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510(k) Data Aggregation

    K Number
    K201155
    Manufacturer
    Date Cleared
    2020-10-21

    (174 days)

    Product Code
    Regulation Number
    876.5630
    Reference & Predicate Devices
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The PleurX Peritoneal Catheter System is indicated for intermittent, long term drainage of symptomatic, recurrent, malignant and non-malignant ascites that does not respond to medical management of the underlying disease and for the palliation of symptoms related to recurrent ascites. The use of the PleurX Peritoneal Catheter for non-malignant ascites is limited to patients who are intolerant or resistant to maximum medical therapy, refractory to large volume paracentesis (LVP) and are not candidates for a trans-jugular intrahepatic portosystemic shunt or LVP. The PleurX Peritoneal Catheter is indicated for adults only.

    The PleurX Lockable Drainage Line is used to drain fluid using standard wall suction, water seal drainage system, vacuum bottle, or other appropriate method.

    Device Description

    The PleurX Peritoneal Catheter System provides patients with a convenient method to relieve ascites symptoms. The primary components of the PleurX Peritoneal Catheter System are the PleurX Peritoneal Catheter and the PleurX Drainage Kits.

    AI/ML Overview

    The provided text primarily details a 510(k) premarket notification for the "PleurX Peritoneal Catheter System" and clarifies its indications for use, rather than presenting a study with specific acceptance criteria and performance data in a quantitative manner. The document asserts that the device is substantially equivalent to a legally marketed predicate device (CareFusion PleurX Peritoneal Catheter System: K160437).

    However, I can extract the following information related to performance and testing:

    1. Table of Acceptance Criteria and Reported Device Performance:

    The document does not provide a table of quantitative acceptance criteria with corresponding device performance metrics. Instead, it relies on demonstrating substantial equivalence to a predicate device and states that "Bench-level testing was carried out... to demonstrate substantial equivalence."

    Acceptance Criteria CategoryReported Device Performance
    Substantial EquivalenceStated to be substantially equivalent to the predicate device K160437.
    Leak TestingPerformed to evaluate performance of the catheter valve. (Results not quantified in this document)
    Safety and Efficacy (Non-clinical)Results of non-clinical tests show the device is "as safe, as effective, and performs as well as the legally marketed predicate device."
    Safety and Efficacy (Clinical Literature Review)Demonstrates a history of safety and efficacy in non-malignant refractory ascites and indicates that complication incidence is more related to patient-specific health status than the underlying cause of ascites.

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

    • Sample Size: Not specified for any bench-level or clinical literature review.
    • Data Provenance:
      • Bench-level testing: Conducted by the manufacturer (CareFusion).
      • Clinical information: Derived from a "clinical literature review." Details on the scope (e.g., country of origin, retrospective/prospective nature of the studies reviewed) are not provided in this excerpt.

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

    This information is not provided. The document primarily refers to bench testing and a literature review, not a test set requiring expert ground truth establishment in the typical sense of a diagnostic or AI study.

    4. Adjudication Method for the Test Set:

    Not applicable, as no described test set with expert ground truth establishment is present in the provided text.

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

    No, an MRMC comparative effectiveness study is not mentioned as having been conducted. The submission relies on non-clinical testing and a clinical literature review to support substantial equivalence.

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

    Not applicable. The device is a physical medical device (catheter system), not an algorithm or AI system.

    7. The Type of Ground Truth Used:

    • For non-clinical testing: Performance against established engineering and design specifications for medical devices, inferred from "predicate devices and leak testing."
    • For clinical information: The "clinical literature review" served as the basis for understanding safety and efficacy, implying published clinical data from existing studies constituted the "ground truth" for the claims made regarding the device's performance in managing ascites.

    8. The Sample Size for the Training Set:

    Not applicable, as this is not an AI/algorithm-based device requiring a training set.

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

    Not applicable.

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