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510(k) Data Aggregation

    K Number
    K161779
    Date Cleared
    2016-11-03

    (127 days)

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

    K131555

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

    The MedSource TrueSafe Safety IV Catheter and the MedSource TrueSafety IV Catheter is indicated to sample blood or administer fluids intravenously. The MedSource TrueSafe Safety IV Catheter and the MedSource TrueSafe Comfort Safety IV Catheter may be used for any patient population with consideration given to adequacy for the vascular anatomy appropriateness for the solution being administered and duration of the therapy.

    Device Description

    The MedSource TrueSafe Safety IV Catheter and the MedSource TrueSafe Comfort Safety IV Catheter are safety medical devices used for inserting a catheter into a patient's body for purpose of delivery of fluids or drainage of fluids from the patient. The MedSource TrueSafe Safety IV Catheter and the MedSource TrueSafe Comfort Safety IV Catheter are comprised of the following components: protective needle cover, color-coded catheter hub, radiopaque catheter tube, catheter holder, needle guide, medical grade stainless steel needle hub, porous plug and gauge chamber. The components combine for an ergonomic design that incorporate a safety feature that when the device is withdrawn, the needle is completely enclosed within the chamber protecting healthcare and other personnel from exposure to patient body fluids after the device has been discarded post-use. The retraction mechanism is activated by the push of a button.

    AI/ML Overview

    This document describes the safety and performance testing for the MedSource TrueSafe Safety IV Catheter and MedSource TrueSafe Comfort Safety IV Catheter.

    1. Table of Acceptance Criteria and Reported Device Performance:

    Test PerformedCriteriaResult
    Needle PointFree from foreign parts with no blunt needles or dentsPass
    Flow Rate Through CatheterFlow rate should be 55ml/minPass
    Corrosion Resistance TestThere shall be no sign of corrosionPass
    Method for Determining Tensile Force at BreakMinimum force at break shall be $\geq 5N$Pass
    Catheter Collapse Through Aspiration TestThere shall be no ingress of air bubbles into the syringePass
    Gauging TestNO-GO side of the steel gauge should not be inside the luer.Pass
    Liquid Leakage From Conical Fitting Assembly Under PressureNo liquid leakage should be there, when the assembly is subjected to withstand a pressure of 3.0 to 3.2 bar for 30sec.Pass
    Air Leakage from the Conical Fitting Assembly During AspirationThere should be no air bubble formation from the assembly up to 15sec.Pass
    Separation Force of Conical Fitting AssemblyThere should be no detachment while applying a force of 10 newtons away from the fixture.Pass
    Stress CrackingThere should not be any sign of cracking in the device luer fittingPass
    Unscrewing Torque of Fitting AssemblyThere shall be no separation when the fitting is testedPass
    Ease of AssemblyMale reference fitting should insert without any jerk and fit together securely.Pass
    Resistance to OverridingThere shall not be any unusual damage on either of the female part or to the reference fitting.Pass
    Radiopacity of CatheterVisually compare the images of the test specimen to the background on the film.Pass
    Catheter Elongation TestingMeasure the gauge length and tensile strength at breakPass
    Catheter Stiffness TestingAs per manufacturer data, Shore: D-60 ± 4Pass
    Resistance to DisinfectionNo visual damage shall be present. As per ISO 527, the catheter shall show no degradation in tensile properties. Catheter tube elongation should be greater than 100% (as in control i.e., non-exposed samples)Pass
    Needle Hub Detachment Force20N when testing needles of nominal O.D $\geq$ 0.6 mmPass
    Needle Safety Mechanism Activation TestCheck whether the activation Lever activated smoothly without any jerk and check the complete length of the needle enclose to the safety chamber.Pass
    Venipuncture Process: Needle Stick (Max Penetration Load)14G: 2.70N; 16G: 2.50N; 17G: 2.40N; 18G: 1.90N; 20G: 1.60N; 22G: 1.50N; 24G: 1.35N; 26G: 1.30NPass
    Venipuncture Process: Needle Stick (Max Friction)14G: 0.70N; 16G: 0.60N; 17G: 0.60N; 18G: 0.50N; 20G: 0.40N; 22G: 0.35N; 24G: 0.34N; 26G: 0.45NPass
    Venipuncture Process: Tightness Between Catheter Tube and Cannula Activation TestingThe distance should not exceed maximum value of 1.0mm and should be greater than 0.1mm. 97.5% confidence that the failure rate would be no higher than 0.7% and 99.5% confident that the failure rate is not higher than 1.1%.Pass
    Biocompatibility (Sensitization Testing)Standard ISO 10993 Part 10Pass
    Biocompatibility (Intracutaneous Reactivity Test)Standard 10993 Part 5Pass
    Biocompatibility (In-Vitro Cytotoxicity)Standard ISO 10003 Part 5Pass
    Biocompatibility (Systemic Toxicity)Standard ISO 10993 Part 11Pass
    Biocompatibility (Hemocompatibility Test)Standard ISO 10993-1Pass

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

    The document mentions several types of testing:

    • Nonclinical Bench Performance testing: The specific sample sizes for each of the listed bench tests (e.g., flow rate, corrosion, tensile strength) are not explicitly provided in the summary. However, these are generally performed on a sufficient number of units to demonstrate compliance with the referenced ISO standards.
    • Simulated Clinical Use Testing: This test used a sample size of 500 units.
    • Data Provenance: The document does not specify the country of origin of the data or whether the studies were retrospective or prospective. Given that it's a 510(k) submission and the tests are bench and simulated clinical use, they are inherently prospective in nature, performed specifically for regulatory submission.

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

    For the nonclinical bench tests and simulated clinical use testing described, there is no mention of "experts" in the sense of medical professionals establishing a ground truth. These tests rely on predefined engineering and scientific criteria (e.g., ISO standards, physical measurements). The "ground truth" for these tests is the objective measurement against the specified criteria.

    4. Adjudication Method for the Test Set:

    Not applicable. The tests described are objective, quantitative measurements or visual assessments against predefined criteria from standards (e.g., ISO standards). There is no "adjudication" necessary between multiple observers or experts.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was done:

    No, an MRMC comparative effectiveness study was not conducted or reported in this document. This submission focuses on the substantial equivalence of the device through bench and simulated use testing, not on comparative effectiveness with human readers.

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

    Not applicable. This device is a physical medical device (an IV catheter), not an algorithm or AI system. Therefore, standalone algorithm performance is not relevant.

    7. The Type of Ground Truth Used:

    The ground truth for the performance tests is based on:

    • Established engineering and performance standards: Primarily ISO 10555-1 and ISO 10555-5 for mechanical and functional aspects, and ISO 10993 series for biocompatibility.
    • Objective physical measurements: For parameters like flow rate, tensile force, needle stick force, distance measurements, etc.
    • Visual inspection criteria: For aspects like needle point defects, corrosion, and resistance to disinfection.
    • Pre-defined pass/fail criteria: For all tests, specific thresholds or observations determine a "Pass" or "Fail."

    8. The Sample Size for the Training Set:

    Not applicable. This device is a physical product and not an AI/ML algorithm that requires a "training set."

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

    Not applicable, as there is no training set for this physical device.

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