K Number
K061661
Device Name
STA CATH ATTACHABLE INFISION CATHETER, MODEL STA20
Date Cleared
2006-10-18

(127 days)

Product Code
Regulation Number
880.5725
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The STA Cath® Attachable Infusion Catheter is intended for use with the Alpha Infusion Pump for the infusion of a local anesthetic into a surgical site or body cavity, post-operatively, for the relief of pain. The STA Cath Attachable Infusion Catheter is intended for use in the hospital or by an ambulatory patient.
Device Description
The STA Cath® Attachable Infusion Catheter is an open end style catheter similar to the Alpha Cath™ Infusion Catheter. This catheter consists of a length of PVC tubing which functions as a flow restrictor. The proximal end of the tubing has a stainless needle for insertion into the Alpha Infusion Pump. The distal end of the tubing contains axial slit ports near the distal tip which are designed to infuse medication in case the end of the catheter becomes blocked. The distal end of the catheter has a short length of tubing attached to it. A loop of monofilament extends beyond both ends of this attached tube, and is used by the physician to draw a 4-0 suture, placed at an attachment site in the patient, through the attached tube in order to temporarily hold the catheter in place.
More Information

Not Found

No
The device description and intended use focus on a physical catheter and its function in delivering medication, with no mention of AI or ML technologies. The "Mentions AI, DNN, or ML" section explicitly states "Not Found".

No
The device is an infusion catheter, which is used to deliver medication (local anesthetic) for pain relief, but it does not directly treat a disease or condition itself. It's a delivery system rather than a therapeutic agent.

No

The device is an infusion catheter used for delivering medication, not for diagnosing conditions or diseases.

No

The device description clearly outlines physical components like PVC tubing, a stainless needle, and a monofilament loop, indicating it is a hardware device, not software-only.

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 about a person's health. This testing is done outside of the body ("in vitro").
  • STA Cath Function: The STA Cath® Attachable Infusion Catheter is used to directly infuse medication into a surgical site or body cavity within the patient's body ("in vivo"). It is a delivery device, not a diagnostic testing device.

The description clearly states its purpose is for the "infusion of a local anesthetic into a surgical site or body cavity, post-operatively, for the relief of pain." This is a therapeutic function, not a diagnostic one.

N/A

Intended Use / Indications for Use

The STA Cath® Attachable Infusion Catheter is intended for use with the Alpha Infusion Pump for the infusion of a local anesthetic into a surgical site or body cavity, post-operatively, for the relief of pain. The STA Cath® Attachable Infusion Catheter is intended for use in the hospital or by an ambulatory patient.

Product codes

MEB

Device Description

The STA Cath® Attachable Infusion Catheter is an open end style catheter similar to the Alpha Cath™ Infusion Catheter. This catheter consists of a length of PVC tubing which functions as a flow restrictor. The proximal end of the tubing has a stainless needle for insertion into the Alpha Infusion Pump. The distal end of the tubing contains axial slit ports near the distal tip which are designed to infuse medication in case the end of the catheter becomes blocked.

The distal end of the catheter has a short length of tubing attached to it. A loop of monofilament extends beyond both ends of this attached tube, and is used by the physician to draw a 4-0 suture, placed at an attachment site in the patient, through the attached tube in order to temporarily hold the catheter in place.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

surgical site or body cavity

Indicated Patient Age Range

Not Found

Intended User / Care Setting

hospital or by an ambulatory patient.

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)

K021964, K042264, K003915, K040260, K030020, K020577, K990500

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 880.5725 Infusion pump.

(a)
Identification. An infusion pump is a device used in a health care facility to pump fluids into a patient in a controlled manner. The device may use a piston pump, a roller pump, or a peristaltic pump and may be powered electrically or mechanically. The device may also operate using a constant force to propel the fluid through a narrow tube which determines the flow rate. The device may include means to detect a fault condition, such as air in, or blockage of, the infusion line and to activate an alarm.(b)
Classification. Class II (performance standards).

0

Image /page/0/Picture/1 description: The image shows a logo for "Advanced Infusion". The logo features a large, stylized letter "A" with a circular swoosh design around it. Below the "A", the word "ADVANCED" is written in a larger font, and below that, the word "INFUSION" is written in a smaller font.

466 W. Arrow Hwy. • Unit H. • San Dimas. Gruffornia 91778 909.394.2916 • fax: 909.305 0895 www.advancerlinfusion.com

OCT 1 8 2006

510(k) SUMMARY -- Safety and Effectiveness

STA Cath® Attachable Infusion Catheter
Owner:Advanced Infusion, Inc.
920 E. University Drive. Suite D202
Tempe. Arizona 85281
(480) 768-9747
(480) 894-5288 fax
Contact:James Christensen
Vice President Operations
(909) 394-4916
Date Prepared:June 12, 2006
Trade Name:
Common Name:
Classification Name:STA Cath® Attachable Infusion Catheter
Infusion Pump
Infusion Pump
(21 CFR 880.5725. Product Code MEB)
Predicate Devices:K021964 – Alpha Infusion Pump and Catheters
K042264 - Multi Drip® Infusion Catheters
K003915 - Accufuser and Accufuser Plus
K040260 – Chronic Hemodialysis Catheter
K030020 - HemoSplit Long-Term Hemodialysis Catheter
K020577 – Applied Ureteral Catheter
K990500 - Ultramer Coude Foley Catheter
Device Description:The STA Cath® Attachable Infusion Catheter is an open end style
catheter similar to the Alpha Cath™ Infusion Catheter. This
catheter consists of a length of PVC tubing which functions as a
flow restrictor. The proximal end of the tubing has a stainless
needle for insertion into the Alpha Infusion Pump. The distal end
of the tubing contains axial slit ports near the distal tip which are
designed to infuse medication in case the end of the catheter
becomes blocked.
The distal end of the catheter has a short length of tubing attached
to it. A loop of monofilament extends beyond both ends of this
attached tube, and is used by the physician to draw a 4-0 suture,
placed at an attachment site in the patient, through the attached
tube in order to temporarily hold the catheter in place.

1

Image /page/1/Picture/0 description: The image shows a logo for "Advanced Infusion". The logo features a large letter "A" with a circular shape wrapping around it. Below the "A" are the words "ADVANCED" in a larger font and "INFUSION" in a smaller font.

466 W. Arrow Hwy. • Unit H • San Dimas, California 91773 909.394.4916 · fax: 909.305.0895 www.advancedinfusion.com

510(k) SUMMARY - Safety and Effectiveness

Technological

Comparison:

Intended Use:

Conclusion:

The STA Cath® Attachable Infusion Catheter is intended for use with the Alpha Infusion Pump for the infusion of a local anesthetic into a surgical site or body cavity, post-operatively, for the relief of pain. The STA Cath® Attachable Infusion Catheter is intended for use in the hospital or by an ambulatory patient.

There is no new technology added in the construction of the STA Cath® Attachable Infusion Catheter compared to the Alpha Cath Infusion Catheter. The difference between the STA Cath® Attachable Infusion Catheter and the Alpha Cath™ Infusion Catheter is that the STA Cath® Attachable Infusion Catheter incorporates a feature which enables the catheter to be temporarily attached to body tissues.

The attachment feature on the STA Cath® Attachable Infusion Catheter function similarly to the attachment features on other catheters such as the suture holes on the connectors of hemodialysis catheters, the implantable cuffs on hemodialysis and central venous catheters, the balloons on Foley catheters, and the pigtails on urethral catheters. All of these retention features hold the catheter temporarily in place during use of the catheter.

The STA Cath® Attachable Infusion Catheter is substantially equivalent to the existing Alpha Cath™ Infusion Catheter in design and operation and is substantially equivalent to other catheters such as Foley catheters which use a temporary means to hold the catheter in place during use.

2

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mr. James Christensen Vice President Operations Advanced Infusion, Infusion 466 West Arrow Highway, Unit H San Dimas, California 91773

OCT 1 8 2006

Re: K061661

Trade/Device Name: STA Cath® Attachable Infusion Catheter Regulation Number: 21 CFR 880.5725 Regulation Name: Infusion Pump Regulatory Class: II Product Code: MEB Dated: September 22, 2006 Received: September 25, 2006

Dear Mr. Christensen:

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. Christensen

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. or me rot or any 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) 276-0120. 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 (240) 276-3150 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

Shiu-Ling, Ph.D.

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 4.

510(k) Number (if known): ____________________________________________________________________________________________________________________________________________________

Device Name: _________________________________________________________________________________________________________________________________________________________________

Indications for Use:

The STA Cath® Attachable Infusion Catheter is intended for use with the Alpha Infusion Pump for the infusion of a local anesthetic into a surgical site or body cavity, post-operatively, for the relief of pain. The STA Cath Attachable Infusion Catheter is intended for use in the hospital or by an ambulatory patient.

Prescription Use X (Part 21 CFR 801 Subpart D) AND/OR

Over-The-Counter Use (Part 21 CFR 807 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE) ULLE . Clon Sign-Ciff) 1 . sion of Anesthesiology, General Hospital, In setion Control, Dental Devices

C ... (k) Number: ____________________________________________________________________________________________________________________________________________________________

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