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510(k) Data Aggregation

    K Number
    K113854
    Manufacturer
    Date Cleared
    2012-03-19

    (81 days)

    Product Code
    Regulation Number
    876.5630
    Reference & Predicate Devices
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Pleurx Peritoneal Catheter System is indicated for intermittent, long term drainage of symptomatic, recurrent, malignant ascites that does not respond to medical management of the underlying disease, for the palliation. of symptoms related to recurrent malignant ascites and for peritoneal placement only.

    The Pleurx Drainage Bottle Kits and Drainage Line Set are indicated for use either with the Pleurx Peritoneal Catheter or Pleurx Pleural Catheter for intermittent drainage. The Drainage Line Kit is used to drain fluid using standard wall suction, water seal drainage system, vacuum bottle or other appropriate method.

    The Pleurx Drainage Bag Kit is indicated for use only with the Pleurx Peritoneal Catheter for intermittent drainage.

    The Pleurx Dressing Kits are indicated for dressing of a catheter and exit site.

    The Pleurx Catheter Insertion Stylet is intended to aid in the percutaneous insertion of the Pleurx Catheter into the peritoneal space.

    Device Description

    The Pleurx Peritoneal Catheter System provides patients with a convenient method to relieve malignant ascites symptoms at home. The primary components of the Pleurx Catheter System are the Pleurx Peritoneal Catheter and the Pleurx Drainage Kits.

    AI/ML Overview

    The provided text describes the Pleurx Peritoneal Catheter System and its regulatory submission. It explicitly states that no clinical tests were conducted for this submission (K113854). Therefore, the information requested regarding acceptance criteria based on clinical performance, sample sizes for test sets, ground truth establishment, expert adjudication, MRMC studies, and standalone algorithm performance cannot be extracted from this document, as such studies were not performed for this submission.

    However, the document does list non-clinical performance tests conducted to demonstrate substantial equivalence. These tests relate to the physical and biological characteristics of the device, rather than its clinical efficacy or diagnostic accuracy.

    Here's what can be extracted based on the provided text, acknowledging the lack of clinical study data:

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

      Since no clinical studies were performed, there are no acceptance criteria related to efficacy or diagnostic performance. Instead, the document lists compliance with various non-clinical standards. The reported "performance" is that the device "meets or exceed all performance requirements."

      CharacteristicAcceptance Standard/Test/FDA GuidanceReported Device Performance
      BiocompatibilityISO 10993-1:2009 Biological evaluation of Medical Devices Part 1: Evaluation and TestingMeets or exceeds all performance requirements
      ResidualsISO 10993-7:2008 Biological evaluation of Medical Devices Part 7: Ethylene Oxide Sterilization ResidualsMeets or exceeds all performance requirements
      Performance (Drainage Catheters)EN 1617:1997 Sterile Drainage Catheters and Accessory Devices for Single UseMeets or exceeds all performance requirements
      Performance (Catheters)EN 1618:1997 Catheters Other Than Intravascular Catheters - Test Methods for Common PropertiesMeets or exceeds all performance requirements
      Performance (Packaging)ANSI/AAMI/ISO 11607-1,2:2006 Packaging for Terminally Sterilized Medical DevicesMeets or exceeds all performance requirements
      Performance (Biological Indicators)ISO 11138-1,2:2006 Sterilization of healthcare products - Biological IndicatorsMeets or exceeds all performance requirements
      Performance (Microbiological Methods)ISO 11737-1,2:2006 Sterilization of Medical Devices - Microbiological Methods Part 1 & 2Meets or exceeds all performance requirements
      Performance (Ethylene Oxide Sterilization)ISO 11135:2007 Medical Device, Validation and Routine Control of Ethylene Oxide SterilizationMeets or exceeds all performance requirements
      Performance (Conical Fittings, Luer)ISO 594-1:1986 Conical Fittings with 6% (Luer) Taper for Syringes, Needles and Certain Other Medical Equipment - Part 1: General RequirementsMeets or exceeds all performance requirements
      Performance (Conical Fittings, Luer Lock)ISO 594-2:1998 Conical Fittings with 6% (Luer) Taper for Syringes, Needles and Certain Other Medical Equipment - Part 2: Lock FittingsMeets or exceeds all performance requirements
    2. Sample sized used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

      No clinical test set was used for this submission. The non-clinical tests would have involved samples of the device components but details on the quantity of samples are not provided in this summary.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

      Not applicable, as no clinical test set requiring expert-established ground truth was used.

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

      Not applicable, as no clinical test set requiring adjudication was used.

    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. The Pleurx Peritoneal Catheter System is a medical device for drainage, not an AI-assisted diagnostic tool. No MRMC study was performed.

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

      Not applicable. The Pleurx Peritoneal Catheter System is a medical device for drainage, not an algorithm.

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

      Not applicable, as no clinical studies requiring ground truth were performed for this submission. The "ground truth" for the non-clinical performance tests would be the established specifications and standards for device materials, manufacturing, and functionality.

    8. The sample size for the training set

      Not applicable, as there is no AI component requiring a training set.

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

      Not applicable, as there is no AI component requiring a training set.

    In summary, the provided document explicitly states: "N/A - No clinical tests were conducted for this submission." The substantial equivalence determination for the Pleurx Peritoneal Catheter System was based on non-clinical performance tests demonstrating compliance with various recognized standards, rather than clinical efficacy studies.

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