(28 days)
Not Found
No
The description focuses on the physical characteristics, materials, and intended use of a subcutaneous implantable venous access device. There is no mention of any software, algorithms, or data processing that would suggest the use of AI or ML.
No.
The device facilitates the administration of therapeutic substances and withdrawal of blood but is not inherently therapeutic itself.
No.
The device is a port used for administering fluids, chemotherapy, analgesics, nutritional therapy, blood products, and for blood specimen withdrawal. It does not perform any diagnostic function.
No
The device description clearly details a physical, implantable medical device (subcutaneous implantable venous access device) with various hardware components (reservoir, septum, catheter, etc.). There is no mention of software as the primary or sole component.
Based on the provided information, this device is not an IVD (In Vitro Diagnostic).
Here's why:
- Intended Use: The intended use clearly describes a device for administering fluids, blood products, and withdrawing blood specimens from the central venous system. It also mentions power injection of contrast media. These are all procedures performed on the patient's body, not tests performed on samples taken from the body to diagnose or monitor a condition.
- Device Description: The device is described as a subcutaneous implantable venous access device. This is a medical device used for direct access to the patient's circulatory system.
- Lack of IVD Characteristics: There is no mention of analyzing samples, detecting analytes, or providing diagnostic information based on testing biological specimens.
IVD devices are designed to perform tests on samples (like blood, urine, tissue) taken from the human body to provide information for diagnosis, monitoring, or screening. This device's function is to facilitate the delivery and withdrawal of substances to and from the patient's body.
N/A
Intended Use / Indications for Use
The NMI Port and NMI Port II with and without PASV Valve Technology are indicated for patients who require longterm access to the central venous system for administration of fluids including but not limited to hydration fluids, chemotherapy, analgesics, nutritional therapy and blood products. The device is also indicated for blood specimen withdrawal. When used with a power injectable needle, the NMI Port II are indicated for power injection of contrast media. The maximum recommended infusion rate is 5 ml/sec with a 19G or 20G non-coring power injectable needle or 2 ml/sec with a 22G non-coring power injectable needle.
Product codes (comma separated list FDA assigned to the subject device)
LJT
Device Description
The NMI Port and NMI Port II with and without PASV Valve Technology are a subcutaneous implantable venous access device with one reservoir and is designed for optional power injection of contrast media, CECT. The ports are designed to be accessed using a non-coring Huber needle introduced through the skin into the self-sealing silicone septum covering the reservoir.
The NMI Port and NMI Port II are available in plastic or titanium single lumen and valved or nonvalved configurations. The ports are available with either silicone filled or non-filled suture fixation holes. Ports with non-filled suture fixation holes are generally utilized based on clinical need to anchor the port to the subcutaneous tissue; whereas ports with filled suture holes, designed to prevent tissue in-growth to the suture holes, are generally utilized when not anchoring the port to the subcutaneous tissue. If needed, filled suture holes are accessed through the silicone. All port configurations have a radiopaque identifier (CT mark) to identify the port as power injectable. The radiopaque catheter has graduated marks at 1 centimeter intervals and can be cut to the desired length by the clinician. Ports are provided with a variety of procedural accessories.
The NMI Port II catheter shaft incorporates Endexo polymer for improved resistance to thrombus accumulation and/or formation on the catheter.
Mentions image processing
Not Found
Mentions AI, DNN, or ML
Not Found
Input Imaging Modality
Not Found
Anatomical Site
central venous system
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 (study type, sample size, AUC, MRMC, standalone performance, key results)
Performance Evaluation:
NMI Port and NMI Port II testing included:
- Power Injection and Burst Testing: 3 lots of 15 samples each (45 total) were tested. All samples met the acceptance criteria, with average static burst pressures of 138.7, 148.8 and 149.2 psi.
- Aspiration Strength - Open Ended: 3 lots of 75 samples each (225 total) were tested. All samples met the acceptance criteria.
- Aspiration Strength - Closed Ended: 3 lots of 75 samples each (225 total) were tested. All samples met the acceptance criteria.
- CT Ink Durability: 3 lots of 75 samples each (225 total) were tested. All samples met the acceptance criteria.
- Port body height: 3 lots of 75 samples each (225 total) were tested. All samples met the acceptance criteria.
- Port Body Break Strength: 3 lots of 75 samples each (225 total) were tested. All samples met the acceptance criteria.
Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)
Not Found
Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.
Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.
Not Found
Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).
Not Found
§ 880.5965 Subcutaneous, implanted, intravascular infusion port and catheter.
(a)
Identification. A subcutaneous, implanted, intravascular infusion port and catheter is a device that consists of a subcutaneous, implanted reservoir that connects to a long-term intravascular catheter. The device allows for repeated access to the vascular system for the infusion of fluids and medications and the sampling of blood. The device consists of a portal body with a resealable septum and outlet made of metal, plastic, or combination of these materials and a long-term intravascular catheter is either preattached to the port or attached to the port at the time of device placement. The device is available in various profiles and sizes and can be of a single or multiple lumen design.(b)
Classification. Class II (special controls) Guidance Document: “Guidance on 510(k) Submissions for Implanted Infusion Ports,” FDA October 1990.
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Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized caduceus symbol, which is a staff with two snakes coiled around it. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" are arranged in a circular pattern around the caduceus symbol. The logo is black and white.
Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002
December 4, 2015
Navilyst Medical, Inc. Robin Fuller Sr. Manager, Regulatory Affairs 26 Forest Street Marlborough, Massachusetts 01752
Re: K153228
Trade/Device Name: NMI Port and NMI Port II Regulation Number: 21 CFR 880.5965 Regulation Name: Subcutaneous, Implanted, Intravascular Infusion Port and Catheter Regulatory Class: II Product Code: LJT Dated: November 4, 2015 Received: November 6, 2015
Dear Robin Fuller:
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.
1
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 of medical devicerelated 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 yours,
Tina Kiang -S
for Erin I. Keith, M.S. Director Division of Anesthesiology, General Hospital, Respiratory, Infection Control, and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
2
Indications for Use
510(k) Number (if known) K153228
Device Name NMI Port and NMI Port II
Indications for Use (Describe)
The NMI Port and NMI Port II with and without PASV Valve Technology are indicated for patients who require longterm access to the central venous system for administration of fluids including but not limited to hydration fluids, chemotherapy, analgesics, nutritional therapy and blood products. The device is also indicated for blood specimen withdrawal. When used with a power injectable needle, the NMI Port II are indicated for power injection of contrast media. The maximum recommended infusion rate is 5 ml/sec with a 19G or 20G non-coring power injectable needle or 2 ml/sec with a 22G non-coring power injectable needle.
Type of Use (Select one or both, as applicable)
| Prescription Use (Part 21 CFR 801 Subpart D)
Over-The-Counter Use (21 CFR 801 Subpart C)
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510(k) Summary for the NMI Port and NMI Port II
K153228
Date prepared: 19-November-2015
A. Sponsor
Navilyst Medical, Inc 26 Forest Street Marlborough, MA 01752
B. Contact
Robin Fuller Sr.Manager, Regulatory Affairs 508-658-7986
C. Device Name
| Trade Name: | NMI Port and NMI Port II |
|---|---|
| Common/Usual name: | Implanted port catheter |
| Classification Name: | Implanted port catheter, subcutaneous, implanted, intravascular infusion port and catheter |
21CFR§880.5965, Class II Classification Panel: ProCode:
D. Predicate Device(s)
Trade Name: Common/Usual name: Classification Name:
General Hospital LJT
NMI Port and NMI Port II Implanted port catheter Implanted port catheter, subcutaneous, implanted, intravascular infusion port and catheter
| 21CFR§880.5965, Class II | |
|---|---|
| Classification Panel: | General Hospital |
| ProCode: | LJT |
| Predicate 510(k)s: | K122767, K131694 |
E. Device Description
The NMI Port and NMI Port II with and without PASV Valve Technology are a subcutaneous implantable venous access device with one reservoir and is designed for optional power injection of contrast media, CECT. The ports are designed to be accessed using a non-coring Huber needle introduced through the skin into the self-sealing silicone septum covering the reservoir.
4
The NMI Port and NMI Port II are available in plastic or titanium single lumen and valved or nonvalved configurations. The ports are available with either silicone filled or non-filled suture fixation holes. Ports with non-filled suture fixation holes are generally utilized based on clinical need to anchor the port to the subcutaneous tissue; whereas ports with filled suture holes, designed to prevent tissue in-growth to the suture holes, are generally utilized when not anchoring the port to the subcutaneous tissue. If needed, filled suture holes are accessed through the silicone. All port configurations have a radiopaque identifier (CT mark) to identify the port as power injectable. The radiopaque catheter has graduated marks at 1 centimeter intervals and can be cut to the desired length by the clinician. Ports are provided with a variety of procedural accessories.
The NMI Port II catheter shaft incorporates Endexo polymer for improved resistance to thrombus accumulation and/or formation on the catheter.
F. Indication for Use
The NMI Port and NMI Port II with and without PASV Valve Technology are indicated for patients who require long-term access to the central venous system for administration of fluids including but not limited to hydration fluids, chemotherapy, analgesics, nutritional therapy and blood products. The device is also indicated for blood specimen withdrawal.
When used with a power injectable needle, the NMI Port II are indicated for power injection of contrast media. The maximum recommended infusion rate is 5 ml/sec with a 19G or 20G non-coring power injectable needle or 2 ml/sec with a 22G non-coring power injectable needle.
G. Summary of Similarities and Differences in Technological Characteristics and Performance
The proposed NMI Port and NMI Port II devices have identical materials, design and components and technological characteristics as predicate devices with the only difference being that the plastic port body ultrasonic welding process will be brought in-house to Navilyst Medical's manufacturing facility from the current outside contract manufacturer. Both the NMI Port II and predicate ports are, in brief, intended for patients who require long-term access to the central venous system for administration of fluids including but not limited to hydration fluids, chemotherapy, analgesics, nutritional therapy and blood products; available in single lumen configurations; with and without PASV Valve Technology (Pressure Activated Safety Valve); plastic or titanium port body available with either a 6F or 8F outside diameter catheter; rated for maximum power injector settings up to 300 psi with maximum power injection flow rate up to 5 ml/second based on model; and available kitted with a variety of procedural accessories.
H. Performance Data
A risk analysis and necessary verification and validation activities to demonstrate that the design outputs of the modified device met the design input requirements were completed. The performance evaluation of the NMI Port and NMI Port II included testing conducted in accordance with the following FDA guidance documents and international standards:
- . FDA's "Guidance on 510(k) Submissions for Implanted Infusion Ports dated October 1990.
- . EN ISO 10555-1:2013, Sterile, Single Use Intravascular Catheters - Part 1: General Requirements
- . EN ISO 10555-3:2013, Sterile, Single Use Intravascular Catheters – Part 3: Central Venous Catheters
The proposed NMI Port and NMI Port II successfully passed relevant testing per the above Guidance. standards, and pre-established acceptance criteria, including:
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| Test | Acceptance Criteria | Samples
Tested | Results of
Verification |
|---------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------|
| Power
Injection
and Burst | Port assembly must
withstand 15 power
injection cycles without
any failures (leaking,
fracturing and bursting)
with an 11.8cp fluid at
300 psi maximum
pressure setting and a 5
mL/sec flow rate setting
for a 19 or 20 ga infusion
set, and a 2 mL/sec flow
rate setting for a 22 g
infusion set.
The port must then have a
static burst strength of 50
psi minimum. Record
burst strength. | Three lots
of 15 each
(45 total). | All samples tested met
the acceptance criteria.
Average static burst
pressures were 138.7,
148.8 and 149.2 psi. |
| Aspiration
Strength -
Open
Ended | Port must be able to be
aspirated (no occlusions
or wall collapses
preventing aspiration)
using a 10 mL syringe on
an open ended catheter
without leaking or
bursting post 4 hour
conditioning at 37°C +/-
2ºC. Record as
PASS/FAIL | Three lots
of 75 each
(225
total). | All samples tested met
the acceptance criteria. |
| Aspiration
Strength -
Closed
Ended | No leaks during
aspiration with a 10 mL
syringe for 15 seconds
(leak = ingress of air
bubbles to the syringe)
post 4 hour conditioning
at 37°C +/- 2°C without
leaking or bursting on an
occluded catheter.
Record as PASS/FAIL | Three lots
of 75 each
(225
total). | All samples tested met
the acceptance criteria. |
| CT Ink
Durability | CT printing shall not
flake or chip off.
Additional requirements
soaking port in saline at
body temperature for 24
hours and perform and
alcohol rub. Record as
PASS/FAIL | Three lots
of 75 each
(225
total). | All samples tested met
the acceptance criteria |
| Port body
height | 1.29 +/- 0.21 cm | Three lots
of 75 each
(225
total). | All samples tested met
the acceptance criteria |
| Port Body
Break
Strength | Must not break at less
than 636 lb force. Record
as PASS/FAIL | Three lots
of 75 each
(225
total). | All samples tested met
the acceptance criteria |
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I. Conclusion
Based on successful results of testing and on responses to questions posed in FDA 's 510(k) Decision Making Tree, the proposed device is determined to be substantially equivalent to the predicate devices.