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510(k) Data Aggregation

    K Number
    K232443
    Date Cleared
    2023-09-07

    (24 days)

    Product Code
    Regulation Number
    870.5150
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    Single-Loop Snare Retrieval Kit, Triple-Loop Snare Retrieval Kit

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

    Single-Loop Snare Retrieval Kit and Triple-Loop Snare Retrieval Kit are intended for the percutaneous removal of retrievable inferior vena cava (IVC) filters that are no longer medically required, via jugular approach.

    Device Description

    The Single-Loop Snare Retrieval Kit and Triple-Loop Snare Retrieval Kit are single use devices. The disposable system consists of: [A] 9F (ID) Inner Sheath, [B] 11F (ID) Outer Sheath, [C] 8F (OD) Dilator, [D] Hemostasis Valve with Sideport, [E] High Pressure Stopcock, [F] 7F [2.4mm] (OD) x 76cm Snare Catheter with Tuohy-Borst Y-Port Adapter, 20mm x 93cm Single-Loop Snare (fully expanded) or 30mm x 93cm Triple-Loop Snare (fully expanded) with Torque Handle. The snares have radiopaque loops and are preloaded in the snare catheter. The snare catheter, inner sheath, and outer sheath have a radiopaque marker band at the distal tip for enhanced fluoroscopic visualization.

    AI/ML Overview

    The provided text describes a 510(k) premarket notification for a medical device, specifically retrieval kits for inferior vena cava (IVC) filters. The submission focuses on a modification to an existing device.

    Here's an analysis of the acceptance criteria and the study that proves the device meets those criteria, based on the provided document:

    1. Table of Acceptance Criteria and Reported Device Performance

    Since this is a 510(k) submission for a modification to an existing device, the "acceptance criteria" are not explicitly stated as numerical targets in a table. Instead, the acceptance criteria are implicit in meeting the performance standards of the predicate device and ensuring the modification doesn't negatively impact safety or effectiveness. The reported device performance is that all tests met their respective acceptance criteria.

    Acceptance Criteria (Implicit from Predicate & Safety)Reported Device Performance
    Material Properties (Outer Sheath Modification):
    Outer Sheath - VisualMet acceptance criteria
    Outer Sheath - DimensionalMet acceptance criteria
    Outer Sheath - Tensile StrengthMet acceptance criteria
    Outer Sheath - Liquid LeakageMet acceptance criteria
    Outer Sheath - Simulated UseMet acceptance criteria
    Outer Sheath - DelaminationMet acceptance criteria
    Biocompatibility (for modified material):
    Cytotoxicity (ISO 10993-5)Met acceptance criteria
    Sensitization (ISO 10993-10)Met acceptance criteria
    Irritation or Intracutaneous Reactivity (ISO 10993-23)Met acceptance criteria
    Material Mediated Pyrogen (ISO 10993-11)Met acceptance criteria
    Acute Systemic Toxicity (ISO 10993-11)Met acceptance criteria
    Hemocompatibility (ISO 10993-4):Met acceptance criteria
    - ASTM Hemolysis, Direct and ExtractMet acceptance criteria
    - Complement Activation, SC5b-9Met acceptance criteria
    - Partial Thromboplastin (PTT)Met acceptance criteria
    - Platelet and Leukocyte CountMet acceptance criteria
    - In vitro Blood LoopMet acceptance criteria
    Leveraged Non-Clinical Testing (from predicate K191758):
    Visual/Dimensional (Inner Sheath, Dilator, Delivery Catheter, Single-Loop Snare & Triple-Loop Snare)Met acceptance criteria
    Leak Test (Inner Sheath, Dilator and Delivery Catheter)Met acceptance criteria
    Burst TestMet acceptance criteria
    Pull Test/Tensile Strength (Inner Sheath, Dilator, Delivery Catheter, Single-Loop Snare & Triple-Loop Snare)Met acceptance criteria
    Corrosion Resistance (Single-Loop Snare & Triple-Loop Snare)Met acceptance criteria
    Torque Response (Snare Assembly)Met acceptance criteria
    RadiopacityMet acceptance criteria
    Luer TestingMet acceptance criteria
    Contrast Medium InjectionMet acceptance criteria
    High Pressure Stopcock TestingMet acceptance criteria
    Flexural Modulus and Tip Flexibility TestingMet acceptance criteria
    Radial Force TestingMet acceptance criteria
    Design Validation Testing and Summative Usability TestingMet acceptance criteria

    The document explicitly states: "Test results demonstrate that all acceptance criteria were met; therefore, the device meets the established product specifications."

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

    The document does not specify the exact sample sizes used for each individual non-clinical test. It only lists the types of tests performed. The data provenance is not explicitly mentioned in terms of country of origin, but it is implied to be from the manufacturer's internal testing. The tests are non-clinical (bench testing, biocompatibility) rather than human subject studies, so the terms "retrospective or prospective" are not applicable in this context.

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

    This information is not applicable to this submission. The tests performed are non-clinical (mechanical, materials, biocompatibility) and do not involve expert interpretation or ground truth establishment in the way clinical studies with AI algorithms would. The "ground truth" for these tests is based on objective measurements against established engineering and biocompatibility standards (e.g., ISO and ASTM standards).

    4. Adjudication Method for the Test Set

    This is not applicable as the tests are non-clinical and do not involve human interpretation or adjudication.

    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

    A Multi-Reader Multi-Case (MRMC) comparative effectiveness study was not done. This submission is for a physical medical device (retrieval kit) with a material modification, not an AI-powered diagnostic or interpretive device. The document explicitly states: "Clinical testing was not required for the determination of substantial equivalence."

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

    A standalone performance study was not done. This is not an AI device.

    7. The Type of Ground Truth Used (expert consensus, pathology, outcomes data, etc.)

    The "ground truth" for the non-clinical tests is based on:

    • Engineering specifications and standards: For mechanical and dimensional tests (e.g., tensile strength, leak test, burst test, radiopacity, Luer testing, flexural modulus, radial force).
    • Biocompatibility standards: For biocompatibility tests (e.g., ISO 10993 series for cytotoxicity, sensitization, irritation, pyrogenicity, systemic toxicity, hemocompatibility).
    • Simulated use conditions: For tests like simulated use and design validation.

    8. The Sample Size for the Training Set

    This is not applicable as this is not an AI device and therefore has no "training set."

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

    This is not applicable as this is not an AI device and therefore has no "training set" or associated ground truth establishment process.

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    K Number
    K191758
    Date Cleared
    2019-12-17

    (169 days)

    Product Code
    Regulation Number
    870.5150
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    Single-Loop Snare Retrieval Kit, Triple-Loop Snare Retrieval Kit

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

    Single-Loop Snare Retrieval Kit and Triple-Loop Snare Retrieval Kit are intended for the percutaneous removal of retrievable inferior vena cava (IVC) filters that are no longer medically required, via jugular approach.

    Device Description

    The Single-Loop Snare Retrieval Kit and Triple-Loop Snare Retrieval Kit consist of a 9F inner sheath, 11F outer sheath, 8F dilator, hemostasis valve with sideport, high pressure stop-cock, 20mm single-loop snare (fully expanded) or 30mm triple-loop snare (fully expanded), 7F snare catheter, Tuohy-Borst Y-port adapter, and torque handle. The snares have radiopaque loops and are preloaded in the snare catheter. The snare catheter, inner sheath, and outer sheath have a radiopaque marker band at the distal tip for enhanced fluoroscopic visualization. This product does not contain natural rubber latex. The maximum recommended infusion rate is 15mL/sec for power injection of contrast.

    AI/ML Overview

    The provided text describes the 510(k) premarket notification for the "Single-Loop Snare Retrieval Kit" and "Triple-Loop Snare Retrieval Kit." This document focuses on demonstrating substantial equivalence to predicate devices for these medical devices, which are physical instruments used for retrieving IVC filters.

    The information requested in the prompt (acceptance criteria and study details for an AI/software device) is not present in the provided text. The document details non-clinical performance tests for the physical retrieval kits, such as tensile strength, liquid leakage, and biocompatibility, but it does not describe any AI system, its performance metrics, or clinical studies involving human readers or ground truth establishment relevant to an AI/software product.

    Therefore, I cannot provide the requested information based on the given input. The document is about physical medical devices, not AI/software.

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