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510(k) Data Aggregation

    K Number
    K161731
    Date Cleared
    2017-03-27

    (277 days)

    Product Code
    Regulation Number
    882.4100
    Reference & Predicate Devices
    Predicate For
    N/A
    Why did this record match?
    Reference Devices :

    K150660, K102101

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

    The Cleveland Multiport Ventricular Catheter Set is indicated for gaining access to the ventricles of the brain for the removal of cerebrospinal fluid (CSF) or for injecting Cytarabine.

    Device Description

    The Cleveland Multiport Ventricular Catheter contains a main or central lumen for the insertion stylet which is surrounded by four minor lumens (equally spaced) that contain the microcatheters. The catheter includes a ribbed distal tip, a housing for locking the insertion stylet, and proximal male Luer fittings at the end of each micro-catheter. The ribbed distal tip of the main catheter allows the micro-catheters to retract into the main catheter, by stretching the catheter when the insertion stylet is fully inserted and locked. This stretched state allows the catheter tip outside diameter to reduce slightly for atraumatic insertion into the ventricles of the brain. Once the insertion stylet is removed the catheter tip returns to its relaxed state (larger outside diameter) and the micro-catheters deploy. The enlarged tip aids in backflow prevention during injection of fluids. The distal Luer fittings allow for connectivity to a standard syringe or infusion pumps for removal of CSF and/or infusion. The biocompatible metal insertion stylet provides temporary rigidity to the distal portion of the device during catheter insertion and is removed after placement. The Cleveland Multiport Ventricular Catheter has no software, power sources, or radiation emitting components.

    AI/ML Overview

    The provided text describes a 510(k) premarket notification for a medical device called the "Cleveland Multiport Ventricular Catheter Set." This submission is to demonstrate that the new device is substantially equivalent to legally marketed predicate devices. The document refers to various tests performed to support this claim, but it does not describe an AI/ML powered device, an acceptance criteria table with reported device performance in the context of AI/ML, nor does it include information about sample sizes for test sets, data provenance, number of experts, adjudication methods, MRMC studies, standalone algorithm performance, or ground truth establishment for AI/ML models.

    The information provided relates to the physical and functional aspects of a traditional medical device (a catheter) and its comparison to existing catheters. Therefore, most of the requested fields are not applicable to the given text.

    Here's an attempt to answer the applicable parts of your request based on the provided text, while explicitly stating when information is not available or not applicable:

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

    The document lists various performance tests and their results, indicating that the device "passed" and "results demonstrate the Cleveland Multiport Ventricular Catheter is substantially equivalent to the predicate devices." The specific quantitative acceptance criteria are generally implied rather than explicitly stated as numerical thresholds in this summary, but the results confirm compliance.

    TestAcceptance Criteria (Implied from "passed")Reported Device Performance
    Joint and Bond Strength TestsWithstand minimum pull-off forces; exceed minimum tip loading requirements.All joints bonds were above the minimum pull-off force requirement. Tip loading exceeded the minimum load requirements. Withstood pull forces based on clinically relevant forces with a safety factor.
    Viscosity TestKinematic viscosity of Cytarabine and saline are comparable (within 2%).Kinematic viscosity of Cytarabine and saline are similar (within 2%). Bench testing using saline is acceptable.
    Depth MarkingDepth marks remain legible after swabbing.Depth gauge marks were not altered.
    Pressure Testing (Flow Burst, Infusate Pressure, Aspiration Flow Rate)Withstand pressure spikes; reach specified flow rate within specified time; inject fluid at maximum flow rate; linear pressure profile across all flow rates without leakage or kinking; withstand maximum pressure/spikes; capable of aspirating at clinically acceptable rate.Reached specified flow rate within specified time; capable of injecting fluid at its maximum flow rate. Reached a linear pressure profile across all flow rates without leakage and no kinking; withstood maximum pressure/spikes. Passed pressure-flow with suture tab attached. Capable of aspirating at its clinically acceptable aspiration rate.
    Reflux TestResists flow in the reverse direction.Resists flow in the reverse direction.
    Deployment and Retraction TestMinimal dimensional changes from deployment/retraction; meet maximum loads for insertion/removal of stylet.Met specified dimensional and maximum distance insertion and removal forces.
    Tissue Insertion TestWithstand insertion and removal from bovine brain tissue.Passed insertion and removal for bovine tissue.
    Bend Radius TestWithstand minimum bend radius without kinking.Withstands a minimum bend radius without kinking.
    Dimensional VerificationManufactured and reproduced to predetermined specifications.Manufactured and reproduced to predetermined specifications.
    Micro-Catheter Strength TestMinimum strength of micro-catheters PTFE material exceeds minimum force requirements.Micro-catheter material exceeds the minimum force requirements.
    Syringe Drop TestWithstand drop without damage to device or operation.Withstood drop without damage and operation verified.
    Surface InspectionFree from voids, cracks, or extraneous matter.Free from voids, cracks or extraneous matter along the effective length.
    Particulate TestingShedding of particulates below specified limit.Shedding of particulates are below a specified limit.
    Leakage under pressureFree of leaks during infusion and aspiration.Free of leaks during infusion and aspiration.
    Cadaver AssessmentCan be placed using conventional techniques and visualized using CT.Placed using conventional techniques and visualized on axial CT scan with successful infusion of CT dye.
    Stylet StrengthWithstand excessive loading on stylet handle without fracturing.Withstood pull forces based on clinically relevant forces with a safety factor.
    Stylet Corrosion ResistanceWithstand corrosion with extended exposure to sodium chloride.Withstood corrosion with extended exposure to sodium chloride.
    BiocompatibilityCompliance with ISO 10993 requirements for tissue contact, limited exposure (<24 hours), non-pyrogenic.All tissues contacting materials are biocompatible per ISO 10993 (Cytotoxicity, Systemic Toxicity, Intracutaneous Reactivity, Sensitization, Hemocompatibility, Material Mediated Pyrogen tests completed). Non-pyrogenic.
    Drug CompatibilityDoes not leach high concentration levels of identifiable compounds with Cytarabine.Cytarabine is compatible within the flow path materials with acceptable levels of identifiable compounds.
    Accelerated AgingFunctions as intended after 1-year equivalent accelerated aging.Functioned as intended after 1-year equivalent accelerated aging.
    Sterilization ValidationMinimum sterilization cycle achieves SAL of 10^-6.Half-cycle EO achieves sterility assurance level (SAL) of 10^-6.
    LAL ValidationEndotoxin levels <2.15 EU/device per USP guidance.All devices met an endotoxin level of <2.15 EU/device.
    Transit Testing - Packaging QualificationWithstands normal transportation and handling; maintains sterile barrier.Packaging meets functionality requirements and maintains sterile barrier after exposing to actual and simulated transportation test conditions.

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

    This information is not provided in the document. The tests performed are bench tests and cadaver usability testing, not studies on patient data.

    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 information is not applicable as the device is a physical medical instrument, not an AI/ML algorithm requiring expert ground truth for interpretation. The "cadaver usability testing" implies a medical professional would have evaluated the device's placement, but details are not given.

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

    This information is not applicable as the device is a physical medical instrument, not an AI/ML algorithm requiring adjudication of interpretations.

    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

    A Multi-Reader Multi-Case (MRMC) comparative effectiveness study was not done. This type of study is relevant for AI/ML-powered interpretive devices, which this catheter is not.

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

    A standalone algorithm performance study was not done. This is not an AI/ML device.

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

    The "ground truth" for the performance tests was based on engineering specifications, physical measurements, and established medical device testing standards (e.g., ISO standards for biocompatibility, LAL validation). For the cadaver assessment, the "ground truth" was successful placement and visualization on CT, implying a practical assessment against expected physiological outcomes.

    8. The sample size for the training set

    This information is not applicable as this is not an AI/ML device and therefore does not have a "training set."

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

    This information is not applicable as this is not an AI/ML device and therefore does not have a "training set" or ground truth for one.

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