(242 days)
The Hickman® TriFusion™ Triple Lumen Long-Term Central Venous Catheter is indicated for use in attaining short term or long term vascular access for intravenous infusion therapy and blood sampling via the internal jugular vein, external jugular vein, and subclavian vein. All Hickman® TriFusion™ catheters are designed for apheresis, and the administration of I.V. fluids, blood products, drugs, and parenteral nutrition solutions, as well as blood withdrawal. The Hickman® TriFusion™ catheter incorporates three large, equal size lumens appropriate for apheresis procedures.
The Hickman® TriFusion™ Catheters are open-ended triple lumen radiopague polyurethane catheters. The Hickman® TriFusion™ Catheters are 12 Fr triple lumen catheters with up to 27 cm insertion length. The Hickman® TriFusion™ Catheters have three equal sized lumens with the distal lumen extending beyond the proximal lumens. The proximal end of the Hickman® TriFusion™ Catheter consists of three Luer connectors, occlusion clamps, and priming volume ID tags. Catheters are provided sterile in two kit configurations, an Intermediate Tray and a Microintroducer (MI) Tray.
The document describes a 510(k) premarket notification for the "Hickman® TriFusion™ Catheter" (K172511). This is a medical device, and the evaluation focuses on its substantial equivalence to a predicate device, rather than a standalone study proving novel performance against clinical acceptance criteria.
Therefore, the requested information on acceptance criteria, reader studies, and training set details as typically applied to AI/software as a medical device (SaMD) are not explicitly present in the provided text. The document details verification tests to ensure the device meets specified engineering and biocompatibility standards, not clinical performance acceptance criteria in the context of diagnostic accuracy or comparative effectiveness with human readers.
However, I can extract the information that is present, aligning with your request as best as possible given the nature of the document.
Summary of Device Acceptance Criteria and Performance (Based on Verification Testing):
The "acceptance criteria" for this device are implicitly tied to passing the various engineering and biocompatibility verification tests, demonstrating that it performs as intended and is safe. The "reported device performance" is that the device meets these standards and is "substantially equivalent" to its predicate device. Specific quantitative acceptance criteria or performance metrics beyond passing are not generally outlined for these types of mechanical devices in this format.
| Acceptance Criteria (Implied by Test) | Reported Device Performance |
|---|---|
| Catheter Assembly Burst Strength | Met Bard internal standards and procedures |
| Catheter Assembly Tensile | Conformed to ISO 10555-1:2013 |
| Catheter Joint Durability Leak Test | (Test conducted) |
| Luer Configuration: Luer Gauging | (Test conducted) |
| Luer Configuration: Liquid Leak | (Test conducted) |
| Luer Configuration: Air Leak | (Test conducted) |
| Luer Configuration: Unscrewing Torque | Conformed to ISO 594-1:1986 |
| Luer Configuration: Ease of Assembly | (Test conducted) |
| Luer Configuration: Resistance to Overriding | Conformed to ISO 594-2:1998 |
| Luer Configuration: Stress Cracking | (Test conducted) |
| Luer Configuration: Separation Force | (Test conducted) |
| Cuff Tensile | Conformed to ISO 10555-1:2013 |
| Tip Tensile | (Test conducted) |
| Gravity Flow | Same as predicate (e.g., 115 ml/min for Lumen with White Clamp) |
| Catheter Stiffness | (Test conducted) |
| Priming Volume | Conformed to FDA Guidance 1995 |
| Catheter Collapse | (Test conducted) |
| Radiopacity | Conformed to ASTM F640:2012, ISO 10555-1:2013, FDA Guidance 1995 |
| Biocompatibility (Cytotoxicity) | Conformed to ISO 10993-5:2009 |
| Biocompatibility (Sensitization) | Conformed to ISO 10993-10:2010 |
| Biocompatibility (Intracutaneous Reactivity) | (Test conducted) |
| Biocompatibility (Acute Systemic Toxicity) | Conformed to ISO 10993-11:2006 |
| Biocompatibility (Material-Mediated Pyrogenicity) | (Test conducted) |
| Biocompatibility (Subchronic Toxicity) | Conformed to ISO 10993-11:2006 |
| Biocompatibility (Genotoxicity) | Conformed to ISO 10993-3:2003 |
| Biocompatibility (Implantation) | Conformed to ISO 10993-6:2007 |
| Biocompatibility (Hemocompatibility) | Conformed to ISO 10993-4 (2002, amended 2006) |
| Sterilization (Ethylene Oxide) | Validated per ANSI/AAMI/ISO 11135, AAMI TIR28:2016 |
| Sterilization (Residuals) | Conformed to ISO 10993-7:2008 |
| Bacterial Endotoxins | Conformed to ANSI/AAMI ST72, USP<161> |
Detailed Information as Available from the Document:
-
A table of acceptance criteria and the reported device performance
- See table above. The "acceptance criteria" are implied by the standards and internal protocols to which the device was tested and found compliant. The "reported device performance" is that it "meets the requirements" and demonstrates "substantial equivalence" to the predicate. Specific numerical performance targets for each test are not provided in this summary. For "Gravity Flow Rates," a specific metric for the predicate device is provided (e.g., 115 ml/min for a specific lumen), and the subject device is stated to be "Same as predicate," implying it also achieved these rates.
-
Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)
- The document describes verification tests for a physical medical device (catheter) to ensure it meets engineering and biocompatibility standards. It does not refer to a "test set" in the context of clinical image data or a dataset for an algorithm.
- Sample sizes for individual engineering or biocompatibility tests are not disclosed in this summary.
- Data provenance (country of origin, retrospective/prospective) is not applicable or provided for these types of device verification tests.
-
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 question is not applicable to the type of device and study described. There is no "ground truth" established by experts in a clinical context for this physical catheter's performance evaluation. The ground truth for engineering tests is typically defined by the test standard itself (e.g., a specific pressure for a burst test, or a specific chemical concentration for a biocompatibility test).
-
Adjudication method (e.g. 2+1, 3+1, none) for the test set
- This is not applicable to the device and study described. Adjudication methods are typically used in clinical trials or reader studies where human interpreters make subjective assessments.
-
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
- This is not applicable. This document pertains to a physical medical device (catheter) and its substantial equivalence evaluation, not an AI/SaMD.
-
If a standalone (i.e. algorithm only without human-in-the loop performance) was done
- This is not applicable. This document pertains to a physical medical device (catheter), not an algorithm.
-
The type of ground truth used (expert consensus, pathology, outcomes data, etc)
- As described in point 3, this concept isn't directly applicable for a physical device's engineering and biocompatibility testing. The "ground truth" for verifying the device essentially aligns with whether it meets the specifications and passes the predefined tests according to the cited standards and internal protocols. For example, for "Catheter Assembly Burst Strength," the ground truth would be whether the catheter burst at or above a specified pressure.
-
The sample size for the training set
- This is not applicable, as there is no algorithm or "training set" described.
-
How the ground truth for the training set was established
- This is not applicable.
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Image /page/0/Picture/0 description: The image shows the logo for the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo in blue. Underneath the FDA logo is the text "U.S. FOOD & DRUG ADMINISTRATION".
April 20, 2018
C.R. Bard, Inc Mona Shahrebani Regulatory Affairs Specialist 605 North 5600 West Salt Lake City, Utah 84116
Re: K172511
Trade/Device Name: Hickman® TriFusion™ Catheter Regulation Number: 21 CFR 880.5970 Regulation Name: Percutaneous, Implanted, Long-Term Intravascular Catheter Regulatory Class: Class II Product Code: LJS Dated: March 23, 2018 Received: March 26, 2018
Dear Mona Shahrebani:
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.
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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 of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.
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.
For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (http://www.fda.gov/DICE) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).
Sincerely.
Tina Kiang
-s
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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DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration
Indications for Use
510(k) Number (if known)
K172511
Device Name Hickman® TriFusion™ Catheter
Indications for Use (Describe)
The Hickman® TriFusion™ Triple Lumen Long-Term Central Venous Catheter is indicated for use in attaining short term or long term vascular access for intravenous infusion therapy and blood sampling via the internal jugular vein, external jugular yein, and subclavian vein. All Hickman® TriFusion™ catheters are designed for apheresis, and the administration of I.V. fluids, blood products, drugs, and parenteral nutrition solutions, as well as blood withdrawal. The Hickman® TriFusion™ catheter incorporates three large, equal size lumens appropriate for apheres.
| 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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K172511 Hickman TriFusion Catheter 510(k) Summary 21 CFR 807.92
As required by the Safe Medical Devices Act of 1990, coded under Section 513, Part (I)(3)(A) of the Food, Drug and Cosmetic Act, a 510(k) summary upon which substantial equivalence determination is based is as follows:
Submitter Information: Bard Access Systems, Inc. (BAS) 605 North 5600 West Salt Lake City, Utah 84116 Phone: (801) 522-5967 Fax: (801) 522-4907 Contact Person: Mona Shahrebani, Regulatory Affairs Specialist April 13, 2018 Date of Submission: Subject Device: Hickman® TriFusion™ Catheter Common or Usual Name: Long-Term Intravascular Catheter Classification Name: Catheter, Intravascular, Therapeutic, Long-Term greater than 30 days Regulatory Class: Class II Requlation Number: 21 CFR 880.5970 FDA Product Code: LIS Hickman® TriFusion™ Catheter Predicate Device: Common or Usual Name: Long-Term Intravascular Catheter Premarket Notification: K041088 Classification Name: Catheter, Intravascular, Therapeutic, Long-Term Greater Than 30 days Regulatory Class: Class II Requlation Number: 21 CFR 880.5970 FDA Product Code: പട
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Device Description:
The device description of the subject Hickman TriFusion Catheter is as follows:
- The Hickman® TriFusion™ Catheters are open-ended triple lumen radiopague polyurethane . catheters.
- The Hickman® TriFusion™ Catheters are 12 Fr triple lumen catheters with up to 27 cm insertion . lenath.
- . The Hickman® TriFusion™ Catheters have three equal sized lumens with the distal lumen extending beyond the proximal lumens.
- The proximal end of the Hickman® TriFusion™ Catheter consists of three Luer connectors, ● occlusion clamps, and priming volume ID tags.
- . Catheters are provided sterile in two kit configurations, an Intermediate Tray and a Microintroducer (MI) Tray.
Indications for Use of Device:
The Hickman® TriFusion™ Triple Lumen Long-Term Central Venous Catheter is indicated for use in attaining short term or long term vascular access for intravenous infusion therapy and blood sampling via the internal jugular vein, external jugular vein, All Hickman® TriFusion™ catheters are designed for apheresis, and the administration of I.V. fluids, blood products, drugs, and parenteral nutrition solutions, as well as blood withdrawal. The Hickman® TriFusion™ catheter incorporates three large, equal size lumens appropriate for apheresis procedures.
Technological Comparison to Predicate Devices:
Technological characteristics of the subject Hickman® TriFusion™ Catheter are substantially equivalent with regard to the basic design and function of the predicate device. Hickman® TriFusion™ Catheter (K041088). The subject device differs in technological characteristics when compared to the predicate device in that the Luer connector of the subject devices are manufactured from a different material formulation of the base resin and colorant. These differences do not alter the subject device and do not raise any new questions regarding safety or effectiveness when compared to the predicate device.
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| Subject and Predicate Device Comparison Table | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Subject Device- Hickman TriFusion Catheter | Predicate Device- Hickman TriFusion Catheter | |||||||||||||||
| Owner | Same as Predicate | Bard Access Systems, Inc. | ||||||||||||||
| Classification | Same as Predicate | LJS- 21 CFR 880.5970- Long-Term-Intravascular Catheter | ||||||||||||||
| 510(k) Status | Subject of this Premarket Notification | K041088- Concurrence date November 01, 2004 | ||||||||||||||
| Indications for Use | Same as Predicate | The Hickman® TriFusion™ Triple Lumen Long-Term CentralVenous Catheter is indicated for use in attaining short term orlong term vascular access for intravenous infusion therapy andblood sampling via the internal jugular vein, external jugularvein, and subclavian vein. All Hickman® TriFusion™ cathetersare designed for apheresis, and the administration of I.V. fluids,blood products, drugs, and parenteral nutrition solutions, as wellas blood withdrawal. The Hickman® TriFusion™ catheterincorporates three large, equal size lumens appropriate forapheresis procedures | ||||||||||||||
| CatheterConfigurations | Same as predicate | French Size Length(Tip to Cuff) TotalLength InsertionLength 12 Fr 19 cm 24 cm 12 Fr 23 cm 28 cm 12 Fr 27 cm 32 cm | ||||||||||||||
| Catheter Material | Catheter Shaft | Catheter Shaft | ||||||||||||||
| Same as predicate | Polycarbonate Polyurethane | |||||||||||||||
| Catheter Shaft Tip | Catheter Shaft Tip | |||||||||||||||
| Same as predicate | Polycarbonate Polyurethane | |||||||||||||||
| Trifurcation | Trifurcation |
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| Subject and Predicate Device Comparison Table | ||||||||
|---|---|---|---|---|---|---|---|---|
| Subject Device- Hickman TriFusion Catheter | Predicate Device- Hickman TriFusion Catheter | |||||||
| Same as predicate | Polycarbonate Polyurethane | |||||||
| Extension Legs | Extension Legs | |||||||
| Same as predicate | Polyurethane | |||||||
| Luer Connectors | Luer Connectors | |||||||
| Isoplast® 2510 Polyurethane with PolyOne Gray colorant | Isoplast®2530 Polyurethane with Americhem Gray colorant | |||||||
| ProximalConfiguration | Luer Connectors – same as predicatePriming Volume ID Tags – same as predicateOcclusion Clamps - Small Size and Mini sizeNote: An additional clamp (i.e., "Small Size") was added as anoption for the subject device with the only difference being aproportional dimension change. Please note the "small" size islarger than the “mini” size cleared with the predicate device. | Luer Connectors – three Luer connectorsPriming Volume ID TagsOcclusion clamps – Mini size | ||||||
| Distal Configuration | Same as predicate. | Stepped atraumatic tip, a stepped-tip configuration with thedistal lumen extending beyond the two proximal lumens. Theproximal lumens terminate at the same distance from thetrifurcation. | ||||||
| Gravity Flow Rates | Same as predicate | Lumen with WhiteClamp Lumen with BlueClamp Lumen with RedClamp 115 ml/min 110 ml/min 114 ml/min |
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Performance Data:
Verification tests were designed and performed in accordance with Design Controls as per 21 CFR §820.30. The following tests were conducted per guidance documents and standards in conjunction with in-house protocols to establish the performance of the device.
| Verification Test | Standard Utilized |
|---|---|
| Catheter Assembly BurstStrength | Bard internal standards and procedures |
| Catheter Assembly Tensile | ISO 10555-1: 2013, Intravascular catheters -- Sterile and single-usecatheters - Part 1: General Requirements |
| Catheter Joint Durability LeakTest | |
| Luer Configuration: LuerGauging | |
| Luer Configuration: Liquid Leak | |
| Luer Configuration: Air Leak | |
| Luer Configuration: UnscrewingTorque | ISO 594-1: 1986, Conical fittings with 6% luer taper for syringes,needles and certain other medical equipment-Part 1: GeneralRequirements |
| Luer Configuration: Ease ofAssembly | |
| Luer Configuration: Resistanceto Overriding | ISO 594-2: 1998, Conical fittings with 6% luer taper for syringes,needles and certain other medical equipment- Part 2: Lock Fittings |
| Luer Configuration: StressCracking | |
| Luer Configuration: SeparationForce | |
| Cuff Tensile | ISO 10555-1: 2013, Intravascular catheters -- Sterile and single-usecatheters - Part 1: General Requirements |
| Tip Tensile | |
| Gravity Flow | |
| Catheter Stiffness | |
| Priming Volume | FDA Guidance 1995, Guidance on Premarket Notification [510(k)]Submission for Short-Term and Long-Term Intravascular Catheters |
| Catheter Collapse | |
| Radiopacity | ASTM F640: 2012, Standard test methods for determining radiopacityfor medical useISO 10555-1: 2013, Intravascular catheters -- Sterile and single-usecatheters - Part 1: General RequirementsFDA Guidance 1995, Guidance on Premarket Notification [510(k)]Submission for Short-Term and Long-Term Intravascular Catheters |
{8}------------------------------------------------
Biocompatibility evaluation and testing was conducted in accordance with ISO10993-1, Biological evaluation of medical devices- Part 1: Evaluation and testing within a risk management process.
| The following tests were performed per ISO 10993, Biological evaluation of medical devices: | |||
|---|---|---|---|
| Biocompatibility Test | Standard Utilized |
|---|---|
| Cytotoxicity | ISO 10993-5:2009, Biological evaluation of medicaldevices -- Part 5: Tests for in vitro cytotoxicity |
| Sensitization | ISO 10993-10:2010, Biological evaluation ofmedical devices -- Part 10: Tests for irritation andskin sensitization |
| Intracutaneous Reactivity | |
| Acute Systemic Toxicity | ISO 10993-11:2006, Biological evaluation ofmedical devices -- Part 11: Tests for systemictoxicity |
| Material-Mediated Pyrogencitiy | |
| Subchronic Toxicity | ISO 10993-11:2006, Biological evaluation ofmedical devices -- Part 11: Tests for systemictoxicity |
| Genotoxicity | ISO 10993-3:2003, Biological evaluation of medicaldevices -- Part 3: Tests for genotoxicity,carcinogenicity and reproductive toxicity |
| Implantation | ISO 10993-6:2007, Biological evaluation of medicaldevices -- Part 6: Tests for local effects afterimplantation |
| Hemocompatibility | ISO 10993-4:(2002, amended 2006), Biologicalevaluation of medical devices -- Part 4: Selection oftests for interactions with blood |
The subject Hickman TriFusion Catheter was adopted into the sterilization cycle per AAMI TIR28:2016, Product adoption and process equivalence for ethylene oxide sterilization. The sterilization cycle has been validated by half-cycle over-kill method in accordance with ANSI/AAMI/ISO 11135, Sterilization of Healthcare Products. Ethylene Oxide sterilization testing was conducted per ISO 10993-7:2008, Biological Evaluation of Medical Devices – Part 7: Ethylene Oxide Sterilization Residuals. Additionally, LAL bacterial endotoxin testing was performed per ANSI/AAMI ST72. Bacterial Endotoxins – Test methodologies, routine monitoring, and alternatives to batch testing, and USP<161> for bacterial endotoxin limits.
Conclusions:
Based on the indications for use, technological characteristics, and performance testing, the subject Hickman® TriFusion™ Catheter meets the requirements that are considered sufficient for its intended use and demonstrate substantial equivalence to the cited predicate device.
§ 880.5970 Percutaneous, implanted, long-term intravascular catheter.
(a)
Identification. A percutaneous, implanted, long-term intravascular catheter is a device that consists of a slender tube and any necessary connecting fittings, such as luer hubs, and accessories that facilitate the placement of the device. The device allows for repeated access to the vascular system for long-term use of 30 days or more, and it is intended for administration of fluids, medications, and nutrients; the sampling of blood; and monitoring blood pressure and temperature. The device may be constructed of metal, rubber, plastic, composite materials, or any combination of these materials and may be of single or multiple lumen design.(b)
Classification. Class II (special controls) Guidance Document: “Guidance on Premarket Notification [510(k)] Submission for Short-Term and Long-Term Intravascular Catheters.”