K Number
K051206
Device Name
Y2K2 ENTERNAL TUBE FLUID FILTER
Date Cleared
2005-11-02

(175 days)

Product Code
Regulation Number
876.5980
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Y2K2 Enteral In-Line Filter is intended for use to filter liquid feeding solutions prior to delivery into a patient's pre-inserted feeding tube, to minimize the risk of tube occusion by macro particulates. This will be applicable to any size or length pediatric or adult feeding tube (e.g., nasogastric, nasoduodenal, nasojejunal, gastrostomy, jejunostomy, transgastric duodenal, or transgastic jejunal).
Device Description
The proposed and predicate devices are of essentially the same size, construction, and function. They are made of comparable (Re: Pall) or identical (Re: Cobe Cardiovascular) inert biomaterials. The Y2K2 Enteral In-Line Filter differs in having a larger pore size, to remove coarse (but not fine) particulates from enterally delivered fluids.
More Information

Not Found

No
The summary describes a physical filter for enteral feeding solutions and makes no mention of AI or ML technology.

No.
The device is intended to filter liquid feeding solutions to minimize the risk of tube occlusion, not to directly treat a disease or condition in a patient.

No

The device is an enteral in-line filter designed to filter liquid feeding solutions for patients, not to diagnose medical conditions.

No

The device description clearly states it is a physical filter made of biomaterials, intended to be inserted in-line with a feeding tube. This is a hardware device, not software.

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

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections. They are used to provide information for diagnosis, monitoring, or screening.
  • Device Function: The Y2K2 Enteral In-Line Filter is a physical filter designed to remove particulates from liquid feeding solutions before they enter the patient's body. It does not analyze or test any biological samples from the patient.
  • Intended Use: The intended use is to prevent tube occlusion by filtering the feeding solution, not to diagnose or monitor a medical condition based on a biological sample.

The device is a medical device, but it falls under a different category than in vitro diagnostics.

N/A

Intended Use / Indications for Use

The device will filter fluids to be delivered into a feeding tube to remove potentially obstructing particulates.

The Y2K2 Enteral In-Line Filter is intended for use to filter liquid feeding solutions prior to delivery into a patient's pre-inserted feeding tube, to minimize the risk of tube occusion by macro particulates.

This will be applicable to any size or length pediatric or adult feeding tube (e.g., nasogastric, nasoduodenal, nasojejunal, gastrostomy, jejunostomy, transgastric duodenal, or transgastic jejunal).

Product codes (comma separated list FDA assigned to the subject device)

KNT

Device Description

The proposed and predicate devices are of essentially the same size, construction, and function. They are made of comparable (Re: Pall) or identical (Re: Cobe Cardiovascular) inert biomaterials. The Y2K2 Enteral In-Line Filter differs in having a larger pore size, to remove coarse (but not fine) particulates from enterally delivered fluids.

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

pediatric or adult

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)

Not Found

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

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K943127, K850139

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 876.5980 Gastrointestinal tube and accessories.

(a)
Identification. A gastrointestinal tube and accessories is a device that consists of flexible or semi-rigid tubing used for instilling fluids into, withdrawing fluids from, splinting, or suppressing bleeding of the alimentary tract. This device may incorporate an integral inflatable balloon for retention or hemostasis. This generic type of device includes the hemostatic bag, irrigation and aspiration catheter (gastric, colonic, etc.), rectal catheter, sterile infant gavage set, gastrointestinal string and tubes to locate internal bleeding, double lumen tube for intestinal decompression or intubation, feeding tube, gastroenterostomy tube, Levine tube, nasogastric tube, single lumen tube with mercury weight balloon for intestinal intubation or decompression, and gastro-urological irrigation tray (for gastrological use).(b)
Classification. (1) Class II (special controls). The barium enema retention catheter and tip with or without a bag that is a gastrointestinal tube and accessory or a gastronomy tube holder accessory is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 876.9.(2) Class I (general controls) for the dissolvable nasogastric feed tube guide for the nasogastric tube. The class I device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to § 876.9.

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NOV - 1 2005

510(k) SUMMARY INFORMATION

APPLICANT NAME:Moss Medical Products, Inc.
ADDRESS:4049 NY 150
West Sand Lake, New York 12196
PHONE:518-674-0904
FAX:914-684-1464
E-MAIL:mosstube@mossmed.com
ACTIVITY OF APPLICANTInitial Distributor
CONTACT PERSON:GERALD MOSS, Ph.D., M.D.
ADDRESS:1 Reynal Road
White Plains, New York 10605
PHONE:914-997-0392
FAX:914-684-1464
E-MAIL:gerald_moss@mossmed.com
NAME OF DEVICE
TRADE NAME:Y2K2 Enteral Tube Fluid Filter
COMMON NAME:In-Line Filter
CLASSIFICATION NAME:{21 CFR 876.5980}
{Tubes, Gastrointestinal (and accessories)
PRODUCT CODE:{KNT}
MANUFACTURER:Filtertek, Inc.
P.O. Box 310
11411 Price Road
Hebron, IL 60034-0310
PREDICATE DEVICES:Pall PharmAssure Capsule Filter (K943127

I will maintain records to support a claim (TL, 15 to 127)

Cobe Cardiovascular Pre-bypass Filter (K850139)

INDICATIONS FOR USE: The device will filter fluids to be delivered into a feeding tube to remove potentially obstructing particulates.

TECHNICAL CHARACTERISTICS: The proposed and predicate devices are of essentially the same size, construction, and function. They are made of comparable (Re: Pall) or identical (Re: Cobe Cardiovascular) inert biomaterials. The Y2K2 Enteral In-Line Filter differs in having a larger pore size, to remove coarse (but not fine) particulates from enterally delivered fluids.

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Image /page/1/Picture/2 description: The image shows a logo with a stylized bird-like figure composed of three curved lines, suggesting movement or flight. The logo is encircled by text that reads 'Department of Health'. The text is arranged along the curve of the circle, with the bird figure positioned inside the circle.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

NOV - 1 2005

Moss Medical Products, Inc. c/o Mr. Mark Job Responsible Third Party Official Regulatory Technology Services LLC 1394 25th Street NW BUFFALO MN 55313

Re: K051206

Trade/Device Name: Y2K2 Enteral In-Line Filter Regulation Number: 21 CFR §876.5980 Regulation Name: Gastrointestinal tube and accessories Regulatory Class: II Product Code: 76 KNT Dated: October 15, 2005 Received: October 17, 2005

Dear Mr. Job:

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 (Premarket Approval), 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.

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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 one of the following numbers, based on the regulation number at the top of this letter:

21 CFR 876.xxxx(Gastroenterology/Renal/Urology)240-276-0115
21 CFR 884.xxxx(Obstetrics/Gynecology)240-276-0115
21 CFR 892.xxxx(Radiology)240-276-0120
Other240-276-0100

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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,

Nancy C. hogdon.

Nancy C. Brogdon Director, Division of Reproductive, Abdominal, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known):

K051206

Device Name:_Y2K2 Enteral In-Line Filter

Indications For Use:

The Y2K2 Enteral In-Line Filter is intended for use to filter liquid feeding solutions prior to delivery into a patient's pre-inserted feeding tube, to minimize the risk of tube occusion by macro particulates.

This will be applicable to any size or length pediatric or adult feeding tube (e.g., nasogastric, nasoduodenal, nasojejunal, gastrostomy, jejunostomy, transgastric duodenal, or transgastic jejunal).

Prescription Use
X
(Part 21 CFR 801 Subpart D)

ANDIOR

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

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

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Division of Reproductive, Abdominal, and Radiological Devices 510(k) Number _