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510(k) Data Aggregation
(252 days)
The SOFIA Plus Aspiration Catheter with the Gomco 405 Aspiration Tubing Kit is intended for use in the revascularization of patients with acute ischemic stroke secondary to intracranial large vessel occlusive disease (within the internal carotid, middle cerebral - M1 and M2 segments, basilar, and vertebral arteries) within 8 hours of symptom onset. Patients who are ineligible for intravenous tissue plasminogen activator (IV t-PA therapy are candidates for treatment.
The SOFIA Plus Aspiration Catheter is a single lumen catheter designed to be introduced over a steerable guidewire to access the neurovasculature. The semi-rigid proximal section transitions to a flexible distal tip to facilitate advancement through vessels. A single radiopaque marker at the distal end facilitates fluoroscopic visualization. The outer surface of the catheter is coated with a hydrophilic coating to reduce friction during navigation in the vasculature. A luer fitting on the microcatheter hub is used for the attachment of accessories. The strain relief at the hub provides kink resistance for the proximal end. A steam shaping mandrel and introducer sheath are also packaged with the catheter. The SOFIA Plus Aspiration Catheter is used to remove thrombus/embolus from the neurovasculature using aspiration tubing and pump.
The provided text describes a 510(k) premarket notification for a medical device, the SOFIA Plus Aspiration Catheter. This type of submission focuses on demonstrating substantial equivalence to a legally marketed predicate device, rather than proving safety and effectiveness through extensive clinical trials. Therefore, the information provided does not align with the typical structure of an AI/ML medical device study demonstrating algorithmic performance against acceptance criteria.
The document primarily details the pre-clinical testing on the device itself and an animal study to evaluate its aspiration performance and safety. It does not describe an AI/ML algorithm or a study of its performance.
However, I can extract and structure the information about the acceptance criteria and performance of the physical device based on the provided text, while acknowledging that this is not an AI/ML study.
Here's an interpretation of the request using the available information:
The SOFIA Plus Aspiration Catheter underwent extensive pre-clinical testing to demonstrate its performance and substantial equivalence to a predicate device. The acceptance criteria for these tests were typically defined by established specifications, industry standards (e.g., ISO), or direct comparison to the predicate device.
1. Table of Acceptance Criteria and Reported Device Performance
| Test | Acceptance Criteria | Reported Device Performance |
|---|---|---|
| Biocompatibility | ||
| Cytotoxicity (ISO 10993-5) | Non-cytotoxic | Cell culture treated with test article exhibited slight reactivity (Grade 1), concluded as non-cytotoxic. PASSED |
| Sensitization/Irritation (ISO 10993-10) - Guinea pig maximization sensitization | Weak allergic potential or sensitizing capacity | Extracts of the test article elicited no reaction at the challenge (0% sensitization) following the induction phase (Grade 1). PASSED |
| Sensitization/Irritation (ISO 10993-10) - Intracutaneous reactivity | Non-irritant | Extracts of the test article did not show a significantly greater biological reaction than the sites injected with the control article. PASSED |
| Hemocompatibility – Rabbit Blood Direct and Indirect Contact (ISO 10993-4) | Non-hemolytic | Hemolysis index was 0.13% (direct contact) and 0.0% (indirect contact). PASSED |
| Hemocompatibility – Unactivated Partial Thromboplastin Time Assay Direct Contact (ISO 10993-4) | No effect on coagulation | No statistically significant difference found between the Unactivated Partial Thromboplastin Time (UPTT) of the plasma exposed to the test article and that of the plasma exposed to either the negative control or the untreated control. PASSED |
| Hemocompatibility - Complement Activation Assay (ISO 10993-4) | No effect on complement activation | C3a and SC5b-9 levels < negative and untreated controls. PASSED |
| Hemocompatibility - Thrombogenicity Study in Dogs (ISO 10993-4) | No significant thrombosis | Minimal thrombosis observed with a Grade 0 in two out of two test sites and two out of two control sites. PASSED |
| Systemic Toxicity - Systemic Injection Test (ISO 10993-11) | No toxic effects | Extracts of test article did not induce a significantly greater biological reaction than the control extracts when injected in Swiss Albino mice. PASSED |
| Systemic Toxicity - Rabbit Pyrogen Test (ISO 10993-11) | Non-pyrogenic | The temperature increases (maximum) was 0.03°C from baseline. PASSED |
| Bench Testing | ||
| Simulated Use | Device performs as intended, demonstrates equivalency to predicate device | Achieved a rating $\geq$ 3 for preparation/ease of assembly, introducer sheath interaction, introducer peel away, tracking with guidewire/microcatheter, microcatheter/guidewire lockup, lubricity and durability of hydrophilic coating, microcatheter/guidewire removal, removal/aspiration of clot. PASSED |
| Dimensional and Physical Attributes | Device meets specified dimensional requirements, substantially equivalent to predicate device | Met specified dimensional requirements for catheter OD, catheter ID, overall working length, length of distal section, length of distal tip to marker band and total length of hub/strain relief. PASSED |
| Kink Resistance | Device resistant to kinking around small radii turns, same as predicate device | No kinks when wrapped around 0.030 and 0.040-inch pin gauges. No kinks noted during simulated use testing. PASSED |
| Durability/Lubricity of Hydrophilic Coating | Device tracks easily with no coating cracking or separation | Achieved a rating of $\ge$ 3 during simulated use testing for coating durability and lubricity. PASSED |
| Catheter Stiffness | Device tracks in tortuous anatomy while advancing to target site, equivalent to predicate and competitive devices | Device stiffness equivalent to predicate and competitive devices. PASSED |
| Catheter Flexural Fatigue | Device integrity suitable for intended clinical use | No flexural fatigue following repeated bending during simulated use testing and repeated hoop stress following pressure and air aspiration testing. PASSED |
| Force at Break (Shaft and hub) | Tensile strength test results meet acceptance criteria and equivalent to predicate and competitive devices | Catheter force at break $\ge$ 15N for shaft section and hub/catheter junction. PASSED |
| Force at Break (After tip shaping) | Device meets acceptance criteria and no difference between pre- and post- force at break | Catheter force at break $\ge$ 15N for distal section assessed pre- and post-tip shaping. PASSED |
| Static Burst Pressure | Device integrity suitable for intended clinical use and met requirements of ISO 10555-1 | No damage of pressurized catheter at 46 psi. PASSED |
| Fluid Leakage at > 46 psi | Device integrity suitable for intended clinical use and met requirements of ISO 10555-1 | No liquid leakage from hub and catheter shaft at 46 psi for 30 seconds. PASSED |
| Air Leakage | Device integrity suitable for intended clinical use and met requirements of ISO 10555-1 | No air leakage at hub into syringe for 15 seconds. PASSED |
| Dynamic Burst | Device met labeled maximum infusion pressure of 300 psi | Test articles did not burst at or below 300 psi. PASSED |
| Catheter Collapse | No observation of device collapse, equivalent to predicate device | Test articles were pressurized for a duration of 6 minutes and no observation of catheter collapse. PASSED |
| Vacuum Pressure | No difference was measured between device and predicate | Vacuum pressure testing of catheter at distal tip was compared to vacuum pressure of source. No difference detected. PASSED |
| Torque Response | Equivalent or better than predicate | Catheter torque response was assessed in vascular model and met acceptance criteria. PASSED |
| Torque Strength | Met acceptance criteria | Catheter was torqued and did not break. PASSED |
| Advance/Retract | Met acceptance criteria, equivalent or better than predicate | Catheter was subjected to advance/retraction test in a vascular model and was equivalent or better than predicate. PASSED |
| Radiopacity | Marker band is visible under fluoroscopy | Marker band was detectable under fluoroscopy. PASSED |
| Corrosion Resistance | Catheter is corrosion resistant | Met ISO 10555-1. PASSED |
| Particulate Testing | Catheter does not generate particulate | Met USP <788> criteria. PASSED |
2. Sample Size Used for the Test Set and Data Provenance
The document does not explicitly state the numerical sample size for each bench test. Instead, it refers to "test articles" and general results (e.g., "Test articles achieved a rating...") and in some cases, "two out of two test sites" for the animal study.
- Test Set Provenance: The tests are pre-clinical bench tests performed by the manufacturer (MicroVention, Inc., Tustin, California, USA) and an animal study (swine model). The information does not specify the country of origin of data in terms of retrospective/prospective human patient data, as this is not a human clinical trial. All tests would have been performed prospectively as part of the device development and submission.
3. Number of Experts Used to Establish Ground Truth and Qualifications
This section is not applicable as the document describes pre-clinical physical device testing and an animal study, not an AI/ML algorithm study that requires expert adjudication of image-based ground truth. For the simulated-use tests, the performance ratings (e.g., $\geq3$) would be based on qualitative assessment by trained personnel, but they are not referred to as "experts" in the context of clinical ground truth establishment.
4. Adjudication Method for the Test Set
Not applicable. As this is not an AI/ML algorithm study involving interpretation of clinical data by multiple readers, there is no need for an adjudication method like 2+1 or 3+1.
5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was done
No, this was not done. This document pertains to the 510(k) clearance of a physical medical device. MRMC studies are typically performed for AI-driven diagnostic or assistive technologies to assess their impact on human reader performance.
6. If a Standalone (i.e. algorithm only without human-in-the loop performance) was done
No, this was not done. This is not an AI/ML algorithm.
7. The Type of Ground Truth Used
The "ground truth" for this device's performance is established through:
- Engineering Specifications and Standards: For dimensional, mechanical, and safety properties (e.g., ISO standards, specified psi limits, force at break criteria).
- Comparative Performance to Predicate Devices: Performance attributes (e.g., stiffness, vacuum pressure, torque response) were compared to the legally marketed predicate device (Penumbra Reperfusion Catheter ACE64 and ACE68).
- Animal Study Observations: For aspiration performance and histopathological evaluations in a swine model.
8. The Sample Size for the Training Set
Not applicable. This is not an AI/ML study, therefore there is no training set for an algorithm.
9. How the Ground Truth for the Training Set was Established
Not applicable. As there is no AI/ML algorithm training set.
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