(107 days)
The AbbVie J is intended to provide long-term enteral access for administration to the small intestine. The AbbVie J is indicated for the administration of the medication DUOPA (carbidopa enteral suspension).
The AbbVie J (List Number 62918) is a 9 FR intestinal (J) tube, 120 cm in length. The kit includes: AbbVie J intestinal tube (polyurethane), Guide Wire (Teflon™-coated stainless steel), Y-Connector, Click Adaptor. The kit is supplied sterile (ethylene oxide). The AbbVie J is inserted through the AbbVie PEG with the aid of the guide wire. The guide wire is used to aid insertion and is removed once the tube is in place. The intestinal tube's tip is placed in the small intestine for the administration of medication in a home and/or healthcare facility environment. A Y-Connector and Click Adaptor are included in the AbbVie J kit to connect the AbbVie PEG and intestinal tubes.
Here's an analysis of the provided text regarding the device AbbVie J, focusing on acceptance criteria and study details.
Crucial Note: Based on the provided document, the device described (AbbVie J, K142816) is a Gastrointestinal Tube and Accessories (Product Code KNT). This is a physical medical device, not an AI/Software as a Medical Device (SaMD). Therefore, the questions related to AI performance metrics (like sensitivity, specificity, F1 score, effect size of AI assistance for human readers, standalone algorithm performance) are not applicable to this submission. The "performance data" section for this type of device focuses on biocompatibility and physical integrity/functionality, not diagnostic or predictive accuracy.
Acceptance Criteria and Study to Prove Device Meets Criteria (for AbbVie J, K142816)
1. Table of Acceptance Criteria and Reported Device Performance
| Acceptance Criteria Category | Specific Criteria/Test | Reported Device Performance |
|---|---|---|
| Biocompatibility | Cytotoxicity | Passed |
| Sensitization | Passed | |
| Irritation (intracutaneous reactivity) | Passed | |
| Systemic toxicity (acute) | Passed | |
| Subchronic Toxicity (subacute toxicity) | Passed | |
| Pyrogen Testing | Passed | |
| Genotoxicity | Passed | |
| Implantation | Passed | |
| Non-Clinical Performance | Conformance to EN 1615:2000 (Enteral feeding catheters) | Acceptable |
| Conformance to ISO 80369-1:2010 (Small-bore Connectors) | Acceptable | |
| Food Contact Testing (21 CFR 177.2600) | Materials acceptable for food contact use (per extractable limits) | |
| Guide Wire Performance (ISO 11070) | Evaluated and deemed acceptable | |
| MR Compatibility (FDA Guidance) | Passed compatibility testing | |
| Compatibility with DUOPA medication | Passed compatibility testing | |
| Clinical Performance | No clinical evaluations performed or relied upon | N/A (Substantial equivalence demonstrated without clinical data) |
2. Sample Size Used for the Test Set and Data Provenance
- Test Set Sample Size: Not applicable. For this physical device, "test set" primarily refers to the samples used in laboratory-based performance and biocompatibility testing. The document doesn't specify the number of individual units or test repetitions for each specific test, but it indicates the tests were conducted according to relevant standards.
- Data Provenance: Not explicitly stated regarding country of origin, but the tests were conducted according to FDA-recognized international (ISO, EN) and US (FDA Blue Book, CFR) standards. All testing appears to be retrospective, typically conducted during the device development and validation phase.
3. Number of Experts Used to Establish Ground Truth for the Test Set and Qualifications of Experts
- Number of Experts/Qualifications: Not applicable in the context of diagnostic accuracy. For the performance and biocompatibility testing, ground truth is established by the results of standardized laboratory assays and physical tests interpreted by qualified personnel in accredited labs. The document does not specify the number or qualifications of these individuals, which is standard for this type of submission.
4. Adjudication Method for the Test Set
- Adjudication Method: Not applicable. This concept pertains to resolving discrepancies in expert interpretations, which is not relevant for the objective, laboratory-based testing of a physical medical device.
5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done, and Effect Size of Human Reader Improvement with AI vs. Without AI Assistance
- MRMC Study: No. This device is not an AI/SaMD.
- Effect Size: Not applicable.
6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) Was Done
- Standalone Performance: No. This device is not an AI/SaMD.
7. The Type of Ground Truth Used
- Type of Ground Truth: The ground truth for this device is established through objective, validated laboratory testing methods described in the referenced international standards (ISO, EN) and US regulations (21 CFR). For example:
- Biocompatibility: Standardized cell culture assays, animal models, and analytical chemistry.
- Physical Performance: Measurements of physical properties like tensile strength, flow rate, connector integrity, and material extractables, compared against established pass/fail criteria in the referenced standards.
- MR Compatibility: Measurement of induced heating, artifact, and force/torque in an MR environment following standardized protocols.
8. The Sample Size for the Training Set
- Training Set Sample Size: Not applicable. This device does not use machine learning or AI that requires a "training set."
9. How the Ground Truth for the Training Set Was Established
- Ground Truth for Training Set: Not applicable. This device does not use machine learning or AI.
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Image /page/0/Picture/1 description: The image shows the logo for the Department of Health & Human Services - USA. The logo is a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" written around the perimeter. In the center of the seal is a stylized image of three human profiles facing to the right, with flowing lines beneath them.
Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002
January 14, 2015
AbbVie, Inc. Katherine Wortley, Ph.D. Director Regulatory Affairs 1 N. Waukegan Road North Chicago, I1 60064
Re: K142816 Trade/Device Name: AbbVie J Regulation Number: 21 CFR 876.5980 Regulation Name: Gastrointestinal Tube and Accessories Regulatory Class: Class II Product Code: KNT Dated: January 9, 2015 Received: January 12, 2015
Dear Katherine Wortley,
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.
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 devicerelated adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in
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the quality systems (OS) 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 contact the Division of Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address
http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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 Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address
http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.
Sincerely yours,
Benjamin R. Fisher -A
Benjamin R. Fisher, Ph.D. Director Division of Reproductive, Gastro-Renal, and Urological Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration
Indications for Use
Form Approved: OMB No. 0910-0120 Expiration Date: January 31, 2017 See PRA Statement below.
510(k) Number (if known) K142816
Device Name AbbVie J
Indications for Use (Describe)
The AbbVie J is intended to provide long-term enteral access for administration to the small intestine. The AbbVie J is indicated for the administration of the medication DUOPA (carbidopa enteral suspension).
| Type of Use (Select one or both, as applicable) | |
|---|---|
| X Prescription Use (Part 21 CFR 801 Subpart D) | Over-The-Counter Use (21 CFR 801 Subpart C) |
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510(k) Summary
SUBMITTER
AbbVie Inc. 1 N. Waukegan Road North Chicago, IL 60064
Phone: (847) 938-7707 Fax: (847) 775-4997
Contact Person: Katherine Wortley, Ph.D., Director Regulatory Affairs Email: Katherine.wortley@abbvie.com
Date Prepared: September 25, 2014
DEVICE
| Name of Device: | AbbVie J |
|---|---|
| Common or UsualName: | Intestinal Tube |
| Classification Name: | Tubes, Gastrointestinal and Accessories21 CFR 876.5980, Product Code KNT, Class II |
PREDICATE DEVICE
AbbVie J, K133096 No reference devices were used in this submission.
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DEVICE DESCRIPTION
The AbbVie J (List Number 62918) is a 9 FR intestinal (J) tube, 120 cm in length. The kit includes: AbbVie J intestinal tube (polyurethane), Guide Wire (Teflon™-coated stainless steel), Y-Connector, Click Adaptor.
The kit is supplied sterile (ethylene oxide).
The AbbVie J is inserted through the AbbVie PEG with the aid of the guide wire. The guide wire is used to aid insertion and is removed once the tube is in place. The intestinal tube's tip is placed in the small intestine for the administration of medication in a home and/or healthcare facility environment. A Y-Connector and Click Adaptor are included in the AbbVie J kit to connect the AbbVie PEG and intestinal tubes.
INDICATIONS FOR USE
The AbbVie J is intended to provide long-term enteral access for administration of medication to the small intestine. The AbbVie J is indicated for the administration of the medication DUOPA (carbidopa and levodopa enteral suspension).
COMPARISON OF TECHNILOGICAL CHARACTERISTICS WITH THE PREDICATE DEVICE
The proposed device is substantially equivalent to the cleared device (AbbVie J, K133096) as it is identical with the exception of the proposed indication for use with DUOPA.
PERFORMANCE DATA
The following performance data were provided in support of the substantial equivalence determination.
Biocompatibility Testing
The biocompatibility evaluation for the AbbVie J was conducted in accordance with the FDA Blue Book Memorandum #G95-1 Use of International Standard ISO-10993, 'Biological Evaluation of Medical Devices Part 1: Evaluation and Testing,' published May 1, 1995, FDA Draft Guidance for Industry and Food and Drug Administration Staff:
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Use of International Standard ISO-10993, "Biological Evaluation of Medical Devices Part 1: Evaluation and Testing" published April 23, 2013 and International Standard ISO 10993-1 Biological Evaluation of Medical Devices - Part 1: Evaluation and Testing Within a Risk Management Process, as recognized by FDA. An intestinal tube is considered an external communicating device through tissue contact, with contact duration greater than 30 days. The battery of testing included the following:
- Cytotoxicity Sensitization Irritation (intracutaneous reactivity) Systemic toxicity (acute) Subchronic Toxicity (subacute toxicity) Pyrogen Testing Genotoxicity and Implantation.
Non-Clinical Performance Data
The AbbVie J was assessed for conformance to standard EN 1615:2000 Enteral feeding catheters and enteral giving sets for single use and their connectors – Design and testing. An assessment of the AbbVie J has been completed and shown to be acceptable per ISO 80369-1:2010 Small-bore Connectors for Liquids and Gases in Healthcare Applications-Part 1: General requirements. Food contact testing was conducted on the AbbVie J and demonstrated that the materials that constitute the AbbVie J are acceptable for food contact use. The study was conducted as described in 21 CFR 177.2600 Indirect Food Additives: Polymers, Rubber articles intended for repeated use per the extractable limits. Performance of the guide wire included in the AbbVie J kit was evaluated per ISO 11070 Sterile single-use intravascular catheter introducers. MR compatibility was assessed in accordance with Guidance for Industry and FDA Staff: Establishing Safety and Compatibility of Passive Implants in the Magnetic Resonance (MR) Environment. AbbVie J has passed compatibility testing with the medication DUOPA.
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Clinical Performance Data
No clinical evaluations were performed or relied upon for the determination of substantial equivalence.
CONCLUSIONS
The proposed device, AbbVie J, is substantially equivalent to the predicate device as it is identical to the previously cleared predicate device (AbbVie J, K133096). The indication for use with DUOPA does not alter the intended use (enteral delivery of fluids) or introduce a difference that impacts safety or effectiveness of the device.
§ 876.5980 Gastrointestinal tube and accessories.
(a)
Identification. A gastrointestinal tube and accessories is a device that consists of flexible or semi-rigid tubing used for instilling fluids into, withdrawing fluids from, splinting, or suppressing bleeding of the alimentary tract. This device may incorporate an integral inflatable balloon for retention or hemostasis. This generic type of device includes the hemostatic bag, irrigation and aspiration catheter (gastric, colonic, etc.), rectal catheter, sterile infant gavage set, gastrointestinal string and tubes to locate internal bleeding, double lumen tube for intestinal decompression or intubation, feeding tube, gastroenterostomy tube, Levine tube, nasogastric tube, single lumen tube with mercury weight balloon for intestinal intubation or decompression, and gastro-urological irrigation tray (for gastrological use).(b)
Classification. (1) Class II (special controls). The barium enema retention catheter and tip with or without a bag that is a gastrointestinal tube and accessory or a gastronomy tube holder accessory is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 876.9.(2) Class I (general controls) for the dissolvable nasogastric feed tube guide for the nasogastric tube. The class I device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to § 876.9.