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510(k) Data Aggregation

    K Number
    K983649
    Device Name
    MAX-ACT
    Date Cleared
    1998-12-11

    (56 days)

    Product Code
    Regulation Number
    864.7140
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The MAX-ACT Activated Clotting Time test tubes are intended for use in the measurement of the activated clotting time test (ACT) on Actalyke Models A1, A1P, A2, A2P, and Hemochron® Models 400, 401, 800, 801 and 8000.

    Device Description

    The MAX-ACT Activated Clotting Time test tubes utilize a "cocktail" of particulate activators (including celite, kaolin, and glass particles) and is intended for use in the measurement of the activated clotting time test (ACT) on Actalyke Models A1, A1P, A2, A2P, and Hemochron® Models 400, 401, 800, 801 and 8000.

    AI/ML Overview

    Here's a breakdown of the acceptance criteria and study information for the MAX-ACT Activated Clotting Time Test Tube, based on the provided text:

    1. Table of Acceptance Criteria and Reported Device Performance

    The provided 510(k) summary does not explicitly state pre-defined performance acceptance criteria. Instead, it demonstrates substantial equivalence to a legally marketed predicate device (Array Medical Actalyke C-ACT test tube, K964609) through correlation studies. The reported performance is presented as correlation coefficients.

    Study Type / GroupPerformance MetricReported Device PerformanceAcceptance Criteria (Implicit)
    In-Vitro (Normal Donors)Correlation with C-ACT/FTCA510r = 0.97, p = 0.0001 (n=72)Strong positive correlation (demonstrating substantial equivalence)
    Clinical - Bypass PatientsCorrelation with C-ACT/FTCA510r² = 0.82 (all samples), r² = 0.87 (after omitting samples outside linear range)Strong positive correlation (demonstrating substantial equivalence)
    Clinical - Aprotinin Bypass PatientsCorrelation with ACTII/K-ACT/FTKACTr² = 0.89Strong positive correlation (demonstrating substantial equivalence)
    Clinical - Pediatric BypassCorrelation with FTCA510r² = 0.86Strong positive correlation (demonstrating substantial equivalence)
    Clinical - Catheterization PatientsCorrelation with FTCA510r² = 0.88Strong positive correlation (demonstrating substantial equivalence)

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

    • In-vitro study:
      • Sample Size: 72 samples (derived from 3 normal, healthy volunteers by adding increasing amounts of heparin).
      • Data Provenance: In-house study, in-vitro heparinization of normal donor blood. The country of origin is not explicitly stated but can be inferred as the US given the submission to the FDA. Retrospective/Prospective: Not explicitly stated, but the description of generating samples suggests a controlled, prospective approach.
    • Clinical studies:
      • Total Sample Size: 330 paired blood samples.
      • Breakdown by Study Group:
        • Bypass Patients: 239 patient samples (from n=30 patients)
        • Aprotinin Bypass Patients: 28 patient samples (from n=6 patients)
        • Pediatric Bypass: 41 patient samples (from n=5 patients)
        • Catheterization Patients: 22 patient samples (from n=10 patients)
      • Data Provenance: Clinically collected samples from patients (adult bypass, pediatric bypass, cardiac catheterization) at "numerous institutions." The country of origin is not explicitly stated, but given FDA submission, it's likely primarily US data. Retrospective/Prospective: The description "collected... before, during, and following heparinization" suggests these were prospectively collected as part of the study.

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

    This type of information is not provided in the given document. The "ground truth" in this context is the measurement provided by the legally marketed predicate devices (C-ACT, FTCA510, ACTII/K-ACT/FTKACT). These are established laboratory tests, and their results are considered the standard for comparison rather than requiring expert consensus on individual results.

    4. Adjudication Method for the Test Set

    This type of information is not applicable to this study. The study compares a new device's readings to those of a predicate device. There is no mention of human interpretation or a need for adjudication.

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

    No, a MRMC comparative effectiveness study was not done. This study focuses on the analytical performance of a diagnostic device (activated clotting time measurement), not on the diagnostic accuracy of human readers with or without AI assistance.

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

    Yes, the performance data presented is that of the device (MAX-ACT Activated Clotting Time Test Tube) in a standalone capacity, i.e., without a human-in-the-loop evaluating its output in a diagnostic context. It compares the MAX-ACT's readings directly to those of established ACT tests.

    7. The Type of Ground Truth Used

    The ground truth used for comparison was the readings obtained from legally marketed predicate Activated Clotting Time (ACT) tests. Specifically, these included:

    • Array Medical Actalyke C-ACT
    • HEMOCHRON CA510
    • HEMOCHRON FTKACT
    • ACTII/K-ACT

    These predicate devices serve as the established standard for measuring ACT.

    8. The Sample Size for the Training Set

    This document does not mention a 'training set.' The MAX-ACT device is a physical test tube containing "a cocktail of particulate activators." It’s not an AI/ML algorithm that requires a training set in the conventional sense. The studies described are for validation and demonstration of equivalence, not for training an algorithm.

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

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

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