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510(k) Data Aggregation

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    Reference Devices :

    K040014

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

    Controlled, elective, subcricoid percutaneous insertion of a tracheostomy tube for airway management using a Seldinger guidewire dilation technique.
    Controlled, elective subcricoid percutaneous insertion of a tracheostomy tube for airway management using a Seldinger technique to guide the specially designed Guidewire Dilating Forceps into trachea, which are then used to dilate the trachea.

    Device Description

    The BLUperc® and BLUgriggs® Percutaneous Dilation Tracheostomy Tube Kits or Trays aid in the tracheostomy tube surgical procedure for adult patients; designed to aid adult patients requiring an artificial breathing airway due to trauma, medical condition and/or for airway maintenance. The tracheostomy tubes (kits or trays) maximum recommended period of use is 29 days. The kit or tray contains all the proprietary procedural components to support tracheostomy insertion, including the BLUselect tracheostomy tube for physician's ease during the clinical procedure flow.

    AI/ML Overview

    The provided document is a 510(k) premarket notification summary for medical devices (tracheostomy kits). It focuses on establishing substantial equivalence to previously cleared predicate devices rather than proving a device meets specific acceptance criteria through a clinical study. Therefore, most of the requested information (acceptance criteria table, sample sizes, expert qualifications, adjudication, MRMC studies, standalone performance, ground truth types, training set details) is not applicable or cannot be extracted from this type of document.

    The document primarily demonstrates that the BLUperc® and BLUgriggs® Percutaneous Dilation Tracheostomy Procedural Kits or Trays are substantially equivalent to existing predicate devices (UltraPerc Percutaneous Dilation Kit and Portex Percutaneous Tracheostomy Kit).

    Here's a breakdown of the available information:

    1. A table of acceptance criteria and the reported device performance:

    This document does not present a table of specific performance acceptance criteria in the way it would for a new AI/software device or a device requiring new clinical performance data to demonstrate effectiveness. Instead, the "acceptance criteria" are implied by establishing substantial equivalence to predicate devices. The performance testing conducted (bench testing, packaging validation, design validation/human factors, sterilization/microbiology validation, biocompatibility assessment) ensures the device meets its own specifications and is safe and performs as intended, thereby being equivalent to the predicates.

    The study proves the device meets the "acceptance criteria" of substantial equivalence to the predicate device.

    Acceptance Criteria (Implied by Substantial Equivalence)Reported Device Performance (Summary of Testing)
    Intended Use: Same patient population and purpose."Same": For adult patients requiring an artificial airway due to trauma, medical condition, and/or for airway maintenance.
    Technological Characteristics: Similar design, materials, and operational principles."Similar": Same overall design, same base materials, same range of sizes, proprietary procedural components to support tracheostomy insertion. Same principle of operation (Seldinger guidewire dilation technique or Griggs Forceps technique).
    Performance: Device functions as intended and is safe."Acceptable":
    - Bench Testing: Conducted on applicable components to ensure they met required specifications for performance and functionality. (Results concluded: met specifications)
    - Packaging Validation (ISO 11607): Ensured packaging system meets requirements and maintains sterile barrier. (Results concluded: acceptable)
    - Design Validation / Human Factors (ISO 62366): Ensured subject device performance is acceptable for its intended use. (Results concluded: acceptable)
    - Sterilization/Microbiology Validation (ISO 11135, AAMI TIR28, ISO 11737): Ensured product sterility to the end user. (Results concluded: acceptable)
    - Biocompatibility Assessment (ISO 10993-1): Ensured subject device materials are biocompatible and equivalent to predicate devices. (Results concluded: biocompatible and equivalent)

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

    • Sample Size: Not specified for individual tests. The document refers to "applicable components" for bench testing and mentions that tests were "conducted" without providing specific sample numbers for each test.
    • Data Provenance: The studies are described as "Non-clinical testing" and include bench testing, packaging validation, design validation/human factors, sterilization/microbiology validation, and biocompatibility assessment. These are laboratory/engineering tests rather than clinical studies with patient data. Therefore, concepts like "country of origin of the data" or "retrospective/prospective" do not apply.

    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. The testing described (bench, packaging, sterilization, biocompatibility, and human factors) relies on engineering and scientific principles and product specifications, not on expert consensus for "ground truth" as might be seen in diagnostic imaging studies. Human factors testing involves users, but their qualifications are not detailed beyond "physician (healthcare staff)".

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

    Not applicable. Adjudication methods are typically used in clinical studies where multiple reviewers assess outcomes, which is not the type of study described here.

    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 is a premarket notification for a physical medical device (tracheostomy kit), not an AI/software device. No MRMC study was conducted or mentioned.

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

    Not applicable. This is not an algorithm or AI device.

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

    The "ground truth" for the performance testing is adherence to predefined engineering specifications, performance standards (e.g., fluid flow, material strength), and regulatory standards (e.g., ISO for packaging, sterilization, biocompatibility). It is based on objective measurements and compliance with recognized standards, rather than clinical expert consensus or pathology.

    8. The sample size for the training set:

    Not applicable. This is not a study involving machine learning or AI models, so there is no "training set."

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

    Not applicable (no training set).

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