K Number
K130897
Date Cleared
2013-10-22

(204 days)

Product Code
Regulation Number
880.5970
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Peripherally Inserted Central Vein Access Catheters with valve technology are designed for Long or Short-term peripheral access to the central venous system for intravenous therapy and blood sampling, and allows for central venous pressure monitoring.

Device Description

The Vascu-PICC® with Valve Technology is available in various configurations; they are a 3F & 4F single lumen and 4F & 5F double lumen. The catheter lumen terminates through an extension to a female luer-lock connector. Assembled within each huer is a bi-directional valve that can control fluid flow in two directions. The valve is normally closed but opens when flow is induced in either direction. Each extension is marked with the lumen gauge size and "Valved catheter". The transition between lumen and extension is housed within a molded hub. The hub is marked with catheter French size. The outside diameter of the lumen increases gradually near the hub to aid in kink resistance and to provide a mechanical obstruction to bleeding from the venotomy. The lumen is marked with depth marks every centimeter. The catheter is packaged sterile in a variety of tray configurations with the necessary accessories to facilitate catheter insertion.

AI/ML Overview

This document describes a 510(k) submission for the Medcomp Vascu-PICC with Valve Technology, which is a medical device and not an AI/ML powered device. Therefore, the typical acceptance criteria and study designs relevant to AI/ML devices, such as those involving sensitivity, specificity, AUC, human readers, ground truth establishment by experts, and training/test set sample sizes, are not applicable here.

The provided document details the regulatory submission for a physical medical device (a catheter). The "acceptance criteria" in this context refer to the device meeting performance standards for physical and functional characteristics, and its "study" is the performance testing conducted to demonstrate substantial equivalence to predicate devices, rather than a clinical study evaluating diagnostic accuracy.

Here's an analysis based on the provided document, addressing the closest relevant points where possible, and explicitly stating where AI/ML-specific questions are not applicable:

1. A table of acceptance criteria and the reported device performance

Since this is a physical medical device submission for substantial equivalence, the "acceptance criteria" are implied by the performance standards required for intravascular catheters and the demonstration of equivalence to predicate devices. The document does not provide a table of precise quantitative acceptance criteria in terms of, for example, minimum burst pressure, maximum flow rate, or specific material properties with exact thresholds. Instead, it states that performance was evaluated against "applicable international standards and FDA guidance documents" and "internal engineering testing methods."

The "reported device performance" is summarized as:

CategoryAcceptance Criteria (Implied)Reported Device Performance
Overall EquivalenceSubstantially equivalent to predicate devices (K121094 & K072230)The Vascu-PICC® with valve technology catheter is substantially equivalent to the predicate devices in terms of intended use, anatomical location, basic design, materials, performance, labeling, manufacturing process and method of sterilization. The only difference is the addition of valve technology to the luer. The results of performance tests in conjunction with the substantial equivalence claims effectively demonstrate the proposed devices are equivalent to the predicate devices.
Performance TestingCompliance with international standards, FDA guidance, internal methods. Pressure injection not established by FDA.Performance testing was conducted in accordance with applicable international standards and FDA guidance documents. Testing is based upon internal engineering testing methods. Specific results (e.g., flow rates, pressure resistance) are not publicly reported in this summary, but are affirmed to meet criteria.
BiocompatibilityMeet requirements of ISO 10993.All biocompatibility testing demonstrates the materials used meet the requirements of ISO 10993.
Technological CharacteristicsSimilar to predicate devices.Technological similarities between the proposed device and predicate devices remain the same.
Safety and EffectivenessNo new issues of safety and effectiveness.There are no differences that raise new issues of safety and effectiveness.

2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

This information is not provided in the summary for the engineering/performance testing. As this is not an AI/ML diagnostic or prognostic device, the concept of a "test set" for diagnostic performance metrics (like sensitivity/specificity) is not directly applicable. The testing would involve physical samples of the device undergoing various mechanical and functional evaluations. The number of samples tested for each specific bench test (e.g., burst pressure, flow rate, kink resistance) is not detailed in this summary. The provenance of the "data" would be internal laboratory testing by Medcomp.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

This question is not applicable as this is a physical medical device. Ground truth, in the context of AI/ML, refers to a label or diagnosis established by human experts, pathology, or outcomes for comparison with AI performance. For a catheter, the "ground truth" would be established by objective, measurable physical properties and compliance with engineering specifications and regulatory standards, evaluated by engineers and quality control personnel, not by medical experts making diagnostic assessments.

4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

This question is not applicable for the same reasons as #3. Adjudication methods are used in clinical studies or expert labeling processes to resolve discrepancies in human assessments, which is not relevant for the bench testing of a physical device's performance.

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

This question is not applicable. This submission is for a physical medical device (catheter), not an AI-powered diagnostic or assistive tool. An MRMC study is relevant for evaluating the impact of AI on human reader performance in diagnostic tasks.

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

This question is not applicable. There is no "algorithm" in the sense of AI/ML in this device. Standalone performance refers to the AI's diagnostic accuracy without human involvement.

7. The type of ground truth used (expert consensus, pathology, outcomes data, etc)

As discussed, the concept of "ground truth" in the AI/ML sense is not applicable. For this device, "ground truth" would refer to objective physical and chemical properties and performance characteristics measured through engineering and biocompatibility testing (e.g., the material is biocompatible per ISO 10993, the a specific flow rate is achieved under certain pressure).

8. The sample size for the training set

This question is not applicable. This is a physical device submission; there is no "training set" as understood in machine learning. The design and manufacturing processes are informed by engineering principles, historical data (including predicate device performance), and regulatory standards, not by training an algorithm on a dataset.

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

This question is not applicable for the same reasons as #8.

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K120897

Image /page/0/Picture/1 description: The image shows a logo with the text "medcomp." in a stylized font. Above the text is an abstract geometric shape, primarily black and white. The shape appears to be a stylized letter or symbol, possibly representing the company's initials or a related concept.

1499 Delp Drive

Harleysville, PA 19438

Tel: 215-256-4201

Fax: 215-256-1787

www.medcompnet.com

Section 5510(k) SUMMARYTraditional 510K
ASubmitter Information:
Submitter:MEDCOMP®1499 Delp DriveHarleysville, PA 19438Tel: (215) 256-4201, x2271Fax: (215) 256-9191
Contact:Jessica LeoRegulatory Associate
Date Prepared:March 28, 2013OCT 22 2013
B.Trade Name:TechnologyMedcomp® Vascu-PICC® with Valve
Common Name:Catheter, Intravascular, Therapeutic,Long-Term
Classification Name:Long Term Intravascular Catheter (80 LJS)
Regulation Name:intravascularPercutaneous, implanted, long-term
C.F.R. Section:catheter880.5970
Class:II
C.Predicate Devices:K121094 Medcomp, Vascu-PICC® and MidlineCatheters, class II 880.5970

D. Device Description:

The Vascu-PICC® with Valve Technology is available in various configurations; they are a 3F & 4F single lumen and 4F & 5F double lumen. The catheter lumen terminates through an extension to a female luer-lock connector. Assembled within each huer is a bi-directional valve that can control fluid flow in two directions. The valve is normally closed but opens when flow is induced in either direction. Each extension is marked with the lumen gauge size and "Valved catheter". The transition between lumen and extension is housed within a molded hub. The hub is marked with catheter French size. The outside diameter of the lumen increases gradually near the hub to aid in kink resistance and to provide a mechanical obstruction to bleeding from the venotomy. The lumen is marked with depth marks every centimeter.

K072230 Bard Access Systems, Inc., PowerPICC SOLO™, class II 880.5970

The catheter is packaged sterile in a variety of tray configurations with the necessary accessories to facilitate catheter insertion.

ど。 Indications for Use:

Medcomp Vascu-PICC with Valve Technology Summary

Page 1 of 2

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Image /page/1/Picture/0 description: The image shows a logo with a geometric design above the word "medcomp". The geometric design features a combination of thick, black lines forming an abstract shape, with a white circle incorporated into the design. The word "medcomp" is written in a lowercase, italicized font below the geometric shape.

F.

1499 Delp Drive

Hurleysville, PA 19438

Tel: 215-256-4201

Fax: 215-256-1787

www.medcompnet.com

The Peripherally Inserted Central Vein Access Catheters with valve technology are designed for Long or Short-term peripheral access to the central venous system for intravenous therapy and blood sampling, and allows for central venous pressure monitoring.

Comparison to Predicate Devices:

The Vascu-PICC® with valve technology catheter is substantially equivalent to the predicate devices in terms of intended use, anatomical location, basic design, materials, performance, labeling, manufacturing process and method of sterilization.

The difference between the Vascu-PICC® with valve technology and the predicate devices (K121094) is the addition of the valve technology to the luer.

G. Bench / Performance Data:

Performance testing of the proposed device was conducted in accordance with applicable international standards and FDA guidance documents. Performance standards for pressure injection have not been established by FDA under section 514 of the Federal Food, Drug and Cosmetic Act, Testing is based upon internal engineering testing methods.

The results of these tests in conjunction with the substantial equivalence claims effectively demonstrate the proposed devices are equivalent to the predicate devices.

ਜ਼ੁ Biocompatibility:

Testing for all materials used for the Vascu-PICC® with valve technology has been submitted in previously cleared Medcomp devices. All biocompatibility testing demonstrates the materials used meet the requirements of ISO 10993.

L Technological Characteristics:

Technological similarities between the proposed device and predicate devices remain the same.

J. Summary of Substantial Equivalence:

The proposed device meets the performance criteria of design verification as specified by ISO standards, guidance documents and internal test protocols. The proposed device has the same intended use, operation and function as the predicates. There are no differences that raise new issues of safety and effectiveness. The proposed device is substantially equivalent to the legally marketed predicate device.

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

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

October 22, 2013

MEDCOMP (Medical Components) Jessica Leo Regulatory Associate 1499 Delp Drive Harleysville, PA 19438

Re: K130897

Trade/Device Name: Vascu-PICC with Valve Technology Regulation Number: 21 CFR 880.5970 Regulation Name: Catheter, Intravascular, Therapeutic, Long-Term Regulatory Class: II Product Code: LJS Dated: September 3, 2013 Received: September 10, 2013

Dear Ms. Leo:

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 reguirements 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.

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Page 2 - Ms. Leo

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,

MarySBanner-S

Kwame Ulmer M.S. Acting Division Director Division of Anesthesiology, General Hospital, Respiratory, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Indications for Use

K130897 510(k) Number (if known):

Vascu-PICC® with Valve Technology Device Name:

Indications for Use:

The Peripherally Inserted Central Vein Access Catheters with valve technology are designed for Long or Short-term peripheral access to the central venous system for intravenous therapy and blood sampling, and allows for central venous pressure monitoring.

Prescription Use X (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)

Image /page/4/Picture/10 description: The image shows the FDA logo. The logo is a stylized version of the letters "FDA". The letters are outlined in black. The logo is simple and recognizable.

Richard C. Chapman 2013.10.22 14:06:05 -04'00'

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§ 880.5970 Percutaneous, implanted, long-term intravascular catheter.

(a)
Identification. A percutaneous, implanted, long-term intravascular catheter is a device that consists of a slender tube and any necessary connecting fittings, such as luer hubs, and accessories that facilitate the placement of the device. The device allows for repeated access to the vascular system for long-term use of 30 days or more, and it is intended for administration of fluids, medications, and nutrients; the sampling of blood; and monitoring blood pressure and temperature. The device may be constructed of metal, rubber, plastic, composite materials, or any combination of these materials and may be of single or multiple lumen design.(b)
Classification. Class II (special controls) Guidance Document: “Guidance on Premarket Notification [510(k)] Submission for Short-Term and Long-Term Intravascular Catheters.”