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510(k) Data Aggregation

    K Number
    K181000
    Manufacturer
    Date Cleared
    2018-09-13

    (150 days)

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

    K965247, K982770, K140307, K142819

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

    The SelectFlex 072 Neurovascular Access System is indicated for the introduction of interventional devices into the peripheral and neurovasculature.

    Device Description

    The SelectFlex 072 Neurovascular Access System is a sterile, single-use intravascular catheter used to facilitate access target vasculature during interventional procedures. The system is composed of a the SelectFlex 072 Catheter, a 3cc Inflation Syringe, and a 7Fr Peel Away Introducer. The 072 SelectFlex Catheter has a usable length of 105cm. The SelectFlex 072 Catheter has variable stiffness along its length and has a dual mode stiffness mechanism on the distal portion of the catheter that is activated by the user allowing the device to transition between tracking and support modes. The distal end of the SelectFlex 072 Catheter has a hydrophilic coating.

    AI/ML Overview

    This document, a 510(k) summary for the SelectFlex 072 Neurovascular Access System, describes various performance tests conducted to demonstrate the device's suitability for its intended use, rather than a clinical study evaluating an AI algorithm's performance.

    Therefore, many of the requested fields regarding AI algorithm evaluation are not applicable (N/A) in this context. The document focuses on demonstrating substantial equivalence to a predicate device through physical and biological performance testing.

    Here's the breakdown based on the provided text:

    1. Table of Acceptance Criteria and Reported Device Performance

    The document does not explicitly state numerical acceptance criteria for each test in a table, but rather indicates that all samples "met the pre-determined acceptance criteria" or "passed" the tests. The acceptance criteria are implicitly defined by the referenced ISO/ASTM standards and internal product specifications.

    Test DescriptionTest MethodReported Device Performance
    Packaging Integrity (sterile barrier)Tested per ISO 11607-1 and -2PASS All samples met the pre-determined acceptance criteria
    Visual Surface RequirementsVisual inspection of catheter surfacesPASS All samples met the pre-determined acceptance criteria
    Dimensional VerificationDevice dimensions were measured to confirm conformance to the product specificationPASS All samples met the pre-determined acceptance criteria
    Liquid Leakage Under PressureTested per ISO 10555-1:2013 Annex CPASS All samples met the pre-determined acceptance criteria
    Hub Aspiration Air LeakageTested per ISO 10555-1 2013 for Hub Aspiration Air LeakagePASS All samples met the pre-determined acceptance criteria
    Simulated Use/UsabilityEvaluated in a challenging neurovascular model, including usability assessmentPASS All samples met the pre-determined acceptance criteria
    Flex FatigueTested per ISO 10555-1: 2013 for Flexural FatiguePASS All samples met the pre-determined acceptance criteria
    Tip DeflectionEvaluated and compared to the predicate devicePASS All samples met the pre-determined acceptance criteria
    Inflation FatigueTested per ISO 10555-1: 2013 for Inflation Fatigue - 20 inflation cyclesPASS All samples met the pre-determined acceptance criteria
    Burst VolumeTested per ISO 10555-1: 2013 for Inflation Fatigue - tested to 2x inflation volumePASS All samples met the pre-determined acceptance criteria
    Torque TestTested per ISO 10555-1: 2013 for Torque TestingPASS All samples met the pre-determined acceptance criteria
    Flow RateTested per ISO 10555-1: 2013 for Flow rate compared to the predicate devicePASS All samples met the pre-determined acceptance criteria
    ISO 594-2: Conical Luer FittingsTested per ISO 594-2 for Conical FittingsPASS All samples met the pre-determined acceptance criteria
    Corrosion ResistanceTested per ISO 10555-1 Annex A for corrosion resistancePASS All samples met the pre-determined acceptance criteria
    Particulate CountEffluent tested per AAMI TIR42, USP 788 using multiple insertion and withdrawal cyclesPASS All samples met the pre-determined acceptance criteria
    Coating Integrity, Lubricity, DurabilityTested in consideration of FDA CTQ for Hydrophilic Coated vascular cathetersPASS All samples met the pre-determined acceptance criteria
    Peak Tensile TestingTested per ISO 10555-1 for tensile strength including all bonds/jointsPASS All samples met the pre-determined acceptance criteria
    Device Removal in Support and Tracking ModesRemoval force in both modes compared to a reference devicePASS All samples met the pre-determined acceptance criteria
    RadiopacityEvaluated during simulated use testing confirming visualization under fluoroscopyPASS All samples met the pre-determined acceptance criteria
    Bacterial EndotoxinTested in accordance with USP 40, NF 35, 2017. Bacterial Endotoxins TestPASS All samples met the pre-determined acceptance criteria
    Shelf LifeAccelerated aging studiesPASS All samples met the pre-determined acceptance criteria
    Biocompatibility Testing
    CytotoxicityTested in accordance with ISO 10993-5 (Neutral Red Uptake Method)Pass Noncytotoxic according to predetermined acceptance criteria
    Intracutaneous IrritationTested in accordance with ISO 10993-10Pass Test requirements for intracutaneous reactivity were met
    SensitizationTested in accordance with ISO 10993-10 (Kligman Maximization Test)Pass Did not elicit a sensitization response
    Systemic ToxicityTested in accordance with ISO 10993-11Pass Test requirements for systemic toxicity were met
    Material Mediated PyrogenicityTested in accordance with ISO 10993-11 and USP 40 Pyrogen TestPass Nonpyrogenic, met the predetermined acceptance criteria
    HemolysisTested in accordance with ASTM F756-17 and ISO 10993-4Pass Non-hemolytic, met the predetermined acceptance criteria
    In Vitro HemocompatibilityTested in accordance with ISO 10993-4 (Direct Contact Method)Pass Not expected to result in adverse effects in vivo
    Complement ActivationTested in accordance with ISO 10993-4 (SC5b-9 Complement Activation)Pass Does not activate the complement system
    Un-activated Partial Thromboplastin TimeTested in accordance with ISO 10994-4 and ASTM F2382-04Pass Does not affect coagulation of human plasma
    ThrombogenicityTested in accordance with ISO 10994-4Pass Demonstrates similar thromboresistance characteristics as the control device

    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 does not specify the exact sample sizes used for each individual performance test (e.g., how many catheters were tested for flex fatigue). It generally states "All samples met the pre-determined acceptance criteria," implying that a sufficient number of samples were tested per the relevant standards.

    • Sample Size for Test Set: Not explicitly stated for each test, but implied to be adequate for standard compliance.
    • Data Provenance: Not specified. This typically refers to data like patient images or clinical records, which are not relevant to these engineering and biocompatibility tests. The tests themselves are laboratory-based.

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

    • Number of Experts: For the "Simulated Use/Usability" test, it states "a usability assessment with multiple physicians." The exact number or qualifications are not provided beyond "physicians."
    • Qualifications of Experts: "Multiple physicians" for usability assessment. For other tests, "ground truth" is established by adherence to recognized international standards (e.g., ISO, ASTM, USP) and internal product specifications, carried out by qualified testing personnel, but not "experts" in the sense of clinical specialists interpreting results.

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

    Not applicable. This is not a clinical study involving interpretation of data by multiple readers. The assessment of performance tests is based on objective measurements against pre-defined criteria in laboratory settings.


    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 document pertains to the performance and safety testing of a neurovascular access system, not an AI or imaging diagnostic device. No AI component is mentioned.


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

    Not applicable. This is not an AI algorithm.


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

    For the performance and biocompatibility tests, the "ground truth" is established by:

    • Compliance with international standards: ISO, ASTM, AAMI, USP.
    • Adherence to internal product specifications: Dimensional verification.
    • Comparison to predicate/reference devices: For tip deflection, flow rate, and device removal forces.
    • Usability assessment: By "multiple physicians" in a simulated environment.

    No pathology or outcomes data are referenced as this is a pre-market notification for a device and not a clinical trial.


    8. The sample size for the training set

    Not applicable. This is not an AI algorithm, so there is no training set.


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

    Not applicable. There is no AI training set.

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