(82 days)
Not Found
No
The document describes a physical medical device (a catheter) and its intended use and features, with no mention of software, algorithms, or AI/ML capabilities.
Yes
The device is described as a "Chronic Dialysis Catheter," indicating its use in hemodialysis, which is a therapeutic intervention for patients with kidney failure.
No
Explanation: The device description states it is a catheter for attaining long-term vascular access for hemodialysis and apheresis, which is a therapeutic rather than diagnostic function.
No
The device description clearly outlines a physical catheter with lumens, connectors, clamps, and a stylet, 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 for "attaining long-term vascular access for hemodialysis and apheresis." This is a therapeutic procedure performed directly on the patient to treat a medical condition (kidney failure requiring dialysis, or conditions requiring apheresis).
- Device Description: The device is a catheter designed to be inserted into a blood vessel. This is an invasive medical device used for treatment, not for testing samples outside the body.
- Lack of IVD Characteristics: There is no mention of the device being used to test samples (blood, urine, tissue, etc.) in vitro (outside the body) to diagnose a condition, monitor treatment, or screen for diseases.
IVD devices are used to perform tests on samples taken from the body to provide information about a person's health. This device is used to directly access the vascular system for treatment.
N/A
Intended Use / Indications for Use
The ProGuide Chronic Dialysis Catheter is indicated for use in attaining long-term vascular access for hemodialysis and apheresis. It may be implanted percutaneously and is primarily placed in the internal jugular or subclavian vein of an adult patient. Catheters greater than 40 cm are intended for femoral vein insertion.
Product codes (comma separated list FDA assigned to the subject device)
MSD
Device Description
The 55cm ProGuide Chronic Dialysis catheter is a 14.5 French dual lumen catheter that provides two dedicated (arterial/venous) lumens. The arterial and venous lumen extension legs have female connectors and atraumatic occlusion clamps which close the access to the lumen. The catheter comes with a stiffening stylet to help facilitate catheter insertion over-the-wire placement.
Mentions image processing
Not Found
Mentions AI, DNN, or ML
Not Found
Input Imaging Modality
Not Found
Anatomical Site
internal jugular or subclavian vein, femoral vein
Indicated Patient Age Range
adult patient
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)
No performance standards have been established under Section 514 of the Food, Drug and Cosmetic Act for these devices. However, a battery of tests was performed according to protocols based on the requirements of industry standards and guidances and were shown to meet the acceptance criteria that were determined to be applicable to the safety and efficacy of the device.
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.
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
§ 876.5540 Blood access device and accessories.
(a)
Identification. A blood access device and accessories is a device intended to provide access to a patient's blood for hemodialysis or other chronic uses. When used in hemodialysis, it is part of an artificial kidney system for the treatment of patients with renal failure or toxemic conditions and provides access to a patient's blood for hemodialysis. The device includes implanted blood access devices, nonimplanted blood access devices, and accessories for both the implanted and nonimplanted blood access devices.(1) The implanted blood access device is a prescription device and consists of various flexible or rigid tubes, such as catheters, or cannulae, which are surgically implanted in appropriate blood vessels, may come through the skin, and are intended to remain in the body for 30 days or more. This generic type of device includes various catheters, shunts, and connectors specifically designed to provide access to blood. Examples include single and double lumen catheters with cuff(s), fully subcutaneous port-catheter systems, and A-V shunt cannulae (with vessel tips). The implanted blood access device may also contain coatings or additives which may provide additional functionality to the device.
(2) The nonimplanted blood access device consists of various flexible or rigid tubes, such as catheters, cannulae or hollow needles, which are inserted into appropriate blood vessels or a vascular graft prosthesis (§§ 870.3450 and 870.3460), and are intended to remain in the body for less than 30 days. This generic type of device includes fistula needles, the single needle dialysis set (coaxial flow needle), and the single needle dialysis set (alternating flow needle).
(3) Accessories common to either type include the shunt adaptor, cannula clamp, shunt connector, shunt stabilizer, vessel dilator, disconnect forceps, shunt guard, crimp plier, tube plier, crimp ring, joint ring, fistula adaptor, and declotting tray (including contents).
(b)
Classification. (1) Class II (special controls) for the implanted blood access device. The special controls for this device are:(i) Components of the device that come into human contact must be demonstrated to be biocompatible. Material names and specific designation numbers must be provided.
(ii) Performance data must demonstrate that the device performs as intended under anticipated conditions of use. The following performance characteristics must be tested:
(A) Pressure versus flow rates for both arterial and venous lumens, from the minimum flow rate to the maximum flow rate in 100 milliliter per minute increments, must be established. The fluid and its viscosity used during testing must be stated.
(B) Recirculation rates for both forward and reverse flow configurations must be established, along with the protocol used to perform the assay, which must be provided.
(C) Priming volumes must be established.
(D) Tensile testing of joints and materials must be conducted. The minimum acceptance criteria must be adequate for its intended use.
(E) Air leakage testing and liquid leakage testing must be conducted.
(F) Testing of the repeated clamping of the extensions of the catheter that simulates use over the life of the device must be conducted, and retested for leakage.
(G) Mechanical hemolysis testing must be conducted for new or altered device designs that affect the blood flow pattern.
(H) Chemical tolerance of the device to repeated exposure to commonly used disinfection agents must be established.
(iii) Performance data must demonstrate the sterility of the device.
(iv) Performance data must support the shelf life of the device for continued sterility, package integrity, and functionality over the requested shelf life that must include tensile, repeated clamping, and leakage testing.
(v) Labeling of implanted blood access devices for hemodialysis must include the following:
(A) Labeling must provide arterial and venous pressure versus flow rates, either in tabular or graphical format. The fluid and its viscosity used during testing must be stated.
(B) Labeling must specify the forward and reverse recirculation rates.
(C) Labeling must provide the arterial and venous priming volumes.
(D) Labeling must specify an expiration date.
(E) Labeling must identify any disinfecting agents that cannot be used to clean any components of the device.
(F) Any contraindicated disinfecting agents due to material incompatibility must be identified by printing a warning on the catheter. Alternatively, contraindicated disinfecting agents must be identified by a label affixed to the patient's medical record and with written instructions provided directly to the patient.
(G) Labeling must include a patient implant card.
(H) The labeling must contain comprehensive instructions for the following:
(
1 ) Preparation and insertion of the device, including recommended site of insertion, method of insertion, and a reference on the proper location for tip placement;(
2 ) Proper care and maintenance of the device and device exit site;(
3 ) Removal of the device;(
4 ) Anticoagulation;(
5 ) Management of obstruction and thrombus formation; and(
6 ) Qualifications for clinical providers performing the insertion, maintenance, and removal of the devices.(vi) In addition to Special Controls in paragraphs (b)(1)(i) through (v) of this section, implanted blood access devices that include subcutaneous ports must include the following:
(A) Labeling must include the recommended type of needle for access as well as detailed instructions for care and maintenance of the port, subcutaneous pocket, and skin overlying the port.
(B) Performance testing must include results on repeated use of the ports that simulates use over the intended life of the device.
(C) Clinical performance testing must demonstrate safe and effective use and capture any adverse events observed during clinical use.
(vii) In addition to Special Controls in paragraphs (b)(1)(i) through (v) of this section, implanted blood access devices with coatings or additives must include the following:
(A) A description and material characterization of the coating or additive material, the purpose of the coating or additive, duration of effectiveness, and how and where the coating is applied.
(B) An identification in the labeling of any coatings or additives and a summary of the results of performance testing for any coating or material with special characteristics, such as decreased thrombus formation or antimicrobial properties.
(C) A Warning Statement in the labeling for potential allergic reactions including anaphylaxis if the coating or additive contains known allergens.
(D) Performance data must demonstrate efficacy of the coating or additive and the duration of effectiveness.
(viii) The following must be included for A-V shunt cannulae (with vessel tips):
(A) The device must comply with Special Controls in paragraphs (b)(1)(i) through (v) of this section with the exception of paragraphs (b)(1)(ii)(B), (b)(1)(ii)(C), (b)(1)(v)(B), and (b)(1)(v)(C), which do not apply.
(B) Labeling must include Warning Statements to address the potential for vascular access steal syndrome, arterial stenosis, arterial thrombosis, and hemorrhage including exsanguination given that the device accesses the arterial circulation.
(C) Clinical performance testing must demonstrate safe and effective use and capture any adverse events observed during clinical use.
(2) Class II (performance standards) for the nonimplanted blood access device.
(3) Class II (performance standards) for accessories for both the implanted and the nonimplanted blood access devices not listed in paragraph (b)(4) of this section.
(4) Class I for the cannula clamp, disconnect forceps, crimp plier, tube plier, crimp ring, and joint ring, accessories for both the implanted and nonimplanted blood access device. The devices subject to this paragraph (b)(4) are exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 876.9.
0
Page 1 of 2
Merit Medical Systems, Inc.
55cm ProGuide Chronic Dialysis Catheter
Traditional Premarket Notification 510(k)
Section 5 510(k) Summary
| Section 5
| 510(k) Summary | APR 13 2009 | ||
|---|---|---|---|
| General | |||
| Provisions | Submitter Name: | ||
| Address: | |||
| Telephone Number: | |||
| Fax Number: | |||
| Contact Person: | |||
| Date of Preparation: | |||
| Registration Number: | Merit Medical Systems, Inc. | ||
| 1600 West Merit Parkway | |||
| South Jordan, UT 84095 | |||
| (801) 208-4789 | |||
| (801) 253-6919 | |||
| Susan Christensen | |||
| January 19, 2009 | |||
| 1721504 | |||
| Subject | |||
| Device | Trade Name: | ||
| Common/Usual Name: | |||
| Classification Name: | 55cm ProGuide ™ | ||
| Chronic Dialysis Catheter | |||
| Implanted Hemodialysis Catheter | |||
| Predicate | |||
| Devices | Trade Name: | ||
| Classification Name: | |||
| Premarket Notification: | |||
| Manufacturer: | ProGuide Chronic Dialysis Catheter | ||
| Implanted Hemodialysis Catheter | |||
| K042016 | |||
| Merit Medical Systems, Inc. | |||
| Trade Name: | |||
| Classification Name: | |||
| Premarket Notification: | |||
| Manufacturer: | EvenMore® Chronic Hemodialysis Catheter | ||
| Implanted Hemodialysis Catheter | |||
| K040402 | |||
| AngioDynamics® Inc. | |||
| Classification | Class III | ||
| 21 CFR § 876.5540, 78 MSD | |||
| Division of Gastroenterology and Renal Devices | |||
| Intended Use | The ProGuide Chronic Dialysis Catheter is indicated for use in | ||
| attaining long-term vascular access for hemodialysis and apheresis. | |||
| It may be implanted percutaneously and is primarily placed in the | |||
| internal jugular or subclavian vein of an adult patient. | |||
| Catheters greater than 40 cm are intended for femoral vein insertion. |
•
.
Confidential
· .
.
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Page 2 of 2
Merit Medical Systems, Inc.
55cm ProGuide Chronic Dialysis Catheter Traditional Premarket Notification 510(k)
Section 5
510(k) Summary
| Device
Description | The 55cm ProGuide Chronic Dialysis catheter is a 14.5 French dual
lumen catheter that provides two dedicated (arterial/venous) lumens.
The arterial and venous lumen extension legs have female
connectors and atraumatic occlusion clamps which close the access
to the lumen. The catheter comes with a stiffening stylet to help
facilitate catheter insertion over-the-wire placement. |
|------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Technological
Characteristics | Technological characteristics of the subject 55cm ProGuide Chronic
Dialysis Catheter are equivalent to those of the predicates, the
currently marketed ProGuide Chronic Dialysis catheter [K042016]
and the AngioDynamics' EvenMore® Chronic Hemodialysis Catheter
[K040402]. This equivalence extends to the device's design,
materials, and function with the predicate the currently marketed
ProGuide Chronic Dialysis catheter [K042016]. The useable length
specifications and anatomical placement locations are equivalent
with the AngioDynamics' EvenMore® Chronic Hemodialysis Catheter
[K040402]. |
| Safety &
Performance
Tests | No performance standards have been established under Section 514
of the Food, Drug and Cosmetic Act for these devices. However, a
battery of tests was performed according to protocols based on the
requirements of industry standards and guidances and were shown
to meet the acceptance criteria that were determined to be
applicable to the safety and efficacy of the device. |
| Summary of
Substantial
Equivalence | Based on the indications for use, design, safety, and performance
testing, the subject 55cm ProGuide Chronic Dialysis Catheter meets
the minimum requirements that are considered essential for its
intended use and is substantially equivalent to the predicate devices,
the currently marketed ProGuide Chronic Dialysis catheter
manufactured by Merit Medical Systems, Inc. and the EvenMore
Chronic Hemodialysis Catheter, manufactured by AngioDynamics,
Inc. |
.
2
Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle with its wings spread, and the words "DEPARTMENT OF HEALTH & HUMAN SERVICES . USA" are arranged in a circle around the eagle. The eagle is black, and the text is also black. The logo is simple and recognizable.
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
Ms. Susan Christensen Regulatory Affairs Specialist II Merit Medical Systems, Inc. 1600 West Merit Parkway SOUTH JORDAN UT 84095
APR 1 3 2009
Re: K090148
Trade/Device Name: 55 cm ProGuide Dialysis Catheter Regulation Number: 21 CFR §876.5540 Regulation Name: Blood access device and accessories Regulatory Class: III Product Code: MSD Dated: January 19, 2009 Received: January 21, 2009
Dear Ms. 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 to legally ucvareted 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 accardance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act). You may, therefore, market the device, subject to the general controls provisions of the Act. However, you are responsible to determine that the medical devices you use as components in the kit have either been deterrined as substantially equivalent under the premarket notification process (Section 510(t) of the anti), or were legally on the market prior to May 28, 1976, the enactment (ate of the Medice) , , Amendments. Please note: If you purchase your device components in bulk (i.e., untinished) and further process (e.g., sterilize) you must submit a new 510(k) before including these components in your kit. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, and 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 additional controls. Existing major regulations affecting your devir (111) 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
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 the labeling regulation, please contact the Office of Compliance at (240) 276-0115. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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.dsmaldsmamain.html.
Sincerely yours,
Janine M. Morris Acting Director, Division of Reproductive, Abdominal, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health
4
Section 4
Indications for Use Statement
510(k) Number (if known):
Device Name: 55cm ProGuide Chronic Dialysis Catheter
Indications for Use:
The ProGuide Chronic Dialysis Catheter is indicated for use in attaining long-term vascular access for hemodialysis and apheresis.
It may be implanted percutaneously and is primarily placed in the internal jugular or subclavian vein of an adult patient.
Catheters greater than 40 cm are intended for femoral vein insertion.
Prescription Use × (Part 21 CFR 801 Subpart D) 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)
Hul
(Division Sign-Off)
(Consion of Reproductive, Abdominal, and Radiological Devices
510(k) Number K090148