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510(k) Data Aggregation

    K Number
    K171530
    Manufacturer
    Date Cleared
    2017-12-21

    (210 days)

    Product Code
    Regulation Number
    880.5200
    Reference & Predicate Devices
    Predicate For
    Why did this record match?
    Reference Devices :

    K121007

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

    Deltaven Closed I.V. Catheter systems are catheters for short-term peripheral venous access that allow the collection of blood samples and administration of fluids intravascularly.

    Deltaven Closed I.V. Catheter systems are equipped with a passive system for the prevention of accidental needlestick injuries.

    Blood is contained within the device during the catheter insertion process, aiding the prevention of blood exposure. The device can be used for any patient population with consideration given to adequacy of vascular anatomy and appropriateness of procedure.

    Deltaven Closed I.V. Catheter systems 16-24 gauge catheters are suitable for use with pressure injectors rated for a maximum of 330 psi when the access ports and stopcocks are removed and a direct connection is made with the proximal luer lock connector.

    Deltaven Closed I.V. Catheter systems 26G are not suitable for the administration at high pressure.

    Device Description

    The devices consist of an over-the-needle, peripheral intravascular catheter made of polyurethane, integrated extension tubing with Luer lock adaptor and slide clamp. The devices are also equipped with a Luer lock final adaptor (single entry version) or a Y Luer lock final adapter (dual entry version).

    Deltaven Closed I.V. Catheters are available in five versions, as follows:

    • Deltaven XiV Max
    • . Deltaven XiV Max Y
    • Deltaven XiV Max SC ●
    • Deltaven XiV Max Y-NL ●
    • Deltaven XiV Max SC-NL

    The same versions are available with the needle provided with a notch along its surface that permits the early visualization of blood return inside the catheter tube. This version is generally named as Deltaven XV Max Fast Flash and is available in five versions, as follows:

    • . Deltaven XiV Max Fast Flash
    • Deltaven XiV Max Y Fast Flash
    • Deltaven XiV Max SC Fast Flash
    • Deltaven XiV Max Y- NL Fast Flash
    • . Deltaven XiV Max SC-NL Fast Flash

    The devices provided with single entry Luer lock adaptors are also equipped with:

    • Luer lock white cap
    • 3 way stopcock
    • 3 way stopcock and needleless valve ●

    The devices provided with dual entry Luer lock adaptors are also equipped with:

    • Luer lock white cap ●
    • Needleless valve connector
    AI/ML Overview

    The provided document describes the Deltaven Closed I.V. Catheter Systems and its substantial equivalence to a predicate device (BD Nexiva Closed IV Catheter System, K102520). The document outlines various bench/performance/non-clinical tests conducted to support this claim, referencing relevant ISO standards.

    Here's an analysis of the acceptance criteria and the study information based on the provided text:

    1. Table of Acceptance Criteria and Reported Device Performance:

    The document states that in all testing, "the pre-determined acceptance criteria were met." However, it does not explicitly list the specific quantitative acceptance criteria or the numerical performance results for each test. Instead, it refers to compliance with ISO standards.

    Here's a table based on the mentioned tests and the general statement of compliance:

    Test CategorySpecific Test (Referenced Standard if applicable)Acceptance Criteria (Implied)Reported Device Performance
    BiocompatibilityCytotoxicity, Irritation, Acute Systemic Toxicity, Material-Mediated Pyrogen, Bacterial-Mediated Pyrogen, Genotoxicity, Sub-Chronic Toxicity, Implantation, Hemolysis, Complement Activation, In Vivo Thrombogenicity, LAL testingCompliance with ISO 10993 series requirementsMet biocompatibility requirements
    Physical/Mechanical (ISO 594-1, 594-2, 80369-7)GaugingCompliance with ISO 594-1 and 594-2Criteria met
    Liquid leakageCompliance with ISO 594-2, 594-1, and 80369-7Criteria met
    Air leakage during aspirationCompliance with ISO 594-2 and 594-1Criteria met
    Sub-atmospheric pressure air leakageCompliance with ISO 80369-7Criteria met
    Unscrewing torqueCompliance with ISO 594-2 and 80369-7Criteria met
    Separation forceCompliance with ISO 594-2 and 80369-7Criteria met
    Easy to assemblyCompliance with ISO 594-2Criteria met
    Resistance of overridingCompliance with ISO 594-2 and 80369-7Criteria met
    Stress crackingCompliance with ISO 594-2 and 80369-7Criteria met
    Leakage by pressure decayCompliance with ISO 80369-7Criteria met
    Catheter/Needle Properties (ISO 9626, 10555-1, 10555-5)Radio-detectabilityCompliance with ISO 10555-1Criteria met
    Surface testingCompliance with ISO 9626, 10555-1, and 10555-5Criteria met
    Corrosion testingCompliance with ISO 9626 and 10555-1Criteria met
    Peak tensile forceCompliance with ISO 10555-1Criteria met
    Freedom from leakage under pressureCompliance with ISO 10555-1Criteria met
    Freedom from leakage during aspirationCompliance with ISO 10555-1Criteria met
    Needle materialCompliance with ISO 9626Criteria met
    Needle stiffnessCompliance with ISO 9626Criteria met
    Resistance of tubing to breakageCompliance with ISO 9626Criteria met
    Catheter unitCompliance with ISO 10555-5Criteria met
    Strength union between needle hub and needle tubeCompliance with ISO 10555-5Criteria met
    Vent fittingCompliance with ISO 10555-5Criteria met
    Sharps Injury Protection (ISO 23908)Safety Closed IV Catheter system activation testCompliance with ISO 23908:2011Criteria met
    Challenging safety device testCompliance with ISO 23908:2011Criteria met
    Simulated Clinical Use TestCompliance with FDA "Guide for Industry and staff Medical Devices with Sharp injury Prevention Features" and ISO 23908:2011Criteria met
    Additional Performance TestingPriming volumeVerified/ValidatedCriteria met
    Clinical significant hydrationVerified/ValidatedCriteria met
    Pressure resistance (up to 330 psi)Verified/Validated for 16-24G, 26G excludedCriteria met (for applicable gauges up to 330 psi)
    Tensile force of 15 N for 15 seconds between tube and hubNo breakage or separationNo breakage or separation (demonstrated for further SE)

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

    The document does not specify the exact sample sizes for any of the individual tests. It states that "Performance testing was provide to verify/validate the sharps injury prevention feature" and "Performance data has been provided to verify pressure injection up to 330 psi". For the tensile force test, it mentions "to samples of each device type."

    The data provenance is not explicitly stated as retrospective or prospective, nor does it mention the country of origin. However, given that these are bench and performance tests on a medical device for regulatory submission, they are typically prospective tests performed in a controlled laboratory environment.

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

    This section is not applicable as the document describes bench and performance testing of a physical medical device, not a diagnostic or AI-driven device requiring expert interpretation for ground truth. The "ground truth" for these tests would be the physical properties and performance characteristics measured against established engineering and medical device standards.

    4. Adjudication Method for the Test Set:

    This section is not applicable for the same reasons as point 3. Adjudication methods like 2+1 or 3+1 are used for establishing consensus among human experts for diagnostic accuracy studies, not for physical performance 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:

    This section is not applicable. The document describes a medical device (intravascular catheter system) and its performance, not an AI-driven diagnostic tool that would involve human readers or an MRMC study.

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

    This section is not applicable. The device is a physical medical device, not an algorithm.

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

    The ground truth for this medical device's performance testing is established by objective measurements and reference to internationally recognized technical standards (e.g., ISO 594, ISO 9626, ISO 10555, ISO 23908, ISO 80369, ISO 10993 series). This includes:

    • Compliance with specified dimensions and tolerances.
    • Performance within defined ranges (e.g., pressure resistance, flow rates).
    • Absence of failures (e.g., leakage, breakage, separation).
    • Demonstrated activation of safety mechanisms.
    • Absence of biological adverse reactions (biocompatibility).

    8. The Sample Size for the Training Set:

    This section is not applicable. "Training set" refers to data used to train machine learning models. This document describes the testing of a physical medical device, which does not involve a training set in this context.

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

    This section is not applicable for the same reason as point 8.

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