K Number
K093992
Device Name
TERUMO LAUER LOCK ADAPTER
Date Cleared
2010-05-19

(146 days)

Product Code
Regulation Number
870.4290
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Terumo Luer Lock Adapters are single use, disposable components, intended to be used to interconnect tubing and other devices during cardiopulmonary bypass procedures. The devices may be used in procedures lasting up to 6 hours in duration.
Device Description
The adapters are intended to be used to interconnect tubing and other devices during cardiopulmonary bypass procedures. For use up to six hours. One end of the luer lock adapter has a male or female luer lock connection which may be connected to any opposite luer fitting within the tubing pack. The opposite side of the luer lock adapter has a tubing connection point which is barbed for the 1/8", 3/16" and 1/4" male and female adapters. The Pressure line luer adapters have an internal slip fit connection point for tubing. The tubing connection points are generally bonded to tubing with the appropriate inner diameter (1/8", 3/16", %") or pressure line tubing using cyclohexaprope. In some cases, a tie-band is attached to the outside of the tubing connection to the luer lock adapter. The luer fitting may be pre-connected to an opposite luer fitting within the cardiopulmonary bypass circuit by Terumo Cardiovascular Systems. The luer fitting may be connected by the end-user to either another opposite " 110 160 within the cardiopulmonary bypass circuit or to an external luer fitting. The luer lock adapters provide a leak proof connection point between components and various lines within the circuit, with the ability for a user to easily disconnect and re-connect the adapters as needed to any other opposite standard luer fitting, The luer lock adapters can be disconnected and re-connected by hand.
More Information

Not Found

No
The device description and performance studies focus on the mechanical properties and connections of luer lock adapters, with no mention of AI or ML.

No.
The device is described as an adapter used to interconnect tubing and other devices during cardiopulmonary bypass procedures, providing a connection point rather than directly treating a disease or condition.

No

The device description and intended use state that it is used to interconnect tubing and other devices during cardiopulmonary bypass procedures, and that it provides leak-proof connection points. There is no mention of it being used to diagnose conditions or processes.

No

The device description clearly outlines physical components (adapters, tubing connections, luer fittings) and physical performance testing (Dimensional Stability, Connection Strength, Pressure Test), indicating it is a hardware device.

Based on the provided text, the Terumo Luer Lock Adapters are not an In Vitro Diagnostic (IVD) device.

Here's why:

  • Intended Use: The intended use is to "interconnect tubing and other devices during cardiopulmonary bypass procedures." This describes a device used in vivo (within the body) during a surgical procedure, not a device used in vitro (outside the body) to examine specimens from the body.
  • Device Description: The description details the physical connections and how the adapters are used within a cardiopulmonary bypass circuit, which is a system used to circulate blood during heart surgery. This further reinforces its in vivo application.
  • Lack of IVD Characteristics: The text does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing biological specimens (blood, urine, tissue, etc.)
    • Providing diagnostic information
    • Using reagents or assays

Therefore, the Terumo Luer Lock Adapters are a medical device used in a surgical setting, not an IVD.

N/A

Intended Use / Indications for Use

The Terumo Luer Lock Adapters are single use, disposable components, intended to be used to interconnect tubing and other devices during cardiopulmonary bypass procedures. The devices may be used in procedures lasting up to 6 hours in duration.

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

DTL

Device Description

The adapters are intended to be used to interconnect tubing and other devices during cardiopulmonary bypass procedures. For use up to six hours.

One end of the luer lock adapter has a male or female luer lock connection which may be connected to any opposite luer fitting within the tubing pack. w The opposite side of the luer lock adapter has a tubing connection point which is barbed for the 1/8", 3/16" and 1/4" male and female adapters. The Pressure line luer adapters have an internal slip fit connection point for tubing.

The tubing connection points are generally bonded to tubing with the appropriate inner diameter (1/8", 3/16", %") or pressure line tubing using cyclohexaprope. In some cases, a tie-band is attached to the outside of the tubing connection to the luer lock adapter.

The luer fitting may be pre-connected to an opposite luer fitting within the cardiopulmonary bypass circuit by Terumo Cardiovascular Systems. The luer fitting may be connected by the end-user to either another opposite " 110 160 within the cardiopulmonary bypass circuit or to an external luer fitting.

The luer lock adapters provide a leak proof connection point between components and various lines within the circuit, with the ability for a user to easily disconnect and re-connect the adapters as needed to any other opposite standard luer fitting, The luer lock adapters can be disconnected and re-connected by hand.

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 following tests were conducted in order to demonstrate the Terumo Luer Lock Adapters are substantially equivalent to the predicate devices.

  • Dimensional Stability
  • Pre-connection ●
  • . Connection Strength
  • Circulation Test
  • . Pressure Test

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.

K992906

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

§ 870.4290 Cardiopulmonary bypass adaptor, stopcock, manifold, or fitting.

(a)
Identification. A cardiopulmonary bypass adaptor, stopcock, manifold, or fitting is a device used in cardiovascular diagnostic, surgical, and therapeutic applications to interconnect tubing, catheters, or other devices.(b)
Classification. Class II (special controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 870.9.

0

K093992

() TERUMO

Section 5 510(k) Summary

:

Page
Submitter InformationMAY 19 201022
Device Names / Classification:22
Identification of Predicate Device22
Device Indications/Intended Uses· 22
Device Description23
Performance Testing23
Additional Safety Information23
Conclusion for 510(k) Summary24

1

TERUMO

Submitter Information:

This submission was prepared in December 2009 by:

Eileen Dorsey Regulatory Affairs Specialist Terumo Cardiovascular Systems Corporation 125 Blue Ball Road Elkton, MD 21921 Telephone: 1-800-283-7866, Ext. 7406 Fax: 410-398-6079

This submission was prepared for: Terumo Cardiovascular Systems Corporation 125 Blue Ball Road Elkton, MD 21921 Registration #1124841

Device Names/Classifications:

Proprietary Name Terumo Luer Lock Adapters Classification Name Adapter, Stopcock, Manifold, Fitting, Cardiopulmonary Bypass Common Name Adapters

Predicate Device(s):

The Terumo Luer Lock Adapters are substantially equivalent to following predicate Luer Lock Adapters (510(k): K992906) with respect to intended use, design,

Corresponding New TerumoTerumo Luer LockPredicate Description
Luer Lock Adapter Part #Predicate Part #
0001-113020001-113011/8" Female Luer Adapter
0001-123020001-123011/8" Male Luer Adapter
0001-213020001-213013/16" Female Luer Adapter
0001-223020001-223013/16" Male Luer Adapter
0001-313020001-31012Threaded Female Luer Adapter
0001-323020001-223013/16" Male Luer Adapter
0001-713030001-71302Female Luer Lock Adapter
0001-723030001-72302Male Luer Lock Adapter

technology/principles of operation, materials and performance:

The differences between the devices do not raise any new issues of safety or effectiveness.

2

T TERUMO

Device Indications/Intended Uses:

The adapters are single use, disposable components, intended to be used to interconnect tubing and other devices during cardiopulmonary bypass procedures. The devices may be used in procedures lasting up to 6 hours in duration.

Device Description:

The adapters are intended to be used to interconnect tubing and other devices during cardiopulmonary bypass procedures. For use up to six hours.

One end of the luer lock adapter has a male or female luer lock connection which may be connected to any opposite luer fitting within the tubing pack. w The opposite side of the luer lock adapter has a tubing connection point which is barbed for the 1/8", 3/16" and 1/4" male and female adapters. The Pressure line luer adapters have an internal slip fit connection point for tubing.

The tubing connection points are generally bonded to tubing with the appropriate inner diameter (1/8", 3/16", %") or pressure line tubing using cyclohexaprope. In some cases, a tie-band is attached to the outside of the tubing connection to the luer lock adapter.

The luer fitting may be pre-connected to an opposite luer fitting within the cardiopulmonary bypass circuit by Terumo Cardiovascular Systems. The luer fitting may be connected by the end-user to either another opposite " 110 160 within the cardiopulmonary bypass circuit or to an external luer fitting.

The luer lock adapters provide a leak proof connection point between components and various lines within the circuit, with the ability for a user to easily disconnect and re-connect the adapters as needed to any other opposite standard luer fitting, The luer lock adapters can be disconnected and re-connected by hand.

Performance Testing:

The following tests were conducted in order to demonstrate the Terumo Luer Lock Adapters are substantially equivalent to the predicate devices.

  • Dimensional Stability �
  • Pre-connection ●
  • . Connection Strength
  • Circulation Test
  • . Pressure Test

Additional Safety Information:

Sterilization conditions for the Terumo Luer Lock Adapters are validated to provide a Sterility Assurance Level (SAL) of 10 . Terumo further asserts that the ethylene oxide residues will not exceed stated or implied maximum residue limits at the time of product distribution.

3

Terumo maintains biocompatibility studies as recommended in the FDA General Program Memorandum #G95-1 (5/1/95): Use of International Standard ISO 10993, "Biological Evaluation of Medical Devices - Part 1: Evaluation and Testing." [External Communicating Devices, Circulating Blood, Limited Exposure (≤ 24 hours) Contract Duration]. The blood contacting materials were found to be biocompatible.

Conclusion:

Based upon the comparative studies and analyses, Terumo Cardiovascular Systems concludes that the Terumo Luer Lock Adapters are substantially equivalent to the predicate Luer Lock Adapters. It is further concluded that any recognized differences noted during the assessments do not raise any new issues of patient/user safety or product effectiveness.

4

Image /page/4/Picture/1 description: The image is a black and white logo for the U.S. Department of Health & Human Services. The logo features the department's seal, which includes the words "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" arranged in a circular pattern around a central emblem. The emblem depicts a stylized human figure with three faces in profile, suggesting a sense of community and care.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room W-O66-0609 Silver Spring, MD 20993-0002

JUL -8 2010

Terumo Cardiovascular Systems Corporation c/o Ms. Eileen Dorsey Regulatory Affairs Specialist 125 Blue Ball Rd. Elkton, MD 21921

K093992 Re: Terumo Luer Lock Adapter Regulation Number: 21 CFR 870.4290 Regulation Name: Cardiopulmonary Bypass adaptor, stopcock, manifold, or fitting Regulatory Class: Class II (two) Product Code: DTL Dated: April 2, 2010 Received: April 5, 2010

Dear Ms. Dorsey:

This letter corrects our substantially equivalent letter of May 19, 2010.

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.

5

Page 2 - Ms. Eileen Dorsey

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/MedicalDevices/Safety/ReportaProblem/default.htm 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 (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm.

Sincerely yours,

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

Enclosure

6

· Section 4 Indications for Use

Unknown-at-time-of-submission-> K. 0 93992 510(k) Number (if known):

Device Name: Terumo Luer Lock Adapters

Indications for Use:

The Terumo Luer Lock Adapters are single use, disposable components, intended to be used to interconnect tubing and other devices during cardiopulmonary bypass procedures. The devices may be used in procedures lasting up to 6 hours in duration.

Prescription Use XX (Part 21 CFR 801 Subpart D)

OROver-The-Counter Use (Part 21 CFR 807 Subpart C)

(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_K093992