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510(k) Data Aggregation

    Why did this record match?
    Reference Devices :

    K083031, K083641, K030381

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

    Smiths Medical Portex® BLUselect® Tracheostomy Tube is indicated for airway maintenance of tracheostomised patients.

    Smiths Medical Portex® BLUselect® Suctionaid® Tracheostomy Tube is indicated for airway maintenance of tracheostomised patients. Suctionaid® allows aspiration of contaminated mucous and subglottic secretions that collect and build up between the tracheostomy tube cuff and the glottis.

    The BLUselect® Inner Cannula is intended to be used with the Smiths Medical Portex® BLUselect® Tracheostomy Tube indicated for airway maintenance of tracheostomy patients.

    Device Description

    The Smiths Medical Portex® BLUselect and BLUselect Suctionaid Tracheostomy Tubes are designed to aid the adult population who require an artificial airway due to trauma or medical condition. Patients who benefit from this procedure are those who: require prolonged intubation for mechanical ventilator support; cannot manage their airway secretions; or have an upper airway obstruction. BLUselect Inner Cannula is intended to be used with the Smiths Medical Portex® BLUselect Tracheostomy Tubes. The subject device package consists of a tracheostomy tube, a tube holder, cleaning brush, an inner cannula, obturator, disconnection wedge, and a vacuum control valve (with Suctionaid® tubes only) and a maximum recommended period of use is 29 days; intended to be used critical care settings, acute care settings, long term care facilities, and for home use.

    The tube is manufactured with a flange, inflation line, suction line and a 15mm connector. All components are manufactured from medical grade materials and have biocompatibility data for safe use when in-contact with patient tissue/bodily fluids/secretions.

    AI/ML Overview

    This document, K173384, is a 510(k) Summary for medical tracheostomy tubes and inner cannulas. It asserts substantial equivalence to predicate devices, focusing on design, materials, and performance testing rather than clinical study data with human readers or AI.

    1. Table of Acceptance Criteria and Reported Device Performance

    The device is considered substantially equivalent if it meets the criteria of the predicate device and relevant international standards. The criteria are based on physical and functional characteristics, and the reported performance indicates compliance with these.

    Acceptance Criteria (from predicate/standards)Reported Device Performance
    Product Code: BTOBTO
    Product Classification: Class IIClass II
    Device Classification Name & 21 CFR: Tracheostomy tube and tube cuff § 868.5800Tracheostomy tube and tube cuff § 868.5800
    Invasive or Non-Invasive: Surgically InvasiveSurgically Invasive
    Patient Population: Adults with average height, weight, and anthropometricsAdults with average height, weight, and anthropometrics
    Intended Use: For patients requiring an artificial airway due to trauma or medical conditionFor patients requiring an artificial airway due to trauma or medical condition
    Maximum Use: Recommended 29 DaysRecommended 29 Days
    Indications for Use (Tracheostomy Tube): Airway maintenance of tracheostomized patientsAirway maintenance of tracheostomized patients
    Indications for Use (Suctionaid): Aspiration of contaminated mucous and subglottic secretionsAspiration of contaminated mucous and subglottic secretions
    Indications for Use (Inner Cannula): Used with tracheostomy tube for airway maintenanceUsed with tracheostomy tube for airway maintenance
    Functionality: Airway maintenance; optionally with cuff, Suctionaid®, fenestrations in 6.0mm to 10.0mm rangeAirway maintenance; optionally with cuff, Suctionaid®, fenestrations in 6.0mm to 10.0mm range
    Sterilization: Ethylene Oxide (EO) Sterile SAL 10-6Ethylene Oxide (EO) Sterile SAL 10-6
    Biocompatibility: Compatibility materials ISO 10993-1: 2009Compatibility materials ISO 10993-1: 2009
    MRI Conditional: YesYes
    Shelf Life: 5-year shelf life5-year shelf life intended
    Single Use/Single Patient Use: YesYes
    Environment of Use: Critical care, Acute care, Long term care facilitiesCritical care, Acute care, Long term care facilities
    Home Care Use: YesYes
    Tracheostomy Tube Materials (Flexible PVCs): Main Tube Body, Inflation Line, Pilot Balloon, Suction Line, Cuff Bonding Cement (DEHP PVC)Main Tube Body, Inflation Line, Pilot Balloon, Suction Line, Cuff Bonding Cement (DEHT PVC). All other materials equivalent.
    Flange Marking/Color Coding: Clear Embossed MarkLaser Marked Product Information with Vinyl Ink Printed Color Coding Band
    Suctionaid feature: AvailableAvailable
    Varied Components: IncludedIncluded
    Inner Cannula: IncludedIncluded
    Cleaning Instructions: IncludedIncluded
    IFU: IncludedIncluded
    Bench Testing (ISO 5366:2016): Meets essential requirements for pediatric tracheostomy tubesConducted, device meets requirements
    Bench Testing (ISO 5356-1): Compatible with 15mm connector for breathing systemConducted, device is compatible
    Bench Testing (ISO 18190): Safe and effective as an airway deviceConducted, device is safe and effective
    MRI Assessment (ASTM F2052-15 & ASTM F2503): Safe for MRI environmentConducted, device is safe for MRI
    Cleaning Instruction Validation (FDA Guidance, AAMI TIR 30, AAMI TIR12, AAMI TIR34): Inner cannula effectively cleaned for re-useConducted, inner cannula can be effectively cleaned
    Sterilization/Microbiology Validation (ISO 11135, AAMI TIR28, ISO 11747): Acceptable product sterilityConducted, acceptable product sterility
    Biocompatibility Assessment (ISO 10993-1): Materials biocompatible, equivalent to predicateConducted, materials are biocompatible and equivalent
    Design Validation / Human Factors (ISO 62366): Acceptable performance for intended useConducted, performance is acceptable

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

    The document does not explicitly state sample sizes for specific tests. The tests were bench tests conducted on the physical device components. Data provenance would be from internal laboratory testing at Smiths Medical. The tests are non-clinical, so country of origin of patient data or retrospective/prospective is not applicable.

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

    Not applicable. The ground truth for performance was established through compliance with recognized international standards (ISO, ASTM) and FDA guidance for medical device testing, rather than expert consensus on a test set of cases.

    4. Adjudication Method for the Test Set

    Not applicable. This is not a clinical study involving human assessment or adjudication of cases.

    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 submission is for a physical medical device (tracheostomy tube), not an AI-powered diagnostic or assistive technology. Therefore, no MRMC study or AI-related effectiveness assessment was conducted.

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

    Not applicable. This device does not involve an algorithm or AI.

    7. The Type of Ground Truth Used (expert consensus, pathology, outcomes data, etc.)

    The "ground truth" for this device's performance is objective compliance with established performance standards (ISO 5366, ISO 5356-1, ISO 18190, ASTM F2052-15, ASTM F2503), FDA guidance (e.g., for cleaning validation), and biocompatibility standards (ISO 10993-1). There is no clinical ground truth (e.g., pathology, outcomes data) as this is a premarket notification based on substantial equivalence to predicate devices and non-clinical testing.

    8. The Sample Size for the Training Set

    Not applicable. This is a physical medical device, not an AI model. Therefore, there is no training set involved.

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

    Not applicable. As there is no training set, there is no ground truth establishment for it.

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