K Number
K090634
Device Name
PHASEAL PROTECTOR P14, P21, P28 AND P50
Manufacturer
Date Cleared
2009-03-23

(14 days)

Product Code
Regulation Number
880.5440
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The indication for use is reconstitution and transfer of drug solutions from one container to another while minimizing exposure to potentially hazardous drugs aerosols and spills that can occur during the reconstitution, administration and disposal process.
Device Description
The single lumen docking station of the Protector is fitted to the drug vial for the parenteral drug. The Injector is connected to the Protector and liquid transfer takes place through tightly fitting elastomeric double membranes to minimize leakage during reconstitution, administration and disposal processes. The Protector equilibrates the pressure difference which occurs when fluid or air is added to, or removed from the drug vial.
More Information

No
The description focuses on mechanical components and fluid transfer mechanisms, with no mention of AI, ML, or data processing for decision-making or analysis.

No
The device is described as a system for reconstituting and transferring drug solutions, minimizing exposure to hazardous drugs aerosols and spills. It is not intended to treat, mitigate, or prevent a disease or condition in a patient.

No
The device is described as facilitating the reconstitution and transfer of drug solutions and minimizing exposure to hazardous drugs. It also equilibrates pressure differences in drug vials. These functions are not indicative of diagnostic capabilities.

No

The device description clearly describes physical components (docking station, injector, elastomeric double membranes) used for drug reconstitution and transfer, indicating it is a hardware device.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is focused on the reconstitution and transfer of drug solutions and minimizing exposure to hazardous drugs. This is a process related to drug preparation and administration, not the diagnosis of a disease or condition using in vitro methods.
  • Device Description: The device description details a system for transferring liquids between containers and managing pressure, which aligns with the intended use of drug handling. There is no mention of analyzing biological samples or detecting analytes.
  • Lack of IVD Characteristics: The description does not include any elements typically associated with IVDs, such as:
    • Analysis of biological samples (blood, urine, tissue, etc.)
    • Detection or measurement of analytes (biomarkers, pathogens, etc.)
    • Diagnostic claims or indications

The device is clearly designed for the safe handling of drugs, which falls under the category of medical devices used in drug preparation and administration, not in vitro diagnostics.

N/A

Intended Use / Indications for Use

The indication for use is reconstitution and transfer of drug solutions from one container to another while minimizing exposure to potentially hazardous drugs aerosols and spills that can occur during the reconstitution, administration and disposal process.

Product codes

LHI

Device Description

The single lumen docking station of the Protector is fitted to the drug vial for the parenteral drug. The Injector is connected to the Protector and liquid transfer takes place through tightly fitting elastomeric double membranes to minimize leakage during reconstitution, administration and disposal processes. The Protector equilibrates the pressure difference which occurs when fluid or air is added to, or removed from the drug vial.

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

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)

The Protectors have been tested and found in compliance with applicable requirements and standards specifications.

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

Not Found

Predicate Device(s)

K001368

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 880.5440 Intravascular administration set.

(a)
Identification. An intravascular administration set is a device used to administer fluids from a container to a patient's vascular system through a needle or catheter inserted into a vein. The device may include the needle or catheter, tubing, a flow regulator, a drip chamber, an infusion line filter, an I.V. set stopcock, fluid delivery tubing, connectors between parts of the set, a side tube with a cap to serve as an injection site, and a hollow spike to penetrate and connect the tubing to an I.V. bag or other infusion fluid container.(b)
Classification. Class II (special controls). The special control for pharmacy compounding systems within this classification is the FDA guidance document entitled “Class II Special Controls Guidance Document: Pharmacy Compounding Systems; Final Guidance for Industry and FDA Reviewers.” Pharmacy compounding systems classified within the intravascular administration set are exempt from the premarket notification procedures in subpart E of this part and subject to the limitations in § 880.9.

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ATTACHMENT 5

KOGOGZA 1 of 3

510(K) SUMMARY

Mar 2 3 2009

Summary of Safety and Effectiveness

In accordance with 21 CFR 807.92, the following information constitutes the Carmel Pharma ab summary for the Protector P14, P21, P28 and P50 included in: PhaSeal® - A Closed System Drug Transfer Device for Preparation and Administration of Parenteral Drugs

SUBMITTER'S NAME:Carmel Pharma ab
ADDRESS:Box 5352
SE 402 28 Goteborg
Sweden
CONTACT PERSON:Kjell Andreasson
TELEPHONE NUMBER:+46 31 7030400
FAX NUMBER:+46 31 7030404
DATE OF SUBMISSION:February 20, 2009

Identification of device 1.

Proprietary Name: Common Name: Classification Status: Product code:

PhaSeal Protector I.V. Fluid Transfer Set Class II per 21 CFR 880.5440 rHI

2. Equivalent devices

Protector P14, P21 and P50 cleared in K001368

3. Description of the Device

The single lumen docking station of the Protector is fitted to the drug vial for the parenteral drug. The Injector is connected to the Protector and liquid transfer takes place through tightly fitting elastomeric double membranes to minimize leakage during reconstitution, administration and disposal processes. The Protector equilibrates the pressure difference which occurs when fluid or air is added to, or removed from the drug vial.

4. Intended use

Drug Vial Adapter for closed reconstitution of parenteral drugs.

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K090634

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5. Technological characteristics, comparison to predicate device.

Comparison table

Protector 14

SubjectModified P14Predicate P14, K001368Equivalent
Intended useDrug Vial Adapter for closed
reconstitusion of parenteral
drugs.Drug Vial Adapter for closed
reconstitusion of parenteral
drugs.Yes
MaterialPolypropylenePolypropyleneYes
SpikeStainless steelStainless steelYes
Drug vial sizeØ 13 mmØ 13 mmYes
Expansion
chamber20 ml20 mlYes
Sterilization
methodEtOEtOYes

Protector 21

SubjectModified P21Predicate P21, K001368Equivalent
Intended useDrug Vial Adapter for closed reconstitution of parenteral drugs.Drug Vial Adapter for closed reconstitution of parenteral drugs.Yes
MaterialPolypropylenePolypropyleneYes
SpikeStainless steelStainless steelYes
Drug vial sizeØ 20 mmØ 20 mmYes
Expansion chamber20 ml20 mlYes
Sterilization methodEtOEtOYes

Protector 28

SubjectModified P28Predicate P50, K001368Equivalent
Intended useDrug Vial Adapter for closed
reconstitution of parenteral
drugs.Drug Vial Adapter for closed
reconstitution of parenteral
drugs.Yes
MaterialPolypropylenePolypropyleneYes
SpikePlasticStainless steelNo
Drug vial sizeØ 28 mmØ 28 mmYes
Expansion
chamber50 ml50 mlYes
Sterilization
methodEtOEtOYes

2

Protector 50
SubjectModified P50Predicate P50, K001368Equivalent
Intended useDrug Vial Adapter for closed reconstitution of parenteral drugs.Drug Vial Adapter for closed reconstitution of parenteral drugs.Yes
MaterialPolypropylenePolypropyleneYes
SpikeStainless steelStainless steelYes
Drug vial sizeØ 20 mmØ 20 mmYes
Expansion chamber50 ml50 mlYes
Sterilization methodEtOEtOYes

6. Discussion of performance testing.

The Protectors have been tested and found in compliance with applicable requirements and standards specifications.

7. Conclusion

Based on comparison to the predicate device, we come to the conclusion that the Protectors P14, P21, P28 and P50 included in the PhaSeal System, are substantially equivalent to previously cleared predicate devices and presents no new concerns about safety and effectiveness.

3

Image /page/3/Picture/1 description: The image shows the seal of the Department of Health & Human Services (HHS) of the United States. The seal features a stylized eagle with outstretched wings, symbolizing protection and care. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" are arranged in a circular pattern around the eagle.

MAR 2 & 2009

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mr. Kjell Andreasson President Quality Assurance and Regulatory Affairs Carmel Pharma AB Box 5352 SE 402 28 Goteborg SWEDEN

Re: K090634

Trade/Device Name: Protector P14, P21, P28 and P50 Regulation Number: 21 CFR 880.5440 Regulation Name: Intravascular Administration Set Regulatory Class: II Product Code: LHI Dated: February 20, 2009 Received: March 9, 2009

Dear Mr. Andreasson:

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

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 (OS) 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 Center for Devices and Radiological Health's (CDRH's) Office of Compliance at (240) 276-0115. Also, please 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 Biometric's (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 yours,

Sattie J. Michael Ows.

Ginette Y. Michaud, M.D. Acting Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Attachment 1

Indications for Use Statement

510(k) Number (if known)
Device NameProtector P14, P21, P28 and P50
Indications for UseThe indication for use is reconstitution and transfer of drug solutions from one container to another while minimizing exposure to potentially hazardous drugs aerosols and spills that can occur during the reconstitution, administration and disposal process.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use Yes
(Per 21 CFR 801. 109)
OR
Over-The-Counter Use: No

Division Sign-Off)
Division of Anesthesiology, General Hospital
Infection Control, Dental Devices

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510(k) Number: K090634