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510(k) Data Aggregation

    K Number
    K201356
    Date Cleared
    2021-02-12

    (267 days)

    Product Code
    Regulation Number
    868.5140
    Reference & Predicate Devices
    Why did this record match?
    510k Summary Text (Full-text Search) :

    | |
    | Regulation
    Number | 21 CRF 880.5140
    | 21 CRF 880.5140
    | 21 CRF 880.5140

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

    The Plastic LOR Syringe is intended for use in conjunction with an epidural needle, to verify the needle tip placement in the epidural space by the loss of Resistance technique, it will be filled with air and/or saline during use. The loss of Resistance Syringe is not intended for injection or aspiration. The syringe will be sold sterile individually packaged, and as part of a sterile kit.

    Device Description

    The Plastic LOR syringe is a piston syringe of three pieces. It consists of barrel, plunger and piston. The barrel is available with Luer slip, NRFit lock, NRFit Slip male connector. The Plastic LOR syringe is provided in combinations of four connectors and four syringe capacities (5ml, 7ml, 10ml, 20ml). The device is a sterile finished disposable device, supplied sterile to the end user and non-sterile will be supplied to Anesthetic Conduction Kit manufacturers to be sterile and packaged into kit. The Plastic LOR syringe is a single use device which will be supplied as sterile individually packaged and the non-sterile bulk packed. The sterilized by Ethylene Oxide Gas to achieve a SAL of 10° and supplied sterility maintenance package which could maintain the sterility of the device during the s helf life of five years.

    AI/ML Overview

    This document is a 510(k) Summary for a Plastic LOR Syringe. The purpose of this summary is to demonstrate that the device is substantially equivalent to legally marketed predicate devices.

    Here's the breakdown of the acceptance criteria and the study information:

    1. Table of Acceptance Criteria and Reported Device Performance

    The acceptance criteria are primarily derived from various ISO and ASTM standards for syringes, neuraxial, and Luer connectors, as well as biocompatibility and sterilization standards. The reported device performance indicates compliance with these standards.

    Acceptance Criteria CategorySpecific Standard/ClauseReported Device Performance
    Physical/MechanicalClause 5 of ISO 7886-1:2017 (General requirements)Conforms to requirements
    Clause 6 of ISO 7886-1:2017 (Extraneous matter)Conforms to requirements
    Clause 7 of ISO 7886-1:2017 (Lubricant)Conforms to requirements
    Clause 8 of ISO 7886-1:2017 (Tolerance on graduated capacity)Conforms to requirements
    Clause 9 of ISO 7886-1:2017 (Graduated scale)Conforms to requirements
    Clause 10 of ISO 7886-1:2017 (Barrel)Conforms to requirements
    Clause 11 of ISO 7886-1:2017 (Piston stopper/plunger assembly)Conforms to requirements
    Clause 12 of ISO 7886-1:2017 (Nozzle)Conforms to requirements
    Clause 13 of ISO 7886-1:2017 (Performance)Conforms to requirements
    Neuraxial Small-Bore ConnectorClause 5 of ISO 80369-6:2016 (Dimensional requirements)Conforms to requirements
    Clause 6.1 of ISO 80369-6:2016 (Fluid leakage)Conforms to requirements
    Clause 6.2 of ISO 80369-6:2016 (Sub-atmospheric pressure air leakage)Conforms to requirements
    Clause 6.3 of ISO 80369-6:2016 (Stress cracking)Conforms to requirements
    Clause 6.4 of ISO 80369-6:2016 (Resistance to separation from axial load)Conforms to requirements
    Clause 6.5 of ISO 80369-6:2016 (Resistance to separation from unscrewing)Conforms to requirements
    Clause 6.6 of ISO 80369-6:2016 (Resistance to overriding)Conforms to requirements
    Luer ConnectorClause 5 of ISO 80369-7:2016 (Dimensional requirements)Conforms to requirements
    Clause 6.1 of ISO 80369-7:2016 (Fluid leakage)Conforms to requirements
    Clause 6.2 of ISO 80369-7:2016 (Sub-atmospheric pressure air leakage)Conforms to requirements
    Clause 6.3 of ISO 80369-7:2016 (Stress cracking)Conforms to requirements
    Clause 6.4 of ISO 80369-7:2016 (Resistance to separation from axial load)Conforms to requirements
    Clause 6.5 of ISO 80369-7:2016 (Resistance to separation from unscrewing)Conforms to requirements
    Clause 6.6 of ISO 80369-7:2016 (Resistance to overriding)Conforms to requirements
    Sterile Barrier PackagingASTM F1886/F1886M-16 (Visual inspection)Maintained integrity
    ASTM F88/F88-15 (Seal strength)Maintained integrity
    ASTM F1929-15 (Dye penetration test)Maintained integrity
    Sterilization & Shelf LifeISO 10993-7:2008 (EO residue)EO ECH residue did not exceed the limit
    USP 39-NF 34 (Bacteria Endotoxin Limit)Endotoxin limit did not exceed 2.15 EU/device
    Shelf Life Evaluation (Physical, Mechanical, Chemical, Package Tests on aging samples)Maintained performance during claimed shelf life (5 years)
    Biocompatibility(Implicitly based on ISO 10993 for indirect contact,
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    Why did this record match?
    510k Summary Text (Full-text Search) :

    55442 sunny.teekasingh@smiths-medical.com Phone: (763) 383-3336 May 31, 2018 Date Regulation No. 21 CFR 880.5140

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

    PORTEX® products and components with the NRFit™ Connector are intended for the injection or infusion of regional anesthetics or narcotics.

    The PORTEX® LOR Syringe with NRFit™ Connector is intended for use with NRFit™ compatible components to verify needle tip placement in the epidural space by the Loss of Resistance technique using air or saline. The NRFit™ connector is designed to be used with regional anesthesia systems only.

    The PORTEX® EpiFuse Catheter with NRFit™ Connector is intended for use with the catheter and compatible components for the injection or infusion of regional anesthetics or narcotics. The key is a tool for re-opening the catheter connector.

    PORTEX® Epidural Flat Filter with NRFit™ Connector is designed for use when administering injections and/or infusions of regional anesthetics or narcotics to a patient via compatible system components. The NRFit™ Connector is designed to be used with regional anesthesia systems only.

    The PORTEX® Filter Needle with NRFit™ Connector and PORTEX® Filter Straw with NRFit™ Connector are intended to draw up medication when using the PORTEX® LOR Syringe.

    Device Description

    The PORTEX® Regional Anesthesia Portfolio with NRFit™, consisting of five (5) categories of product including PORTEX® LOR Syringe with NRFit™ Connector, PORTEX® EpiFuse Catheter with NRFit™ Connector, PORTEX® Epidural Flat Filter with NRFit™ Connector and the PORTEX® Filter Straw with NRFit™ Connector.

    PORTEX® products and components with NRFit™ connector are intended for the injection or infusion of regional anesthetics or narcotics.

    The NRFit ™ connector conform to ISO 80369-6. Small bore connector for liquids and gases in healthcare applications -- Part 6: Connectors for neuraxial applications. The connectors are not compatible with standard luer connectors which are intended to reduce the risk of misconnection that may result in the infusion of medications not intended for neuraxial or regional anesthetic use.

    The PORTEX® Regional Anesthesia Portfolio with NRFit™ connector are color-coded yellow to indicate medication intended for neuraxial or regional anesthetic delivery.

    AI/ML Overview

    This looks like a 510(k) summary for a medical device modification, specifically for the PORTEX® LOR Syringe with NRFit™ Connector, PORTEX® EpiFuse Catheter with NRFit™ Connector, PORTEX® Epidural Flat Filter with NRFit™ Connector, PORTEX® Filter Needle with NRFit™ Connector, and PORTEX® Filter Straw with NRFit™ Connector.

    This document does not describe a study involving AI/ML performance, human readers, or expert adjudication for image analysis. Instead, it focuses on the non-clinical performance testing of a new medical device connector (NRFit™) to demonstrate its substantial equivalence to a predicate device. The acceptance criteria and the "study" that proves the device meets them are based on these non-clinical, bench-top tests, primarily conforming to existing ISO standards.

    Therefore, for aspects related to AI/ML, human readers, expert ground truth, and training data, the response will state that this information is not applicable to this type of device submission.

    Here's the breakdown of the information requested:


    1. Table of Acceptance Criteria and Reported Device Performance

    The device is a set of medical connectors, and the "performance" here relates to physical and biological safety and efficacy as defined by recognized standards.

    CategoryEvaluationTest Criteria (Acceptance Criteria)Reported Device Performance
    Functional Performance (NRFit™ Connector)Resistance to overridingISO 80369-6, Small bore connectors for liquids and gases in healthcare applications - part 6: connectors for neuraxial applicationsMet pre-established specifications and performed as intended
    Resistance to separation from axial loadISO 80369-6, Small bore connectors for liquids and gases in healthcare applications - part 6: connectors for neuraxial applicationsMet pre-established specifications and performed as intended
    Resistance to separation from unscrewingISO 80369-6, Small bore connectors for liquids and gases in healthcare applications - part 6: connectors for neuraxial applicationsMet pre-established specifications and performed as intended
    Leakage by Pressure DecayISO 80369-6, Small bore connectors for liquids and gases in healthcare applications - part 6: connectors for neuraxial applicationsMet pre-established specifications and performed as intended
    Subatmospheric PressureISO 80369-6, Small bore connectors for liquids and gases in healthcare applications - part 6: connectors for neuraxial applicationsMet pre-established specifications and performed as intended
    Stress CrackingISO 80369-6, Small bore connectors for liquids and gases in healthcare applications - part 6: connectors for neuraxial applicationsMet pre-established specifications and performed as intended
    Verifying Non-interconnectable characteristics (physical force)ISO 80369-6, Small bore connectors for liquids and gases in healthcare applications - part 6: connectors for neuraxial applicationsMet pre-established specifications and performed as intended
    PackagingPackage integrity, sterile barrierISO 11607, Packaging for terminally sterilized medical devices - Part 1: Requirements for materials, sterile barrier systems and packaging systemsMet pre-established specifications and performed as intended
    SterilizationSterilityISO 11135, Sterilization of health care products - Ethylene oxide - Requirements for development, validation and routine control of a sterilization process for medical devices.Met pre-established specifications and performed as intended
    BiocompatibilityResiduals (Ethylene Oxide)ISO 10993-7, Biological evaluation of medical devices - Part 7: Ethylene oxide sterilization residualsMet pre-established specifications and performed as intended
    Intracutaneous ReactivityISO 10993-10, Biological evaluation of medical devices - Part 10: Tests for irritation and skin sensitizationMet pre-established specifications and performed as intended
    Systemic ToxicityISO 10993-11, Biological evaluation of medical devices - Part 11: Tests for systemic toxicityMet pre-established specifications and performed as intended
    SensitizationISO 10993-10, Biological evaluation of medical devices - Part 10: Tests for irritation and skin sensitizationMet pre-established specifications and performed as intended
    CytotoxicityISO 10993-5, Biological evaluation of medical devices - Part 5: Tests for in vitro cytotoxicityMet pre-established specifications and performed as intended
    Genotoxicity, carcinogenicity and reproductive toxicityISO 10993-3, Biological evaluation of medical devices - Part 3: Tests for genotoxicity, carcinogenicity, and reproductive toxicityMet pre-established specifications and performed as intended
    Leachable substancesISO 10993-17, Biological evaluation of medical devices - Part 17: Establishment of allowable limits for leachable substancesMet pre-established specifications and performed as intended
    Chemical characterization of materialsISO 10993-18, Biological evaluation of medical devices - Part 18: Chemical characterization of materialsMet pre-established specifications and performed as intended
    Bacterial endotoxinsANSI/AAMI ST72, Bacterial endotoxins - Test methods, routine monitoring, and alternatives to batch testingMet pre-established specifications and performed as intended
    Particulate matterUSP 788, Particulate Matter in InjectionsMet pre-established specifications and performed as intended

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

    This document does not specify a "test set" in the context of AI/ML or image data. The testing described is non-clinical (bench testing) for device components. The sample size for each specific non-clinical test (e.g., number of connectors tested for axial load) is not explicitly provided in this summary but would be detailed in the full test reports. Data provenance is not applicable here as it refers to physical and biological testing of manufactured products, not patient data.

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

    Not applicable. This is a submission for physical medical devices and their connectors, not an AI/ML diagnostic or prognostic device that relies on expert interpretation of data for ground truth.

    4. Adjudication Method for the Test Set

    Not applicable. The "test set" here refers to physical product testing against international standards, not a diagnostic or classification task 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 not an AI-assisted diagnostic or imaging device.

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

    Not applicable. This is not an AI/ML algorithm.

    7. The Type of Ground Truth Used

    The "ground truth" for this device's performance is established by objective measurements and assessments against recognized international and national standards (e.g., ISO 80369-6, ISO 11607, ISO 11135, ISO 10993 series, ANSI/AAMI ST72, USP 788) for functional performance, sterility, packaging, and biocompatibility.

    8. The Sample Size for the Training Set

    Not applicable. This is not an AI/ML algorithm that requires a training set.

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

    Not applicable. This is not an AI/ML algorithm.

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