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510(k) Data Aggregation

    K Number
    K112628
    Date Cleared
    2012-09-28

    (385 days)

    Product Code
    Regulation Number
    876.5820
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Nipro Set - SLIMLINE is a disposable bloodline intended to provide extracorporeal access to the patient's blood during Hemodialysis.

    Device Description

    The SLIMLINE is a disposable bloodline intended to provide extracorporeal access to the patient's blood during Hemodialysis. One device package includes 1 arterial line (A226Y), 1 venous line (V813), 1 attached but removable priming set and two pre-attached Transducer Protectors. The SLIMLINE is packaged sterile and labeled for single use only. There is no ability to clean and reuse this device. It is restricted for sale by or on the order of a physician.

    AI/ML Overview

    The document provided is a 510(k) summary for a medical device called the "Nipro Set - SLIMLINE Blood Tubing Set with Transducer Protectors and Priming Set." This type of submission focuses on demonstrating substantial equivalence to a legally marketed predicate device, rather than proving novel effectiveness through clinical studies. Therefore, much of the information requested about acceptance criteria and studies in the context of AI/diagnostic devices (e.g., sample size, ground truth, expert consensus, MRMC studies) is not applicable here.

    However, I can extract information related to the device's performance, the type of testing conducted, and the basis for its clearance.

    1. Table of Acceptance Criteria and Reported Device Performance

    The document does not explicitly present a table of "acceptance criteria" with numerical targets and reported performance in the way one might see for an AI diagnostic algorithm's sensitivity/specificity. Instead, it details bench testing conducted to demonstrate that the device is safe and effective and performs equivalently to its predicate. The "acceptance criteria" in this context are implicitly that the device passes these bench tests successfully.

    Test CategorySpecific Test (Implicit Acceptance Criteria: Successful Completion/Passing)Reported Device Performance (Implicit: Passed All Tests)
    Physical IntegrityPackage integrityPassed
    Pressure leak (positive and negative)Passed
    Tensile testing of joints and materials of all tubing segmentsPassed
    Performance testing of tubing to resist kinking after repeated clamping, particularly in the post pump tubing segmentPassed
    Functional PerformanceEndurance test of pump segment at maximum flow rate and pressures of the dialysis machinePassed
    Pump segment performancePassed
    Endurance testing of any injection port after penetrated by 18G hypodermic needlePassed
    Priming volume assessmentPassed
    Ability of Transducer protector to withstand leakage when subjected to pressures up to 2 times the maximum labeled pressure (Strikethrough test)Passed
    Performance test of the device's clampsPassed
    BiocompatibilityHemocompatibility testPassed

    The successful completion of these non-clinical (bench) tests forms the basis for the conclusion that the device performs equivalently to the predicate device and is safe and effective when used as intended.


    The following questions are not applicable to this 510(k) submission, as it pertains to a physical medical device (blood tubing set) and relies on bench testing for substantial equivalence, not clinical studies or AI algorithm performance validation.

    1. Sample sizes used for the test set and the data provenance: Not applicable. Bench testing, not a diagnostic test set.
    2. Number of experts used to establish the ground truth for the test set and the qualifications of those experts: Not applicable. No "ground truth" in the diagnostic sense needed for this device.
    3. Adjudication method for the test set: Not applicable.
    4. 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 device.
    5. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done: Not applicable. This is not an AI algorithm.
    6. The type of ground truth used (expert consensus, pathology, outcomes data, etc): Not applicable. The "ground truth" for a physical device like this is its ability to meet performance specifications and safety criteria through bench testing.
    7. The sample size for the training set: Not applicable. This is not an AI algorithm.
    8. How the ground truth for the training set was established: Not applicable. This is not an AI algorithm.
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