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510(k) Data Aggregation

    K Number
    K143482
    Device Name
    xevonta dialyzer
    Manufacturer
    Date Cleared
    2016-03-01

    (449 days)

    Product Code
    Regulation Number
    876.5860
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    xevonta dialyzer

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

    The xevonta dialyzer is designed for single use in acute and chronic hemodialysis.

    Device Description

    The xevonta dialyzer is a polysulfone high flux dialyzer with the surface areas 1.2 m², 1.5 m2, 1.8 m2, 2.0 m2, 2.3 m2. It is designed for single use in acute and chronic hemodialysis. The dialyzer is gamma sterilized, with a non pyrogenic fluid path, and does not contain natural rubber latex.

    The polysulfone hollow fiber (membrane) is housed within a plastic cylinder containing four ports: two ports for blood compartment access and two ports for dialysate access.

    AI/ML Overview

    This document is a 510(k) premarket notification for the "xevonta dialyzer". It describes the device, its intended use, and the studies conducted to demonstrate its substantial equivalence to previously marketed predicate devices.

    Here's an analysis of the provided information concerning acceptance criteria and study details:

    1. Table of Acceptance Criteria and Reported Device Performance

    The document does not explicitly present a table with formal acceptance criteria against which numerical performance metrics are directly compared for the new device. Instead, it states that the testing aimed to demonstrate equivalence with the predicate devices. This implies that the performance of the xevonta dialyzer was expected to be comparable to, or within an acceptable range of, the predicate devices for each tested parameter.

    Below is a table summarizing the tested parameters and the general conclusion regarding performance, as direct numerical targets for acceptance criteria are not provided.

    Performance ParameterAcceptance Criteria (Implied)Reported Device Performance
    BiocompatibilityComplies with ISO 10993-1 and FDA Guidance for category B deviceTesting performed; results demonstrate safety.
    In-vitro Ultrafiltration RateComparable to predicate devicesResults demonstrate similar performance to predicate devices.
    Pressure Drop (Blood Side)Comparable to predicate devicesResults demonstrate similar performance to predicate devices.
    Pressure Drop (Dialysate Side)Comparable to predicate devicesResults demonstrate similar performance to predicate devices.
    Clearances (Urea)Comparable to predicate devicesResults demonstrate similar performance to predicate devices.
    Clearances (Creatinine)Comparable to predicate devicesResults demonstrate similar performance to predicate devices.
    Clearances (Vitamin B12)Comparable to predicate devicesResults demonstrate similar performance to predicate devices.
    Mechanical HemolysisComparable to predicate devices (acceptable levels)Results demonstrate similar performance to predicate devices.
    In-vitro & In-vivo Ultrafiltration CoefficientComparable to predicate devicesResults demonstrate similar performance to predicate devices.
    Overall Safety and EffectivenessAs safe and effective as predicate devices"The data provided for the new device demonstrates that xevonta dialyzers are as safe and effective as the marketed predicate devices."

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

    The document does not specify the exact sample sizes used for the "test set" in any of the described studies (biocompatibility, in vitro performance, clinical testing). It also does not explicitly state the country of origin of the data or whether the studies were retrospective or prospective.

    Given the nature of the device (dialyzer) and the types of tests mentioned, it is highly probable that:

    • Biocompatibility testing would have used standard laboratory samples according to ISO 10993.
    • In vitro performance testing would involve a set number of dialyzers for each model and surface area, tested under controlled laboratory conditions.
    • Clinical testing (comparison of in-vitro and in-vivo ultrafiltration coefficient) would have been performed on a cohort of human subjects undergoing hemodialysis. This would most likely be a prospective study, though its location is not specified.

    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 the studies described. The "ground truth" concept, often used in AI/ML performance evaluation (e.g., for image interpretation), does not directly apply here. The studies involve objective measurements of physical and chemical properties of the dialyzer and their performance in a clinical setting, rather than subjective interpretations by experts.

    4. Adjudication Method for the Test Set

    Not applicable. As noted above, the studies involve objective measurements, not subjective evaluations requiring adjudication.

    5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

    No, an MRMC comparative effectiveness study was not done. This type of study is typically associated with diagnostic imaging devices or AI systems that assist human readers in making diagnoses. The xevonta dialyzer is a medical device (a high permeability hemodialysis system) for which performance is assessed through biophysical and clinical parameters, not human interpretation of data.

    6. Standalone (Algorithm Only Without Human-in-the-Loop Performance) Study

    Not applicable. The xevonta dialyzer is a passive medical device, not an algorithm or AI system. Its performance is inherent in its physical and chemical properties and how it functions during hemodialysis. "Standalone performance" in this context refers to the device's function independent of human interaction beyond its setup and monitoring during use. The in-vitro tests represent this form of standalone performance.

    7. Type of Ground Truth Used

    The "ground truth" for the performance evaluation comes from:

    • Established scientific and regulatory standards: For biocompatibility (ISO 10993-1).
    • Instrumental measurements: For in-vitro performance parameters like ultrafiltration rate, pressure drop, and clearances.
    • Clinical measurements: For in-vivo ultrafiltration coefficient, which would be measured directly from patients.
    • Predicate device performance: The performance of the legally marketed predicate devices provided the benchmark for "substantial equivalence."

    8. Sample Size for the Training Set

    Not applicable. The xevonta dialyzer is a manufactured medical device, not an AI/ML algorithm that requires a "training set."

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

    Not applicable, as there is no training set for this type of device.

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