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510(k) Data Aggregation

    K Number
    K180178
    Device Name
    Introducer Set
    Date Cleared
    2018-09-10

    (231 days)

    Product Code
    Regulation Number
    870.1340
    Reference & Predicate Devices
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    Femoral artery Introducer Set: The Introducer set are intended to provide access and facilitate the introduction of guide wires, catheters and other accessory medical devices through artery while minimizing blood loss during interventional procedures.

    Radial Artery Introducer Set. The Introducer set are intended to provide access and facilitate the introduction of guide wires, catheters and other accessory medical devices through the skin into the radial artery while minimizing blood loss during interventional procedures.

    Device Description

    This set classifies two types: Femoral Artery and Radial Artery. The Femoral Artery introducer set consist of a sheath introdcuer, dilator, needle, Guidewire. The Radial Artery introducer set consist of a sheath introdcuer lubricated with/without hydrophilic coating, dilator, I.V. cannula /Introducer needle,Guidewire (with/without hydrophilic coating).

    The Introducer Set consists of sheath introducer, each packaged in a set to together with a dilator, introdcuer needle, and guidewire. The introducer sheath is fitted with a hemostasis valve to minimize blood loss during catheter introduction and/or exchange. A side port with tubing connected to a 3-way stopcocks is used for injection contrast medium. The dilator is provided to aid in the introduction of sheath to the target vessel. The Introducer needle/I.V. Cannula is provided a conduit for insertion of the guidewire into the vascular system. The guidewire is utilized as a guiding mechanism for the introducer sheath into the vascular system.

    AI/ML Overview

    The provided document is a 510(k) premarket notification summary for a medical device (KDL Introducer Set). It outlines the device's technical specifications, intended use, and comparison to a predicate device. However, this document describes a Class II medical device (a catheter introducer) and not an AI/ML-driven device. Therefore, the information typically requested in your prompt regarding acceptance criteria and studies for AI/ML device performance (such as sample size for test sets, data provenance, expert ground truth adjudication, MRMC studies, standalone algorithm performance, training set details, etc.) is not applicable to this type of traditional medical device.

    Instead, the document details non-clinical performance testing and biocompatibility testing to demonstrate substantial equivalence to a predicate device.

    Here's a breakdown of the relevant information provided in the document concerning how the device meets acceptance criteria:

    1. Table of Acceptance Criteria and Reported Device Performance:

    The document doesn't present a single table with "acceptance criteria" and "reported device performance" in the way one might for an AI/ML diagnostic output (e.g., sensitivity, specificity thresholds). Instead, it lists various "Testing item" and "Reference Standard/Guidance" for different components of the Introducer Set. The document then states:

    "All sample tested met the standard applicable to each test." and "Base on the result of the performance and biocompatibility testing, the proposed device, Introducer Set, met all the predetermined acceptance criteria of design verification and validation as specified by applicable standards, guidance, and test protocols."

    Here's a re-composition of this information into a table format based on the supplied text:

    ComponentTesting ItemReference Standard/GuidanceReported Device Performance
    Sheath IntroducerAppearanceSection 4.3 of ISO 11070:2014Met standard
    O.D and I.D.Section 7.2 a) of ISO 11070:2014Met standard
    Effective LengthSection 7.2 b) of ISO 11070:2014 (detail size see section V in this submission)Met standard
    Luer connectorISO 594-2Met standard
    Sheath introducer leakageSection 7.3 of ISO 11070:2014Met standard
    Haemostasis valve leakageSection 7.4 of ISO 11070Met standard
    Peak tensile forceSection 7.6 of ISO 11070Met standard
    Coating Integrity (if applicable)In-house standardMet standard
    Coating Friction force (if applicable)In-house standardMet standard
    Radio-detectabilityASTM F640-12Met standard
    DilatorAppearanceSection 4.3 of ISO 11070:2014Met standard
    O.D. and I.D.Section 9.2 a), b) of ISO 11070:2014Met standard
    Effective LengthSection 9.2 c) of ISO 11070:2014Met standard
    Luer connectorISO 594-2Met standard
    Strength of unionSection 9.3.3 of ISO 11070:2014Met standard
    Coating Friction force (if applicable)In-house standard TBD (specific to radial artery and guidewire)Met standard
    Coating Integrity (if applicable)In-house standard TBD (specific to radial artery and guidewire)Met standard
    Radio-detectabilityASTM F640-12Met standard
    Introducer NeedleAppearanceSection 4.3 of ISO 11070:2014Met standard
    O.D and I.D.Table 1 of ISO 9626Met standard
    Effective LengthSection 5.2 of ISO 11070:2014Met standard
    Luer connectorISO 594-1:1986Met standard
    Strength unionSection 5.4.2 of ISO 11070:2014Met standard
    Corrosion resistanceSection 4.4 ISO 11070:2014Met standard
    Needle pointSection 5.3 of ISO 11070Met standard
    PatencySection 13.2 ISO 7864Met standard
    StiffnessSection 5.8 of ISO 9626Met standard
    Breakage resistanceSection 5.9 of ISO 9626Met standard
    Limits for acidity and alkalinitySection 5.4 of ISO 9626Met standard
    GuidewireAppearanceSection 4.3 of ISO 11070:2014Met standard
    O.D.Section 8.2 a) of ISO 11070:2014Met standard
    LengthSection 8.2 b) of ISO 11070:2014Met standard
    Corrosion resistanceSection 4.4 ISO 11070:2014Met standard
    Fracture testSection 8.4 of ISO 11070:2014Met standard
    Flexing testSection 8.5 of ISO 11070:2014Met standard
    Peak tensile forceSection 8.6 of ISO 11070:2014Met standard
    Torque strength3b of FDA Guidance for Coronary and Cervicovascular Guidewire Guidance 1995Met standard
    Torqueability3c of FDA Guidance for Coronary and Cervicovascular Guidewire Guidance 1995Met standard
    Tip flexibility3d of FDA Guidance for Coronary and Cervicovascular Guidewire Guidance 1995Met standard
    Coating Integrity (if applicable)In-house standard TBD (specific to radial artery and guidewire)Met standard
    Coating Friction force (if applicable)In-house standard TBD (specific to radial artery and guidewire)Met standard
    Radio-detectabilityASTM F640-12Met standard
    BiocompatibilityIn Vitro HemolyticASTM F756-13 Standard Practice for assessments of hemolytic properties of materialMet standard
    In Vitro CytotoxicityISO 10993-5:2009, Biocompatibility Evaluation of Medical Device - Part 5: Tests for In Vitro CytotoxicityMet standard
    Intracutaneous ReactivityISO 10993-10:2010, Biocompatibility Evaluation of Medical Device - Part 10: Tests for Irritation and Skin SensitizationMet standard
    Skin SensitizationISO 10993-10:2010, Biocompatibility Evaluation of Medical Device - Part 10: Tests for Irritation and Skin SensitizationMet standard
    Acute Systemic ToxicityISO 10993-11:2006, Biocompatibility Evaluation of Medical Device - Part 11: Tests for systemic toxicityMet standard
    PyrogenISO 10993-11:2006, Biocompatibility Evaluation of Medical Device - Part 11: Tests for systemic toxicityMet standard
    In Vivo ThrombogenicityISO 10993-4:2002/Amd1:2006, Biocompatibility Evaluation of Medical Device - Part 4: Selection of tests for interactions with bloodMet standard

    2. Sample size used for the test set and the data provenance:

    • Sample Size: The document does not specify the exact sample size for each test. It states "The performance tests were performed on the non-aged and ages to 3 years sample." This implies that samples were tested for immediate performance and also after accelerated aging simulating 3 years of shelf life. Specific lot sizes or number of units tested per parameter are not disclosed in this summary.
    • Data Provenance: Not explicitly stated, however, the manufacturer is Shanghai Kindly Medical Instruments Co., Ltd. in Shanghai, China. The testing would have been conducted by or for them, likely in China. The study is a non-clinical performance testing and biocompatibility assessment, rather than a clinical study with patient data.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:

    • This question is not applicable as this is a traditional medical device undergoing physical and biological performance testing, not an AI/ML device relying on interpretation of medical images or data by experts to establish ground truth. The "ground truth" here is defined by the technical specifications and standards (e.g., ISO, ASTM).

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

    • This question is not applicable for the same reason as point 3. Testing involves objective measurements against established engineering and biocompatibility standards.

    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:

    • This question is not applicable as the device is not an AI-driven product nor does it involve human readers interpreting medical cases.

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

    • This question is not applicable as the device is not an algorithm.

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

    • The "ground truth" for this device is based on engineering specifications, established international standards (ISO, ASTM), and FDA guidance documents for medical devices (specifically catheter introducers and guidewires). For biocompatibility, it's based on standard biological test methods outlined in ISO 10993 and ASTM F756.

    8. The sample size for the training set:

    • This question is not applicable as this is a manufactured medical device, not an AI/ML model that requires a training set.

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

    • This question is not applicable for the same reason as point 8.
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