(29 days)
The Vaxcel™ Dialysis Catheter is designed for chronic hemodialysis and apheresis.
The major components of the Vaxcel™ Dialysis Catheter are the dual lumen catheter, hub, injection cap, introducer sheath/dilator and metal tunneler.
This document is a 510(k) summary for the Vaxcel™ Dialysis Catheter, submitted by Boston Scientific. It does not contain information about acceptance criteria or a study proving device performance in the context of typical AI/ML device evaluations.
The document focuses on demonstrating substantial equivalence to a predicate device, which is a different regulatory pathway than showing performance against specific acceptance criteria for a novel device, especially in the context of AI/ML.
Therefore, most of the requested information (points 1-9) cannot be extracted from the provided text, as it pertains to a different type of device evaluation.
Here's a breakdown based on the provided text:
- Acceptance Criteria and Reported Device Performance: Not applicable/not provided. The submission focuses on substantial equivalence, not performance against predefined metrics.
- Sample size for the test set and data provenance: Not applicable/not provided. No specific "test set" for performance evaluation is mentioned. The submission refers to "All data gathered" demonstrating substantial equivalence, but details are absent.
- Number of experts and their qualifications: Not applicable/not provided. Expert ground truth establishment is not mentioned in this type of submission.
- Adjudication method: Not applicable/not provided.
- Multi-reader multi-case (MRMC) comparative effectiveness study: Not applicable/not provided. This type of study is typical for AI-assisted diagnostic tools, not for a physical medical catheter demonstrating substantial equivalence.
- Standalone (algorithm only) performance: Not applicable/not provided. This is a physical medical device, not an algorithm.
- Type of ground truth used: Not applicable/not provided.
- Sample size for the training set: Not applicable/not provided. A "training set" is not relevant for this type of device submission.
- How ground truth for the training set was established: Not applicable/not provided.
Summary of Safety and Effectiveness from the provided text:
The submission states that "The Vaxcel Dialysis catheters have been tested and compared to the predicate device. All data gathered demonstrate this device as substantially equivalent. No new issues of safety or efficacy have been raised." This indicates that the device's performance was deemed equivalent to an existing, legally marketed device, but no specific performance metrics or acceptance criteria are detailed in the provided summary.
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K012365 Page 1 of 1
AUG 2 4 2001
Special 510(k) Vaxcel™ Dialysis Catheter July 24, 2001
Summary of Safety and Effectiveness
This 510(k) summary is being submitted in accordance with the requirements of SMDA 1990 and 21 CFR §807.92.
| General Information | Su bmitter: Boston Scientific480 Pleasant StreetWatertown, MA 02172617-923-1720 |
|---|---|
| Contact Person: Nicholas Condakes | |
| General Provisions | Trade Name: Vaxcel™ Dialysis Catheter |
| Classification Name: Catheter, Hemodialysis | |
| Name ofPredicateDevices | Vaxcel™ Dialysis Catheter |
| Classification | Class III ' |
| PerformanceStandards | Performance Standards have not been established by FDA under Section 514of the Food, Drug and Cosmetic Act |
| Intended Useand DeviceDescription | The Vaxcel™ Dialysis Catheter is designed for chronic hemodialysis andapheresis. The major components of the Vaxcel™ Dialysis Catheter are thedual lumen catheter, hub, injection cap, introducer sheath/dilator and metaltunneler. |
| Summary ofSubstantialEquivalence | The Vaxcel Dialysis catheters have been tested and compared to the predicatedevice. All data gathered demonstrate this device as substantially equivalent.No new issues of safety or efficacy have been raised. |
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Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
AUG 2 4 2001
Mr. Nicholas Condakes Regulatory Affairs Specialist Boston Scientific Corporation Medi-tech Division One Boston Scientific Place NATICK MA 01760-1537
Re: K012365
Vaxcel™ Dialysis Catheter Dated: July 25, 2001 Received: July 26, 2001 Regulatory Class: III 21 CFR §876.5540/Procode: 78 MSD
Dear Mr. Condakes:
We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have is we nare in the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate substantial in the May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in commove with the provisions of the Federal Food, Drug, and Cosmetic Act (Act). 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 (Premarket Approval), it may be subject to such ir your de root of classisting major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the Current Good Manufacturing Practice requirements, 600 to 07:51 to ality System Regulation (QS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic QS inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may Qo inspections and room in addition, FDA may publish further announcements concerning your device in the Federal Register. Please rosur in tegulator action. In addition submission does not affect any obligation you might have under sections $31 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.
This letter will allow you to begin marketing your device as described in your 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 one of the following numbers, based on the regulation number at the top of this letter:
| 8xx.1xxx | (301) 594-4591 |
|---|---|
| 876.2xxx, 3xxx, 4xxx, 5xxx | (301) 594-4616 |
| 884.2xxx, 3xxx, 4xxx, 5xxx, 6xxx | (301) 594-4616 |
| 892.2xxx, 3xxx, 4,xxx, 5xxx | (301) 594-4654 |
| Other | (301) 594-4692 |
Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (30) 594-639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained 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,
Nancy C. Brogdon
Nancy C. Brogdon Director, Division of Reproductive, Abdominal, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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Special 510(k) Vaxcel™ Dialysis Catheter July 24, 2001
:
:
Indications For Use
| 510(k) Number (if known) | KOI 2365 |
|---|---|
| Device Name: | Vaxcel TM Dialysis Catheter |
| Indications for Use | The Vaxcel™ Dialysis Catheter is designed for chronic hemodialysis and apheresis. |
(PLEASE DO NOT WRITE BELOW THIS LINE – CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
| Prescription Use(Per 21 CFR 801.109) | OR | Over-The Counter Use(Optional Format 1-2-96) |
|---|---|---|
| ------------------------------------------ | ---- | -------------------------------------------------- |
Nawryc broadon
(Division Sign-Off)
Division of Reproductive, Abdominal,
and Radiological Devices
| 510(k) Number | K012365 |
|---|---|
| --------------- | --------- |
§ 876.5540 Blood access device and accessories.
(a)
Identification. A blood access device and accessories is a device intended to provide access to a patient's blood for hemodialysis or other chronic uses. When used in hemodialysis, it is part of an artificial kidney system for the treatment of patients with renal failure or toxemic conditions and provides access to a patient's blood for hemodialysis. The device includes implanted blood access devices, nonimplanted blood access devices, and accessories for both the implanted and nonimplanted blood access devices.(1) The implanted blood access device is a prescription device and consists of various flexible or rigid tubes, such as catheters, or cannulae, which are surgically implanted in appropriate blood vessels, may come through the skin, and are intended to remain in the body for 30 days or more. This generic type of device includes various catheters, shunts, and connectors specifically designed to provide access to blood. Examples include single and double lumen catheters with cuff(s), fully subcutaneous port-catheter systems, and A-V shunt cannulae (with vessel tips). The implanted blood access device may also contain coatings or additives which may provide additional functionality to the device.
(2) The nonimplanted blood access device consists of various flexible or rigid tubes, such as catheters, cannulae or hollow needles, which are inserted into appropriate blood vessels or a vascular graft prosthesis (§§ 870.3450 and 870.3460), and are intended to remain in the body for less than 30 days. This generic type of device includes fistula needles, the single needle dialysis set (coaxial flow needle), and the single needle dialysis set (alternating flow needle).
(3) Accessories common to either type include the shunt adaptor, cannula clamp, shunt connector, shunt stabilizer, vessel dilator, disconnect forceps, shunt guard, crimp plier, tube plier, crimp ring, joint ring, fistula adaptor, and declotting tray (including contents).
(b)
Classification. (1) Class II (special controls) for the implanted blood access device. The special controls for this device are:(i) Components of the device that come into human contact must be demonstrated to be biocompatible. Material names and specific designation numbers must be provided.
(ii) Performance data must demonstrate that the device performs as intended under anticipated conditions of use. The following performance characteristics must be tested:
(A) Pressure versus flow rates for both arterial and venous lumens, from the minimum flow rate to the maximum flow rate in 100 milliliter per minute increments, must be established. The fluid and its viscosity used during testing must be stated.
(B) Recirculation rates for both forward and reverse flow configurations must be established, along with the protocol used to perform the assay, which must be provided.
(C) Priming volumes must be established.
(D) Tensile testing of joints and materials must be conducted. The minimum acceptance criteria must be adequate for its intended use.
(E) Air leakage testing and liquid leakage testing must be conducted.
(F) Testing of the repeated clamping of the extensions of the catheter that simulates use over the life of the device must be conducted, and retested for leakage.
(G) Mechanical hemolysis testing must be conducted for new or altered device designs that affect the blood flow pattern.
(H) Chemical tolerance of the device to repeated exposure to commonly used disinfection agents must be established.
(iii) Performance data must demonstrate the sterility of the device.
(iv) Performance data must support the shelf life of the device for continued sterility, package integrity, and functionality over the requested shelf life that must include tensile, repeated clamping, and leakage testing.
(v) Labeling of implanted blood access devices for hemodialysis must include the following:
(A) Labeling must provide arterial and venous pressure versus flow rates, either in tabular or graphical format. The fluid and its viscosity used during testing must be stated.
(B) Labeling must specify the forward and reverse recirculation rates.
(C) Labeling must provide the arterial and venous priming volumes.
(D) Labeling must specify an expiration date.
(E) Labeling must identify any disinfecting agents that cannot be used to clean any components of the device.
(F) Any contraindicated disinfecting agents due to material incompatibility must be identified by printing a warning on the catheter. Alternatively, contraindicated disinfecting agents must be identified by a label affixed to the patient's medical record and with written instructions provided directly to the patient.
(G) Labeling must include a patient implant card.
(H) The labeling must contain comprehensive instructions for the following:
(
1 ) Preparation and insertion of the device, including recommended site of insertion, method of insertion, and a reference on the proper location for tip placement;(
2 ) Proper care and maintenance of the device and device exit site;(
3 ) Removal of the device;(
4 ) Anticoagulation;(
5 ) Management of obstruction and thrombus formation; and(
6 ) Qualifications for clinical providers performing the insertion, maintenance, and removal of the devices.(vi) In addition to Special Controls in paragraphs (b)(1)(i) through (v) of this section, implanted blood access devices that include subcutaneous ports must include the following:
(A) Labeling must include the recommended type of needle for access as well as detailed instructions for care and maintenance of the port, subcutaneous pocket, and skin overlying the port.
(B) Performance testing must include results on repeated use of the ports that simulates use over the intended life of the device.
(C) Clinical performance testing must demonstrate safe and effective use and capture any adverse events observed during clinical use.
(vii) In addition to Special Controls in paragraphs (b)(1)(i) through (v) of this section, implanted blood access devices with coatings or additives must include the following:
(A) A description and material characterization of the coating or additive material, the purpose of the coating or additive, duration of effectiveness, and how and where the coating is applied.
(B) An identification in the labeling of any coatings or additives and a summary of the results of performance testing for any coating or material with special characteristics, such as decreased thrombus formation or antimicrobial properties.
(C) A Warning Statement in the labeling for potential allergic reactions including anaphylaxis if the coating or additive contains known allergens.
(D) Performance data must demonstrate efficacy of the coating or additive and the duration of effectiveness.
(viii) The following must be included for A-V shunt cannulae (with vessel tips):
(A) The device must comply with Special Controls in paragraphs (b)(1)(i) through (v) of this section with the exception of paragraphs (b)(1)(ii)(B), (b)(1)(ii)(C), (b)(1)(v)(B), and (b)(1)(v)(C), which do not apply.
(B) Labeling must include Warning Statements to address the potential for vascular access steal syndrome, arterial stenosis, arterial thrombosis, and hemorrhage including exsanguination given that the device accesses the arterial circulation.
(C) Clinical performance testing must demonstrate safe and effective use and capture any adverse events observed during clinical use.
(2) Class II (performance standards) for the nonimplanted blood access device.
(3) Class II (performance standards) for accessories for both the implanted and the nonimplanted blood access devices not listed in paragraph (b)(4) of this section.
(4) Class I for the cannula clamp, disconnect forceps, crimp plier, tube plier, crimp ring, and joint ring, accessories for both the implanted and nonimplanted blood access device. The devices subject to this paragraph (b)(4) are exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 876.9.