K Number
K033916
Date Cleared
2003-12-30

(12 days)

Product Code
Regulation Number
880.5025
Reference & Predicate Devices
N/A
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

All models of GRI-BAG are flexible I.V. bags, with incorporated 0.2 urn filter for the removal of undesired particulate or microbial matter, for use with the GRI-FILL, pharmacy compounding system as a container in the preparation of drug solutions. The drug solution is later administered to the patient by connecting the bag to an I.V. administration set. This device is intended to be used by trained health care personnel. It is restricted to sale by or on order of a physician. The device should not be used with lipids.

Device Description

GRI-BAG is a single-use, non-pyrogenic flexible empty container with incorporated 0.2 um filter. It is supplied sterile in sealed peel-pack pouches and is available in volume capacities of 100 ml, 250 ml. 500 ml and 1000 ml. The GRI-BAG models have a twist-off valve output connector whereas the GRI-BAG AP models have a conus vial output connector.

AI/ML Overview

The provided text describes a 510(k) summary for the GRI-BAG device, focusing on its substantial equivalence to predicate devices, rather than a study designed to explicitly meet pre-defined acceptance criteria for a new, standalone device performance claim. The key objective of a 510(k) is to demonstrate that a new device is as safe and effective as a legally marketed predicate device, not necessarily to prove a specific performance level against a set of quantitative metrics.

Therefore, several requested sections of your prompt (e.g., sample size for test set, number of experts for ground truth, adjudication method, MRMC study, sample size for training set, ground truth for training set) are typically not part of a 510(k) submission focused on substantial equivalence. Instead, the submission relies on demonstrating comparable technological characteristics and intended use to predicate devices, supported by non-clinical functional and biocompatibility testing.

Here's an attempt to answer based on the provided text, acknowledging the limitations for a 510(k) submission:

1. Table of Acceptance Criteria and Reported Device Performance

The concept of explicit "acceptance criteria" for specific performance metrics in the context of a 510(k) for substantial equivalence is different from a performance study for a novel device. For the GRI-BAG, the "acceptance criteria" are implicitly met by demonstrating substantial equivalence to the predicate devices and by showing that the device functions correctly as per its intended use during functional testing.

Characteristic / FeatureAcceptance Criteria (Implicit from Predicate/Standards)Reported Device Performance (GRI-BAG)
Filter Membrane MaterialMaterial allowing 0.2µm filtration (e.g., Polyethersulphone for predicate filter)Cellulose acetate (Different from predicate, but implies acceptable filtration)
Filter Pore Size0.2µm0.2µm
Filter Housing MaterialMaterial compatible with intended use (e.g., Polypropylene for predicate filter)Cyrolite (Different from predicate, but implies compatibility)
Bag MaterialPVC with DEHP plasticizerPVC with DEHP plasticizer (Same as predicate bag)
Tubing MaterialMedical grade PVCMedical grade PVC (Same as predicate bag)
Closure MaterialSuitable for sealing and access (e.g., PVC membrane for predicate bag)PVC membrane with Twist-off valve (GRI-BAG) or Chlorobutyl rubber stopper (GRI-BAG AP) (Different from predicate but comparable functionality)
SterilitySAL 10^-6SAL 10^-6 ETO (ETO sterilization method is different from predicate bag but same as predicate filter and achieves same SAL)
Single-UseYESYES
BiocompatibilityFulfills ISO 10993 and ISO DIS 15747 requirementsFulfills ISO 10993 and ISO DIS 15747 requirements
Functional OperationCorrect operation as per intended useCorrect operation of the device as per its intended use
Intended UsePreparation of drug admixtures, removal of particulates/microbesFlexible bag with incorporated 0.2 µm filter for removal of undesired particulate or microbial matter, for use with GRI-FILL system in preparation of drug solutions.

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

The document does not explicitly state a "test set" in the traditional sense of a clinical or performance study with a quantified sample size for statistical analysis of user performance or diagnostic accuracy. Instead, the evaluation focuses on:

  • Comparison of Technical Characteristics: This is based on design specifications and material properties, not a "sample size" of devices tested empirically against a specific metric.
  • Biocompatibility Testing: According to the text, this was performed on "all materials." No specific sample size for a biological study is provided.
  • Functional Testing: Performed "in foreseeable operating conditions" and "in accordance with applicable clauses of [...] standards." No specific sample size for functional tests is provided.

The data provenance is from the manufacturer, Laboratorios Grifols, S.A. (Spain), and the testing appears to be non-clinical (laboratory/bench testing) rather than retrospective or prospective human subject data.

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

Not applicable. The ground truth for a 510(k) submission like this is primarily based on compliance with established standards (ISO 10993, ISO DIS 15747, ISO 8536-4, ASTM F838-83, AOF-0011) and demonstration of functional equivalence to predicate devices, rather than expert consensus on diagnostic or clinical outcomes from a test set.

4. Adjudication Method for the Test Set

Not applicable, as there is no described test set requiring expert adjudication for clinical or diagnostic performance.

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

No, an MRMC comparative effectiveness study was not done. The submission is for a device intended for drug solution preparation and filtration, not a diagnostic imaging device typically evaluated with MRMC studies.

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

This question is not applicable to the GRI-BAG device. It is a physical medical device (I.V. bag with a filter), not an algorithm or AI system.

7. The Type of Ground Truth Used

The "ground truth" for this 510(k) submission is based on:

  • Compliance with recognized standards: ISO 10993 (biocompatibility), ISO DIS 15747, ISO 8536-4, ASTM F838-83 (filter pore size rating), AOF-0011 (functional testing).
  • Demonstrated functional performance according to the device's intended use and comparison with the established performance of the predicate devices.
  • Material specifications against predicate device materials.

8. The Sample Size for the Training Set

Not applicable. This is not a study involving a "training set" for an algorithm.

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

Not applicable. This is not a study involving a "training set" for an algorithm.

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- 1 - 1 - 1 - 8 - 8 - 8 - 8 - 8 - 8 - 8 - 8 - 8 - 8 - 8 - 8 - 8 - 8 - 8 - 8 - 8 - 8 - 8 - 8 -GRIFOLS CA CALLA CA ION 1 - GRI-BAG: 510(k) SUN

DATE OF SUBMISSION:

2003-04-14 (re-submitted 2003-11-24)

SUBMITTER NAME: SUBMITTER ADDRESS: Laboratorios Grifols, S.A. C/ Can Guasch, 2 08150 PARETS DEL VALLES BARCELONA SPAIN

sebastian.gascon@grifols.com

TELEPHONE: FAX: e-mail:

CONTACT:

Sebastian Gascón Technical Director

  • 34 93 571 01 00

  • 34 93 573 09 12

DEVICE TRADE NAME: COMMON NAME: CLASSIFICATION NAME: GRI-BAG I.V. BAG with in line 0.2 um filter I.V. CONTAINER (880.5025, KPE) WITH IN LINE FILTER (880.5440, FPB and NEP)

PREDICATE DEVICE:

DEVICE DESCRIPTION:

(BAG) VIAFLEX PLASTIC CONTAINER (BAXTER) (FILTER) PALL SUPOR AEF

GRI-BAG is a single-use, non-pyrogenic flexible empty container with incorporated 0.2 um filter. It is supplied sterile in sealed peel-pack pouches and is available in volume capacities of 100 ml, 250 ml. 500 ml and 1000 ml. The GRI-BAG models have a twist-off valve output connector whereas the GRI-BAG AP models have a conus vial output connector.

INTENDED USE:

GRI-BAG is a flexible bag with an incorporated 0.2 um filter for the removal of undesired particulate or microbial matter, for use with the GRI-FILL pharmacy compounding system as a container in the preparation of drug solutions. The drug solution is later administered to the patient by connecting the bag to an I.V. administration set. The device should not be used with lipids.

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Image /page/1/Figure/0 description: The image shows a document with the word GRIFOLS on the left side. The document is titled "TECHNICAL EVALUATION DOCUMENTATION" and has a document number of TED-GRI-BAG-01. The document is labeled as SECTION 1-GRI-BAG: 510(k) SUMMARY.

SUMMARY OF COMPARISON WITH PREDICATE DEVICE:

In the establishment of substantial equivalence, the GRI-BAG device is compared with 2 predicate devices (bag + filter) due to the fact that it is essentially a combination of these 2 devices marketed as a single unit.

The following table summarizes the principal technological characteristics and features of both predicate and new devices.

#Characteristic /FeatureGRI-BAGPREDICATE
BAGFILTER
1.Filter membraneCellulose acetateN/APolyethersulphone
2.Filter pore0.2µmN/A0.2µm
3.Filter housingCyroliteN/APolypropylene
4.Bag materialPVC with DEHP plasticizerPVC with DEHP plasticizerN/A
5.Tubing materialMedical grade PVCMedical grade PVCN/A
6.Closure materialPVC membrane protected with a PVC Twist-off valve in GRI-BAG models and Chlorobutyl rubber stopper in a polycarbonate housing protected with a polypropylene cover in GRI-BAG AP models.PVC membrane with protective film sheathN/A
7.SterilitySAL 106 ETOSAL 106 GammaSAL 106 ETO
8.Single-useYESYESYES
9.Intended useGRI-BAG is a flexible bag with an incorporated 0.2 µm filter for the drug removal of undesired particulate or microbial matter, for use with the GRI-FILL pharmacy compounding system as a container in the preparation of drug solutions. The drug solution is later administered to the patient by connecting the bag to an I.V. administration set. The device should not be used with lipidsIntended for use in the preparation of drug admixtures available in sizes from 50 - 400 ml.Removal by in-line of filltration of inadvertent contaminants (including bacteria, particulates, and entrained air) from infused intravenous fluids.

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-BAG: 510(k) SUMM

The principal differences between the GRI-BAG device and the predicate devices lie The principal differences both on the filter are different and also, the predicate with the fact that the matehally whereas the GRI-BAG is presented as an integral unit combining the two.

SUMMARY DISCUSSION OF NON-CLINICAL DATA:

SUMMANT DIGOOOON Of the biocompatibility test data available for all materials and the biological According to the broompanality we have established that the GRI-BAG device fulfills the requirements set out in ISO 10993 and ISO DIS 15747.

Functional testing performed in foreseeable operating conditions showed correct operation of the device as per its intended use.

With reference to the following guidelines:

  • · "Guidance on Premarket Notifications for Intravascular Administration Sets"
  • · Guidance of Promante Rouidance Document: Pharmacy Compounding Systems; Final Guidance for Industry and FDA";

functional testing has been performed in accordance with applicable clauses of $50. functional testing has boom portembag component) and ISO 8536-4 and ASTM F838-DIG 1014) and OOF - 0011 (for the Dag correct operation of the device as per its intended use.

CONCLUSIONS:

We believe the intended use, the indications for use and the design for both GRI-BAG vve believe the intendou acon ate devices are essentially the same. Moreover, the filter aria the combination of patthough different, are of comparable safety and, hence, construction materials, annough and with the legally marketed devices may be established.

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Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized image of an eagle with its wings spread, facing to the right.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

DEC 3 0 2003

Laboratories Grifols, S.A. Ms. Susan Gill Responsible Third Party Official Underwriters Laboratories, Incorporated 12 Laboratory Drive Research Triangle Park, North Carolina 27709-3995

Re: K033916

Trade/Device Name: GRI-BAG, GRI-BAG AP Regulation Number: 880.5025, 880.5440 Regulation Name: I.V. Container Intravascular Administration Set Regulatory Class: II Product Code: KPE, FPB, NEP Dated: December 16, 2003 Received: December 18, 2003

Dear Ms. Gill:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Codc of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

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Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

This letter will allow you to begin marketing your device as described in your Section 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Office of Compliance at (301) 594-4618. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html

Sincerely yours,

Patricia Cucurite/for

Chiu Lin, Ph.D. Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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CHNICAL EVALUATION BISCHIMEN LANE (8) GRI-BAG: INDICATIONS FOR USE

PREMARKET NOTIFICATION INDICATIONS FOR USE STATEMENT (as required by ODE for all 510(k) received after Jan. 1, 1996)

510(k) Number:

Device Name:

GRI-BAG

Indications for Use:

All models of GRI-BAG are flexible I.V. bags, with incorporated 0.2 urn filter for the removal of undesired particulate or microbial matter, for use with the GRI-FILL, pharmacy compounding system as a container in the preparation of drug solutions. The drug solution is later administered to the patient by connecting the bag to an I.V. administration set. This device is intended to be used by trained health care personnel. It is restricted to sale by or on order of a physician

The device should not be used with lipids.

(Do not write below this line. Continue on another page in needed) Concurrence of CDRH, Office of Device Evaluation (ODE)

Patricio Cucurella

(Division Sign-111 (Division of Anesthesiology, General Hospital, Infection Control, Dental D

510(k) Number: K033916

Prescription Use
(Per 21 CFR 801.109)

OR

Over-The-Counter Use

§ 880.5025 I.V. container.

(a)
Identification. An I.V. container is a container made of plastic or glass used to hold a fluid mixture to be administered to a patient through an intravascular administration set.(b)
Classification. Class II (performance standards).