K Number
K120304
Device Name
FOOTPRINT MEDICAL POLYURETHANE UMBILICAL CATHETER
Date Cleared
2012-03-01

(29 days)

Product Code
Regulation Number
880.5200
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
This product is intended for use in neonatal patients to sample blood, monitor blood pressure, or administer fluids intravenously.
Device Description
FOOTPRINT MEDICAL POLYURETHANE UMBILICAL CATHETER
More Information

Not Found

Not Found

No
The summary describes a physical medical device (umbilical catheter) and does not mention any software, algorithms, or AI/ML terms.

No
The device is described as an umbilical catheter used for sampling blood, monitoring blood pressure, or administering fluids. These functions are diagnostic or supportive, but not inherently therapeutic as they do not directly treat a disease or condition.

No
Explanation: The device is an umbilical catheter used for sampling blood, monitoring blood pressure, or administering fluids. While these actions might be part of an overall diagnostic process, the device itself is an instrument for intervention or monitoring rather than providing a diagnosis based on analyzed data.

No

The device description clearly states "FOOTPRINT MEDICAL POLYURETHANE UMBILICAL CATHETER," indicating a physical, hardware-based 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 to "sample blood, monitor blood pressure, or administer fluids intravenously" in neonatal patients. These are all procedures performed on the patient's body, not on samples outside the body for diagnostic purposes.
  • Device Description: The device is an "Umbilical Catheter," which is a medical device used for direct access to the patient's circulatory system.
  • Lack of IVD Characteristics: The description does not mention any analysis of biological samples in vitro (outside the body) for diagnostic purposes.

IVDs are devices used to examine specimens derived from the human body (like blood, urine, tissue) to provide information for the diagnosis, monitoring, or treatment of a disease or condition. This device's function is direct patient intervention, not in vitro analysis.

N/A

Intended Use / Indications for Use

This product is intended for use in neonatal patients to sample blood, monitor blood pressure, or administer fluids intravenously.

Product codes

FOS

Device Description

FOOTPRINT MEDICAL POLYURETHANE UMBILICAL CATHETER

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

neonatal patients

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)

Not Found

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.

Not Found

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

§ 880.5200 Intravascular catheter.

(a)
Identification. An intravascular catheter is a device that consists of a slender tube and any necessary connecting fittings and that is inserted into the patient's vascular system for short term use (less than 30 days) to sample blood, monitor blood pressure, or administer fluids intravenously. The device may be constructed of metal, rubber, plastic, or a combination of these materials.(b)
Classification. Class II (performance standards).

0

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/0/Picture/1 description: The image is a black and white logo for the Department of Health & Human Services USA. The logo features a stylized eagle with three stripes forming its body and wings. The eagle is facing to the right. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" is arranged in a circular pattern around the eagle.

Public Health Service

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

Mr. Clyde Baker Regulatory Manager Footprint Medical Inc. 1203 Camden Street San Antonio, Texas 78215

MAR - 1 2012

Re: K120304

Trade/Device Name: FOOTPRINT MEDICAL POL YURETHANE UMBILICAL CATHETER

Regulation Number: 21 CFR 880.5200 Regulation Name: Intravascular Catheter Regulatory Class: II Product Code: FOS Dated: January 26, 2012 Received: February 1, 2012

Dear Mr. Baker:

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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

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 Eederal Register.

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Page 2 - Mr. Baker

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 /ucm 115809.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,

്ലം Anthony D. Watson, B.S., M.S., M.B.A. Director

Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

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INDICATIONS FOR USE STATEMENT

510(K) NUMBER (if known): K /20 3044

FOOTPRINT MEDICAL POLYURETHANE UMBILICAL CATHETER DEVICE NAME:

INDICATIONS FOR USE:

This product is intended for use in neonatal patients to sample blood, monitor blood pressure, or administer fluids intravenously.

CONCURRENCE OF CDRH, OFFICE OF DEVICE EVALUATION

PRESCRIPTION USE XX (per 21 CFR 801.109)

OR

Over, The Counter Use

(Division Sign Off) 2/28/12

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

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510(k) Number: _ K/20504