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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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    K Number
    K152240
    Manufacturer
    Date Cleared
    2015-10-08

    (59 days)

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

    K083919, K090849, K093139

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

    The Passeo-14 is indicated for balloon dilatation of the stenotic portion of a lower limb artery for the purpose of improving perfusion.

    Device Description

    The Passeo-14 peripheral dilatation catheter is intended for the dilatation of stenotic in lower limb arteries. The dilatation balloon is designed to inflate to a known diameter at a specific inflation pressure consistent with the compliance chart on the label. One radiopaque marker is located at each end of the balloon to facilitate fluoroscopic visualization and positioning of the balloon catheter towards and across the lesion.

    The dilatation catheter includes a soft tapered tip to facilitate advancement of the catheter has two Luer-ports at the proximal end. One port (inflation port) serves for connecting an inflation device to inflate/deflate the balloon. The other port enables flushing of the guide wire lumen.

    The dilatation catheter has a hydrophobic silicone coating on the outer surface of the proximal shaft and a hydrophilic polymeric based coating on the outer surface of the distal shaft, coated over 150 mm length (valid for 1.5 and 2 mm balloon diameter and 20 to 100 mm balloon length) or coated over 75 mm length (valid for 2 mm balloon diameter and 140 to 220 mm balloon length, and 2.5 to 4 mm balloon diameter and 20 to 220 mm balloon lenqth). The balloon has a hydrophilic patchwork coating.

    The dilatation catheter is compatible with quide wire and introducer sheath sizes according to the recommendations on the label.

    AI/ML Overview

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

    1. Table of Acceptance Criteria and Reported Device Performance

    Test NameAcceptance CriteriaReported Device Performance
    Visual and Dimensional InspectionAdherence to dimensional specs, no defects, printing and coating homogeneity, x-ray marker positioning.Inspectional acceptance criteria were met.
    Crossing Profile (system profile)French size compatibility (measured by passing through a ring-hole gauge).Acceptance criteria for crossing profile were met.
    Simulated UseSafe and reliable preparation, delivery, and retraction without device damage.Acceptance criteria were met. Test shows device performs similar to reference devices (K083919; K093139; K090849) in a simulated use environment.
    Deflated Balloon ProfileDeflated profile less than 4F for all sizes.Acceptance criteria were met. Test shows deflated profile is less than 4F for all sizes.
    Trackability and PushabilityPerformance similar to reference devices in a simulated use environment (frictional force recorded).Acceptance criteria were met. Test shows device performs similar to reference devices (K083919; K093139) in a simulated use environment.
    TorqueabilityRotational movement transferred from manifold to distal tip.Rotational movement was transmitted. Test was passed.
    Pullback and Reintroduction testMeasured pullback and reintroduction forces within acceptance criteria.Measured pullback and reintroduction forces met acceptance criteria.
    Balloon Rated Burst PressureLower 99.9% quantile at 95% confidence interval for all sizes.Balloons met acceptance criteria for lower 99.9% quantile at 95% confidence interval for all sizes.
    Balloon FatigueSurvivability of the balloon for repeat inflation/deflation cycles (90% survival at 20 cycles).Results demonstrate that 90% of the balloons will survive the 20 inflation cycles with at least 95% confidence.
    Balloon Compliance RadialAcceptance criteria met.Radial compliance meets acceptance criteria. Device performs similar to predicate (K142379).
    Balloon Compliance AxialDifference between balloon length at RBP and NP within specification.The difference between balloon length at RBP and NP is within specification.
    Balloon Inflation / Deflation TimeDeflation time according to specifications within IFU.Inflation time was characterized and deflation time was determined to be according to specifications within the instructions for use.
    Tensile Strength CatheterPerformance specifications met for distal and proximal balloon sections.Tensile strength performance (Fmax) for distal and proximal balloon sections met performance specifications.
    Tip pull testAcceptance criteria met.All tested samples met acceptance criteria.
    Flexibility and kink testDevice will not kink at bend radii appropriate for intended anatomy.All tested samples passed the test at the clinically relevant radius.
    Resistance to KinkMeasured mean catheter kink radius well within acceptance criteria.Measured mean catheter kink radius was well within the acceptance criteria.
    Torsional bond / Torque StrengthFunctionality given after application of torsional load.Acceptance criteria were met. Test was passed.
    Visibility / RadiopacityX-ray visibility (radiopacity) acceptance criteria met.Acceptance criteria were met. Test was passed.
    Coating IntegrityAbility of coating to resist damage due to loading, tracking, deployment, and withdrawal.Passeo-14 coating performs comparable or better than reference devices (K083919; K090849).
    Adhesive Strength of Catheter CoatingVisual inspection results.All samples passed visual inspection.
    Particulate EvaluationParticle sizes ≤10, 25, and 50µm were below threshold.Particle sizes ≤10, 25 and 50µm were below threshold. Passeo-14 particle counts were less than reference devices (K090849).
    Corrosion Resistance (Catheter)No signs of corrosion visible on tested samples.No signs of corrosion were visible on the samples tested. The test was passed.
    Compatibility with Contrast mediaNo visible damage or deformation after exposure to contrast medium.No visible damage or deformation.
    Connector testLuer lock fittings resistant to air leakage, excessive torque, and stress cracking.All samples met acceptance criteria.
    Indelibility and adhesive strength of printingPrinting indelible and readable after exposure to solvents.All samples tested showed readable printing following exposure to solvent.
    Visual Inspection (adverse environmental conditions)Device maintains integrity after exposure to normal transport, storage, and handling conditions.All devices passed inspection of shipping container, box integrity, pouch integrity, labeling integrity, product fixation and device integrity.
    CytotoxicityNo cytotoxic effects (evaluated by percentage of cell growth inhibition compared to control).Growth analyses of cells cultured with test article extract showed no cytotoxic effects. Test was passed.
    SensitizationNo allergic skin reaction compared to the control group.Test animals showed no allergic skin reaction compared to the control group. Test was passed.
    Irritation / Intracutaneous reactivityNo signs of irritation.There were no signs of irritation. Test was passed.
    Acute systemic toxicityNo signs of acute systemic toxicity.The test was passed as there were no signs of acute systemic toxicity.
    PyrogenicityNo temperature increase above baseline temperature.None of the animals showed a temperature increase above its baseline temperature. Test was passed.
    HemolysisNo hemolytic effect.The test article showed no hemolytic effect. The test was passed.
    In vitro hemocompatibility assayNo statistically significant difference between test article and control in blood parameters.There was no statistically significant difference observed between test article and control. Test was passed.
    Inactivated partial thromboplastin time assayNo effect on clotting time.The test article did not have an effect on the clotting time. Test was passed.
    Lee and White coagulation testAverage coagulation time within accepted range.The test was passed as the average coagulation time was within the accepted range. --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
    Complement activation assay (C3a and SC5b-9)No induction of complement activation of C3 or C5 proteins.The test was passed as the test article did not induce complement activation of C3 or C5 proteins in human plasma.
    In vivo thromboresistanceEquivalent performance compared to the control article (predicate device).The test article showed equivalent performance compared to the control article (predicate device; K142379). Test was passed.
    Bacterial reverse mutation assay (AMES test)No toxic or mutagenic effects identified in tester strains.No toxic or mutagenic effects were identified in tester strains. Test was passed.
    Mouse lymphoma assayMutant frequencies of test article extracts did not exceed GEF of concurrent negative control.The mutant frequencies of the test article extracts did not exceed the GEF of their concurrent negative control. Test was passed.
    In Vivo Mouse Micronucleus AssayNo statistically significant increase in micronucleated polychromatic erythrocytes.There was no statistically significant increase in the percentage of micronucleated polychromatic erythrocytes. The test was passed.
    Correction factor and bioburdenDevice meets specifications for CFU/device.Determine bioburden correction factor. Device meets specifications for CFU/device. --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
    Bacterial endotoxin test (Pyrogen test)Device endotoxin levels met acceptance criteria.Bacterial endotoxin test results met acceptance criteria.
    Validation of the Sterilization SuccessSAL of 1x10^-6 achieved.Testing confirmed SAL of 10^-6. The device performs similar to predicate (K142379).
    Residual gas analysis: EO and ECHDevice meets acceptance criteria for EO and ECH residuals.Device meets acceptance criteria. The device performs similar to predicate (K142379).

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

    The document does not specify the exact sample sizes (number of units tested) for each non-clinical test. It generally refers to "all sizes," "all tested samples," or implies replicate testing (e.g., "90% of the balloons will survive the 20 inflation cycles"). The data provenance for these non-clinical tests is internal to the manufacturer (BIOTRONIK) and is retrospective, as the tests were conducted to secure prior market clearance.

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

    Not applicable. This device is a physical medical device (catheter), and the "ground truth" for its performance and safety is established through engineering and biological testing against predefined specifications and regulatory standards, not through expert consensus on diagnostic interpretations.

    4. Adjudication method

    Not applicable, as this is a physical medical device. Adjudication methods are typically used in clinical studies or studies involving human interpretation (e.g., medical imaging AI).

    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

    No MRMC comparative effectiveness study was done. This is a medical device clearance for a physical non-diagnostic product, not an AI-assisted diagnostic tool. No clinical data was submitted, and the determination of substantial equivalence did not rely on clinical data.

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

    Not applicable. This is a physical medical device. There is no algorithm or AI component mentioned.

    7. The type of ground truth used

    The "ground truth" for the non-clinical tests detailed in the document is based on pre-defined engineering specifications, international standards (ISO-10993), and FDA guidance documents (e.g., Class II Special Controls Guidance Document for Certain Percutaneous Transluminal Coronary Angioplasty (PTCA) Catheters). For biocompatibility, it relies on established biological endpoints and observable reactions in in-vitro and in-vivo models.

    8. The sample size for the training set

    Not applicable. There is no "training set" as this is a physical medical device, not a machine learning model.

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

    Not applicable. See point 8.

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