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510(k) Data Aggregation

    K Number
    K200722
    Manufacturer
    Date Cleared
    2021-06-03

    (441 days)

    Product Code
    Regulation Number
    870.2900
    Reference & Predicate Devices
    Why did this record match?
    Reference Devices :

    K180157

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

    PCA-C100 Patient Cable is intended to be used with QT ECG device. The Patient Cable is used to connect electrodes placed at appropriate sites on the patient to an ECG device for general diagnostic evaluation by healthcare professionals.

    Device Description

    The PCA-C100 Patient Cable is a reusable ECG patient cable that is used to transmit cardiac electrical signals (ECG) from electrodes, which are affixed to the patient's body for both diagnostic purposes. The PCA-C100 Patient Cable is a crucial part of the system used diagnose the cardiac electrical signal (ECG). It allows a safe connection between the electrodes on the patient and QT ECG (K180157). The PCA-C100 Patient Cable is composed of three components: Snap - Connected with Leadwire and commercial ECG electrode. Leadwire - fitted with Trunk, and connected with ten Snaps. Trunk - Fitted with two ends: one of them connects the QT ECG (K180157); and the other end connects the Leadwires.

    AI/ML Overview

    The document provided is a 510(k) Summary for the PCA-C100 Patient Cable, which is a medical device for transmitting cardiac electrical signals. This type of device is relatively simple and does not involve AI or complex diagnostic algorithms, so many of the requested criteria (like ground truth, expert consensus, MRMC studies, or training/test set details) are not applicable.

    Based on the provided information, here's a summary of the acceptance criteria and the study proving the device meets those criteria:

    Device: PCA-C100 Patient Cable
    Intended Use: To connect electrodes placed at appropriate sites on the patient to an ECG device (specifically QT ECG device, K180157) for general diagnostic evaluation by healthcare professionals.


    1. Table of Acceptance Criteria and Reported Device Performance

    The acceptance criteria are generally based on compliance with recognized medical device standards for electrical safety, biocompatibility, and performance for patient cables. The reported device performance indicates successful compliance with these standards.

    Acceptance Criteria CategorySpecific Standard/TestAcceptance Criteria (Implicit)Reported Device Performance
    BiocompatibilityIn Vitro Cytotoxicity TestPass (non-cytotoxic)Met the requirements
    White Rabbit Skin Irritation TestPass (non-irritating)Met the requirements
    Skin Sensitization Study (Maximization Test)Pass (non-sensitizing)Met the requirements
    Electrical SafetyANSI AAMI EC53:2013 (ECG Trunk Cables And Patient Leadwires)Compliance with standard electrical safety requirementsMet the requirements
    ANSI AAMI 60601-1: ES60601-1:2005/(R)2012 And A1:2012 C1:2009/(R)2012 And A2:2010/(R)2012 (Consolidated Text) Medical Electrical Equipment - Part 1: General Requirements For Basic Safety And Essential PerformanceCompliance with general requirements for basic safety and essential performanceMet the requirements
    PerformanceSafety and Essential Performance of ElectrocardiographsCompliance with relevant performance aspects for ECG patient cablesMet the requirements
    Leadwires to trunk cable interconnection (ANSI AAMI EC53:2013)Secure and proper interconnectionMet the requirements
    Bench Performance TestingMet established protocols and requirementsMet the requirements
    Connector Retention ForceANSI/AAMI EC 53:2013Retention force within specified limitsMet the requirements

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

    The document does not specify a "test set" in the context of diagnostic performance evaluation with a dataset of patient cases because this device is a patient cable, not a diagnostic algorithm.

    • Sample Size: The testing was conducted on physical samples of the PCA-C100 Patient Cable. The exact number of samples used for each test (biocompatibility, electrical safety, performance) is not specified in this summary document.
    • Data Provenance: Not applicable in the context of patient data for a diagnostic algorithm. The tests were performed in a laboratory setting on the device itself.

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

    Not applicable. This device is a passive patient cable, not a diagnostic algorithm that requires expert interpretation for establishing ground truth on patient data. Ground truth, in this context, refers to the verifiable correctness of the device's physical and electrical properties against established standards.


    4. Adjudication Method for the Test Set

    Not applicable for this type of device. Adjudication methods like 2+1 or 3+1 are used in studies involving human interpretation or AI output review, which is not relevant for a patient cable.


    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done

    No, an MRMC comparative effectiveness study was not done. Such studies are typically performed for diagnostic imaging or analytical devices where human readers interpret results, sometimes with and without AI assistance, to assess diagnostic accuracy or efficiency. This is not applicable to a patient cable.


    6. If a Standalone (Algorithm Only Without Human-in-the-Loop Performance) Was Done

    Not applicable. This device is a patient cable, not an algorithm.


    7. The Type of Ground Truth Used

    The "ground truth" for this device's performance evaluation is established by objective measurements and assessments against recognized industry standards and scientific principles during non-clinical (bench) testing. For example:

    • Biocompatibility: In-vitro and in-vivo tests to determine the material's interaction with biological systems according to ISO 10993 standards.
    • Electrical Safety: Measurements of electrical parameters (e.g., leakage current, impedance) compared against limits specified in IEC 60601-1 and ANSI AAMI EC53.
    • Performance: Functional testing to ensure proper signal transmission and mechanical integrity according to ANSI AAMI EC53.

    8. The Sample Size for the Training Set

    Not applicable. This device is a hardware component and does not utilize machine learning or AI, therefore it does not have a "training set."


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

    Not applicable. As there is no training set for an AI algorithm, no ground truth needed to be established for it.

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