K Number
K133280
Device Name
TERUMO SURFLO I.V. CATHETER
Date Cleared
2014-06-12

(230 days)

Product Code
Regulation Number
880.5200
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
TERUMO® SURFLO® I.V. Catheter is inserted into the patient's vascular system for short term use (less than 30 days) to withdraw blood samples, monitor blood pressure, or administer fluids intravenously.
Device Description
The TERUMO® SURFLO® I.V. Catheter is a device consisting of a catheter assembly (catheter, caulking pin, and catheter hub) and needle assembly (needle, needle hub, filter cap and filter). The device is an over-the needle, peripheral catheter made of a slender, flexible, radio-opaque plastic with a hub that is inserted into the patient's vascular system for short term (<30days) use to withdraw blood samples, administer fluids intravenously, or monitor blood pressure by attaching a monitoring line.
More Information

Not Found

No
The summary describes a standard I.V. catheter and does not mention any AI or ML components or functionalities.

No
The device is used to access the vascular system for diagnostics (blood sampling, blood pressure monitoring) or administration of fluids, rather than for directly treating a disease or condition.

No

The device is used to withdraw blood samples, administer fluids, or monitor blood pressure, which are functions related to treatment and data collection, not diagnosis. It does not analyze data or provide diagnostic information.

No

The device description clearly states it is a physical catheter assembly and needle assembly, which are hardware components, not software.

Based on the provided information, the TERUMO® SURFLO® I.V. Catheter is not an In Vitro Diagnostic (IVD) device.

Here's why:

  • Intended Use: The intended use clearly states that the device is inserted into the patient's vascular system for purposes like withdrawing blood samples, monitoring blood pressure, or administering fluids intravenously. These are all procedures performed on the patient's body, not on samples outside the body.
  • Device Description: The description details a physical device (catheter, needle, etc.) designed for insertion into the vascular system.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens derived from the human body (like blood, tissue, or urine) to provide information for diagnostic, monitoring, or compatibility purposes.

IVD devices are specifically designed to perform tests on samples taken from the body. This device is designed for direct interaction with the patient's vascular system.

N/A

Intended Use / Indications for Use

TERUMO® SURFLO® I.V. Catheter is inserted into the patient's vascular system for short term use (less than 30 days) to withdraw blood samples, monitor blood pressure, or administer fluids intravenously.

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

FOZ

Device Description

The TERUMO® SURFLO® I.V. Catheter is manually operated.

The SURFLO® I.V. Catheter is a device consisting of a catheter assembly (catheter, caulking pin, and catheter hub) and needle assembly (needle, needle hub, filter cap and filter).

The device is an over-the needle, peripheral catheter made of a slender, flexible, radio-opaque plastic with a hub that is inserted into the patient's vascular system for short term (

§ 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

K133280

JUN 1 2 2014

510(k) SUMMARY

A. SUBMITTER INFORMATION (807.92(a)(1))

: TERUMO (PHILIPPINES) CORPORATION Prepared for 124 East Main Avenue, Laguna Technopark, Binan, Laguna,Philippines

Prepared by : Ma. Cristina Faderagao - Supervisor, Regulatory Affairs Tel. (+63) 49 541 2111 Fax (+63) 49 541 2121

Date prepared : September 26, 2013

Contact Person : Phillip Michael Lester

Regulatory Affairs Specialist Terumo Medical Corporation 950 Elkton Boulevard Elkton, MD 21921 Phone#: (410)392-7321 Fax#: (410)398-6079 E-mail: philmichael.lester@terumomedical.com

1

B. DEVICE NAME (807.92(a)(2))

Proprietary Name

TERUMO® SURFLO® I.V. Catheter or similar proprietary name

Classification Name

Intravascular Catheter (880.5200)

Product Code: FOZ

Panel: General Hospital

Classification: Class II

Common Name

Intravascular catheter

C. PREDICATE DEVICE (807.92(a)(3))

The legally marketed device to which substantial equivalence is claimed is the TERUMO® SURFLO® I.V. Catheter (K891087), manufactured by Terumo Medical Corporation, Elkton, Maryland.

D. REASON FOR 510(K) SUBMISSION

This premarket notification (510(k)) is being submitted for the TERUMO® SURFLO® I.V. Catheter, an intravascular device, manufactured by Terumo (Philippines) Corporation, as a new device.

E. INTENDED USE (807.92(a)(5))

TERUMO® SURFLO® I.V. Catheter is inserted into the patient's vascular system for short term use (less than 30 days) to withdraw blood samples, monitor blood pressure, or administer fluids intravenously.

Note: This intended use is substantially equivalent to the predicate device, TERUMO® SURFLO® I.V. Catheter (K891087).

2

F. DEVICE DESCRIPTION (807.92(a)(4))

(Summary of Technological Characteristics)

Principle of Operation and Technology

The TERUMO® SURFLO® I.V. Catheter is manually operated.

Design/Construction

The SURFLO® I.V. Catheter is a device consisting of a catheter assembly (catheter, caulking pin, and catheter hub) and needle assembly (needle, needle hub, filter cap and filter).

The device is an over-the needle, peripheral catheter made of a slender, flexible, radio-opaque plastic with a hub that is inserted into the patient's vascular system for short term ( Performance testing other than to the above ISO Standards was also performed on the device. The device complies with the acceptance criteria for each test:

Performance TestResults
Cannula and needle hub fitting forceMeets acceptance criteria
Catheter tube and catheter hub fitting forceMeets acceptance criteria
Catheter tube and catheter hub leakageMeets acceptance criteria
Catheter tube and needle fitting forceMeets acceptance criteria
FlashbackMeets acceptance criteria
Needle and needle hub leakageMeets acceptance criteria
Needle heel and catheter tip distanceMeets acceptance criteria
Needle penetrationMeets acceptance criteria

Biocompatibility

The TERUMO® SURFLO® I.V. Catheter is classified as:

  • -Catheter and lubricant: Externally Communicating Device, Circulating Blood, Prolonged Exposure (24 hours to 30 days):
  • Cannula with lubricant: Externally Communicating Device, Circulating -Blood, Short Term ( Prescription Use (Part 21 CFR 801 Subpart D)

Over-The-Counter Use (21 CFR 801 Subpart C)

PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON A SEPARATE PAGE IF NEEDED.

FOR FDA USE ONLY

Concurrence of Center for Devices and Radiological Health (CDRH) (Signature)

Digitally signed by Richard C. Chapman -S Date: 2014.06.12 11:24:54 -04'00'

Form Approved: OMB No. 0910-0120 Expiration Date: December 31, 2013 See PRA Statement on last page.

12

This section applies only to requirements of the Paperwork Reduction Act of 1995.

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."