K Number
K240039
Device Name
Enteral Feeding Sets
Date Cleared
2024-04-17

(103 days)

Product Code
Regulation Number
876.5980
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Enteral Feeding Sets are intended to dispense liquid nutrition (feeding solutions) at a user controlled rate. These enteral feeding sets interface with a patient's feeding tube and may use gravity or an enteral feeding pump to dispense feeding solution. The enteral feeding sets include a bag to contain the feeding solution and/or a EnPlus spike to connect to a pre-filled container. The device is used for infants, children, adolescents and adults.
Device Description
The Enteral Feeding Sets have four models, Enteral Feeding Pump bag Set, Enteral Feeding Pump EnPlus spike Set, Enteral Feeding Gravity bag Set, Enteral Feeding Gravity EnPlus spike Set. The Enteral Feeding Pump bag Set and Enteral Feeding Gravity bag Set both have a structure of a formula bag with 100ml graduations and a protective closure cap. The difference is the former is droved by pump and the latter is droved by gravity. Enteral Feeding Pump EnPlus spike Set and Enteral Feeding Gravity EnPlus spike Set feature a piercing spike (with or without screw cap) used to connect the set to a prefilled container of enteral feeding solution. It is a single-use, non-sterile device.
More Information

Not Found

No
The summary describes a mechanical device for dispensing liquid nutrition and does not mention any AI or ML components or functionalities.

No.
The device dispenses liquid nutrition but does not treat or cure a disease or condition itself.

No

Explanation: The device is an enteral feeding set, intended to dispense liquid nutrition. It does not perform any diagnostic function.

No

The device description clearly outlines physical components like bags, spikes, and connectors, and the performance studies focus on physical properties and biological compatibility, 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 "dispense liquid nutrition (feeding solutions) at a user controlled rate." This is a delivery mechanism for nutrition, not a test performed on a biological sample to diagnose a condition or provide information about a physiological state.
  • Device Description: The description details the physical components and how they function to deliver feeding solution. There is no mention of reagents, assays, or any process involving the analysis of biological samples.
  • Performance Studies: The performance studies focus on the physical and functional aspects of the device (leakage, flow rate, tensile strength, connector performance, etc.) and biological safety (cytotoxicity, sensitization, irritation). These are typical tests for medical devices that come into contact with the body or deliver substances, but not for IVDs which focus on analytical performance.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), detecting analytes, or providing diagnostic information.

In summary, the device is designed to deliver nutrition, which falls under the category of a medical device, but not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

Enteral Feeding Sets are intended to dispense liquid nutrition (feeding solutions) at a user controlled rate. These enteral feeding sets interface with a patient's feeding tube and may use gravity or an enteral feeding pump to dispense feeding solution. The enteral feeding sets include a bag to contain the feeding solution and/or a EnPlus spike to connect to a pre-filled container. The device is used for infants, children, adolescents and adults.

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

PIF, KNT

Device Description

The Enteral Feeding Sets have four models, Enteral Feeding Pump bag Set, Enteral Feeding Pump EnPlus spike Set, Enteral Feeding Gravity bag Set, Enteral Feeding Gravity EnPlus spike Set. The Enteral Feeding Pump bag Set and Enteral Feeding Gravity bag Set both have a structure of a formula bag with 100ml graduations and a protective closure cap. The difference is the former is droved by pump and the latter is droved by gravity. Enteral Feeding Pump EnPlus spike Set and Enteral Feeding Gravity EnPlus spike Set feature a piercing spike (with or without screw cap) used to connect the set to a prefilled container of enteral feeding solution. It is a single-use, non-sterile device.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

infants, children, adolescents and adults.

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)

The non-clinical bench performance testing of the Enteral Feeding Sets is tested according to ISO 80369-3:2016(5-123), ISO20695:2020(9-138), ISO18250-3:2018(5-139), IEC62366-1:2020(5-129), ISO 10993 series of biological standards, Packaging test related standards and the guidance: Safety Considerations to Mitigate the Risks of Misconnections with Small-bore Connectors Intended for Enteral Applications.

Metrology (include EnFit connector, ENPlus spike & screw cap)

  • Dimensions (EnFit connector) - ISO 80369-3:2016 - Meet the requirements
  • Dimensions (ENPlus spike) - ISO 18250-3:2018 - Meet the requirements
  • Dimensions (screw cap) - ISO 18250-3:2018 - Meet the requirements

Appearance inspection

  • Deformed parts, Cracking and burr, Incomplete seal or breakage of bag, Kinked tube - Study in-house - None
  • Bag Printing - Study in-house - Present

EnFit connector performance testing

  • Fluid leakage (Leakage by pressure decay) - ISO 80369-3:2016 - shall not leak by more than 0.005 Pa.m³/s
  • Stress cracking - ISO 80369-3:2016 - No signs of leakage
  • Resistance to separation from axial load - ISO 80369-3:2016 - shall not separate from the reference connector
  • Resistance to separation from unscrewing - ISO 80369-3:2016 - shall not separate from the reference connector
  • Resistance to overriding - ISO 80369-3:2016 - shall not override the threads or lugs of the reference connector
  • Disconnection by unscrewing - ISO 80369-3:2016 - shall separate from the reference connector with an applied unscrewing torque of no greater than 0.35 N·m

ENPlus spike & screw cap performance testing

  • Positive pressure liquid leakage - ISO 18250-3:2018 - shall show no signs of leakage
  • Subatmospheric-pressure air leakage - ISO 18250-3:2018 - shall not leak by more than 0.005 Pa.m3/s
  • Stress cracking - ISO 18250-3:2018 - No signs of leakage
  • Resistance to separation from axial load - ISO 18250-3:2018 - shall not separate from the reference connector.
  • Resistance to separation from unscrewing - ISO 18250-3:2018 - shall not separate from the reference connector
  • Resistance to overriding - ISO 18250-3:2018 - shall not override the threads or lugs of the reference connector

Enteral Feeding Sets performance testing

  • Tensile strength - ISO 20695-2020 - shall withstand a tensile force of 15 N before breaking, becoming detached, or cracking
  • Leakage - ISO 20695-2020 - shall not show signs of leakage sufficient to form a falling drop of water
  • Flow rate - ISO 20695-2020 Study in-house - Meet the requirements

Packaging performance testing

  • Visual inspection - ASTMF1886/F1886M-16 - No defect of the integrity of seals must be found
  • Seal strength test - ASTM F88/F88M-21 Study in-house - Should not be less than 12 N/15mm

biological test

  • Cytotoxicity - ISO 10993-5:2009 - Non-Cytotoxic
  • Sensitization - ISO 10993-10:2021 - Non-Sensitizer
  • Intracutaneous Irritation - ISO 10993-23:2021 - Non-Irritant

Usability Study

  • Usability Study - IEC 62366-1:2020 - Meet the requirements

Clinical testing was not required for device evaluation.

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.

K181276

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

Image /page/0/Picture/0 description: The image shows the logo for 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.

April 17, 2024

Hangzhou Primecare Medical Co., Ltd. Li Xuedong Regulatory Director Room 408-409, Zancheng Center West, Shangcheng District Hang zhou, Zhe jiang 310008 China

Re: K240039

Trade/Device Name: Enteral Feeding Sets Regulation Number: 21 CFR 876.5980 Regulation Name: Gastrointestinal Tube And Accessories Regulatory Class: Class II Product Code: PIF, KNT, Dated: March 18, 2024 Received: March 18, 2024

Dear Li Xuedong:

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 (the 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 available 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.

1

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.

Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device" (https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software Change to an Existing Device" (https://www.fda.gov/media/99785/download).

Your device is also subject to, among other requirements, the Quality System (QS) regulation (21 CFR Part 820), which includes, but is not limited to, 21 CFR 820.30, Design controls; 21 CFR 820.90, Nonconforming product; and 21 CFR 820.100, Corrective and preventive action. Please note that regardless of whether a change requires premarket review, the QS regulation requires device manufacturers to review and approve changes to device design and production (21 CFR 820.70) and document changes and approvals in the device master record (21 CFR 820.181).

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 Part 803) for devices or postmarketing safety reporting (21 CFR Part 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 Part 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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.

2

3 Page

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,

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

3

Indications for Use

Submission Number (if known)

K240039

Device Name

Enteral Feeding Sets

Indications for Use (Describe)

Enteral Feeding Sets are intended to dispense liquid nutrition (feeding solutions) at a user controlled rate. These enteral feeding sets interface with a patient's feeding tube and may use gravity or an enteral feeding pump to dispense feeding solution. The enteral feeding sets include a bag to contain the feeding solution and/or a EnPlus spike to connect to a pre-filled container. The device is used for infants, children, adolescents and adults.

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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Image /page/4/Picture/1 description: The image shows the logo for PrimeCare Medical. The word "PrimeCare" is written in a cursive, blue font. Below "PrimeCare" is the word "MEDICAL" in a smaller, sans-serif font, also in blue. A curved line underlines the word "MEDICAL".

510(k) Summary - K240039

Device Trade Name: Enteral Feeding Sets

Common Name: Enteral Feeding Sets

Classification Name: Gastrointestinal tube and accessories

Product Code: KNT, PIF

Regulation: 876.5980

Regulatory Class: Class II

Submitter/Manufacturer:

Hangzhou Primecare Medical Co., Ltd. Room 408-409, Zancheng Center West, Shangcheng District, Hangzhou Zhejiang 310008 China Tel: 86-571-81958620 Regulatory Contact: Li Xuedong, Regulatory Director

Predicate Device

Device Trade Name: CONOD Enteral Feeding Sets 510(k) Number: K181276 Classification: Class II, 876.5980, Gastrointestinal tube and accessories Product Code: KNT, PIF

Device Description

The Enteral Feeding Sets have four models, Enteral Feeding Pump bag Set, Enteral Feeding Pump EnPlus spike Set, Enteral Feeding Gravity bag Set, Enteral Feeding Gravity EnPlus spike Set. The Enteral Feeding Pump bag Set and Enteral Feeding Gravity bag Set both have a structure of a formula bag with 100ml graduations and a protective closure cap. The difference is the former is droved by pump and the latter is droved by gravity. Enteral Feeding Pump EnPlus spike Set and Enteral Feeding Gravity EnPlus spike Set feature a piercing spike (with or without screw cap) used to connect the set to a prefilled container of enteral feeding solution. It is a single-use, non-sterile device.

5

Image /page/5/Picture/1 description: The image shows the logo for PrimeCare Medical. The word "PrimeCare" is written in a cursive, blue font. Below that, the word "MEDICAL" is written in a smaller, sans-serif font, also in blue. A curved line underlines the word "PrimeCare".

Intended Use / Indications for Use

Enteral Feeding Sets are intended to dispense liquid nutrition (feeding solutions) at a user controlled rate. These enteral feeding sets interface with a patient's feeding tube and may use gravity or an enteral feeding pump to dispense feeding solution. The enteral feeding sets include a bag to contain the feeding solution and/or a EnPlus spike to connect to a pre-filled container. The device is used for infants, children, adolescents and adults.

Technological Comparison

  • The subject device has the same intended use as the predicate device, dispense liquid nutrition (feeding solutions) at a user controlled rate. These enteral feeding sets interface with a patient's feeding tube and may use gravity or an enteral feeding pump to dispense feeding solution, and uses the same technology.

  • The subject device has the same technological characteristics and provide the same principle of operation as the predicate device.

  • The differences:

    • The predicate device has only 1200ml volume bags, the subject device adds different volumes (1200ml,1000ml,500ml,100ml), Material and intended used are the same.
    • The subject device adds one universal screw cap(with or without) to the spike set to extend the connectivity for different pre-filled formula containers. Material of the screw cap is exactly same as ENPlus spike.
    • The subject device adds a new model that replaces the built-in enteral bag with ENPlus spike and screw cap so that it can connects to the pre-filled nutrition containers instead of having to prepare formula by the user. the ENPlus spike and screw cap introduced in this set is the same as those used in Enteral feeding pump EnPlus Spike sets.
    • The subject device removes the EnFit transitional connector.

6

Image /page/6/Picture/1 description: The image shows the logo for PrimeCare Medical. The word "PrimeCare" is written in a stylized, cursive font in blue. Below "PrimeCare" is the word "MEDICAL" in smaller, block letters, also in blue. A curved line underlines the word "MEDICAL".

Shown below is a side by side comparison of the subject device with the predicate device. A

| Device
Characteristic | Subject device | Predicate device
(K181276) | Results |
|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------|
| Device name | Enteral Feeding Sets | CONOD Enteral Feeding Sets | same |
| Indications for
Use | Enteral Feeding Sets are intended to dispense liquid nutrition
(feeding solutions) at a user controlled rate. These enteral
feeding sets interface with a patient's feeding tube and may use
gravity or an enteral feeding pump to dispense feeding solution.
The enteral feeding sets include a bag to contain the feeding
solution and/or a EnPlus spike to connect to a pre-filled
container. The device is used for infants, children, adolescents
and adults. | CONOD Enteral Feeding Sets are intended to dispense
liquid nutrition (feeding solutions) at a user controlled rate.
These enteral feeding sets interface with a patient's
feeding tube and may use gravity or an enteral feeding
pump to dispense feeding solution. The enteral feeding
sets include a bag to contain the feeding solution and/or a
piercing spike to connect to a pre-filled container. The
device is used for infants, children, adolescents and adults. | same |
| Product code | PIF, KNT | PIF, KNT | same |
| Classification
regulation | 21 CFR 876.5980 | 21 CFR 876.5980 | same |
| Device
configurations | ● Enteral Feeding Pump bag Set (1200ml、1000ml、
500ml、100ml)
■ 1200ml/1000ml/500ml/100ml Enteral Bag with
closure cap
■ PVC tubing
■ Roller clamp
■ Drip chamber
■ Silicone tube
■ Silicone tube connector
■ Warning label
■ EnFit connector
■ Protection cap for the EnFit connector | ● CONOD Feeding Pump Set (1200ml)
■ 1200ml Enteral Bag with closure cap
■ PVC tubing
■ Roller clamp
■ Drip chamber
■ Silicone tube
■ Silicone tube connector
■ Warning label
■ EnFit connector
■ EnFit transitional connector
■ Protection cap for the transition connector | Similar
1.Adding different bag volume
.Material and intended used are the
same.
2. Remove the EnFit
transitional connector. |
| | ● Enteral Feeding Pump EnPlus spike Set
■ Universal screw cap (with or without)
■ Protection cap for the spike
■ ENPlus spike | ● CONOD Safety spike plus Pump Set
■ Protection cap for the spike
■ ENPlus spike
■ PVC tubing
■ Roller clamp | Similar
1.Adding one universal screw cap
to the spike set to extend the |
| PVC tubing Roller clamp Drip chamber Silicone tube Silicone tube connector Warning label EnFit connector Protection cap for the EnFit connector | Drip chamber Silicone tube Silicone tube connector Warning label EnFit connector EnFit transitional connector Protection cap for the transition connector | connectivity for different pre-
filled formula containers.

2.Material of the screw cap is
exactly same as ENPlus spike.

3.Remove the EnFit transitional
connector. | |
| Enteral Feeding Gravity bag Set (1200ml、1000ml、
500ml、100ml) 1200ml/1000ml/500ml/100ml Enteral Bag with
closure cap PVC tubing Roller clamp Drip chamber Warning label EnFit connector Protection cap for the EnFit connector | CONOD Gravity Feeding Set (1200ml) 1200ml Enteral Bag with closure cap PVC tubing Roller clamp Drip chamber Warning label EnFit connector EnFit transitional connector Protection cap for the transition connector | Similar

1.Adding different bag volume

Material and intended used are the
same.

2.Remove the EnFit transitional
connector. | |
| Enteral Feeding Gravity EnPlus spike Set Universal screw cap (with or without) Protection cap for the spike ENPlus spike PVC tubing Roller clamp Drip chamber Warning label EnFit connector Protection cap for the EnFit connector | CONOD Gravity Feeding Set (1200ml) 1200ml Enteral Bag with closure cap PVC tubing Roller clamp Drip chamber Warning label EnFit connector EnFit transitional connector Protection cap for the transition connector | Different

1.Replacing the built-in enteral
bag with ENPlus spike and screw
cap so that it can connects to the
pre-filled nutrition containers
instead of having to prepare
formula by the user. the ENPlus
spike and screw cap introduced in
this set is the same as those used in
Enteral feeding pump EnPlus
Spike sets | |
| | | | 2.Remove the EnFit transitional
connector. |
| Design feature | Non DEHP material sets featuring ISO 80369-3:2016 connector | Non DEHP material sets featuring ISO 80369-3:2016 connector | same |
| Materials | PVC、ABS、Silicone、LDPE、paper | PVC、ABS、Silicone、LDPE、paper | same |
| Prescription use or not | Prescription use | Prescription use | same |
| Disposable or not | Disposable for single use | Disposable for single use | same |
| Intended use time | No longer than 24 hours | No longer than 24 hours | same |
| Sterile or not | Non-sterile | Non-sterile | same |
| Shelf-life | 5 years | 5 years | same |
| Available tube lengths | Enteral Feeding Pump bag Set: 60cm+157cm
Enteral Feeding Pump EnPlus spike Set: 60cm+157cm
Enteral Feeding Gravity bag Set: 170cm
Enteral Feeding Gravity EnPlus spike Set: 170cm | Pump set: 60cm+157cm
Spike set: 60cm+157cm
Gravity set: 170cm | Similar |

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Image /page/7/Picture/2 description: The image contains the logo for PrimeCare Medical. The logo is in blue and consists of the word "PrimeCare" in a script font, with the word "MEDICAL" in smaller, block letters underneath. A curved line underlines the word "MEDICAL".

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Image /page/8/Picture/1 description: The image shows the logo for PrimeCare Medical. The word "PrimeCare" is written in a stylized blue font. Below "PrimeCare" is the word "MEDICAL" in a smaller, sans-serif font, also in blue. A curved blue line underlines the word "MEDICAL".

9

Image /page/9/Picture/1 description: The image shows the logo for PrimeCare Medical. The word "PrimeCare" is written in a cursive, blue font. Below "PrimeCare" is the word "MEDICAL" in a smaller, sans-serif font, also in blue. A curved line underlines the word "MEDICAL".

Summary of Non-Clinical Testing

The non-clinical bench performance testing of the Enteral Feeding Sets is tested according to ISO 80369-3:2016(5-123), ISO20695:2020(9-138), ISO18250-3:2018(5-139), IEC62366-1:2020(5-129), ISO 10993 series of biological standards, Packaging test related standards and the guidance: Safety Considerations to Mitigate the Risks of Misconnections with Small-bore Connectors Intended for Enteral Applications.

Table 1: Metrology (include EnFit connector, ENPlus spike & screw cap)

No.ItemsStandardsAcceptance criteria
1Dimensions (EnFit connector)ISO 80369-3:2016Meet the requirements
2Dimensions (ENPlus spike)ISO 18250-3:2018Meet the requirements
3Dimensions (screw cap)ISO 18250-3:2018Meet the requirements

Table 2: Appearance inspection

No.ItemsStandardsAcceptance criteria
1Deformed parts, Cracking and
burr, Incomplete seal or
breakage of bag,
Kinked tubeStudy in-houseNone
2Bag PrintingStudy in-housePresent

Table 3: EnFit connector performance testing

No.ItemsStandardsAcceptance criteria
1Fluid leakage
(Leakage by pressure
decay)ISO 80369-3:2016shall not leak by more than
0.005 Pa.m³/s
2Stress crackingISO 80369-3:2016No signs of leakage
3Resistance to
separation from axial
loadISO 80369-3:2016shall not separate from the
reference connector
4Resistance to
separation from
unscrewingISO 80369-3:2016shall not separate from the
reference connector

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Image /page/10/Picture/1 description: The image contains the logo for PrimeCare Medical. The word "PrimeCare" is written in a cursive, blue font. Below "PrimeCare" is the word "MEDICAL" in a smaller, sans-serif font, also in blue. A curved line underlines the word "MEDICAL".

| 5 | Resistance to
overriding | ISO 80369-3:2016 | shall not override the threads
or lugs of the reference
connector |
|---|--------------------------------|------------------|-----------------------------------------------------------------------------------------------------------------------|
| 6 | Disconnection by
unscrewing | ISO 80369-3:2016 | shall separate from the
reference connector with an
applied unscrewing
torque of no greater than 0.35
N·m |

Table 4: ENPlus spike & screw cap performance testing

No.ItemsStandardsAcceptance criteria
1Positive pressure liquid
leakageISO 18250-3:2018shall show no signs of
leakage
2Subatmospheric-pressure
air leakageISO 18250-3:2018shall not leak by more than
0.005 Pa.m3/s
3Stress crackingISO 18250-3:2018No signs of leakage
4Resistance to separation
from axial loadISO 18250-3:2018shall not separate from the
reference connector.
5Resistance to separation
from unscrewingISO 18250-3:2018shall not separate from the
reference connector
6Resistance to overridingISO 18250-3:2018shall not override the
threads or lugs of the
reference connector

Table 5: Enteral Feeding Sets performance testing

No.ItemsStandardsAcceptance criteria
1Tensile strengthISO 20695-2020shall withstand a tensile
force of 15 N before
breaking, becoming
detached, or cracking
2LeakageISO 20695-2020shall not show signs of
leakage sufficient to
form a falling drop of
water
3Flow rateISO 20695-2020
Study in-houseMeet the requirements

11

Image /page/11/Picture/1 description: The image shows the logo for PrimeCare Medical. The word "PrimeCare" is written in a cursive, blue font. Below "PrimeCare" is the word "MEDICAL" in a smaller, sans-serif, blue font. There is a curved line underneath the word "MEDICAL".

Hangzhou Primecare Medical Co., Ltd. Table 6: Packaging performance testing

No.ItemsStandardsAcceptance criteria
1Visual inspectionASTMF1886/F1886M-16No defect of the integrity
of seals must be found
2Seal strength testASTM F88/F88M-21
Study in-houseShould not be less than
12 N/15mm

Table 7: biological test

No.ItemsStandardsAcceptance criteria
1CytotoxicityISO 10993-5:2009Non-Cytotoxic
2SensitizationISO 10993-10:2021Non-Sensitizer
3Intracutaneous
IrritationISO 10993-23:2021Non-Irritant

Table 8: Usability Study

No.ItemsStandardsAcceptance criteria
1Usability StudyIEC 62366-1:2020Meet the requirements

Summary of Clinical Testing

Clinical testing was not required for device evaluation.

Conclusion

The conclusions drawn from the nonclinical testing for the subject device, Enteral Feeding Sets, demonstrate that the device is as safe, as effective, and performs as well as the legally marketed predicate device.