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510(k) Data Aggregation

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    Product Code :

    DWB

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Small (4") and Large (6") Roller Pumps for the Terumo® Advanced Perfusion System 1 are indicated for use for up to 6 hours in the extracorporeal circulation of blood for arterial perfusion, regional perfusion, and cardiopulmonary bypass procedures, when used by a qualified medical professional who is experienced in the operation of this or similar equipment.

    Device Description

    The Small (4") and Large (6") Roller Pumps of the Terumo® Advanced Perfusion System 1 (System 1) are peristalic pumps with 4 inch and 6 inch diameter raceways. The pumps can be mounted on the base of the System 1 console or can be positioned in an optimal location in the perfusion circuit by mounting to the system poles. Operation of the pumps can be configured using the System 1 Central Control Monitor (CCM). Local user interface displays and control panels are also located on the front of the large and small roller pumps. The small roller pump can accommodate applications requiring flow rates up to 4 L/min including pediatric arterial, adult and pediatric cardioplegia, vent and suction pumping, whereas the large roller pump can accommodate applications requiring flow rates up to 10 L/min including adult and pediatric arterial, cardioplegia, vent and suction pumping. The small and large roller pumps both have variable tube clamp mechanisms that accommodate a variety of tubing sizes, including dual tube sets.

    AI/ML Overview

    This document, K162843, is a 510(k) premarket notification for updates to the Terumo Advanced Perfusion System 1 Roller Pumps. The main change described is the inclusion of medical grade silicone tubing as a compatible tubing option for both the Small (4") and Large (6") Roller Pumps. Since the device is substantially equivalent to a previously cleared predicate device (K153376), it primarily relies on demonstrating that the new tubing material does not adversely affect the device's safety and effectiveness.

    Here's a breakdown of the requested information based on the provided document:

    1. Table of Acceptance Criteria and Reported Device Performance

    The document does not explicitly state "acceptance criteria" in a quantitative table format with corresponding "reported device performance" values for all functionality. Instead, it leverages the substantial equivalence to a predicate device and focuses on confirming that the new medical grade silicone tubing does not compromise the established performance.

    However, based on the Functional Summary and Flow Range Accuracy sections, we can infer some performance characteristics and the implicit "acceptance criteria" that the subject device (with silicone tubing) must meet by being "Identical to predicate device."

    Feature/ParameterAcceptance Criteria (Implicit, based on predicate device K153376)Reported Device Performance (with medical grade silicone tubing)
    Small Roller Pump
    Max Flow Rateup to 4 L/minMet: Small roller pump can accommodate applications requiring flow rates up to 4 L/min
    Tubing CompatibilityMedical Grade PVC 9/16" OD (max) 1/16" – 3/32" wall thicknessMet: Also compatible with Medical Grade Silicone 9/16" OD (max) 1/16" – 3/32" wall thickness
    Flow Range Accuracy (0.0-1.0 L/min)± 10% of actualMet: Identical to predicate device
    Flow Range Accuracy (1.0-4.0 L/min)± 8% of actualMet: Identical to predicate device
    Large Roller Pump
    Max Flow Rateup to 10 L/minMet: Large roller pump can accommodate applications requiring flow rates up to 10 L/min
    Tubing CompatibilityMedical Grade PVC 11/16" OD (max) 1/16" – 3/32" wall thicknessMet: Also compatible with Medical Grade Silicone 11/16" OD (max) 1/16" – 3/32" wall thickness
    Flow Range Accuracy (0.0-1.0 L/min)± 10% of actualMet: Identical to predicate device
    Flow Range Accuracy (1.0-10.0 L/min)± 8% of actualMet: Identical to predicate device
    Speed Range / Accuracy0 - 250 RPM ± 2 RPM or 1% of actualMet: Identical to predicate device
    Other Functional CharacteristicsIdentical to predicate device (e.g., Panel Displays & Controls, Pump Configurations/Modes, Internal Monitoring, Controls & Safety)Met: Performance testing confirmed design input requirements met.

    The "Reported Device Performance" column essentially states "met" or "identical to predicate device" because the core of this 510(k) is to demonstrate that the addition of silicone tubing compatibility maintains the performance characteristics of the already cleared predicate device. The conclusion explicitly states: "Performance testing has confirmed that the design input requirements were met demonstrating that medical grade silicone tubing can be used with the Small and Large System 1 Roller Pumps."

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

    The document states: "Performance testing of medical grade silicone tubing with the Small and Large System 1 Roller Pumps has been completed successfully." However, it does not specify the sample size (e.g., number of pumps, number of tests, duration of tests) used for this performance testing.

    Regarding data provenance, the document does not explicitly state the country of origin or if the study was retrospective or prospective. It implies the testing was conducted by Terumo Cardiovascular Systems Corporation as part of their 510(k) submission, suggesting it was likely prospective testing specifically for this change.

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

    The document does not mention the use of human experts to establish ground truth for performance testing in the context of device function for roller pumps. Performance criteria for such devices (flow rate accuracy, speed accuracy, tubing compatibility, etc.) are typically established through engineering specifications and objective measurements, not subjective expert assessment. Therefore, this question is not directly applicable to the type of device and testing described.

    4. Adjudication Method for the Test Set

    The document does not mention an adjudication method. As noted above, the performance testing for this device is based on objective measurements against engineering specifications, not on subjective assessments that would require adjudication.

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

    No, an MRMC comparative effectiveness study was not done for this device. This type of study is typically used for diagnostic devices where human interpretation of images or data is involved, and the goal is to evaluate the effectiveness of AI assistance on human reader performance. The Terumo roller pumps are mechanical devices, and their performance is evaluated through objective measurements and engineering tests.

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

    While the term "standalone" typically refers to AI algorithm performance without human intervention, in the context of this mechanical device, the "performance testing" described can be considered analogous to "standalone" in that it evaluates the device's function (with the new tubing) based on its intrinsic capabilities against predefined criteria, without an explicit "human-in-the-loop" interaction as part of the primary performance assessment. The device is designed to operate mechanically, and the performance tests verify its mechanical and fluid dynamics properties.

    7. The Type of Ground Truth Used

    The ground truth used for this device's performance testing consists of:

    • Engineering Specifications: Predefined quantitative thresholds for parameters like flow rate accuracy, speed accuracy, and dimensions.
    • Functional Equivalence: The expectation that the subject device, with the new tubing, performs identically or equivalently to the predicate device in terms of all functional aspects (e.g., pump configurations, controls, safety).
    • Biocompatibility (implied): The "medical grade silicone tubing" implies that material properties and safety (e.g., non-toxicity, durability) were assessed, although specific details are not provided in this summary.

    8. The Sample Size for the Training Set

    The concept of a "training set" is relevant to machine learning/AI devices. Since the Terumo roller pump is a mechanical device, there is no training set in the AI/ML sense. Its design and performance are based on engineering principles and physical testing, not data-driven learning.

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

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

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    Why did this record match?
    Product Code :

    DWB

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Large (6") Roller Pump for the Terumo Advanced Perfusion System 1 is indicated for use for up to 6 hours in the extracorporeal circulation of blood for arterial perfusion, regional perfusion, and cardiopulmonary bypass procedures, when used by a qualified medical professional who is experienced in the operation of this or similar equipment.

    Device Description

    The Large (6") Roller Pump for the Terumo Advanced Perfusion System 1 is a component of the Terumo Advanced Perfusion System 1. It is a large roller pump with a 6" race that can accommodate applications requiring flow rates up to 10 L/min including adult and pediatric arterial, cardioplegia, vent and suction pumping. It uses commercially available medical grade PVC tubing with 11/16" OD (max) and 1/16" - 3/32" wall thickness. It has a front panel for user interface controls, functional displays, and alarm conditions. The pump can be configured using the System 1 Central Control Monitor (CCM) as an Arterial pump or Cardioplegia pump. The Arterial pump can be run in Continuous, Pulse, Servo, or Master/Follower mode. The pump continuously monitors its own performance and reports status information and problems to the user via the pump display panel alarms and to the CCM. Pump responses to detected problems can include Stop, Pause, Reduce Speed, or Message Only. The pump can be mounted on System 1 base or pole.

    AI/ML Overview

    The Terumo Cardiovascular Systems Corporation Large (6") Roller Pump K131618 is substantially equivalent to the predicate device K112587. The modification made to the device involved software updates.

    Here's a breakdown of the acceptance criteria and study information:

    1. Acceptance Criteria and Reported Device Performance

    The submission states that the modified device has the "same intended use, substantially equivalent indications for use, and the same or substantially equivalent operating principles and technical specifications" as the predicate device. The performance specifications are identical to the predicate device, K112587.

    ItemAcceptance Criteria (Predicate Device K112587)Reported Device Performance (Modified Device)
    Indication for UseThe large (6") roller pump for the Terumo® Advanced Perfusion System 1 is indicated for use for up to 6 hours in the extracorporeal circulation of blood for arterial perfusion, regional perfusion, and cardiopulmonary bypass procedures, when used by a qualified medical professional who is experienced in the operation of this or similar equipment.The large (6") roller pump for the Terumo® Advanced Perfusion System 1 is indicated for use for up to 6 hours in the extracorporeal circulation of blood for arterial perfusion, regional perfusion, and cardiopulmonary bypass procedures, when used by a qualified medical professional who is experienced in the operation of this or similar equipment. (Identical to predicate)
    Functional SummaryLarge roller pump with 6" race can accommodate applications requiring flow rates up to 10 L/min including adult and pediatric arterial, cardioplegia, vent and suction pumping.Large roller pump with 6" race can accommodate applications requiring flow rates up to 10 L/min including adult and pediatric arterial, cardioplegia, vent and suction pumping. (Identical to predicate)
    Tubing Requirements• Medical Grade PVC tubing
    • 11/16" OD (max)
    • 1/16" – 3/32" wall thickness• Medical Grade PVC
    • 11/16" OD (max)
    • 1/16" - 3/32" wall thickness (Identical to predicate)
    Panel Displays and ControlsFront panel for user interface controls, functional displays, and alarm conditions.Front panel for user interface controls, functional displays, and alarm conditions. (Identical to predicate)
    Pump Configurations / ModesPump can be configured using the System 1 Central Control Monitor (CCM) as: Arterial pump, Cardioplegia pump. Arterial pump can be run in Continuous, Pulse, Servo, or Master/Follower mode.Pump can be configured using the System 1 Central Control Monitor (CCM) as: Arterial pump, Cardioplegia pump. Arterial pump can be run in Continuous, Pulse, Servo, or Master/Follower mode. (Identical to predicate)
    Internal Monitoring, Controls & SafetyPump continuously monitors its own performance and reports status information and problems to the user via the pump display panel alarms and to the CCM. Pump responses to detected problems can include Stop, Pause, Reduce Speed, or Message Only.Pump continuously monitors its own performance and reports status information and problems to the user via the pump display panel alarms and to the CCM. Pump responses to detected problems can include Stop, Pause, Reduce Speed, or Message Only. (Identical to predicate)
    MountingPump can be mounted on System 1 base or pole. The attachment mechanism is integral to the back of the lower pump housing.Pump can be mounted on System 1 base or pole. The attachment mechanism is integral to the back of the lower pump housing. (Identical to predicate)
    Dimensions (nominal)Height: 12.5 in (31.8 cm)
    Width: 8.5 in (21.6 cm)
    Depth: 13.1 in (33.3 cm)Height: 12.5 in (31.8 cm)
    Width: 8.5 in (21.6 cm)
    Depth: 13.1 in (33.3 cm). (Identical to predicate)
    Weight (nominal)26 lb (11.7 kg)26 lb (11.7 kg). (Identical to predicate)
    HousingExternal: Molded ABS plastic. Internal: Metal with EMC coating.External: Molded ABS plastic. Internal: Metal with EMC coating. (Identical to predicate)
    CoverClear plastic cover with safety interlock.Clear plastic cover with safety interlock. (Identical to predicate)
    Pump Control AssemblyA two-board assembly, consisting of a computer board and a motor control board are mounted to the frame.A two-board assembly, consisting of a computer board and a motor control board are mounted to the frame. (Identical to predicate)
    PowerLow voltage, 24 VDC power and battery backup supplied from APS1 via the pump power cable.Low voltage, 24 VDC power and battery backup supplied from APS1 via the pump power cable. (Identical to predicate)
    Flow Range Accuracy• 0.001 L/min for 0.0 – 1.0 L/min ± 10% of actual
    • 0.01 L/min for 1.0 – 10.0 L/min ± 8% of actual• 0.001 L/min for 0.0 – 1.0 L/min ± 10% of actual
    • 0.01 L/min for 1.0 – 10.0 L/min ± 8% of actual. (Identical to predicate)
    Speed Range / Accuracy0 - 250 RPM ± 2 RPM or 1% of actual, whichever is greater.0 - 250 RPM ± 2 RPM or 1% of actual, whichever is greater. (Identical to predicate)
    Environmental Conditions (Operation)• 10°C to 40°C
    • ≤ 75%RH
    • Non-condensing• 10°C to 40°C
    • ≤ 75%RH
    • Non-condensing. (Identical to predicate)
    Environmental Conditions (Storage)• Store in ventilated area
    • -30°C to 54°C
    • ≤ 95%RH
    • Non-condensing• Store in ventilated area
    • -30°C to 54°C
    • ≤ 95%RH
    • Non-condensing. (Identical to predicate)
    Electrical Rating• 24 VDC (nominal)
    • +5 VDC
    • 10A maximum @ 24 VDC• 24 VDC (nominal)
    • +5 VDC
    • 10A maximum @ 24 VDC. (Identical to predicate)

    The study supporting the acceptance criteria explicitly states: "Software and system testing have confirmed that the modifications improve device performance."

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

    The submission does not specify a distinct "test set" in the context of clinical data or patient samples. The performance testing described relates to software verification and validation testing at unit, integration, and system levels. Therefore, there is no mention of data provenance (e.g., country of origin, retrospective/prospective) typically associated with clinical studies.

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

    Not applicable. The performance testing was for software verification and validation, not for establishing clinical ground truth on patient data.

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

    Not applicable. The testing was for software and system performance, not for clinical assessment requiring expert adjudication.

    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

    Not applicable. This device is a medical pump, not an AI-assisted diagnostic or interpretive system that would involve human readers.

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

    The performance testing focused on the software modifications to the device, confirming improved device performance through unit, integration, and system level testing. This implies a "standalone" evaluation of the software's functionality and its impact on the device's overall operation, without direct human interaction as part of the performance measurement.

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

    For software verification and validation, the "ground truth" would be established specifications, requirements, and expected operational parameters of the device. The software was tested against these predefined functional and performance requirements.

    8. The sample size for the training set

    Not applicable. This device is a medical pump with software modifications; there is no indication of a machine learning or AI model that would require a "training set" in the context of image analysis or similar applications. The software was developed and then verified/validated.

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

    Not applicable, as there is no "training set." The software's correct functioning is validated against engineering specifications and expected device behavior.

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    K Number
    K112587
    Date Cleared
    2011-12-19

    (104 days)

    Product Code
    Regulation Number
    870.4370
    Reference & Predicate Devices
    Why did this record match?
    Product Code :

    DWB

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Large (6") Roller Pump for the Terumo® Advanced Perfusion System 1 is indicated for use for up to 6 hours in the extracorporeal circulation of blood for arterial perfusion, regional perfusion, and cardiopulmonary bypass procedures, when used by a qualified medical professional who is experienced in the operation of this or similar equipment.

    Device Description

    The image shows a device description and indications for use of the APS 1 Large (6") Roller Pump. The device is a peristaltic pump with a 6 inch diameter race that can be mounted on the base of the Advanced Perfusion System 1 (APS1) console or positioned in an optimal location in the perfusion circuit by mounting on the pole. The large roller pump can accommodate applications requiring flow rates up to 10 L/min.

    AI/ML Overview

    Here's a breakdown of the acceptance criteria and study information based on the provided text:

    1. Table of Acceptance Criteria and Reported Device Performance

    CharacteristicAcceptance Criteria (Standard/Test/FDA Guidance)Reported Device Performance (Results Summary)
    StrengthDesign Verification Protocol: Knob/Cam Follower Impact Strength VerificationPass – All pre-defined acceptance criteria met
    Reliability/DurabilityDesign Validation Protocol: Simulated use testing on new and aged parts; multiple cycles under worst-case conditionsPass – All pre-defined acceptance criteria met

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

    The document does not explicitly state the numerical sample size used for the test set in the performance studies. It mentions "new and aged parts" but no specific quantity.

    The data provenance is not explicitly stated in terms of country of origin or whether it was retrospective or prospective. Given the nature of a 510(k) submission for a design change, the testing would generally be prospective, conducted in a laboratory setting by the manufacturer.

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

    This information is not provided in the document. The performance tests appear to be engineering-based (strength, reliability/durability) rather than requiring expert clinical interpretation for ground truth.

    4. Adjudication Method for the Test Set

    This information is not provided. Given the nature of the tests (Pass/Fail based on engineering criteria), formal adjudication by clinical experts is unlikely.

    5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

    No, a multi-reader multi-case (MRMC) comparative effectiveness study was not done. This device is a mechanical pump, not an AI-powered diagnostic or interpretive tool that would involve human readers.

    6. Standalone (Algorithm Only Without Human-in-the-Loop Performance) Study

    Yes, the performance tests described (Strength, Reliability/Durability) are standalone tests of the device's mechanical integrity and function. The device itself (a roller pump) is a standalone piece of equipment. The assessment of its performance did not involve a "human-in-the-loop" component for interpretation of results, but rather its mechanical operation and ability to withstand stress.

    7. Type of Ground Truth Used

    The ground truth used for these performance tests appears to be engineering specifications and pre-defined acceptance criteria. For "Strength," the ground truth is defined by the "Knob/Cam Follower Impact Strength Verification" protocol. For "Reliability/Durability," the ground truth is established by "Simulated use testing... under worst-case conditions." The "Pass" result indicates that the device met these engineering and design validation targets.

    8. Sample Size for the Training Set

    This information is not applicable and therefore not provided. The device is a mechanical pump, not an AI/ML-based system that requires a "training set" in the context of machine learning. The design and manufacturing process would involve internal testing and validation, but not a "training set" in the computational sense.

    9. How Ground Truth for the Training Set Was Established

    This information is not applicable as there is no "training set" for this type of medical device.

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    K Number
    K973237
    Date Cleared
    1998-04-27

    (242 days)

    Product Code
    Regulation Number
    870.4370
    Reference & Predicate Devices
    Why did this record match?
    Product Code :

    DWB

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Medtronic CSS™ Cardioplegia Safety System is intended for use as a cardioplegia delivery system which controls, monitors, and delivers oxygenated blood and/or asanguineous solutions during cardiopulmonary bypass procedures.

    Device Description

    The Medtronic CSS Cardioplegia Safety System Model 990 consists of an electro-mechanical instrument and disposable Cardioplegia Sets. The instrument delivers cardioplegia solution through dual peristaltic independently operated pumps (one for blood, one for crystalloid). It monitors volume delivered, flow rate (adjustable from 0 - 990 ml/min), and pressure (line and external). It also includes temperature monitoring capabilities, gross air detection using ultrasonic technology, and two independent elapsed timers. The instrument has a color central information display and a two-stage alert-alarm process. It has battery backup for 60 minutes of "On" time and 15 minutes of pumping time. The disposable sets are single use, sterile, and nonpyrogenic, designed to mix arterial blood and asanguineous cardioplegia solution at various ratios. The sets include silicone tubing and polycarbonate connectors and are available in four configurations, with or without a heat exchanger and with standard or dual lumen patient lines.

    AI/ML Overview

    The Medtronic CSS Cardioplegia Safety System Model 990 is intended for use as a cardioplegia delivery system which controls, monitors, and delivers oxygenated blood and/or asanguineous solutions during cardiopulmonary bypass procedures. The provided document is a 510(k) summary, which focuses on demonstrating substantial equivalence to predicate devices rather than fully detailing a study against specific acceptance criteria for novel performance claims. However, it does present performance data for various features of the device as part of the substantial equivalence argument, which can be interpreted as meeting certain "acceptance criteria" by comparing them to predicate devices or manufacturer's specifications.

    Here's an analysis of the acceptance criteria and the study as presented:

    1. Table of Acceptance Criteria and Reported Device Performance

    The document provides a comparative table where the Medtronic CSS's features and performance specifications are listed alongside those of predicate devices (Sorin BCC, Quest MPS, Sarns 9000). While it doesn't explicitly state "acceptance criteria" as pass/fail thresholds for clinical claims, the comparison table implicitly defines the acceptable performance range by demonstrating equivalence to already cleared devices or meeting internal specifications.

    Feature AreaImplicit Acceptance Criteria / Predicate Performance (Range from table)Medtronic CSS Reported Device PerformanceStudy/Test Performed
    Pressure Range0-990 mmHg (Sarns); 0-550 mmHg (Sorin); 0-600 mmHg (Quest)0-500 mmHg (Also, pump mechanism will not generate > 1200mmHg; shuts down if > 500 mmHg)In-Vitro Bench Testing: Occlusion and Maximum Pressure, Line Pressure Measurement System Performance, External Pressure Measurement
    Line Pressure Accuracy+/- 5 mmHg (Sorin); +/-2.5% or 3mmHg (Quest); +/-10-20 mmHg (Sarns)0-100 mmHg +/-10 mmHg; 101-500 mmHg +/-10%In-Vitro Bench Testing: Line Pressure Measurement System Performance
    External Pressure Accuracy+/- 5 mmHg (Sorin); +/-2.5% or 3mmHg (Quest); +/-10-20 mmHg (Sarns)0-100 mmHg +/- 5 mmHg; 101-500 mmHg +/-5%In-Vitro Bench Testing: External Pressure Measurement
    Constant Pressure ModeYes (Quest, Medtronic CSS); N/A (Sorin, Sarns)Pressure maintained at +/-15% of target; flow varies no more than +/-25%In-Vitro Bench Testing: Constant Pressure Mode Performance
    Flow Rate0-9.8 L/min (Sarns); 10-600 mL/min (Sorin); 0-500 mL/min (Quest)0-990 mL/minIn-Vitro Bench Testing: Pump Flow Performance
    Flow Accuracy+/-5% (Sorin, Quest); +/-0.1-0.3 L/min (Sarns)0-600 +/- 10% *; 601-990 +/- 20%In-Vitro Bench Testing: Pump Flow Performance
    Temperature Range0-50°C (Medtronic CSS); 0-40°C (Sorin); 0-39°C (Quest); 0-49.9°C (Sarns)0-50°CIn-Vitro Bench Testing: Temperature Monitoring
    Temperature Accuracy+/-1°C (Sorin, Quest, Medtronic CSS); +/-0.2°C (Sarns)+/-1°CIn-Vitro Bench Testing: Temperature Monitoring
    Timer Range0-99hr59min59sec (Medtronic CSS); 0-99.9 min (Sorin); 0-24 hrs (Sarns)0-99hr59min59secNot explicitly detailed, but part of functional testing
    Timer Accuracy1 sec (Medtronic CSS); 0.1 min (Sorin); +/- 1 min (Sarns)1 secNot explicitly detailed, but part of functional testing
    Gross Air DetectionYes (Quest, Sarns, Medtronic CSS); No (Sorin)Detects gross air (air bubble of at least 1/4" diameter)In-Vitro Bench Testing: Gross Air Detection
    Battery Back-upYes (Sorin, Sarns, Medtronic CSS); No (Quest)60 min "On" time, 15 min pumping timeIn-Vitro Bench Testing: Battery Back-up
    Air Detection TransducerUses ultrasonic detection technologyUses ultrasonic detection technology for gross airIn-Vitro Bench Testing: Gross Air Detection
    Disposable Set IntegrityN/A (specific to Medtronic CSS)Operated in accordance with Medtronic Bio-Medicus device specificationsIn-Vitro Bench Testing: The CSS™ Instrument Disposable Set Integrity Test
    Blood TraumaN/A (specific to Medtronic CSS)Operated in accordance with Medtronic Bio-Medicus device specificationsIn-Vitro Bench Testing: Blood Trauma Test
    BiocompatibilityMaterials commonly used in medical industry; tested per FDA/ISOMaterials determined to be biocompatible and nontoxicBiocompatibility Testing
    SterilizationN/A (specific to Medtronic CSS)Validated 100% (EtO) at min SAL of $10^{-6}$ per ANSI/AAMI/ISO 11135-1994Sterilization Validation
    EtO ResidualsN/A (specific to Medtronic CSS)Meets limits per ANSI/AAMI/ISO 10993-7:1995EtO Residuals Testing
    Pyrogen TestingN/A (specific to Medtronic CSS)Less than 0.5 EU/ml per FDA guidelines (Dec 1987)Pyrogen Testing (LAL method)

    * "Based on customer input this accuracy is sufficient for this application"

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

    The document describes "In-Vitro Bench Testing" and "Biocompatibility Testing."

    • Test Set Sample Size: Not explicitly stated for any of the individual bench tests. The document only lists the types of tests conducted. For biocompatibility, it states "these devices were tested," implying a sample was used but no number is provided.
    • Data Provenance: The tests described are "In-Vitro Bench Testing" and "Biocompatibility Testing." This indicates the data is from retrospective laboratory experiments conducted by the manufacturer, Medtronic Bio-Medicus, Inc. There is no mention of human subject data or data from specific countries of origin beyond the company's location in Eden Prairie, MN, USA.

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

    Not applicable. This device is a cardioplegia delivery system, and the studies performed are bench tests and biocompatibility tests. There is no diagnostic component requiring human expert ground truth for interpretation of medical images or patient conditions. The "ground truth" for these tests would be the established engineering specifications, chemical/biological standards, and physical measurements.

    4. Adjudication Method for the Test Set

    Not applicable, as expert adjudication is not relevant for bench or biocompatibility testing. The "adjudication" would involve comparing test results against predefined engineering specifications and regulatory standards.

    5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

    No, a Multi-Reader Multi-Case comparative effectiveness study was not done. This type of study is typically performed for diagnostic or screening devices where human readers (e.g., radiologists) interpret images or data, and their performance with and without AI assistance is compared. The Medtronic CSS Cardioplegia Safety System is a therapeutic delivery system with monitoring capabilities, so an MRMC study is not relevant to its function and claims.

    6. Standalone (Algorithm Only Without Human-in-the-Loop Performance) Study

    Yes, the "In-Vitro Bench Testing" and "Biocompatibility Testing" can be considered standalone performance evaluations. These tests assess the device's intrinsic mechanical, electrical, and material properties and performance against specifications without direct human-in-the-loop interaction for the specific performance endpoint being measured (e.g., pump flow accuracy, pressure detection, air bubble detection). The control system (microprocessor, software) within the instrument operates autonomously during these tests to fulfill its functions.

    7. Type of Ground Truth Used

    The ground truth for the various tests appears to be:

    • Engineering Specifications: For parameters like flow accuracy, pressure accuracy, temperature accuracy, timer accuracy, and constant pressure mode performance, the ground truth is the device's designed operational specifications and performance limits. These are then compared to the measured performance.
    • Physical Measurements: Directly measured flow rates, pressures, temperatures, and times.
    • Biological/Chemical Standards: For biocompatibility, the ground truth is established by recognized international standards (ISO 10993-1, USP XXIII) and FDA guidelines. For EtO residuals, it's ANSI/AAMI/ISO 10993-7:1995. For pyrogen testing, it's FDA guidelines.
    • Visual/Physical Detection: For gross air detection, the ground truth would be the presence of a known air bubble of a specified size.

    8. Sample Size for the Training Set

    Not explicitly stated. As this is a 510(k) for a hardware device with embedded software (not a machine learning/AI diagnostic system generating models from data), the concept of a "training set" in the context of statistical modeling or AI development is not directly applicable in the way it is for imaging algorithms. Any "training" or calibration would likely refer to internal iterative development and testing against specifications, rather than data-driven model training.

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

    Not applicable in the typical AI/ML sense. For hardware and embedded software development, the "ground truth" during development (if we were to loosely interpret "training set" as development data) would be established by engineering design specifications, safety standards, and performance targets derived from clinical requirements and predicate device performance. This would involve rigorous internal testing, debugging, and verification to ensure the device performs as designed.

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    K Number
    K972321
    Device Name
    S3 MAST PUMP
    Date Cleared
    1998-02-27

    (249 days)

    Product Code
    Regulation Number
    870.4370
    Reference & Predicate Devices
    Why did this record match?
    Product Code :

    DWB

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Stockert S3 Mast Pump is a modular component of the Stockert S3 Perfusion System. The S3 Mast Pump is intended to provide speed controlled pumping of blood through the cardiopulmonary bypass circuit for durations of normally six hours or less, left ventricular venting, cardiotomy suction, or the administration of cardioplegia solution, when used by a qualified perfusionsist who is experienced in the operation of the S3 System.

    Device Description

    The Stockert S3 (cardiopulmonary bypass) Mast Pump Module is intended for use during cardiopulmonary bypass surgery. The S3 Mast Pump Module is a component of the Stockert S3 Perfusion System, and is intended to provide speed controlled pumping of fluid through the cardiopulmonary bypass circuit, left ventricular venting, cardiotomy suction, or the administration of cardioplegia solution. The predicate and predecessor device to the S3 Mast Pump Module is the S3 Double Head Pump Module. The S3 Mast Pump has the same double head pump design and intended use as the S3 Double Head Pump Module(K955038). The basic difference between these two double head pumps is that for the Mast Pump, the pump heads are mounted on the mast of an S3 Mast Pump Extension Unit, and the control/operating unit is placed on a swivel plate on the console, whereas for the standard 69 double head pump module, the control unit is mounted directly over the pump theads and the entire module is installed on the S3 Console Base. The Mast Pump configuration enables the perfusionist to position the pump heads in close proximity to the patient, thus reducing the length of tubing required for the extracorporeal blood circuit and the associated priming volume required. This option is useful in clinical situations where it is important to minimize the amount of tubing in the circuit, e.g. infant perfusion.

    AI/ML Overview

    The provided 510(k) summary for the Stöckert S3 Perfusion System Mast Pump Module does not include acceptance criteria or a study demonstrating device performance against such criteria.

    The document primarily focuses on establishing substantial equivalence to a predicate device (S3 Double Head Pump Module) and outlines the device's description, intended use, and conformity to general safety standards (IEC 601, IEC 62a, and UL 544).

    Therefore, I cannot extract the requested information regarding acceptance criteria and a study proving device performance from the provided text.

    Here's why the requested information isn't present:

    • No Acceptance Criteria: The document does not define specific performance metrics, thresholds, or pass/fail criteria for the device.
    • No Performance Study Details: While it mentions "extensive testing results characterizing device performance and software verification and validation," it does not provide any details about these studies, such as:
      • The specific tests performed.
      • The results of those tests.
      • The methodologies used.
      • Any comparison to acceptance criteria.
      • Sample sizes, ground truth establishment, or expert involvement.

    In summary, the provided text describes the device and its regulatory status, but lacks the detailed performance study information required to answer your specific questions.

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    K Number
    K971520
    Date Cleared
    1997-09-10

    (138 days)

    Product Code
    Regulation Number
    870.4370
    Reference & Predicate Devices
    Why did this record match?
    Product Code :

    DWB

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Stöckert S3 Cyclic RPM Control Module is an accessory to the S3 Cardiopulmonary Bypass System Console which allows for the cyclicapm control offan;S3:pump.

    Device Description

    The Stöckert S3 Cyclic RPM Control Module is an accessory module to the Stöckert S3 (cardiopulmonary bypass) Perfusion System, and is intended to allow the roller pump or double head pump to operate in the pulsed flow mode. The predicate and predecessor device to the S3 Cyclic RPM Control Module is the Stöckert-Shiley CAPS PFC 100 S Control unit (K883456). Similar devices have been used for many years for this same intended purpose. The new S3 Cyclic RPM Control Module is a simple upgrade of the technological aspects of the predicate device, e.g., the software controls and have been updated and the control and display panels have been updated for user convenience in operating the system.

    AI/ML Overview

    Here's an analysis of the provided text regarding the acceptance criteria and study for the Stöckert S3 Cyclic RPM Control Module:

    Limitations of the Provided Information:

    It's important to note that the provided document is a 510(k) summary, which is a high-level overview. It describes the device, its intended use, and states that testing was performed to support substantial equivalence. However, it does not provide detailed acceptance criteria, specific reported performance data, or the methodologies of the studies in the granularity typically requested.

    Therefore, many sections of your request will be answered by stating that the information is either not provided or not applicable based on the context of this specific document.


    Description of Acceptance Criteria and Study for Stöckert S3 Cyclic RPM Control Module

    The Stöckert S3 Cyclic RPM Control Module is an accessory to the Stöckert S3 Perfusion System, designed to enable pulsed flow operation for the roller pump or double head pump during cardiopulmonary bypass. The device is a technological upgrade of a predicate device, the Stöckert-Shiley CAPS PFC 100 S Control unit (K883456).

    The provided 510(k) summary indicates that the device underwent testing to demonstrate substantial equivalence to its predicate. The testing conducted included:

    • Electrical testing: To ensure compliance with electrical safety standards.
    • Functional acceptance testing: To verify that the device performs its intended functions correctly.
    • Software verification and validation testing: To ensure the software controls operate as designed and meet specified requirements.

    The device also conforms to applicable international standards: IEC 601 and IEC 62a.

    1. Table of Acceptance Criteria and the Reported Device Performance

    Acceptance CriteriaReported Device Performance
    Electrical SafetyConforms with IEC 601.
    Functional PerformanceFunctional acceptance testing was performed. (Specific success criteria or quantitative results not provided in this summary.)
    Software FunctionalitySoftware verification and validation testing was performed. (Specific success criteria or quantitative results not provided in this summary.)
    International Standards ComplianceConforms with IEC 62a.

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

    This information is not provided in the 510(k) summary. The document states "extensive testing results characterizing device performance" but does not detail the sample sizes for any test sets or the provenance (e.g., country of origin, retrospective/prospective nature) of data. Given that this is a hardware and software control module, the "test set" would typically refer to the number of units tested or specific scenarios run, rather than patient data.

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

    This information is not provided and is largely not applicable in the context of this type of device (a control module for a perfusion system). Ground truth, in this case, would be established by engineering specifications and objective measurements, not expert consensus on medical images or clinical outcomes.

    4. Adjudication Method for the Test Set

    This information is not provided and is generally not applicable for the type of testing described (electrical, functional, software V&V for a control module). Adjudication methods like 2+1 or 3+1 are typically used in clinical studies or image review where subjective interpretation is involved.

    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

    An MRMC study was not done and is not applicable for this device. This device is a control module for a perfusion system, not an AI-assisted diagnostic or clinical decision support system that involves human readers interpreting cases.

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

    The device itself (the Cyclic RPM Control Module) is essentially a standalone control algorithm that modulates the pump's RPM. The "standalone" performance testing would be categorized under the "functional acceptance testing" and "software verification and validation testing" mentioned. The document states these tests were performed, but does not provide details on the specific performance metrics or results of these standalone tests.

    7. The Type of Ground Truth Used

    The ground truth for the testing of this device would be based on:

    • Engineering specifications and design requirements: For electrical performance, functional parameters like RPM control accuracy, and software logic.
    • Established international standards: IEC 601 and IEC 62a.

    It would not involve expert consensus, pathology, or outcomes data in the typical sense for a medical device.

    8. The Sample Size for the Training Set

    This information is not provided and is not applicable in the context of this device. The Stöckert S3 Cyclic RPM Control Module is described as possessing updated software controls, implying traditional software engineering and validation rather than a machine learning model that requires a "training set."

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

    This is not applicable as there is no indication that a "training set" for a machine learning model was used. The software controls would have been developed and validated against engineering specifications and functional requirements.

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    K Number
    K960974
    Date Cleared
    1997-07-14

    (490 days)

    Product Code
    Regulation Number
    870.4370
    Reference & Predicate Devices
    N/A
    Why did this record match?
    Product Code :

    DWB

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The COBE Century™ Precision Blood Pump is intended for use in cardiopulmonary surgical procedures requiring pumping of fluids in an extracorporeal circuit for periods up to 6 hours.

    Device Description

    The COBE Century Perfusion Pump is the principal component of the COBE Century Perfusion System. It is a peristaltic-type roller pump that functions by tube-occluding rollers that move along a piece of tubing. As the pump head rotates, the rollers draw fluid through the tubing. Pumped fluids are contained within the tubing and have no contact with the pump. The pump has positive displacement over a wide range of flow rates and delivery pressures.

    The COBE Century Perfusion Pump consists of:

    • a front panel containing displays and operational switches
    • a pump head with the roller pump mechanism and shields
    • a chassis containing control cards, a power supply, and connectors for external devices
    AI/ML Overview

    Here's a breakdown of the acceptance criteria and study information for the COBE Century Perfusion Pump, based on the provided text:

    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance CriterionReported Device Performance
    Functional SpecificationsThe device successfully met all functional specifications.
    User Interface SpecificationThe device successfully met all user interface specifications.
    Substantial Equivalence to Predicate Device (COBE Precision Blood Pump)Determined to be substantially equivalent due to hardware and software modifications for improved user interface and overspeed protection.

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

    • Sample Size: Not specified. The document states "every system requirement was addressed by a corresponding test or tests," implying a comprehensive test set was used, but the quantity of units tested is not provided.
    • Data Provenance: The testing was conducted by COBE Cardiovascular, Inc. and is described as "system test level" validation. This is retrospective (performed by the manufacturer to validate their design). The country of origin is USA (Arvada, CO), as per the manufacturer's address.

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

    • Number of Experts: Not applicable. The ground truth for functional and user interface specifications is typically established through engineering design documents and industry standards, not by human expert consensus for a mechanical device like a pump.
    • Qualifications: Not applicable.

    4. Adjudication Method for the Test Set

    • Adjudication Method: Not applicable. For functional specifications, the device either passes or fails the defined requirements. There's no mention of a human adjudication process for interpreting test results.

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

    • MRMC Study: No, an MRMC comparative effectiveness study was not done. This type of study is more common for diagnostic imaging devices where human interpretation is a key component. This device is a mechanical pump.

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

    • Standalone Study: Yes, the testing described is a standalone performance study of the device's functional and user interface specifications, without human real-time intervention as part of the performance evaluation.

    7. The Type of Ground Truth Used

    • Type of Ground Truth: The ground truth was established by engineering design specifications and functional requirements for the device, including:
      • Functional operation (e.g., flow rates, speed accuracy, overspeed protection).
      • User interface behavior (e.g., display accuracy, switch response).

    8. The Sample Size for the Training Set

    • Sample Size: Not applicable. This device is a mechanical pump with software, not a machine learning model that requires a "training set" in the typical sense of AI/ML. The "training" for the design would refer to the engineering and development cycles that led to the final specifications.

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

    • How Ground Truth for Training Set Was Established: Not applicable in the context of AI/ML. The "ground truth" for the device's design and development comes from established engineering principles, industry standards for perfusion pumps, regulatory requirements, and the functional specifications derived from the intended use and predicate device characteristics.
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    K Number
    K953904
    Date Cleared
    1996-04-19

    (245 days)

    Product Code
    Regulation Number
    870.4370
    Reference & Predicate Devices
    Why did this record match?
    Product Code :

    DWB

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Sarns 9000 Universal Roller Pump is indicated for use in extracorporeal circulation of blood for arterial regional perfusion, and cardiopulmonary bypass procedures only, when used by a qualified perfusionist who is experienced in the operation of Sarns or similar equipment.

    Device Description

    The Sarns 9000 Universal Roller Pump is a microprocessor controlled 2-roller peristaltic pump with adjustable occlusion. The pump is capable of flows up to 9.99 L/min (depending on pump head tubing used) at pump speeds up to 250 RPM. The Sarns 9000 Universal Roller Pump is dependent on the Sarns 9000 Perfusion System to provide power.

    AI/ML Overview

    The provided text [0-3] does not contain information about acceptance criteria or a study proving device performance against such criteria. The document is a 510(k) summary for the Sarns 9000 Universal Roller Pump, detailing its substantial equivalence to a predicate device, technical characteristics, and intended use. It also lists safety and effectiveness issues reported for blood roller pumps in general, but does not present specific performance criteria or the results of testing the Sarns 9000 against them.

    Therefore, I cannot provide the requested information.

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    K Number
    K953901
    Date Cleared
    1996-04-19

    (245 days)

    Product Code
    Regulation Number
    870.4370
    Reference & Predicate Devices
    Why did this record match?
    Product Code :

    DWB

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Sarns 8000 Roller Pump is indicated for use in extracorporeal circulation of blood for arterial regional perfusion, and cardiopulmonary bypass procedures only, when used by a qualified perfusionist who is experienced in the operation of Sarns or similar equipment.

    Device Description

    The Sarns 8000 Roller Pump consists of a Universal Roller Pump, which is a microprocessor controlled 2-roller peristaltic pump with adjustable occlusion, and a power supply. The pump is capable of flows up to 9.99 L/min (depending on pump head tubing used) at pump speeds up to 250 RPM. The Sarns 8000 Roller Pump can be used as a stand-alone device or it is compatible with the Sarns 8000 Modular Perfusion System.

    AI/ML Overview

    The provided text describes a 510(k) summary for the Sarns 8000 Roller Pump. However, it does not contain information about acceptance criteria or a study proving the device meets those criteria in the context of an AI/ML device.

    Instead, the document details a traditional medical device submission for a roller pump, comparing a modified version to a predicate device. The information focuses on design changes (Surface Mount Technology vs. Through-Hole Technology, minor software changes) and states that "Nonclinical tests were performed on the device to determine substantial equivalence. Electromagnetic Compatibility (EMC) tests were also performed to ensure equivalent or better results."

    There is no mention of:

    • A table of acceptance criteria and reported device performance.
    • Sample sizes, data provenance, or ground truth for test sets.
    • Experts or adjudication methods.
    • MRMC studies or standalone algorithm performance.
    • Training sets or how their ground truth was established.

    Therefore, I cannot provide the requested information for an AI/ML device based on the given text. The text is for a hardware medical device, not an AI/ML system.

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    K Number
    K955038
    Date Cleared
    1996-02-21

    (110 days)

    Product Code
    Regulation Number
    870.4370
    Reference & Predicate Devices
    N/A
    Why did this record match?
    Product Code :

    DWB

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use
    Device Description
    AI/ML Overview
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