rate (CVVH & CVVHDF) | 0 to 8000 ml/hr (CVVH), 0 to 4000 ml/hr (CVVHDF); Increment: 50 ml/hr | 0 to 8000 ml/hr; Increment: 50 ml/hr |
Replacement Flow Rate Accuracy | ±10% of user-set rate | ± 30 ml/hr |
Blood Flow Rate | 10-450 ml/min. (depends on therapy/set combination) | 10-450 ml/min. (depends on therapy/set combination) |
Blood Flow Rate Accuracy | ±10% of user set point (maintained under specific pressure conditions) | ±10% of user set point (maintained under specific pressure conditions) |
Pre-Blood Pump Flow Rate (SCUF) | 0 to 1,000 ml/hr | 0 to 1,000 ml/hr |
Pre-Blood Pump Flow Rate (CVVH, CVVHD, CVVHDF) | 0 to 8,000 ml/hr | 0 to 8,000 ml/hr |
Pre-Blood Pump Accuracy | ±10% of user-set rate | ± 30 ml/hr |
Effluent Pump Flow Rate | 0 to 10,000 ml/hr (depending on therapy) | 0 to 10,000 ml/hr (depending on therapy) |
ECG Discharger | YES | YES |
Therapies | SCUF, CVVH, CVVHD, CVVHDF | SCUF, CVVH, CVVHD, CVVHDF |
Pumps | Blood access line, Dialysate inlet line, Effluent outlet line, Replacement solution line, Pre blood pump line | Blood access line, Dialysate inlet line, Effluent outlet line, Replacement solution line, Pre blood pump line |
Scales | Dialysate, Replacement, Effluent, Pre blood pump | Dialysate, Replacement, Effluent, Pre blood pump |
Transmembrane Pressure | User settable: +70 to +300 mmHg; Default: +300 mmHg | User settable: +70 to +300 mmHg; Default: +300 mmHg |
Dialysate Conductivity and Temperature | Not controlled by Prismaflex | Not controlled by Prismaflex |
Patient Fluid Removal Performance Range | 0 to 2,000 ml/hr; Increment: 10 ml/hr | 0 to 2,000 ml/hr; Increment: 10 ml/hr |
Patient Fluid Removal Performance Range Accuracy | ± 30 ml/hr, ± 600 ml/24hr (Scales calibrated at ambient temperature, change |
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(73 days)
GAMBRO PRISMAFLEX HF1000 AND HF1400 SETS
The Prismaflex Set is indicated for use only with the Prismaflex Control Unit in providing continuous fluid management and replacement therapies. The system is intended for patients who have acute renal failure, fluid overload, or both.
The Prismaflex disposable sets are sterile disposable extracorporeal circuits containing a PAES hemofilter/dialyzer and fluid circuit for use with the Prismaflex control Unit. These Prismaflex disposable sets allow the following fluid management and renal replacement therapies to be performed:
- SCUF : Slow Continuous Ultrafiltration .
- CVVH : Continous Veno-Venous Hemofiltartion .
- CVVHD : Continous Veno-Venous Hemodialysis .
- CVVHDF : Continuous Veno-Venous Hemodiafiltartion .
The provided text describes a Special 510(k) Notification for the Gambro Prismaflex™ HF 1000 Set and HF 1400 Set. This type of submission generally relies on demonstrating substantial equivalence to existing predicate devices through non-clinical (in vitro) testing, rather than extensive new clinical studies with detailed acceptance criteria as one might find for novel high-risk devices.
Based on the provided text, here's the information:
Acceptance Criteria and Study Findings for Gambro Prismaflex™ HF 1000 Set / HF 1400 Set (K042938)
Overview:
The submission for the Prismaflex™ HF 1000 Set and HF 1400 Set is a Special 510(k) notification, which sought to demonstrate substantial equivalence to legally marketed predicate devices (Gambro Prisma HF1000 Set and Prismaflex M60/M100 Set). The modifications were considered substantially equivalent in design, function, composition, and operation.
1. Table of Acceptance Criteria and Reported Device Performance:
The document does not explicitly present a table of specific acceptance criteria in terms of numerical performance thresholds for the new devices. Instead, the "acceptance criterion" is implicitly demonstrating substantial equivalence to the predicate devices through non-clinical testing.
Acceptance Criterion (Implicit) | Reported Device Performance |
---|---|
Substantial equivalence in design, function, composition, and operation to predicate devices (K011221, K041005) | Non-clinical (in vitro) testing was conducted to compare the performance of the proposed device configurations to the predicate configurations. The results demonstrated that the proposed configurations are substantially equivalent to the predicate configurations and are suitable for the intended use. |
2. Sample Size Used for the Test Set and Data Provenance:
- Test Set Sample Size: The document does not specify the sample size (e.g., number of devices, number of runs) used for the in vitro testing.
- Data Provenance: The study was "in vitro testing," meaning it was conducted in a laboratory setting. The country of origin of the data is not specified, but the submitter is based in Lakewood, CO, USA. The testing was prospective in the sense that it was conducted specifically to support this 510(k) submission.
3. Number of Experts Used to Establish Ground Truth for the Test Set and Qualifications:
- Not applicable. This device relies on "in vitro" non-clinical testing to demonstrate performance equivalence, not clinical data requiring expert review of patient cases.
4. Adjudication Method for the Test Set:
- Not applicable, as no clinical test set requiring expert adjudication was performed.
5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was Done:
- No, an MRMC comparative effectiveness study was not done. The submission is based on non-clinical (in vitro) testing for substantial equivalence, not a clinical study comparing human reader performance.
6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) was Done:
- Not applicable. This is a medical device (hemofilter and blood tubing set) for physical use in therapies, not a software algorithm that performs diagnostic interpretation.
7. The Type of Ground Truth Used:
- The "ground truth" for this submission was established by the performance specifications and characteristics of the legally marketed predicate devices. The new devices were deemed acceptable if their in vitro performance matched that of the predicates, indicating substantial equivalence.
8. The Sample Size for the Training Set:
- Not applicable. There is no mention of a "training set" as this is a traditional medical device submission based on non-clinical comparative testing, not a machine learning model.
9. How the Ground Truth for the Training Set Was Established:
- Not applicable, as there was no training set.
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(171 days)
GAMBRO PRISMAFLEX AND GAMBRO PRISMAFLEX M60 & M100 SETS
The Prismaflex is indicated for the following use:
- continuous solute and/or fluid removal in patients with acute renal failure or fluid overload
All treatments administered by the Prismaflex must be prescribed by a physician.
The Prismaflex System is an acute renal failure treatment device for removal of waste products, restoration of acid-base balance, correction of electrolyte imbalances (eg, hyperkalemia), patient fluid balance, nutritional support, and other conditions in which fluid removal is needed. The system consists of a control unit and a sterile disposable set with a hemofilter/dialyzer. Prismaflex offers four Continuous Renal Replacement Therapy (CRRT) options: Slow Continuous Ultrafiltration (SCUF), Continuous Veno-venous Hemofiltration (CVVH), Continuous Veno-venous Hemodialysis (CVVHD), and Continuous Veno-venous Hemodiafiltration (CVVHDF).
SCUF - Provides fluid removal by ultrafiltration.
CVVH - Provides convective solute clearance by hemofiltration. Can provide net fluid removal if desired.
CVVHD - Provides solute clearance by hemodialysis. Can provide net fluid removal if desired.
CVVHDF - Provides solute clearance by both convection and diffusion. Can provide net fluid removal if desired.
The Prismaflex performs the following functions related to the administration of supported therapies:
- Automatically loads the Gambro Cartridge blood tubing/hemofilter set.
- Primes the Gambro Cartridge set. Automatic or Manual priming may be done. Automatic priming also provides the Gambro Cartridge-specific settings for UFR, priming volume and other process parameters. Manual priming allows the operator to manually select and control these priming parameters.
- Pumps blood through the blood flowpath of the Gambro Cartridge and delivers anticoagulant to the blood flowpath. Anticoagulant may be delivered continuously from an anticoagulant-filled syringe loaded into the syringe pump or via infusion using the Pre-Blood Pump infusion pump.
- Controls fluid removal from the patient. Calculates and controls the effluent pump rate required to achieve the current patient Fluid Removal Rate set by the operator from various inputs including the dialysate and/or replacement pump flow(s).
- Delivers sterile replacement solution from pre-prepared bags.
- Pumps dialysate solution from pre-prepared bags.
- Monitors, displays, and charts treatment data.
- Monitors the system and alerts the operator to abnormal situations through alarms. An alarm is indicated by the alarm name and appropriate control buttons appearing on the machine display; by a red or yellow alarm light; and by an audible alarm (beeping sound).
- Provides automatic rinseback of blood in the Gambro Cartridge, if desired. If enabled, Auto Rinseback controls the blood pump rate and saline volume pumped, according to preset values. Manual Rinseback can also return blood, where the operator controls the blood pump and saline volume.
- Records patient prescription data on a removable storage media.
The provided document is a 510(k) premarket notification for a medical device (Gambro Prismaflex™ System) and does not contain information about a study proving the device meets specific acceptance criteria in the context of an AI/ML model for diagnostic or predictive purposes.
Instead, the document describes the regulatory approval process for a medical device that performs continuous renal replacement therapy (CRRT). The "acceptance criteria" and "study" mentioned in the document relate to the device's engineering specifications, safety standards, and performance to ensure it functions as intended for patient treatment.
Therefore, I cannot populate the requested table and answer the study-related questions (2-9) in the context of an AI/ML model. The information present focuses on:
- Device Description: What the Prismaflex System does and its different therapeutic modes (SCUF, CVVH, CVVHD, CVVHDF).
- Technological Characteristics: General comparison to predicate devices regarding flow rates, pressures, and anticoagulation.
- Non-Clinical Tests: Verification and validation against design specifications and adherence to international safety and quality standards (e.g., IEC 60601 series, IEC 14971, ISO/IEC 12207, ISO 10993-1, AAMI/ISO 1135). These tests confirm the device's electrical safety, electromagnetic compatibility, software lifecycle processes, risk management, and the biocompatibility and sterility of the disposable sets.
- Clinical Tests: Stated as "Not applicable," meaning a separate clinical trial for the device's effectiveness or safety in a human population beyond what was needed for predicate equivalence was not required for this 510(k) submission. For medical devices, substantial equivalence to a legally marketed predicate device is often established through non-clinical performance testing without new clinical studies.
In summary, the document addresses the regulatory approval of a hardware medical device, not an AI/ML diagnostic or predictive tool.
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