K Number
K163586
Device Name
Trovita Health Science Safe-T Feed Ready-to-Feed Pouch with ENFit Connector
Date Cleared
2017-03-17

(87 days)

Product Code
Regulation Number
876.5980
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Trovita Health Science Safe-T Feed™ Ready-to-Feed Pouch with ENFit® Connector is intended to deliver liquid nutrition formula to an enteral access device (a feeding tube).
Device Description
The Trovita Health Science Safe-T Feed™ Ready-to-Feed Pouch with ENFit® Connector consists of a foil pouch with an integrated female ENFit® connector at one end and a hanging ring at the other. A silicone valve is mounted in the inner lumen of the connector to reduce the risk of formula leakage. The outer lumen (spout) of the ENFit® connector is covered with a foil tamperevidence seal. The pouch is designed such that it can be provided pre-filled with Trovita Health Science acidified liquid nutrition formula for tube feeding.
More Information

Not Found

No
The device description and performance studies focus on the physical components and mechanical performance of a feeding pouch and connector, with no mention of AI or ML.

No.
This device is designed to deliver nutrition, not to treat or cure a medical condition.

No

The device is described as a pouch and connector system for delivering liquid nutrition, not for diagnosing conditions.

No

The device description clearly outlines a physical pouch with an integrated connector and valve, indicating it is a hardware device for delivering liquid nutrition.

Based on the provided information, the Trovita Health Science Safe-T Feed™ Ready-to-Feed Pouch with ENFit® Connector is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is to "deliver liquid nutrition formula to an enteral access device (a feeding tube)." This is a delivery mechanism for nutrition, not a test performed on a sample taken from the human body to provide information about a physiological state, health, or disease.
  • Device Description: The description details a pouch and connector for delivering formula. It does not mention any components or functions related to analyzing biological samples.
  • Performance Studies: The performance studies focus on the physical and functional aspects of the pouch and connector (leakage, flow rate, strength, biocompatibility, usability), not on the accuracy or reliability of a diagnostic test.

IVD devices are typically used to test samples like blood, urine, tissue, etc., to diagnose, monitor, or screen for diseases or conditions. This device's function is purely for delivering nutrition.

N/A

Intended Use / Indications for Use

The Trovita Health Science Safe-T Feed™ Ready-to-Feed Pouch with ENFit® Connector is intended to deliver liquid nutrition formula to an enteral access device (a feeding tube).

Product codes (comma separated list FDA assigned to the subject device)

PIF

Device Description

The Trovita Health Science Safe-T Feed™ Ready-to-Feed Pouch with ENFit® Connector consists of a foil pouch with an integrated female ENFit® connector at one end and a hanging ring at the other. A silicone valve is mounted in the inner lumen of the connector to reduce the risk of formula leakage. The outer lumen (spout) of the ENFit® connector is covered with a foil tamperevidence seal. The pouch is designed such that it can be provided pre-filled with Trovita Health Science acidified liquid nutrition formula for tube feeding.

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 (study type, sample size, AUC, MRMC, standalone performance, key results)

The following performance testing was conducted on the Trovita Health Science Safe-T Feed™ Ready-to-Feed Pouch with ENFit® Safety:

  • Risk Analysis (FMEA) including Misconnection Assessment
    • User Risk Analysis
    • Risk Management Report
  • ENFit® Connector Dimensional Analysis
  • Flow Rate Analysis using commercially available enteral feed
  • Valve Performance Testing
  • Performance Testing per ISO 80369-3:2016
    • Falling Drop Positive Pressure Liquid Leakage
    • Stress Cracking
    • Resistance to Separation from Axial Load
    • Resistance to Separation from Unscrewing
    • Resistance to Overriding
    • Disconnection by Unscrewing
  • Biocompatibility Testing per ISO 10993-1:2009
    • Cytotoxicity
    • Irritation / Intracutaneous Reactivity
    • Sensitization
  • Human Factors and Usability Validation
  • Packaging and Shipping Testing

The results of the performance testing listed above show that the subject device meets its specifications. Similar performance testing was conducted on the predicate devices. The subject device and predicate devices have similar intended use, technological characteristics, principles of operation, and treat a similar target population. This information along with the supporting documentation provided in this submission indicates that the subject device is substantially equivalent to the predicate devices.

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.

K150286, K152857

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

§ 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.

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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 entwined around it. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" are arranged in a circular pattern around the symbol.

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

March 17, 2017

TrovRx, Inc. dba Trovita Health Science % Julie Bodmer Regulatory Consultant Libra Medical, Inc. 8401 73rd Ave North, Suite 63 Brooklyn Park, Minnesota 55428

Re: K163586

Trade/Device Name: Trovita Health Science Safe-T Feed™ Ready-to-Feed Pouch with ENFit® Connector Regulation Number: 21 CFR 876.5980 Regulation Name: Gastrointestinal tube and accessories Regulatory Class: Class II Product Code: PIF Dated: December 29, 2016 Received: December 30, 2016

Dear Julie Bodmer:

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

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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" (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,

Joyce M. Whang -S

for

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

Enclosure

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Indications for Use

510(k) Number (if known)

K163586

Device Name

Trovita Health Science Safe-T Feed™ Ready-to-Feed Pouch with ENFit® Connector

Indications for Use (Describe)

The Trovita Health Science Safe-T Feed Pouch with ENFit® Connector is intended to deliver liquid nutrition formula to an enteral access device (a feeding tube).

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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Image /page/3/Picture/0 description: The image shows the logo for Trovita Health Science. The word "TROVITA" is in large, bold, blue letters. Below that, in smaller letters, is the phrase "HEALTH SCIENCE". Below that is an orange rectangle with the words "REDEFINING NUTRITION" in white letters. To the right of the word "TROVITA" is a circular design made up of orange dots.

510(K) SUMMARY 6.0

6.1 ADMINISTRATIVE INFORMATION

Date of Summary Preparation: 16 March 2016

6.1.1 CONTACT INFORMATION

| Submitter/Manufacturer: | TrovRx, Inc. dba Trovita Health Science
230 South Broad Street
17th Floor
Philadelphia, PA 19102
Tel: 908-938-7534
Email: info@trovitahealth.com |
|-------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Primary Submission Contact: | Julie Bodmer
Regulatory Consultant, Libra Medical Inc.
8401 73rd Ave North, Suite 63
Minneapolis, MN 55428
Phone: 612-910-3412
Fax: 763-477-6357
Email: jbodmer@libramed.com |
| Secondary Submission Contact: | Sara Petrie
Regulatory Consultant, Libra Medical Inc. |

8401 73rd Ave North, Suite 63 Minneapolis, MN 55428 Phone: 612-396-9849 Fax: 763-477-6357 Email: spetrie@libramed.com

6.1.2 DEVICE INFORMATION

| Trade Name: | Trovita Health Science Safe-T Feed™ Ready-to-Feed Pouch
with ENFit® Connector |
|-----------------------------------------------------|----------------------------------------------------------------------------------|
| Common Name: | Gastrointestinal Tubes with Enteral Specific Connectors |
| Classification Name: | Gastrointestinal tubes and accessories |
| Classification Regulation: | 21 CFR 876.5980 |
| Class: | II |
| Panel: | Gastroenterology and Urology |
| Product Code: | PIF |
| Prior FDA Submissions
Related to Subject Device: | None |

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Image /page/4/Picture/1 description: The image shows the logo for Trovita Health Science. The word "Trovita" is in large, bold, blue letters. Below that, the words "Health Science" are in smaller, gray letters. Below that, the words "Redefining Nutrition" are in a yellow box. To the right of the word "Trovita" is a cluster of orange circles.

6.2 PREDICATE DEVICE

The Trovita Health Science Safe-T Feed™ Ready-to-Feed Pouch with ENFit® Connector is substantially equivalent to the following devices:

  • K150286 Medline Enteral Feeding Sets ●
  • K152857 NeoMed NeoConnect™ Enteral Syringes with ENFit® Connector ●

DEVICE DESCRIPTION 6.3

The Trovita Health Science Safe-T Feed™ Ready-to-Feed Pouch with ENFit® Connector consists of a foil pouch with an integrated female ENFit® connector at one end and a hanging ring at the other. A silicone valve is mounted in the inner lumen of the connector to reduce the risk of formula leakage. The outer lumen (spout) of the ENFit® connector is covered with a foil tamperevidence seal. The pouch is designed such that it can be provided pre-filled with Trovita Health Science acidified liquid nutrition formula for tube feeding.

INDICATIONS FOR USE / INTENDED USE 6.4

The Trovita Health Science Safe-T Feed" Ready-to-Feed Pouch with ENFit® Connector is intended to deliver liquid nutrition formula to an enteral access device (a feeding tube).

COMPARISON OF TECHNOLOGICAL CHARACTERISTICS WITH PREDICATES 6.5

The Trovita Health Science Safe-T Feed™ Ready-to-Feed Pouch with ENFit® Connector is intended to connect to male ENFit® connectors, including temporary transition sets and feeding tube administration sets. The disposable pouch is for single-patient use and is designed such that the user can connect the pouch directly to a feeding tube.

Because the device will be pre-filled with acidified liquid nutrition formula, there is no need to transfer the liquid nutrition to a syringe or feeding bag prior to feeding. The potential for spills during transfer to these intermediate devices is eliminated. The integrated valve in the connector is designed to eliminate the risk of leakage during connection to the feeding tube. The valve does not open until breached by the male ENFit® connector of the feeding tube when connected. Liquid nutrition can be administered by hanging the pouch for gravity feeding or by gently squeezing the pouch to perform a bolus feeding.

The intended use of the subject device and predicate devices are similar in that they each are single-use, disposable devices intended to provide liquid nutrition to a patient via a feeding tube. The subject device is provided non-sterile just as the Medline predicate (K150286) while the NeoMed predicate (K152857) is provided sterile. The principles of operation are the same. Each device employs a female ENFit® connector to connect directly to a male ENFit® connector on a feeding tube or extension set. The subject device differs in that the need to pre-fill the device prior to feeding is eliminated, thus reducing the risk of spills and food contamination.

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Image /page/5/Picture/1 description: The image shows the logo for Trovita Health Science. The word "TROVITA" is in large, bold, blue letters. Below that, in smaller letters, are the words "HEALTH SCIENCE". Below that is a yellow rectangle with the words "REDEFINING NUTRITION" in white letters. To the right of the word "TROVITA" is a circle made of orange dots.

6.6 PERFORMANCE DATA

The following performance testing was conducted on the Trovita Health Science Safe-T Feed™ Ready-to-Feed Pouch with ENFit® Safety:

  • Risk Analysis (FMEA) including Misconnection Assessment ●
    • User Risk Analysis O
    • o Risk Management Report
  • ENFit® Connector Dimensional Analysis ●
  • Flow Rate Analysis using commercially available enteral feed ●
  • Valve Performance Testing ●
  • Performance Testing per ISO 80369-3:2016 ●
    • Falling Drop Positive Pressure Liquid Leakage O
    • Stress Cracking O
    • Resistance to Separation from Axial Load O
    • Resistance to Separation from Unscrewing O
    • Resistance to Overriding o
    • Disconnection by Unscrewing o
  • Biocompatibility Testing per ISO 10993-1:2009 ●
    • Cytotoxicity o
    • O Irritation / Intracutaneous Reactivity
    • Sensitization o
  • Human Factors and Usability Validation ●
  • Packaging and Shipping Testing

6.7 SUBSTANTIAL EQUIVALENCE

The results of the performance testing listed above show that the subject device meets its specifications. Similar performance testing was conducted on the predicate devices. The subject device and predicate devices have similar intended use, technological characteristics, principles of operation, and treat a similar target population. This information along with the supporting documentation provided in this submission indicates that the subject device is substantially equivalent to the predicate devices.

6.8 CONCLUSION

The subject device and predicate devices have similar intended use and technological characteristics. The noted differences do not raise new or different questions of safety and effectiveness. Therefore, the Trovita Health Science Safe-T Feed™ Ready-to-Feed Pouch with ENFit® Connector and predicates, K150286 and K152857, are substantially equivalent.