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510(k) Data Aggregation

    K Number
    K213002
    Date Cleared
    2021-10-14

    (24 days)

    Product Code
    Regulation Number
    870.1340
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Scorpion Portal Vein Access Set is intended for transjugular liver access in diagnostic and interventional procedures.

    Device Description

    Each Portal Vein Access Set contains a 5F MPA catheter, a puncturing tool that comes in the following variations: 0.040" Stylet with a 5Fr Stylet Catheter (separated with a removable spacer clip) and a 14ga Stiffening Cannula with a 7F Cannula Sheath or 17ga Needle with a 6.2F Catheter (separated with a removable spacer clip) and a 13ga Stiffening Cannula with an 8F Cannula Sheath. The stiffening cannulas and the stylet/needle puncturing tools have curved distal ends, with directional handles that indicate the direction of the curves, which facilitate access into the hepatic vasculature and the creation of a pathway into the portal vein.

    AI/ML Overview

    The provided text describes a 510(k) premarket notification for a medical device called the "SCORPION Portal Vein Access Set." This report is for a device and not an AI/ML product, so many of the requested fields are not applicable.

    Here's the information gleaned from the document:

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

    Acceptance CriteriaReported Device Performance
    Functional FitMet
    HemostasisMet
    LeakMet
    Simulative Use (including component compatibility)Met
    Radiopacity (leveraged from predicate)Met
    Echogenicity (leveraged from predicate)Met
    Corrosion Resistance (leveraged from predicate)Met
    Dimensional & Functional Fit (leveraged from predicate)Met
    Tensile Strength (leveraged from predicate)Met
    Torque Strength Test (leveraged from predicate)Met
    Liquid Leakage (leveraged from predicate)Met
    Air Leakage (leveraged from predicate)Met
    Burst Pressure (leveraged from predicate)Met
    Flow Rate (leveraged from predicate)Met
    Simulative Use - performance testing including dimensional, surface and compatibility of components (leveraged from predicate)Met
    Luer Functional Testing (leveraged from predicate)Met
    Shipping Test (leveraged from predicate)Met
    Resistance to Fracture Testing (leveraged from predicate)Met
    Biocompatibility (leveraged from predicate): Cytotoxicity (ISO 10993-5)Met
    Biocompatibility (leveraged from predicate): Sensitization (ISO 10993-10)Met
    Biocompatibility (leveraged from predicate): Intracutaneous Irritation (ISO 10993-10)Met
    Biocompatibility (leveraged from predicate): Acute Systemic Toxicity (ISO 10993-11)Met
    Biocompatibility (leveraged from predicate): Material Mediated Pyrogen (ISO 10993-11)Met
    Biocompatibility (leveraged from predicate): Hemocompatibility (ISO10993-4) - ASTM Hemolysis – Direct and Indirect ContactMet
    Biocompatibility (leveraged from predicate): Hemocompatibility (ISO10993-4) - Complement Activation, SC5b-9Met
    Biocompatibility (leveraged from predicate): Hemocompatibility (ISO10993-4) - In Vivo ThrombogenicityMet
    Biocompatibility (leveraged from predicate): Hemocompatibility (ISO10993-4) - Platelet and Leucocyte countsMet
    Biocompatibility (leveraged from predicate): Hemocompatibility (ISO10993-4) - Partial Thromboplastin Time (PTT)Met

    2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)
    The document does not specify a distinct "test set" in the context of an AI/ML model. The evaluation is based on non-clinical performance and biocompatibility testing of the physical medical device and its components. No information is provided regarding data provenance as this is not a data-driven AI/ML study.

    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. This is a medical device submission, not an AI/ML study relying on expert-established ground truth from images or data.

    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set
    Not applicable. This is a medical device submission, not an AI/ML study requiring adjudication of expert interpretations.

    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 is a medical device submission, not an AI/ML assistance device.

    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done
    Not applicable. This is a physical medical device, not an algorithm. Performance is assessed through non-clinical testing of the device itself.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.)
    The "ground truth" for this device is established through engineering and biocompatibility standards and specifications. For example, "Hemostasis" acceptance criteria would be based on validated methods to demonstrate the device prevents blood leakage, not expert consensus on images.

    8. The sample size for the training set
    Not applicable. This is a medical device submission, not an AI/ML product that undergoes a training phase.

    9. How the ground truth for the training set was established
    Not applicable. This is a medical device submission, not an AI/ML product.

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