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The ReSolve® Biliary Drainage Catheter with locking pigtail and hydrophilic coating is used for drainage of bile within the biliary system.

The ReSolve® Biliary Locking Drainage Catheter consists of single lumen tubing with 17 to 18 drainage holes (depending on the French size of the catheter) and a single dedicated suture hole. One of the drainage holes doubles as a suture hole. The tubing is made from a polyurethane material. A hydrophilic coating reduces entry site/catheter friction during placement. The catheter is offered in two drainage hole configurations. The RBC (long) configuration has a lesion gap (distance between the proximal pigtail and the distal shaft drainage hole) of 5 cm. The RBDC (standard) has a lesion gap of 2 cm. The components of the catheter allow initial placement using an over-the-wire technique. These include a metal stiffening cannula, flexible stiffening cannula, pigtail straightener and repositioning tool. The hubs of the flexible and metal stiffening cannula are color coded for catheter French size identification. The pigtail straightener is provided to assist in feeding the guide wire through the catheter. A dead end cap is included to prevent fluid from exiting the catheter after placement. Once the catheter position is established in the area to be drained, the pigtail is formed by retracting a suture which is looped from the hub to catheter tip then back to the hub. The hub incorporates a suture locking mechanism to retain the distal pigtail shape. It may be unlocked using the repositioning tool to allow repositioning or replacement of the catheter. A single radiopaque marker band is located proximal to the most proximal drainage hole to assist in accurate placement of the drainage holes in the biliary duct. In addition, the shaft of the catheter is printed with markings for the clinician to determine how deep the catheter is in the patient. The catheter is available in the same sizes 8.5F, 10F, 12F, and 14F with the same useable length, 40 cm, as the predicate device. The ReSolve® Biliary Locking Drainage Catheter is a single use device that is supplied sterile and non-pyrogenic. The device is marketed with the following components, depending on the product configuration: StayFIX® or Revolution™ catheter securement device.

The provided document is a 510(k) premarket notification for a medical device (ReSolve® Biliary Locking Drainage Catheter) and focuses on demonstrating substantial equivalence to a predicate device. It does not contain information about a study proving the device meets specific acceptance criteria related to AI or algorithmic performance. The studies mentioned are primarily bench tests and biocompatibility tests for the physical device.

Therefore, most of the requested information regarding AI/algorithmic performance, such as sample sizes for test/training sets, ground truth establishment, expert adjudication, or MRMC studies, cannot be extracted from this document.

However, I can provide what is available regarding the safety and performance tests performed on the physical device.

1. Table of acceptance criteria and the reported device performance:

The document lists various Safety & Performance Tests, implying that for each of these tests, specific acceptance criteria would have been met to deem the device safe and effective and substantially equivalent to the predicate. However, the specific quantitative acceptance criteria or the detailed reported performance results are not provided in this summary. The document only lists the types of tests conducted.

The document concludes that "Based on the indications for use, design, safety and performance testing, the subject ReSolve® Biliary Locking Drainage Catheter meets the requirements that are considered essential for its intended use and is substantially equivalent to the predicate device, the ReSolve® Biliary Locking Drainage Catheter, K131832." This statement indicates that all safety and performance tests were successfully completed and the device performed as expected against established criteria (though not explicitly detailed).

Regarding the other points, the document is a 510(k) submission for a physical medical device and does not pertain to AI/algorithmic performance. Therefore, the following information is not available:

2. Sample sizes used for the test set and the data provenance (e.g., country of origin of the data, retrospective or prospective): Not applicable, as this is a physical device, not an AI algorithm. The performance tests mentioned are bench tests.
3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g., radiologist with 10 years of experience): Not applicable. "Ground truth" in this context would refer to defined physical or chemical properties, not expert-derived labels.
4. Adjudication method (e.g., 2+1, 3+1, none) for the test set: Not applicable.
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 not an AI for human reader assistance.
6. If a standalone (i.e., algorithm only without human-in-the-loop performance) was done: Not applicable.
7. The type of ground truth used (expert consensus, pathology, outcomes data, etc): For the physical device, "ground truth" refers to specifications, standards, and established metrics for physical and chemical properties and performance (e.g., tensile strength, leak rates, biocompatibility test results).
8. The sample size for the training set: Not applicable (no AI training set).
9. How the ground truth for the training set was established: Not applicable (no AI training set).

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The ReSolve® Biliary Locking Drainage Catheter with locking pigtail and hydrophilic coating is used for drainage of bile within the biliary system.

The ReSolve® Biliary Locking Drainage Catheter consists of single lumen tubing with two suture holes and 17 to 18 drainage holes in the distal curve region. It is made from a biocompatible thermoplastic. A hydrophilic coating reduces entry site/catheter friction during placement. The components of the catheter allow initial placement using an over-the-wire technique. These include a metal stiffening cannula, flexible stiffening cannula, straightener, and repositioning tool. The pigtail straightener is provided to assist in feeding the guide wire through the catheter. Once the catheter position is established in the area to be drained, the pigtail is formed by retracting a suture which is looped from the hub, to the catheter tip and back to the hub. The hub incorporates a suture locking mechanism to retain the distal pigtail shape. It may be unlocked using the repositioning tool to allow repositioning or replacement of the catheter. A single radiopaque marker band is located proximal to the most proximal drainage hole to assist in accurate placement of the drainage holes in the biliary duct.

Here's a summary of the acceptance criteria and the study that proves the device meets them, based on the provided text:

Device: ReSolve® Biliary Locking Drainage Catheter

1. Table of Acceptance Criteria and Reported Device Performance

The provided document describes a "Special Premarket Notification 510(k)" for the ReSolve® Biliary Locking Drainage Catheter. This type of submission relies on demonstrating substantial equivalence to a predicate device rather than presenting new clinical efficacy data. As such, the "acceptance criteria" are primarily related to safety and performance testing to ensure the device performs as intended and is safe for its stated use, and that these characteristics are substantially equivalent to the predicate device.

The document lists various tests performed, indicating that the device "met the pre-determined acceptance criteria applicable to the safety and efficacy of the device." However, it does not explicitly quantify the specific acceptance thresholds for each test. For example, it lists "Hub Leak" as a test but doesn't state "leakage must be less than X mL/hr."

Below is a table summarizing the tests performed and the general reported performance.

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

The document does not specify the sample sizes used for each of the performance and safety tests listed. The data provenance is implied to be from internal testing conducted by Merit Medical Systems, Inc. There is no information regarding the country of origin of the data or whether the tests were retrospective or prospective, though device performance testing is typically prospective (i.e., conducted specifically for the submission).

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

This section is not applicable to this submission. The "ground truth" concept, especially involving expert consensus or adjudication, is typically relevant for studies validating diagnostic algorithms (e.g., AI in radiology) where a human expert's judgment or a definitive diagnostic method is used as the reference standard. This document describes a 510(k) submission for a physical medical device (a catheter) based on performance testing and substantial equivalence, not a diagnostic algorithm. Therefore, no experts were used to establish "ground truth" in this context.

4. Adjudication Method for the Test Set

This section is not applicable for the same reasons as point 3. Adjudication methods like "2+1" or "3+1" are used in studies involving subjective assessments or disagreements among experts, which is not the case for the physical and biocompatibility tests described for this catheter.

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

This section is not applicable. An MRMC study is relevant for evaluating the performance of diagnostic imaging devices or AI algorithms that assist human readers. The ReSolve® Biliary Locking Drainage Catheter is a physical therapeutic device, not an imaging device or an AI assistant. Therefore, no MRMC study was conducted.

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

This section is not applicable. This refers to the standalone performance of an AI algorithm, which is not relevant for a physical medical device like a catheter.

7. The Type of Ground Truth Used

The "ground truth" in this context is established by objective engineering specifications, material standards, and biological safety standards. For example:

• Engineering Specifications: Dimensional tolerances, tensile strength requirements, leak rates, kink resistance, marker band adhesion force.
• Material Standards: Biocompatibility (cytotoxicity, irritation, systemic toxicity, pyrogenicity, chemical characterization) as defined by ISO 10993 series and USP 34.
• Sterilization and Packaging Standards: Requirements for ethylene oxide sterilization (ISO 11135-1), residuals (ISO 10993-7), accelerated aging of sterile barriers (ASTM F 1980-07), and shipping performance (ASTM D4169-09).

8. The Sample Size for the Training Set

This section is not applicable. There is no "training set" in the context of a physical medical device like this catheter. Training sets are used for machine learning or AI algorithms.

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

This section is not applicable for the same reasons as point 8.

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