K Number
K162219
Date Cleared
2017-07-20

(346 days)

Product Code
Regulation Number
880.5440
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

CADD Yellow Medication Cassette Reservoirs with NRFit™ connectors are designed for use only with NRFit™ components for delivery of regional anesthetics or narcotics, and are designed for use with CADD pumps (see CADD pump Operator's Manual for compatibility) and CADD Yellow Extension Sets with NRFit™ connectors.

The CADD Filling Adapter with male NRFit™ connector and female Luer is an accessory for use in filling of the CADD Medication Cassette Reservoirs with NRFit™ Connector.

CADD Yellow Extension Sets with NRFit™ connectors are designed for use only with CADD Yellow Medication Cassette Reservoirs with NRFit™ connectors for the delivery of regional anesthetics or narcotics.

CADD Yellow Administration Sets with NRFit™ connectors are designed for use only with NRFit™ components for delivery of regional anesthetics or narcotics and are designed for use with CADD pumps (see CADD pump Operator's Manual for compatibility).

The Male Yellow Cap with NRFit™ connector is intended for use as an accessory with the CADD Yellow Medication Cassette reservoirs.

The Female Yellow Cap with NRFit™ connector is intended for use as an accessory with the CADD Yellow Extension sets with NRFit™ connectors and the CADD Yellow Administration sets with NRFit™ connector.

The CADD Infusion Adapter with male NRFit™ connector and female Luer is intended to be used by clinicians to convert administration sets with Luer connectors into permanently dedicated lines for use only with NRFit connectors. The NRFit™ connector with non-luer taper is intended for the injection of regional anesthetics or narcotics and may help reduce the risk of mis-connection or mis-injection.

Device Description

The CADD® Infusion devices with NRFit™ connectors are part of the CADD System. The CADD System is defined as a CADD pump with an attached CADD Medication Cassette Reservoir with an integral free-flow protection feature and CADD Extension Set with an Integral Anti-Siphon Valve; or as a CADD pump with an attached CADD Administration Set with an integral free-flow protection feature. The CADD Administration Set will be connected to a medication bag to allow for infusion.

The devices are designed to deliver local or regional anesthetics, narcotics indicated for neuraxial or regional anesthetic infusion applications. The NRFit™ connectors conform to ISO 80369-6, Small bore connectors for liquids and gases in healthcare applications -- Part 6: Connectors for neuraxial applications. The connectors are not compatible with standard luer connectors which is intended to reduce the risk of misconnection that may result in the infusion of medications not intended for neuraxial or regional anesthetic use.

The CADD Infusion devices with NRFit™ connectors are color-coded yellow to indicate medication intended for neuraxial or regional anesthetic delivery.

This 510(k) includes various configurations of CADD Infusion devices with NRFit ™ connectors.

AI/ML Overview

The provided document describes a 510(k) premarket notification for the CADD® Infusion Disposables Portfolio with NRFit™ connectors. This submission aims to demonstrate substantial equivalence to legally marketed predicate devices. The core change in the subject device is the incorporation of NRFit™ connectors, compliant with ISO 80369-6, for neuraxial applications, intended to reduce misconnection risks.

Here's an analysis of the acceptance criteria and the study performed, based on the provided text:

1. A table of acceptance criteria and the reported device performance

The document provides a summary of non-clinical testing categories, the evaluations performed, and the test criteria. The reported device performance is a general statement that "All testing met pre-established specifications, and successfully demonstrated that the CADD Infusion Disposables Portfolio with NRFit™ connectors performed as intended." Specific quantitative results or direct performance values are not provided in this summary.

CategoryEvaluationTest Criteria (Acceptance Criteria)Reported Performance
Functional PerformanceResistance to overridingISO 80369-6, Small bore connectors for liquids and gases in healthcare applications - part 6: connectors for neuraxial applicationsMet specifications
Resistance to separation from axial loadISO 80369-6, Small bore connectors for liquids and gases in healthcare applications - part 6: connectors for neuraxial applicationsMet specifications
Resistance to separation from unscrewingISO 80369-6, Small bore connectors for liquids and gases in healthcare applications - part 6: connectors for neuraxial applicationsMet specifications
Separation force of fitting assemblyISO 594-2, Conical fittings with a 6% (Luer) taper for syringes, needles and certain other medical equipment - Part 2: Lock FittingsMet specifications
Unscrewing torque of fitting assemblyISO 594-2, Conical fittings with a 6% (Luer) taper for syringes, needles and certain other medical equipment - Part 2: Lock FittingsMet specifications
Ease of assemblyISO 594-2, Conical fittings with a 6% (Luer) taper for syringes, needles and certain other medical equipment - Part 2: Lock FittingsMet specifications
Resistance to overridingISO 80369-6, Small bore connectors for liquids and gases in healthcare applications - part 6: connectors for neuraxial applicationsMet specifications
Air LeakageISO 594-2, Conical fittings with a 6% (Luer) taper for syringes, needles and certain other medical equipment - Part 2: Lock FittingsMet specifications
Liquid LeakageISO 594-2, Conical fittings with a 6% (Luer) taper for syringes, needles and certain other medical equipment - Part 2: Lock FittingsMet specifications
Leakage by Pressure DecayISO 80369-6, Small bore connectors for liquids and gases in healthcare applications - part 6: connectors for neuraxial applicationsMet specifications
Subatmospheric Pressure Stress CrackingISO 80369-6, Small bore connectors for liquids and gases in healthcare applications - part 6: connectors for neuraxial applicationsMet specifications
Verifying Non-interconnectable characteristics physical forceISO 80369-6, Small bore connectors for liquids and gases in healthcare applications - part 6: connectors for neuraxial applicationsMet specifications
PackagingPackage integrity, sterile barrierISO 11607, Packaging for terminally sterilized medical devices - Part 1: Requirements for materials, sterile barrier systems and packaging systemsMet specifications
SterilizationSterilityISO 11135, Sterilization of health care products - Ethylene oxide - Requirements for development, validation and routine control of a sterilization process for medical devices.Met specifications
ResidualsISO 10993-7, Biological evaluation of medical devices - Part 7: Ethylene oxide sterilization residualsMet specifications
BiocompatibilityIntracutaneousISO 10993-10, Biological evaluation of medical devices Part 10: Tests for irritation and skin sensitizationMet specifications
Systemic ToxicityISO 10993-11, Biological evaluation of medical devices - Part 11: Tests for systemic toxicityMet specifications
SensitizationISO 10993-10, Biological evaluation of medical devices - Part 10: Tests for irritation and skin sensitizationMet specifications
CytotoxicityISO 10993-5, Biological evaluation of medical devices - Part 5: Tests for in vitro cytotoxicityMet specifications
Genotoxicity, carcinogenicity and reproductive toxicityISO 10993-3, Biological evaluation of medical devices - Part 3: Tests for genotoxicity, carcinogenicity, and reproductive toxicityMet specifications
Leachable substancesISO 10993-17, Biological evaluation of medical devices - Part 17: Establishment of allowable limits for leachable substances.Met specifications
Chemical characterization of materialsISO 10993-18, Biological evaluation of medical devices - Part 18: Chemical characterization of materialsMet specifications
Bacterial endotoxinsANSI/AAMI ST72, Bacterial endotoxins - Test methods, routine monitoring, and alternatives to batch testingMet specifications
Particulate matterUSP 788. Particulate Matter in InjectionsMet specifications

2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

The document does not specify the sample sizes used for the non-clinical tests. The tests are purely technical/engineering assessments of physical characteristics, sterility, and biocompatibility, not clinical studies involving patient data. Therefore, data provenance such as country of origin or retrospective/prospective is not applicable in this context.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

This information is not applicable. The studies conducted are non-clinical, laboratory-based tests against established international standards (ISO, ANSI/AAMI, USP). "Ground truth" in the sense of expert medical diagnosis or interpretation is not relevant for these types of engineering and biological safety evaluations. The "ground truth" would be the specifications outlined in the referenced standards.

4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

This information is not applicable, as the tests are non-clinical and do not involve human judgment or adjudication in the way clinical studies requiring ground truth establishment would.

5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

A multi-reader, multi-case comparative effectiveness study was not done. This document pertains to the clearance of medical device disposables based on physical properties, materials, and safety, not on the performance of an AI algorithm or human reader interpretation.

6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

A standalone performance study of an algorithm was not done. This submission is for physical medical devices (infusion disposables), not an AI algorithm.

7. The type of ground truth used (expert consensus, pathology, outcomes data, etc)

The "ground truth" for the non-clinical tests conducted is defined by the specific parameters and acceptance limits set forth in the referenced international standards (e.g., ISO 80369-6, ISO 594-2, ISO 11607, ISO 11135, ISO 10993 series, ANSI/AAMI ST72, USP 788). These are objective, measurable standards for device characteristics such as fluid leakage, separation forces, sterility, and biocompatibility.

8. The sample size for the training set

This information is not applicable. There is no AI component or machine learning model described that would require a training set.

9. How the ground truth for the training set was established

This information is not applicable, as no training set for an AI/ML model is mentioned in the document.

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Image /page/0/Picture/1 description: The image is a black and white seal for the Department of Health & Human Services - USA. The seal is circular and contains the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. In the center of the seal is a stylized image of three faces in profile, one behind the other.

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

July 20, 2017

Smiths Medical ASD, Inc. Michael Johnson Sr. Manager, Regulatory Affairs 6000 Nathan Lane North Minneapolis, Minnesota 55442

Re: K162219

Trade/Device Name: CADD® Infusion Disposables Portfolio with NRFit™ connectors Regulation Number: 21 CFR 880.5440 Regulation Name: Intravascular administration set Regulatory Class: Class II Product Code: FPA, LHI Dated: June 15, 2017 Received: June 19, 2017

Dear Mr. Michael Johnson:

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. Isting 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.

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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 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/Resourcesfor You/Industry/default.htm. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR 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,

Tara A. Ryan -S

for

Lori A. Wiggins, MPT, CLT Acting Director Division of Anesthesiology, General Hospital, Respiratory, Infection Control, and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Change Control Table, Change History

Change Control Table

VersionDocument AuthorDocument ApproverDate Approved
1.00Name, Title, OfficeName, Title, OfficeMM/DD/YYYY

Complete Change Control Table (all versions) retained in SWIFT Docs.

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Indications for Use

510(k) Number (if known) K162219

Device Name

CADD® Infusion Disposables Portfolio with NRFit™ connector

Indications for Use (Describe)

CADD Yellow Medication Cassette Reservoirs with NRFit™ connector

CADD Yellow Medication Cassette Reservoirs with NRFit™ connectors are designed for use only with NRFit™ components for delivery of regional anesthetics or narcotics, and are designed for use with CADD pumps (see CADD pump Operator's Manual for compatibility) and CADD Yellow Extension Sets with NRFit™ connectors.

CADD Filling Adapter with male NRFit™ connector and female Luer

The CADD Filling Adapter with male NRFit™ connector and female Luer is an accessory for use in filling of the CADD Medication Cassette Reservoirs with NRFit™ Connector.

CADD Yellow Extension Sets with NRFit™ connector

CADD Yellow Extension Sets with NRFit™ connectors are designed for use only with CADD Yellow Medication Cassette Reservoirs with NRFit™ connectors for the delivery of regional anesthetics or narcotics.

CADD Yellow Administration Sets with NRFit™ connector

CADD Yellow Administration Sets with NRFit™ connectors are designed for use only with NRFit™ components for delivery of regional anesthetics or narcotics and are designed for use with CADD pumps (see CADD pump Operator's Manual for compatibility).

Male Yellow Cap with NRFit™ connector

The Male Yellow Cap with NRFit™ connector is intended for use as an accessory with the CADD Yellow Medication Cassette reservoirs.

Female Yellow Cap with NRFit™ connector

The Female Yellow Cap with NRFit™ connector is intended for use as an accessory with the CADD Yellow Extension sets with NRFit™ connectors and the CADD Yellow Administration sets with NRFit™ connector.

CADD Infusion Adapter with male NRFit™ connector and female Luer

The CADD Infusion Adapter with male NRFit™ connector and female to be used by clinicians to convert administration sets with Luer connectors into permanently dedicated lines for use only with NRFit connectors. The NRFit™ connector with non-luer taper is intended for the injection of regional anesthetics or narcotics and may help reduce the risk of mis-connection or mis-injection.

The Intended population is pediatrics and adults.

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)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

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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:

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1. ADMINISTRATIVE INFORMATION

510(k)K162219
Applicant's Nameand AddressSmiths Medical ASD, Inc.6000 Nathan Lane NorthMinneapolis, MN 55442 USA
Contact PersonMichael R. JohnsonSr. Regulatory SpecialistPhone: 763-383-3341Fax: 763-383-3679Email: mike.johnson@smiths-medical.com
DateJuly 15, 2017
Regulation No.21 CFR 880.5440
Regulation NameIntravascular administration set
Primary ProductCodeFPA
Secondary ProductCodeLHI
Trade NameCADD® Infusion Disposables Portfolio with NRFit™ connectors

2. REASON FOR SUBMISSION

The purpose of this submission is to make a modification to the currently marketed Smiths Medical CADD Yellow Infusion components which are being updated to include an ISO 80369-6 compliant connector for neuraxial applications.

Subject DevicePredicate Device
Trade NameCADD Yellow Medication CassetteReservoir with NRFitTM connectorCADD Medication Cassette Reservoir
Regulation No.21 CFR 880.544021 CFR 880.5440
Regulation NameIntravascular administration setIntravascular administration set
Regulatory ClassIIII
Product CodeFPAFPA
510(k)K162219K040636 (100ml), K081156 (250ml)
Subject DevicePredicate Device
Trade NameCADD Filling Adapter with NRFitTMconnectorCorrectInjectTM Safety SystemInfusion Adapter Component: TheInfusion Adapter is a component of theCorrectInject Safety System which canbe considered a transfer device oraccessory to a syringe.
Regulation No.21 CFR 880.544021 CFR 868.5140
Regulation NameIntravascular administration setAnesthesia Conduction Kit
Regulatory ClassIIII
Product CodeLHICAZ
510(k)K162219K110053
Subject DevicePredicate Device
Trade NameCADD Infusion Adapter with maleNRFitTM connector and female LuerCADD Administration Set with FlowStop, Medication cassette reservoirwith flow stop and extension set
Regulation No.21 CFR 880.544021 CFR 880.5440
Regulation NameIntravascular administration setIntravascular administration set
Regulatory ClassIIII
Product CodeFPAFPA
510(k)K162219K040636
Trade NameCADD Yellow Extension Set withNRFitTM connectorsPharmacia Deltec, Extension Set withAnti-Siphon Valve
Regulation No.21 CFR 880.544021 CFR 880.5440
Regulation NameIntravascular administration setIntravascular administration set
Regulatory ClassIIII
Product CodeFPAFPA
510(k)K162219K942046
Trade NameCADD Yellow Extension Set withNRFitTM connectors and Air-Eliminating FilterExtension Set with Microbore Tubingand Filter
Regulation No.21 CFR 880.544021 CFR 880.5440
Regulation NameIntravascular administration setIntravascular administration set
Regulatory ClassIIII
Product CodeFPAFPA
510(k)K162219K974013
Trade NameCADD Yellow Administration Setswith NRFitTM connectorCADD Administration Set
Regulation No.21 CFR 880.544021 CFR 880.5440
Regulation NameIntravascular administration setIntravascular administration set
Regulatory ClassIIII
Product CodeFPAFPA
510(k)K162219K040636
Trade NameYellow Cap with NRFitTM connectorCADD Medication Cassette Reservoir
Regulation No.21 CFR 880.544021 CFR 880.5440
Regulation NameIntravascular administration setIntravascular administration set
Regulatory ClassIIII
Product CodeFPAFPA
510(k)K162219K040636

3. DEVICE INFORMATION

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4. DEVICE DESCRIPTION

The CADD® Infusion devices with NRFit™ connectors are part of the CADD System. The CADD System is defined as a CADD pump with an attached CADD Medication Cassette Reservoir with an integral free-flow protection feature and CADD Extension Set with an Integral Anti-Siphon Valve; or as a CADD pump with an attached CADD Administration Set with an integral free-flow protection feature. The CADD Administration Set will be connected to a medication bag to allow for infusion.

The devices are designed to deliver local or regional anesthetics, narcotics indicated for neuraxial or regional anesthetic infusion applications. The NRFit™ connectors conform to ISO 80369-6, Small

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bore connectors for liquids and gases in healthcare applications -- Part 6: Connectors for neuraxial applications. The connectors are not compatible with standard luer connectors which is intended to reduce the risk of misconnection that may result in the infusion of medications not intended for neuraxial or regional anesthetic use.

The CADD Infusion devices with NRFit™ connectors are color-coded yellow to indicate medication intended for neuraxial or regional anesthetic delivery.

This 510(k) includes various configurations of CADD Infusion devices with NRFit ™ connectors. A description of each configuration is provided in the table below.

ConfigurationDescription
CADD Yellow Medication CassetteReservoirs with NRFit™ connectorSelf-contained, proprietary medication cassette reservoirsfor use only with NRFit ™ components for delivery ofregional anesthetics or narcotics, and are designed for usewith CADD pumps. Available in 100ml or 250ml.
CADD Filling Adapter with maleNRFit™ connector and female LuerAn accessory used to fill the CADD Medication CassetteReservoirs with NRFit ™ connectors.
CADD Infusion Adapter with maleNRFit™ connector and femaleLuerUsed to convert administration sets or extension sets withLuer connectors into permanently dedicated line for use onlywith NRFit ™ connectors.
CADD Yellow Extension Sets withNRFit™ connectorUsed only with CADD Yellow Medication CassetteReservoirs with NRFit ™ connectors for the delivery ofregional anesthetics or narcotics. Used to extend the distancebetween pump and patient. The extension set is configuredwith or without an air-eliminating filter.
CADD Yellow Administration Setswith NRFit™ connectorDedicated administration set for use only with NRFit ™components for delivery of regional anesthetics or narcotics,and are designed for use with CADD pumps. The YellowAdministration sets are configured with or without an air-eliminating filter.
Male Yellow Cap with NRFit™connector/Female Yellow Cap with NRFit™connectorThe cap has an NRFit ™ thread design and is soldindividually as an accessory that can be used to cap theMedication Cassette or Administration Set. The cap isavailable as a male yellow cap intended to fit the femaleNRFit ™ side or female yellow cap intended to fit the maleNRFit™ side.

5. INDICATIONS FOR USE

ConfigurationIndication for Use
CADD Yellow Medication CassetteReservoirs with NRFitTM connectorCADD Yellow Medication Cassette Reservoirs with NRFitTM connectors are designed for use only with NRFitTM componentsfor delivery of regional anesthetics or narcotics, and are designedfor use with CADD pumps (see CADD pump Operator's Manualfor compatibility) and CADD Yellow Extension Sets withNRFitTM connectors.
CADD Filling Adapter with maleNRFitTM connector and female LuerCADD Filling Adapter with male NRFitTM connector and femaleLuer is an accessory for use in filling of the CADD MedicationCassette Reservoirs with NRFitTM connector.

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bringing technology to life

ConfigurationIndication for Use
CADD Infusion Adapter with male NRFitTM connector and female LuerThe CADD Infusion Adapter with male NRFitTM connector and female Luer is intended to be used by clinicians to convert administration sets with Luer connectors into permanently dedicated lines for use only with NRFitTM connectors. The NRFitTM connector with non-Luer taper is intended for the injection or infusion of regional anesthetics or narcotics and may help reduce the risk of mis-connection or mis-injection.
CADD Yellow Extension Sets with NRFitTM connectorCADD Yellow Extension Sets with NRFitTM connectors are designed for use only with CADD Yellow Medication Cassette Reservoirs with NRFitTM connectors for the delivery of regional anesthetics or narcotics.
CADD Yellow Administration Sets with NRFitTM connectorCADD Yellow Administration Sets with NRFitTM connectors are designed for use only with NRFitTM components for delivery of regional anesthetics or narcotics, and are designed for use with CADD® pumps (see CADD pump Operator's Manual for compatibility).
Male Yellow Cap with NRFitTM connector/Female Yellow Cap with NRFitTM connectorThe Male Yellow Cap with NRFitTM connector is intended for use as an accessory with the CADD Yellow Medication Reservoirs.The Female Yellow Cap with NRFitTM connector is intended for use as an accessory with the CADD Yellow Extension sets with NRFitTM connectors and the CADD Yellow Administration sets with NRFitTM connector.

6. SUBSTANTIAL EQUIVALENCE DISCUSSION

The Smiths Medical CADD Infusion Disposables Portfolio with NRFit™ connectors have the same technological characteristics as the predicate devices with the exception of the NRFit ™ Connectors.

The Smiths Medical CADD Infusion Disposables Portfolio with NRFit™ connectors and predicate devices are both designed to deliver local or regional anesthetics, narcotics indicated for neuraxial or regional anesthetic infusion applications. They are both made of the same materials, have the same chemical composition, and have the same design features excluding the NRFit ™ connector design.

A comparative analysis is provided in the following Tables;

CharacteristicPredicate (K040636)Subject (K162219)Discussion
Indication forUseThe CADD MedicationCassette Reservoir withFlow Stop is designed foruse with the CADD pumps(except CADD-Micro andCADD-TPN) for deliveryof medications and fluids.The CADD administrationSet with Flow Stop isdesigned for use with theCADD pumps (exceptCADD-Micro and CADD-TPN) for delivery ofmedications and fluids.CADD Yellow MedicationCassette Reservoirs withNRFitTM connectors aredesigned for use only withNRFitTM components fordelivery of regionalanesthetics or narcotics,and are designed for usewith CADD pumps (seeCADD pump Operator'sManual for compatibility)and CADD YellowExtension Sets withNRFitTM connectors.Similar
Extension SetLength8 inchesSameN/A
Priming Volume0.2 mLSameN/A

Table 1: CADD Yellow Medication Cassette Reservoir, 100mL with NRFit™ connector

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CharacteristicPredicate (K040636)Subject (K162219)Discussion
ConnectorISO 594 LuerISO 80369-6 NRFit™ISO 80369-6 NRFit™ connector intended to reduce risk of misconnections.
MaterialsFemale Connector;Polyvinyl chloride (PVC)Female Connector;PolycarbonateSubject device materials meet functional and biocompatibility requirements. Yellow indicates neuraxial or regional anesthetic application.
Male Connector;PolypropyleneMale Connector;Polybutylene terephthalate (PBT)
Housing;PolypropyleneHousing;Polypropylene
PackagingTyvek PouchSameN/A
SterilitySterile, EOSameN/A
UseSingle Use DisposableSameN/A

Table 2: CADD Yellow Medication Cassette Reservoir, 250mL with NRFit™ connector

CharacteristicPredicate (K081156)Subject (K162219)Discussion
Indication forUseThe CADD MedicationCassette reservoirs areintended for the delivery ofmedications and fluids forsubcutaneous,intramuscular, intravenous,intra-arterial,intraperitoneal, orintraspinal infusion.CADD Yellow MedicationCassette Reservoirs withNRFitTM connectors aredesigned for use only withNRFitTM components fordelivery of regionalanesthetics or narcotics,and are designed for usewith CADD pumps (seeCADD pump Operator'sManual for compatibility)and CADD YellowExtension Sets withNRFitTM connectors.Similar
Extension SetLength8 inchesSameN/A
Priming Volume0.2 mLSameN/A
ConnectorISO 594 LuerISO 80369-6 NRFitTMISO 80369-6 NRFitTMconnector intended toreduce risk ofmisconnections
MaterialsFemale Connector;Polyvinyl chloride (PVC)Female Connector;PolycarbonateSubject device materialsmeet functional andbiocompatibilityrequirements. Yellowindicates neuraxial orregional anestheticapplication.
Male Connector;PolypropyleneMale Connector;Polybutylene terephthalate(PBT)
Housing;PolypropyleneHousing;Polypropylene
PackagingTyvek PouchSameN/A
SterilitySterile, EOSameN/A
UseSingle Use DisposableSameN/A

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CharacteristicPredicate (K110053)Subject (K162219)Discussion
Indication forUseThe CorrectInjectTM SafetySystem is intended for theinjection of local orregional anesthetics,narcotics or othermedications indicated forneuraxial injection. Thesystem consists ofcomponents that have aunique non-Luer taper thatallows connection ofcompatible CorrectInjectTMcomponents that, whenused together as a system,help reduce the risk of mis-connection that may resultin the injection ofmedications not intendedfor neuraxial use.CADD Filling Adapterwith male NRFit TMconnector and female Lueris an accessory for use infilling of the CADDMedication CassetteReservoirs with NRFit TMconnector.Similar. The predicateInfusion Adapter is acomponent of theCorrectInject SafetySystem which can beconsidered a transferdevice or accessory to asyringe. The subjectFilling Adapter is anaccessory used to fill theCADD Medical CassetteReservoir and isconsidered a transferdevice.
ConnectorISO 594 LuerISO 80369-6 NRFitTMISO 80369-6 NRFitTMconnector intended toreduce risk ofmisconnections.
MaterialsPolybutylene terephthalate(PBT)Polycarbonate - BayerPolycarbonate Makrolon;Acrylonitrile butadienestyrene (ABS) – TerluxColorant: Orange, Clariantand ClariantSubject device materialsmeet functional andbiocompatibilityrequirements. Yellowindicates neuraxial orregional anestheticapplication.
PackagingTyvek PouchSameN/A
SterilitySterile, EOSameN/A
UseSingle Use DisposableSameN/A

Table 3: CADD Filling Adapter with male NRFit ™ connector and female Luer

Table 4: CADD Infusion Adapter with male NRFit ™ connector and female Luer

CharacteristicPredicate (K040636)Subject (K162219)Discussion
Indication forUseThe CADD MedicationCassette Reservoir withFlow Stop is designed foruse with the CADD pumps(except CADD-Micro andCADD-TPN) for deliveryof medications and fluids.The CADD administrationSet with Flow Stop isdesigned for use with theCADD pumps (exceptCADD-Micro and CADD-TPN) for delivery ofmedications and fluids.The CADD InfusionAdapter with male NRFitTMconnector and female Lueris intended to be used byclinicians to convertadministration sets withLuer connectors intopermanently dedicated linesfor use only with NRFitTMconnectors. The NRFitTMconnector with non-Luertaper is intended for theinjection or infusion ofregional anesthetics ornarcotics and may helpreduce the risk ofmisconnection ormisinjection.Similar

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CharacteristicPredicate (K040636)Subject (K162219)Discussion
ConnectorISO 594 LuerISO 80369-6 NRFitTMISO 80369-6 NRFitTM connector intended to reduce risk of misconnections.
MaterialsPolybutylene terephthalate (PBT)Polybutylene Terephthalate (PBT)Arnite;PolypropylenePolycarbonate (PC)Subject device materials meet functional and biocompatibility requirements. Yellow indicates neuraxial or regional anesthetic application.
PackagingTyvek PouchForm Fill SealForm Fill Seal packaging is an appropriate alternative to the pouch packaging configuration.
SterilitySterile, EOSameN/A
UseSingle Use DisposableSameN/A

Table 5: CADD Yellow Extension Set with NRFit ™ connectors

CharacteristicPredicate (K942046)Subject (K162219)Discussion
Indication forUseThe Extension Set withAnti-Siphon Valve is anaccessory for use withadministration sets that areused in conjunction withelectromechanical infusionpumps that do not haveanti-siphon valves. It isintended to protect againstunregulated gravityinfusion ("free-flow") fromimproperly attachedadministration sets.CADD Yellow ExtensionSets with NRFit ™connectors are designed foruse only with CADDYellow MedicationCassette Reservoirs withNRFit ™ connectors for thedelivery of regionalanesthetics or narcotics.Similar
Set Length90 inchesSameN/A
Priming Volume2.4 mLSameN/A
ConnectorISO 594 LuerISO 80369-6 NRFit™ISO 80369-6 NRFit ™connector intended toreduce risk ofmisconnections.
MaterialsConnectors;PolycarbonateAnti-Siphon Valve;Silicone-ElastosilConnectors;PolycarbonateAnti-Siphon Valve;Silicone-ElastosilSubject device materialsmeet functional andbiocompatibilityrequirements. Yellowindicates neuraxial orregional anestheticapplication.
PackagingTyvek PouchSameN/A
SterilitySterile, EOSameN/A
UseSingle Use DisposableSameN/A

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CharacteristicPredicate (K974013)Subject (K162219)Discussion
Indication for UseThe Extension Set with microbore tubing attachesto the Micro Medication Reservoir for use with theCADD-Micropump. The Extension Set with Anti-Siphon Valve must be used with the MedicationCassette reservoir to protect against unregulated gravityinfusion that can result from an improperlyattached reservoir.CADD Yellow ExtensionSets with NRFitTMconnectors are designed foruse only with CADDYellow MedicationCassette Reservoirs withNRFitTM connectors for thedelivery of regionalanesthetics or narcotics.Similar
Set Length90 inchesSameN/A
Priming Volume2.4 mLSameN/A
ConnectorISO 594 LuerISO 80369-6 NRFitTMISO 80369-6 NRFitTMconnector intended toreduce risk ofmisconnections.
MaterialsFemale Connector;Polyvinyl chloride (PVC)Male Connector;Acrylonitrile butadienestyrene (ABS)Housing and Valve;Polycarbonate, ValveMembrane; ElastosilFemale Connector;PolycarbonateMale Connector;Acrylonitrile butadienestyrene (ABS)Housing and Valve;Polycarbonate,Valve Membrane; ElastosilSubject device materialsmeet functional andbiocompatibilityrequirements. Yellowindicates neuraxial orregional anestheticapplication.
PackagingTyvek PouchSameN/A
SterilitySterile, EOSameN/A
UseSingle Use DisposableSameN/A

Table 6: CADD Yellow Extension Set with NRFit ™ connectors and Air-Eliminating Filter

Table 7: CADD Yellow Administration Sets

CharacteristicPredicate (K040636)Subject (K162219)Discussion
Indication forUseThe CADD MedicationCassette Reservoir withFlow Stop is designed foruse with the CADD pumps(except CADD-Micro andCADD-TPN) for deliveryof medications and fluids.The CADD administrationSet with Flow Stop isdesigned for use with theCADD pumps (exceptCADD-Micro and CADD-TPN) for delivery ofmedications and fluids.CADD YellowAdministration Sets withNRFitTM connectors aredesigned for use only withNRFitTM components fordelivery of regionalanesthetics or narcotics,and are designed for usewith CADD pumps (seeCADD pump Operator'sManual for compatibility).Similar
Set Length(nominal)123 – 130 inchesSameN/A
Priming Volume3.2 - 6.2 mLSameN/A

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CharacteristicPredicate (K040636)Subject (K162219)Discussion
Flow TypeFlowstopSameN/A
ConnectorISO 594 LuerISO 80369-6 NRFitTMISO 80369-6 NRFitTM connector intended to reduce risk of misconnections.
MaterialsBag Spike; Acrylonitrile butadiene styreneValve; Siloprene, Housing; PolycarbonateBag Spike; Acrylonitrile butadiene styreneValve; Siloprene, Housing; PolycarbonateSubject device materials meet functional and biocompatibility requirements. Yellow indicates neuraxial or regional anesthetic application.
PackagingTyvek PouchSameN/A
SterilitySterile, EOSameN/A
UseSingle Use DisposableSameN/A

Table 8: Male Yellow Cap with NRFit ™ connector

CharacteristicPredicate (K040636)Subject (K162219)Discussion
Indication forUseThe CADD MedicationCassette Reservoir withFlow Stop is designed foruse with the CADD pumps(except CADD-Micro andCADD-TPN) for deliveryof medications and fluids.The CADD administrationSet with Flow Stop isdesigned for use with theCADD pumps (exceptCADD-Micro and CADD-TPN) for delivery ofmedications and fluids.The Male Yellow Cap withNRFitTM connector isintended for use as anaccessory with the CADDYellow MedicationCassette reservoirs.Similar. The Cap is partof the CADD MedicationCassette Reservoirsystem.
ConnectorISO 594 LuerISO 80369-6 NRFitTMISO 80369-6 NRFitTMconnector intended toreduce risk ofmisconnections.
MaterialsPolybutylene TerephthalatePolybutylene TerephthalateSubject device materialsmeet functional andbiocompatibilityrequirements. Yellowindicates neuraxial orregional anestheticapplication.
PackagingForm Fill SealSameN/A
SterilitySterile, EOSameN/A
UseSingle Use DisposableSameN/A

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Table 9: Female Yellow Cap with NRFit ™ connector

CharacteristicPredicate (K040636)Subject (K162219)Discussion
Indication forUseThe CADD MedicationCassette Reservoir withFlow Stop is designed foruse with the CADD pumps(except CADD-Micro andCADD-TPN) for deliveryof medications and fluids.The CADD administrationSet with Flow Stop isdesigned for use with theCADD pumps (exceptCADD-Micro and CADD-TPN) for delivery ofmedications and fluids.The Female Yellow Capwith NRFitTM connector isintended for use as anaccessory with the CADDYellow Extension Sets withNRFitTM connectors andthe CADD YellowAdministration sets withNRFitTM connector.Similar. The Cap is partof the CADD Extensionset and Administrationsets.
ConnectorISO 594 LuerISO 80369-6 NRFitTMISO 80369-6 NRFitTMconnector intended toreduce risk ofmisconnections.
MaterialsAcrylonitrile ButadieneStyrenePolybutylene TerephthalateSubject device materialsmeet functional andbiocompatibilityrequirements. Yellowindicates neuraxial orregional anestheticapplication.
PackagingForm Fill SealSameN/A
SterilitySterile, EOSameN/A
UseSingle Use DisposableSameN/A

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7. SUMMARY OF NON-CLINICAL TESTING

The CADD Infusion Disposables Portfolio with NRFit ™ connectors were evaluated via non-clinical performance testing to demonstrate the devices are as safe, as effective, and perform as well as or better than the predicate devices. All testing met pre-established specifications, and successfully demonstrated that the CADD Infusion Disposables Portfolio with NRFit ™ connectors performed as intended. A summary of the evaluation is provided below.

CategoryEvaluationTest Criteria
FunctionalPerformanceResistance tooverridingISO 80369-6, Small bore connectors for liquids and gasesin healthcare applications - part 6: connectors for neuraxialapplications
Resistance toseparation fromaxial loadISO 80369-6, Small bore connectors for liquids and gasesin healthcare applications - part 6: connectors for neuraxialapplications
Resistance toseparation fromunscrewingISO 80369-6, Small bore connectors for liquids and gasesin healthcare applications - part 6: connectors for neuraxialapplications
Separation force offitting assemblyISO 594-2, Conical fittings with a 6% (Luer) taper forsyringes, needles and certain other medical equipment -Part 2: Lock Fittings
Unscrewing torqueof fitting assemblyISO 594-2, Conical fittings with a 6% (Luer) taper forsyringes, needles and certain other medical equipment -Part 2: Lock Fittings
Ease of assemblyISO 594-2, Conical fittings with a 6% (Luer) taper forsyringes, needles and certain other medical equipment -Part 2: Lock Fittings
Resistance tooverridingISO 80369-6, Small bore connectors for liquids and gasesin healthcare applications - part 6: connectors for neuraxialapplications
Air LeakageISO 594-2, Conical fittings with a 6% (Luer) taper forsyringes, needles and certain other medical equipment -Part 2: Lock Fittings
Liquid LeakageISO 594-2, Conical fittings with a 6% (Luer) taper forsyringes, needles and certain other medical equipment -Part 2: Lock Fittings
Leakage by PressureDecayISO 80369-6, Small bore connectors for liquids and gasesin healthcare applications - part 6: connectors for neuraxialapplications
SubatmosphericPressureStress CrackingISO 80369-6, Small bore connectors for liquids and gasesin healthcare applications - part 6: connectors for neuraxialapplications
Verifying Non-interconnectablecharacteristicsphysical forceISO 80369-6, Small bore connectors for liquids and gasesin healthcare applications - part 6: connectors for neuraxialapplications
PackagingPackage integrity,sterile barrierISO 11607, Packaging for terminally sterilized medicaldevices - Part 1: Requirements for materials, sterile barriersystems and packaging systems
SterilizationSterilityISO 11135, Sterilization of health care products - Ethyleneoxide - Requirements for development, validation androutine control of a sterilization process for medicaldevices.
ResidualsISO 10993-7, Biological evaluation of medical devices -Part 7: Ethylene oxide sterilization residuals
BiocompatibilityIntracutaneousISO 10993-10, Biological evaluation of medical devices
CategoryEvaluationTest Criteria
ToxicityPart 10: Tests for irritation and skin sensitization
Systemic ToxicityISO 10993-11, Biological evaluation of medical devices -Part 11: Tests for systemic toxicity
SensitizationISO 10993-10, Biological evaluation of medical devices -Part 10: Tests for irritation and skin sensitization
CytotoxicityISO 10993-5, Biological evaluation of medical devices -Part 5: Tests for in vitro cytotoxicity
Genotoxicity,carcinogenicity andreproductive toxicityISO 10993-3, Biological evaluation of medical devices -Part 3: Tests for genotoxicity, carcinogenicity, andreproductive toxicity
LeachablesubstancesISO 10993-17, Biological evaluation of medical devices -Part 17: Establishment of allowable limits for leachablesubstances.
Chemicalcharacterization ofmaterialsISO 10993-18, Biological evaluation of medical devices -Part 18: Chemical characterization of materials
Bacterial endotoxinsANSI/AAMI ST72, Bacterial endotoxins - Test methods,routine monitoring, and alternatives to batch testing
Particulate matterUSP 788. Particulate Matter in Injections

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8. SUBSTANTIAL EQUIVALENCE CONCLUSION

The evaluation of the Smiths Medical CADD® Infusion Disposables Portfolio with NRFit™ connectors device classification, indications for use, and technological characteristics demonstrate substantial equivalence to the predicate devices in regards to safety and effectiveness. Device testing met pre-defined acceptance criteria and did not raise new question of safety or effectiveness.

§ 880.5440 Intravascular administration set.

(a)
Identification. An intravascular administration set is a device used to administer fluids from a container to a patient's vascular system through a needle or catheter inserted into a vein. The device may include the needle or catheter, tubing, a flow regulator, a drip chamber, an infusion line filter, an I.V. set stopcock, fluid delivery tubing, connectors between parts of the set, a side tube with a cap to serve as an injection site, and a hollow spike to penetrate and connect the tubing to an I.V. bag or other infusion fluid container.(b)
Classification. Class II (special controls). The special control for pharmacy compounding systems within this classification is the FDA guidance document entitled “Class II Special Controls Guidance Document: Pharmacy Compounding Systems; Final Guidance for Industry and FDA Reviewers.” Pharmacy compounding systems classified within the intravascular administration set are exempt from the premarket notification procedures in subpart E of this part and subject to the limitations in § 880.9.