K Number
K172777
Date Cleared
2018-05-03

(231 days)

Product Code
Regulation Number
868.5120
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Catheter Clamping Adapter, a connection device, is used to provide various anesthetic and fluid administration devices with a single, common access point to a catheter for delivery of anesthetics.

The connector is used in conjunction with catheters for continuous administration of anesthetic agents.

Device Description

The Catheter Clamping Adapter with either NRFit™ Connector according to ISO80369-6 or LUER-Connector according to ISO80369-7. The device is intended to provide a specified connection (either NRFit™ Connector according to ISO80369-6 or LUER-Connector according to ISO80369-7) to an unspecified proximal end of a 20G anesthesia conduction catheter (epidural or peripheral). Therefore it may also be considered an accessory for epidural and peripheral anesthesia conduction catheters. The device is a sterile finished disposable device, supplied sterile to the end user and non-sterile intended to be sterilized prior to use to re-packagers/ medical device manufacturers.

AI/ML Overview

The PAJUNK Catheter Clamping Adapter NRFit (ISO80369-6) and Catheter Clamping Adapter LUER (ISO80369-7) have been determined to be substantially equivalent to a legally marketed predicate device (BBraun Perifix Catheter Connector, K022019) based on a detailed comparison and performance testing.

1. Table of Acceptance Criteria and Reported Device Performance

Acceptance Criteria (Test Detail)StandardRequired Performance (Acceptance Criteria)Reported Device PerformanceResult
SterilizationISO 11135SAL of 10⁻⁶SAL of 10⁻⁶Pass
Residuals (EO and ECH)ISO 10993-7Compliance with limitsLimits metPass
BiocompatibilityISO 10993-1Evaluated (external communicating device)Evaluated and considered biocompatiblePass
Liquid Leakage (ISO 80369-7)ISO 80369-7, 6.1PassPassPass
Air Leakage (ISO 80369-7)ISO 80369-7, 6.2PassPassPass
Stress Cracking (ISO 80369-7)ISO 80369-7, 6.3PassPassPass
Axial Load (ISO 80369-7)ISO 80369-7, 6.4PassPassPass
Unscrewing torque (ISO 80369-7)ISO 80369-7, 6.5PassPassPass
Overriding (ISO 80369-7)ISO 80369-7, 6.6PassPassPass
Liquid Leakage (ISO 80369-6)ISO 80369-6, 6.1PassPassPass
Air Leakage (ISO 80369-6)ISO 80369-6, 6.2PassPassPass
Stress Cracking (ISO 80369-6)ISO 80369-6, 6.3PassPassPass
Axial Load (ISO 80369-6)ISO 80369-6, 6.4PassPassPass
Unscrewing torque (ISO 80369-6)ISO 80369-6, 6.5PassPassPass
Overriding (ISO 80369-6)ISO 80369-6, 6.6PassPassPass
Leak TightnessInternal ProtocolLeak tight under normal conditionsComplies with internal protocolPass
Security of connectionInternal ProtocolSecure connectionComplies with internal protocolPass
Tensile ForcePredicate device criterion> 8N> 8NPass
Pyroburden/EndotoxinNot specifiedLimit metLimit metPass
Shelf Life (5 years)Internal ProtocolNo decrease in performance after 5 years (real-time aged & accelerated aged)No decrease in performance after 5 yearsPass

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

The document does not explicitly state the specific sample sizes used for each individual performance test (e.g., liquid leakage, axial load). It indicates that tests were conducted according to the specified ISO standards (ISO 80369-6, ISO 80369-7) and internal protocols. The standards themselves typically outline sample size requirements.

The data provenance is not explicitly mentioned as "country of origin" or "retrospective/prospective." However, the testing was performed by PAJUNK® GmbH Medizintechnologie (based in Germany) and its contract sterilizer (Sterigenics Germany GmbH). The testing would be considered prospective for the purpose of demonstrating substantial equivalence for this submission.

3. Number of Experts Used to Establish Ground Truth for the Test Set and Qualifications

This section is not applicable. The device is a medical connector, and its performance is evaluated against engineering and material standards (e.g., ISO for connectivity, leakage, tensile strength, biocompatibility), not against a diagnostic "ground truth" established by experts.

4. Adjudication Method for the Test Set

This section is not applicable for this type of device and testing. Performance is measured objectively against predefined engineering standards and specifications.

5. If a Multi Reader Multi Case (MRMC) Comparative Effectiveness Study was done

No, an MRMC comparative effectiveness study was not done. This type of study is used for diagnostic devices involving human interpretation of data (e.g., medical images), which is not relevant for this device.

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

Yes, a standalone performance evaluation was conducted. The device's performance (e.g., leak tightness, tensile strength, connectivity) was tested directly against established physical and material standards without human intervention in its function. The "algorithm" in this context is the physical design and manufacturing process of the device, and its performance was evaluated inherently without human-in-the-loop.

7. The Type of Ground Truth Used

The "ground truth" used for this device's evaluation is based on established international and internal engineering standards and specifications. This includes:

  • ISO 80369-6 (for NRFit connectors)
  • ISO 80369-7 (for LUER connectors)
  • ISO 11135 (for sterilization)
  • ISO 10993-7 (for residuals)
  • ISO 10993-1 (for biocompatibility)
  • Internal protocols for leak tightness and security of connection.

These standards define the objective, measurable criteria for acceptable device performance for safety and effectiveness.

8. The Sample Size for the Training Set

This section is not applicable. This device is a manufactured medical product, not an AI or algorithm-based system that requires a "training set" in the computational sense. The "development" and "refinement" of the product involve engineering design, material selection, and manufacturing processes, culminating in validation testing.

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

This section is not applicable for the reasons stated in point 8.

{0}------------------------------------------------

Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). The FDA logo is composed of two parts: the Department of Health & Human Services logo on the left and the FDA acronym along with the full name of the agency on the right. The Department of Health & Human Services logo features a stylized depiction of a human figure, while the FDA part includes the acronym "FDA" in a blue square and the words "U.S. FOOD & DRUG ADMINISTRATION" in blue text.

May 3, 2018

PAJUNK GmbH Medizintechnologie Christian Quass Director of Regulatory Affairs, Safety Officer Karl-Hall-Str. 1 Geisingen, 78187 Germany

Re: K172777

Trade/Device Name: Catheter Clamping Adapter NRFit (ISO80369-6) and Catheter Clamping Adapter LUER (ISO80369-7) Regulation Number: 21 CFR 868.5120 Regulation Name: Anesthesia Conduction Catheter Regulatory Class: Class II Product Code: BSO Dated: April 4, 2018 Received: April 6, 2018

Dear Christian Quass:

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 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

{1}------------------------------------------------

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 medical devices and radiation-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.

Geeta K. Pamidimukkala -S

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

{2}------------------------------------------------

Indications for Use

510(k) Number (if known) K172777

Device Name

Catheter Clamping Adapter NRFit (ISO80369-6) and Catheter Clamping Adapter LUER (ISO80369-7)

Indications for Use (Describe)

The Catheter Clamping Adapter, a connection device, is used to provide various anesthetic and fluid administration devices with a single, common access point to a catheter for delivery of anesthetics.

The connector is used in conjunction with catheters for continuous administration of anesthetic agents.

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)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

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:

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

{3}------------------------------------------------

PAJUNK

Pioneering medical technology

510(k) Summary as required by 21 CFR 807.92(c).

Date of Preparation: 2018-04-25

Document Control Number: K172777

510(k) owner:

PAJUNK® GmbH Medizintechnologie Karl-Hall-Str. 1 78187 Geisingen, Baden-Wuerttemberg, Germany

Establishment Registration Number: 9611612

Submitter Information/ production site:

PAJUNK® GmbH Medizintechnologie Karl-Hall-Str. 1 78187 Geisingen Baden-Wuerttemberg, Germany Fon: +49(0)7704-9291-586 Fax: +49(0)7704-9291-605 Establishment Registration Number: 9611612

USA Contact:

PAJUNK MEDICAL SYSTEMS 6611 Bay Circle, Suite 140 Norcross, GA 30071 Phone +1 (888) 9PAJUNK (72-5865) Fax +1 (678) 514-3388

Establishment Registration Number: 3004076349

Contact:

Christian G. H. Quass Director Regulatory Affairs, Safety Officer Patricia Weisbrod Requlatory Affairs Manager Fon: +49(0)7704-9291-586 Fax: +49(0)7704-9291-605 E-Mail: christian.quass@pajunk.com E-Mail: patricia.weisbrod@pajunk.com

Contact

Marco Wohnig President PAJUNK® Medical Systems L.P. Phone: (770) 493-6832 Direct: (470) 448-4070 Cell: (770) 757-2449 (678) 514-3388 Fax: E-Mail: marco.wohnig@pajunk-usa.com

{4}------------------------------------------------

Device Name and Classification Details

Device Information:
Device Name:Catheter Clamping Adapter NRFit™ (ISO80369-6)Catheter Clamping Adapter LUER (ISO80369-7)
Sterilization method:Ethylene Oxidedisposable device, supplied sterile to the end user andnon-sterile intended to be sterilized prior to use torepackagers/ medical device manufacturers
Contract Sterilizer:Sterigenics Germany GmbHKasteler straße 4565203 WiesbadenGermany, HessenEstablishment Registration Number: 3002807090
Document Control NumberK172777
Trade Name:Clamping Adapter
Common nameCatheter Connector
Classification Name:Anaesthesia Conduction Catheter
Classification Reference:21 CFR 868.5120
Product Code:BSO
Regulatory Class:II
Panel:Anesthesiology

PAJUNK® GmbH Medizintechnologie is submitting this 510(k) for the Catheter Clamping Adapter with either NRFit™ Connector according to ISO80369-6 or LUER-Connector according to ISO80369-7.

The device is intended to provide a specified connection (either NRFit™ Connector according to ISO80369-6 or LUER-Connector according to ISO80369-7) to an unspecified proximal end of a 20G anesthesia conduction catheter (epidural or peripheral). Therefore it may also be considered an accessory for epidural and peripheral anesthesia conduction catheters.

The Catheter Clamping Adapter is considered a Class II medical device according to the predicate device as defined in 21 CFR §868.5120, product code BSO.

The device is a sterile finished disposable device, supplied sterile to the end user and non-sterile intended to be sterilized prior to use to re-packagers/ medical device manufacturers.

{5}------------------------------------------------

Image /page/5/Picture/0 description: The image features the word "PAJUNK" in bold, white letters against a teal background. The font is sans-serif and appears to be slightly blurred, giving it a soft, glowing effect. A registered trademark symbol is located to the right of the letter "K".

Indications for use

The Catheter Clamping Adapter, a connection device, is used to provide various anesthetic and fluid administration devices with a single, common access point to a catheter for delivery of anesthetics.

The connector is used in conjunction with catheters for continuous administration of anesthetic agents.

Determination methods and results of Substantial Equivalence Determination:

Intended Use Design Performance

Result: Substantially Equivalent

Result: Substantially Equivalent

Result: Substantially Equivalent

Equivalence in materials used

CharacteristicsPredicate deviceK022019BBraun Perifix CatheterConnectorSubject DeviceCatheter Clamping AdapterResult of comparison,if necessary withrationale
BiocompatibilityBoth devices are classified as externally communicating. Therefore andbased upon ISO10993-1 biocompatibility applies.Substantially equivalent
PackagingIndividually sterile in soft blisterpouch or as part of a kitIndividually sterile in soft blisterpouch or as part of a kitSame packagingThe PAJUNK®individual packagingwas selected accordingto a validatedsterilization andtransportation process
Indications forUseA connection device used to providevarious anesthetic and fluidadministration devices with a single,common access point to an 18 or 20gauge Perifix catheter for delivery ofanesthetics. The connector is used inconjunction with 18 or 20 gauge Perifixcatheters for continuous administrationof anesthetic agents.The Catheter Clamping Adapter, aconnection device, is used to providevarious anesthetic and fluidadministration devices with a single,common access point to a catheter fordelivery of anesthetics.The connector is used in conjunctionwith catheters for continuousadministration of anesthetic agents.Substantially equivalentSize limitation inpredicate device hasbeen altered byK032144 and K033952of predicate's sponsor
Overall design:Adapter clamps catheterAdapter clamps catheterSubstantially equivalent

{6}------------------------------------------------

PAJUNK®

K172777

Pioneering medical technology
CharacteristicsPredicate deviceK022019BBraun Perifix CatheterConnectorSubject DeviceCatheter Clamping AdapterResult of comparison, if necessary with rationale
PictureImage: BBraun Perifix Catheter ConnectorImage: Catheter Clamping AdapterBoth systems alloweasy handling andconnecting with onehand
Materials usedPlastics, rubberBody PolycarbonateClamping seal SiliconeSimilarEach of the materialsused either in thePredicate Devices orthe Subject Device areestablished materialsused for manufacturingmedical devices.
ConnectivityISO 80369-7ISO 80369-6 NRFitTMISO 80369-7 LUERBoth systems do haveidentical connectivitytowards syringe andneedle; 2017's state ofthe art connection typeis NRFitTM which slightlydiffers in dimensions ofthe male and femaleconnectors in order toavoid misconnections.
TightnessLeak tight under normal conditionswhen used according toinstructions for useLeak tight under normalconditions when used accordingto instructions for useidentical
Tensile Force> 8N> 8Nidentical

{7}------------------------------------------------

Image /page/7/Picture/0 description: The image features the word "PAJUNK" in a bold, sans-serif font. The letters are white with a subtle gradient effect, giving them a slightly three-dimensional appearance. The background is a solid teal color, providing a strong contrast that makes the text stand out. A small registered trademark symbol is visible to the right of the letter "K".

Equivalence in the Indications for use

Subiect Device:

The Catheter Clamping Adapter, a connection device, is used to provide various anesthetic and fluid administration devices with a single, common access point to a catheter for delivery of anesthetics.

The connector is used in conjunction with catheters for continuous administration of anesthetic agents.

Predicate Devices:

A connection device used to provide various anesthetic and fluid administration devices with a single, common access point to an 18 or 20 gauge Perifix catheter for delivery of anesthetics. The connector is used in conjunction with 18 or 20 gauge Perifix catheters for continuous administration of anesthetic agents.

Discussion

The intended use of the predicate devices and of the subject device are identical. The indications for use differ slightly but the differences do not raise different questions of safety or effectiveness.

Conclusion: Substantially Equivalent

Sterilization

Subject Device:

Sterilized with Ethylene Oxide. Shelf Life: 5 years.

Predicate Devices:

Sterilized with Ethylene Oxide. Shelf Life: 5 years.

Discussion

Both devices are sterilized using Ethylene Oxide and have a shelf life of 5 years.

Conclusion: Substantially Equivalent

{8}------------------------------------------------

Image /page/8/Picture/1 description: The image shows a sequence of alphanumeric characters. The sequence is "K172777". The characters are in a bold, sans-serif font and are black against a white background.

Technology Characteristics/ Performance Testing

Subject Device:

Connectivity: LUER and NRFit™ (ISO 80369-6 and ISO 80369-7).

Leak Tightness: Complies with internal protocol

Security of connection, tensile strength: Complies with internal protocol

Predicate Devices:

Leak Tightness: Complies with internal protocol of the sponsor

Security of connection, tensile strength: Complies with internal protocol of the sponsor

Sterilization

The contract sterilizer and the sterilizing process are identical to the process and sterilizer used for all PAJUNK® - manufactured devices which are already cleared for market or exempt.

Sterilization parameters are

SAL10-6
Type of gasEthylene Oxide 99,99%
Exposure time300 min.
Aeration methodevacuation2 airwashes
Aeration periodresidual EtO-gas is removed in circulatingair at 40° C (±5) for at least 48h

Sterilization has been validated according to ISO 11135-1 Overkill Approach (1 sublethal cycle, 2 half cycle, 1 full cycle)

Residuals of EO and ECH are in compliance with ISO 10993-7.

Cleaning and Sterilization method, which ensures an SAL of 10-6 as well as compliance with limits for chemical burden, bioburden, pyroburden (i.e. LAL) and Et0-residuals as well as shelf life have been validated.

The limits listed below are met by each device:

Limits for Residuals of Ehyleneoxide and Ethylene chlorhydrine are met.

Limit for Pyroburden/ endotoxine is met.

{9}------------------------------------------------

Image /page/9/Picture/1 description: The image shows the alphanumeric string "K172777" in a bold, sans-serif font. The string is horizontally oriented and appears to be a code or identifier. The characters are uniformly sized and spaced, creating a clear and legible sequence.

The clamping adapters are also available in bulk non sterile. If appropriately packed and sterilized with Ethylene oxide according to the parameters above the technological parameters remain unchanged. However, final responsibility for sterilization remains with the customer of catheter clamping adapters purchased bulk non-sterile.

Shelf Life

Efficacy of sterile product's lifecycle has been validated.

Sterility tests have been performed. Performance of the essential performance of the device (NRFit and LUER connection, stability of connections) has been tested with real time aged devices (1 year) and devices subject to accelerated aging (1 year, 3 years). There is no decrease in performance after 5 years.

Shelf-life is set to 5 years.

Biocompatibility:

All products comply with ISO 10993-1, 2nd and 3rd edition.

The Subject Device is an external communicating device with no direct patient contact. Therefore based upon ISO10993-1 biocompatibility is evaluated.

Therefore and based upon sterilization and residuals validation the devices are considered to be biocompatible.

Standards/ Requirements

The Subject Device has been tested to comply with the state-of-the-art standards listed below. For connector standards both, the male and female connectors have been tested:

Test DetailStandardFDA-Rec.-No.Result
SterilizationISO 1113514-452Pass
ResidualsISO 10993-714-408Pass
BiocompatibilityISO 10993-12-220Pass
Liquid LeakageISO 80369-7, 6.15-115Pass
Air LeakageISO 80369-7, 6.25-115Pass
Stress CrackingISO 80369-7, 6.35-115Pass
Axial LoadISO 80369-7, 6.45-115Pass
Unscrewing torqueISO 80369-7, 6.55-115Pass
OverridingISO 80369-7, 6.65-115Pass

{10}------------------------------------------------

PAJUNK®

K172777

Pioneering medical technology

Test DetailStandardFDA-Rec.-No.Result
Liquid LeakageISO 80369-6, 6.15-108Pass
Air LeakageISO 80369-6, 6.25-108Pass
Stress CrackingISO 80369-6, 6.35-108Pass
Axial LoadISO 80369-6, 6.45-108Pass
Unscrewing torqueISO 80369-6, 6.55-108Pass
OverridingISO 80369-6, 6.65-108Pass
Leak TightnessInternal Protocoln.a.Pass
Security of connectionInternal Protocoln.a.Pass
ISTA Procedure 2A (ASTM D 6653 et al.)
ASTM F1886 - 09
ASTM F 1929 – 98
ASTM E 515 – 05 (4a))
DIN EN 868-5:2009-09
DIN EN 868-10:2009-09

Conclusion:

The comparison between the predicate devices and the subject device of this submission as well as the validated sterilization process and the results of the standard testing and performance testing demonstrates that the subject device is substantially equivalent to the predicate device.

§ 868.5120 Anesthesia conduction catheter.

(a)
Identification. An anesthesia conduction catheter is a flexible tubular device used to inject local anesthetics into a patient and to provide continuous regional anesthesia.(b)
Classification. Class II (performance standards).