K Number
K043490
Device Name
PD-IO DISPOSABLE INTRAOSSEOUS INFUSION NEEDLE
Date Cleared
2005-02-18

(63 days)

Product Code
Regulation Number
880.5570
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The PD-IO Disposable Intraosseous Infusion Needle and Handle provides intraosseous access in the proximal tibia, as an alternative to IV access during emergencies. The device is for use in pediatric patients.
Device Description
The PD-IO Disposable Intraosseous Infusion Needle and Handle consists of a sterile single use handle with trocar and a sterile disposable single use intraosseous (IO) catheter with standard Luer lock. During use, the PD-IO needle is manually inserted through the cortex of the bone to a desired depth within the bone marrow. The insertion handle with trocar is then separated from the hub of the catheter by turning the handle counter clockwise and then removed leaving the catheter securely seated in the bone. The catheter has a standard Luer lock that permits attachment of standard syringes and IV tubing for administration of drugs and fluids.
More Information

Not Found

No
The device description and intended use focus on a mechanical intraosseous access system with no mention of AI/ML capabilities or data processing.

Yes.
The device facilitates the administration of drugs and fluids into the bone marrow, which are therapeutic interventions.

No
The device is described as an "intraosseous infusion needle and handle" used for "administration of drugs and fluids" to provide "IV access during emergencies." This indicates it is a therapeutic device for delivering substances, not for diagnosing conditions.

No

The device description clearly outlines physical components (needle, handle, catheter) and a manual insertion process, indicating it is a hardware medical 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 provide intraosseous access for administering drugs and fluids directly into the bone marrow. This is a therapeutic intervention, not a diagnostic test performed on samples taken from the body.
  • Device Description: The device is a needle and handle used for physical insertion into the bone. It does not involve the analysis of biological samples (like blood, urine, tissue, etc.) to diagnose a condition or provide information about a patient's health status.
  • Lack of IVD Characteristics: The description does not mention any components or processes related to in vitro testing, such as reagents, assays, sample collection for analysis, or measurement of biological markers.

In summary, the PD-IO Disposable Intraosseous Infusion Needle and Handle is a medical device used for direct patient treatment (administering fluids/drugs), not for performing diagnostic tests on samples outside the body.

N/A

Intended Use / Indications for Use

The PD-IO Disposable Intraosseous Infusion Needle and Handle provides intraosseous access in the proximal tibia, as an alternative to IV access during emergencies. The device is for use in pediatric patients.

Product codes

FMI

Device Description

The PD-IO Disposable Intraosseous Infusion Needle and Handle consists of a sterile single use handle with trocar and a sterile disposable single use intraosseous (IO) catheter with standard Luer lock. During use, the PD-IO needle is manually inserted through the cortex of the bone to a desired depth within the bone marrow. The insertion handle with trocar is then separated from the hub of the catheter by turning the handle counter clockwise and then removed leaving the catheter securely seated in the bone. The catheter has a standard Luer lock that permits attachment of standard syringes and IV tubing for administration of drugs and fluids.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

proximal tibia

Indicated Patient Age Range

pediatric patients

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

Not Found

Key Metrics

Not Found

Predicate Device(s)

K032885, K913258, K022415

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 880.5570 Hypodermic single lumen needle.

(a)
Identification. A hypodermic single lumen needle is a device intended to inject fluids into, or withdraw fluids from, parts of the body below the surface of the skin. The device consists of a metal tube that is sharpened at one end and at the other end joined to a female connector (hub) designed to mate with a male connector (nozzle) of a piston syringe or an intravascular administration set.(b)
Classification. Class II (performance standards).

0

FEB 1 8 2005

11:40:00 공화 국회관 (19) 1911년 5 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

11:2

K 643490

SUMMARY

Submitter's name:VidaCare Corporation
Address:722-A Isom Road
San Antonio, TX 78216
Phone:210-375-8500
Fax number:210-375-8537
Name of contact person:Greg Holland
Regulatory Specialists, Inc
3722 Ave. Sausalito
Irvine, CA 92606
Phone: 949-262-0411 fax: 949-552-2821
Date the summary was prepared:December 16, 2004
Name of the device:PD-IO, Disposable Intraosseous Infusion
Needle and Handle
Trade or proprietary name:PD-IO, Disposable Intraosseous Infusion
Needle and Handle
Common or usual name:Intraosseous Infusion Needle
Classification nameHypodermic single lumen needle

The legally marketed device to which we are claiming equivalence [807.92(a)(3)]:

VidaCare Corporation, EZ-IO* Intraosseous Infusion System, K032885 Cook, Inc., Disposable Intraosseous Infusion Needles, K913258 WaisMed BIG for Pediatrics, K022415

Description of the device:

The PD-IO Disposable Intraosseous Infusion Needle and Handle consists of a sterile single use handle with trocar and a sterile disposable single use intraosseous (IO) catheter with standard Luer lock. During use, the PD-IO needle is manually inserted through the cortex of the bone to a desired depth within the bone marrow. The insertion handle with trocar is then separated from the hub of the catheter by turning the handle counter clockwise and then removed

1

P. 202

1:447404

leaving the catheter securely seated in the bone. The catheter has a standard Luer lock that permits attachment of standard syringes and IV tubing for administration of drugs and fluids.

indications for Use:

The PD-IO Disposable Intraosseous Infusion Needle and Handle THE FD Diopeous access in the proximal tibia, as an alternative to IV access during emergencies. The device is for use in pediatric patients.

Summary of the technological characteristics of the VidaCare PD-10 Disposable Intraosseous Infusion Needle and Handle compared to the predicate devices:

The predicate Cook, Disposable Intraosseous Infusion Needles K913258, VidaCare Corporation EZ-IO K032885 and the WaisMed Ltd BIG Pediatric K022415 were compared in the following areas and found to have similar technological characteristics and to be equivalent to the PD-IO Disposable Intraosseous Infusion Needle.

  • Indications for use Design features Needle design Technique Sterility Biocompatibility Anatomical site Where used Standards met Target population Mechanical safety

2

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/2/Picture/1 description: The image shows the logo for the Department of Health & Human Services - USA. The logo is a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is a stylized image of an eagle with its wings spread.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

FEB 1 8 2005

VidaCare Corporation C/O Mr. Greg Holland Regulatory Specialist Regulatory Specialists, Incorporated 3722 Avenue Sausalito Irvine, California 92606

Re: K043490

Trade/Device Name: PD-IO Disposable Intraosseous Infusion Needle and Handle Regulation Number: 21 CFR 880.5570 Regulation Name: Hypodermic Single Lumen Needle Regulatory Class: II Product Code: FMI Dated: December 16, 2004 Received: December 17, 2004

Dear Mr. Holland:

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 releveloca above and in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device mendments, 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 the Federal Pova, Drag, Drag, therefore, market the device, subject to the general approvin applivation of the Act. The general controls provisions of the Act include controls provisions or 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 (1 Mr), It may of burgest to fact 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. Holland

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 mean that 127 mas and regulations and regulations administered by other Federal agencies. or the For of all , I outh all the Act's requirements, including, but not limited to: registration r our max compry with a 807); labeling (21 CFR Part 801); good manufacturing practice und fisting (21 es read of the quality systems (QS) regulation (21 CFR Part 820); and if requirents as betronic 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), 11 you dontact 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 maj South 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,

Cure

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

Page__________________________________________________________________________________________________________________________________________________________________________

510(k) Number (if known): K043490

Device Name: PD-IQ Disposable Intraosseous Infusion Needle and Handle ______________________________________________________________________________________________________

Indications For Use:

The PD-IO Disposable Intraosseous Infusion Needle and Handle provides The PD-IO Disposable intraosseous this, as an alternative to IV access during
intraosseous access in the proximal tibia, as an alternative to IV access during
intraosseous ac Intraosseous access in the province in pediatric patients.

Prescription Use__X (Per 21 CFR 801.109) OK

Over-The-Counter Use_ (Optional Format 1-2-96)

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEFDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Clater V. West

  • Lision Sign-Cif) Consion of Anesthesiology, General Hospital. In Schon Control, Dental Devices

3(k) Number. K4424494