K Number
K223890
Device Name
NAJA Gastrointestinal Catheter
Manufacturer
Date Cleared
2023-06-16

(171 days)

Product Code
Regulation Number
876.5980
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The NAJA Gastrointestinal Balloon Catheter is intended to administer contrast medium to the small intestine.
Device Description
The NAJA Gastrointestinal Balloon Catheter ("NAJA device") is a single-use, single-operator, over the-wire, double balloon catheter that is compatible with 0.035" guidewires. The device is introduced orally and designed for temporary occlusion of the gastrointestinal (GI) lumen (small intestine), allowing infusion of fluids for enteroclysis studies (i.e., imaging tests of the small intestine). The device is designed to fit inside the working channel of a gastroscope and reaches its intended location by tracking over a 0.035" guidewire. The NAJA device features a separate hub connector that is attachable and detachable from the catheter. This feature allows removal of the gastroscope from the catheter once the balloons are in the correct location and before the hub connector is attached for balloon inflation and infusion of fluids into the GI lumen. The hub connector is supplied with 1-way stopcocks on the inflation and infusion ports. The NAJA device is also provided with a 30cc syringe for balloon inflation and infusion of fluids. The balloons are inflated independently using air.
More Information

No
The device description and performance studies focus on the mechanical and functional aspects of a balloon catheter for contrast administration, with no mention of AI or ML capabilities.

No.
The device is used to administer contrast medium for diagnostic imaging (enteroclysis studies) and to temporarily occlude the GI lumen, not to treat a disease or medical condition.

Yes

The device is used to administer contrast medium for "enteroclysis studies (i.e., imaging tests of the small intestine)," which are diagnostic imaging procedures. The catheter itself facilitates the diagnostic process by enabling the introduction of the contrast agent needed for these tests.

No

The device description clearly details a physical catheter with balloons, a hub connector, stopcocks, and a syringe, indicating it is a hardware medical device.

Based on the provided information, the NAJA Gastrointestinal Balloon Catheter is not an In Vitro Diagnostic (IVD) device.

Here's why:

  • Intended Use: The intended use is to "administer contrast medium to the small intestine" for "enteroclysis studies (i.e., imaging tests of the small intestine)." This describes a procedure performed on the patient's body for imaging purposes, not a test performed on a sample taken from the body.
  • Device Description: The description details a physical catheter designed for insertion into the body to deliver a substance and temporarily occlude a lumen. This is consistent with an interventional or diagnostic imaging accessory device, not an IVD.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), detecting analytes, or providing diagnostic information based on the analysis of such samples.

In summary, the NAJA Gastrointestinal Balloon Catheter is a medical device used in a diagnostic imaging procedure, but it does not meet the definition of an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The NAJA Gastrointestinal Balloon Catheter is intended to administer contrast medium to the small intestine.

Product codes

FGD

Device Description

The NAJA Gastrointestinal Balloon Catheter ("NAJA device") is a single-use, single-operator, over the-wire, double balloon catheter that is compatible with 0.035" guidewires. The device is introduced orally and designed for temporary occlusion of the gastrointestinal (GI) lumen (small intestine), allowing infusion of fluids for enteroclysis studies (i.e., imaging tests of the small intestine). The device is designed to fit inside the working channel of a gastroscope and reaches its intended location by tracking over a 0.035" guidewire.

The NAJA device features a separate hub connector that is attachable and detachable from the catheter. This feature allows removal of the gastroscope from the catheter once the balloons are in the correct location and before the hub connector is attached for balloon inflation and infusion of fluids into the GI lumen. The hub connector is supplied with 1-way stopcocks on the inflation and infusion ports. The NAJA device is also provided with a 30cc syringe for balloon inflation and infusion of fluids. The balloons are inflated independently using air.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

small intestine

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

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)

Bench and Performance Testing:

  • Package Performance Testing (Legibility of Markings, Seal Width, Pouch Seal Visual Inspection, Bubble Emission Test, Pouch Seal Strength, Pouch Ease of Opening): All Passed
  • Component Visual Inspection (Component Visual Inspection, Surface Defects, Atraumatic Tip, Atraumatic Infusion Holes, Radiopaque Markers, 0.035" GW Loading - Front/Back, Proximal Extrusion Dimensions, 10.5Fr Channel Compatibility, Working Length, Tip Length, Scaffold Length, Catheter Outer Diameter): All Passed
  • Simulated Use (Number of Balloons and Size, Hub Connector Detachability, Shaft Insertion Feature, Gastroscope Compatibility, Simulated Use Testing, Unique Hub Connector Identification, Legibility of Device Markings): All Passed
  • Functional Testing (Hub Connector and Hub Assembly Pressure, Balloon Pressure and Crosstalk, Balloon OD/L Ratio – unconfined, Balloon Diameter and Inflation Volume Relationship, Balloon OD/L Ratio – confined, Inflation Time, Deflation Time, Infusion Time, Channel Occlusion): All Passed. Balloon Compliance Volume: 9ml for 20mm OD, 20ml for 30mm OD, 44ml for 40mm OD, 76ml for 50mm OD.
  • Destructive Testing (Rated Burst Volume, Bend Radius, Shaft Buckling Force, Hub to Shaft Slip Force, Tensile – Proximal Shaft to Extrusion, Tensile - Distal Shaft to Extrusion, Tensile -Extrusion at Scaffold, Shear – Balloon Distal Neck, Peel - Balloon Proximal Neck, Tensile - Extension Tube to Hub Connector, Tensile - Luer to Extension Tube): All Passed.

Biocompatibility Testing:

  • Cytotoxicity Study Using the ISO Elution Method (ISO 10993-5: 2009): Pass - no evidence of causing cell lysis or toxicity, grade less than 2.
  • ISO Intracutaneous Study (ISO 10993-23: 2021): Pass - difference between test article extract overall mean score and corresponding control extract overall mean score was 0.0.
  • ISO Maximization Sensitization Study (ISO 10993-10: 2021): Pass - no evidence of causing delayed dermal contact sensitization in the guinea pig.

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

Not Found

Predicate Device(s)

Maglinte Enteroclysis Balloon Catheter [K884379]

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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

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 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, the words "U.S. FOOD & DRUG" are stacked on top of the word "ADMINISTRATION".

June 16, 2023

Chess Medical Inc. % Christopher Sloan President Sloan Regulatory Consulting 322 Hart Road Gaithersburg, MD 20878

Re: K223890

Trade/Device Name: NAJA Gastrointestinal Catheter Regulation Number: 21 CFR 876.5980 Regulation Name: Gastrointestinal tube and accessories Regulatory Class: Class II Product Code: FGD Dated: May 16, 2023 Received: May 16, 2023

Dear Christopher Sloan:

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/cdrl/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

1

(21 CFR Part 801); medical device reporting (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-safetyreporting-combination-products); good manufacturing practice requirements as set forth in the quality systems (OS) 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-devices/medical-device-safety/medicaldevice-reporting-mdr-how-report-medical-device-problems.

For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medical-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-devices/device-advicecomprehensive-regulatory-assistance/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,

Sivakami Venkatachalam -S

for

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)

K223890

Device Name NAJA Gastrointestinal Balloon Catheter

Indications for Use (Describe)

The NAJA Gastrointestinal Balloon Catheter is intended to administer contrast medium to the small intestine.

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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510(k) Summary NAJA Gastrointestinal Balloon Catheter

Submitter

NameChess Medical
Address1650 Sherbrooke Street West, Suite 9E
Montreal, Quebec H3H 1C9
Canada
Contact PersonDr. Yen-I Chen
Phone(514) 291-3154
Email Addresscyen33@gmail.com
Date PreparedDecember 23, 2022

Device

Trade NameNAJA Gastrointestinal Balloon Catheter
Common NameGastrointestinal Balloon Catheter
Classification NameGastrointestinal Tube and Accessories
Classification Number21 CFR 876.5980
Product CodeFGD
Regulatory ClassII

Predicate Device

Name [510(k) Number]Maglinte Enteroclysis Balloon Catheter [K884379]
------------------------------------------------------------------------

Device Description

The NAJA Gastrointestinal Balloon Catheter ("NAJA device") is a single-use, single-operator, over the-wire, double balloon catheter that is compatible with 0.035" guidewires. The device is introduced orally and designed for temporary occlusion of the gastrointestinal (GI) lumen (small intestine), allowing infusion of fluids for enteroclysis studies (i.e., imaging tests of the small intestine). The device is designed to fit inside the working channel of a gastroscope and reaches its intended location by tracking over a 0.035" guidewire.

The NAJA device features a separate hub connector that is attachable and detachable from the catheter. This feature allows removal of the gastroscope from the catheter once the balloons are in the correct location and before the hub connector is attached for balloon inflation and infusion of fluids into the GI lumen. The hub connector is supplied with 1-way stopcocks on the inflation

4

and infusion ports. The NAJA device is also provided with a 30cc syringe for balloon inflation and infusion of fluids. The balloons are inflated independently using air.

Indications for Use

The NAJA Gastrointestinal Balloon Catheter is intended to administer contrast medium to the small intestine.

Comparison of Intended Use and Technological Characteristics with the Predicate Device

The proposed NAJA device has the same intended use and similar technological characteristics as the Maglinte Enteroclysis Balloon Catheter ("Maglinte Catheter"). The differences in the design between the devices do not raise different questions of safety and effectiveness. The table below summarizes the comparison between the NAJA device and Maglinte Catheter.

| | Attribute | NAJA Device
(Subject Device) | Maglinte Catheter
(Predicate Device) | | |
|--------------|--------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------|-----|
| | 510(k) Number | To be assigned | K884379 | | |
| | Applicant | Chess Medical | Lafayette Pharmacal | | |
| | Classification Regulation;
Device Class | 876.5980 (gastrointestinal tube and
accessories); class II | 876.5980 (gastrointestinal tube and
accessories); class II | | |
| | Product Code
(Device Type) | FGD
(Catheter, Retention, Barium Enema
With Bag) | FGD
(Catheter, Retention, Barium Enema
With Bag) | | |
| | Intended Use / Indications for Use | ...intended to administer contrast
medium to the small intestine. | ...intended to administer contrast
medium to the small intestine. | | |
| | Sterile / Single Use | Yes | Yes | | |
| | Sterilization Method | Sterile (Ethylene Oxide) | Sterile (Ethylene Oxide) | | |
| | Principle of Operation | Inflation of one or two compliant
balloons for occlusion of the small
intestine, followed by infusion of
contrast medium in the small
intestine, distal to the proximal
balloon or in the inter-balloon
space. | Inflation of one compliant balloon for
occlusion of the small intestine,
followed by infusion of contrast
medium in the small intestine, distal to
the balloon. | | |
| | | Method of Delivery | Oral insertion, through a compatible
working channel (≥ 3.7 mm) of a
gastroscope. | Nasal or oral insertion. | |
| Balloons | | | Number of Balloons | Two | One |
| | | | Balloon Inflation Media | Air | Air |
| | | Balloon Diameter | 20mm - 50mm | 30 mm | |
| | | Attribute | NAJA Device
(Subject Device) | Maglinte Catheter
(Predicate Device) | |
| | | Balloon Length | 36 mm – 48 mm | 28 mm | |
| | Inflation Volume | 8 ml – 76 ml | 15 ml | | |
| | Balloon Material | Polyurethane | Latex | | |
| Marker Bands | Number of Marker
Bands | Five
(1) Distal tip, (4) proximal and
distal ends of the two balloons | One
(1) Distal tip | | |
| | Marker Band Length | Distal tip - 4 mm
Proximal/Distal balloon ends – 2 mm | Distal tip - 5 mm | | |
| | Marker Band Material | Polyether Block
Amide (Pebax®) 5533 SA 01 MED
w/ Tungsten 80% | Metallic (material unknown) | | |
| | Working Length | 260 cm | 155 cm | | |
| | Number of Layers | Two
Interior – Multi-Lumen Extrusion
Exterior – Braided Shaft Extrusion | One
Bi-Lumen Extrusion | | |
| | Number of Lumens | Four
(1) Guidewire lumen
(1) Infusion lumen
(2) Individual balloon inflation
lumens | Two
(1) Guidewire lumen,
doubles as infusion lumen
(1) Balloon inflation lumen | | |
| | Number of Inflation Exit
Ports | Two
One inflation exit port per balloon | Two
Two inflation exit ports to inflate a
single balloon | | |
| | Number of Infusion Exit
Ports | Three
In between the two balloons | Four
Distal to the single balloon | | |
| Shaft | Materials | Interior – Multi-Lumen Extrusion
Polyether Block Amide (Pebax®)
Exterior – Braided Shaft Extrusion
Polyether Block Amide (Pebax®) | Radiopaque Polyvinyl Chloride | | |
| | Outer Diameter | Distal 30cm (Multi-Lumen
Extrusion)
Outer Diameter: 7.5 Fr
Proximal 206cm (Braided Shaft
Extrusion)
Outer Diameter: 10 Fr | Outer Diameter: 13 Fr | | |
| | Distal Tip | Open lumen at distal tip,
guidewire can advance | Closed distal tip,
guidewire cannot advance | | |
| | | | | | |
| | Proximal End | Enclosed within a removable hub | Enclosed within a permanent hub | | |
| | Attribute | NAJA Device
(Subject Device) | Maglinte Catheter
(Predicate Device) | | |
| Proximal Hub | Detachable | Yes
Able to attach/detach proximal hub
to/from proximal end of shaft | No
Permanently fixed to proximal end of
shaft | | |
| | Number of Ports | Four
(1) Guidewire port
(1) Infusion port
(2) Individual balloon inflation ports | Two
(1) Guidewire port, doubles as infusion
port
(1) Balloon inflation port | | |
| | Mechanism to maintain
inflation volume | One-way Stopcock | Check Valve | | |
| | Guidewire Compatibility | 0.035in | 0.065in | | |

Comparison of NAJA Device to Maglinte Catheter

5

6

Biocompatibility Testing

The following biocompatibility testing was performed on the NAJA device.

| Biocompatibility
Test | Acceptance Criteria
Origin | Result | Conclusion |
|----------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------|
| Cytotoxicity
Study Using the
ISO Elution
Method | ISO 10993-5: 2009,
Biological Evaluation of
Medical Devices -
Part 5: Tests for in vitro
cytotoxicity | The test article extract showed no evidence of
causing cell lysis or toxicity. The test article
extract met the requirements of the test since
the grade was less than a grade 2 (mild
reactivity). | Pass |
| ISO
Intracutaneous
Study | ISO 10993-23: 2021,
Biological Evaluation of
Medical Devices -
Part 23: Tests for
irritation | The test article met the requirements of the
test since the difference between each test
article extract overall mean score and
corresponding control extract overall mean
score was 0.0 and 0.0 for the SC and SO test
article extracts, respectively. | Pass |
| ISO
Maximization
Sensitization
Study | ISO 10993-10: 2021,
Biological Evaluation of
Medical Devices -
Part 10: Tests for skin
sensitization | The test article extracts showed no evidence
of causing delayed dermal contact
sensitization in the guinea pig. The test article
was not considered a sensitizer in the guinea
pig maximization test. | Pass |

Bench and Performance Testing

The following bench and performance testing were conducted on the NAJA device.

Design Verification TestSpecificationTest Result
Package Performance Testing
Legibility of MarkingsIFU, pouch label, and carton label are legible.Pass
Design Verification TestSpecificationTest Result
Seal WidthPouch seal width is $\ge$ 0.19".Pass
Pouch Seal Visual
InspectionPouch seals are free of channels or other
damages that could impair sterility.Pass
Bubble Emission TestNo evidence of leakage through any surface of
pouch.Pass
Pouch Seal StrengthPouch seal can withstand a force $\ge$ 3.35N over
a seal length of 25.4mm.Pass
Pouch Ease of OpeningPouch is easily opened with gloved hands,
while keeping internal contents stable.
Components inside pouch are easily
removable from backboard.Pass
Component Visual
InspectionDevice components are free of damages that
could affect performance of product, such as:
kinks, cracks, separated components, etc.Pass
Surface DefectsAll surfaces and open channels of device are
free of loose foreign matter, pores, cracks, and
remainders of tooling agents.Pass
Atraumatic TipDistal tip is smooth, rounded, and free from
sharp edges.Pass
Atraumatic Infusion HolesInfusion holes are smooth and free from sharp
edges.Pass
Radiopaque MarkersFive (5) markers are present on device.Pass
0.035" GW Loading -
Front/BackDevice accommodates front- and back-loading
of a 0.035" GW.Pass
Proximal Extrusion
DimensionsDimensions suitable for insertion into hub
connector.Pass
10.5Fr Channel
CompatibilityDistal 30cm of device fits through a 10.5Fr
channel.Pass
Working LengthDevice working length is 2360 $\pm$ 20mm.Pass
Tip LengthTip length is 20 $\pm$ 2mm.Pass
Scaffold LengthScaffold length is 120 $\pm$ 2mm.Pass
Catheter Outer DiameterOuter diameter is $\le$ 3.5mm for the catheter
shaft, balloon welds, distal tip.Pass
Simulated Use
Number of Balloons
and SizeDevice has two balloons that can be inflated to
a diameter of 50mm.Pass
Hub Connector
DetachabilityHub connector is detachable from device and
can be attached for fluid delivery.Pass
Shaft Insertion FeatureShaft marker is no longer visible once inserted
into hub connector.Pass

7

8

Design Verification TestSpecificationTest Result
Gastroscope CompatibilityDevice fits through working channel of
gastroscope.
Simulated Use TestingThe device remains functional throughout the
lifecycle of one clinical procedure.
Unique Hub Connector
IdentificationProximal terminations of hub assembly are
appropriately identified. Proximal
terminations of the hub assembly are
appropriately identified.
Legibility of Device
MarkingsWording on hub assembly labels is legible.
Functional Testing
Hub Connector and Hub
Assembly PressurePressure decay specification is met.Pass
Balloon Pressure and
CrosstalkPressure decay specification is met.Pass
Balloon OD/L Ratio –
unconfinedUnconfined balloon shape specification is met.Pass
Balloon Diameter and
Inflation Volume
RelationshipRelationship between balloon diameter and
inflation volume shall be determined.Balloon ComplianceVolume [mL]OD [mm]920203044407650 (MAX)
Balloon OD/L Ratio –
confinedConfined balloon shape specification is met.Pass
Inflation TimeInjection of 30mL of air in $\le$ 4s.Pass
Deflation TimeRemoval of 30mL of air in $\le$ 17s.Pass
Infusion TimeInfusion of 30mL of water in $\le$ 19s.Pass
Channel OcclusionDevice is able to occlude channels 20-50mm.Pass
Destructive Testing
Rated Burst VolumeBalloons have a rated burst volume (RBV)
$\ge$ 81.5mL.Pass
Bend RadiusNo shaft kink and/or fracture when wrapped
180° around a 20mm bend radius.Pass
Shaft Buckling ForceShaft buckle force specification is met.Pass
Hub to Shaft Slip ForceHub connector slip force specification is met.Pass
Tensile – Proximal Shaft to
ExtrusionTensile force of proximal shaft to extrusion is
$\ge$ 15N.Pass
Tensile - Distal Shaft to
ExtrusionTensile force of distal shaft to extrusion is
$\ge$ 15N.Pass

9

Design Verification TestSpecificationTest Result
Tensile -Extrusion at
ScaffoldTensile force of scaffold shall be ≥ 15N.Pass
Shear – Balloon Distal NeckShear force of distal balloon neck to extrusion
bond is ≥ 15N.Pass
Peel - Balloon Proximal
NeckPeel force of proximal balloon neck to
extrusion bond is ≥ 15N.Pass
Tensile - Extension Tube to
Hub ConnectorTensile force of extension tube to hub
connector bond is ≥ 15N.Pass
Tensile - Luer to Extension
TubeTensile force of luer to extension tube bond is
≥ 15N.Pass

Conclusions

The NAJA Gastrointestinal Balloon Catheter (subject device) is substantially equivalent to the legally marketed Maglinte Enteroclysis Balloon Catheter (predicate device) for administering contrast medium to the small intestine. The two devices have intended use and similar technological characteristics. The differences in the design between the devices do not raise different questions of safety and effectiveness. The results of biocompatibility testing confirm that the materials of construction of the NAJA device are safe, and the results of bench and performance (design verification) testing demonstrate that the NAJA device can function adequately in accordance with its intended use.

Chess Medical Inc. concludes that the NAJA Gastrointestinal Balloon Catheter (subject device) is substantially equivalent to the Maglinte Enteroclysis Balloon Catheter (predicate device).