K Number
K212077
Date Cleared
2023-07-27

(755 days)

Product Code
Regulation Number
876.5130
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

2 Way SoftSimplastic Catheters:

Indicated where routine transurethral drainage of the bladder is required either postoperatively or for patients with conditions requiring transurethral urine drainage.

3 Way SoftSimplastic Catheters:

Indicated where routine transurethral drainage of the bladder is required either postoperatively, for patients with conditions requiring transurethral urine drainage and for patients requiring bladder irrigation.

Device Description

The Rusch SoftSimplastic Foley Catheter is a balloon retention type catheter and is single use, disposable and sterile. The catheters are made of transparent PVC. They have a 2 lumen or 3 lumen shaft with proximal funnel, inflation valve and a distal retaining balloon made of latex. Balloon capacity is in ml and the shaft size in French gauge (Fr.) as indicated on the funnel of each individual catheter.

AI/ML Overview

The provided text describes a 510(k) premarket notification for a medical device, the Rusch SoftSimplastic Foley Catheter, not an AI/ML medical device. Therefore, the information required to answer the prompt regarding acceptance criteria and studies for an AI/ML device (e.g., sample size for test/training sets, expert qualifications, ground truth establishment, MRMC studies) is not present in the document.

The document focuses on demonstrating substantial equivalence to a predicate device (Rusch Simplastic Foley Catheters) based on:

  • Intended Use: Similar indications for use for bladder drainage and irrigation.
  • Technological Characteristics: Similar balloon retention type, materials (PVC), sizes, lumens, sterilization method, single-use, and radiopacity. The key differences highlighted are a change in PVC plasticizer, extended shelf life, and slightly different size ranges.
  • Non-Clinical Performance Testing: This includes:
    • Biocompatibility testing (e.g., cytotoxicity, sensitization, systemic toxicity, implantation) according to ISO 10993 standards.
    • Bench performance testing (e.g., visual inspections, strength, connector security, balloon safety, flow rate, kink stability, tensile force, radiopacity) according to ISO 20696, ASTM F623, and ASTM F640 standards.
    • Sterilization and Packaging validation according to ISO 11135-1, ISO 10993-7, ISO 11607, ASTM D4169, ASTM F1886, ASTM F88, EN 868-5, and ASTM F2096.

The document explicitly states: "Differences in technological characteristics between the subject and predicate devices do not raise different questions of safety and effectiveness." and "Performance test results demonstrate that the subject device is as safe and effective as the predicate device."

Therefore, I cannot provide the requested information regarding acceptance criteria and studies for an AI/ML device based on the provided text. The document pertains to a traditional medical device demonstrating substantial equivalence through non-clinical bench and biocompatibility testing, not an AI/ML algorithm requiring clinical performance studies against defined ground truth with human reader involvement.

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

Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). On the left, there is a symbol representing the Department of Health & Human Services - USA. To the right of this symbol, there is a blue square with the letters "FDA" in white. Next to the blue square, the words "U.S. FOOD & DRUG ADMINISTRATION" are written in blue.

July 27, 2023

Teleflex Medical, Inc. Kelley Breheim Sr. MDR Regulatory Project Manager 3015 Carrington Mill Blvd. Morrisville, NC 27560

Re: K212077

Trade/Device Name: Rusch SoftSimplastic Foley Catheters Regulation Number: 21 CFR§ 876.5130 Regulation Name: Urological Catheter and Accessories Regulatory Class: II Product Code: EZL Dated: June 23, 2023 Received: June 23, 2023

Dear Kelley Breheim:

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.

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

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) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatoryinformation/postmarketing-safety-reporting-combination-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,

Jessica K. Nguyen -S

Jessica K. Nguyen, Ph.D. Assistant Director DHT3B: Division of Reproductive. Gynecology and Urology 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) K212077

Device Name Rusch SoftSimplastic Foley Catheters

Indications for Use (Describe)

2 Way SoftSimplastic Catheters:

Indicated where routine transurethral drainage of the bladder is required either postoperatively or for patients with conditions requiring transurethral urine drainage.

3 Way SoftSimplastic Catheters:

Indicated where routine transurethral drainage of the bladder is required either postoperatively, for patients with conditions requiring transurethral urine drainage and for patients requiring bladder irrigation.

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)

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}------------------------------------------------

510(k) Summary [As required by 21 CFR 807.92] Date Prepared: July 26, 2023 510(k) Number: K212077

Submitter's Name / Contact Person

Manufacturer Teleflex Medical, Incorporated 3015 Carrington Mill Blvd Morrisville, NC 27560 USA Phone: 612-500-1344

Contact Person Kelley Breheim Sr. MDR Regulatory Project Manager

General Information

Trade Name:Rusch SoftSimplastic Foley Catheters
Common / Usual Name:Disposable Balloon-Retention Catheter
Classification Name:Urological Catheter and Accessories
Regulation Number:21 CFR 876.5130
Product Code:EZL
Device Class:Class II
Predicate DeviceK162989, Rusch Simplastic Foley Catheters. This predicate device has not been subject to a design-related recall.

Device Description

The Rusch SoftSimplastic Foley Catheter is a balloon retention type catheter and is single use, disposable and sterile. The catheters are made of transparent PVC. They have a 2 lumen or 3 lumen shaft with proximal funnel, inflation valve and a distal retaining balloon made of latex. Balloon capacity is in ml and the shaft size in French gauge (Fr.) as indicated on the funnel of each individual catheter.

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

Product CodesSize (Fr)Product Description
4426/66243014 – 24SoftSimplastic 2 Way 30ml Catheter Coude/Mercier Tip
5706/66413016 – 24SoftSimplastic 3 Way 30ml Catheter Couvelaire Tip
5707/66253016 – 24SoftSimplastic 2 Way 30ml Catheter Couvelaire Tip
5708/66417618 – 24SoftSimplastic 3 Way 75ml Catheter Couvelaire Tip

Indications for Use

2 Way SoftSimplastic Catheters:

Indicated where routine transurethral drainage of the bladder is required either postoperatively or for patients with conditions requiring transurethral urine drainage.

3 Way SoftSimplastic Catheters:

Indicated where routine transurethral drainage of the bladder is required either postoperatively, for patients with conditions requiring transurethral urine drainage and for patients requiring bladder irrigation.

Comparison of Technological Characteristics with the Predicate Device

A comparison of the technological characteristics between the Rusch SoftSimplastic Foley Catheters and the predicate device are provided in the following table.

Comparison of Technological Characteristics
Subject DevicePrimary Predicate Device
CharacteristicRusch SoftSimplasticFoley CathetersRusch Simplastic FoleyCatheters
Classification NameCatheter, Retention Type,BalloonCatheter, Retention Type,Balloon
Product CodeEZLEZL
Regulation Number876.5130876.5130
ClassIIII

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

Indications for Use2 Way SoftSimplasticCatheters:Indicated where routinetransurethral drainage of thebladder is required eitherpostoperatively or forpatients with conditionsrequiring transurethral urinedrainage.3 Way SoftSimplasticCatheters:Indicated where routinetransurethral drainage of thebladder is required eitherpostoperatively, for patientswith conditions requiringtransurethral urine drainageand for patients requiringbladder irrigation.These catheters are indicatedfor routine transurethraldrainage of the bladder or forroutine post-operativetransurethral drainage andirrigation of the bladder.
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Comparison of Technological Characteristics
CharacteristicSubject DeviceRusch SoftSimplasticFoley CathetersPrimary Predicate DeviceRusch Simplastic FoleyCatheters
Shelf Life5 Year1 Year
Size Range14-24Fr12-28Fr
Balloon Sizes30 and 75 ml30 and 75 ml
Balloon MaterialLatexLatex
Shaft MaterialPVC with dioctylterephthalate (DOTP)plasticizerPVC with bis(2-ethylhexyl)phthalate (DEHP) plasticizer
ConnectionsLuer Taper/FunnelLuer Taper/Funnel
LumenTwo way and three wayTwo way and three way
PopulationAdultAdult and Pediatric

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

BiocompatibilityMaterials have been testedper ISO 10993Materials have been testedper ISO 10993
SterileYesYes
Method of SterilizationEthylene OxideEthylene Oxide
Single Use or ReusableSingle UseSingle Use
Coated or UncoatedUncoatedUncoated
RadiopacityYesYes

In this 510(k), the sponsor proposed modifications to their previously cleared device, including a material change, an extension of shelf-life and minor labeling changes. Differences in technological characteristics between the subject and predicate devices do not raise different questions of safety and effectiveness.

Summary of Non-Clinical Performance Testing

Biocompatibility

The biocompatibility evaluation for the Rusch SoftSimplastic Foley Catheters was conducted in accordance with the International Standard ISO 10993-1 "Biological Evaluation of Medical Devices - Part 1: Evaluation and Testing Within a Risk Management Process," as recognized by FDA.

TestStandard
CytotoxicityISO 10993-5
SensitizationISO 10993-10
Intracutaneous ReactivityISO 10993-23
Bacterial Reverse Mutation Assay (ISO)ISO 10993-3
Acute Systemic Toxicity Test (ISO)ISO 10993-11
Material Mediated Pyrogenicity Test (ISO/USP)ISO 10993-11
Mouse Lymphoma Assay (ISO)ISO 10993-3
Implantation Test (ISO)ISO 10993-6
28-Day Systemic Toxicity (Dual Route RepeatedExposure Method) Test (ISO)ISO 10993-11

Performance - Bench

The bench testing performed verifies that the performance of the subject device is substantially equivalent in terms of critical performance characteristics to the predicate device. The following table of test methods and standards (including packaging and sterility) were relied upon for a determination of substantial equivalence.

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

TestReference to Standard(if applicable)
Visual inspection - ShaftISO 20696:2018
Visual inspection - BalloonISO 20696:2018
Visual inspection - FunnelISO 20696:2018
Visual inspection - TipISO 20696:2018
Effective Shaft LengthISO 20696:2018
Strength of CatheterISO 20696:2018
Connector SecurityISO 20696:2018
Balloon SafetyISO 20696:2018
Inflation and Deflation TestISO 20696:2018
Flow Rate Through CatheterISO 20696:2018
Kink StabilityISO 20696:2018
Peak Tensile Force - ShaftISO 20696:2018
Peak Tensile Force - FunnelISO 20696:2018
Peak Tensile Force - BalloonISO 20696:2018
Peak Tensile Force - TipISO 20696:2018
Inflated Balloon Response to TractionISO 20696:2018
Flow Rate Through Drainage LumenASTM F623-99
Balloon Integrity (Resistance to Rupture)ASTM F623-99
Inflated Balloon Response to TractionASTM F623-99
Balloon Volume MaintenanceASTM F623-99
Balloon and Shaft SizeASTM F623-99
Deflation ReliabilityASTM F623-99
RadiopacityASTM F640-12
Ethylene Oxide SterilizationISO 11135-1
EO ResidualsISO 10993-7
PackagingISO 11607-1ISO 11607-2ASTM D4169ASTM F1886/F1886MASTM F88/F88MEN 868-5ASTM F2096

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

Conclusion

The Rusch SoftSimplastic Foley Catheter has the same intended use, technological characteristics, and construction as its predicate, with the exception of different PVC plasticizer material. Performance test results demonstrate that the subject device is as safe and effective as the predicate device. The Rusch SoftSimplastic Foley Catheter is substantially equivalent to the predicate device.

§ 876.5130 Urological catheter and accessories.

(a)
Identification. A urological catheter and accessories is a flexible tubular device that is inserted through the urethra and used to pass fluids to or from the urinary tract. This generic type of device includes radiopaque urological catheters, ureteral catheters, urethral catheters, coudé catheters, balloon retention type catheters, straight catheters, upper urinary tract catheters, double lumen female urethrographic catheters, disposable ureteral catheters, male urethrographic catheters, and urological catheter accessories including ureteral catheter stylets, ureteral catheter adapters, ureteral catheter holders, ureteral catheter stylets, ureteral catheterization trays, and the gastro-urological irrigation tray (for urological use).(b)
Classification. (1) Class II (performance standards).(2) Class I for the ureteral stylet (guidewire), stylet for gastrourological catheter, ureteral catheter adapter, ureteral catheter connector, and ureteral catheter holder. The devices subject to this paragraph (b)(2) are exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 876.9.