K Number
K163513
Date Cleared
2017-02-24

(71 days)

Product Code
Regulation Number
880.5200
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The ARROW Endurance catheter system permits access to the patient's peripheral vascular system for short-term use to sample blood, monitor blood pressure, or administer fluids. The catheter may be used for high pressure injection. The safety feature is intended to minimize the risk of sharps injuries.

Device Description

The Arrow® Endurance™ Extended Dwell Peripheral Catheter System is a sterile, single use peripheral intravascular device designed to permit access to the peripheral vascular system. The insertion device consists of a handle with an integral needle, a passivelyactivated needle protection mechanism, guide wire with slider advancer, catheter release tab, and single-lumen catheter. The catheter is advanced over the needle and threaded over a guide wire into a peripheral vessel. The catheter system consists of a catheter body, juncture hub, integrated extension tubing with Luer hub, vent plug to prevent blood leakage during insertion, and a clamp. The catheter is intended for short-term use to permit delivery of infusion therapies. infusion of blood and blood products, pressure monitoring, high pressure injection at a maximum of 325 psi, and withdrawal of blood. The Arrow Endurance Extended Dwell Peripheral Catheter System is available in single lumen, 18 ga. 20 ga. and 22 ga. configurations with usable lengths of 6 cm (2.36") and 8 cm (3.15").

AI/ML Overview

The provided document is a 510(k) summary for the Arrow Endurance™ Extended Dwell Peripheral Catheter System (K163513). It describes non-clinical testing performed to demonstrate substantial equivalence to predicate devices, but it does not include performance data typically found in clinical studies, nor does it define acceptance criteria in a quantifiable manner for device performance.

Therefore, many of the requested items cannot be answered from the provided text. The document focuses on demonstrating that modifications made to an existing device (guide wire design and catheter release colorant) do not raise new questions of safety or efficacy.

Here's a breakdown of what can and cannot be answered:

1. Table of acceptance criteria and reported device performance:

  • Acceptance Criteria: Not explicitly stated in a quantifiable table format. The document implies acceptance criteria are met if the device performs comparably to the predicate and passes standard tests.
  • Reported Device Performance: Not provided in quantifiable metrics. The document states that testing "verified that the changes presented no different questions of safety or efficacy" and that "the results of the risk assessment and resultant testing performed have demonstrated that the proposed guide wire design and catheter release colorant change present no different questions of safety or effectiveness."

2. Sample sized used for the test set and the data provenance:

  • Sample Size: Not specified.
  • Data Provenance: The testing is "Bench testing," meaning it's performed in a laboratory setting, not with human or animal subjects. Thus, data provenance in terms of country of origin or retrospective/prospective is not applicable.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:

  • Not applicable. This is not a study involving ground truth established by human experts for a diagnostic or interpretative AI device.

4. Adjudication method for the test set:

  • Not applicable. This is not a study involving human adjudication of results.

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:

  • Not applicable. This document describes a medical device (catheter system), not an AI imaging or diagnostic algorithm. No MRMC study was performed.

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

  • Not applicable. This is a physical medical device, not an algorithm.

7. The type of ground truth used:

  • Not applicable in the context of expert consensus, pathology, or outcomes data, as this is bench testing for a physical device. The "ground truth" for this type of testing is largely based on engineering specifications, material properties, and performance against established industry standards (e.g., ISO 10993-1, ISO 11070).

8. The sample size for the training set:

  • Not applicable. This is not an AI/machine learning device requiring a training set.

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

  • Not applicable.

Summary of what can be extracted/inferred from the document:

  • Device Name: Arrow Endurance™ Extended Dwell Peripheral Catheter System
  • Purpose of the Submission: To demonstrate substantial equivalence for a modified version of an already marketed device (K152272 & K151513). The modifications are a guide wire design change (shortening flexible distal portion, removal of stainless steel coil/spring) and a catheter release colorant change.
  • Nonclinical Testing Performed: Bench testing, including:
    • Biocompatibility (in accordance with ISO 10993-1)
    • Applicable requirements from ISO 11070 (Surface: Extraneous Matter and Defects, Surface: Lubricant, Guide wire Radio Detectability, Guide wire Fracture, Guide wire Flexure, Guide wire Tensile)
    • Guide wire Stiffness
    • Simulated Use Testing
  • Conclusion of Testing: The testing verified that the changes presented no different questions of safety or efficacy, and the device is considered substantially equivalent to the cited predicate devices.

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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.

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

February 24. 2017

Arrow International, Inc. (subsidiary of Teleflex Inc.) % Fallon Young Associate Regulatory Affairs Specialist 2400 Bernville Road Reading, Pennsylvania 19605

Re: K163513

Trade/Device Name: Arrow Endurance Extended Dwell Peripheral Catheter System Regulation Number: 21 CFR 880.5200 Regulation Name: Intravascular Catheter Regulatory Class: Class II Product Code: FOZ Dated: January 26, 2017 Received: January 27, 2017

Dear Ms. Fallon Young:

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

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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 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,

Susan Runno DDS, MA

For Tina Kiang, Ph.D. 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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Indications for Use

510(k) Number (if known) K163513

Device Name

Arrow Endurance™ Extended Dwell Peripheral Catheter System

Indications for Use (Describe)

The ARROW Endurance catheter system permits access to the patient's peripheral vascular system for short-term use to sample blood, monitor blood pressure, or administer fluids. The catheter may be used for high pressure injection. The safety feature is intended to minimize the risk of sharps injuries.

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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K163513

510(K) SUMMARY

(as required by the Safe Medical Devices Act of 1990 and in accordance with 21 CFR $807.92(a))

1. Submitter Information

Name:Arrow International, Inc. (subsidiary of Teleflex Inc.)
Address:2400 Bernville RoadReading, PA 19605-9607
Telephone Number:(610) 378-0131
Contact Peron:Fallon YoungAssociate Regulatory Affairs Specialist
Telephone Number:(610) 984-7188
Fax Number:(610) 374-5360
Email:fallon.young@teleflex.com
Date Prepared:February 23, 2017

2. Device Name

Device Trade Name:Arrow® Endurance™ Extended Dwell Peripheral Catheter System
Common Name:Peripheral Intravascular Catheter
Classification Name:Catheter, intravascular, therapeutic
(Class II, FOZ, 21 CFR 880.5200)

3. Predicate Devices

  • K152272: Arrow® Endurance™ Extended Dwell Peripheral Catheter System
  • K151513: Arrow® Endurance™ Extended Dwell Peripheral Catheter System

4. Device Description

The Arrow® Endurance™ Extended Dwell Peripheral Catheter System is a sterile, single use peripheral intravascular device designed to permit access to the peripheral vascular system. The insertion device consists of a handle with an integral needle, a passivelyactivated needle protection mechanism, guide wire with slider advancer, catheter release tab, and single-lumen catheter. The catheter is advanced over the needle and threaded over a guide wire into a peripheral vessel. The catheter system consists of a catheter body, juncture hub, integrated extension tubing with Luer hub, vent plug to prevent blood leakage during insertion, and a clamp.

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The catheter is intended for short-term use to permit delivery of infusion therapies. infusion of blood and blood products, pressure monitoring, high pressure injection at a maximum of 325 psi, and withdrawal of blood.

The Arrow Endurance Extended Dwell Peripheral Catheter System is available in single lumen, 18 ga. 20 ga. and 22 ga. configurations with usable lengths of 6 cm (2.36") and 8 cm (3.15").

The overall device description of the subject and predicate Arrow Endurance Extended Dwell Peripheral Catheter Systems are the same.

5. Intended Use

The Arrow Endurance Extended Dwell Peripheral Catheter System is intended for short- term use to permit delivery of infusion therapies, infusion of blood and blood products, pressure monitoring, high pressure injection and withdrawal of blood.

The subject Arrow Endurance Extended Dwell Peripheral Catheter System intended use statement is the same as the predicate Arrow Endurance Extended Dwell Peripheral Catheter System intended use statement.

6. Indications for Use

The ARROW Endurance catheter system permits access to the patient's peripheral vascular system for short-term use to sample blood, monitor blood pressure, or administer fluids. The catheter may be used for high pressure injection. The safety feature is intended to minimize the risk of sharps injuries.

7. Technological Characteristics

The Arrow Endurance Extended Dwell Peripheral Catheter System is substantially equivalent to the predicate Arrow Endurance Extended Dwell Peripheral Catheter System (K152272 & K151513) in terms of indications for use, intended use, and functional performance.

The only changes made to the subject device Arrow Endurance Extended Dwell Peripheral Catheter System are the guide wire design change and the catheter release colorant change. The modifications to the device's guide wire are shortening the flexible distal portion of the wire and the removal of the stainless steel coil/spring on the distal end of the guide wire. The overall length of the guide wire and the core nitinol wire material are the same as the predicate Endurance device. The modification to the device's catheter release is the addition of one (1) colorant. The base resin will remain the same. Testing on the subject guide wire and catheter release verified that the changes presented no different questions of safety or efficacy.

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Below is a comparison table to highlight the similarities and differences in the subject and predicate Arrow Endurance Extended Dwell Peripheral Catheter Systems.

Design FeaturePredicate Device:Arrow EnduranceExtended DwellPeripheral CatheterSystem K151513Predicate Device:Arrow EnduranceExtended DwellPeripheral CatheterSystem K152272Subject Device:Arrow EnduranceExtended DwellPeripheral CatheterSystem
Catheter Body OD20 Ga18 Ga and 22 GaSAME: 18 Ga, 22 Ga, 20 Ga
Catheter Body ID0.032" (20 Ga)0.039 " (18 Ga)0.027" (22 Ga)SAME: 0.039 " (18 Ga)0.027" (22 Ga)0.032" (20 Ga)
Catheter Body MaterialPolyurethanePolyurethaneSAME: Polyurethane
Catheter Usable Length6 cm (2.36")8 cm (3.15")6 cm (2.36")8 cm (3.15")SAME: 6 cm (2.36")8 cm (3.15")
Cather Body Radiopacifier20% Barium Sulfate20% Barium SulfateSAME: 20% Barium Sulfate
Needle Safety FeatureYesYesSAME: Yes
Blood Safety FeatureBloodless (seal andextension lines)Bloodless (seal andextension lines)SAME: Bloodless (seal andextension lines)
Pressure Injection Limits325 psi325 psiSAME: 325 psi
Sterilization MethodEOEOSAME: EO
Flashback VisualizationYesYesSAME: Yes
Guide Wire Comparison
Integrated Guide WireYesYesSAME: Yes
Guide Wire CoatingNoneNoneSAME: None
Guide Wire Overall Size0.010"0.010"SAME: 0.010"
Effective Guide Wire Length4 cm4 cmSAME: 4 cm
Atraumatic TipYesYesSAME: Yes
Guide Wire MaterialNitinolNitinolSAME: Nitinol
Guide Wire Coil MaterialStainless SteelStainless SteelN/A – No Coil
Catheter Release Material
Base MaterialBlue PolycarbonateBlue PolycarbonateSAME: Blue Polycarbonate

Predicate(s) and Subject Device Comparison

With exception of the changes to the guide wire and the catheter release, no other changes have been made to the subject Arrow Endurance Extended Dwell Peripheral Catheter System in comparison to Arrow International's legally marketed predicate devices, the Arrow Endurance Extended Dwell Peripheral Catheter System (K152272 & K151513).

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8. Nonclinical Testing

Bench testing performed on the Arrow Endurance Extended Dwell Peripheral Catheter System supports substantial equivalence of the subject device. The following testing has been conducted as a result of the device modifications:

  • . Biocompatibility in accordance with ISO 10993-1
  • Applicable requirements from ISO 11070 including: ●
    • o Surface: Extraneous Matter and Defects
    • o Surface: Lubricant
    • Guide wire Radio Detectability O
    • Guide wire Fracture O
    • Guide wire Flexure O
    • Guide wire Tensile o
  • Guide wire Stiffness ●
  • Simulated Use Testing ●

9. Conclusions

The predicate and subject Arrow Endurance Extended Dwell Peripheral Catheter System devices have the same indications for use, intended use, method of application and mechanism of release and are manufactured using the same processes, conditions, and aids. The results of the risk assessment and resultant testing performed have demonstrated that the proposed guide wire design and catheter release colorant change present no different questions of safety or effectiveness and therefore the subject device is considered substantially equivalent to the cited predicate devices.

§ 880.5200 Intravascular catheter.

(a)
Identification. An intravascular catheter is a device that consists of a slender tube and any necessary connecting fittings and that is inserted into the patient's vascular system for short term use (less than 30 days) to sample blood, monitor blood pressure, or administer fluids intravenously. The device may be constructed of metal, rubber, plastic, or a combination of these materials.(b)
Classification. Class II (performance standards).