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510(k) Data Aggregation

    K Number
    K123874
    Date Cleared
    2013-01-10

    (24 days)

    Product Code
    Regulation Number
    880.5440
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Buretrol Solution Sets are intended for use in the administration of fluids from a container into the patient's vascular system through a vascular access device.

    Device Description

    The Buretrol Solution Sets are sterile, single use disposable devices indicated for use in the administration of fluids from a container into the patient's vascular system through a vascular access device. The sets contain a burette chamber which can be used to mix supplementary medication in a measured amount of diluent from the main container. The sets can be adjusted for either metered volume solution administration (intermittent) or continuous solution administration. The sets can be converted from intermittent to continuous administration by closing the air vent at the top of the burette and allowing continuous infusion from the main container. There are different configurations of the burette, based on presence of and differences in valve type.

    AI/ML Overview

    This document describes the acceptance criteria and study for the Special 510(k) Premarket Notification for Buretrol Solution Sets.

    1. Table of Acceptance Criteria and Reported Device Performance:

    TestAcceptance CriteriaReported Device Performance
    Spike Leakage Test Over TimeNot specified, but implied to meet functional requirementsAll tests met the acceptance criteria
    Burette Squeeze TestNot specified, but implied to meet functional requirementsAll tests met the acceptance criteria
    Burette Pressure TestNot specified, but implied to meet functional requirementsAll tests met the acceptance criteria
    Burette Scale LegibilityNot specified, but implied to ensure clear and accurate readingAll tests met the acceptance criteria
    Roller Clamp Immediate Shut-OffNot specified, but implied to ensure immediate cessation of fluid flowAll tests met the acceptance criteria
    Roller Clamp Shut-Off Over TimeNot specified, but implied to ensure sustained cessation of fluid flowAll tests met the acceptance criteria
    Check Valve Backflow EvaluationNot specified, but implied to prevent backflowAll tests met the acceptance criteria
    Regulating Roller Clamp Cold Flow TestNot specified, but implied to ensure proper flow regulation at low temperaturesAll tests met the acceptance criteria
    Regulating Roller Clamp Shut-Off TestNot specified, but implied to ensure complete shut-offAll tests met the acceptance criteria
    Air Vent Air Flow TestNot specified, but implied to ensure proper air flow for burette functionAll tests met the acceptance criteria
    ISO Luer Tests on Male Luer LockNot specified, but implied to meet ISO Luer standards for secure and leak-free connectionsAll tests met the acceptance criteria
    Biocompatibility (for new materials)Meeting ISO 10993 standards and Blue Book Memorandum G95-1 for "Biological Evaluation of Medical Devices"No new materials were introduced; previous assessments apply

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

    The document reviews manufacturing changes rather than a new device; thus, it relies on design verification tests. The specific sample sizes for each performance test (e.g., Spike Leakage, Burette Squeeze) are not explicitly stated in the provided text. The data provenance is presumed to be from Baxter Healthcare Corporation's internal testing. The study is a retrospective analysis of the device's functional and biocompatibility performance based on existing designs and materials.

    3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications of Those Experts:

    This information is not applicable as the document describes non-clinical performance and biocompatibility testing of a medical device, not a diagnostic algorithm that requires expert ground truth for interpretation (e.g., image analysis). The "ground truth" here is the pass/fail result of engineering and materials science tests against pre-defined acceptance criteria.

    4. Adjudication Method for the Test Set:

    This information is not applicable for the type of non-clinical device testing described. Adjudication methods like 2+1 or 3+1 are typically used for establishing ground truth in clinical studies involving interpretation by multiple human experts.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done:

    No, an MRMC comparative effectiveness study was not done. This type of study is relevant for evaluating the performance of diagnostic algorithms with and without AI assistance in a clinical setting, which is not the subject of this 510(k) summary.

    6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) Was Done:

    No, a standalone algorithm performance study was not done. This device is a physical medical administration set, not an AI or software-based medical device.

    7. The Type of Ground Truth Used:

    The "ground truth" used for these tests is engineering specifications and recognized standards (e.g., ISO Luer tests, ISO 10993 for biocompatibility). The tests verify that the physical characteristics and functional performance of the Buretrol Solution Sets meet these established criteria.

    8. The Sample Size for the Training Set:

    This information is not applicable. The device is a physical medical device, not an AI model that requires a training set.

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

    This information is not applicable as there is no training set for this device.

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