K Number
K080675
Device Name
PAJUNK INFILTRALONG WOUND INFILTRATION CATHETER KIT
Date Cleared
2008-06-20

(102 days)

Product Code
Regulation Number
868.5120
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
PAJUNK®'s Wound Infiltration Catheter Kit called InfiltraLong is intended for continuous or intemittent praeoperative, perioperative or post-operative delivery of local anesthetics or narcotics to wounds and surgical wound sites. Routes of administration may be intraoperative or percutaneous.
Device Description
PAJUNK®'s Wound Infiltration Catheter Kit called InfiltraLong is intended for continuous or intemittent praeoperative, perioperative or post-operative delivery of local anesthetics or narcotlcs to wounds and surgical wound sites. Routes of administration may be intraoperative or percutaneous. The sterile components are available seperately. The kit is available in two basic designs: Design 02 (Coiled catheter (1x/ 2x), Y-connector, FixoLong Catheter fixation device, Adapter, Puncture needle, Permanent teflon cannula, Flat filter) and Design 01 (Coiled catheter (1x/ 2x), Y-connector, FixoLong Catheter fixation device, Adapter, Tear-cannula (also referred to as Split-cannula), Flat filter).
More Information

K022869 Soaker catheter (I-Flow, On-Q), K051401 Soaker catheter (I-Flow, On-Q)

No
The summary describes a mechanical device for delivering medication and does not mention any software, algorithms, or data processing that would indicate the use of AI/ML.

Yes.
The device is intended for the delivery of local anesthetics or narcotics to wounds and surgical sites, which is a therapeutic intervention for pain management.

No

Explanation: The device is intended for the delivery of local anesthetics or narcotics, which is a therapeutic function, not a diagnostic one.

No

The device description explicitly lists physical components such as catheters, connectors, fixation devices, adapters, needles, cannulas, and filters. These are hardware components, not software.

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).
  • Device Function: The PAJUNK® InfiltraLong Wound Infiltration Catheter Kit is designed to deliver substances (local anesthetics or narcotics) into the body, specifically to wounds and surgical sites. This is a therapeutic or drug delivery function, not a diagnostic one.
  • Intended Use: The intended use clearly states the delivery of substances to wounds, not the analysis of bodily specimens.

The device is a medical device used for drug delivery, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

PAJUNK®'s Wound Infiltration Catheter Kit called InfiltraLong is intended for continuous or intemittent praeoperative, perioperative or post-operative delivery of local anesthetics or narcotlcs to wounds and surgical wound sites. Routes of administration may be intraoperative or percutaneous.
The sterile components are available seperately.

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

BSO, MRZ

Device Description

The kit is available in two basic designs:
Design 01
• Coiled catheter (1x/ 2x)
• Y-connector
• FixoLong Catheter fixation device
• Adapter
• Tear-cannula (also referred to as Split-cannula)
• Flat filter

Design 02
• Coiled catheter (1x/ 2x)
• Y-connector
• FixoLong Catheter fixation device
• Adapter
• Puncture needle
• Permanent teflon cannula
• Flat filter

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

wounds and surgical wound sites

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)

Bench Testing
The catheter complies with ISO10555 Sterile, single-use intravascular catheters and EN1618 Catheters r fo cather compular catheters - Test methods for common properties. The needles comply with ISO7864, ISO594 and ISO9626.

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.

K022869 Soaker catheter (I-Flow, On-Q), K051401 Soaker catheter (I-Flow, On-Q)

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.

K040965, K013041, K063697, K060563

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

§ 868.5120 Anesthesia conduction catheter.

(a)
Identification. An anesthesia conduction catheter is a flexible tubular device used to inject local anesthetics into a patient and to provide continuous regional anesthesia.(b)
Classification. Class II (performance standards).

0

PAJUNK®'s InfiltraLong Wound infiltration catheter kit 510(k) Premarket Notification Submission

Image /page/0/Picture/1 description: The image shows the number K080675 at the top. Below that is the word "PAJUNK" in large white letters against a gray background. Underneath that is the word "MEDIZINTECHNOLOGIE" in smaller black letters.

Section 05

JUN 2 0 2008

510(k) Summary of Safety and Effectiveness

This section of the submission for PAJUNK®´s InfiltraLong Wound infiltration catheter kit contains

  • . The summary of safety and effectiveness
  • . Submitter Information
  • . Device Information
  • Device Description .
  • . Predicate devices
  • Sterilization .
  • Technology Characteristics .
  • . Safety and Effectiveness: Conclusion

The 510(k) Summary may be copied and submitted to interested parties as required by 21 CFR 807.92.

1

Image /page/1/Picture/1 description: The image contains the word "PAJUNK" in large, bold, white letters. Below that, in smaller letters, is the word "MEDIZINTECHNOLOGIE". The background of the image is a textured pattern of black and white.

510(k) Premarket Notification Submission:

Summary of Safety and Effectiveness

Date of Preparation: June 6th 2008

Submitter Information/ production site:USA Contact:
Pajunk GmbHPajunk Medical Systems
Karl-Hall-Strasse 01German American Trade Center
78187 Geisingen, Germany5126 South Royal Atlanta Drive
Fon: +49(0)7704-9291-58630084 Tucker, Georgia
Fax: +49(0)7704-9291-605USA
Establishment Registration Number: 9611612
Contact:Contact
Christian Quass, Director Regulatory AffairsStefan Dayagi
Fon: +49(0)7704-9291-586Fon: +01(0)770-493-9305
Fax: +49(0)7704-9291-605
E-Mail: christian.quass@pajunk.comE-Mail: stefan.dayagi@pajunk-usa.com
Contract Sterilizer:
STERIGENICS GERMANY GMBH
Rheingaustrasse 190-196
65203 Wiesbaden, GERMANY
Registration Number: 3002807090
Device Information:Operations: Contract Sterilizer
Device/ Trade Name:InfiltraLong Wound infiltration catheter, Pain Management
Common Name:Anesthesia conduction catheter
Classification Name:Catheter, conduction, anaesthetic
Classification Reference:21CFR 868.5120
Establishment Registration
Number:9611612
Regulatory Class:II
Product Code:BSO
Subsequent product codeMRZ
Subsequent Classification21CFR880.5725
Reference:Accessories, Pump, infusion
Panel:General Hospital
Predicate Devices1.K022869 Soaker catheter (I-Flow, On-Q)
2.K051401 Soaker catheter (I-Flow, On-Q)

2

PAJUNK®'s InfiltraLong Wound infiltration catheter kit 510(k) Premarket Notification Submission

Image /page/2/Picture/1 description: The image shows the logo for PAJUNK Medizintechnologie. The word "PAJUNK" is in large, bold, white letters against a gray background. Below that, "MEDIZINTECHNOLOGIE" is written in smaller, thinner letters.

Device Description: Indications for use

PAJUNK®'s Wound Infiltration Catheter Kit called InfiltraLong is intended for continuous or intemittent praeoperative, perioperative or post-operative delivery of local anesthetics or narcotlcs to wounds and surgical wound sites. Routes of administration may be intraoperative or percutaneous. The sterile components are available seperately.

Contraindications: Intravascular and intra-arterial-, as well as application in the vicinity of the spinal cord. Application of liquids which are not analgesics. Draining of wound fl uid.

Complications: Systemic toxicity of the local anaesthetics used (observe dosage!), infection. The contraindications and complications in accordance with medical literature corresponding to the state of education shall also apply. The placement of the catheter should, as a rule, not exceed 72 hours due to the increased risk of infection.

Predicate Devices:

Predicate devices with identical or at least similar indications for use are:

1. K022869 Soaker catheter (I-Flow, On-Q)

    1. K051401 Soaker catheter (I-Flow, On-Q)
      The detailed discussion of substantial eqivalence can be found in Section 12 of this submission.

The components are cleared in PAJUNK®'s own 510(k)'s (e.g. K040965, K013041, K063697, K060563) for use in regional anaesthesia and to be used contacting cerebrospinal fluid.

Sterilization and Packaging

The contract sterilizer and the process of sterilization is the same as it is used for all PAJUNK - Products already cleared for market. The contract sterilizer is monitored by FDA and listed in the FDA database for sterilization services. The process complies with DIN EN ISO 11135 Sterilization of health care products -Ethylene oxide - Requirements for the development, validation and routine control of a sterilization process for medical devices.

The packaging is identical to the packaging of PAJUNK®'s kits for regional spinal and epidural anaesthesia already approved for being marketed in the US.

Technology Characteristics:

The kit is available in two basic designs:

Design 02Design 01
• Coiled catheter (1x/ 2x)
• Y-connector
• FixoLong Catheter fixation device
• Adapter
• Puncture needle
• Permanent teflon cannula
• Flat filter• Coiled catheter (1x/ 2x)
• Y-connector
• FixoLong Catheter fixation device
• Adapter
• Tear-cannula (also referred to as Split-cannula)
• Flat filter

Bench Testing

The catheter complies with ISO10555 Sterile, single-use intravascular catheters and EN1618 Catheters r fo cather compular catheters - Test methods for common properties. The needles comply with ISO7864, ISO594 and ISO9626.

Conclusion:

The comparison between the predicate devices and the proposed devices in section 12 of this submission r no ounpandon botween the zation process and the results of the bench testing demonstrates that the as well as the validated stomization process that the predicate devices and identical in technical description to devices already cleared for market and therefore demonstrated to be safe and effective.

PMN InfiltraLong

mitraLongR&DResp.SAG
RegulatoryResp.CQ

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Image /page/3/Picture/1 description: The image shows the seal of the Department of Health & Human Services (HHS). The seal features a stylized eagle with three stripes on its wing, representing the three branches of government. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the eagle.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUN 2 0 2008

Mr. Christian Quass Director Regulatory Affairs Pajunk GmbH Medizintechnologie Karl-Hall-Strasse 01 78187 Geisingen Baden-Wuerttemberg GERMANY

Re: K080675

Trade/Device Name: PAJUNK Wound Infiltration Catheter Kit, InfiltraLong Regulation Number: 21 CFR 868.5120 Regulation Name: Anesthesia Conduction Catheter Regulatory Class: II Product Code: BSO, MRZ Dated: May 1, 2008 Received: May 7, 2008

Dear Mr. Quass:

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.

4

Page 2 - Mr. Quass

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) 276-0120. 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 (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html,

Sincerely yours.

Suite Y.M., Alan Ord.

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

5

PAJUNK®'s InfiltraLong Wound infiltration catheter kit 510(k) Premarket Notification Submission

Image /page/5/Picture/1 description: The image contains the word "PAJUNK" in large, bold, white letters. Below this word, in a smaller font size, is the word "MEDIZINTECHNOLOGIE". The background of the image is a textured pattern of black and white pixels, which gives the image a slightly grainy appearance. The text is centered horizontally within the image.

510(k) Number:
Device Name:PAJUNK®'s Wound Infiltration Catheter kit, InfiltraLong
Indications for Use:

PAJUNK®'s Wound Infiltration Catheter Kit called InfiltraLong is intended for continuous or
intemittent praeoperative, perioperative or post-operative delivery of local anesthetics or
narcotics to wounds and surgical wound sites. Routes of administration may be intraoperative or
percutaneous.

The sterile components are available seperately.

| Prescription Use X
(Per 21 CFR 801.109) | AND/OR | 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)

Signature

(Division Sign-Off)

Division of Anesthesiology, General Hospital

Infection Control, Dental Devices

510(k) Number:K080675
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