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510(k) Data Aggregation

    K Number
    K132602
    Date Cleared
    2014-02-04

    (168 days)

    Product Code
    Regulation Number
    876.5860
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The single use dialyzer with pre-attached blood tubing set is indicated for use with the Fresenius 2008 Series Hemodialysis systems for the treatment of acute and chronic renal failure.

    Device Description

    The proposed device provides for the treatment of acute or chronic renal failure when used with the commercially available Fresenius 2008 Series hemodialysis systems. The device is a single use high flux (permeability) hollow-fiber dialyzer pre-attached to a blood tubing set.

    AI/ML Overview

    The provided text describes a 510(k) premarket notification for the NxStage® Streamline Express for Fresenius 2008 Series Hemodialysis Systems. This submission focuses on demonstrating substantial equivalence to predicate devices, rather than presenting a study with a test set, expert ground truth, or a multi-reader, multi-case study. Therefore, many of the requested criteria cannot be directly extracted from the provided document.

    Here's a breakdown of what can and cannot be answered:

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

    The document provides a comparative table of technological characteristics and in-vitro performance between the proposed device and predicate devices. The acceptance criteria are implicitly that the proposed device should have "Same" or comparable performance to the predicate devices, as well as meeting general safety and performance standards for hemodialysis components.

    ParameterAcceptance Criteria (Implicit: "Same" as predicate in K113023)Reported Device Performance (NxStage Streamline Express)
    Dialyzer
    Number of fibers10,900 ± 200Same
    Fiber internal diameter200 μmSame
    Fiber wall thickness30 μmSame
    Fiber length23 cmSame
    Effective surface area1.6 m²Same
    Priming volume91 mlSame
    Max. Transmembrane Pressure500 mmHgSame
    In-vitro Performance
    Pressure Drop Blood Compartment<100 mmHg at Qb=300mL/min, UF = 0 ml/minSame
    Pressure Drop Dialysate Compartment17 mmHg at Qd = 200 ml/minSame
    Ultrafiltration Flow Rates (Qb 200, TMP 100)60 ml/minSame
    Ultrafiltration Flow Rates (Qb 200, TMP 300)86 ml/minSame
    Clearance - Urea (Qb=100, Qd=50, UF=0)50 ml/minSame
    Clearance - Vitamin B12 (Qb=100, Qd=50, UF=0)44 ml/minSame
    Sieving Coefficients - Albumin<0.005Same
    Sieving Coefficients - Urea1.0Same
    Sieving Coefficients - Creatinine1.0Same
    Sieving Coefficients - Vitamin B121.0Same
    Blood Tubing Set
    Patient connections (Male luer lock)Yes (as per K113023 & K080807)Same as K113023 & K080807
    Blood tubing diameters (I.D.)4.55 - 4.8 mm (as per K113023 & K080807)Same as K113023 & K080807
    Pump section I.D.8.0 mm (as per K113023 & K080807)Same as K113023 & K080807
    Pump segment connectorsYes (as per K113023 & K080807)Same as K113023 & K080807
    Heparin. line I.D.0.75 mm (as per K113023 & K080807)Same as K113023 & K080807
    Saline lineYes (as per K113023 & K080807)Same as K113023 & K080807
    Access lineYes (as per K113023 & K080807)Same as K113023 & K080807
    Female luer connectorYes (as per K113023 & K080807)Same as K113023 & K080807
    Female luer capYes (as per K113023 & K080807)Same as K113023 & K080807
    Y-SiteYes (as per K113023 & K080807)Same as K113023 & K080807
    Needless injection siteYes (as per K113023 & K080807)Same as K113023 & K080807
    ClampsYes (as per K113023 & K080807)Same as K113023 & K080807
    Priming volume212 cc (K113023) or 109-119 cc (K080807)201 cc
    ReversoCleared as accessory K994306 / Included as standardReverso is cleared as blood tubing set accessory K994306

    2. Sample sized used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

    The document primarily relies on bench testing and comparison to predicate devices, not on a clinical test set with patient data. No sample size for a test set of patient data, data provenance, or retrospective/prospective nature is mentioned.

    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. This is a 510(k) submission for a medical device (dialyzer and tubing set), not an AI/software device that requires expert-established ground truth for a test set. The evaluation is based on engineering and performance specifications.

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

    Not applicable. No clinical test set with human interpretation requiring adjudication is discussed.

    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 a medical device, not an AI-assisted diagnostic tool.

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

    Not applicable. This is a physical medical device. The "performance" assessment is based on its physical and functional characteristics (e.g., clearance rates, pressure drops) through bench testing.

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

    The "ground truth" for this device's performance is established through in-vitro performance testing and comparison to the known engineering specifications and performance of legally marketed predicate devices. For example, clearance data is measured directly in a lab setting, not through expert consensus or clinical outcomes for this type of submission.

    8. The sample size for the training set

    Not applicable. This is not a machine learning or AI device that requires a "training set."

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

    Not applicable. No training set is involved.

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