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510(k) Data Aggregation

    K Number
    K130553
    Device Name
    ABSOCLEAR
    Manufacturer
    Date Cleared
    2013-07-03

    (121 days)

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

    K811291, K812678, K852750, K901845, K932422, K973036

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

    Sterile, single-use dressings for management of pressure ulcers, 1st and 2nd degree bums, skin tears, abrasions, or irritated skin and surgical incisions and graft donor sites.

    Device Description

    The AbsoClear product family is a series of single-use, sterile transparent synthetic wound dressings made of absorbent acrylic polymers. The dressings maintain a moist wound environment, which has been shown to be conducive to wound healing, but that also can also absorb wound exudate. Full transparency allows monitoring wound healing stages without removal of the dressing. The sterile dressings are supplied singly in sealed trilaminate pouches and are sterilized by gamma irradiation.

    AI/ML Overview

    The provided text describes the AbsoClear® wound dressing. The acceptance criteria and the study that proves the device meets the acceptance criteria are outlined as follows:

    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance CriteriaReported Device Performance
    Bench Testing
    Absorption CapacityMet all acceptance criteria in GLP testing of each lot.
    SterilityMet all acceptance criteria in GLP testing of each lot.
    Package Seal StrengthMet all acceptance criteria in GLP testing of each lot.
    Seal IntegrityMet all acceptance criteria in GLP testing of each lot.
    For products with adhesive borders:
    Coat WeightMet all acceptance criteria in routine acceptance testing.
    Peel AdhesionMet all acceptance criteria in routine acceptance testing.
    MVTR (Moisture Vapor Transmission Rate)Met all acceptance criteria in routine acceptance testing.
    Sterilization
    Sterility Assurance Level (SAL)Validated to 10e-6 per ISO 11137.
    BioburdenMet all acceptance criteria.
    PyrogenicityMet all acceptance criteria.
    Shelf-life
    Peel Adhesion (after storage)Met all specifications after storage at 40°C for 12 months and real-time stability at 25°C for 3 years.
    Moisture Vapor Transmission Rate (after storage)Met all specifications after storage at 40°C for 12 months and real-time stability at 25°C for 3 years.
    Absorption Capacity (after storage)Met all specifications after storage at 40°C for 12 months and real-time stability at 25°C for 3 years.
    Sterility (after storage)Met all specifications after storage at 40°C for 12 months and real-time stability at 25°C for 3 years.
    Packaging Seal Strength (after storage)Met all specifications after storage at 40°C for 12 months and real-time stability at 25°C for 3 years.
    Packaging Seal Integrity (after storage)Met all specifications after storage at 40°C for 12 months and real-time stability at 25°C for 3 years.
    Biocompatibility
    CytotoxicityProduct met all acceptance criteria per ISO 10993-5.
    SensitizationProduct met all acceptance criteria per ISO 10993-10.
    Intracutaneous ReactivityProduct met all acceptance criteria per ISO 10993-10.

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

    The document does not explicitly state a "test set" in the context of clinical data for the AbsoClear device. Instead, the performance evaluations are based on:

    • Bench Testing: Performed on "each lot" of AbsoClear product. The exact sample size per lot is not specified.
    • Sterilization Validation: No specific sample size for a "test set" is mentioned, rather the process was validated per ISO 11137.
    • Shelf-life Testing: No specific sample size for a "test set" is mentioned. Testing was done on product and packaging after specific storage conditions.
    • Biocompatibility Testing: No specific sample size of devices is mentioned, but tests were performed on "the finished packaged, sterilized product."

    The data provenance is not described as being from a specific country or retrospective/prospective in a clinical sense, as the studies are primarily lab-based (bench, sterilization, shelf-life, biocompatibility).

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

    Not applicable. The studies described are not clinical studies that would involve experts establishing ground truth for a test set. The acceptance criteria are based on pre-defined technical specifications and international standards (e.g., ISO 11137, ISO 10993).

    4. Adjudication Method for the Test Set

    Not applicable. There is no clinical test set described that would require an adjudication method.

    5. If a Multi-reader Multi-case (MRMC) Comparative Effectiveness Study was Done

    No, a multi-reader multi-case (MRMC) comparative effectiveness study was not done. The document explicitly states: "Additional clinical testing was not required."

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

    Not applicable. The device is a physical wound dressing, not an algorithm or AI system.

    7. The Type of Ground Truth Used

    The "ground truth" for the device's performance is established by:

    • Technical Specifications: Pre-defined performance parameters for the wound dressing (e.g., absorption capacity, seal strength, MVTR).
    • International Standards: Compliance with standards such as ISO 11137 for sterilization and ISO 10993 for biocompatibility. These standards define the methods and acceptance limits for various tests.
    • Comparison to Predicate Device: The claim of substantial equivalence is based on the new device having "similar technological characteristics and materials as a previously cleared device." This implies the predicate device's established safety and effectiveness serve as the benchmark.

    8. The Sample Size for the Training Set

    Not applicable. The device is a physical wound dressing and does not involve a training set as would be found in machine learning algorithms.

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

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

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    K Number
    K120782
    Date Cleared
    2013-03-20

    (370 days)

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

    K090620, K973036

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

    QuikClot Interventional-A Hemostatic Bandage is applied topically as an adjunct to manual compression and is indicated for the local management and control of surface bleeding from vascular access sites, percutaneous catheters or tubes utilizing introducer sheaths up to 7 Fr. in patients on drug/induced anti-coagulation treatment.

    Device Description

    The QuikClot Interventional-A Hemostatic Bandage that is the subject of this submission is described in detail in K090620 in that it is made of a soft, white, kaolin-impregnated gauze. QuikClot® Interventional-A Hemostatic Bandage may be provided in a kit form that consists of a hemostatic pad and an adhesive bandage. The adhesive bandage is a 3M Tegaderm® bandage (K973036) or equivalent. The hemostatic pad is a hemostatic dressing made of soft, white, kaolin impregnated gauze, configured in a 1 ½" long by l 1/2"wide by 1/2" thick multi-layer pad.

    AI/ML Overview

    Here's an analysis of the acceptance criteria and supporting studies for the QuikClot Interventional-A Hemostatic Bandage, based on the provided document:

    1. Table of Acceptance Criteria and Reported Device Performance

    The document does not explicitly state formal "acceptance criteria" in a quantitative format typical for regulatory submissions (e.g., "sensitivity must be > X%", "specificity must be > Y%"). Instead, it presents performance metrics from pre-clinical animal studies and clinical studies. The implicit acceptance criterion is that the device demonstrates efficacy in controlling bleeding in anticoagulated patients, comparable to or superior to control methods, with an acceptable safety profile.

    Metric/Study ObjectiveImplicit Acceptance Criteria (Inferred)Reported Device Performance
    Pre-Clinical Swine Model
    Efficacy in Coumadin-treated pigsEffective control of bleeding94.5% successful control of bleeding (vs 24% for control gauze)
    Efficacy in Plavix-treated pigsEffective control of bleeding91.2% successful control of bleeding (vs 29.7% for control gauze)
    Safety in animal modelSafe use in anticoagulated modelNo animal deaths due to bleeding. Wounds not fully controlled required additional manual compression.
    Trabattoni D, et al. (2010) - Single Arm Pilot Study
    Complete bleeding cessation at 5 minHigh rate of cessationMean cumulative hemostasis time 4.9 ± 1.05 min (diagnostic: 4.2 ± 0.9 min, interventional: 5.3 ± 0.95 min)
    Safe ambulation at 4 hoursAll patients achieve safe ambulationAll patients achieved ambulation at 4 hours
    Serious Adverse EventsLow incidence of adverse eventsOne patient required extra compression and developed a small hematoma (< 5cm)
    Trabattoni D, et al. (2011) - Randomized Controlled Trial
    Hemostasis time vs. manual compressionShorter hemostasis timeQuikClot: 5.4 ± 1.5 min vs. Manual Compression: 25 ± 15 min (p<0.001)
    Hemostasis failure rateNo hemostasis failureNo hemostasis failure in either group
    Major bleeding / Hematoma > 5cmLow incidence of eventsMajor Bleeding: 1 pt (QuikClot) vs. 1 pt (control); Hematoma > 5cm: 1 pt (QuikClot) vs. 2 pts (control)
    Politi L, et al. (2011) - Randomized Clinical Trial (Radial)
    Radial Artery Occlusion (RAO)Low to no RAOGroup 1 (QuikClot): 0% RAO; Group 2 (control short time): 5% RAO; Group 3 (control 2 hours): 10% RAO (p = 0.05)
    Active bleeding after compression removalLower incidence than controlGroup 1 (QuikClot): 10 patients (20%); Group 2 (control short time): 18 patients (90%); Group 3 (control 2 hours): 1 patient (2%) (p < 0.001)
    Post-Market Data
    Success rate in controlling bleedingHigh success rate96% success rate
    Reported complicationsLow incidence of complications1% reported complications
    User satisfactionHigh satisfaction93% improved outcome, 95% saved time, 97.4% would use again

    2. Sample Sizes and Data Provenance

    • Pre-clinical Study (Swine Model):

      • Sample Size: 10 pigs (5 treated with Plavix, 5 with Coumadin). 187 intra-abdominal vascular injuries were tested across these animals.
      • Data Provenance: United States (US), prospective animal model study.
    • Trabattoni D, et al. (2010):

      • Sample Size: 40 human subjects.
      • Data Provenance: Outside US (OUS), prospective single-arm pilot trial.
    • Trabattoni D, et al. (2011):

      • Sample Size: 200 human subjects (100 in QuikClot group, 100 in manual compression control group).
      • Data Provenance: Outside US (OUS), prospective randomized controlled trial.
    • Politi L, et al. (2011):

      • Sample Size: 120 human subjects (Group 1 (QuikClot) n=50; Group 2 (control short time) n=20; Group 3 (control 2 hours) n=50). The study stopped enrolling Group 2 subjects due to unethically high bleeding rates.
      • Data Provenance: Outside US (OUS), randomized clinical trial.
    • Post-Market Data:

      • Sample Size: 138 Product Evaluation Forms. (Number of patients not explicitly stated, but implies at least 138 instances of use).
      • Data Provenance: United States (US), real-world usage reports (retrospective collection of feedback forms).

    3. Number of Experts and Qualifications for Ground Truth

    • Animal Study: "One investigator" from a US site. Specific qualifications (e.g., veterinarian, surgeon) are not detailed. The ground truth (success/failure of bleeding cessation) was based on direct observation.
    • Clinical Studies (Trabattoni and Politi): These were peer-reviewed clinical publications. The "ground truth" for outcomes like bleeding cessation, hemostasis time, ambulation, and adverse events would have been established by the study investigators (physicians/clinicians) based on direct observation, medical records, and established clinical protocols.
      • Trabattoni (2010): Three investigators from one OUS site.
      • Trabattoni (2011): Six investigators from one OUS site.
      • Politi (2011): Ten investigators from one OUS site.
      • Specific qualifications of these investigators (e.g., interventional cardiologist, years of experience) are not provided in this document, but being published implies they were qualified medical professionals.
    • Post-Market Data: The "ground truth" for success/failure and complications was based on reports from "several health care institutions in the US." These would be the observations and assessments of the healthcare professionals using the device. Specific qualifications or number of individual experts are not given for this aggregated data.

    4. Adjudication Method for the Test Set

    The provided summary does not detail explicit adjudication methods for events or outcomes in the clinical studies (e.g., an independent clinical events committee). For the animal study, the single investigator would have determined success/failure. For the human studies, the study endpoints and assessment protocols would have guided the determination of outcomes by the investigators. It does not mention complex multi-reader/adjudicator processes.

    5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

    No, an MRMC comparative effectiveness study was not explicitly mentioned. The clinical studies (Trabattoni (2011) and Politi (2011)) were randomized controlled trials comparing the device to standard care (manual compression), but they do not appear to be structured as MRMC studies that typically evaluate reader performance on cases with and without AI assistance. The studies here compare device performance (QuikClot) against a traditional method (manual compression) from the perspective of patient outcomes.

    6. Standalone (Algorithm Only) Performance Study

    No, a standalone (algorithm only without human-in-the-loop performance) study was not done. The QuikClot Interventional-A Hemostatic Bandage is a physical medical device (hemostatic dressing), not an algorithm or AI. Its performance is intrinsically linked to its application by a human healthcare professional as an adjunct to manual compression. The studies assess the device's effectiveness when used by humans.

    7. Type of Ground Truth Used

    • Pre-clinical Animal Study: Direct observation of bleeding cessation in a live animal model (surgical wounds).
    • Clinical Studies (Trabattoni and Politi): Clinical observations, measurements (hemostasis time, ambulation time), and documented adverse events by medical investigators. This aligns with clinical outcomes data and expert assessment.
    • Post-Market Data: Real-world clinical outcomes and observations reported by healthcare professionals through product evaluation forms.

    8. Sample Size for the Training Set

    The provided document describes the QuikClot Interventional-A Hemostatic Bandage as a modified version of a previously cleared device (K090620), with the primary change being an expanded indication for use in anticoagulated patients. The device itself is a physical product (kaolin-impregnated gauze), not a machine learning model. Therefore, the concept of a "training set" for an algorithm doesn't apply directly.

    The device's development and prior clearance (K090620 and K072474) would have involved earlier testing and validation. The studies described in this K120782 submission serve as the test set to demonstrate the safety and effectiveness of the device for the new indication (use in anticoagulated patients).

    If we interpret "training set" loosely as the accumulated evidence that informs the device's design and previous clearances:

    • The device's core technology (kaolin hemostatic properties) is based on fundamental scientific principles and earlier research not detailed here.
    • The original QuikClot Hemostatic Dressings (K072474) and QuikClot Interventional Hemostatic Bandage (K090620) underwent their own performance testing, which would form a "training set" of evidence for the device's general efficacy before this specific extended indication.

    Relevant "Training" (Prior Evidence) mentioned:

    • K090620: QuikClot Interventional Dressings
    • K072474: Original QuikClot Hemostatic Dressings

    The specific sample sizes for these prior clearances are not provided in the K120782 document.

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

    As explained above, since this is a physical medical device and not an AI algorithm, the concept of establishing ground truth for a "training set" in the machine learning sense doesn't apply. Instead, the prior evidence supporting the initial clearance of the QuikClot Interventional Hemostatic Bandage (K090620) and its predecessors (K072474) would have involved:

    • Non-clinical (Bench and Animal) Testing: Biocompatibility tests (cytotoxicity, irritation, sensitization, systemic toxicity, genotoxicity, repeat exposure systemic toxicity), likely following ISO standards. These would have established the safety profile and basic hemostatic function.
    • Clinical Data: The original submissions would have included clinical data to demonstrate the device's effectiveness for its initial indications. This would involve clinical observations, measurements, and adverse event reporting, similar to how ground truth was established for the "test set" studies presented in K120782.

    The K120782 document focuses on adding a new indication to an already cleared and proven device. The studies presented within K120782 specifically address the safety and efficacy of the device (with its existing technology and design) when used in the new patient population (anticoagulated patients).

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    K Number
    K121819
    Date Cleared
    2012-08-13

    (53 days)

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

    K080620, K973036, K990810, K003229

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

    SurgiClear™ is intended to cover and protect a wound caused by percutaneous medical devices such as drains, chest tubes, orthopedic pins, fixtures, and wires.

    SurgiClear™ may also be used to cover and secure primary dressing.

    SurgiClear™ inhibits microbial growth within the dressing and prevents external contamination.

    Device Description

    SurgiClear™ is composed of a clear polyurethane film coated with a silicone adhesive containing chlorhexidine and silver salts.

    AI/ML Overview

    This document (K121819) is a 510(k) Premarket Notification for a medical device called SurgiClear™ Antimicrobial Clear Silicone Adhesive Dressing with Chlorhexidine and Silver, submitted by Covalon Technologies Inc. in 2012.

    The 510(k) summary focuses on demonstrating that the new device is "substantially equivalent" to already legally marketed predicate devices, rather than providing detailed acceptance criteria and study results in the format requested, which is more typical for AI/ML device submissions.

    Here's an attempt to extract and interpret the information provided in the context of your request, with significant caveats that the level of detail is much lower than what would be expected for AI/ML performance studies:

    Acceptance Criteria and Reported Device Performance

    The provided document does not specify quantitative acceptance criteria in terms of performance metrics (e.g., sensitivity, specificity, accuracy) because it's a submission for a physical medical product (a wound dressing), not an AI/ML diagnostic or predictive algorithm.

    Instead, the "acceptance criteria" are implied by the battery of tests performed to demonstrate safety and effectiveness for a physical device, and the "reported device performance" is that the device met these criteria, leading to a determination of substantial equivalence.

    Implied "Acceptance Criteria" and "Reported Device Performance" (based on tests conducted):

    Acceptance Criteria (Implied)Reported Device Performance
    Antimicrobial Efficacy: Capable of reducing microbial growthIn vitro log reduction: Confirmed (implies positive results)
    Biocompatibility: Non-toxic, non-sensitizing, non-irritatingBiocompatibility studies (ISO 10993): Passed (cytotoxicity, sensitization, irritation, systemic toxicity, sub-chronic toxicity)
    Wound Healing Support: Promotes or does not hinder healingPorcine wound healing study: Confirmed (implies positive results)
    Human Safety (Irritation): Safe for human skin contactHuman repeat insult patch test: Confirmed (implies no significant irritation or sensitization)
    Substantial Equivalence: Similar in materials, intended use, and technological characteristics to predicate devicesPerformance testing confirmed: SurgiClear™ is substantially equivalent to predicate devices.

    Study Details (Based on available information)

    Given this is a physical medical device and not an AI/ML algorithm, many of the requested points are not applicable or the information is not provided in the document.

    2. Sample size used for the test set and the data provenance:
    * Test Set (In vitro log reduction): Not specified. This typically involves standardized bacterial cultures.
    * Test Set (Biocompatibility): Not specified. These studies typically use cell cultures (cytotoxicity), animal models (systemic toxicity, sub-chronic toxicity), and guinea pigs/rabbits (sensitization, irritation).
    * Test Set (Porcine wound healing study): Not specified, but involved porcine models. Data provenance is implied as in-vivo animal study.
    * Test Set (Human repeat insult patch test): Not specified, but involved human subjects. Data provenance is implied as prospective clinical study (human subjects).
    * Country of Origin: Studies likely conducted in Canada or via contract research organizations for a Canadian company.

    3. Number of experts used to establish the ground truth for the test set and qualifications of those experts:
    * Not applicable in the AI/ML sense. Ground truth for these studies would be established by laboratory technicians, pathologists, and clinicians/toxicologists, following established scientific and regulatory protocols rather than "expert consensus" on imaging or data interpretation.

    4. Adjudication method for the test set:
    * Not applicable. Adjudication methods like 2+1 or 3+1 are used for human interpretation discrepancies in AI/ML studies. For these types of device tests, results are typically objective measurements or observations interpreted by trained personnel according to pre-defined criteria.

    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 device is a physical wound dressing and does not involve human readers or AI assistance.

    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done:
    * Not applicable. This is not an algorithm.

    7. The type of ground truth used:
    * In vitro log reduction: Measured bacterial count reductions.
    * Biocompatibility: Histopathological findings, cytotoxicity assays, irritation scores, systemic toxicity measurements, sensitization reactions.
    * Porcine wound healing study: Clinical observations of wound healing, possibly histopathology.
    * Human repeat insult patch test: Clinical assessment of skin reaction (e.g., erythema, edema) by dermatologists or trained clinicians.

    8. The sample size for the training set:
    * Not applicable. This is a physical device, not an AI/ML algorithm requiring a training set.

    9. How the ground truth for the training set was established:
    * Not applicable.


    Conclusion:

    The provided document is a 510(k) summary for a physical medical device (wound dressing) and therefore does not contain the type of detailed information about acceptance criteria, sample sizes, expert ground truth, or study designs that would be relevant for an AI/ML medical device submission. The performance testing section mentions several standard biological and clinical studies (in vitro log reduction, biocompatibility, porcine wound healing, human repeat insult patch test) which confirmed the device's safety and effectiveness, leading to a determination of substantial equivalence to predicate devices.

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    K Number
    K102238
    Date Cleared
    2011-02-01

    (176 days)

    Product Code
    Regulation Number
    876.5540
    Predicate For
    Why did this record match?
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Arrow® NextStep™ Antegrade Chronic Hemodialysis Catheter is indicated for use in attaining long-term vascular access for hemodialysis and apheresis. The Arrow NextStep™ Antegrade Catheter is inserted percutaneously and is preferentially placed into the internal jugular (IJ) vein. Alternately, this catheter may be inserted into the subclavian vein although the jugular vein is the preferred site. Catheters greater than 40 cm are intended for femoral vein insertion. The Arrow® NextStep™ Antegrade catheter is intended for use in adult patients.

    Device Description

    The Arrow® NextStep™ Antegrade Chronic Hemodialysis Catheter is a 15 Fr, 2 lumen, one piece Carbothane catheter with a preloaded stylet and step tip designed for antegrade placement. The catheter is available in multiple lengths. The procedure kit includes the necessary accessories to correctly insert the catheter.

    AI/ML Overview

    The provided 510(k) summary for the Arrow® NextStep™ Antegrade Chronic Hemodialysis Catheter (K102238) does not describe a study that uses AI/algorithm performance. Instead, it focuses on demonstrating the substantial equivalence of a medical device (a catheter) to a predicate device through traditional engineering and biological performance testing.

    Therefore, many of the requested categories related to AI/algorithm performance (e.g., sample size for test set, number of experts for ground truth, MRMC study, training set details) are not applicable in this context.

    Here's a breakdown of the information that is available based on your request, adapted for a medical device rather than an AI/algorithm:


    Acceptance Criteria and Device Performance for Arrow® NextStep™ Antegrade Chronic Hemodialysis Catheter (K102238)

    This submission describes a medical device, a chronic hemodialysis catheter, and its performance is assessed through laboratory testing to demonstrate substantial equivalence to a predicate device, not through an AI/algorithm performance study.

    1. Table of Acceptance Criteria and Reported Device Performance

    Test TypeAcceptance Criteria / PurposeReported Device Performance
    Flow Rate TestsTo ensure the catheter provides adequate blood flow for hemodialysis. (Specific criteria not detailed in summary).Tests were performed to demonstrate substantial equivalence. (Specific numerical results not detailed in summary).
    Recirculation TestTo evaluate the degree of recirculation of blood flow within the catheter, which can reduce dialysis efficiency. (Specific criteria not detailed in summary).Tests were performed to demonstrate substantial equivalence. (Specific numerical results not detailed in summary).
    Leak TestsTo ensure the catheter integrity and prevent fluid leakage. (Specific criteria not detailed in summary).Tests were performed to demonstrate substantial equivalence. (Specific numerical results not detailed in summary).
    Biocompatibility TestsTo ensure the materials used in the device are safe for contact with human tissue and blood as per ISO 10993. (Specific criteria not detailed in summary).Tests were performed to demonstrate substantial equivalence. (Specific results confirming biocompatibility per standards not detailed in summary).
    Tensile TestTo evaluate the mechanical strength of the catheter, particularly its resistance to breaking under tension. (Specific criteria not detailed in summary).Tests were performed to demonstrate substantial equivalence. (Specific numerical results not detailed in summary).

    Conclusion from Submission: "The results of the laboratory tests demonstrate that the device is as safe and effective as the legally marketed predicate devices. Based on the indications for use, design, safety and performance testing, the Arrow® NextStep™ Antegrade Chronic Hemodialysis Catheters met the requirements that are considered adequate for its intended use and is substantially equivalent to the predicate devices."


    The following points are not applicable (N/A) as the submission describes a physical medical device and not an AI/algorithm:

    2. Sample size used for the test set and the data provenance: N/A (This was a physical device performance study, not a data-driven test set.)
    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts: N/A (Ground truth is not relevant for physical device testing this context; performance is measured against physical standards/benchmarks.)
    4. Adjudication method for the test set: N/A (Not applicable for physical device 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: N/A (This is not an AI-assisted device.)
    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done: N/A (This is not an algorithm.)
    7. The type of ground truth used: N/A (For physical devices, performance is measured against engineering specifications, industry standards, and predicate device performance, not "ground truth" derived from expert consensus or pathology in the sense of an AI model.)
    8. The sample size for the training set: N/A (This is not an AI/algorithm that requires a training set.)
    9. How the ground truth for the training set was established: N/A (Not applicable.)

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    K Number
    K093519
    Date Cleared
    2010-01-14

    (62 days)

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

    K973036,K080079

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

    CELOX Vascular is indicated for the local management and control of surface bleeding from vascular access sites, perculaneous catheters or tubes utilizing introducer sheaths up to 16French

    Device Description

    CELOX Vascular is a kit that consists of a hemostatic pad and an optional adhesive bandage. The adhesive bandage is a 3M Tegaderm 4" x 4-3/4" bandage (reference K973036), or equivalent self adhesive security bandage. The hemostatic pad is a CELOX Hemostatic Granules on Sheet cleared in K080079 on July 9, 2008.

    AI/ML Overview

    The provided document describes the CELOX Vascular device and its substantial equivalence determination. Here's a breakdown of the information requested, based on the provided text:

    1. Table of Acceptance Criteria and Reported Device Performance

    The document does not explicitly state formal "acceptance criteria" in a quantitative manner (e.g., minimum sensitivity, specificity, or specific hemostasis rates to be achieved in a clinical trial). Instead, it describes demonstrating hemostasis and performance as effectively as a predicate device.

    Acceptance Criteria (Implied)Reported Device Performance
    Achieve hemostasisDemonstrated hemostasis following the removal of percutaneous vascular access catheters in a pre-clinical porcine model.
    Control bleedingSuccessfully controlled all bleeding following 11 vascular access procedures when up to a 16French tissue dilator was used.
    Equivalence to predicate deviceCELOX Vascular dressing controlled bleeding as effectively as the D-Stat Dry (a predicate device).

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

    • Sample Size for Test Set: 11 vascular access procedures.
    • Data Provenance: Pre-clinical porcine model testing. (The country of origin for the testing is not specified, but the company is based in the UK.)
    • Retrospective/Prospective: The nature of "pre-clinical porcine model testing" typically implies a prospective design for the animal study itself.

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

    This information is not provided in the document. The document refers to the results of a "pre-clinical porcine model testing" and the observation of "demonstrated hemostasis" and "successfully controlling all bleeding." The methods for assessing hemostasis and whether experts were involved in defining "ground truth" for the success of these procedures are not detailed.

    4. Adjudication Method for the Test Set

    This information is not provided in the document.

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

    No, a multi-reader multi-case (MRMC) comparative effectiveness study was not conducted. The study described is a pre-clinical animal (porcine) model assessing the device's ability to achieve hemostasis, not a study involving human readers or AI assistance.

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

    This question is not applicable as the CELOX Vascular is a physical medical device (hemostatic pad and adhesive bandage), not an AI algorithm or software. No standalone algorithm performance was assessed.

    7. The Type of Ground Truth Used

    The ground truth for the device's performance (i.e., hemostasis) was established through direct observation and measurement of bleeding control in a pre-clinical porcine model. This can be considered outcomes data in an animal model context – the direct outcome being the cessation of bleeding.

    8. The Sample Size for the Training Set

    This question is not applicable. The CELOX Vascular is a physical medical device, not a machine learning model. Therefore, there is no "training set."

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

    This question is not applicable as there is no training set for a physical device.

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    K Number
    K090620
    Date Cleared
    2009-04-08

    (30 days)

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

    K973036

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

    QuikClot® Interventional™ hemostatic bandage is applied topically as an adjunct to manual compression and is indicated for the local management and control of surface bleeding from vascular access sites, percutaneous catheters or tubes utilizing introducer sheaths up to 12 Fr.

    Device Description

    QuikClot® Interventional™ hemostatic bandage is a kit that consists of a hemostatic pad and an adhesive bandage. The adhesive bandage is a 3M Tegaderm® 4" x 4-3/4" bandage (reference K973036). The hemostatic pad is a hemostatic dressing made of soft, white, kaolin impregnated gauze, configured in a 1 ½" long by 1 ½" wide by ½" thick multi-layer pad. The pad is held secured in place by stitching with polyester thread. QuikClot® Interventional™ hemostatic bandage is packaged in a plastic tray within a peelable foil pouch and irradiated to a SAL of 104.

    AI/ML Overview

    The QuikClot® Interventional™ hemostatic bandage is intended for topical application as an adjunct to manual compression for the local management and control of surface bleeding from vascular access sites, percutaneous catheters, or tubes utilizing introducer sheaths up to 12 Fr.

    Here's an analysis of the acceptance criteria and the study that supports the device's performance:

    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance Criteria (Objective)Reported Device Performance
    Achieve hemostasis following removal of percutaneous vascular access catheters.The device demonstrated hemostasis in a preclinical porcine model following the removal of percutaneous vascular access catheters using either an 8 French or a 12 French tissue dilator. It successfully controlled all bleeding in all 25 vascular access procedures.
    Performanceเทียบเท่ากับอุปกรณ์Predicate (for bleeding control)The device controlled bleeding as effectively as the predicate devices: ChitoFlex-Surgical dressing and D-Stat Dry™ Hemostatic Bandage.
    BiocompatibilityThe device is composed of identical materials as the QuikClot® eX™ device. Therefore, the successful biocompatibility testing (MEM Elution, Kligman Maximization, and Intracutaneous Injection) for QuikClot® eX™ device applies to QuikClot® Interventional™ hemostatic bandage.

    2. Sample size used for the test set and the data provenance:

    • Sample Size for Test Set: 25 vascular access procedures.
    • Data Provenance: Pre-clinical porcine model testing (animal study). The country of origin is not specified but it is an animal-based study, not human. Given the context of a 510(k) submission, it is retrospective to the submission date.

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

    • The document does not specify the number or qualifications of experts used to establish the ground truth for the pre-clinical porcine model testing. Given it's an animal model, the ground truth would typically be established by veterinarians, researchers, or technicians competent in animal surgery and hemostasis assessment.

    4. Adjudication method for the test set:

    • The document does not explicitly state an adjudication method. In a pre-clinical animal study, adjudication is often implicitly handled by the experimental design, observation protocols, and direct measurement of bleeding cessation by the researchers.

    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:

    • No, a multi-reader multi-case (MRMC) comparative effectiveness study was not done. This device is a hemostatic bandage, not an AI-powered diagnostic or assistive tool, so such a study would not be applicable.

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

    • No, a standalone (algorithm only) performance study was not done. This device is a physical hemostatic product, not an algorithm.

    7. The type of ground truth used:

    • The ground truth used was the observed cessation of bleeding (hemostasis) in the pre-clinical porcine model following vascular access procedures. This is a direct outcome measurement.

    8. The sample size for the training set:

    • This information is not applicable and therefore not provided. The QuikClot® Interventional™ hemostatic bandage is a physical medical device, not an AI or machine learning model that requires a "training set." The studies conducted were for performance validation.

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

    • This information is not applicable for the same reason as point 8.
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    K Number
    K080620
    Date Cleared
    2008-05-19

    (76 days)

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

    K063458, K895207, K895353, K973036

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

    3M™ Tegaderm™ CHG Dressings (Chlorhexidine Gluconate I.V. Securement Dressing), can be used to cover and protect catheter sites and to secure devices to skin. Common applications include IV catheters, other intravascular catheter and percutaneous devices.

    Device Description

    3M™ Tegaderm™ CHG Dressing, Chlorhexidine Gluconate I.V. Securement Dressing, is used to cover and protect catheter sites and to secure devices to skin. Available in a variety of shapes and sizes to meet the needs of the caregiver.

    Tegaderm™ CHG Dressing consists of a transparent adhesive dressing and an integrated pad containing Chlorhexidine Gluconate (CHG), a well-known antiseptic agent with broad-spectrum antimicrobial and antifungal activity. The dressing is a barrier to liquid (waterproof), bacteria and viruses* and yeast, and protects the IV site from outside contamination. The pad absorbs up to eight times its weight in fluid. In vitro testing (log reduction, barrier, and zone of inhibition) demonstrates that the Tegaderm™ CHG dressing has an antimicrobial effect against, and is a barrier to, the passage of a variety of gram-positive and gram-negative bacteria and yeast in the dressing. Tegaderm™ CHG Dressing is transparent, allowing continual site observation, and is breathable, allowing good moisture vapor exchange.

    • In vitro testing has proven that Tegaderm CHG provides a viral barrier from viruses 27 nm in diameter, (e.g. HCV) or larger (e.g. HBV and HIV) while the dressing remains intact without leakage.
    AI/ML Overview

    This document is a 510(k) Premarket Notification for a medical device (3M™ Tegaderm™ CHG Dressing) and primarily focuses on regulatory clearance by demonstrating substantial equivalence to predicate devices, rather than presenting a performance study with acceptance criteria in the way you've described for an AI/device performance evaluation.

    Therefore, most of the requested information regarding acceptance criteria, study design, sample sizes, ground truth establishment, expert involvement, and MRMC studies is not available in the provided text. The document describes the device's function and properties, and mentions "in vitro testing" as proof of certain antimicrobial effects, but it does not detail those tests with acceptance criteria or performance metrics in a structured format as typically found in clinical performance studies.

    Here's an analysis based on the available information:

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

    • Acceptance Criteria: Not explicitly stated in terms of quantitative performance metrics for a specific study. The document focuses on demonstrating substantial equivalence to predicate devices and inherent properties.
    • Reported Device Performance:
      • "In vitro testing (log reduction, barrier, and zone of inhibition) demonstrates that the Tegaderm™ CHG dressing has an antimicrobial effect against, and is a barrier to, the passage of a variety of gram-positive and gram-negative bacteria and yeast in the dressing."
      • "In vitro testing has proven that Tegaderm CHG provides a viral barrier from viruses 27 nm in diameter, (e.g. HCV) or larger (e.g. HBV and HIV) while the dressing remains intact without leakage."

    2. Sample sized used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

    • Sample Size: Not specified. The descriptions refer to "in vitro testing" which typically involves laboratory experiments with microbial cultures, not patient-derived "test sets" in the context of clinical studies.
    • Data Provenance: The testing is described as "in vitro testing," meaning laboratory-based. No country of origin for the data is mentioned, nor is it classified as retrospective or prospective study design.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

    • Not applicable as this document describes in vitro (laboratory) tests, not human- expert-interpreted data.

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

    • Not applicable. The "test set" refers to microbial cultures in a lab, not data requiring expert adjudication.

    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 is a medical dressing, not an AI diagnostic device. No human reader or AI component is involved.

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

    • Not applicable. This is a medical dressing, not an algorithm.

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

    • Ground Truth: For the "in vitro testing," the ground truth would be established by standard microbiological methods (e.g., direct measurement of log reduction, observation of zone of inhibition, successful barrier against organisms). This is empirical, objective lab data rather than expert consensus or pathology.

    8. The sample size for the training set

    • Not applicable. As a medical dressing, there is no "training set" in the context of machine learning or AI.

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

    • Not applicable.
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    K Number
    K060046
    Device Name
    DERMASTREAM
    Manufacturer
    Date Cleared
    2006-02-27

    (52 days)

    Product Code
    Regulation Number
    878.4020
    Reference & Predicate Devices
    Predicate For
    Why did this record match?
    Reference Devices :

    K020781, K973036, K901845, K021501

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

    The DermaStream™ is an occlusive wound dressing which permits the introduction of topical wound treatments such as irrigating solutions, antimicrobial and enzymatic debriding solutions, suspensions, and other solutions. It is intended to provide a moist healing environment and allow debridement to facilitate the normal wound healing process.

    Device Description

    The DermaStream™ is an occlusive wound dressing which permits the introduction of topical wound treatments. It is provided as a sterile, single-use, disposable device.

    AI/ML Overview

    The provided text describes a 510(k) summary for a medical device (DermaStream™ occlusive wound dressing) but does not contain information about acceptance criteria or a study proving device performance against such criteria.

    The document focuses on:

    • Device Identification: Name, classification, manufacturer, contact.
    • Predicate Devices: Identifying similar legally marketed devices (KCI Wound Cell Transparent Wound Dressing, 3M Tegaderm Transparent Dressing, KCI V.A.C. Instillamat).
    • Device Description: An occlusive wound dressing permitting topical wound treatment introduction, sterile, single-use, disposable.
    • Intended Use: To provide a moist healing environment and allow debridement to facilitate normal wound healing.
    • Technological Characteristics Comparison: Stating it is substantially equivalent to predicate devices, being a combination of their features, with the primary difference being solution/drainage provision via gravity vs. vacuum.
    • FDA Correspondence: Confirming the substantial equivalence determination.

    Therefore, I cannot provide the requested table or elaborations on the study details because the necessary information is not present in the provided text. The document is essentially a regulatory submission summary, not a performance study report.

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