K Number
K021653
Device Name
CODMAN BACTISEAL EVD CATHETER SET
Date Cleared
2002-07-29

(70 days)

Product Code
Regulation Number
882.5550
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Codman BACTISEAL™ EVD Catheter Set is indicated for gaining access to the ventricles of the brain and can be used with dimensionally compatible devices for draining cerebrospinal fluid (CSF) and other fluids of similar physical characteristics as a means of reducing intracranial pressure and CSF volume.
Device Description
Codman BACTISEAL™ EVD Catheter Sets are manufactured from radiopaque silicone rubber which is then impregnated with rifampicin and clindamycin hydrochloride in order to render the device resistant to colonization of most gram positive organisms.
More Information

JXG, Not Found, Not Found, Not Found, Not Found, Not Found, Not Found, Not Found

Not Found

No
The summary describes a physical medical device (catheter) with antimicrobial properties, and there is no mention of software, algorithms, or AI/ML terms.

Yes
The device is used for draining cerebrospinal fluid to reduce intracranial pressure and CSF volume, which is a therapeutic intervention.

No

Explanation: The device is indicated for draining cerebrospinal fluid and reducing intracranial pressure, which are therapeutic actions, not diagnostic ones.

No

The device description explicitly states it is manufactured from radiopaque silicone rubber and impregnated with antibiotics, indicating it is a physical hardware device.

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

Here's why:

  • Intended Use: The intended use is to gain access to the ventricles of the brain for draining cerebrospinal fluid and other fluids. This is a direct intervention on the patient's body for therapeutic purposes (reducing intracranial pressure and CSF volume).
  • Device Description: The device is a catheter designed to be inserted into the body.
  • Lack of IVD Characteristics: IVD devices are used to examine specimens derived from the human body (like blood, urine, tissue) in vitro (outside the body) to provide information for diagnosis, monitoring, or screening. This device does not perform such a function.

The device is a medical device used for a surgical/therapeutic procedure, not an in vitro diagnostic test.

N/A

Intended Use / Indications for Use

The Codman BACTISEAL™ EVD Catheter Set is indicated for gaining access to the ventricles of the brain and can be used with dimensionally compatible devices for draining cerebrospinal fluid (CSF) and other fluids of similar physical characteristics as a means of reducing intracranial pressure and CSF volume.

Product codes

JXG

Device Description

Codman BACTISEAL™ EVD Catheter Sets are manufactured from radiopaque silicone rubber which is then impregnated with rifampicin and clindamycin hydrochloride in order to render the device resistant to colonization of most gram positive organisms.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

ventricles of the brain

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

Safety of this device to predicate products relied on extensive performance and in vitro testing, biocompatibility studies in accordance with ISO10993-Part 1, and clinical data. All testing results demonstrated the substantial equivalence of the product to commercially distributed devices for the same intended use.

Key Metrics

Not Found

Predicate Device(s)

Codman BACTISEAL™ Catheters, Codman External Drainage Ventricular Catheter Set, Cook Inc. SPECTRUM® Ventricular Catheter

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 882.5550 Central nervous system fluid shunt and components.

(a)
Identification. A central nervous system fluid shunt is a device or combination of devices used to divert fluid from the brain or other part of the central nervous system to an internal delivery site or an external receptacle for the purpose of relieving elevated intracranial pressure or fluid volume (e.g., due to hydrocephalus). Components of a central nervous system shunt include catheters, valved catheters, valves, connectors, and other accessory components intended to facilitate use of the shunt or evaluation of a patient with a shunt.(b)
Classification. Class II (performance standards).

0

JUL 2 9 2002

ATTACHMENT A

K 021653

510(k) Summary Codman BACTISEAL™ EVD Catheter Sets

Codman & Shurtleff, Inc. 325 Paramount Drive Raynham, MA 02767-0350

Contact Person

Kathy Wunder Regulatory Affairs Specialist Telephone Number: (508) 880-8351 Fax Number: (508) 828-3212

Name of Device

Codman BACTISEAL™ EVD Catheter Sets Proprietary Name: Common Name: Ventricular catheters Classification Name: Catheter, Ventricular

Device Classification

Ventricular Catheters are Class II devices per 21 CFR § 882.4100 (84 JXG).

Statement of Substantial Equivalence

Codman BACTISEAL™ EVD Catheter Sets are substantially equivalent to Codman BACTISEAL™ Catheters, Codman External Drainage Ventricular Catheter Set and Cook Inc. SPECTRUM® Ventricular Catheter, based on the subject device's similarity to the predicate devices in intended use, materials, design, and dimensions.

Indications for Use

The Codman BACTISEAL™ EVD Catheter Set is indicated for gaining access to the ventricles of the brain and can be used with dimensionally compatible devices for draining cerebrospinal fluid (CSF) and other fluids of similar physical characteristics as a means of reducing intracranial pressure and CSF volume.

1

Physical Description

Codman BACTISEAL™ EVD Catheter Sets are manufactured from radiopaque silicone rubber which is then impregnated with rifampicin and clindamycin hydrochloride in order to render the device resistant to colonization of most gram positive organisms.

Device Testing

Safety of this device to predicate products relied on extensive performance and in vitro testing, biocompatibility studies in accordance with ISO10993-Part 1, and clinical data. All testing results demonstrated the substantial equivalence of the product to commercially distributed devices for the same intended use.

2

Image /page/2/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 design featuring three human profiles facing to the right, with flowing lines suggesting movement or connection.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUL 2 9 2002

Ms. Kathy Wunder Regulatory Affairs Specialist Codman & Shurtleff, Inc. 325 Paramount Drive Raynham, Massachusetts 02767-0350

Re: K021653

Trade/Device Name: Codman BACTISEAL™ EVD Catheter Set Regulation Number: 21 CFR 882.5550 Regulation Name: Central Nervous System Fluid Shunt and Components Regulatory Class: Class II Product Code: JXG Dated: May 17, 2002 Received: May 20, 2002

Dear Ms. Wunder:

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. 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.

3

Page 2 - Ms. Kathy Wunder

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) 594-4659. 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,

Mark N Milla

ia M. Witten, Ph.D., M.D Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

510(k) Number (if known) Device Name

02165 TM EVD Codman BACTISE Catheter Set

Indications For Use:

The Codman BACTISEAL™ EVD Catheter Set is indicated for gaining access to the ventricles of the brain and can be used with dimensionally compatible devices for draining cerebrospinal fluid (CSF) and other fluids of similar physical characteristics as a means of reducing intracranial pressure and CSF volume.

(Please do not write below this line - Continue on another page if necessary) Concurrence of CDRH, Office of Device Evaluation (ODE)

Mark N Milkman

Division Sign-Off Division of General, Restorative and Neurological Devices

510(k) Number _

Prescription Use A (Per 21 CFR §801.109)

OR

Over-the-Counter Use

(Optional Format 1-2-96)