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510(k) Data Aggregation

    K Number
    K200190
    Device Name
    ScalpelCric
    Date Cleared
    2020-10-30

    (277 days)

    Product Code
    Regulation Number
    868.5090
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    ScalpelCric

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

    Emergency airway access via the cricothyroid membrane. Life-threatening dyspnoea that cannot be controlled in any other way.

    Device Description

    Surgical Cricothyrotomy set for securing the airway in case of upper airway obstruction, respectively as "Ultima Ratio" if all other attempts to ventilate the patient failed. The set consists of scalpel, bougie, tube, extension tube with swivel connector, syringe and necktape.

    AI/ML Overview

    The provided text is a 510(k) Premarket Notification for the ScalpelCric device, a cricothyrotomy set. It details the device's characteristics, intended use, and comparison to a predicate device to establish substantial equivalence.

    However, this document does not contain information about a study that assesses the device's performance against specific acceptance criteria in the context of an AI/human-in-the-loop system, or a multi-reader multi-case (MRMC) study. The document focuses on the physical and biological characteristics of the medical device itself, its sterilization, biocompatibility, and bench testing, rather than a performance study involving diagnostic accuracy, expert review, or AI assistance.

    Therefore, I cannot fulfill the request to describe the acceptance criteria and the study proving the device meets them in the context of an AI-assisted diagnostic system, as that information is not present in the provided text.

    The closest information related to "acceptance criteria" is under section 9.4 Bench Testing, which lists features to be tested and the result (all "Passed"). This refers to the physical and functional performance of the device components, not a diagnostic or AI-related performance.

    Here's what I can extract from the provided text regarding device testing, but it's important to note this is not a study proving AI performance as requested:

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

    The document provides a table under "9.4 Bench Testing" (page 10), which lists various tests performed on the components of the ScalpelCric set. The "Features to be tested" can be considered the acceptance criteria for those specific physical/functional aspects, and the "Result" indicates "Passed" for all.

    Object under TestFeatures to be tested (Acceptance Criteria)Reported Device Performance
    Bonding ConnectorBonding between connector and tubePassed
    Bonding Inflation LineBonding between inflation line and tubePassed
    15mm ConnectorDimensions of 15mm ConnectorPassed
    Luer Pilot BalloonDimensions of the female luer connector in the pilot balloonPassed
    CuffFunction of the CuffPassed
    ScalpelFunction and design of the scalpelPassed
    BougieBougie which shall fulfill all relevant specification according [DI] and [MS_Bougie].Passed
    TubeFunction and dimensions of the tubePassed
    TubeTube is recognizable in X-Ray imagesPassed
    Extension TubeFunction and dimension of the extension tubePassed
    Neck TapeNeck tape which shall fulfill all relevant specification according [DI] and [MS_NT] after 4 times sterilizationPassed
    SyringeFunction of the syringePassed
    Tube with inflation line and cuff,Function and features of the tube with attached inflation line and pilot balloon and with cuffPassed
    ScalpelCricBiological compatibilityPassed
    MaterialFunction and ingredient of the ScalpelCric materialsPassed
    Tube and extension TubeOxygen resistance of Tube and Extension tubePassed
    LabelDevice LabelPassed
    BougieDevice Label BougiePassed
    IFUIFU which shall contain all relevant information regarding [DI] and [ER].Passed
    ScalpelCricScalpelCric Set can be used in Operating conditionPassed
    ScalpelCricFunctionality after simulated transportPassed
    Transport ValidationFunctionality after simulated transportPassed
    SafetyVerify implementation and effectiveness of all Risk Control Measures defined in the Risk AnalysisPassed
    Suction CapConnecting tube with open suction cap during ventilationPassed
    User NeedsUser Needs for ScalpelCric, defined in [SoP]Passed
    ScalpelCricUsabilityPassed
    HeaderbagRequirements of DIN EN ISO 11607-1 and DIN EN ISO 11607-2.Passed
    SterilizationSterilization Requirements for ScalpelCricPassed
    Business NeedsBusiness Needs for ScalpelCricPassed
    Label Sterile PackagingSterile packaging label which shall contain all relevant information regarding the [SFL], [DI] and [ER].Passed
    Label Outer PackagingOuter packaging label which shall contain all relevant information regarding the [SFL], [DL] and [ER]Passed
    PackagingPackaging Requirements for ScalpelCricPassed
    Accelerated Aging SyringeQuality of the syringe after 5 years accelerated agingPassed
    Accelerated aging of PouchFunction of the sterile packaging after 5 years accelerated agingPassed
    BougieBougie shall fulfill all relevant specifications after 1 year accelerated agingPassed
    ScalpelFunction of the scalpel after accelerated aging 1 yearPassed
    ScalpelCricScalpel Cric Set application oxygen resistance after 1 year accelerated agingPassed
    SurgicricFunction and dimension after 5 years accelerated aging of the Surgicric and the function of the sterile packaging.Passed
    Surgicricare identical to the devices in ScalpelCric.Passed
    SurgicricFunction and dimension after 3 years real time aging of the Surgicric including Tubus and the function of the sterile packaging. The tested tube and sterile packaging are identical to the devices in ScalpelCric.Passed
    SyringeQuality of the syringe after 3 years real time agingPassed
    BougieBougie shall fulfill all relevant specifications after 5 years accelerated agingPassed
    ScalpelFunction of the scalpel after 5 years accelerated agingPassed
    ScalpelCric SetApplication oxygen resistance after 5 years accelerated agingPassed
    Cuff Tube Collapse included in the ScalpelCric after 5 years of accelerated aging.Test required by DIN EN ISO 5361:2013-03, Annex C: Resistance of the VBM tracheal tube ventilation lumen collapse with cuff inflated inside a cylinder.Passed

    The remaining requested information (sample size, data provenance, experts, adjudication, MRMC, standalone, ground truth type, training set details) is NOT available in the provided document, as it pertains to a different type of device evaluation (e.g., AI/diagnostic performance) than what is described here. This document is focused on the substantial equivalence of a physical medical device (a cricothyrotomy set) to a predicate device.

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