K Number
K082163
Device Name
FLOWMEDICA BENEPHIT INFUSION SYSTEMS
Manufacturer
Date Cleared
2008-10-29

(90 days)

Product Code
Regulation Number
870.1210
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The FlowMedica Benephit® Infusion Systems are intended to facilitate targeted renal therapy, or TRT®, the delivery of physician-specified agents to the kidneys via the renal arteries. The Benephit® Infusion Systems are indicated for use in patients undergoing medical, interventional, or surgical procedures, where the procedure carries an elevated risk of iatrogenic kidney injury for the patient. The Benephit® Infusion Systems are also indicated to facilitate TRT® in patients who have demonstrated symptoms of acute kidney injury, and in whom arterial catheterization for TRT® is feasible.
Device Description
The Benephit® family of infusion systems comprises the Benephit® CV, Benephit® PV, Benephit® PVMini, Benephit® PVSolo, and Benephit® XT systems. Each system includes a bifurcated infusion catheter and a vascular introducer sheath with dilator. Each Benephit® Infusion System consists of a bifurcated infusion catheter and a vascular introducer sheath with dilator. The bifurcated infusion catheter in each of the Benephit® systems is a single-lumen infusion catheter with a bifurcated distal end that allows access to two locations (e.g., two renal arteries) for infusion simultaneously. Each system's introducer sheath is a PTFE-lined, coil reinforced polymer sheath with matching radiopaque dilator. The Benephit® CV system comprises a 2.4 Fr. bifurcated infusion catheter, utilizing a nitinol hypo tube shaft, and an 8 Fr. compatible introducer sheath with a unique Y-hub design. The Benephit® PV, PVMini, PVSolo, and XT systems comprise a 4.8 Fr. bifurcated catheter utilizing a braid reinforced polymer shaft and a 5 Fr. compatible introducer sheath with a standard single hemostasis valve configuration.
More Information

Not Found

No
The device description focuses on the physical components of the infusion system (catheters, sheaths) and their intended use for delivering agents to the kidneys. There is no mention of software, algorithms, or data processing that would suggest the use of AI/ML. The "Mentions AI, DNN, or ML" and "Description of the training set..." sections are explicitly marked as "Not Found".

Yes
The device is intended to facilitate targeted renal therapy (TRT) by delivering physician-specified agents to the kidneys via the renal arteries, which aims to prevent or mitigate iatrogenic kidney injury or treat acute kidney injury. This directly relates to addressing a medical condition.

No
The device is an infusion system designed to deliver agents to the kidneys, facilitating therapy rather than diagnosing a condition.

No

The device description explicitly details physical components including catheters, sheaths, and dilators, indicating it is a hardware-based medical device system.

Based on the provided information, the FlowMedica Benephit® Infusion Systems are not an In Vitro Diagnostic (IVD) device.

Here's why:

  • IVD Definition: In Vitro Diagnostics are devices intended for use in the collection, preparation, and examination of specimens taken from the human body (such as blood, urine, or tissue) to provide information for the diagnosis, treatment, or prevention of disease.
  • Benephit® Function: The Benephit® systems are described as infusion systems designed to deliver physician-specified agents directly to the kidneys via the renal arteries. This is an in vivo procedure, meaning it involves introducing a device into the living body for therapeutic purposes (delivering agents) and potentially diagnostic purposes (facilitating procedures).
  • Lack of Specimen Analysis: The description does not mention the collection, preparation, or analysis of any biological specimens. The device's function is to deliver substances, not to test or analyze samples.

Therefore, the Benephit® Infusion Systems fall under the category of medical devices used for therapeutic and interventional procedures, not In Vitro Diagnostics.

N/A

Intended Use / Indications for Use

The FlowMedica Benephit® Infusion Systems are intended to facilitate targeted renal therapy, or TRT®, the delivery of physician-specified agents to the kidneys via the renal arteries. The Benephit® Infusion Systems are indicated for use in patients undergoing medical, interventional, or surgical procedures, where the procedure carries an elevated risk of iatrogenic kidney injury for the patient. The Benephit® Infusion Systems are also indicated to facilitate TRT® in patients who have demonstrated symptoms of acute kidney injury, and in whom arterial catheterization for TRT® is feasible.

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

KRA; DYB

Device Description

The Benephit® family of infusion systems comprises the Benephit® CV, Benephit® PV, Benephit® PVMini, Benephit® PVSolo, and Benephit® XT systems. Each system includes a bifurcated infusion catheter and a vascular introducer sheath with dilator.

Each Benephit® Infusion System consists of a bifurcated infusion catheter and a vascular introducer sheath with dilator. The bifurcated infusion catheter in each of the Benephit® systems is a single-lumen infusion catheter with a bifurcated distal end that allows access to two locations (e.g., two renal arteries) for infusion simultaneously. Each system's introducer sheath is a PTFE-lined, coil reinforced polymer sheath with matching radiopaque dilator.

The Benephit® CV system comprises a 2.4 Fr. bifurcated infusion catheter, utilizing a nitinol hypo tube shaft, and an 8 Fr. compatible introducer sheath with a unique Y-hub design. The Y-hub allows for introduction of the bifurcated infusion catheter and another interventional vascular device (up to 6 Fr. OD) simultaneously. This allows for targeted renal therapy (TRT) to be performed in conjunction with another interventional procedure through a single vascular access.

The Benephit® PV, PVMini, PVSolo, and XT systems comprise a 4.8 Fr. bifurcated catheter utilizing a braid reinforced polymer shaft and a 5 Fr. compatible introducer sheath with a standard single hemostasis valve configuration. These systems provide a smaller vascular access to allow stand-alone TRT procedures or TRT in conjunction with non-interventional procedures (e.g., open surgery), or they may be used in conjunction with other interventional procedures via separate vascular access. In the case of the PVSolo uniquely, only a single infusion branch is active for infusion, allowing for TRT to a single renal artery when this is desired.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

kidneys via the renal arteries

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)

An evaluation of data gained through normal post-production monitoring and from a FlowMedica-sponsored post-market customer preference study provides support for the new indication proposed. These data show that the Benephit devices perform as intended, and are safe and effective for their intended use and for the new label indication as proposed.

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.

The FlowMedica Benephit® Infusion Systems, each being a legally marketed device per 21 CFR 807.92(a)(3), serve as their own predicates.

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.

K033569, K050205

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

§ 870.1210 Continuous flush catheter.

(a)
Identification. A continuous flush catheter is an attachment to a catheter-transducer system that permits continuous intravascular flushing at a slow infusion rate for the purpose of eliminating clotting, back-leakage, and waveform damping.(b)
Classification. Class II (performance standards).

0

510(k) Summary FlowMedica, Inc. Benephit® Infusion Systems

OCT 2 9 2008

510(k) Notification: K_088103

GENERAL INFORMATION

Manufacturer:

FlowMedica, Inc. 46563 Fremont Blvd Fremont, CA 94538 USA (510) 252-9500 Tel: (510) 252-9515 Fax:

Contact Person:

Jeff Elkins President & CEO

Date Prepared:

Monday, July 28, 2008

DEVICE DESCRIPTION

The Benephit® family of infusion systems comprises the Benephit® CV, Benephit® PV, Benephit® PVMini, Benephit® PVSolo, and Benephit® XT systems. Each system includes a bifurcated infusion catheter and a vascular introducer sheath with dilator.

Classification:

Continuous flush catheter, 21 CFR 870.1210, class II

Catheter introducer, 21 CFR 870.1340, class II

Trade Name:

FlowMedica Benephit® CV Infusion System

FlowMedica Benephit® PV Infusion System

FlowMedica Benephit® PVMini Infusion System

FlowMedica Benephit® PVSolo Infusion System

FlowMedica Benephit® XT Infusion System

Generic/common name:

Continuous flush catheter

Catheter introducer

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7/28/2008

PREDICATE DEVICES

The FlowMedica Benephit® Infusion Systems, each being a legally marketed device per 21 CFR 807.92(a)(3), serve as their own predicates. Reference original 510(k) submissions K033569 (cleared January 13, 2004) and K050205 (cleared March 4, 2005).

INTENDED USE

The FlowMedica Benephit® Infusion Systems are intended to facilitate targeted renal therapy, or TRT®, the delivery of physician-specified agents to the kidneys via the renal arteries. The Benephit® Infusion Systems are indicated for use in patients undergoing medical, interventional, or surgical procedures, where the procedure carries an elevated risk of iatrogenic kidney injury for the patient. The Benephit® Infusion Systems are also indicated to facilitate TRT® in patients who have demonstrated symptoms of acute kidney injury, and in whom arterial catheterization for TRT® is feasible.

PRODUCT DESCRIPTIONS

Each Benephit® Infusion System consists of a bifurcated infusion catheter and a vascular introducer sheath with dilator. The bifurcated infusion catheter in each of the Benephit® systems is a single-lumen infusion catheter with a bifurcated distal end that allows access to two locations (e.g., two renal arteries) for infusion simultaneously. Each system's introducer sheath is a PTFE-lined, coil reinforced polymer sheath with matching radiopaque dilator.

The Benephit® CV system comprises a 2.4 Fr. bifurcated infusion catheter, utilizing a nitinol hypo tube shaft, and an 8 Fr. compatible introducer sheath with a unique Y-hub design. The Y-hub allows for introduction of the bifurcated infusion catheter and another interventional vascular device (up to 6 Fr. OD) simultaneously. This allows for targeted renal therapy (TRT) to be performed in conjunction with another interventional procedure through a single vascular access.

The Benephit® PV, PVMini, PVSolo, and XT systems comprise a 4.8 Fr. bifurcated catheter utilizing a braid reinforced polymer shaft and a 5 Fr. compatible introducer sheath with a standard single hemostasis valve configuration. These systems provide a smaller vascular access to allow stand-alone TRT procedures or TRT in conjunction with non-interventional procedures (e.g., open surgery), or they may be used in conjunction with other interventional procedures via separate vascular access. In the case of the PVSolo uniquely, only a single infusion branch is active for infusion, allowing for TRT to a single renal artery when this is desired.

SUBSTANTIAL EQUIVALENCE

The Benephit® systems covered in this submission are identical in design, materials, processing, and technological characteristics as their predicate devices, and as such are substantially equivalent in those regards. The proposed change in this submission is in the indications for use only. The change in label indications reflects specific settings for

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K082103 Puyi 303

7/28/2008

the devices but does not alter their intended use, which is to provide targeted renal therapy, or TRT®. Because the intended use of the devices is not being changed, they are deemed substantially equivalent to their predicate devices.

SUPPORT FOR NEW INDICATION & SUBSTANTIAL EQUIVALENCE

An evaluation of data gained through normal post-production monitoring and from a FlowMedica-sponsored post-market customer preference study provides support for the new indication proposed. These data show that the Benephit devices perform as intended, and are safe and effective for their intended use and for the new label indication as proposed. Thus the Benephit devices with the proposed label indication change are substantially equivalent to the predicate devices.

SUMMARY

The Benephit® CV, PV, PVMini, PVSolo, and XT Infusion Systems with modified indications for use as proposed here are substantially equivalent to their predicate devices.

3

Image /page/3/Picture/1 description: The image shows the logo for the Department of Health & Human Services (HHS). The logo consists of a stylized caduceus symbol, which is a staff with two snakes coiled around it, and the text "DEPARTMENT OF HEALTH & HUMAN SERVICES · USA" arranged in a circular fashion around the symbol. The text is in all caps and is evenly spaced around the circle.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

OCT 2 9 2008

FlowMedica, Inc. c/o Mr. Jeff Elkins President & CEO 46563 Fremont Blvd. Fremont, CA 94538

Re: K082163

FlowMedica Benephit® CV Infusion System, FlowMedica Benephit® PV Infusion System, FlowMedica Benephit® PVMini Infusion System, FlowMedica Benephit® PVSolo Infusion System, FlowMedica Benephit® XT Infusion System Regulation Number: 21 CFR 870.1210 Regulation Name: Continuous Flush Catheter Regulatory Class: Class II Product Code: KRA; DYB Dated: July 28, 2008 Received: July 31, 2008

Dear Mr. Elkins:

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. Jeff Elkins

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) promarket 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 Center for Devices and Radiological Health's (CDRH's) Office of Compliance at (240) 276-0120. Also, plcase note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding postmarket surveillance, please contact CDRH's Office of Surveillance and Biometrics' (OSB's) Division of Postmarket Surveillance at 240-276-3474. For questions regarding the reporting of device adverse events (Medical Device Reporting (MDR)), please contact the Division of Surveillance Systems at 240-276-3464. 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 vours.

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Bram D. Zuckerman, M.D. Director Division of Cardiovascular Device Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

5

FlowMedica, Inc., 510(k) Submission

7/28/2008

CONFIDENTIAL

FlowMedica, Inc. 46563 Fremont Blvd. Fremont, CA 94538

STATEMENT OF INDICATIONS FOR USE

510(k) Number (if known):K082163
Device NameFlowMedica Benephit ® CV Infusion System
FlowMedica Benephit ® PV Infusion System
FlowMedica Benephit ® PVMini Infusion System
FlowMedica Benephit ® PVSolo Infusion System
FlowMedica Benephit ® XT Infusion System
Indications for Use:The FlowMedica Benephit® Infusion Systems are intended to facilitate targeted renal therapy, or TRT®, the delivery of physician-specified agents to the kidneys via the renal arteries. The Benephit® Infusion Systems are indicated for use in patients undergoing medical, interventional, or surgical procedures, where the procedure carries an elevated risk of iatrogenic kidney injury for the patient. The Benephit® Infusion Systems are also indicated to facilitate TRT® in patients who have demonstrated symptoms of acute kidney injury, and in whom arterial catheterization for TRT® is feasible.
Prescription UseX
or
Over-the-counter Use

Please Do Not Write Below This Line - Continue On Another Page If Needed

Concurrence of CDRH, Office of Device Evaluation (ODE)

Division sign-off
Division of Cardiovascular Devices
510(k) Number:K082163
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