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510(k) Data Aggregation

    K Number
    K172899
    Device Name
    Vygon PICCs
    Manufacturer
    Date Cleared
    2018-02-26

    (157 days)

    Product Code
    Regulation Number
    880.5970
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    Vygon PICCs

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

    The catheter is indicated for short or long term peripheral access to the central venous system for intravenous therapy, power injection of contrast media, and allow(s) for central venous pressure monitoring, infusion or therapy, use 4 French or larger catheter. The maximum recommended infusion rate is 5mL/section of contrast media. For central venous pressure monitoring, it is recommended that catheter lumen of 20 gauge or larger be used.

    Device Description

    The Vygon PICCs are sterile, single-use, polyurethane PICCs with the same intended use, indications for use, similar design, similar sizes, similar or the same materials, and similar properties as the predicate device.

    AI/ML Overview

    The provided document details the Vygon PICCs device, its intended use, and substantial equivalence to a predicate device, focusing on various performance and safety tests. However, the document does not describe an algorithm or AI-driven device, nor does it present acceptance criteria and performance data in the context of such a device.

    Therefore, many of the requested items (e.g., sample size for AI test sets, number of experts for ground truth, MRMC study, standalone performance, training set details) are not applicable to this submission, as it pertains to a physical medical device (Vygon PICCs) and not a software or AI-based diagnostic/screening tool.

    The document primarily focuses on bench testing, sterilization testing, and biocompatibility testing to demonstrate that the Vygon PICCs are substantially equivalent to the predicate device (5 Fr DL PowerPICC® Catheter).

    Here's an attempt to extract the relevant information based on the provided document, addressing the prompt's categories where applicable:

    1. Table of Acceptance Criteria and Reported Device Performance

    For a traditional medical device like a PICC, the "acceptance criteria" are typically the satisfactory completion of standardized tests and meeting the requirements outlined in those standards. The "reported device performance" is whether the device "Passed" each test.

    Test Standard / RequirementAcceptance Criteria (Implied: "Pass" per standard)Reported Device Performance
    Bench Testing
    ISO 9626:2016 (Dimensional)Meets dimensional specificationsPassed
    ISO 10555-1:2014 (Conditioning Saline)Maintains integrity after conditioningPassed
    ISO 10555-1:2014 (Leak Test)No leaks detectedPassed
    Internal Requirement (Priming Volume)Meets specified priming volumePassed
    ISO 10555-1:2014 (Gravity Flow)Achieves specified flow ratePassed
    ISO 10555-1:2014 (Pump Flow)Achieves specified flow ratePassed
    ISO 10555-1:2014 (Tensile)Withstands specified tensile forcePassed
    ISO 10555-1:2014 (Burst)Withstands specified burst pressurePassed
    ISO 10555-1:2014 (Power Injection Conditioning)Maintains integrity after power injection conditioningPassed
    Internal Requirement (Printing Font Size)Meets specified font sizePassed
    ASTM F1842-15 (Ink Permanence)Ink remains permanentPassed
    ISO 594-1: 1986 Via / ISO 80369-7:2016 (Luer Taper)Complies with Luer taper standardsPassed
    ASTM F1842-15 (Ink Integrity)Ink integrity maintainedPassed
    Vygon Internal (Aspiration Flow)Achieves specified aspiration flowPassed
    Vygon Internal (Luer Color/Orientation)Correct color and orientationPassed
    Vygon Internal (Clamp Closure Maintenance)Clamp maintains closurePassed
    Vygon Internal (Clamp and ID Tag Fit)Clamp and ID tag fit correctlyPassed
    Vygon Internal (Clamp Actuation)Clamp actuates correctlyPassed
    Aged Performance Testing
    ISO 10555-1:2014 (Power Injection Conditioning)Maintains integrity after conditioning (aged)Passed
    ISO 10555-1:2014 (Burst)Withstands specified burst pressure (aged)Passed
    Sterilization Testing
    ASTM F88 / F88M-15 (Seal Strength)Packaging seal strength maintainedPassed
    ASTM F2096-11 (Bubble Leak)No leaks in packagingPassed
    ANSI/AAMI ST72:2011 (LAL)Meets endotoxin limitsPassed
    ISO 10993-7:2008 (EO Residual)Meets EO residual limitsPassed
    Biocompatibility Testing
    ISO 10993-5:2009 (Cytotoxicity)Non-cytotoxicNon-cytotoxic
    AAMI/ANSI/ISO 10993-10 (Sensitization)Non-sensitizingNon-sensitizer
    AAMI/ANSI/ISO 10993-10 (Irritation)Non-irritatingNon-irritant
    ISO 10993-11:2006 (Acute Systemic)Non-toxicNon-toxic
    USP37 (Material Mediated Pyrogen)Non-pyrogenicNon-pyrogenic
    ISO 10993-4 (Hemolysis, extract)Non-hemolyticNon-hemolytic
    ISO 10993-4 (Hemolysis, direct)Non-hemolyticNon-hemolytic
    ISO 10993-4 (Complement Activation)Similar to predicateSimilar when compared to predicate
    ISO 10993-4 (Partial Thromboplastin Time)Minimal activator (same as predicate)Minimal activator (same as predicate)
    ISO 10993-4 (Dog Thrombogenicity)Similar to predicateEquivocal similar
    AAMI/ANSI/ISO 10993-6 (Implantation)Non-irritatingNon-irritant
    ISO 10993-18 (Extractable/Leachable)Analysis summarizedSummarized in project #MJ16357-BIO01
    ISO 10993-17 (Toxicity)Evaluated satisfactorilyEvaluated in Toxicological Risk Assessment

    2. Sample sized used for the test set and the data provenance:
    For a physical device, "sample size" refers to the number of units tested. The document does not explicitly state the sample sizes for each bench, sterilization, or biocompatibility test. The data provenance is internal testing performed by Vygon USA (the submitter). The context implies these are prospective tests conducted on the final device. No country of origin for the data is specified beyond the submitter's location (Lansdale, PA).

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:
    Not applicable. This device is subjected to standardized physical and chemical tests, not an assessment requiring expert "ground truth" derived from clinical cases or images.

    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set:
    Not applicable. Adjudication methods are relevant for subjective assessments, typically in clinical studies or image interpretations. The tests performed are objective, pass/fail criteria based on adherence to international standards and internal requirements.

    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-driven device or study.

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

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc):
    Not applicable. The "ground truth" for this device is compliance with established engineering and biological standards and specifications.

    8. The sample size for the training set:
    Not applicable. This is not an AI/algorithm-based device, so there is no training set.

    9. How the ground truth for the training set was established:
    Not applicable. There is no training set.

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