K Number
K141138
Device Name
SURFLASH SAFETY I.V. CATHETER
Date Cleared
2014-05-30

(28 days)

Product Code
Regulation Number
880.5200
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The SURFLASH® Safety I.V. Catheter is inserted into the patient's vascular system for short term use (<30 days) to withdraw blood samples, administer fluid intravenously, or monitor blood pressure by attaching a monitoring line. The needle shaft cover and tip shield feature aids in the prevention of needle stick injuries. These cathers may patient population with consideration given to adequacy of vasular anatony and appropriateness for the solution being infused and duration of therapy. The 18 to 22 gauge catheters are suitable for use with power injectors rated for a maximum of 325 psi.
Device Description
The SURFLASH® Safety I.V. Catheter is manually operated and contains a passive safety feature that automatically activates as the needle is withdrawn from the catheter. The SURFLASH® Safety I.V. Catheter is a device consisting of catheter assembly (catheter, caulking pin, and catheter hub), needle assembly (needle, needle housing, transparent flash chamber (needle connecting part) with filter, and needle protector) and a passive needle-shielding mechanism (shutter and needle shaft cover consisting of inner cylinder, outer cylinder, and junction cylinder). The devices are 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 (<30 days) use to withdraw blood samples, administer fluids intravenously, or monitor blood pressure by attaching a monitoring line. The grooved cannula, which allows the clinician to visualize flashback detection through the groove, indicates that there is confirmation of vessel entry. The whole length of the cannula, including the sharp end of the cannula, is covered by the needle shielding mechanism as the needle is withdrawn from catheter's hub to aid in the prevention of needle stick injuries.
More Information

No
The description focuses on the mechanical and passive safety features of the device, with no mention of AI or ML.

Yes
The device is used for administering fluids intravenously and withdrawing blood samples, which are therapeutic and diagnostic procedures.

No

The device is an I.V. catheter used for administering fluids, withdrawing blood samples, or monitoring blood pressure. It does not perform diagnostic functions but rather facilitates interventions or measurements.

No

The device description clearly outlines physical components like a catheter assembly, needle assembly, and a passive needle-shielding mechanism, indicating it is a hardware device.

Based on the provided text, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is to "insert into the patient's vascular system for short term use (

N/A

Intended Use / Indications for Use

The SURFLASH® Safety I.V. Catheter is inserted into the patient's vascular system for short term use (

§ 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

MAY 3 0 2014

510(k) SUMMARY

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

Prepared by: Phillip Michael Lester · Regulatory Affairs Specialist Terumo Medical Corporation Tel. (410) 392-7321 Fax (410) 398-6079

Prepared for: Owner/Operator Terumo Corporation 44-1, 2-Chome, Hatagaya Shibuya-Ku, Tokyo, Japan 151-0072 Registration Number: 8010026

Manufacturer and Sterilization Facility

Kofu Factory of Terumo Corporation 1727-1, Tsuijiarai, Showa-Cho Nakakoma-Gun, Yamanashi, Japan 409-3853 Registration Number: 9681835

Contact Person: Phillip Michael Lester Regulatory Affairs Specialist Terumo Medical Corporation 950 Elkton Boulevard Elkton, MD 21921 Tel. (410) 392-7321 Fax (410) 398-6079 E-mail: philmichael.lester@terumomedical.com

Date prepared: May 1, 2014

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

Proprietary Name:SURFLASH® Safety I.V. Catheter
Common Name:Intravascular Catheter
Classification Name:Catheter, Intravascular, Therapeutic, Short-Term Less Than
30 Days
Regulation Number:21 CFR 880.5200
Regulatory Class:II
Review Panel:General Hospital
Product Code:FOZ

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

The legally marketed device to which substantial equivalence is claimed is the current device, SURFLASH® Safety I.V. Catheter (K122544), manufactured by Kofu Factory of Terumo Corporation.

D. REASON FOR 510(K) SUBMISSION

This Special 510(k) is being submitted due to a design modification to the previously cleared device to extend the range of product offering to include 14G and 16G catheters and a new length of 51 mm (2").

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

(SUMMARY OF TECHNOLOGICAL CHARACTERISTICS)

Principle of Operation/Technology

The SURFLASH® Safety I.V. Catheter is manually operated and contains a passive safety feature that automatically activates as the needle is withdrawn from the catheter.

Design/Construction

The SURFLASH® Safety I.V. Catheter is a device consisting of catheter assembly (catheter, caulking pin, and catheter hub), needle assembly (needle, needle housing, transparent flash chamber (needle connecting part) with filter, and needle protector) and a passive needle-shielding mechanism (shutter and needle shaft cover consisting of inner cylinder, outer cylinder, and junction cylinder).

The devices are an over-the needle, peripheral catheter made of a slender, flexible,

2

radio-opaque plastic with a hub that is inserted into the patient's vascular system for short term ( 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."