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510(k) Data Aggregation

    K Number
    K201806
    Date Cleared
    2021-06-23

    (357 days)

    Product Code
    Regulation Number
    870.1220
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Reprocessed PENTARAY® NAV eco High-Density Mapping Catheter is indicated for multiple electrode electrophysiological mapping of cardiac structures in the heart, i.e., recording or stimulation only. This catheter is intended to obtain electrograms in the atrial and ventricular regions of the heart. The Reprocessed PENTARAY® NAV eco High-Density Mapping Catheter provides location information when used with compatible CARTO™ 3 EP Navigation Systems. This catheter is not compatible with CARTO™ 3 EP Navigation Systems prior to Version 3.x.

    Device Description

    The Reprocessed PENTARAY® NAV eco High-Density Mapping Catheter is designed to facilitate electrophysiological mapping of the heart with the CARTO® 3 EP Navigation System. It is designed for deployment in a heart chamber through an 8 Fr guiding sheath. This deflectable catheter consists of multiple 3 Fr spines on the distal tip, each spine having multiple platinum electrodes that are used for stimulation and recording. A magnetic location sensor embedded in the deflectable tip transmits location information to the CARTO® 3 EP Navigation System. The catheter has two electrodes on the deflectable tip to provide for visualization of the tip when used with the CARTO® 3 EP Navigation System. Pushing forward on the catheter thumb knob deflects the tip; pulling back on the thumb knob straightens the tip. This catheter includes an irrigation lumen for connection to a source of continuous drip anticoagulant fluid.

    AI/ML Overview

    The provided text describes the 510(k) summary for the Reprocessed PENTARAY® NAV eco High-Density Mapping Catheter. This document outlines the device's characteristics and the non-clinical tests performed to demonstrate its substantial equivalence to a predicate device.

    1. Table of Acceptance Criteria and Reported Device Performance

    The acceptance criteria for this medical device are implicitly derived from demonstrating substantial equivalence to the predicate device, the original PENTARAY® NAV eco High-Density Mapping Catheter (Biosense Webster K123837). The tests performed cover various functional, safety, and manufacturing aspects to ensure the reprocessed device performs as intended and is safe for use.

    Acceptance Criteria (Implicitly from substantial equivalence to predicate)Reported Device Performance
    Functional Characteristics:Performance testing demonstrates that the Reprocessed PENTARAY® NAV eco High-Density Mapping Catheter performs as originally intended. Specific tests included: Electrical Resistance and Isolation, Electrical Leakage, Leak test, Planarity, Curvature and Spine Spacing, CCS Calibration, Auto ID/EEPROM Reset Verification, Connector Cycling, Tip Stiffness, Tip Side Force, Tip Buckle, Fluid Integrity, Deflection Fatigue, Torsional Strength, Flexation Fatigue, Shaft Rotation Fatigue, Shaft and Connector Bond Strength, Micro Lumen Inspection, Final Rinse and blow out.
    Cleaning and Sterilization Validation:Process validation testing was performed to validate cleaning and sterilization.
    Ethylene Oxide Residual Testing: (to ISO 10993-7 standard)Testing performed to ISO 10993-7.
    Packaging Validation: (to ASTM D4169, ASTM F88, ASTM F2096 standards)Testing performed to ASTM D4169, ASTM F88, ASTM F2096.
    Shelf-life Validation: (to ASTM 1980-07 standard)Testing performed to ASTM 1980-07.
    Biocompatibility: (per ISO 10993-1 for external communicating device, short duration contact with circulating blood (<24 hours))Biocompatibility testing included: Cytotoxicity, Sensitization, Irritation/Intracutaneous Reactivity, Acute Systemic Toxicity, Hemocompatibility, Thrombogenicity, Pyrogenicity.
    Visual Inspection:Manufacturing process includes visual inspection of all products.
    Validated Functional Testing:Manufacturing process includes validated functional testing of all products.

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

    The document states: "Representative samples of reprocessed devices were tested to demonstrate appropriate functional characteristics." However, it does not specify the exact sample size used for the test set for any of the non-clinical tests.

    Regarding data provenance, the testing was performed by Sterilmed, Inc., the manufacturer and submitter of the 510(k). This indicates the data is prospective in the context of validating the reprocessed device. The country of origin of the data is not explicitly stated but can be inferred to be the United States, given the submission to the FDA and the company's address in Minnesota.

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

    This type of information is not applicable to this submission. The tests described are non-clinical, primarily bench testing, process validation (cleaning, sterilization, packaging), and material biocompatibility. These tests rely on established scientific methods, standards (e.g., ISO, ASTM), and laboratory protocols rather than human expert interpretation of a diagnostic outcome. Therefore, there is no "ground truth" to be established by experts in the context of image interpretation or clinical diagnosis.

    4. Adjudication Method for the Test Set

    This is not applicable as the tests are non-clinical and do not involve human interpretation or diagnostic decision-making that would require an adjudication process.

    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

    No, a Multi-Reader Multi-Case (MRMC) comparative effectiveness study was not done. This document is for a medical device (a reprocessed catheter), not an AI-powered diagnostic or assistive tool. Therefore, the concept of human readers improving with or without AI assistance is irrelevant here.

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

    No, a standalone algorithm performance study was not done. This submission is for a physical medical device, not an algorithm or software as a medical device.

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

    For the non-clinical tests described, the "ground truth" is defined by established engineering specifications, performance standards (e.g., ISO, ASTM), and validated scientific methods. For example:

    • Functional tests: The ground truth is whether the device meets its design specifications (e.g., electrical resistance within a certain range, correct deflection, proper bond strength).
    • Sterilization: The ground truth is the absence of viable microorganisms after the sterilization process, validated through microbiological testing.
    • Biocompatibility: The ground truth is the device's interaction with biological systems falling within acceptable safety limits, as defined by ISO 10993 standards and relevant biological endpoints (e.g., no cytotoxicity, no irritation).

    8. The Sample Size for the Training Set

    There is no training set mentioned or implied in this document. This is a submission for a reprocessed medical device, and the testing described is primarily for validation and verification, not for training a machine learning model.

    9. How the Ground Truth for the Training Set was Established

    As there is no training set, this question is not applicable.

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