K Number
K091586
Device Name
VASCU-PICC AND MIDLINE CATHETERS, SINGLE, DOUBLE AND TRIPLE LUMEN
Manufacturer
Date Cleared
2009-07-23

(51 days)

Product Code
Regulation Number
880.5970
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Peripherally Inserted Central Vein Access catheters are designed for short or long term peripheral access to the central venous system for intravenous therapy and blood sampling. For central venous pressure monitoring (CVP), it is recommended that catheter lumen of 20 gauge or larger be used. The Midline catheters are indicated for short or long term peripheral access to the peripheral venous system for selected intravenous therapies and blood sampling. (See Contraindications). For blood therapy it is recommended that a 4French or larger catheter be used.
Device Description
The Vascu-PICC® and Midline Catheters are designed for peripheral vein catheterization. The lumen is an open-ended design comprised of a soft radiopaque polyurethane material with barium sulfate for radiopacity. The lumen is connected to the extensions via a soft pliable hub with suture wing for secure placement. Clamps are provided on the extension tubes to prevent air/fluid communication. Female luer connectors provide the connection for intravenous administration. The catheters are available in a range of French sizes in single, double and triple lumen. The outside diameter of the lumen has a reverse taper increasing gradually near the hub to aid in kink resistance and to provide a mechanical obstruction to bleeding from the venotomy. The lumen has depth marks every centimeter and numerical marks every 5th centimeter and are available in 20cm for Midline placement and a trimmable 60cm for PICC's. The Vascu-PICC® and Midline Catheters product line is packaged sterile with the necessary accessories to facilitate catheter insertion.
More Information

Not Found

No
The summary describes a physical medical device (catheter) and its materials, dimensions, and performance testing, with no mention of software, algorithms, or AI/ML capabilities.

No

The device is described as a catheter for peripheral access to the central or peripheral venous system for intravenous therapy and blood sampling. While it facilitates therapy, it is not a therapeutic device itself, but rather a delivery mechanism or access device.

No

The device is a catheter designed for intravenous therapy and blood sampling, not for diagnosing medical conditions.

No

The device description clearly details a physical catheter made of polyurethane with various hardware components (lumen, hub, extensions, clamps, luer connectors). It is a tangible medical device, not software.

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

Here's why:

  • Intended Use: The intended use clearly states the device is for "peripheral access to the central venous system for intravenous therapy and blood sampling" and "peripheral access to the peripheral venous system for selected intravenous therapies and blood sampling." These are procedures performed on the patient's body, not on samples from the patient's body to diagnose a condition.
  • Device Description: The description details a catheter designed for insertion into veins. This is a medical device used for direct patient care, not for analyzing biological samples.
  • Lack of IVD Characteristics: There is no mention of the device being used to test or analyze biological samples (like blood, urine, tissue, etc.) outside of the body to provide diagnostic information.

Therefore, the Vascu-PICC® and Midline Catheters are medical devices used for patient treatment and access, not for in vitro diagnostic testing.

N/A

Intended Use / Indications for Use

The Peripherally Inserted Central Vein Access catheters are designed for short or long term peripheral access to the central venous system for intravenous therapy and blood sampling. For central venous pressure monitoring (CVP), it is recommended that catheter lumen of 20 gauge or larger be used.

The Midline catheters are indicated for short or long term peripheral access to the peripheral venous system for selected intravenous therapies and blood sampling. (See Contraindications). For blood therapy it is recommended that a 4French or larger catheter be used.

Product codes

LJS

Device Description

The Vascu-PICC® and Midline Catheters are designed for peripheral vein catheterization. The lumen is an open-ended design comprised of a soft radiopaque polyurethane material with barium sulfate for radiopacity. The lumen is connected to the extensions via a soft pliable hub with suture wing for secure placement. Clamps are provided on the extension tubes to prevent air/fluid communication. Female luer connectors provide the connection for intravenous administration.

The catheters are available in a range of French sizes in single, double and triple lumen. The outside diameter of the lumen has a reverse taper increasing gradually near the hub to aid in kink resistance and to provide a mechanical obstruction to bleeding from the venotomy. The lumen has depth marks every centimeter and numerical marks every 5th centimeter and are available in 20cm for Midline placement and a trimmable 60cm for PICC's.

The Vascu-PICC® and Midline Catheters product line is packaged sterile with the necessary accessories to facilitate catheter insertion.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

central venous system, peripheral venous system

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 following in-vitro testing was performed on the Vascu-PICC® and Midline Catheters to assure reliable design and performance in accordance with ISO standards.

  • Air Leakage
  • Liquid Leakage
  • Elongation
  • Tensile
  • Gravity Flow Rate
  • Priming Volume
  • Aging
  • Chemical Testing
  • Stress Testing

Results for all biocompatibility testing demonstrate the materials used meet the requirements of ISO 10993.

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

Not Found

Predicate Device(s)

K003682, K001901, K043502, K051991

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 880.5970 Percutaneous, implanted, long-term intravascular catheter.

(a)
Identification. A percutaneous, implanted, long-term intravascular catheter is a device that consists of a slender tube and any necessary connecting fittings, such as luer hubs, and accessories that facilitate the placement of the device. The device allows for repeated access to the vascular system for long-term use of 30 days or more, and it is intended for administration of fluids, medications, and nutrients; the sampling of blood; and monitoring blood pressure and temperature. The device may be constructed of metal, rubber, plastic, composite materials, or any combination of these materials and may be of single or multiple lumen design.(b)
Classification. Class II (special controls) Guidance Document: “Guidance on Premarket Notification [510(k)] Submission for Short-Term and Long-Term Intravascular Catheters.”

0

Ko91/586

JUL 2 3 2009

11

510(k) SUMMARY

Submitter Information: A.

Submitter:

B.

MEDCOMP® 1499 Delp Drive Harleysville, PA 19438 (215) 256-4201 Telephone (215) 256-9191 Fax Jean Callow May 26, 2009

Contact: Date Prepared:

Device Name:

Vascu-PICC® and Midline Catheters, Single, Double and Triple Lumen

Catheter, Intravascular, Therapeutic,

Common Name: Classification Name: C.F.R. Section:

C. Predicate Devices:

Class:

Lona-Term Long Term Intravascular Catheter (80 LJS) 880.5970 ll

K003682 Medcomp, Z-Cath PICC K001901 Bard Access, Poly-Q-Cath® Midline K043502 Bard Access, Poly Per-Q-Cath® Triple Lumen PICC Catheter K051991 Bard Access, Poly-Q-Cath PICC

Device Description: D.

The Vascu-PICC® and Midline Catheters are designed for peripheral vein catheterization. The lumen is an open-ended design comprised of a soft radiopaque polyurethane material with barium sulfate for radiopacity. The lumen is connected to the extensions via a soft pliable hub with suture wing for secure placement. Clamps are provided on the extension tubes to prevent air/fluid communication. Female luer connectors provide the connection for intravenous administration.

The catheters are available in a range of French sizes in single, double and triple lumen. The outside diameter of the lumen has a reverse taper increasing gradually near the hub to aid in kink resistance and to provide a mechanical obstruction to bleeding from the venotomy. The lumen has depth marks every centimeter and numerical marks every 5th centimeter and are available in 20cm for Midline placement and a trimmable 60cm for PICC's.

Medcomp Vascu-PICC® and Midline Catheters Summary Page 1 of 2

1

The Vascu-PICC® and Midline Catheters product line is packaged sterile with the necessary accessories to facilitate catheter insertion.

E. Intended Use:

The Peripherally Inserted Central Vein Access catheters are designed for short or long term peripheral access to the central venous system for intravenous therapy and blood sampling. For central venous pressure monitoring (CVP), it is recommended that catheter lumen of 20 gauge or larger be used.

The Midline catheters are indicated for short or long term peripheral access to the peripheral venous system for selected intravenous therapies and blood sampling. (See Contraindications). For blood therapy it is recommended that a 4French or larger catheter be used.

F. Comparison to Predicate Devices:

The Vascu-PICC® and Midline Catheters are substantially equivalent to the predicate devices in terms of intended use, anatomical location, basic design, performance, labeling, manufacturing process and method of sterilization.

The differences between the Vascu-PICC® and Midline Catheters and the predicate Z-Cath device are material change/ formulation, modified design and expansion of product line with additional French sizes and the addition of a triple lumen and midline design.

Indications have been expanded to match the predicate devices.

G. Bench / Performance Data:

The following in-vitro testing was performed on the Vascu-PICC® and Midline Catheters to assure reliable design and performance in accordance with ISO standards.

  • Air Leakage �
  • Liquid Leakage 0
  • Elongation g
  • Tensile .
  • Gravity Flow Rate �
  • Priming Volume �
  • Aging �
  • Chemical Testing �
  • Stress Testing ●

H. Biocompatibility:

Results for all biocompatibility testing demonstrate the materials used meet the requirements of ISO 10993.

Medcomp Vascu-PICC® and Midline Catheters Summary Page 2 of 2

2

Technological characteristics: ﺘﮯ

The principles of operation are the same as the predicate devices. There are no new design changes that could affect the safety or effectiveness of the device.

J. Conclusion:

The proposed devices meet the performance criteria of design verification as specified by ISO standards and test protocols. The proposed device has the same intended use, operation and function as the predicates. There are no differences that raise new issues of safety and effectiveness. The proposed devices are substantially equivalent to the legally marketed predicate devices.

3

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" around the perimeter. Inside the circle is a stylized symbol that resembles three human figures connected at the base, with their arms raised upwards.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Ms. Jean Callow Regulatory Specialist Medcomp 1499 Delp Drive Harleysville, Pennsylvania 19438

TUL 2 3 2009

Re: K091586

Trade/Device Name: Vascu-PICC® and Midline Catheters Regulation Number: 21 CFR 880.5970 Regulation Name: Percutaneous, Implanted, Long-Term Intravascular Catheter Regulatory Class: II Product Code: LJS Dated: May 29, 2009 Received: July 02, 2009

Dear Ms: Callow:

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 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.

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Page 2 - Ms. Callow

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); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); 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.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/ CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to http://www.fda.gov/cdrh/mdr/ for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

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,

Antrim 29. Martin for

Susan Runner, D.D.S., M.A. Acting Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

5

Indications for Use

510(k) Number (if known):

Vascu-PICC® and Midline catheters Device Name:

Indications for Use:

The Peripherally Inserted Central Vein Access catheters are designed for short or long term peripheral access to the central venous system for intravenous therapy and blood sampling. For central venous pressure monitoring (CVP), it is recommended that catheter lumen of 20 gauge or larger be used.

The Midline catheters are indicated for short or long term peripheral access to the peripheral venous system for selected intravenous therapies and blood sampling. (See Contraindications). For blood therapy it is recommended that a 4French or larger catheter be used.

Prescription Use X (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 OF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Arimid.

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

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510(k) Number.

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