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510(k) Data Aggregation

    K Number
    K241888
    Date Cleared
    2024-12-20

    (175 days)

    Product Code
    Regulation Number
    876.5010
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    Single-use Balloon Dilatation Catheter

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

    This device is indicated for use in adult and adolescent populations to endoscopically dilate strictures of the gastrointestinal tract. It is also indicated in adults for endoscopic dilatation of Sphincter of Oddi with or without prior sphincterotomy.

    Device Description

    According to the structure of the device, it can be divided into three types, RX type, OTW type and OTW with Stainless Wire-guided type. The Rx proposed device mainly consists of tip, balloon, marker band, shaft, sleeve, stress diffusion tube and hub. The OTW proposed device mainly consists of tip, balloon, marker band, shaft, stress diffusion tube and hub. The structure of the OTW with Stainless Wire-guided model same with the structure of OTW model. The difference between OTW with Stainless Wire-guided type catheter and OTW type catheter is that OTW with Stainless Wire-guided type catheter is preloaded with a guide wire and a guide wire locking component. The difference between the RX type catheter and the OTW series catheter is that the guidewire exit position is different. The guide wire of OTW series catheter passed through the guide wire lumen of the catheter. The guidewire of the Rx type catheter will pass through the guidewire exchange port on the shaft.

    Single-use Balloon Dilatation Catheter is divided into different specifications. Shafts are available in two different diameters. The effective length of the catheter is 180cm and 240cm. Balloon diameters are available in six different diameters 6-7-8mm, 8-9-10 mm, 12-13.5-15 mm, 15-16.5-18 mm, 18-19-20 mm, and the balloon lengths are available in 30 mm,55 mm and 80 mm three different length.

    AI/ML Overview

    The provided FDA 510(k) summary for the "Single-use Balloon Dilatation Catheter" (K241888) details a non-clinical study to demonstrate substantial equivalence to predicate devices, rather than an AI/ML software performance study. Therefore, most of the requested information regarding AI/ML device acceptance criteria, human reader studies, and ground truth establishment for AI/ML models is not applicable to this document.

    The document describes performance testing for a physical medical device. Here's a breakdown of the applicable information:

    1. Table of Acceptance Criteria and Reported Device Performance:

    The document states: "All the test results demonstrate proposed device meet the requirements of its pre-defined acceptance criteria and intended uses." However, it does not provide a specific table detailing the exact quantitative acceptance criteria for each test and the corresponding measured performance values. It lists the types of tests performed.

    Test CategoryAcceptance Criteria (Generic Statement)Reported Device Performance (Generic Statement)
    Dimension TestMet predefined dimensional specificationsMet specifications
    AppearanceConformed to visual quality standardsConformed to standards
    Compatibility TestCompatible with intended accessories/systemsDemonstrated compatibility
    Delivery and Retrieval ForceWithin acceptable force limits for safe delivery/retrievalMet force limits
    Peak Tensile ForceWithstood specified tensile forces without failureWithstood forces
    Burst PressureWithstood specified internal pressures without burstingMet burst pressure requirements
    Kink StabilityDemonstrated resistance to kinkingDemonstrated good kink stability
    Corrosion Resistance TestResisted corrosion in specified environmentsShowed resistance to corrosion
    Air LeakageNo detectable air leakage at specified pressuresNo air leakage detected
    Liquid LeakageNo detectable liquid leakage at specified pressuresNo liquid leakage detected
    Luer ConnectorConformed to ISO 80369-7 standards for luer connectorsComplied with ISO 80369-7
    RadiopacityMet ASTM F640-20 standards for radiopacityComplied with ASTM F640-20
    Balloon Burst PressureWithstood specified pressures before rupturingMet burst pressure requirements
    Balloon ComplianceExhibited expected compliance characteristicsDemonstrated expected compliance
    Balloon Deflation TimeDeflated within specified time limitsDeflated within limits
    Balloon FatigueWithstood specified fatigue cycles without failurePassed fatigue testing
    Sterilization (SAL)SAL of 10^-6 (ISO 11135:2014)Achieved 10^-6 SAL
    EO & ECH ResidualsBelow limits specified in ISO 10993-7:2008Below specified limits
    Bacterial EndotoxinsBelow 20 EU/device (USP )Below 20 EU/device
    Shelf-lifeDemonstrated performance for proposed 3-year shelf-life (ASTM F1980-16)Validated 3-year shelf-life
    Package Integrity (Visual Insp.)Conform to ASTM F1886/F1886M-16Conformed
    Package Integrity (Seal Strength)Conform to ASTM F88/F88-21Conformed
    Package Integrity (Dye Penetration)Conform to ASTM F1929-15Conformed
    Biocompatibility (Cytotoxicity)No cytotoxicity (ISO 10993-5:2009)No cytotoxicity
    Biocompatibility (Sensitization)No sensitization (ISO 10993-10:2021)No sensitization
    Biocompatibility (Intracutaneous Reactivity)No intracutaneous reactivity (ISO 10993-10:2021)No intracutaneous reactivity
    Biocompatibility (Systemic Toxicity)No acute systemic toxicity (ISO 10993-11:2017)No acute systemic toxicity
    Biocompatibility (Pyrogen)No pyrogen (USP)No pyrogen

    2. Sample sizes used for the test set and data provenance:
    The document states "The performance testing conducted on subject device and predicate device are listed below." and mentions "ASTM F3172 Standard Guide for Design Verification Device Size and Sample Size Selection for Endovascular Devices". This suggests that standard device testing sample sizes were used in accordance with this guideline, but the specific sample sizes for each test are not explicitly stated in this summary.
    Data provenance: This is a physical device, so "data provenance" would refer to the testing conditions and results. The tests were performed in a lab setting to verify design specifications and compliance with international standards (e.g., ISO, ASTM, USP). The country of origin for the testing is not specified, but the applicant company is Leo Medical Co., Ltd. in China. The data is prospective as it's generated through device testing.

    3. Number of experts used to establish the ground truth for the test set and qualifications of those experts:
    This question is not applicable as this is a physical device performance study, not a study involving human reader interpretation of images or AI/ML model output requiring "ground truth" established by experts in a clinical context. The "ground truth" for these tests are the physical measurements and compliance with engineering and material standards.

    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set:
    This is not applicable as it's a physical device performance study. Adjudication methods are typically for clinical consensus on ground truth in image interpretation or diagnosis, not for engineering performance tests.

    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 is not applicable. No MRMC study was performed as this is not an AI/ML-assisted diagnostic device. The document explicitly states: "No clinical study is included in this submission."

    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done:
    This is not applicable. This is not an algorithm, but a physical medical device.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.):
    For this physical device, the "ground truth" for the non-clinical tests is based on established engineering and material science standards, measurements, and pre-defined acceptance criteria. For example, burst pressure is measured against a standard, biocompatibility is assessed against ISO 10993, and sterility against ISO 11135.

    8. The sample size for the training set:
    This is not applicable. No training set was used as this is a physical device, not an AI/ML model being "trained."

    9. How the ground truth for the training set was established:
    This is not applicable. No training set was used.

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