K Number
K031923
Device Name
ULTRASITE VALVE
Date Cleared
2003-08-11

(49 days)

Product Code
Regulation Number
880.5440
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Ultrasite® Valve is intended for aspiration, injection or gravity/pump flow of fluids upon insertion of a male luer fitting. The Ultrasite Valve may also be used with power injectors for which the maximum pressure setting is 300 psi. When used with a power injector, the Ultrasite Valve must be secured to other devices with a luer lock connection; other devices must also be rated for 300 psi. The Ultrasite Valve is designed to aid in the prevention of needlestick injury.
Device Description
B. Braun Medical's Ultrasite® Valve is intended for aspiration, injection or gravity/pump flow of fluids upon insertion of a male luer fitting. The Ultrasite Valve may also be used with power injectors for which the maximum pressure setting is 300 psi. When used with a power injector, the Ultrasite Valve must be secured to other devices with a luer lock connection; other devices must also be rated for 300 psi. The Ultrasite Valve is designed to aid in the prevention of needlestick injury. The Ultrasite Valve is designed to provide needle-free access on I.V. pump sets, gravity sets, and extension sets. The Ultrasite Valve is a needle-free, capless positive displacement valve to be used in place of needles for the administration of fluids. The Ultrasite Valve may be accessed with standard male luer connectors and requires no special accessory devices.
More Information

Not Found

No
The description focuses on the mechanical function of a valve for fluid administration and needle-free access, with no mention of AI or ML capabilities.

No
The device facilitates the administration of fluids but does not directly treat or diagnose a medical condition. Its primary function is to provide needle-free access for fluid delivery and aid in needlestick prevention.

No

The device is described as a valve for fluid aspiration, injection, and flow, designed for needle-free access and prevention of needlestick injury. It focuses on fluid management and patient safety related to fluid administration, not on diagnosing medical conditions.

No

The device description clearly describes a physical valve intended for fluid administration and prevention of needlestick injury, with no mention of software components.

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

Here's why:

  • Intended Use: The intended use describes the device as being for "aspiration, injection or gravity/pump flow of fluids" and for use with power injectors. These are all related to the administration and manipulation of fluids within a patient's body or delivery system.
  • Device Description: The description reinforces this by stating it provides "needle-free access on I.V. pump sets, gravity sets, and extension sets" and is used "in place of needles for the administration of fluids."
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens derived from the human body (like blood, urine, tissue, etc.) to provide information for diagnosis, monitoring, or screening.

IVD devices are specifically designed to perform tests on biological samples outside of the body. The Ultrasite® Valve is a component used in the delivery of fluids into the body or within the fluid delivery system itself.

N/A

Intended Use / Indications for Use

The Ultrasite® Valve is intended for aspiration, injection or gravity/pump flow of fluids upon insertion of a male luer fitting. The Ultrasite Valve may also be used with power injectors for which the maximum pressure setting is 300 psi. When used with a power injector, the Ultrasite Valve must be secured to other devices with a luer lock connection; other devices must also be rated for 300 psi. The Ultrasite Valve is designed to aid in the prevention of needlestick injury.

Product codes

FPA

Device Description

B. Braun Medical's Ultrasite® Valve is intended for aspiration, injection or gravity/pump flow of fluids upon insertion of a male luer fitting.
The Ultrasite Valve may also be used with power injectors for which the maximum pressure setting is 300 psi. When used with a power injector, the Ultrasite Valve must be secured to other devices with a luer lock connection; other devices must also be rated for 300 psi. The Ultrasite Valve is designed to aid in the prevention of needlestick injury. For more information of the principles of operation, please refer to Attachment I - Proposed Device Labeling and Instructions for Use.
The Ultrasite Valve is designed to provide needle-free access on I.V. pump sets, gravity sets, and extension sets. The Ultrasite Valve is a needle-free, capless positive displacement valve to be used in place of needles for the administration of fluids. The Ultrasite Valve may be accessed with standard male luer connectors and requires no special accessory devices.

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 (study type, sample size, AUC, MRMC, standalone performance, key results)

Functional testing was performed to support that there are no new issues of safety or effectiveness raised by the expanded indications for use for power injectors.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K955585

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

$\mathcal{K}_{0}31923$

AUG 1 1 2003

510(k) Summary
SUBMITTER:B. Braun Medical Inc.
901 Marcon Boulevard
Allentown, PA 18109-9341
(610) 596-2375
Contact: Sheri L. Musgnung, Manager, Regulatory Affairs
DEVICE NAME:Ultrasite® Valve
COMMON OR USUAL
NAME:Needle free Injection Site
DEVICE
CLASSIFICATION:Class II per Code of Federal Regulations,
Title 21, § 880.5440, Intravascular Administration
Sets, product code FPA
PREDICATE DEVICE:B. Braun Medical Inc.'s Ultrasite Valve (previously
known as V2 Injection Site (K955585)
DESCRIPTION:B. Braun Medical's Ultrasite® Valve is intended
for aspiration, injection or gravity/pump flow of
fluids upon insertion of a male luer fitting.
The Ultrasite Valve may also be used with power
injectors for which the maximum pressure setting is
300 psi. When used with a power injector, the
Ultrasite Valve must be secured to other devices
with a luer lock connection; other devices must also
be rated for 300 psi. The Ultrasite Valve is
designed to aid in the prevention of needlestick
injury. For more information of the principles of
operation, please refer to Attachment I - Proposed
Device Labeling and Instructions for Use.
B. Braun Medical Inc.
510(k) Premarket NotificationThe Ultrasite Valve is designed to provide needle-
free access on I.V. pump sets, gravity sets, and
extension sets. The Ultrasite Valve is a needle-free,

510(k) Premarket Notification
Ultrasite® Valve SIO(k)

:

00001 :

1

capless positive displacement valve to be used in place of needles for the administration of fluids. The Ultrasite Valve may be accessed with standard male luer connectors and requires no special accessory devices.

INTENDED USE:

The Ultrasite® Valve is intended for aspiration, injection or gravity/pump flow of fluids upon insertion of a male luer fitting. The Ultrasite Valve may also be used with power injectors for which the maximum pressure setting is 300 psi. When used with a power injector, the Ultrasite Valve must be secured to other devices with a luer lock connection; other devices must also be rated for 300 psi. The Ultrasite Valve is designed to aid in the prevention of needlestick injury.

The subject Ultrasite Valve is similar in materials and design to B. Braun Medical's premarket notification, Ultrasite Valve (previously known as V2 Injection site), K955585. Functional testing was performed to support that there are no new issues of safety or effectiveness raised by the expanded indications for use for power injectors.

SUBSTANTIAL EQUIVALENCE:

  1. Braun Mudical Inc. 510(2) Premarket Notification Ultrailas Valve 51000

000015

2

Image /page/2/Picture/1 description: The image is a black and white circular logo. The logo contains the words "HEALTH & HUMAN SERVICES USA" around the top half of the circle and "DEPARTMENT OF" around the bottom half of the circle. In the center of the circle are three curved lines that are stacked on top of each other.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

AUG 1 1 2003

Ms. Sheri L. Musgnung Regulatory Affairs Manager B. Braun Medical Incorporated 901 Marcon Boulevard Allentown, Pennsylvania 18109

Re: K031923

Trade/Device Name: Ultrasite® Valve Regulation Number: 880.5440 Regulation Name: Intravascular Administration Set Regulatory Class: II Product Code: FPA Dated: June 20, 2003 Received: June 23, 2003

Dear Ms. Musgnung:

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.

3

Page 2 - Ms. Musgnung

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 Cucenitffa

Susan Runner, DDS, MA Interim Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

031923

Indications for Use Statement __ of ________________________________________________________________________________________________________________________________________________________________________ Page Page Ca 510(k) Number (if known):

Device Name: Ultrasite® Valve

Indications For Use:

The Ultrasite® Valve is intended for aspiration, injection or gravity/pump flow of fluids upon insertion of a male luer fitting. The Ultrasite Valve may also be used with power injectors for which the maximum pressure setting is 300 psi. When used with a power injector, the Ultrasite Valve must be secured to other devices with a luer lock connection; other devices must also be rated for 300 psi. The Ultrasite Valve is designed to aid in the prevention of needlestick injury.

Palaux Cucenite

(Division Sign-Off) Division of Anesthesiology, General Hospital, Infection Control, Dental Devices

510(k) Number: K031923

(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

B. Braun Modical Inc. 510(k) Premarket Notification Ultrasited Valva 510(k)

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