K Number
K150034
Device Name
AMT Enteral Transition Adapters
Date Cleared
2015-06-09

(151 days)

Product Code
Regulation Number
876.5980
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The AMT Enteral Transition Adapters are intended to facilitate enteral specific connections between AAMI/CN3(PS) compliant connectors and non ISO 80369-1 compliant legacy enteral connectors.
Device Description
New standard ISO-80369-1 is pushing feeding tube manufacturers to transition current extension set designs to incorporate enteral only connectors. Most enteral feeding devices currently on the market utilize luer slip or catheter tip connectors to connect enteral giving sets and syringes to enteral receiving sets. Standard luer slip and catheter tip connectors raise risk levels for patients as devices outside of the enteral market use similar connections, including IVs. Therefore, the ISO/IEC 80369 series was developed to help reduce the possibility of misconnections across different medical fields. The FDA recently cleared an updated AMT enteral extension set in 510(k) K142989. This extension set remains identical to our previously marketed device, but includes Enfit connectors. However, launching a enteral extension sets with Enfit connectors will not be simultaneous across all manufacturers and distributors. Therefore, transition adapters are necessary for a limited time. As the new Enfit connectors are not backwards compatible with current luer and bolus connections currently used for enteral products, AMT has designed several transition adapter configurations to help users make the switch to the new connections. AMT estimates that there will be a time of at least a year and possibly up to three years where users and distributors will still have access to enteral devices with luer / bolus connectors. The transition adapters AMT has designed in this 510(k) will allow users to use their old giving/receiving sets until the market is flushed of old inventory. The AMT Enteral Transition Adapters come in 5 configurations and are made up of 5 separate components. The five configurations include: • Male Enfit to Male Luer Adapter • Female Enfit to Female Luer Adapter • Female Enfit to Y-Port (Bolus/Luer) Adapter • Female Enfit to Bolus Adapter • Male Enfit to Christmas-tree Adapter These 5 transition adapter configurations will allow AMT to offer users with options for all of the common enteral connectors currently on the market. All components and materials have been previously cleared in 510(k)s for similar use. It is planned to include these transition adapters kitted with enteral devices previously cleared through the 510(k) process, as well as selling the adapters as stand-alone items.
More Information

No
The device description and performance studies focus on mechanical properties and compatibility of physical connectors, with no mention of AI or ML.

No.
The device facilitates connections between different types of enteral connectors and does not directly provide therapy or affect a patient's health condition. It is a transitional accessory for medical device compatibility.

No
The device is described as an adapter to facilitate enteral specific connections, not to diagnose any condition.

No

The device description clearly states the device is made up of physical components (adapters) and describes performance testing on these physical components, 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 "facilitate enteral specific connections between AAMI/CN3(PS) compliant connectors and non ISO 80369-1 compliant legacy enteral connectors." This describes a physical connection for delivering substances (like food or medication) into the body via the enteral route.
  • Device Description: The description focuses on the physical design of adapters to connect different types of enteral feeding connectors. It discusses the transition to new standards (ISO 80369-1) and the need for these adapters to bridge the gap between old and new connector types.
  • Lack of IVD Characteristics: An IVD is a medical device used to perform tests on samples taken from the human body (like blood, urine, or tissue) to provide information about a person's health. The provided text does not mention any testing of biological samples, analysis of bodily fluids, or diagnostic purposes.

The device is clearly designed for the physical connection of enteral feeding equipment, which is a form of medical device but not an IVD.

N/A

Intended Use / Indications for Use

The AMT Enteral Transition Adapters are intended to facilitate enteral specific connections between AAMI/CN3(PS) compliant connectors and non ISO 80369-1 compliant legacy enteral connectors.

Product codes

PIO

Device Description

New standard ISO-80369-1 is pushing feeding tube manufacturers to transition current extension set designs to incorporate enteral only connectors. Most enteral feeding devices currently on the market utilize luer slip or catheter tip connectors to connect enteral giving sets and syringes to enteral receiving sets. Standard luer slip and catheter tip connectors raise risk levels for patients as devices outside of the enteral market use similar connections, including IVs. Therefore, the ISO/IEC 80369 series was developed to help reduce the possibility of misconnections across different medical fields.
The FDA recently cleared an updated AMT enteral extension set in 510(k) K142989. This extension set remains identical to our previously marketed device, but includes Enfit connectors. However, launching a enteral extension sets with Enfit connectors will not be simultaneous across all manufacturers and distributors. Therefore, transition adapters are necessary for a limited time.
As the new Enfit connectors are not backwards compatible with current luer and bolus connections currently used for enteral products, AMT has designed several transition adapter configurations to help users make the switch to the new connections. AMT estimates that there will be a time of at least a year and possibly up to three years where users and distributors will still have access to enteral devices with luer / bolus connectors. The transition adapters AMT has designed in this 510(k) will allow users to use their old giving/receiving sets until the market is flushed of old inventory.
The AMT Enteral Transition Adapters come in 5 configurations and are made up of 5 separate components. The five configurations include:
• Male Enfit to Male Luer Adapter
• Female Enfit to Female Luer Adapter
• Female Enfit to Y-Port (Bolus/Luer) Adapter
• Female Enfit to Bolus Adapter
• Male Enfit to Christmas-tree Adapter
These 5 transition adapter configurations will allow AMT to offer users with options for all of the common enteral connectors currently on the market. All components and materials have been previously cleared in 510(k)s for similar use. It is planned to include these transition adapters kitted with enteral devices previously cleared through the 510(k) process, as well as selling the adapters as stand-alone items.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

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

AMT conducted various performance tests on all components contained within AMT Enteral Transition Adapters. The tests carried out included:
• Tensile strength
• Fluid leakage
• Stress cracking
• Resistance to separation from axial load
• Resistance to separation from unscrewing
• Resistance to overriding
• Disconnection from unscrewing
• Flow testing
Incompatibility testing was conducted on the Enfit connectors as recommended in the ISO 80369-1 standard. Although the Enfit connectors will not misconnect to other connectors in the 80369 series, misconnections with non ISO/IEC 80369 series connectors may still occur.

Key Metrics

Not Found

Predicate Device(s)

K140581

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 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.

0

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

June 9, 2015

Applied Medical Technology, Inc. Joshua D. Meinke OA/Regulatory Supervisor 8006 Katherine Boulevard Brecksville, OH 44141

Re: K150034

Trade/Device Name: AMT Enteral Transition Adapters Regulation Number: 21 CFR§ 876.5980 Regulation Name: Gastrointestinal tube and accessories Regulatory Class: II Product Code: PIO Dated: March 16. 2015 Received: March 18, 2015

Dear Joshua D. Meinke,

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.

1

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 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 vours.

Image /page/1/Picture/8 description: The image shows the text "Herbert P. Lerner -S" in a simple, sans-serif font. The text is black and appears to be the main focus of the image. The background is a light gray, and there is a faint watermark-like design behind the text.

Benjamin R. Fisher, Ph.D. for Director Division of Reproductive, Gastro-Renal, and Urological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

2

Indications for Use

510(k) Number (if known) K150034

Device Name AMT Enteral Transition Adapters

Indications for Use (Describe)

The AMT Enteral Transition Adapters are intended to facilitate enteral specific connections between AAMI/CN3(PS) compliant connectors and non ISO 80369-1 compliant legacy enteral connectors.

|×| Prescription Use (Part 21 CFR 801 Subpart D)

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

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3

SECTION - 5

510(K) Summary

AMT Enteral Transition Adapters

Date Prepared:June 8, 2015
Submitter:Joshua D. Meinke
QA/Regulatory Supervisor
Applied Medical Technology, Inc.
8006 Katherine Boulevard
Brecksville, OH 44141
Phone: 440-717-4252
Fax: 440-717-4200
Email: Josh.Meinke@appliedmedical.net
Contact Person: Joshua Meinke
Device
Information:Trade Name: AMT Enteral Transition Adapters
Common Name: Enteral Transition Adapter
Classification Name: Gastroenterology and Urology (21 CFR 876.5980)
Regulatory Class: II
Product Code: PIO
FDA Identification: Facilitate enteral specific connections between
AAMI/CN3(PS) compliant connectors and non ISO 80369-1
compliant legacy enteral connectors.
Predicate
Device:Enteral Specific Transition Connectors (Cedic S.R.L.)
(cleared under K140581)
Indications for
Use:The AMT Enteral Transition Adapters are intended to facilitate enteral specific
connections between AAMI/CN3(PS) compliant connectors and non ISO 80369-1
compliant legacy enteral connectors.
Device
Description:New standard ISO-80369-1 is pushing feeding tube manufacturers to transition
current extension set designs to incorporate enteral only connectors. Most enteral
feeding devices currently on the market utilize luer slip or catheter tip connectors to
connect enteral giving sets and syringes to enteral receiving sets. Standard luer slip
and catheter tip connectors raise risk levels for patients as devices outside of the
enteral market use similar connections, including IVs. Therefore, the ISO/IEC 80369
series was developed to help reduce the possibility of misconnections across different
medical fields.
The FDA recently cleared an updated AMT enteral extension set in 510(k) K142989.
This extension set remains identical to our previously marketed device, but includes
Enfit connectors. However, launching a enteral extension sets with Enfit connectors
will not be simultaneous across all manufacturers and distributors. Therefore,
transition adapters are necessary for a limited time.
As the new Enfit connectors are not backwards compatible with current luer and
bolus connections currently used for enteral products, AMT has designed several
transition adapter configurations to help users make the switch to the new
connections. AMT estimates that there will be a time of at least a year and possibly
up to three years where users and distributors will still have access to enteral devices
with luer / bolus connectors. The transition adapters AMT has designed in this
510(k) will allow users to use their old giving/receiving sets until the market is
flushed of old inventory.
The AMT Enteral Transition Adapters come in 5 configurations and are made up of 5
separate components. The five configurations include:
• Male Enfit to Male Luer Adapter
• Female Enfit to Female Luer Adapter
• Female Enfit to Y-Port (Bolus/Luer) Adapter
• Female Enfit to Bolus Adapter
• Male Enfit to Christmas-tree Adapter
These 5 transition adapter configurations will allow AMT to offer users with options
for all of the common enteral connectors currently on the market. All components
and materials have been previously cleared in 510(k)s for similar use. It is planned to
include these transition adapters kitted with enteral devices previously cleared
through the 510(k) process, as well as selling the adapters as stand-alone items.
Technological
Characteristics:The AMT Enteral Transition Adapters are provided non-sterile for single user use
only. They are made from DEHP and Latex free materials. The Enteral Transition
Adapters are provided in a number of configurations providing different connection
possibilities to enteral devices currently on the market. Description of the five
different transition adapters AMT will offer are listed below:
Transition Adapter Types:
• Male Enfit to Male Luer Adapter (P/N: TRN101)
• Female Enfit to Female Luer Adapter (P/N: TRN201)
• Female Enfit to Y-Port (Bolus/Luer) Adapter ) (P/N: TRN203)
• Female Enfit to Bolus Adapter (P/N: TRN202)
• Male Enfit to Christmas-tree Adapter (P/N: TRN102)
Biocompatibility
Testing:No additional biocompatibility testing was performed for this submission. The
device and materials in finished form for the AMT Enteral Transition Adapters were
previously tested under 510(k) K123716. All AMT Enteral Transition adapters have
been tested for permanent (greater than 30 days) indirect mucosal contact, except for
the Male Enfit to Christmas-tree Adapter (P/N: TRN 102) which has been tested to
prolonged (less than 29 days) indirect mucosal contact.

4

Applied Medical Technology, Inc. -510(k) Submission

5

| Performance
Testing: | AMT conducted various performance tests on all components contained within AMT
Enteral Transition Adapters. The tests carried out included:
• Tensile strength
• Fluid leakage
• Stress cracking
• Resistance to separation from axial load
• Resistance to separation from unscrewing
• Resistance to overriding
• Disconnection from unscrewing
• Flow testing

Incompatibility testing was conducted on the Enfit connectors as recommended in the
ISO 80369-1 standard. Although the Enfit connectors will not misconnect to other
connectors in the 80369 series, misconnections with non ISO/IEC 80369 series
connectors may still occur. |
|-------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Conclusions: | The AMT Enteral Transition Adapters are substantially equivalent to the predicate
device cleared under K140581 in intended use, patient population, design,
biocompatibility, testing criteria, and method of operation. |