K Number
K130405
Device Name
RUSCH EASYCRIC EMERGENCY CRICOTHYROTOMY SET
Manufacturer
Date Cleared
2013-11-06

(260 days)

Product Code
Regulation Number
868.5090
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Rusch EasyCric Emergency Cricothyrotomy Set is indicated to provide emergency airway access when conventional ventilation by intubation or face mask cannot be performed.
Device Description
The Rusch EasyCric Emergency Cricothyrotomy Set is a sterile, single use emergency cricothyroidotomy set available in size 5 mm. The device employs the Seldinger technique to provide an emergency artificial airway when attempts to intubate the trachea fail. Cricothyroidotomy provides faster access in emergency situations than surgical or percutaneous tracheostomy, which are time consuming procedures. The device gains access by cutting the link between the cricoid cartilage and the thyroid cartilage into the ligamentum conicum. It is available uncuffed. Components of the set include the EasyCric tube and insertion dilator, scalpel, puncture needle, syringe, guidewire, comport neckband and saline solution.
More Information

Not Found

No
The summary describes a mechanical device and its components, focusing on physical performance tests and biocompatibility. There is no mention of software, algorithms, image processing, or any terms related to AI/ML.

Yes
This device is a therapeutic device because its intended use is to provide emergency airway access to patients, which is a direct medical intervention to treat a life-threatening condition.

No
The device is described as an emergency airway access device used when conventional ventilation cannot be performed, and its purpose is to create an artificial airway. It does not perform any diagnostic function.

No

The device description clearly outlines a physical medical device with multiple hardware components (tube, dilator, scalpel, needle, syringe, guidewire, neckband, saline solution) and describes performance testing related to the physical properties and functionality of these components. There is no mention of software as a component or function of the 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 provide emergency airway access, which is a direct intervention on the patient's body.
  • Device Description: The device is a set of tools used to create an artificial airway. It involves physical manipulation and insertion into the body.
  • Lack of In Vitro Activity: There is no mention of the device being used to examine specimens derived from the human body (like blood, urine, tissue, etc.) outside of the body to provide information for diagnosis, monitoring, or treatment.

IVD devices are specifically designed to perform tests on biological samples in vitro (outside the living organism). This device is used in vivo (within the living organism) to establish an airway.

N/A

Intended Use / Indications for Use

Rusch EasyCric Emergency Cricothyrotomy Set is indicated to provide emergency airway access when conventional ventilation by intubation or face mask cannot be performed.

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

BWC

Device Description

The Rusch EasyCric Emergency Cricothyrotomy Set is a sterile, single use emergency cricothyroidotomy set available in size 5 mm. The device employs the Seldinger technique to provide an emergency artificial airway when attempts to intubate the trachea fail. Cricothyroidotomy provides faster access in emergency situations than surgical or percutaneous tracheostomy, which are time consuming procedures. The device gains access by cutting the link between the cricoid cartilage and the thyroid cartilage into the ligamentum conicum. It is available uncuffed. Components of the set include the EasyCric tube and insertion dilator, scalpel, puncture needle, syringe, guidewire, comport neckband and saline solution.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

airway / cricothyroid membrane

Indicated Patient Age Range

Adult Patients

Intended User / Care Setting

Hospital Operating Room, Intensive Care Unit, the Emergency Room or out of the Hospital

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)

Performance - A brief summary of tests relied upon to demonstrate substantial equivalence to the predicate can be found in the table below:

TestReference to Standard (if applicable)Principle of TestAcceptance Criteria
Connector bonding strengthISO 5366-1 Section 6.1 Machine endThe security of the attachment of the connector to the tracheostomy tube is tested by applying an axial separation force to the connectorMust be able to sustain axial force of 15 ± 1.5N without movement
Flange (neck-plate) bonding strengthISO 5366-1 Section 6.2. Neck-plateThe security of the attachment of the neck-plate to the tracheostomy tube is tested by applying an axial separation force to the neck-plate (flange)Must be able to sustain axial force of 15 ± 1.5N without movement
Connector Fit Test (ring gauge test)ISO 5356: Section 5.1To ensure the connector is compatible with other supporting connectors and devicesThe connector's leading edge shall lie between the minimum and maximum diameter steps of the gauge.
Coating consistency on the tubeN/ADetermines coating consistencySmooth and even coating on the tube
Coating lubricityN/ADetermines coating lubricityWear value of less than 150%
Visual Inspection of Saline, Scalpel and NeckbandN/ADemonstrates these components remain intactNo torn packaging or damage to the product
Guidewire testingN/ADemonstrates guidewire remains compatible with the introducer and needle post worst case conditionsSmooth insertion without restriction
Biocompatibility testing10993-1Testing was performed based on mucosal/external communicating contact of limited duration (

§ 868.5090 Emergency airway needle.

(a)
Identification. An emergency airway needle is a device intended to puncture a patient's cricothyroid membrane to provide an emergency airway during upper airway obstruction.(b)
Classification. Class II (performance standards).

0

Name, Address, Phone and Fax Number of Applicant

· Teleflex Medical, Incorporated 2917 Weck Drive Research Triangle Park, NC 27709 USA Phone: 919-433-4908 Fax: 919-433-4996

Contact Person

NOV 0 6 2013

Lori Pfohl Regulatory Affairs Specialist

Device Name

Trade Name: Rusch EasyCric Emergency Cricothyrotomy Set

Common Name: Emergency Cricothyrotomy Kit

Classification Name: Emergency Airway Needle (Class II per 21 CFR 868.5090, Product Code BWC, Class 2)

Predicate Device

Melker Emergency Cricothyrotomy Catheter Set - K013916

Device Description

The Rusch EasyCric Emergency Cricothyrotomy Set is a sterile, single use emergency cricothyroidotomy set available in size 5 mm. The device employs the Seldinger technique to provide an emergency artificial airway when attempts to intubate the trachea fail. Cricothyroidotomy provides faster access in emergency situations than surgical or percutaneous tracheostomy, which are time consuming procedures. The device gains access by cutting the link between the cricoid cartilage and the thyroid cartilage into the ligamentum conicum. It is available uncuffed. Components of the set include the EasyCric tube and insertion dilator, scalpel, puncture needle, syringe, guidewire, comport neckband and saline solution.

Indications for Use

Rusch EasyCric Emergency Cricothyrotomy Set is indicated to provide emergency airway access when conventional ventilation by intubation or face mask cannot be performed.

1

Patient Population: Adult Patients

Environment of Use: Hospital Operating Room, Intensive Care Unit, the Emergency Room or out of the Hospital

Substantial Equivalence

The proposed device is substantially equivalent to the predicate device:

FeaturesProposedPredicate
K013916
DeviceRusch EasyCric Emergency
Cricothyrotomy SetMelker Emergency Cricothyrotomy
Catheter Set
Indications for useRusch EasyCric Emergency
Cricothyrotomy Set is indicated to
provide emergency airway access
when conventional intubation
cannot be performedMelker Emergency Cricothyrotomy
Catheter Set is used for emergency
airway access in patients whom
conventional endotracheal intubation
and ventilation cannot be performed
FDA Product CodeBWC 868.5090BWC 868.5090
JOH 868.5800
ClassIIII
Environment of UseHospital Operating Room,
Intensive Care Unit, the
Emergency Room or out of the
HospitalNot Stated
Patient PopulationAdultSame
ContraindicationsNoneNone
Technology appliedSeldinger Technique via the
cricothyroid membraneSame
Single useYesSame
Size (Main Tube) ID5 mm3.5mm, 4.0mm and 6.0mm
Main Tube length7cm3.8cm, 4.2cm, and 7.5cm
CuffNoSame
Available in setsYesSame
Connection to
ventilation source15 mm connectorSame
Method of
SterilizationEthylene Oxide 10-6 SALSame
Basic Materials of
constructionPolypropylene
Polyethylene
Nylon
PVC
ABS
Nickel
Stainless steelPVC
Remainder Unknown

2

| Features | Proposed | Predicate
K013916 |
|---------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------|
| Set Components | Main tube
Curved dilator
Guidewire with flexible tip
Scalpel
Metal Needle
Comfort Neckband
Syringe
Saline Pouch | Main tube
Curved dilator
Guidewire with flexible tip
Scalpel
TFE Catheter needle, Entry needle
Syringe
Trach tape |
| Performance testing | • Connector bonding strength
• Flange (neck-plate) bonding
strength
• Connector Fit Test (ring gauge
test)
• Coating consistency on the
tube
• Coating lubricity
• Visual Inspection of Saline,
Scalpel and Neckband
• Guidewire testing | Not Stated |

  • Indications for Use The indications for use are identical for the proposed . device when compared to the predicate -- K013916. Each device is indicated for use in emergency airway management when conventional intubation cannot be performed.
  • Technology and construction The design, fabrication, shape, size, etc. are . equivalent to the predicate - K013916. Both the proposed and predicate devices use the Seldinger technique to gain access to the airway.
  • Environment of use The environments of use are equivalent to predicate -. K013916
  • Patient Population -The patient population is equivalent to the predicate -. K013916
  • Materials -All patient contacting materials are in compliance with ISO 10993-1. . Testing performed is listed in the performance summary table below.

3

Performance - A brief summary of tests relied upon to demonstrate substantial equivalence to the predicate can be found in the table below:

| Test | Reference to
Standard (if
applicable) | Principle of Test | Acceptance
Criteria |
|---------------------------------------------------------|---------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------|
| Connector bonding
strength | ISO 5366-1
Section 6.1
Machine end | The security of the
attachment of the
connector to the
tracheostomy tube is
tested by applying an
axial separation force to
the connector | Must be able to
sustain axial force
of 15 ± 1.5N
without movement |
| Flange (neck-plate)
bonding strength | ISO 5366-1
Section 6.2.
Neck-plate | The security of the
attachment of the neck-
plate to the tracheostomy
tube is tested by applying
an axial separation force
to the neck-plate (flange) | Must be able to
sustain axial force
of 15 ± 1.5N
without movement |
| Connector Fit Test
(ring gauge test) | ISO 5356:
Section 5.1 | To ensure the connector
is compatible with other
supporting connectors
and devices | The connector's
leading edge shall
lie between the
minimum and
maximum
diameter steps of
the gauge. |
| Coating consistency
on the tube | N/A | Determines coating
consistency | Smooth and even
coating on the
tube |
| Coating lubricity | N/A | Determines coating
lubricity | Wear value of less
than 150% |
| Visual Inspection of
Saline, Scalpel and
Neckband | N/A | Demonstrates these
components remain
intact | No torn packaging
or damage to the
product |
| Guidewire testing | N/A | Demonstrates guidewire
remains compatible with
the introducer and
needle post worst case
conditions | Smooth insertion
without restriction |
| Biocompatibility
testing | 10993-1 | Testing was performed
based on
mucosal/external
communicating contact
of limited duration (