K Number
K173956
Device Name
Biowy PlCC Catheter
Manufacturer
Date Cleared
2018-05-21

(144 days)

Product Code
Regulation Number
880.5970
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Biowy PICC catheter is indicated for short or long term peripheral access to the central venous system for intravenous therapy and power injection of contrast media. For blood sampling, infusion or therapy, use 4 French or larger catheter. The maximum recommended infusion rate is 5ml/sec for power injection of contrast media. The maximum pressure of power injectors used with the Biowy catheter may not exceed 300psi.
Device Description
The Biowy PICC catheters are opened-ended radiopaque polyurethane catheters are sterile and for single use. They are available in 4F single lumen with 55cm usable length and 5F dual lumen with 60cm usable length. The catheters have a reverse taper design. Catheter shaft is marked with depth indicators, with "0" indicated to serve as a reference for the catheter taper point. Catheters are provided sterile in radiology and nursing configurations for single use. Colorants were added to the catheter shaft and hub to differentiate components. The extension leg, junction and clamp were printed with markings to identify the catheter and to include information to facilitate proper use of the device.
More Information

No
The summary describes a standard PICC catheter and its physical characteristics, intended use, and performance testing against a predicate device. There is no mention of any software, algorithms, or data processing that would suggest the use of AI or ML.

Yes
The device is a PICC catheter used for intravenous therapy, blood sampling, blood infusion, and power injection of contrast media, all of which are considered therapeutic or diagnostic procedures in a clinical setting.

No

This device is a catheter used for therapy (intravenous therapy, power injection of contrast media, blood sampling) and provides access to the central venous system. It is not described as being used to diagnose a condition.

No

The device description clearly describes a physical catheter made of polyurethane, not software.

Based on the provided information, the Biowy PICC catheter is not an In Vitro Diagnostic (IVD) device.

Here's why:

  • Intended Use: The intended use clearly states that the device is for "peripheral access to the central venous system for intravenous therapy and power injection of contrast media." This describes a device used within the body for therapeutic and diagnostic imaging purposes, not for testing samples outside the body.
  • Device Description: The description details a catheter designed for insertion into blood vessels. This is consistent with an in-vivo medical device, not an in-vitro diagnostic.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.) or performing tests on these samples outside of the body, which are the hallmarks of IVD devices.

Therefore, the Biowy PICC catheter is an in-vivo medical device, specifically a catheter for accessing the central venous system.

N/A

Intended Use / Indications for Use

The Biowy PICC catheter is indicated for short or long term peripheral access to the central venous system for intravenous therapy and power injection of contrast media. For blood sampling, infusion or therapy, use 4 French or larger catheter. The maximum recommended infusion rate is 5ml/sec for power injection of contrast media. The maximum pressure of power injectors used with the Biowy catheter may not exceed 300psi.

Product codes

LJS

Device Description

The Biowy PICC catheters are opened-ended radiopaque polyurethane catheters are sterile and for single use. They are available in 4F single lumen with 55cm usable length and 5F dual lumen with 60cm usable length. The catheters have a reverse taper design. Catheter shaft is marked with depth indicators, with "0" indicated to serve as a reference for the catheter taper point. Catheters are provided sterile in radiology and nursing configurations for single use. Colorants were added to the catheter shaft and hub to differentiate components. The extension leg, junction and clamp were printed with markings to identify the catheter and to include information to facilitate proper use of the device.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

central venous system

Indicated Patient Age Range

Not Found

Intended User / Care Setting

radiology and nursing configurations

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

Performance data gathered in design verification testing demonstrated that Biowy PICC catheter is substantially equivalent to the predicate 5 Fr DL PowerPICC catheter and the risk associated with use of the new device have been adequately mitigated.
The performance tests are listed below to demonstrate substantial equivalence of the subject device K173956 (4F SL and 5F DL), and applicable standards.

TestStandardsResults
Critical DimensionsISO 9626:2015Passed and met requirement
Priming VolumeInternalPassed and met requirement
Tensile ForceISO 10555-1:2014Passed and met requirement
Elongation and StiffnessInternalPassed and met requirement
Flexural FatigueInternalPassed and met requirement
Aspiration Flow/ Catheter collapseInternalPassed and met requirement
Air Leakage during AspirationISO 10555-1:2014Passed and met requirement
Gravity FlowISO 10555-1:2014Passed and met requirement
Pump FlowISO 10555-1:2014Passed and met requirement
Power Injection and Leak TestingISO 10555-1:2014Passed and met requirement
Burst PressureISO 10555-1:2014Passed and met requirement
Power Injection/Burst PressureISO 10555-1:2014Passed and met requirement
Power Injection (10x)/ Burst PressureISO 10555-1:2014Passed and met requirement
Printing MarkingISO 10555-3:2013Passed and met requirement
6% Luer TaperISO 594-1:1986Passed and met requirement
LuerISO 594-1:1986, ISO 594-2:1998Passed and met requirement
Luer Color OrientationInternalPassed and met requirement
RadiopacityASTM F640-12Passed and met requirement
List of Biocompatibility Tests:
• CytotoxicityISO 10993-5Non-cytotoxic
• SensitizationISO 10993-10Non-sensitizer
• IrritationISO 10993-10Non-irritant
• Acute Systemic InjectionISO 10993-11Non-toxic
• Material Mediated PyrogenUSPNon-pyrogenic
• LAL (Bacterial Endotoxins)USP ,Passed and met requirements
• Hemolysis (extract)ISO 10993-4Non-hemolytic
• Hemolysis (direct)ISO 10993-4Non-hemolytic
• Complement Activation Predicate: PowerPICC® CatheterISO 10993-4Similar when compared to predicate
• Partial Thromboplastin Time (PTT) Predicate: PowerPICC® CatheterISO 10993-4Minimal activator (same as predicate)
• Dog ThrombogenicityISO 10993-4Similar to control
• ImplantationISO 10993-6Non-irritant
• Subacute/sub Chronic Toxicity, Genotoxicity, Chronic Toxicity, and CarcinogenicityISO 10993-17, ISO 10993-18Passed and met requirement
EtO sterilizationISO 11135: 2014Met 10-6 SAL requirement
Clinical EvaluationInternalPassed
Accelerated Aging 1.5 year (4F SL, 5F DL), 3.0 year (4F SL, 5F DL)ISO 11607-1:2006, ASTM F88/F88M-15, ISO 10555-1:2014Passed and met requirement

Key Metrics

Not Found

Predicate Device(s)

K051672

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 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.”

0

Image /page/0/Picture/0 description: The image shows the logo of 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, which is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

May 21, 2018

Biowy Corporation Andre Muller Regulatory Affairs and Quality Assurance Manager 27031/27002 Vista Terrace Lake Forest, California 92630

Re: K173956

Trade/Device Name: Biowy PlCC Catheter Regulation Number: 21 CFR 880.5970 Regulation Name: Percutaneous, Implanted, Long-Term Intravascular Catheter Regulatory Class: Class II Product Code: LJS Dated: April 16, 2018 Received: April 17, 2018

Dear Andre Muller:

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.

1

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) K173956

Device Name Biowy PICC Catheter

Indications for Use (Describe)

The Biowy PICC catheter is indicated for short or long term peripheral access to the central venous system for intravenous therapy and power injection of contrast media. For blood sampling, infusion or therapy, use 4 French or larger catheter. The maximum recommended infusion rate is 5ml/sec for power injection of contrast media. The maximum pressure of power injectors used with the Biowy catheter may not exceed 300psi.

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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K173956 510(k) Summary

1. Submitter Information

| | Submitter Name:
Address: | Biowy Corporation
27031/27002 Vista Terrace
Lake Forest, CA 92630
Telephone No. 1-(949) 305-8211
Fax Number: 1-(866) 506-5094 |
|--|----------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------|
| | Primary Contact: | Andre von Muller
RA/QA Manager
Email: Avonmuller@biowy.com |
| | Date of Preparation: | December 20, 2017 |
| | 2. Device Information | |
| | Device Name
Trade Name: | Biowy PICC Catheter
Biowy PICC Catheter |
| | Common/Usual Name:
Regulation Number
Regulation Name:
Regulatory Class:
Product Code:
Classification Panel: | Peripherally Inserted Central Catheter (PICC)
21 CFR 880.5970
Percutaneous, implanted, long-term intravascular catheter
II
LJS
General Hospital |

3. Predicate Device:

Device Name:5Fr DL PowerPICC® Catheter
Trade Name:5Fr DL PowerPICC® Catheter
Premarket Notification:K051672
Common/Usual NamePeripherally Inserted Central Catheter (PICC)
Regulation Number21 CFR 880.5970
Regulation Name:Percutaneous, implanted, long-term intravascular catheter
Regulatory Class:II
Product Code:LJS
Classification Panel:General Hospital

4. Device Description:

The Biowy PICC catheters are opened-ended radiopaque polyurethane catheters are sterile and for single use. They are available in 4F single lumen with 55cm usable length and 5F dual lumen with 60cm usable length. The catheters have a reverse taper design. Catheter shaft is marked with depth indicators, with "0" indicated to serve as a reference for the catheter taper point. Catheters are provided sterile in radiology and nursing configurations for single use. Colorants were added to the catheter shaft and hub to differentiate components. The extension leg, junction and clamp were printed with markings to identify the catheter and to include information to facilitate proper use of the device.

5. Indications for Use

4

SUBJECT (K173956)PREDICATE (K051672)
Indications for UseIndications for Use
The Biowy PICC catheter is indicated for short or long term
peripheral access to the central venous system for intravenous
therapy and power injection of contrast media. For blood
sampling, infusion or therapy, use 4 French or larger catheter.
The maximum recommended infusion rate is 5ml/sec for power
injection of contrast media. The maximum pressure of power
injectors used with the Biowy catheter may not exceed 300psi.Identical to the FDA cleared
510(k) Indications for Use

6. Technological Comparison to Predicate

| Element Comparison | Subject Device
K173956 | Predicate
K051672 |
|------------------------------------------|----------------------------------------------------------|-----------------------------------|
| Mode of operation | Power Injection | Same |
| Size | 5F and 4F | 5F |
| Priming volume | 4F (0.6ml), 5F (purple lumen 0.6ml, red
lumen 0.6 ml) | 0.57 ml |
| Length | 60cm (5F), 55cm (4F) | 55cm |
| Lumens | Dual (5F), Single (4F) | Dual |
| Distal end configuration | Oval (5F), Round (4F) | Oval |
| Intended anatomic location of distal end | lower 1/3 of Superior Vena Cava | Same |
| Proximal end configuration | Oval (5F), Round (4F) Reverse taper
design | Oval (5F) Reverse taper
design |
| Gravity water flow rate (ml/h) | 695ml/h (5F) 434ml/h(4F) | 578 ml/h |
| Power Injection 10x | Meet design requirement | N/A* |
| Burst pressure | 267psi (5F), 278psi (4F) | 223 psi |
| Biocompatibility (See list below) | Biocompatible | Same |
| Primary Device Materials | Polyurethane and barium sulfate | Same |
| Radiopacity | Detectable | Same |

*Power Injection 10x: The subject device is additionally evaluated for worst-case scenario of 10x power injection. This difference of the power injection, flow rate and the burst pressure do not raise issues of safety and efficacy because the subject device is examined using the same ISO 1055-1 standard testing requirement as the predicate. The results fall within the limits allowed in the standard (ISO 10555-1).

The subject device (single lumen 4F and dual lumen 5F) are examined using the same testing requirements as the predicate. Therefore, the configuration difference does not raise issues of safety and efficacy.

The comparison above shows substantial equivalence of the subject device and the predicate.

7. Summary of Performance Tests

  • . FDA Guidance on Premarket Notification [510(k)] Submission for Short-term and Long-term Intravascular Catheters 1995
  • 10555-1 Second Edition 2013-06-15 Intravascular Catheters -- Sterile and Single-Use ● Intravascular Catheters -- Part 1: General Requirements
  • FDA Guidance for Industry 2016: Use of International Standard ISO 10993-1, "Biological . evaluation of medical devices - Part 1: Evaluation and testing within a risk management process"

Performance data gathered in design verification testing demonstrated that Biowy PICC catheter is substantially equivalent to the predicate 5 Fr DL PowerPICC catheter and the risk associated with use of the new device have been adequately mitigated.

5

The performance tests are listed below to demonstrate substantial equivalence of the subject device K173956 (4F SL and 5F DL), and applicable standards.

TestStandardsResults
Critical DimensionsISO 9626:2015Passed and met requirement
Priming VolumeInternalPassed and met requirement
Tensile ForceISO 10555-1:2014Passed and met requirement
Elongation and StiffnessInternalPassed and met requirement
Flexural FatigueInternalPassed and met requirement
Aspiration Flow/ Catheter collapseInternalPassed and met requirement
Air Leakage during AspirationISO 10555-1:2014Passed and met requirement
Gravity FlowISO 10555-1:2014Passed and met requirement
Pump FlowISO 10555-1:2014Passed and met requirement
Power Injection and Leak TestingISO 10555-1:2014Passed and met requirement
Burst PressureISO 10555-1:2014Passed and met requirement
Power Injection/Burst PressureISO 10555-1:2014Passed and met requirement
Power Injection (10x)/ Burst PressureISO 10555-1:2014Passed and met requirement
Printing MarkingISO 10555-3:2013Passed and met requirement
6% Luer TaperISO 594-1:1986Passed and met requirement
LuerISO 594-1:1986
ISO 594-2:1998Passed and met requirement
Luer Color OrientationInternalPassed and met requirement
RadiopacityASTM F640-12Passed and met requirement
List of Biocompatibility Tests:
• CytotoxicityISO 10993-5Non-cytotoxic
• SensitizationISO 10993-10Non-sensitizer
• IrritationISO 10993-10Non-irritant
• Acute Systemic InjectionISO 10993-11Non-toxic
• Material Mediated PyrogenUSPNon-pyrogenic
• LAL (Bacterial Endotoxins)USP ,Passed and met requirements
• Hemolysis (extract)ISO 10993-4Non-hemolytic
• Hemolysis (direct)ISO 10993-4Non-hemolytic
• Complement Activation
Predicate: PowerPICC®
CatheterISO 10993-4Similar when compared to predicate
• Partial Thromboplastin Time
(PTT) Predicate: PowerPICC®
CatheterISO 10993-4Minimal activator (same as predicate)
• Dog ThrombogenicityISO 10993-4Similar to control
• ImplantationISO 10993-6Non-irritant
• Subacute/sub Chronic Toxicity,
Genotoxicity, Chronic Toxicity,
and CarcinogenicityISO 10993-17
ISO 10993-18Passed and met requirement
EtO sterilizationISO 11135: 2014Met 10-6 SAL requirement
Clinical EvaluationInternalPassed
Accelerated Aging
1.5 year (4F SL, 5F DL)
3.0 year (4F SL, 5F DL)ISO 11607-1:2006
ASTM F88/F88M-15
ISO 10555-1:2014Passed and met requirement

Brief discussion of the non-clinical tests submitted for a determination of substantial equivalence:

Biowy has provided Performance Testing.

The Biowy PICC Catheters are designed, and made of the same polymer materials, use similar technological manufacturing methods, and have the same intended use as the predicate devices (PowerPICC Catheters).

Differences in technological characteristics (including flow rate, burst pressure, lumens, and the distal end configurations) of the device compared to the predicate do not raise different questions of safety and effectiveness.

Biowy has evaluated the differences using the same test requirements as the predicate device. The subject devices are substantially equivalent to the predicate device in specifications comparison.

6

8. Conclusion

The Biowy PICC catheters (Model number PICC4SK and PICC5DK) has similar indications or use, technological characteristics and they meet all the predetermined performance acceptance criteria of the testing performed. Therefore, the devices are substantially equivalent to the predicate device the C.R. Bard 5 Fr DL PowerPICC® catheter, K051672.