K Number
K130023
Manufacturer
Date Cleared
2013-04-03

(90 days)

Product Code
Regulation Number
880.5440
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The K100 Neutral Displacement Connector is a single patient use, sterile, non-pyrogenic device for needleless access to the IV line and/or IV catheter during IV therapy. The K100 connector can be used for direct injection, intermittent infusion, continuous infusion, or aspiration.

Device Description

The K100 Neutral Displacement Needleless Connector is a sterile, single patient use, swabable, normally closed, luer-activated, valved connector. The K100 valve is comprised of a: a housing (inlet and outlet), a fluid channel, a translating member (or lower gland) secured to a longitudinal wall of the housing and bounding a variable volume region of the fluid channel, a post having a lumen terminating at a distal head of the post and biased in the proximal direction by the lower gland when in the closed mode, and an upper seal having a sealing ring and secured to the longitudinal wall of the housing, the sealing ring contacting the distal head of the post when in the closed mode to prevent flow through the fluid channel, Moving components within the assembly are lubricated with silicone oil.

AI/ML Overview

The provided text is a 510(k) summary for the K100 Neutral Displacement Needle Free Connector. It outlines the device's description, intended use, comparison to a predicate device, and performance testing. However, it does not contain acceptance criteria for specific performance metrics nor detailed study results that prove the device meets these criteria in a quantitative manner.

Instead, it states that "All test results meet the acceptance criteria, and support that the devices are appropriately designed for their intended use." without providing the criteria themselves or the specific data showing compliance.

Therefore, I cannot populate the table with acceptance criteria and reported device performance, nor can I provide specific details on sample sizes, ground truth establishment, or clinical study types (like MRMC or standalone) because this information is not present in the provided document.

Here's an overview of what is available in the document related to performance claims:

1. Table of acceptance criteria and the reported device performance:

This information is not explicitly provided in a quantifiable manner. The document lists the tests performed and states that "All test results meet the acceptance criteria." without detailing what those criteria are or the specific results.

Acceptance CriteriaReported Device Performance
Not specifiedNot specified beyond "Pass"

2. Sample size used for the test set and the data provenance:

  • Test Set Sample Size: Not specified for any of the performance tests.
  • Data Provenance: The tests were "conducted by NP Medical," indicating internal testing. The country of origin and whether the data is retrospective or prospective are not specified.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:

  • Not applicable/Not specified. These are bench tests, not involving human interpretation or subjective assessments typically requiring expert consensus as ground truth.

4. Adjudication method for the test set:

  • Not applicable/Not specified. This pertains to expert review of ambiguous cases, which is not relevant for bench testing of medical devices like this connector.

5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance:

  • No. This type of study is for evaluating AI systems in diagnostic imaging or similar fields. This document describes a medical device (needle-free connector) and its mechanical/physical performance, not an AI system.

6. If a standalone (i.e. algorithm only without human-in-the loop performance) was done:

  • No. This question is relevant for AI algorithms. The document describes a physical medical device. The "standalone" performance here refers to the device's functional integrity as a component.

7. The type of ground truth used:

  • For the bench tests listed (e.g., Air Bolus, Flow Rate, Hydraulic Burst Leak), the "ground truth" would be established by physical measurement against a predefined engineering specification or standard. The document states that "All test results meet the acceptance criteria," implying such specifications were used.

8. The sample size for the training set:

  • Not applicable. This device is not an AI algorithm that requires a "training set."

9. How the ground truth for the training set was established:

  • Not applicable. This device is not an AI algorithm that requires a "training set."

Summary of available performance claims:

The document lists the following bench tests that were conducted, and for each, it explicitly states that "All tests met acceptance criteria."

  • Air Bolus and Bubble Free Priming
  • Repeat Insertion
  • Blood Flushing Evaluation
  • Bolus Back Pressure
  • Docking Stability
  • Flow Rate
  • Fluid Displacement
  • Gland Height Determination
  • Hydraulic Burst Leak
  • ISO 594 Test Methods
  • Lipid Resistance
  • Priming Volume
  • Residual Volume
  • Stress Resistance to Swabbing Chemicals (IPA and CHG).
  • Torque Testing
  • Microbial Ingress testing
  • Sterilization Validation
  • Packaging/Shelf Life Validation

The comparison to the predicate device also highlights some performance aspects:

  • Multiple Activations: K100 (96 intermittent) vs. Predicate (96 intermittent)
  • Indwell: K100 (96 hours) vs. Predicate (96 hours)
  • Pressure Rating: K100 (325 psi) vs. Predicate (> 60 psi)
  • Priming Volume: K100 (0.12 mL) vs. Predicate (0.25 mL)
  • Microbial Ingress Test: K100 (Pass) vs. Predicate (Pass)

The document concludes that "The K100 Neutral Displacement Needle Free Connector is substantially equivalent to the identified predicate system based on the indication for use, design features, operating principles, performance tests and material composition."

{0}------------------------------------------------

K 130023

NP Medical Premarket Notification – 510(k) K100 Needle Free Connector SN000 . Page 1 of 5

APR 0 3 2013

510(k) SUMMARY

December 31, 2012

Applicant:

NP Medical. 101 Union St Clinton, MA 01501 Tel: +978 368-4514

Contact Person:

Luis J Maseda General Manager

Trade Name: K100 Neutral Displacement Needle Free Connector Common Name: Needleless IV connector Classification Name: Intravascular Administration Set Classification Panel: 80-General Hospital

{1}------------------------------------------------

NP Medical Premarket Notification - 510(k) K100 Needle Free Connector SN000 Page 2 of 5

1.0 DEVICE SUMMARY

The K100 Neutral Displacement Needle Free Connector (K100) is a medical device designed for direct injection, intermittent infusion, continuous infusion, or aspiration without the need for sharps devices.

Classification Information

Table 1: Device Classification

Classification ordescriptorName or designation
Trade NameK100 Neutral Displacement Needle Free Connector
Common NameNeedleless IV connector
ClassificationNameIntravascular Administration Set
ClassificationPanel80-General Hospital
Product CodeFPA
RequlationNumber21 CFR 880.5440

2.0 INTENDED USE AND INDICATIONS FOR USE

Indications for Use

The K100 Neutral Displacement Connector is a single patient use, sterile, non-pyrogenic device for needleless access to the IV line and/or IV catheter during IV therapy. The K100 connector can be used for direct injection, intermittent infusion, continuous infusion, or aspiration.

3.0 DEVICE DESCRIPTIONS

The K100 Neutral Displacement Needleless Connector is a sterile, single patient use, swabable, normally closed, luer-activated, valved connector.

The K100 valve is comprised of a:

  • a housing (inlet and outlet),
  • a fluid channel,
  • ם a translating member (or lower gland) secured to a longitudinal wall of the housing and bounding a variable volume region of the fluid channel,
  • a post having a lumen terminating at a distal head of the post and biased in the ם proximal direction by the lower gland when in the closed mode, and

{2}------------------------------------------------

NP Medical Premarket Notification – 510(k) K 100 Needle Free Connector SN000 Page 3 of 5

  • an upper seal having a sealing ring and secured to the longitudinal wall of the housing, the sealing ring contacting the distal head of the post when in the closed mode to prevent flow through the fluid channel,
  • Moving components within the assembly are lubricated with silicone oil.

4.0 PREDICATE DEVICES

The K100 Neutral Displacement Needle Free Connector is substantially equivalent to the following predicate products.

Table 2: Predicate Device

ProductCleared Predicate Product k number
NP Medical Capless Needleless LuerConnectorK973916

5.0 COMPARISON OF DEVICE UNDER REVIEW AND ITS PREDICATES

ComparisonElement -Similarities(Subject devices)K100 Neutral Displacement NeedleFree Connector(Predicate device)Capless Needleless Luer Connector
510k holderNP Medical, IncNP Medical, Inc.
ManufacturerNP Medical, Inc.NP Medical, Inc.
Indication for/Intended UseThe K100 Neutral DisplacementConnector is a single patient use, sterile,non-pyrogenic device for needlelessaccess to the IV line and/or IV catheterduring IV therapy. The K100 connectorcan be used for direct injection,intermittent infusion, continuousinfusion, or aspiration.The Capless Luer Activated Valve,incorporating a luer activated valve, isintended for use in facilitatingneedleless fluid delivery and may beswabbed with antiseptic just prior touse, thereby eliminating the need forcapping between uses.
DisplacementTypeNeutralNegative
Luer connectorISO luerISO luer
MultipleActivations96 intermittent96 intermittent
Indwell96 hours96 hours
ChemicalCompatibilityLipids, Alcohol, CHGLipids, Alcohol

Table 3: Comparison of proposed new device and its predicates.

{3}------------------------------------------------

NP Medical Premarket Notification - 510(k) K100 Needle Free Connector SN000 Page 4 of 5

ComparisonElement -Similarities(Subject devices)K100 Neutral Displacement NeedleFree Connector(Predicate device)Capless Needleless Luer Connector
PressureRating325 psi> 60 psi
PrimingVolume0.12 mL0.25 mL
Microbialinaress TestPassPass
SterileYesYes
PackagingTypeBlisterBlister
MaterialsPC/Silicone (no latex or DEHP)PC/Silicone (no latex or DEHP)

Table 3: Comparison of proposed new device and its predicates.

As demonstrated in Table 3, there are equivalent features and functional uses between the devices. Materials are tested to the latest ISO 10993 standards. Differences are in displacement, maximum pressure, and priming volume. These differences do not introduce any new safety or efficacy risks to the patient.

6.0 PERFORMANCE TESTING - BENCH

NP Medical has conducted risk analyses and design verification/validation tests based on the result of these analyses.

All test results meet the acceptance criteria, and support that the devices are appropriately designed for their intended use. The following bench tests were conducted to evaluate the design on the functional performance of the K100 Neutral Displacement Needle Free Connector.

Verification and Validation Testing conducted by NP Medical .All tests met acceptance criteria.

Test Name
Air Bolus and Bubble Free Priming
Repeat Insertion
Blood Flushing Evaluation
Bolus Back Pressure
Docking Stability
Flow Rate
Fluid Displacement

Table 4: K100 Verification and Validation Testing

{4}------------------------------------------------

Test Name
Gland Height Determination
Hydraulic Burst Leak
ISO 594 Test Methods
Lipid Resistance
Priming Volume
Residual Volume
Stress Resistance to Swabbing Chemicals (IPA and CHG).
Torque Testing

In addition to the Bench testing, NP Medical has successfully conducted Microbial Ingress testing, Sterilization Validation and Packaging/Shelf Life Validation.

7.0 CONCLUSION

  • 7.1 The K100 Neutral Displacement Needle Free Connector is substantially equivalent to the identified predicate system based on the indication for use, design features, operating principles, performance tests and material composition.

{5}------------------------------------------------

Image /page/5/Picture/1 description: The image shows the seal of the U.S. Department of Health & Human Services. The seal features a stylized eagle with three waves emanating from its body. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" are arranged in a circular pattern around the eagle.

Public Health Service

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

April 3, 2013

Mr. Luis J Maseda General Manager NP Medical Incorporated 101 Union Street CLINTON MA 01501

Re: K130023

Trade/Device Name: K100 Neutral Displacement Needle Free Connector Regulation Number: 21 CFR 880.5440 Regulation Name: Intravascular Administration Set Regulatory Class: II Product Code: FPA Dated: December 31, 2012 Received: January 3, 2013

Dear Mr. Maseda:

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 Federal Register.

{6}------------------------------------------------

Page 2 - Mr. Maseda

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 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/CDRHQffices/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/ResourcesforYou/Industrv/default.htm.

Sincerely yours.

for

Theta
Uronita.

Anthony D. Watson, B.S., M.S., M.B.A. Director Division of Anesthesiology, General Hospital, Respiratory, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

{7}------------------------------------------------

Indication for Use

510(k) Number (if known): 上ろしの23

Device Name: K100 Neutral Displacement Needle Free Connector

Indication for Use:

The K100 Neutral Displacement Needle Free Connector is a single patient use device for needleless access to the IV line and/or IV catheter during IV therapy. The K100 connector can be used for direct injection, intermittent infusion, continuous infusion, or aspiration.

Prescription Use × (21 CFR Part 801 Subpart D) and/or

Over the Counter Use (21 CFR Part 801 Subpart C)

(PLEASE DO NOT WRITE BELOW THIS LINE; CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Richard C. Chapman 2013.04.03 11:40:56 -04'00'

Division Sign-Off Office of Device Evaluation

K130023 510(k)

Page I of I

§ 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.