K Number
K211661
Device Name
ENFit enteral syringes (NUTRIFIT)
Date Cleared
2022-02-28

(272 days)

Product Code
Regulation Number
876.5980
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
ENFit Nutrifit™ enteral syringes deliver enteral fluids to the gastrointestinal system of a patient who is physically unable to eat and swallow. The syringes are intended to be used in clinical or home care settings by users ranging from laypersons (under the supervision of a clinician), to clinicians to administer enteral fluids. ENFit Nutrifit™ enteral syringes are single use devices. ENFit Nutrifit™ enteral syringes are intended for pediatric and adult use.
Device Description
An enteral syringe consists of a syringe barrel with integral tip (ENFit), plunger, gasket, barrel lubricant and can be supplied with or without a syringe tip cap. Only the 5mL single use syringe can be connected with compatible enteral syringe-driver pumps; the other syringes are for manual use.
More Information

Not Found

No
The device description and performance studies focus on the mechanical and material properties of a syringe, with no mention of AI or ML capabilities.

No.
The device delivers fluids to the gastrointestinal system but does not provide specific therapy or treatment for a disease or condition itself; its primary function is delivery.

No.
The device is described as an enteral syringe intended to deliver fluids to the gastrointestinal system, which is a therapeutic function, not a diagnostic one.

No

The device description clearly states it is a physical syringe with components like a barrel, plunger, and gasket, indicating it is a hardware device.

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

Here's why:

  • Intended Use: The intended use is to "deliver enteral fluids to the gastrointestinal system of a patient." This is a direct administration of substances into the body, not a test performed on a sample taken from the body to diagnose a condition.
  • Device Description: The description details a syringe, which is a tool for delivering fluids, not for performing diagnostic tests.
  • Performance Studies: The performance studies focus on the physical and functional aspects of the syringe (ISO standards for syringes, biocompatibility, sterility, packaging, labeling), not on the accuracy or performance of a diagnostic test.
  • Lack of IVD Characteristics: There is no mention of analyzing samples (blood, urine, tissue, etc.), detecting analytes, or providing diagnostic information.

IVD devices are used to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. This device's function is purely for the delivery of fluids for nutritional support.

N/A

Intended Use / Indications for Use

Nutrifit™ Single Use /Enteral Syringes with ENFit Connector (including low dose tip (LDT) versions):
ENFit Nutrifit™ enteral syringes deliver enteral fluids to the gastrointestinal system of a patient who is physically unable to eat and swallow.
The syringes are intended to be used in clinical or home care settings by users ranging from laypersons (under the supervision of a clinician), to clinicians to administer enteral fluids.
ENFit Nutrifit™ enteral syringes are single use devices.

Product codes (comma separated list FDA assigned to the subject device)

PNR

Device Description

An enteral syringe consists of a syringe barrel with integral tip (ENFit), plunger, gasket, barrel lubricant and can be supplied with or without a syringe tip cap.
Only the 5mL single use syringe can be connected with compatible enteral syringe-driver pumps; the other syringes are for manual use.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

gastrointestinal system

Indicated Patient Age Range

pediatric and adult use

Intended User / Care Setting

clinical or home care settings by users ranging from laypersons (under the supervision of a clinician), to clinicians

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 (study type, sample size, AUC, MRMC, standalone performance, key results)

In vitro bench testing was performed to support a determination of substantial equivalence (refer to performance testing below) between ENFit enteral syringes NUTRIFIT™, and predicate device.
The results of these tests provide reasonable assurance that the proposed device has been designed and tested to assure conformance to the requirements for its intended use and performs comparably to the existing predicate device.
In vitro bench tests were carried out, according to the requirements of FDAs document Guidance for Industry and FDA Staff: Format for Traditional and Abbreviated 510(k)s and applicable standards. The following areas have been tested and/or evaluated:
Performance test according to ISO 7886-1/-2 & ISO 80369-3/-20 including testing after simulated clinical use and cleaning
Biocompatibility tests according to ISO 10993 series requirements
Sterility validation and tests according to ISO 11135
Packaging validation and tests according to ISO 11607-1/-2
Labelling requirements according to ISO 15223-1 and FDA Guidance "Safety Considerations to Mitigate the Risks of Misconnections with Small-bore Connectors Intended for Enteral Applications"
Results from these evaluations demonstrated that the ENFit enteral syringes NUTRIFIT ™ are safe and effective to meet their intended use. ENFit enteral syringes NUTRIFIT™ are similar to the predicate device in terms of intended use, indications for use, and medical technique.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K161141

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 876.5980 Gastrointestinal tube and accessories.

(a)
Identification. A gastrointestinal tube and accessories is a device that consists of flexible or semi-rigid tubing used for instilling fluids into, withdrawing fluids from, splinting, or suppressing bleeding of the alimentary tract. This device may incorporate an integral inflatable balloon for retention or hemostasis. This generic type of device includes the hemostatic bag, irrigation and aspiration catheter (gastric, colonic, etc.), rectal catheter, sterile infant gavage set, gastrointestinal string and tubes to locate internal bleeding, double lumen tube for intestinal decompression or intubation, feeding tube, gastroenterostomy tube, Levine tube, nasogastric tube, single lumen tube with mercury weight balloon for intestinal intubation or decompression, and gastro-urological irrigation tray (for gastrological use).(b)
Classification. (1) Class II (special controls). The barium enema retention catheter and tip with or without a bag that is a gastrointestinal tube and accessory or a gastronomy tube holder accessory is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 876.9.(2) Class I (general controls) for the dissolvable nasogastric feed tube guide for the nasogastric tube. The class I device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to § 876.9.

0

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February 28, 2022

Pentaferte Italia S.R.L. % Stephanie Rose Regulatory Affairs Manager Vygon USA 2750 Morris Rd Suite A200 Lansdale, PA 19446

Re: K211661

Trade/Device Name: ENFit enteral syringes (NUTRIFIT) Regulation Number: 21 CFR 876.5980 Regulation Name: Gastrointestinal tube and accessories Regulatory Class: Class II Product Code: PNR Dated: January 26, 2022 Received: January 28, 2022

Dear Lauren Doyle:

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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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

1

801); medical device reporting of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4. Subpart A) for combination products; 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 https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). 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 (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

Shanil P. Haugen, Ph.D. Assistant Director DHT3A: Division of Renal, Gastrointestinal, Obesity and Transplant Devices OHT3: Office of GastroRenal, ObGyn, General Hospital and Urology Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

2

Indications for Use

510(k) Number (if known) K211661

Device Name ENFit enteral syringes (NUTRIFIT)

Indications for Use (Describe) Nutrifit™ Single Use /Enteral Syringes with ENFit Connector (including low dose tip (LDT) versions):

ENFit Nutrifif™ enteral syringes deliver enteral fluids to the gastrointestinal system of a patient who is physically unable to eat and swallow.

The syringes are intended to be used in clinical or home care settings by users ranging from laypersons (under the supervision of a clinician), to clinicians to administer enteral fluids.

ENFit Nutrifit™ enteral syringes are single use devices.

ENFit Nutrifit™ enteral syringes are intended for pediatric and adult use.

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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Additional Information Response to Traditional 510(k) Notification K211661 ENFit enteral syringes NUTRIFIT™ Author: Stephanie Rose, Date: January 26, 2022

Submitter's NamePentaferte Italia S.r.l.
AddressViale Piane Nocella, 23,
I-64012 Campli (TE) - Italy
Establishment Registration
Number3004756837
Summary Preparation DateJanuary 26, 2022
Contact PersonStephanie Rose
Telephone Number1(603)403-0809
Fax Number1(215)672-6740
Name of DeviceENFit enteral syringes NUTRIFIT ™
Common name of DeviceENFit enteral syringes
Classification Name and ClassGastrointestinal tube and accessories
Device Class: II
Product Code: PNR
Regulation Number 21 CFR 876.5980
Performance StandardsISO 80369-3:2016 - Small-bore connectors for liquids and gases in
healthcare applications -- Part 3: Connectors for enteral applications
ISO 7886-1:2018 - Sterile hypodermic syringes for single use
ISO 7886-2:2020 "Sterile hypodermic syringes for single use - Syringes
for use with power driven syringes"
ISO 80369-20:2015 - Small-bore connectors for liquids and gases in
healthcare applications - Part 20: Common test reports
ISO 11135: 2014 - Sterilization of health care products - Ethylene oxide -
Requirements for development, validation and routine control of a
sterilization process for medical devices.
ISO 11737-1:2018 - Sterilization of health care products - Microbiological
methods - Part 1: Determination of a population of microorganisms on
products
ISO 14971:2020 - Medical devices - Applications of risk management to
medical devices
ISO 15223-1:2016 - Medical devices - Symbols to be used with medical
devices labels, labeling, and information to be supplied - Part 1: General
requirements
ISO 11607-1:2019 - Packaging for terminally sterilized medical devices -
Part 1: Requirements for materials, sterile barrier systems and packaging
systems
ISO 11607-2:2019 - Packaging for terminally sterilized medical devices -
Part 2: Validation requirements for forming, sealing and assembly
processes
ASTM F1980: 2016 - Standard guide for accelerated aging of sterile
medical device packages
ISO 10993-1:2018 - Biological evaluation of medical devices - Part 1:
Evaluation and testing within a risk management process
ISO 10993-5:2009 - Biological evaluation of medical devices - Part 5:

510(k) SUMMARY, AS REQUIRED BY 21 CFR 807.92 4

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Image /page/4/Picture/1 description: The image is a logo for PentaFerte. The logo has a stylized letter "P" on the left, with the top part of the "P" in red and the bottom part in black. To the right of the "P" is the word "PentaFerte", with "Penta" in black and "Ferte" in red. Below the word "PentaFerte" is the text "ITALIA MEDICAL DEVICES SOLUTIONS", with "ITALIA" in red and the rest of the text in black.

Additional Information Response to Traditional 510(k) Notification K211661 ENFit enteral syringes NUTRIFIT™ Author: Stephanie Rose, Date: January 26, 2022

| Tests for in vitro cytotoxicity
ISO 10993-10:2013 - Biological evaluation of medical devices - Part 10:

Tests for irritation and skin sensitization
ENFit enteral syringes are designed to reduce the accidental risk of
connection to a parenteral system, as required by ISO 80369-3:2016,
allowing only enteral use. The syringes are available in single use
configurations.
Description of DeviceAn enteral syringe consists of a syringe barrel with integral tip (ENFit),
plunger, gasket, barrel lubricant and can be supplied with or without a
syringe tip cap.
Only the 5mL single use syringe can be connected with compatible
enteral syringe-driver pumps; the other syringes are for manual use.
Nutrifit™ Single Use /Enteral Syringes with ENFit Connector (including
low dose tip (LDT) versions):
Indications for UseENFit Nutrifit™ enteral syringes deliver enteral fluids to the
gastrointestinal system of a patient who is physically unable to eat and
swallow.
The syringes are intended to be used in clinical or home care settings by
users ranging from laypersons (under the supervision of a clinician), to
clinicians to administer enteral fluids.
ENFit Nutrifit™ enteral syringes are single use devices.
ENFit Nutrifit™ enteral syringes are intended for pediatric and adult use.
The following predicate devices have been identified:
Predicate Device:
Device Classification
Name:Enteral Syringes With Enteral Specific
Connectors
510K Number:K161141
Identification of Predicate
DeviceTrade/Device Name:ENFit enteral pump syringes PENTA ™
ENFit enteral pump syringes NUTRIFIT™
Regulation Number:21 CFR 876.5980
Regulation Name:Gastrointestinal Tube and Accessories
Regulatory Class:II
Product Code:PNR
Applicant:PENTAFERTE ITALIA S.R.L.
VIALE PIANE NOCELLA, 23
Campli, IT I-64012
In vitro bench testing was performed to support a determination of
substantial equivalence (refer to performance testing below) between
ENFit enteral syringes NUTRIFIT™, and predicate device.
Performance SummaryThe results of these tests provide reasonable assurance that the
proposed device has been designed and tested to assure conformance to

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Image /page/5/Picture/1 description: The image is a logo for PentaFerte. The logo has a stylized letter "P" on the left, with the top part in red and the bottom part in black. To the right of the "P" is the word "Penta" in black and "Ferte" in red. Below the word "PentaFerte" is the text "ITALIA MEDICAL DEVICES SOLUTIONS" with "ITALIA" in red and the rest of the text in black.

Additional Information Response to Traditional 510(k) Notification K211661 ENFit enteral syringes NUTRIFIT™ Author: Stephanie Rose, Date: January 26, 2022

| | the requirements for its intended use and performs comparably to the
existing predicate device. |
|-------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| | In vitro bench tests were carried out, according to the requirements of
FDAs document Guidance for Industry and FDA Staff: Format for
Traditional and Abbreviated 510(k)s and applicable standards. The
following areas have been tested and/or evaluated:
Performance test according to ISO 7886-1/-2 & ISO 80369-3/-20
including testing after simulated clinical use and cleaning
Biocompatibility tests according to ISO 10993 series requirements
Sterility validation and tests according to ISO 11135
Packaging validation and tests according to ISO 11607-1/-2
Labelling requirements according to ISO 15223-1 and FDA Guidance
"Safety Considerations to Mitigate the Risks of Misconnections with
Small-bore Connectors Intended for Enteral Applications" |
| | Results from these evaluations demonstrated that the ENFit enteral
syringes NUTRIFIT ™ are safe and effective to meet their intended use.
ENFit enteral syringes NUTRIFIT™ are similar to the predicate device in |
| | terms of intended use, indications for use, and medical technique. |
| Substantial Equivalence | Based on the safety and performance testing, technological
characteristics, and the indications for use for the device, the proposed
ENFit enteral syringes NUTRIFIT™, have been demonstrated to be
appropriate for its intended use and is considered substantially
equivalent to the ENFit Enteral Pump Syringes PENTA ENFit/ENFit Enteral |

Table 3 – Summary Table