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510(k) Data Aggregation

    K Number
    K192422
    Date Cleared
    2019-10-04

    (30 days)

    Product Code
    Regulation Number
    870.1280
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Steerable Introducer is intended for percutaneous catheter introduction into the vasculature and into the chambers of the heart. The sheath deflection facilitates catheter positioning.

    Device Description

    The Steerable Introducer consists of a single use, bi-directional steerable sheath connected to a handle with steering controls, a hemostasis valve with side port and 3-way stopcock, a tapered dilator and compatible guidewire. The device is provided sterile in a sealed Tyvek pouch and carton with IFU.

    The sheath distal tip and dilator shaft are radiopaque for visualization under fluoroscopy. The dilator is designed to accommodate a guidewire and includes a proximal hub with a female luer tapered fitting for flushing.

    AI/ML Overview

    This document is a 510(k) premarket notification for a medical device (Steerable Introducer 12F), seeking a determination of substantial equivalence to a predicate device. It details the device's technical characteristics, intended use, and performance data from various tests. However, it does not describe an AI/ML-based device or its acceptance criteria and study in the context of AI/ML performance.

    The information provided in the document refers to a physical medical device (a steerable catheter introducer) and its non-AI related performance testing (e.g., dimensional, material, mechanical, biocompatibility, sterilization).

    Therefore, I cannot extract the information required by your prompt, as it specifically asks for details related to an AI/ML device's acceptance criteria and the study proving it meets those criteria.

    The provided text does not contain any information about:

    1. AI/ML Acceptance Criteria or Device Performance: There is no mention of metrics like sensitivity, specificity, AUC, or any other performance indicators typically used for AI/ML models.
    2. Test Set Sample Size or Data Provenance: This document is about a physical medical device, not a software algorithm tested on data.
    3. Experts for Ground Truth/Adjudication: This concept is not applicable here.
    4. MRMC Comparative Effectiveness Study: Not relevant for a physical device.
    5. Standalone AI Algorithm Performance: There is no AI algorithm.
    6. Type of Ground Truth: Not applicable.
    7. Training Set Sample Size or Ground Truth Establishment: Not applicable.

    The document focuses on:

    • Device Description: Physical attributes and components.
    • Intended Use & Indications for Use: What the device is meant to do (introduce catheters into the heart).
    • Technological Characteristics: How it operates (bi-directional steering, radiopacity).
    • Performance Data: Bench testing (e.g., deflection, kink resistance, hemostasis), biocompatibility testing (ISO 10993-1), and sterilization methods, all aimed at demonstrating the device's safety and effectiveness as a physical product.
    • Substantial Equivalence Claim: Comparing the new device's features and performance to a legally marketed predicate device (FlexCath Advance K123591) to show it's "as safe and effective."

    In conclusion, based on the provided text, I cannot answer your request as it pertains to AI/ML device performance and testing. The document describes a traditional physical medical device.

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    K Number
    K191190
    Date Cleared
    2019-08-01

    (90 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 8.5F Steerable Introducer is intended to provide a conduit allowing introduction, removal, and exchange of compatible therapeutic and/or diagnostic tools into the cardiovascular system while maintaining hemostasis. The device facilitates access to the left and right sides of the heart, including left atrium and left ventricle access through the interatrial septum. It features a deflectable distal tip that enables guidance of compatible tools.

    The Steerable Introducer is indicated when introducing various cardiovascular catheters into the heart, including the left side of the heart through the interatrial septum.

    Device Description

    The steerable introducer consists of a steerable sheath connected to a handle with steering controls, a hemostasis valve with sideport featuring a 3-way stopcock, and a tapered dilator. The device is provided sterile in a sealed Tyvek pouch and carton with IFU. The sheath distal tip and dilator shaft are radiopaque for visualization under fluoroscopy. The dilator is designed to accommodate a guidewire, with size compatibility as indicated on the product labels. A dilator hub is provided with a female luer tapered fitting for flushing (see illustration below). The device includes a side port with stopcock to allow fluid injection and sampling, drip infusion, pressure monitoring, flushing and aspiration.

    The steerable introducer usable length, lumen length, outer diameter, curl size, and inner diameter/tool compatibility specifications are indicated on the product labels. The distal end of the steerable sheath features 180° bi-directional deflection to provide directional control to the compatible tools interacting with the device.

    AI/ML Overview

    This document describes the Steerable Introducer 8.5F, a medical device for introducing cardiovascular catheters. The information provided focuses on the device's design, intended use, and the performance data submitted to the FDA for 510(k) clearance.

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

    1. Table of Acceptance Criteria and Reported Device Performance

    The acceptance criteria are not explicitly defined with numerical targets in the provided text. Instead, the document states that the device was tested to "meet the device intended use and to ensure conformance to the product specifications" and "meets all its physical and performance specifications." The performance data section lists the types of tests conducted and generally states that the device "passed" or "meets" these specifications.

    Therefore, the table can be constructed as follows:

    Acceptance Criteria (Implied)Reported Device Performance
    Conformity to product specificationsMeets all physical and performance specifications
    Shaft deflectionTested and met specifications
    Simulated UseTested and met specifications
    Torsional stiffnessTested and met specifications
    Radiopacity visualizationTested and met specifications (distal tip and dilator are radiopaque)
    HemostasisTested and met specifications
    Leak testingTested and met specifications
    Guidewire compatibilityTested and met specifications
    Transseptal needle compatibilityTested and met specifications
    Distribution testsTested and met specifications
    Usability studiesTested and met specifications
    Shelf life (functional and mechanical integrity)Passed 13-month accelerated age study; not compromised post-aging
    Biocompatibility (ISO 10993-1 for limited exposure)Satisfies ISO 10993-1 requirements

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

    The document does not specify the sample sizes used for any of the tests listed (e.g., shaft deflection, simulated use, leak testing). It also does not provide information on the data provenance (e.g., country of origin, retrospective or prospective nature). The studies appear to be bench testing and laboratory studies conducted as part of the device development and regulatory submission.

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

    This information is not provided in the document. The studies described are primarily performance and safety tests for a physical medical device, not diagnostic or AI-driven systems requiring ground truth established by medical experts in the traditional sense.

    4. Adjudication Method for the Test Set

    This information is not applicable and not provided. Adjudication methods like 2+1 or 3+1 are typically used in clinical studies or studies involving human assessment where disagreements in interpretation need to be resolved. The studies described are engineering and biological performance tests.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done, and Effect Size

    No, a multi-reader multi-case (MRMC) comparative effectiveness study was not done. This type of study is relevant for evaluating the performance of diagnostic aids (like AI algorithms) by comparing human readers' performance with and without the aid. The Steerable Introducer 8.5F is a physical medical device, not a diagnostic AI system.

    6. If a Standalone Study (Algorithm Only Without Human-in-the-Loop Performance) Was Done

    No, a standalone study in the context of an "algorithm only without human-in-the-loop performance" was not done. This device is a physical tool, not an algorithm. The performance data relates to the physical and mechanical properties of the device itself.

    7. The Type of Ground Truth Used

    The concept of "ground truth" as typically applied to diagnostic or AI studies (e.g., pathology, expert consensus) is not directly applicable here. The "ground truth" for this device's performance studies would be the objective measurements and engineering standards (e.g., a shaft deflecting to a certain angle, a guidewire fitting, no leaks under specific pressure) that define whether the device meets its specifications and intended function. These are inherent physical properties or design requirements.

    8. The Sample Size for the Training Set

    This information is not applicable and not provided. There is no "training set" as this is not an AI/machine learning device. The device's design is based on engineering principles and similarities to predicate devices, not data-driven machine learning.

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

    This information is not applicable and not provided for the same reasons as point 8.

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