K Number
K110005
Device Name
SYNCRO - BLUE TUBE, THE MAGNETICALLY GUIDED ENTERAL FEEDING TUBE- 8FR TUBE
Date Cleared
2011-08-04

(213 days)

Product Code
Regulation Number
876.5980
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Syncro-Blue Tube™ functions as a conduit to facilitate enteral feeding, and may be used in the pediatric, adult or elderly patient who cannot consume an adequate diet orally. Small bowel feeding may be indicated for patients with functioning gut who require short- to moderate-term feeding support, such as posttrauma patients, post-surgical patients, burn patients, general trauma patients, high-risk patients prone to tube misplacement complications, and patients in whom malnutrition exists, or may result, secondary to an underlying disease or condition.
Device Description
The Syncro-Blue Tube serves as a conduit through which enteral feeding solutions are directly infused into the patient's small bowel. The modified device will be marketed in one length (23.6" [60cm]) and one French size (8 Fr). During placement of the tube, an external magnet is used to assist the physician in placing the tube into the small bowel. The Syncro-Blue Tube has a stylet with a reed switch positioned near its distal tip. The reed switch is connected by wires to an external LED/battery pack that lights in response to the presence of the external steering magnet. The reed switch is located at the distal end of the stylet. The distal tip of the stylet contain magnets which are attracted to the steering magnet. When the tube is positioned, the stylet is removed from the device, making the Syncro-Blue Tube MRI Safe.
More Information

No
The description focuses on mechanical and magnetic guidance mechanisms, with no mention of AI or ML algorithms for image processing, data analysis, or decision support.

No.
The device facilitates enteral feeding by serving as a conduit for delivering feeding solutions. It does not treat or cure any disease or condition, but rather supports a patient's nutritional needs.

No
The device, Syncro-Blue Tube, is described as a "conduit to facilitate enteral feeding" directly into the small bowel. Its function and intended use are for nutritional support, not for diagnosing a condition or disease.

No

The device description clearly details physical components such as a tube, stylet, reed switch, wires, external LED/battery pack, and magnets, indicating it is a hardware device, not software-only.

Based on the provided information, the Syncro-Blue Tube™ is not an In Vitro Diagnostic (IVD) device.

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens taken from the human body (like blood, urine, tissue) to provide information about a person's health. This information is used for diagnosis, monitoring, or screening.
  • Syncro-Blue Tube Function: The Syncro-Blue Tube is a medical device used to deliver enteral feeding solutions directly into the patient's small bowel. It is a conduit for administering nutrition, not for analyzing biological samples.
  • Intended Use: The intended use clearly states it "functions as a conduit to facilitate enteral feeding."
  • Device Description: The description focuses on its physical structure, materials, and the mechanism for placement (magnetic guidance). It does not mention any components or processes related to analyzing biological specimens.

Therefore, the Syncro-Blue Tube falls under the category of a medical device used for treatment or support, not for in vitro diagnostic testing.

N/A

Intended Use / Indications for Use

The Syncro-Blue Tube™ functions as a conduit to facilitate enteral feeding, and may be used in the pediatric, adult or elderly patient who cannot consume an adequate diet orally. Small bowel feeding may be indicated for patients with functioning gut who require short- to moderate-term feeding support, such as post-trauma patients, post-surgical patients, burn patients, general trauma patients, high-risk patients prone to tube misplacement complications, and patients in whom malnutrition exists, or may result, secondary to an underlying disease or condition.
The external steering magnet functions as a guidance tool to assist in the safe, rapid placement of the feeding tube into the small bowel.

Product codes

KNT

Device Description

The Syncro-Blue Tube serves as a conduit through which enteral feeding solutions are directly infused into the patient's small bowel. The modified device will be marketed in one length (23.6" [60cm]) and one French size (8 Fr). During placement of the tube, an external magnet is used to assist the physician in placing the tube into the small bowel. The Syncro-Blue Tube has a stylet with a reed switch positioned near its distal tip. The reed switch is connected by wires to an external LED/battery pack that lights in response to the presence of the external steering magnet. The reed switch is located at the distal end of the stylet. The distal tip of the stylet contain magnets which are attracted to the steering magnet. When the tube is positioned, the stylet is removed from the device, making the Syncro-Blue Tube MRI Safe.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

small bowel

Indicated Patient Age Range

pediatric, adult or elderly 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

Tests were performed to demonstrate substantial equivalence in the following areas:

  • Tensile
  • Aspiration, Flow
  • Magnet Capture / Magnetic guidance
  • Flexibility / Column Strength / Pushability
  • Biocompatibility
  • Simulated use
  • Radiopacity
  • LED Turn-on Distance
  • Connector Compatibility Testing

The results of the laboratory tests demonstrate that the device is as safe and effective as the legally marketed predicate device.

Key Metrics

Not Found

Predicate Device(s)

K072787

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 876.5980 Gastrointestinal tube and accessories.

(a)
Identification. A gastrointestinal tube and accessories is a device that consists of flexible or semi-rigid tubing used for instilling fluids into, withdrawing fluids from, splinting, or suppressing bleeding of the alimentary tract. This device may incorporate an integral inflatable balloon for retention or hemostasis. This generic type of device includes the hemostatic bag, irrigation and aspiration catheter (gastric, colonic, etc.), rectal catheter, sterile infant gavage set, gastrointestinal string and tubes to locate internal bleeding, double lumen tube for intestinal decompression or intubation, feeding tube, gastroenterostomy tube, Levine tube, nasogastric tube, single lumen tube with mercury weight balloon for intestinal intubation or decompression, and gastro-urological irrigation tray (for gastrological use).(b)
Classification. (1) Class II (special controls). The barium enema retention catheter and tip with or without a bag that is a gastrointestinal tube and accessory or a gastronomy tube holder accessory is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 876.9.(2) Class I (general controls) for the dissolvable nasogastric feed tube guide for the nasogastric tube. The class I device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to § 876.9.

0

K110005
Pg. 1 of 2

Syncro-Blue Tube, The Magnetically Guided Enteral Feed Tube

Special 510(k)

SECTION 6. 510(K) SUMMARYAUG - 4 2011
Submitter:Syncro Medical Innovations, Inc.
20 West Federal
Suite M-5B
Youngstown, OH 44503
Submission
Correspondent:William G. McLain
President and Principal Consultant
Keystone Regulatory Services, LLC.
Phone: 717-656-9656
Fax: 717-656-3434
Email: bill.mclain@keystoneregualtory.com
Date summary prepared:December 31, 2010
Device trade name:Syncro-Blue Tube, The Magnetically Guided Enteral Feeding Tube
Device common name:Feeding Tube
Device classification name:Tube, Feeding
78 KNT at 21 CFR Part 876.5980
Legally marketed devices
to which the device is
substantially equivalent:Gabriel Blue Tube Magnetically Guided Enteral Feeding Tube cleared
under K072787
Description of the device:The Syncro-Blue Tube serves as a conduit through which enteral feeding
solutions are directly infused into the patient's small bowel. The modified
device will be marketed in one length (23.6" [60cm]) and one French size
(8 Fr). During placement of the tube, an external magnet is used to assist
the physician in placing the tube into the small bowel. The Syncro-Blue
Tube has a stylet with a reed switch positioned near its distal tip. The reed
switch is connected by wires to an external LED/battery pack that lights in
response to the presence of the external steering magnet. The reed
switch is located at the distal end of the stylet. The distal tip of the stylet
contain magnets which are attracted to the steering magnet. When the
tube is positioned, the stylet is removed from the device, making the
Syncro-Blue Tube MRI Safe.
Intended use of the device:The Syncro-Blue Tube™ functions as a conduit to facilitate enteral
feeding, and may be used in the pediatric, adult or elderly patient who
cannot consume an adequate diet orally. Small bowel feeding may be
indicated for patients with functioning gut who require short- to moderate-
term feeding support, such as post-trauma patients, post-surgical patients,
burn patients, general trauma patients, high-risk patients prone to tube
misplacement complications, and patients in whom malnutrition exists, or
may result, secondary to an underlying disease or condition.
The external steering magnet functions as a guidance tool to assist in the
safe, rapid placement of the feeding tube into the small bowel.

1

Special 510(k)

Technological characteristics:

Performance tests:

The proposed device has the same technological characteristics as the predicate device(s).

Tests were performed to demonstrate substantial equivalence in the following areas:

  • Tensile .
    . I

  • . Aspiration, Flow

  • . Magnet Capture / Magnetic guidance

  • Flexibility / Column Strength / Pushability .

  • 4 Biocompatibility

  • Simulated use. .

  • Radiopacity .

  • LED Turn-on Distance .

  • Connector Compatibility Testing .

Conclusions:

The results of the laboratory tests demonstrate that the device is as safe and effective as the legally marketed predicate device.

2

Image /page/2/Picture/1 description: The image shows the logo for the Department of Health & Human Services - USA. The logo features a stylized eagle with three lines representing its body and wings. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the eagle.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring, MD 20993-0002

Syncro Medical Innovations, Inc. % William G. McLain, RAC President and Principal Consultant Keystone Regulatory Services, LLC 342 E. Main Street, Suite 207 LEOLA PA 17540

AUG - 4 2011

Re: K110005

Trade/Device Name: Syncro-Blue Tube Magnetically Guided Enteral Feeding Tube Regulation Number: 21 CFR §876.5980 Regulation Name: Gastrointestinal tube and accessories Regulatory Class: II Product Code: KNT Dated: July 2, 2011 Received: July 5, 2011

Dear Mr. McLain:

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 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). 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 determined as substantially equivalent under the premarket notification process (Section 510(k) of the act), or were legally on the market prior to May 28, 1976, the enactment date of the Medical Device Amendments. Please note: If you purchase your device components in bulk (i.e., unfinished) 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 111 (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.

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

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/ReportalProblem/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.

Sincerely, yours,

[signature]

ert P. Lerner, M.D., Director (Acting) Division of Reproductive, Gastro-Renal, and Urological Devices Office of Device Evaluation Center for Devices and Radiological Health

4

SECTION 7. INDICATIONS FOR USE STATEMENT

510(k) Number:

Device Name:

Indications for Use:

KI10005

Syncro-Blue Tube Magnetically Guided Enteral Feeding Tube

The Syncro-Blue Tube™ functions as a conduit to facilitate enteral feeding, and may be used in the pediatric, adult or elderly patient who cannot consume an adequate diet orally. Small bowel feeding may be indicated for patients with functioning gut who require short- to moderate-term feeding support, such as posttrauma patients, post-surgical patients, burn patients, general trauma patients, high-risk patients prone to tube misplacement complications, and patients in whom malnutrition exists, or may result, secondary to an underlying disease or condition.

Prescription Use V (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)

Hulst Leum

Reproductive, Gastro-Rer