K Number
K173114
Manufacturer
Date Cleared
2018-03-07

(159 days)

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

The primeMIDLINE™ Catheters are indicated for short term access to the peripheral venous system for selected intravenous therapies, blood sampling and power injection of contrast media. These catheters are indicated for patients older than 28 days and that weigh more than 10kg, with consideration given to adequacy of vascular anatomy and appropriateness of the procedure. The primeMIDLINE™ Catheters are suitable for use with power injectors.

Device Description

The primeMIDLINE™ Catheters are a family of peripherally placed midline catheters designed to provide access to the vascular system. These catheters are offered in 3F, 4F and 5F Single Lumen and 5F Dual Lumen configurations with 20cm lengths. The catheter lumen is an open-ended design comprised of radiopaque polyurethane. Each primeMIDLINE™ Catheter is packaged sterile in a tray with the accessories necessary to establish short-term (less than 30 days) vascular access. The primeMIDLINE™ Catheters are suitable for use with power injectors.

AI/ML Overview

The document provided describes the primeMIDLINE™ Catheters and their substantial equivalence to a predicate device, PowerMidline Catheters. It outlines verification testing performed to demonstrate that the device performs as intended and meets established acceptance criteria.

However, the document does not contain information about a study comparing the device's performance against specific acceptance criteria in the format requested. While it lists various performance testing categories, it does not provide:

  • A table of specific quantitative acceptance criteria for each test (e.g., "Tensile Strength should be > X N") and the reported device performance against those criteria.
  • Details on sample sizes for a "test set" in the context of device performance, data provenance, or the number/qualifications of experts for ground truth.
  • Information on adjudication methods, MRMC comparative effectiveness studies, or standalone algorithm performance, as these are typically relevant to AI/diagnostic imaging devices, not direct hardware performance.
  • The type of ground truth used for performance validation.
  • Training set sample size or how ground truth was established for a training set (again, this points more towards AI/ML studies).

Instead, the document states: "The subject devices met all predetermined acceptance criteria as defined in the referenced Standards, FDA Guidance Documents or PFM Medical, Inc. Internal Standards." This is a general statement that the device passed all tests, but without quantifying the criteria or the results.

Therefore, based on the provided text, I cannot complete the table or answer most of the requested questions because the specific data is not available.

Summary of available information:

  • Device: primeMIDLINE™ Catheters
  • Predicate Device: PowerMidline Catheters (K153393)

1. Table of Acceptance Criteria and Reported Device Performance:

Acceptance Criteria CategoryReported Device Performance
Visual InspectionMet (Statement: "The subject devices met all predetermined acceptance criteria")
Dimensional CharacteristicsMet (Statement: "...met all predetermined acceptance criteria")
RadiopacityMet (Statement: "...met all predetermined acceptance criteria")
Catheter CollapseMet (Statement: "...met all predetermined acceptance criteria")
LeakMet (Statement: "...met all predetermined acceptance criteria")
Priming VolumeMet (Statement: "...met all predetermined acceptance criteria")
Flowrate: GravityMet (Statement: "...met all predetermined acceptance criteria")
Flowrate: Power InjectionMet (Statement: "...met all predetermined acceptance criteria")
Tensile StrengthMet (Statement: "...met all predetermined acceptance criteria")
Catheter ElongationMet (Statement: "...met all predetermined acceptance criteria")
Lifecycle PerformanceMet (Statement: "...met all predetermined acceptance criteria")
Static Burst PressureMet (Statement: "...met all predetermined acceptance criteria")
Suture Wing IntegrityMet (Statement: "...met all predetermined acceptance criteria")
Luer TestingMet (Statement: "...met all predetermined acceptance criteria")
Biocompatibility Tests:
CytotoxicityMet (Statement: "...met all predetermined acceptance criteria")
SensitizationMet (Statement: "...met all predetermined acceptance criteria")
Irritation/Intracutaneous ReactivityMet (Statement: "...met all predetermined acceptance criteria")
Acute Systemic ToxicityMet (Statement: "...met all predetermined acceptance criteria")
Material Mediated PyrogenicityMet (Statement: "...met all predetermined acceptance criteria")
Subacute/Subchronic ToxicityMet (Statement: "...met all predetermined acceptance criteria")
GenotoxicityMet (Statement: "...met all predetermined acceptance criteria")
CarcinogenicityMet (Statement: "...met all predetermined acceptance criteria")
Chronic ToxicityMet (Statement: "...met all predetermined acceptance criteria")
HemocompatibilityMet (Statement: "...met all predetermined acceptance criteria")
ImplantationMet (Statement: "...met all predetermined acceptance criteria")
Sterilization Validation:
Sterilization Validation – Overkill MethodMet (Statement: "...met all predetermined acceptance criteria")
EO/ECH ResidualsMet (Statement: "...met all predetermined acceptance criteria")
Direct Product SterilityMet (Statement: "...met all predetermined acceptance criteria")
Bioburden/Organism CharacterizationMet (Statement: "...met all predetermined acceptance criteria")
Bacteriostasis Fungistasis TestingMet (Statement: "...met all predetermined acceptance criteria")
Bacterial Endotoxins/Limulus Amebocyte LysateMet (Statement: "...met all predetermined acceptance criteria")

Study Information (based on available text):

2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective):

  • Not specified. The document states "design verification testing" was conducted but does not provide sample sizes for individual tests or data provenance.

3. 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):

  • Not applicable/Not specified. The testing described is performance testing of a physical device against standards, not expert-adjudicated diagnostic performance.

4. Adjudication method (e.g. 2+1, 3+1, none) for the test set:

  • Not applicable/Not specified.

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:

  • No. This type of study is for diagnostic tools, typically AI-powered. The device is a physical catheter.

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

  • No. This is not an algorithm.

7. The type of ground truth used (expert consensus, pathology, outcomes data, etc):

  • "Predetermined acceptance criteria as defined in the referenced Standards, FDA Guidance Documents or PFM Medical, Inc. Internal Standards." This refers to objective measurements against established engineering and safety standards.

8. The sample size for the training set:

  • Not applicable. This is not an AI/ML device that requires a training set.

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

  • Not applicable.

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Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health & Human Services logo on the left and the FDA logo on the right. The FDA logo features the letters "FDA" in a blue square, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue text.

March 7, 2018

PFM Medical, Inc. Jessica Jho Regulatory Affairs Consultant 1916 Palomar Oaks Way Suite 150 Carlsbad. California 92008

Re: K173114

Trade/Device Name: primeMidline™ Catheters Regulation Number: 21 CFR 880.5200 Regulation Name: Intravascular Catheter Regulatory Class: Class II Product Code: PND Dated: February 1. 2018 Received: February 5, 2018

Dear Jessica Jho:

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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Indications for Use

510(k) Number (if known) K173114

Device Name

primeMidline™ Catheters

Indications for Use (Describe)

The primeMIDLINE™ Catheters are indicated for short term access to the peripheral venous system for selected intravenous therapies, blood sampling and power injection of contrast media. These catheters are indicated for patients older than 28 days and that weigh more than 10kg, with consideration given to adequacy of vascular anatomy and appropriateness of the procedure. The primeMIDLINE™ Catheters are suitable for use with power injectors.

Type of Use (Select one or both, as applicable)
X 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 pfmmedical. The logo is composed of the letters "pfm" in blue and the word "medical" in black. The letters "pfm" are in a sans-serif font and are connected to each other. The word "medical" is in a sans-serif font and is separated from the letters "pfm".

510(k) Summary K173114 As required by section 807.92

General Information
510(k) Owner:Submitter Address:PFM Medical, Inc.1916 Palomar Oaks Way, Suite 150Carlsbad, CA 92008
Contact Person:Telephone Number:Fax Number:Date of Preparation:Jessica Jho, RAC760.758.8749760.758.1167March 6, 2018
Subject Device Information
Trade Name:Common Name:Classification Name:Product Code:Regulation Number:primeMIDLINE™ CathetersMidline CatheterIntravascular CatheterPND21 CFR §880.5200
Predicate Device Information
Trade Name:Premarket NotificationClassificationManufacturerPowerMidline CatheterK153393PND, 21 CFR §880.5200Bard Access Systems
Reference Device Information
Trade Name:Premarket NotificationClassification:Manufacturer:4F Single Lumen, 5F Single Lumen and 5F Dual LumenprimePICC CathetersK083873L JS, 21 CFR §880.5970PFM Medical, Inc.

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Image /page/4/Picture/9 description: The image shows the logo for PFM Medical. The logo consists of the letters "pfm" in blue, followed by the word "medical" in black. The letters "pfm" are in a sans-serif font, and the word "medical" is in a similar font. The logo is simple and modern, and it is likely used to identify PFM Medical as a company.

Device Description

The primeMIDLINE™ Catheters are a family of peripherally placed midline catheters designed to provide access to the vascular system. These catheters are offered in 3F, 4F and 5F Single Lumen and 5F Dual Lumen configurations with 20cm lengths. The catheter lumen is an open-ended design comprised of radiopaque polyurethane. Each primeMIDLINE™ Catheter is packaged sterile in a tray with the accessories necessary to establish short-term (less than 30 days) vascular access. The primeMIDLINE™ Catheters are suitable for use with power injectors.

Indications for Use

The primeMIDLINE™ Catheters are indicated for short term access to the peripheral venous system for selected intravenous therapies, blood sampling and power injection of contrast media. These catheters are indicated for patients older than 28 days and that weigh more than 10kg, with consideration given to adequacy of vascular anatomy and appropriateness of the primeMIDLINE™ Catheters are suitable for use with power injectors.

Technological Characteristics

The proposed primeMIDLINE™ Catheters are substantially equivalent to the Power Midline Catheters, previously reviewed and cleared under K153393. When compared to the proposed primeMIDLINE™ Catheters have equivalent materials, design, components, technological characteristics and Indications for Use statements. The minor differences between the subject primeMIDLINE™ catheters and the predicate device do not change the intended use of the device and they do not raise different questions of safety and effectiveness.

Subject Device:primeMIDLINE™ CathetersPredicate Device:PowerMidline CathetersReference Device:4F SL, 5F SL, 5F DL primePICCCatheters
ManufacturerPFM Medical, Inc.Bard Access SystemsPFM Medical, Inc.
510(k) NumberK173114K153393K083873
FDA ProductCodeIdentical to PredicateDevicesPNDL JS
Intended UseIdentical to Predicate/Reference DevicesThe PowerMidline catheteris intended to access thevascular system foradministration of fluidsintravenously, bloodsampling, and powerinjection of contrast media.The pimePICC catheters areintended to access the vascularsystem for administration offluids intravenously, bloodsampling, and power injectionof contrast media.
Duration of UseIdentical to predicatePowerMidline CatheterShort term (<30days)Short term (<30days) or longterm (>30 days)
InsertionMethodIdentical to Predicate/Reference DevicesPercutaneous, usingModified SeldingerTechnique and guidewirePercutaneous, using ModifiedSeldinger Technique andguidewire
Subject Device:primeMIDLINE™ CathetersPredicate Device:PowerMidline CathetersReference Device:4F SL, 5F SL, 5F DL primePICCCatheters
Tip PlacementLocationIdentical to predicatePowerMidline CatheterPeripheral venous system,with catheter tipterminating prior to theaxillaCentral venous system, lower1/3 of the Superior Vena Cavapreferred
Insertion SiteIdentical to Predicate/Reference DevicesPeripheralPeripheral
Shaft TubingPolyurethaneShaft TubingPolyurethane
Catheter JunctionPolyurethaneCatheter JunctionPolyurethane
Catheter BaseMaterialsIdentical to predicatePowerMidline CatheterExtension LegPolyurethaneExtension LegPolyurethane
Luer HubPolyurethaneLuer HubPolycarbonate
Extension Leg ClampAcetal ResinExtension Leg ClampAcetal Resin
CatheterProximalConfigurationIdentical to Predicate/Reference DevicesLuer ConnectionLuer Connection
Catheter DistalConfigurationIdentical to Predicate/Reference DevicesOpen EndedOpen Ended
3F Single Lumen x 20cm3F SL x 20cm usable length4F Single Lumen x 50cm length
CatheterDimensionslength4F Single Lumen x 20cmlength4F SL x 20cm useable length5F Single Lumen x 55cm length
5F Single Lumen x 20cmlength5F Dual Lumen x20cm length5F Dual Lumen x 55cm length
Depth MarkingsIdentical to predicate/reference devicesNumber every 5 cm anddepth mark every cmNumber every 5 cm and depthmark every cm
StyletConfigurationIdentical to predicate/reference devicesPre-InsertedStiffening StyletPre-InsertedStiffening Stylet
Power InjectionMaximum FlowRate3F SL: 5mL/sec4F SL: 7mL/sec5F SL: 7mL/sec5F DL: 7mL/sec3F SL = 3 mL/sec4F SL = 7 mL/sec5 mL/sec
SterilityIdentical to Predicate/Reference Devices100% Ethylene Oxide, SALof 10-6100% Ethylene Oxide, SAL of10-6

The following is a summary of the technological characteristics of the primeMIDLINE™ catheters as compared to the predicate and reference devices:

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pfmmedical

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Performance Testing

PFM Medical, Inc. conducted a risk analysis per ISO 14971: Medical devices – Application of risk management of medical devices to assess the risk profile of the primeMIDLINE™ catheter. Control mechanisms, including design verification testing, were defined to mitigate the identified risks and to demonstrate that the devices perform as intended. Below is a listing of non-clinical testing that is included in this submission:

Visual InspectionTensile Strength
Dimensional CharacteristicsCatheter Elongation
RadiopacityLifecycle Performance
Catheter CollapseStatic Burst Pressure
LeakSuture Wing Integrity
Priming VolumeLuer Testing
Flowrate: GravityFlowrate: Power Injection

The following standards and FDA guidance documents were utilized in the testing listed above:

  • ISO 10555-1:2013, Intravascular Catheters Sterile and Single-Use Catheters ■
  • ASTM F640-07 – Standard Test Methods for Determining Radiopacity for Medical Use
  • ISO 594-1: 1986, Conical fittings with a 6% (Luer) taper for syringes, needles and certain other medical equipment- Part 1: General Requirements
  • . ISO 594-2: 1998, Conical fittings with a 6% (Luer) taper for syringes, needles and certain other medical equipment- Part 2: Lock Fittings
  • FDA Guidance on Premarket Notification [510(k)] Submission for Short-Term and Long-Term Intravascular Catheters
  • PFM Medical Internal Standards

The primeMIDLINE™ catheters were subjected to the following biocompatibility testing as required per ISO 10993-1: Biological evaluation of medical devices – Part 1: Evaluation and testing within a risk management process:

CytotoxicitySensitization
Irritation or IntracutaneousReactivityAcute Systemic Toxicity
Material MediatedPyrogenicitySubacute/Subchronic Toxicity
GenotoxicityCarcinogenicity
Chronic ToxicityHemocompatibility
Implantation

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Performance Testing

The primeMIDLINE™ Catheters are sterilized by 100% Ethylene Oxide Gas with a Sterility Assurance level of 10 °. The following sterilization is applicable to the primeMIDLINE™ Catheters:

Sterilization Validation –Overkill MethodEO/ECH Residuals
Direct Product SterilityBioburden / OrganismCharacterization
Bacteriostasis FungistasisTestingBacterial Endotoxins / LimulusAmebocyte Lysate

The sterilization testing listed above was conducted in accordance with the following standards:

  • l AAMI/ANSI/ISO 11135:2014, Sterilization of health-care products - Ethylene oxide -Requirements for the development, validation and routine control of a sterilization process for medical devices
  • . ANSI/AAMI/ISO 11737-1: 2006/(R)2011, Sterilization of health care products - Microbiological methods - Part 1: Determination of the population of microorganisms on product
  • ANSI/AAMI/ISO 11737-2:2009/(R)2014,Sterilization of medical devices - Microbiological methods - Part 2: Tests of sterility performed in the definition, validation and maintenance of a sterilization process
  • AAMI/ANSI/ISO 10993-7:2008, Biological Evaluation of Medical Devices – Part 7: Ethylene Oxide Sterilization Residuals
  • ANSI/AAMI ST72:2011/(R)2016, Bacterial Endotoxin-Test methods, routine monitoring, and alternatives to testing

The subject devices met all predetermined acceptance criteria as defined in the referenced Standards, FDA Guidance Documents or PFM Medical, Inc. Internal Standards.

Conclusion

Based on detailed comparison of intended use, technological characteristics and performance testing of the subject and predicate device, the primeMidline Catheters are substantially equivalent to the predicate Power Midline Catheters.

§ 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).