K Number
K033527
Device Name
INTRADYN PEDIATRIC HEMOSTASIS INTRODUCER
Date Cleared
2004-02-05

(90 days)

Product Code
Regulation Number
870.1340
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Intradyn Pediatric Hemostasis Introducers are designed to facilitate percutaneous introduction of catheters into the vascular system of pediatric patients while minimizing blood loss.
Device Description
Hemostasis introducers are used to insert catheters into the vascular system without significant blood loss. The hemostasis valve attached to the sheath is the method of achieving the prevention of blood loss. The valve allows for the introduction of a catheter and provides a tight seal around the catheter being introduced, thus preventing excessive leakage of blood. A procedure to use this device would typically begin with a clinician using an introducer needle to create a puncture hole and then introducing a guidewire into the vasculature. A dilator and sheath are then threaded over the guidewire, and the dilator is removed and discarded. The clinician can then use the introducer sheath with the hemostasis valve to pass catheters through while minimizing blood loss. The introducers are to be used with a catheter of the same size as the designated sheath size, however a catheter one French size smaller may be used with all 4 French and larger introducers. The pediatric introducer sets consist of a Teflon introducer sheath, hemostasis valve with a side port extension tube bonded to a three-way stopcock, polyethylene or nylon (3 Fr. Size) dilator and optional guidewire. The pediatric hemostasis introducer sheaths will range in size from 3 - 6 French and will have a sheath length of 7 cm. The guidewire sizes for use with these introducers will be 0.018 -0.021 inches.
More Information

Not Found

No
The device description focuses on mechanical components (sheath, valve, dilator, guidewire) and their function in facilitating catheter introduction and minimizing blood loss. There is no mention of software, algorithms, data processing, or any terms related to AI/ML. The "Mentions AI, DNN, or ML" section is explicitly marked as "Not Found".

No
The device is designed to facilitate the introduction of catheters into the vascular system and minimize blood loss, not to treat or diagnose a disease or condition itself.

No.
The device is described as an introducer used to facilitate the percutaneous introduction of catheters into the vascular system, not to provide a diagnosis.

No

The device description clearly outlines physical components such as a Teflon introducer sheath, hemostasis valve, dilator, and optional guidewire, indicating it is a hardware medical device.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens taken from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening.
  • Device Function: The Intradyn Pediatric Hemostasis Introducers are designed to facilitate the introduction of catheters into the vascular system of pediatric patients. They are used during a medical procedure to access the body, not to analyze samples taken from the body.
  • Intended Use: The intended use clearly states its purpose is for "percutaneous introduction of catheters into the vascular system." This is a procedural device, not a diagnostic one.
  • Device Description: The description focuses on the physical components and how they are used to insert catheters and minimize blood loss during the procedure. There is no mention of analyzing biological samples.

Therefore, based on the provided information, the Intradyn Pediatric Hemostasis Introducers are a medical device used for a procedural purpose, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The Intradyn Pediatric Hemostasis Introducers are designed to facilitate percutaneous introduction of catheters into the vascular system of pediatric patients while minimizing blood loss.

Product codes

DYB

Device Description

Hemostasis introducers are used to insert catheters into the vascular system without significant blood loss. The hemostasis valve attached to the sheath is the method of achieving the prevention of blood loss. The valve allows for the introduction of a catheter and provides a tight scal around the catheter being introduced, thus preventing excessive leakage of blood. A procedure to use this device would typically begin with a clinician using an introducer needle to create a puncture hole and then introducing a guidewire into the vasculature. A dilator and sheath are then threaded over the guidewire, and the dilator is removed and discarded. The clinician can then use the introducer sheath with the hemostasis valve to pass catheters through while minimizing blood loss. The introducers are to be used with a catheter of the same size as the designated sheath size, however a catheter one French size smaller may be used with all 4 French and larger introducers.

The pediatric introducer sets consist of a Teflon introducer sheath, hemostasis valve with a side port extension tube bonded to a three-way stopcock, polyethylene or nylon (3 Fr. Size) dilator and optional guidewire. The pediatric hemostasis introducer sheaths will range in size from 3 - 6 French and will have a sheath length of 7 cm. The guidewire sizes for use with these introducers will be 0.018 -0.021 inches.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

vascular system

Indicated Patient Age Range

pediatric patients

Intended User / Care Setting

clinician

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)

Not Found

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

Not Found

Predicate Device(s)

K894446, K955820, K910861

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 870.1340 Catheter introducer.

(a)
Identification. A catheter introducer is a sheath used to facilitate placing a catheter through the skin into a vein or artery.(b)
Classification. Class II (performance standards).

0

FEB - 5 2004

510(k) Summary 7.0

| SUBMITTER: | B. Braun Medical Inc.
901 Marcon Boulevard
Allentown, PA 18109-9341
(610) 266-0500, ext. 2597 |
|---------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| | Contact: Amy Smith, RA Specialist |
| DEVICE NAME: | Intradyn™ Pediatric Hemostasis Introducers |
| COMMON OR USUAL
NAME: | Hemostasis Introducers |
| DEVICE
CLASSIFICATION: | Catheter Introducer, 21 CFR 870.1340, Product Code DYB |
| PREDICATE DEVICE: | B. Braun Medical Inc.
Angeion Hemostasis Valve Introducer, K894446
B. Braun Medical Inc.
Braun Hemostasis Introducers, K955820
Daig Corporation
Fast-Cath Hemostasis Introducer, K910861 |
| DESCRIPTION: | Hemostasis introducers are used to insert catheters into the
vascular system without significant blood loss. The
hemostasis valve attached to the sheath is the method of
achieving the prevention of blood loss. The valve allows
for the introduction of a catheter and provides a tight scal
around the catheter being introduced, thus preventing
excessive leakage of blood. A procedure to use this device
would typically begin with a clinician using an introducer
needle to create a puncture hole and then introducing a
guidewire into the vasculature. A dilator and sheath are
then threaded over the guidewire, and the dilator is
removed and discarded. The clinician can then use the
introducer sheath with the hemostasis valve to pass
catheters through while minimizing blood loss. The
introducers are to be used with a catheter of the same size
as the designated sheath size, however a catheter one
French size smaller may be used with all 4 French and
larger introducers. |

1

The pediatric introducer sets consist of a Teflon introducer sheath, hemostasis valve with a side port extension tube bonded to a three-way stopcock, polyethylene or nylon (3 Fr. Size) dilator and optional guidewire. The pediatric hemostasis introducer sheaths will range in size from 3 - 6 French and will have a sheath length of 7 cm. The guidewire sizes for use with these introducers will be 0.018 -0.021 inches.

The Intradyn™ Pediatric Hemostasis Introducers is INTENDED USE: designed to facilitate percutaneous introduction of catheters into the vascular system of pediatric patients while minimizing blood loss.

SUBSTANTIAL EQUIVALENCE:

The Intradyn Pediatric Hemostasis Introducers are identical in materials, functionality, design and manufacturing and sterilization processes to the existing B. Braun Medical Inc. Hemostasis Introducers addressed in submissions K894446 and K955820. The pediatric introducers are similar in indications for use and size to the Fast-Cath introducers currently marketed by Daig Corporation (K910861). The smaller French size that will be available with the new Pediatric Hemostasis Introducers is not Intradyn significantly different than the predicate devices, and does not raise any new issues of safety and efficacy.

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" around the perimeter. Inside the circle is a stylized image of an eagle or bird-like figure with three wave-like lines beneath it, possibly representing water or movement.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

FEB - 5 2004

B. Braun Medical Inc. Ms. Amy Smith Regulatory Affairs Specialist 901 Marcon Blvd Allentown, PA 18109

Re: K033527

Tradc/Device Name: Intradyn™ Pediatric Hemostasis Introducer Regulation Number: 21 CFR 870.1340 Regulation Name: Catheter Introducer Regulatory Class: Class II Product Code: DYB Dated: November 6, 2003 Received: November 7, 2003

Dear Ms. Smith:

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 I'DA has made a determination that your device complics 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

3

Page 2 - Ms. Amy Smith

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) 594-4648. 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,

Bram D/Zuckerman, M.D. Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

Indications for Use Statement 2.0

Page of

KC33527 510(k) Number (if known): ___

Intradyn™ Pediatric Hemostasis Introducer Device Name:

Indications For Use:

The Intradyn Pediatric Hemostasis Introducers are designed to facilitate perculaneous introduction of catheters into the vascular system of pediatric patients while minimizing blood loss.

(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 __

fr
(Di
Division of Cardiovascular Devices)
510(K) Number: K033527

000000