K Number
K043178
Device Name
GRANTALDER RHAPSODY ACCESS PORT AND CATHETER
Date Cleared
2006-02-02

(443 days)

Product Code
Regulation Number
880.5965
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The grantAdler Rhapsody Access Port and Catheter is indicated for any patient requiring reliable repeated access of the vascular system for delivery of medications, nutritional supplementation, fluids, blood. blood products or the sampling of blood.
Device Description
The grantAdler Implantable Access Ports are implantable ports for intraveneous injections. The grantAdler Implantable Access Ports are supplied as sterile devices, and are intended for single patient use only. The ports are available as a single model and are manufactured of the highest quality titanium. They also incorporate a durable high compression self-sealing silicone septum. Catheter materials include flexible, noncompressible, and reinforced silicone. Suture sites are incorporated into the port base to facilitate anchorage to the underlying fascia.
More Information

No
The summary describes a standard implantable access port and catheter with no mention of AI or ML capabilities.

No.
The device is used for repeated access to the vascular system for administering substances or sampling blood. It is a delivery/access device, not a device that directly treats a medical condition.

No
Explanation: The device is an implantable access port for delivering medications, fluids, and drawing blood. Its intended use is for access to the vascular system, not for diagnosing conditions.

No

The device description explicitly states it is an "Implantable Access Port" made of titanium and silicone, which are hardware components.

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

Here's why:

  • Intended Use: The intended use is for "reliable repeated access of the vascular system for delivery of medications, nutritional supplementation, fluids, blood. blood products or the sampling of blood." This describes a device used in vivo (within the body) for direct patient treatment and access to the circulatory system.
  • Device Description: The description details an "implantable port" and "catheter" made of materials like titanium and silicone, designed for intravenous injections and implantation. This further confirms its use within the body.
  • Lack of IVD Characteristics: IVD devices are used in vitro (outside the body) to examine specimens (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening. The provided information does not mention any such function or interaction with specimens outside the body for diagnostic purposes.

Therefore, the grantAdler Rhapsody Access Port and Catheter is a medical device used for vascular access and delivery/sampling of substances within the patient, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The grantAdler Rhapsody Access Port and Catheter is indicated for any patient requiring reliable repeated access of the vascular system for delivery of medications, nutritional supplementation, fluids, blood. blood products or the sampling of blood.

Product codes

LJT

Device Description

The grantAdler Implantable Access Ports are implantable ports for intraveneous injections. The grantAdler Implantable Access Ports are supplied as sterile devices, and are intended for single patient use only. The ports are available as a single model and are manufactured of the highest quality titanium. They also incorporate a durable high compression self-sealing silicone septum. Catheter materials include flexible, noncompressible, and reinforced silicone. Suture sites are incorporated into the port base to facilitate anchorage to the underlying fascia.

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

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)

Laboratory testing regarding characteristics was performed on the grantAdler Implantable Access Ports to verify its safety and performance. Biocompatibility assessments were performed on the materials in the grantAdler Implantable Access Ports with satisfactory results.

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

Not Found

Predicate Device(s)

K951814

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 880.5965 Subcutaneous, implanted, intravascular infusion port and catheter.

(a)
Identification. A subcutaneous, implanted, intravascular infusion port and catheter is a device that consists of a subcutaneous, implanted reservoir that connects to a long-term intravascular catheter. The device allows for repeated access to the vascular system for the infusion of fluids and medications and the sampling of blood. The device consists of a portal body with a resealable septum and outlet made of metal, plastic, or combination of these materials and a long-term intravascular catheter is either preattached to the port or attached to the port at the time of device placement. The device is available in various profiles and sizes and can be of a single or multiple lumen design.(b)
Classification. Class II (special controls) Guidance Document: “Guidance on 510(k) Submissions for Implanted Infusion Ports,” FDA October 1990.

0

grantAdler 510(k) Notification Section E

K043178

510(K) SUMMARY

FOI RELEASABLE

Persuant to § 513(i)(3)(A) of the Food, Drug, and Cosmetic Act, grantAdler is required to submit with this Premarket Notification "…adequate summary of any information respecting safety and effectiveness or state that such information will be made available upon request of any person." grantAdler chooses to submit a summary of information respecting safety and effectiveness.

| Classification Name: | Port & Catheter, Implanted,
Subcutaneous, Intravascular | | |
|------------------------------------------------------------|----------------------------------------------------------------------------------------------|--------|------------|
| Common/Usual Name: | Intravascular Access Port | | |
| Proprietary Name: | Rhapsody™ Port and Catheter | | |
| Device Classification: | Class II | | |
| Name | | Number | 21 CFR |
| Port & Catheter, Implanted,
Subcutaneous, Intravascular | | 80 LJT | § 880.5965 |
| Owner/Operator: | grantAdler Corporation
1994 Banbury Avenue
Yorkville, IL 60560
Phone: 630 302-4944 | | |
| Contact Person: | Michael Loiterman, President | | |
| Manufacturer: | Medical Murray, Inc.
1294 Barclay Blvd.
Buffalo Grove, IL 60089
Phone: 847 419-0090 | | |

DESCRIPTION OF DEVICE

Ref.

The grantAdler Implantable Access Ports are implantable ports for intraveneous injections.

1

i. 2326

grantAdler 510(k) Notification Section E

INDICATIONS FOR USE

The grantAdler port line is indicated for any patient requiring reliable repeated access of the vascular system for delivery of medications, nutritional supplementation, fluids, blood, blood products, or the sampling of blood.

DESCRIPTIVE AND TECHNOLOGICAL CHARACTERISTICS OF PROPOSED AND PREDICATE DEVICES

The grantAdler Implantable Access Ports are supplied as sterile devices, and are intended for single patient use only. The ports are available as a single model and are manufactured of the highest quality titanium. They also incorporate a durable high compression self-sealing silicone septum. Catheter materials include flexible, noncompressible, and reinforced silicone. Suture sites are incorporated into the port base to facilitate anchorage to the underlying fascia.

The grantAdler Implantable Access Ports have the same descriptive and technological characteristics as the Horizon Medical Products, Inc. (HMP) Triumph-1 Ports K951814 and numerous other implantable access ports on the market today.

PERFORMANCE CHARACTERISTICS

Laboratory testing regarding characteristics was performed on the grantAdler Implantable Access Ports to verify its safety and performance. Biocompatibility assessments were performed on the materials in the grantAdler Implantable Access Ports with satisfactory results.

CONCLUSION

grantAdler believes that the grantAdler Implantable Access Port is substantially equivalent to the currently marketed Horizon Medical Products, Inc. (HMMIA) Triumph-1 Port K951814. A comparison of the descriptive characteristics of these products demonstrate the grantAdler Implantable Access Ports is equivalent in its indications for use, as well as in design and materials.

The information presented provides assurance that the grantAdler Implantable Access Ports will meet the minimum requirements that are considered acceptable for its intended use.

2

Image /page/2/Picture/1 description: The image is a seal for the Department of Health and Human Services, USA. The seal is circular and contains the words "DEPARTMENT OF HEALTH AND HUMAN SERVICES, USA" around the perimeter. In the center of the seal is an image of an eagle with its wings spread.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

FEB 2 2006

Mr. Michael Loiterman President grantAdler Corporation 1994 Banbury Avenue Yorkville, Illinois 60560

Re: K043178

Trade/Device Name: grantAdler Rhapsody Access Port and Catheter Regulation Number: 21 CFR 880.5965 Regulation Name: Subcutaneous, Implanted, Intravascular Infusion Port and Catheter Regulatory Class: II Product Code: LJT Dated: January 19, 2006 Received: January 19, 2006

Dear Mr. Loiterman:

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 - Mr. Loiterman

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 (240) 276-0115. 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/industry/support/index.html.

Sincerely yours,

Suitte y. Michie Dms.

Chiu Lin, Ph.D. Director Division of Anesthesiology. General Hospital. Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

Indications for Use

510(k) Number (if known): K043178

Device Name: grantAdler Rhapsody Access Port and Catheter

Indications for Use: The grantAdler Rhapsody Access Port and Catheter is indicated for any patient requiring reliable repeated access of the vascular system for delivery of medications, nutritional supplementation, fluids, blood. blood products or the sampling of blood.

Prescription Use
(Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (21 CFR 801 Subpart C)

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE OF NEEDED)

Concurrence of CDRH. Office of Device Evaluation (ODE)

Anton V. Ruz

General Hosp
Devices
K44323

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