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510(k) Data Aggregation

    K Number
    K133894
    Manufacturer
    Date Cleared
    2014-03-18

    (88 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 Surflo Winged Infusion Set with Filter and Needle Protection (Surshield) is intended to access the peripheral vascular system, for single-dose or short-term intravenous administration of fluids using a syringe or other compatible/appropriate devices. Additionally, after withdrawal of the needle from the patient's vein, the shield cover can be manually activated to cover the needle to minimize risk of accidental needle stick.

    Device Description

    The 23G and the 25G Terumo Surflo Winged Infusion Sets with Filter and Needle Protection (Surshield), are sterile, single use devices consisting of a needle attached to a winged hub, microbore tubing, adapter with integrated 20 um filter and adapter cap, and a hinged shield cover that attaches to the wing just below the needle-to-wing junction. The shield cover can be turned 180 degrees on the hinge. As the needle is removed from the patient's vessel, the user's finger actively pushes the shield cover until it latches onto the needle using a one- or two- handed technique. An audible click is noted upon activation. The shield cover is designed to allow the user's finger to remain behind the needle point so that the risk of needle stick injury is minimized. The shield cover is transparent for easy confirmation of the needle held in it. The device possesses a 350 mm length microbore tubing.

    AI/ML Overview

    The provided text describes the acceptance criteria and a summary of verification activities for the SURFLO® Winged Infusion Set with Filter and Needle Protection (Surshield®). This device is a medical product, and the study described is a series of engineering and performance tests, not a clinical study involving human patients or algorithmic performance. Therefore, many of the requested categories (e.g., sample size for test set, data provenance, number of experts for ground truth, adjudication method, MRMC study, training set information) are not applicable to this type of device submission.

    Here's a breakdown of the available information:

    1. Table of Acceptance Criteria and Reported Device Performance

    TESTACCEPTANCE CRITERIAReported Device Performance (Implied)
    1. Visual inspectionWhen examined by normal vision or under 2.5 fold magnification, all components of the set are smooth, clean and free of flash, surface irregularities, detachable particles, and moulding or processing defectsMeets criteria
    2. Effective tubing lengthThe effective tubing length is 350 ± 20mmMeets criteria
    3. Dead space volumeDead space volume for sets with standard tubing: ≤ 0.40 ml; Dead space volume for sets with microbore tubing: ≤ 0.20 mlMeets criteria
    4. Air leakage (= integrity of set)No leakageMeets criteria
    5. Air leakage luer adaptorNo leakage at the luer connection (according to ISO 594-1 and ISO 594-2)Meets criteria
    6. Liquid leakage luer adaptorNo leakage at the luer connection (according to ISO 594-1 and ISO 594-2)Meets criteria
    7. Conical fittingThe conical fitting shall be within level 1-3 (according to ISO 594-1 and ISO 594-2)Meets criteria
    8. Separation force of Luer slip tip connectionThe fitting remains attached (according to ISO 594-1)Meets criteria
    9. Separation force of Luer lock connectionThe fitting remains attached (according to ISO 594-2)Meets criteria
    10. Stress cracking on Luer conical fittingNo stress cracking on the conical fitting (according to ISO 594-1 and ISO-594-2)Meets criteria
    11. Unscrewing torque of Luer lock fittingsThe fitting remains attached when the fitting between the hub and a reference fitting is tested according to ISO 594-2Meets criteria
    12. Ease of assemblyA satisfactory fit is achieved when tested according to ISO 594-2Meets criteria
    13. Overriding resistance of Luer lock systemsWhen the fitting between the hub and a reference fitting is tested, the reference fitting shall not override the threads or lugs of the fitting under test (according to ISO 594-2)Meets criteria
    14. Torque resistance cap - adapterThe torque force required to unscrew the cap from the adapter does not exceed 9 N.cmMeets criteria
    15. Bonding strength tube - adapterThe force required for separating the tube from the adapter is 15 N minimum.Meets criteria
    16. Bonding strength tube - wing hubThe force required for separating the tube from the wing hub is 15 N minimum.Meets criteria
    17. Air flow choke testAir bubbles escape out of the set when immersed under water and connected to an airline of 20 kPa (0.2 bar) effective pressure, to create an airflow through the set.Meets criteria
    18. Flow rateFlow rate for sets with standard tubing: 23G: ≥ 2.9 ml/min & 25G: ≥ 1.6 ml/min; Flow rate for sets with microbore tubing: 23G: ≥ 1.7 ml/min & 25G: ≥ 1.5 ml/minMeets criteria
    19. Bonding strength Surshield protectorThe bonding strength between the Surshield protector and the SV-set is minimum 4 NMeets criteria
    20. Misalignment of Surshield ProtectorThe angle measured axially from the cannula between the horizontally positioned wings and the vertically positioned Surshield protector does not exceed 15°.Meets criteria
    21. Peel behaviour of blisterThe blister is peeled by hand with minimal fibres and no paper splittingMeets criteria
    22. Peel strengthThe peel strength of the pack seal is minimum 0.15.kN/mMeets criteria
    23. Package integrityThe integrity of the unit pack is minimum 4 kPaMeets criteria
    24. Kink stability of tubingFree of deformation and kinkingMeets criteria
    25. Filter performance testingSame or better than predicateMeets criteria

    The document states: "The Surflo Winged Infusion Sets with Filter and Needle Protection (Surshield), meet all acceptance criteria as indicated in table above."

    2. Sample size used for the test set and the data provenance
    The document does not specify the exact sample sizes (number of units tested) for each individual test. It only states that "All necessary verification and validation tests have been performed." Data provenance is not explicitly mentioned as "country of origin," but the submission is from "TERUMO EUROPE N.V." in Leuven, BELGIUM, so the testing likely occurred in Europe. The tests are prospective in nature, as they are performed on the newly designed devices to verify their performance against established criteria.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts
    Not applicable. These are engineering and performance tests of a physical medical device, not a diagnostic algorithm requiring expert interpretation of medical images or data. The "ground truth" is defined by the technical specifications and international standards (e.g., ISO 594-1, ISO 594-2, EN ISO 11135-1, EN 556-1, EN ISO 10993-7).

    4. Adjudication method for the test set
    Not applicable. There is no adjudication method described as these are quantitative and qualitative engineering tests against predefined specifications.

    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 not an AI-assisted diagnostic device.

    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done
    Not applicable. This is not an algorithm.

    7. The type of ground truth used
    The ground truth for these tests is established by international standards and technical specifications for sterile medical devices for intravascular administration. Examples include:

    • ISO 594-1: Conical fittings with a 6% (Luer) taper for syringes, needles and certain other medical equipment — Part 1: General requirements
    • ISO 594-2: Conical fittings with a 6% (Luer) taper for syringes, needles and certain other medical equipment — Part 2: Lock fittings
    • EN ISO 11135-1: Sterilization of health care products - Ethylene oxide - Part 1: Requirements for development, validation and routine control of a sterilization process for medical devices
    • EN 556-1: Sterilization of Medical Devices - Requirements for medical devices to be designated "STERILE" - Part - I: Requirements for terminally sterilized medical devices
    • EN ISO 10993-7: Biological evaluation of medical devices - Part 7: Ethylene oxide sterilization residuals
    • FDA General Program Memorandum #G95-1: Use of International Standard ISO-10993, "Biological Evaluation of Medical Devices Part-1: Evaluation and testing"

    8. The sample size for the training set
    Not applicable. There is no "training set" as this is not a machine learning or AI device.

    9. How the ground truth for the training set was established
    Not applicable.

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