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510(k) Data Aggregation

    K Number
    K140425
    Date Cleared
    2014-06-11

    (112 days)

    Product Code
    Regulation Number
    870.1650
    Reference & Predicate Devices
    Why did this record match?
    Reference Devices :

    K993774, K991103, K000013, K052744, K093830

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

    The AVERT™ Contrast Modulation System is intended to be used for the controlled infusion of radiopaque contrast media for angiographic procedures with the following agents: Iodixanol 270 or 320 mg/ml, Iohexol 300 or 350 mg1/ml, and Iopamidol 370 mg[/ml.

    Device Description

    Similar to the first generation AVERT Contrast Modulation System (weighted), the Osprey Medical second generation AVERT Contrast Modulation System consists of a reusable, non-sterile apparatus (contrast modulator or RMS), which applies a force to a disposable modulation reservoir. The system also includes a wheeled stand for which to mount the RMS. The RMS applies a force directly to the single use sterile, detachable modulation reservoir, which has a pressure dampening effect during contrast delivery, similar to the weighted AVERT System. The RMS utilizes an internal mechanism to apply force to the modulation reservoir. The force can be easily and quickly adjusted by moving the location of the pin as identified on the outer housing of the system, thereby increasing or decreasing the amount of force applied to the modulation reservoir. The RMS is attached to the wheeled stand and is positioned near the patient, outside of the sterile field. The disposable components of the AVERT Contrast Modulation System include a modulation reservoir, which is connected to a standard, off-the-shelf 4-way stopcock and extension line that are all provided sterile.

    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

    The document does not explicitly state numerical acceptance criteria with pass/fail thresholds. Instead, it refers to general performance categories and states that the device "met the established performance criteria."

    Acceptance Criteria CategoryReported Device Performance
    Flow RateMet established performance criteria
    Peak Pressure ReductionMet established performance criteria
    Flow Rate AdjustabilityMet established performance criteria
    Mechanical Cycle TestingMet established performance criteria
    Distribution & Package TestingMet established performance criteria
    BiocompatibilityDeemed not necessary as no material changes to patient-contacting components; predicate device testing applicable.
    Sterilization (for single-use modulation reservoir kit)Minimum Sterility Assurance Level (SAL) of 10^-6 achieved in validation.

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

    • Test Set Sample Size: The document does not specify a numerical sample size for the test set used in the in vitro bench testing. It only states that "All test results demonstrated..."
    • Data Provenance: The testing was "in vitro bench testing." The document does not mention the country of origin for the data or whether it was retrospective or prospective.

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

    Not applicable. The study involved in vitro bench testing, not human expert evaluations of medical images or conditions to establish ground truth.

    4. Adjudication Method for the Test Set

    Not applicable. The study involved in vitro bench testing, so there was no adjudication method for a test set based on expert opinions.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done, and the Effect Size of How Much Human Readers Improve with AI vs. Without AI Assistance

    Not applicable. This device is an Angiographic Injector, not an AI-powered diagnostic or assistive tool for human readers. Therefore, an MRMC study related to AI assistance is not relevant.

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

    Not applicable. This is a medical device (Angiographic Injector), not an AI algorithm. The performance evaluation was based on the device's physical and mechanical properties.

    7. The Type of Ground Truth Used

    The "ground truth" for the in vitro bench testing was the "established performance criteria" for the device's mechanical and functional characteristics (e.g., flow rate, peak pressure reduction, adjustability, mechanical cycles, sterility). This is based on engineering and manufacturing standards rather than medical ground truth like pathology or expert consensus.

    8. The Sample Size for the Training Set

    Not applicable. This is a medical device, not a machine learning model, so there is no concept of a "training set."

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

    Not applicable. Refer to point 8.

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