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510(k) Data Aggregation

    K Number
    K171251
    Manufacturer
    Date Cleared
    2017-09-08

    (133 days)

    Product Code
    Regulation Number
    870.1250
    Reference & Predicate Devices
    Why did this record match?
    Reference Devices :

    K050073, K052791, K042624, K083919

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

    The 014 Hydrophilic Coated PTA Balloon Dilatation Catheter is indicated for Percutaneous Transluminal Angioplasty (PTA) dilation of peripheral vasculature stenoses in the iliac, femoral, popliteal, infra-popliteal, and renal arteries, and for the treatment of obstructive lesions of native or synthetic arteriovenous dialysis fistulae.

    Device Description

    The 014 Hydrophilic Coated PTA Balloon Dilatation Catheter is an over the-wire (OTW) co-axial percutaneous transluminal angioplasty (PTA) catheter system designed for use with a 0.014" guidewire. The shaft of the PTA balloon catheter contains a distal balloon and a manifold on the proximal. The balloon has two radiopaque markers that aid in the placement of the balloon within the stenosis. The clearance between the inner and outer catheter shaft acts as the passage for the inflation medium for balloon expansion. The balloon and catheter shaft are coated with a hydrophilic coating. The proximal end of the catheter has a bifurcated manifold and strain relief that allows for the use of the 0.014" guidewire and the attachment of a balloon inflation device via a standard luer connector. The inflation device is used to inflate and deflate the balloon with a contrast medium. The 014 Hydrophilic Coated PTA Balloon Dilatation Catheter is to be provided sterile (via ethylene oxide, EtO) and is intended for single use only.

    AI/ML Overview

    The document provided is a 510(k) summary for a medical device (014 Hydrophilic Coated PTA Balloon Dilatation Catheter) and does not contain information related to an AI/ML-driven device. Therefore, some of the requested information (like number of experts for ground truth, adjudication methods, MRMC studies, or standalone algorithm performance) is not applicable.

    The document describes the device's acceptance criteria in terms of various performance bench tests, biocompatibility, and sterilization, and confirms that the device meets these criteria through non-clinical testing.

    Here's a summary of the available information:

    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance Criteria (Performance Bench Testing)Reported Device Performance (Implied as Met)
    Rated Burst Pressure (RBP)Met through testing
    Balloon Diameter at Nominal PressureMet through testing
    Multiple Inflation/Fatigue & Leak TestMet through testing
    Balloon Length & Marker Band PositionMet through testing
    Inflation & Deflation TimeMet through testing
    Ancillary Tool Compatibility (Guidewire)Met through testing
    Catheter Effective LengthMet through testing
    Tensile Strength (strength of the catheter shafts, bonds and tip)Met through testing
    Device Compatibility (sheath, ancillary devices)Met through testing
    Tip Profile (Geometry of the catheter most distal tip)Met through testing
    Simulated UseMet through testing
    Flexibility & KinkMet through testing
    Coating LubricityMet through testing
    ParticulateMet through testing
    RadiopacityMet through testing
    Biocompatibility
    Neutral Red Cytotoxicity TestingBiocompatible and suitable for intended use
    Kligman Maximization Sensitization TestBiocompatible and suitable for intended use
    Irritation by Intracutaneous InjectionBiocompatible and suitable for intended use
    Acute Systemic Toxicity by Systemic InjectionBiocompatible and suitable for intended use
    Rabbit Pyrogen Test (Material Mediated)Biocompatible and suitable for intended use
    Hemolysis ASTM Method (Direct and Indirect)Biocompatible and suitable for intended use
    C3a Complement Activation AssayBiocompatible and suitable for intended use
    SC5b Complement Activation AssayBiocompatible and suitable for intended use
    In vivo Thrombogenicity AssayBiocompatible and suitable for intended use
    Sterilization
    Product Bioburden (Bioburden Validation)Meets requirements of ISO 11135:2014, sterility maintained
    LAL/Endotoxin Testing (LAL Validation)Meets requirements of ISO 11135:2014, sterility maintained
    Residual Degas AssessmentMeets requirements of ISO 11135:2014, sterility maintained

    2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

    The document primarily refers to "non-clinical testing" and "bench testing." It does not specify the exact sample sizes for each test performed. The tests are laboratory-based (bench, biocompatibility, sterilization), so "data provenance" in terms of clinical patient data or geographic origin is not applicable here. These are likely conducted in a controlled lab environment by the manufacturer (Creagh Medical, Ltd., dba Surmodics, Inc. in Ireland, with sterilization site in Ireland).

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

    This is not applicable as the device is not an AI/ML diagnostic or image analysis device that requires expert ground truth for interpretation. Ground truth for these types of engineering and biocompatibility tests typically comes from established scientific methods, standards (e.g., ISO), and regulatory guidelines, rather than expert consensus on medical images.

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

    Not applicable, as there is no human interpretation or diagnostic ground truth to adjudicate for this type of device testing.

    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 not an AI-assisted device. The document explicitly states: "No clinical data is being submitted for the 014 Hydrophilic Coated PTA Balloon Dilatation Catheter."

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

    Not applicable. This is not an algorithm-only device.

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

    The "ground truth" for the performance tests relies on pre-defined specifications, engineering tolerances, established scientific standards (e.g., ASTM for hemolysis), and regulatory standards (e.g., ISO for biocompatibility and sterilization). For instance, for bench tests like "Rated Burst Pressure," the ground truth is the specified burst pressure it must withstand. For "Biocompatibility," the ground truth is that the device must pass the criteria outlined in ISO 10993-1. For "Sterilization," the ground truth is compliance with ISO 11135:2014.

    8. The sample size for the training set

    Not applicable. This device does not involve machine learning or a training set.

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

    Not applicable. This device does not involve machine learning or a training set.

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