K Number
K172506
Date Cleared
2017-09-17

(30 days)

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

BD Cathena Safety IV Catheters are intended to be inserted into a patient's peripheral vascular system for short term use to sample blood, monitor blood pressure, or administer fluids. These catheters may be used for any patient with consideration given to adequacy of vascular anatomy, procedure being performed, fluids being infused, and duration of therapy. The catheters are suitable for use with power injectors set to a maximum pressure of 325 psi (2240 kPa).

Device Description

BD Cathena™ Safety IV Catheters are over-the-needle, intravascular catheters. These devices include a radiopaque BD Vialon™ catheter, needle, grip, passive safety needle shield, and flash chamber with removable vent plug. The needle and catheter are protected by a needle cover. These devices have BD Instaflash™ Needle Technology, allowing for immediate visualization of blood along the catheter. The flash chamber provides confirmation that the device has entered the vessel. The needle tip is passively protected when the needle is removed, reducing the risk of accidental needlestick injury. These devices are available with or without multi-access BD Multiguard technology, which is designed to stop the flow of blood from the catheter hub until a Luer connection is made. Once a connection is made, fluids or blood can flow through the catheter hub in either direction. These devices are available with or without wings. The catheter hub and wings are color coded to indicate the catheter gauge size (24GA (0.7 mm)=Yellow, 22GA (0.9 mm)=Blue, 20GA (1.1 mm)=Pink, 18GA (1.3 mm)=Green, 16GA (1.7 mm)=Grey). These devices are not made with natural rubber latex.

AI/ML Overview

This document describes a 510(k) premarket notification for the BD Cathena™ Safety IV Catheter, demonstrating its substantial equivalence to predicate devices. It does not contain information about a study proving the device meets acceptance criteria in the context of clinical performance or comparative effectiveness against human readers, as it is a physical medical device. The acceptance criteria and "study" described refer to various design verification tests and compliance with recognized standards.

Here's a breakdown of the available information:

1. Table of Acceptance Criteria and Reported Device Performance

The document lists performance tests and standards compliance that serve as the acceptance criteria. The reported device performance is that it met all predetermined acceptance criteria.

Acceptance Criteria (Performance Tests)Reported Device Performance
Package maintains integrityMet all predetermined acceptance criteria
Needle cover does not fall offMet all predetermined acceptance criteria
Force to remove needle coverMet all predetermined acceptance criteria
Incremental force to decouple shielded needle from catheter adapter during safety activationMet all predetermined acceptance criteria
System penetration forceMet all predetermined acceptance criteria
Needle to needle hub pull forceMet all predetermined acceptance criteria
Time to visualize flashback in flash chamberMet all predetermined acceptance criteria
Catheter average drag forceMet all predetermined acceptance criteria
Force to break adhesion between catheter unit and needle (initial adhesion)Met all predetermined acceptance criteria
Force to remove needle from catheter unit (average system drag)Met all predetermined acceptance criteria
Force to prematurely decouple tip-shield from adapterMet all predetermined acceptance criteria
Needle is not re-exposed upon application of compressive forceMet all predetermined acceptance criteria
Tensile force to defeat safety systemMet all predetermined acceptance criteria
No air leakage from device in a connected state at low pressure less than 30 psiMet all predetermined acceptance criteria
Device burst pressureMet all predetermined acceptance criteria
Catheter separation forceMet all predetermined acceptance criteria
Blood escape timeMet all predetermined acceptance criteria
Force to connect Luer to catheter adapterMet all predetermined acceptance criteria
Time to visualize flashback in catheter adapterMet all predetermined acceptance criteria
Acceptance Criteria (Standards Compliance)Reported Device Performance
Gauging (ISO 594-1)Met all predetermined acceptance criteria
Liquid leakage (ISO 594-1,-2, ISO 10555-1)Met all predetermined acceptance criteria
Air leakage (ISO 594-1,-2)Met all predetermined acceptance criteria
Separation force (ISO 594-1.-2)Met all predetermined acceptance criteria
Stress cracking (ISO 594-2)Met all predetermined acceptance criteria
Unscrewing torque (ISO 594-2)Met all predetermined acceptance criteria
Ease of assembly (ISO 594-2)Met all predetermined acceptance criteria
Resistance to overriding (ISO 594-2)Met all predetermined acceptance criteria
Radio detectability (ISO 10555-1)Met all predetermined acceptance criteria
Surface (ISO 10555-1. -5)Met all predetermined acceptance criteria
Corrosion resistance (ISO 10555-1)Met all predetermined acceptance criteria
Peak tensile force (ISO 10555-1)Met all predetermined acceptance criteria
Flow rate (ISO 10555-1)Met all predetermined acceptance criteria
Power injection (ISO 10555-1)Met all predetermined acceptance criteria
Distal tip (ISO 105551-1)Met all predetermined acceptance criteria
Needle point (ISO 10555-5)Met all predetermined acceptance criteria
Strength of union between needle hub and needle tube (ISO 10555-5)Met all predetermined acceptance criteria
Vent fitting (ISO 10555-1)Met all predetermined acceptance criteria
Activation of the sharps injury protection feature (ISO 23908)Met all predetermined acceptance criteria
Security of safe mode protection (ISO 23908)Met all predetermined acceptance criteria
Biocompatibility (ISO 10993-1:2009)Met all predetermined acceptance criteria
Simulated clinical use testing (FDA Guidance, IEC 62366-1:2015)Met all predetermined acceptance criteria

2. Sample Size Used for the Test Set and the Data Provenance

The document does not explicitly state the sample sizes used for each of the performance or standards tests. It generically states "Performance tests completed on the subject device were those tests required to support a determination of substantial equivalence to the predicate devices. Design verification tests were performed based on the risk analysis." It also does not specify the origin of any data (e.g., country of origin, retrospective/prospective), as these are laboratory and simulated use tests rather than clinical data from human subjects.

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 human interpretation of medical images or data requiring expert ground truth in that sense. The "ground truth" for these tests would be derived from physical measurements and adherence to engineering specifications and international standards.

4. Adjudication Method for the Test Set

Not applicable. The tests described are objective physical or material property measurements, and standards compliance. There is no mention of adjudication among multiple evaluators.

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 is a physical medical device (intravenous catheter and safety mechanism), not an AI-powered diagnostic or assistive technology for human readers.

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

Not applicable. This is a physical medical device.

7. The Type of Ground Truth Used

The "ground truth" for the tests mentioned are:

  • Engineering Specifications: The design specifications for the device, including dimensions, forces, pressures, and other physical properties.
  • International Standards: Adherence to recognized international standards such as ISO 594, ISO 10555, ISO 23908, and ISO 10993 for various aspects like gauging, leakage, mechanical strength, sharps injury protection, and biocompatibility.
  • Risk Analysis Outcomes: The design verification tests were performed based on a risk analysis, meaning acceptance criteria were likely set to mitigate identified risks.

8. The Sample Size for the Training Set

Not applicable. There is no concept of a "training set" in the context of physical medical device design verification described here. The development of the device involves engineering design, prototyping, and iterative testing, not machine learning training.

9. How the Ground Truth for the Training Set was Established

Not applicable. See point 8.

§ 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).