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510(k) Data Aggregation

    K Number
    K201203
    Device Name
    Cliq Aspirator
    Date Cleared
    2020-09-03

    (122 days)

    Product Code
    Regulation Number
    878.4780
    Reference & Predicate Devices
    Predicate For
    N/A
    Why did this record match?
    Reference Devices :

    K932494

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

    The DV-XXX aspirator provides a portable, battery-powered medical vacuum source. The DV-XXX can also be powered from a standard wall outlet with the use of an AC power adapter. It is intended for use in the home care or hospital environment.

    Device Description

    The DV-XXX is a portable AC/DC high vacuum / high flow suction pump. The DV-XXX can be powered from a standard wall outlet or from a rechargeable battery pack. The DV-XXX creates a negative pressure (vacuum) that draws fluids through tubing and into a collection container where the fluids are trapped for proper disposal. The device is comprised of a maintenance-free pump unit, an AC power adapter with power cord, an on/off switch, a pressure relief valve and pressure adjustment knob, a pressure gauge, an inline filter, intermediate tubing, and a rechargeable battery pack. Optional accessories which may be included with the unit include a collection canister and suction tubing.

    The DV-XXX produces a flow rate of up to 20 liters per minute, and has a maximum vacuum pressure of 620 mmHg. Housed in ABS plastic, the DV-XXX has an IP22 ingress protection rating; and, as a Class II (double-insulated) electrical appliance, the unit affords Type BF applied part protection against electric shock.

    The DV-XXX must only be used on the order of a physician.

    AI/ML Overview

    This document is a 510(k) Premarket Notification from the FDA for a medical device called the "Cliq Aspirator DV-XXX (model family)". As such, it is focused on demonstrating substantial equivalence to a previously cleared predicate device, rather than proving the detailed performance metrics of a novel AI/ML-driven device.

    Therefore, the information typically requested for acceptance criteria and studies proving the device meets those criteria, particularly for AI/ML devices (e.g., sample size for test/training sets, expert ground truth, adjudication methods, MRMC studies, standalone performance, effect sizes), is largely not present in this document.

    This document describes a powered suction pump, a traditional medical device, not an AI/ML diagnostic or therapeutic device. The "performance" discussed refers to physical specifications and compliance with electrical and safety standards, not diagnostic accuracy or effectiveness in an AI context.

    Here's how the provided information relates to your request, with an emphasis on what is not applicable or not found in this type of submission:


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

    The document doesn't provide specific "acceptance criteria" in the sense of a numerical threshold for clinical performance (like sensitivity/specificity for a diagnostic AI). Instead, it relies on demonstrating compliance with recognized consensus standards and substantial equivalence to a predicate device.

    The "performance" metrics for this device are largely physical and electrical characteristics.

    Criterion TypeAcceptance Criteria (Implied by Predicate & Standards)Reported Device Performance (Cliq Aspirator DV-XXX)
    Intended UsePortable, battery-powered medical vacuum source for homecare/hospital environment.Portable, battery-powered medical vacuum source for homecare/hospital environment. (Equivalent)
    Electrical RequirementsAC Adaptor: 100-240 VAC, 50-60Hz; Pump Unit: 12 VDCAC Adaptor: 100-240 VAC, 50-60Hz; Pump Unit: 12 VDC (Equivalent)
    Protection against electric shockClass I or Class II with Type BF applied partClass II with Type BF applied part (Equivalent)
    Battery TypeRechargeable battery (Predicate: Lead acid battery)NiMH rechargeable battery pack (Different type, but deemed equivalent in function and safety)
    Battery Status IndicatorColored LED lights for fully charged/low battery statusColored LED lights for fully charged/low battery status (Equivalent)
    Vacuum PressureMax: 533 mmHg (Predicate: EasyGo Aspirator)Max: ~620 mmHg; Vacuum adjustable; Vacuum gauge (Higher max pressure, but deemed equivalent; adjustable and with gauge like predicate)
    Pump TypePositive displacement reciprocating pumpPositive displacement reciprocating pump (Equivalent)
    Flow RateUp to ~14 l/min (Predicate: EasyGo Aspirator)Up to ~20 l/min (Higher flow rate, but deemed equivalent)
    Sound LevelNot specified for predicate< 53 dBa
    Weight4.4 kg / 9.6 lbs (Predicate: EasyGo Aspirator)3.5 kg / 7.7 lbs (Lighter)
    DimensionsL30 x W24 x H25 cm (Predicate: EasyGo Aspirator)L30 x W16.5 x H19 cm (More compact)
    Compliance with Consensus StandardsIEC 60601-1, IEC 60601-1-2, IEC 60601-1-11, ISO 10079-1 (specific versions vary between predicate and proposed, but functionality equivalent)Met all predefined criteria, and passed all tests for performance, safety, and electromagnetic compatibility for referenced standards: IEC 60601-1:2005, IEC 60601-1-2:2015, EN ISO 10079-1:2015+A:2018, IEC 60601-1-11:2012. (Met)

    2. Sample sized used for the test set and the data provenance

    • Not applicable / Not present. This is for a physical device, and testing involves engineering and safety compliance (e.g., electrical, mechanical, EMC), not a "test set" of clinical data to evaluate an algorithm's performance. The documentation mentions "Non-clinical performance and safety tests" were conducted and "met all predefined criteria," but gives no details on sample size of devices tested for these engineering aspects. Data provenance (country of origin, retrospective/prospective) is irrelevant for this type of device submission.

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

    • Not applicable / Not present. Ground truth in the context of AI/machine learning (e.g., for image interpretation) is not relevant for this device. Ground truth for the device's function is established by its physical specifications and meeting engineering standards, measured by calibrated equipment and engineering tests.

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

    • Not applicable / Not present. This concept applies to expert consensus on clinical data labels, not to the performance testing of a powered suction pump.

    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 / Not present. This document describes a medical device (suction pump), not an AI-assisted diagnostic or therapeutic tool. Therefore, MRMC studies are not relevant.

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

    • Not applicable / Not present. There is no algorithm being evaluated in this submission.

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

    • Not applicable. The "ground truth" for this device's performance is objective measurements against engineering specifications and international consensus standards (e.g., a pressure gauge measures actual vacuum pressure, electrical tests confirm safety compliance).

    8. The sample size for the training set

    • Not applicable / Not present. This device does not involve machine learning; therefore, there is no training set.

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

    • Not applicable / Not present. As there is no training set, this question is not relevant.

    In summary: This FDA 510(k) submission for the "Cliq Aspirator DV-XXX" is typical for a traditional medical device (a powered suction pump). It focuses on demonstrating substantial equivalence to an existing predicate device and compliance with recognized safety and performance standards. The types of acceptance criteria and study designs you've listed (related to AI/ML performance, ground truth establishment, reader studies) are not pertinent to this specific device or its regulatory pathway.

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