K Number
K013950
Device Name
VENTED VIAL ACCESS DEVICE
Date Cleared
2002-01-10

(41 days)

Product Code
Regulation Number
880.5440
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Churchill Medical Systems Mini Transfer Device is used for transferring and or dispensing medications, diluents and additives from rubber stoppered multi dose vials.
Device Description
The Churchill Medical Systems Mini Transfer Device is a standard vented access device. It contains a universal piercing spike with female luer lock and .22 micron hydrophobic filter. The purpose of the filter within the spike body is to provide air-venting.
More Information

Not Found

No
The device description and performance studies focus on physical and biological properties, with no mention of AI or ML.

No.
The device is described as a "Mini Transfer Device" used for transferring and/or dispensing medications, diluents, and additives, and its function is to facilitate the access and transfer of substances from vials, not to provide a therapeutic effect itself.

No

This device is described as a "Mini Transfer Device" used for transferring and dispensing medications, diluents, and additives. Its function is to facilitate the movement of substances, not to diagnose a condition or disease.

No

The device description clearly outlines physical components like a piercing spike, luer lock, and filter, indicating it is a hardware device, not software-only.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is for "transferring and or dispensing medications, diluents and additives from rubber stoppered multi dose vials." This describes a device used for handling and preparing substances for administration to a patient, not for testing samples in vitro (outside the body) to diagnose a condition.
  • Device Description: The description details a "vented access device" with a piercing spike, luer lock, and filter. This aligns with a device used for accessing vials and transferring liquids, not for performing diagnostic tests on biological samples.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), detecting specific analytes, or providing diagnostic information.

Therefore, the Churchill Medical Systems Mini Transfer Device is a medical device used for drug preparation and handling, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

Churchill Medical Systems Mini Transfer Device is used for transferring and or dispensing medications, diluents and additives from rubber stoppered multi dose vials.

Product codes

LHI

Device Description

The Churchill Medical Systems Mini Transfer Device is a standard vented access device. It contains a universal piercing spike with female luer lock and .22 micron hydrophobic filter. The purpose of the filter within the spike body is to provide air-venting.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies

This device is manufactured and tested in accordance with physical, chemical and biological specification conforming to the applicable requirements set forth in ISO 10993-1, USP 24, ISO 11607-1, ISO 11135, USP Pyrogenicity test requirements as well as documented internal requirements for physical testing.

Key Metrics

Not Found

Predicate Device(s)

K003730

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 880.5440 Intravascular administration set.

(a)
Identification. An intravascular administration set is a device used to administer fluids from a container to a patient's vascular system through a needle or catheter inserted into a vein. The device may include the needle or catheter, tubing, a flow regulator, a drip chamber, an infusion line filter, an I.V. set stopcock, fluid delivery tubing, connectors between parts of the set, a side tube with a cap to serve as an injection site, and a hollow spike to penetrate and connect the tubing to an I.V. bag or other infusion fluid container.(b)
Classification. Class II (special controls). The special control for pharmacy compounding systems within this classification is the FDA guidance document entitled “Class II Special Controls Guidance Document: Pharmacy Compounding Systems; Final Guidance for Industry and FDA Reviewers.” Pharmacy compounding systems classified within the intravascular administration set are exempt from the premarket notification procedures in subpart E of this part and subject to the limitations in § 880.9.

0

K013950

510(K) Summary January 07, 2002

JAN 1 0 2002

This summary of 510(K) safety and effectiveness information is submitted in accordance with the requirements of SMDA and 21 CFR 807.92

  1. Submitter: Churchill Medical Systems, Inc. Address: 87 Venture Drive Dover, NH 03820 Phone: 603-743-5988 Fax: 603-743-6328 Contact: Keith Paluch (Consultant)
    1. Device Name: Mini Transfer Device Trade Name: Vented Vial Access Device Classification
    • IV Administration Set, Accessory
  • Classification: Class II, General Hospital 80 FPA 3.
  • Predicate Device: 4. Baxter Healthcare Chemo-Aide Dispensing Pin (K003730)
  • న్. Device Description: The Churchill Medical Systems Mini Transfer Device is a standard vented access device. It contains a universal piercing spike with female luer lock and .22 micron hydrophobic filter. The purpose of the filter within the spike body is to provide air-venting.
  • Intended Use: Q. This device is used for transferring and or dispensing medications, diluents and additives from rubber stoppered multi dose vials.
    1. Performance Summary: This device is manufactured and tested in accordance with physical, chemical and biological specification conforming to the applicable requirements set forth in ISO 10993-1, USP 24, ISO 11607-1, ISO 11135, USP Pyrogenicity test requirements as well as documented internal requirements for physical testing.
    1. Conclusion:

Name:

This device shares similar technical characteristics to dispensing and transfer devices currently available in the marketplace. Specifically, this device performs similarly to the predicate device, referred to as Chemo-Aide Dispensing Pin Accessory (K003730). Testing summary results confirm this device to be safe and effective and substantially equivalent to the predicate device.

1

Image /page/1/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 words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized representation of an eagle or bird-like figure, composed of three curved lines that suggest wings and a body.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JAN 1 0 2002

Mr. Keith Paluch Consultant Churchill Medical Systems, Incorporated 87 Venture Drive Dover, New Hampshire 03820

Re: K013950

Trade/Device Name: Vented Vial Access Device Regulation Number: 880.5440 Regulation Name: IV Administration Set, Accessory Regulatory Class: II Product Code: LHI Dated: November 14, 2001 Received: November 30, 2001

Dear Mr. Paluch:

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 Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

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.

2

Page 2 – Mr. Paluch

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 and additionally 21 CFR Part 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4618. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 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,

Susan Ruma

L. Timothy A. Ulatowski Director Division of Dental, Infection Control and General Hospital Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

3

Indications For Use

510(k) Number (if known): K013950

Device Name: Churchill Medical Systems Mini Transfer Device

Indications For Use:

Churchill Medical Systems Mini Transfer Device is used for transferring and or dispensing medications, diluents and additives from rubber stoppered multi dose vials.

Concurrence of the CDRH, Office of Device Evaluation (ODE)

Prescription Use

Or

Over-The-Counter Use__________________________________________________________________________________________________________________________________________________________

Smant Rame

Pivision Sign-Off) Consion of Dental, Infection Control, - General Hospital Devices Number JARGSO ------------------