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510(k) Data Aggregation

    K Number
    K212410
    Date Cleared
    2022-02-01

    (182 days)

    Product Code
    Regulation Number
    884.6180
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    VitaVitro Sperm Washing Medium, VitaVitro Sperm Gradient Medium

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

    Vita Vitro® Sperm Washing Medium is intended for preparation and washing of sperm for use in assisted reproduction procedures. Vita Vitro® Sperm Washing Medium is also intended for use in intrauterine insemination procedures.

    VitaVitro® Sperm Gradient Medium is intended for separation of motile sperm from seminal fluid for use in assisted reproduction procedures.

    Device Description

    VitaVitro® Sperm Washing Medium and VitaVitro® Sperm Gradient Medium are ready-to-use solutions intended for preparing sperm for use in assisted reproductive procedures:

    • VitaVitro® Sperm Washing Medium is for sperm washing and for intrauterine insemination procedures.
    • VitaVitro® Sperm Gradient Medium is for sperm density-gradient centrifugation and separation from seminal fluid.

    Both devices have a similar base formulation; however, the VitaVitro® Sperm Gradient Medium formulation differs as it contains silane silica and does not contain Human Serum Albumin (HSA). The silane silica in the VitaVitro® Sperm Gradient Medium (upper layer 80%) generates the density gradient for sperm separation procedures.

    The subject devices are aseptically filtered, colorless solutions, contained in transparent and sterilized (gamma irradiation) polyethylene terephthalate glycol (PETG) bottles, sealed with high density polyethylene (HDPE) closures, provided in cardboard boxes, individually labeled and with an instruction for use provided as a package insert.

    The devices are provided in the following volumes:

    • VitaVitro® Sperm Washing Medium: 30mL, 60mL, and 125mL
    • VitaVitro® Sperm Gradient Medium: 12mL, 30mL, and 125mL

    Both devices have a two-year shelf-life when stored as recommended. These devices are for single-used only.

    AI/ML Overview

    The provided text describes two medical devices, VitaVitro® Sperm Washing Medium and VitaVitro® Sperm Gradient Medium, and their substantial equivalence to predicate devices. However, the document does not contain information about a study that assesses a device's performance against detailed acceptance criteria in the context of AI/ML or image analysis, which the requested output format implies. The acceptance criteria described are for the physicochemical properties and biological performance of the media themselves, not for an AI device.

    Therefore, many of the requested fields cannot be populated as they are not relevant to the provided text. I will fill in the relevant information based on the provided document.

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

    SpecificationAcceptance Criteria (Subject Devices)Reported Device Performance (Subject Devices)
    Specific gravity (per USP )N/A (Washing Medium), Lower layer 80%: 1.10±0.03 g/mL, Upper layer 40%: 1.05±0.03 g/mL (Gradient Medium)Lower layer 80%: 1.10±0.03 g/mL, Upper layer 40%: 1.05±0.03 g/mL (VitaVitro® Sperm Gradient Medium)
    pH (per USP )7.2 - 7.6 (Washing Medium), 7.4 - 7.8 (Gradient Medium)7.2 - 7.6 (VitaVitro® Sperm Washing Medium), 7.4 - 7.8 (VitaVitro® Sperm Gradient Medium)
    Osmolality (per USP )270-300 mOsm/kg (Washing Medium), Lower layer 80%: 300-360 mOsm/kg, Upper layer 40%: 270-330 mOsm/kg (Gradient Medium)270-300 mOsm/kg (VitaVitro® Sperm Washing Medium), Lower layer 80%: 300-360 mOsm/kg, Upper layer 40%: 270-330 mOsm/kg (VitaVitro® Sperm Gradient Medium)
    Endotoxin (per USP ))No microbial growth
    BiocompatibilityNon-cytotoxic, non-sensitizing, non-irritating (for Sperm Washing Medium)Device formulation demonstrated to be non-cytotoxic, non-sensitizing, and non-irritating.
    Shelf-life2 years2 years (met at time 0 and after accelerated aging)
    Transportation TestingPerformance meets ASTM D4169-16Performed successfully
    Sterile filtration/aseptic fillConforms to ISO 13408-1:2008 and ISO 13408-2:2018Performed successfully
    Sperm Assessment (Gradient Medium)Effectiveness in sperm separation (motility, morphology, viability, purity)Assessed for effectiveness when used as intended. (Specific quantitative results not provided in this summary)

    2. Sample size used for the test set and the data provenance

    The document does not specify a distinct "test set" in the context of AI/ML or image analysis. Performance testing was conducted on samples of the media devices themselves. The provenance of the data (e.g., country of origin, retrospective/prospective) is not mentioned for these tests.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

    Not applicable. The ground truth for the performance of these media is established by standardized laboratory tests (e.g., USP monographs, ISO standards, ASTM standards) rather than expert consensus on complex diagnostic interpretations.

    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

    Not applicable. This concept is typically relevant for studies involving human interpretation and is not mentioned for the chemical, physical, and biological testing of these media.

    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 not an AI/ML device, nor does the document describe any MRMC studies involving human readers or AI assistance.

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

    Not applicable. This is not an AI/ML device.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc)

    The ground truth for the media's performance is established through:

    • Standardized analytical measurements (e.g., pH, osmolality, specific gravity, endotoxin levels).
    • Standardized microbiological testing (sterility).
    • Standardized biological assays (Human Sperm Survival Assay, biocompatibility tests).
    • Functional assessment of sperm separation effectiveness.

    8. The sample size for the training set

    Not applicable. This is not an AI/ML device; there is no "training set."

    9. How the ground truth for the training set was established

    Not applicable.

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