K Number
K242429
Date Cleared
2025-04-09

(237 days)

Product Code
Regulation Number
880.5200
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

CentroVena Central Venous Catheter (CVC)

Acute central venous catheters are indicated to provide short term access (< 30 days) to the central venous system. They are designed for administering IV fluids, blood products, drugs and parenteral nutrition solutions, as well as blood withdrawal, central venous pressure monitoring, and power injection of contrast media.

  • 7F Triple Lumen Catheter Size, 16 cm and 20 cm Catheter Length, Distal Lumen, 10 mL/s Power Injection Flow Rate, 325 psi Maximum Power Injector Pressure Setting
  • 7F Triple Lumen, 16 cm and 20 cm Catheter Length, Medial/Proximal Lumen, 9 mL/s Power Injection Flow Rate, 325 psi Maximum Power Injector Pressure Setting
  • 7F Triple Lumen Catheter Size, 30 cm Catheter Length, Distal Lumen, 9 mL/s Power Injection Flow Rate, 325 psi Maximum Power Injector Pressure Setting
  • 7F Triple Lumen Catheter Size, 30 cm Catheter Length, Medial/Proximal Lumen, 7 mL/s Power Injection Flow Rate, 325 psi Maximum Power Injector Pressure Setting
  • 7F Dual Lumen Catheter Size, 16 cm and 20 cm Catheter Length, Distal Lumen, 10 mL/s Power Injection Flow Rate, 325 psi Maximum Power Injector Pressure Setting
  • 7F Dual Lumen Catheter Size, 16 cm and 20 cm Catheter Length, Medial/Proximal Lumen, 10 mL/s Power Injection Flow Rate, 325 psi Maximum Power Injector Pressure Setting

CentroVena One Insertion System

The CentroVena One Insertion System is indicated to facilitate the insertion of the included central venous catheters. Acute central venous catheters are indicated to provide short term access (< 30 days) to the central venous system. They are designed for administering IV fluids, blood products, drugs and parenteral nutrition solutions, as well as blood withdrawal, central venous pressure monitoring, and power injection of contrast media.

  • 7F Triple Lumen Catheter Size, 16 cm and 20 cm Catheter Length, Distal Lumen, 10 mL/s Power Injection Flow Rate, 325 psi Maximum Power Injector Pressure Setting
  • 7F Triple Lumen, 16 cm and 20 cm Catheter Length, Medial/Proximal Lumen, 9 mL/s Power Injection Flow Rate, 325 psi Maximum Power Injector Pressure Setting
  • 7F Triple Lumen Catheter Size, 30 cm Catheter Length, Distal Lumen, 9 mL/s Power Injection Flow Rate, 325 psi Maximum Power Injector Pressure Setting
  • 7F Triple Lumen Catheter Size, 30 cm Catheter Length, Medial/Proximal Lumen, 7 mL/s Power Injection Flow Rate, 325 psi Maximum Power Injector Pressure Setting
  • 7F Dual Lumen Catheter Size, 16 cm and 20 cm Catheter Length, Distal Lumen, 10 mL/s Power Injection Flow Rate, 325 psi Maximum Power Injector Pressure Setting
  • 7F Dual Lumen Catheter Size, 16 cm and 20 cm Catheter Length, Medial/Proximal Lumen, 10 mL/s Power Injection Flow Rate, 325 psi Maximum Power Injector Pressure Setting
Device Description

Vena Central Venous Catheters are power-injectable, constructed of medical grade polyurethane and designed for insertion into the central venous system. The central venous catheters are radiopaque and have a soft tip that is more pliable than the catheter body. Each catheter is provided in a sterile package with other applicable insertion kit accessories.

The CentroVena One Insertion System integrates the essential components for placing central venous catheters. It combines an introducer needle with a passive needle tip safety mechanism, syringe, guidewire, and self-dilating catheter into one unit. The device is preassembled and also has an integrated drape clip permanently attached to the guidewire designed to keep the system organized in the sterile field and prevent guidewire embolism.

AI/ML Overview

The provided document is a 510(k) clearance letter for a medical device: CentroVena Central Venous Catheter (CVC) with the CentroVena One Insertion System.

Important Note: The document is primarily a regulatory approval and comparison to a predicate device. It lists numerous "acceptance criteria" through reference standards and tests, but it does not provide the specific numerical results or performance metrics that demonstrate the device quantitatively meets these criteria. It also doesn't detail specific study designs for these tests beyond listing the reference standards.

Therefore, the following information will be extracted where explicitly stated or inferable from the document. Many aspects of a detailed study design (like sample sizes for performance tests, expert qualifications, adjudication methods, or specific effect sizes for human performance improvement with AI) are not typically included in a 510(k) summary for a physical medical device like a catheter and related insertion system as they are more relevant to AI/software as a medical device studies.


Description of Acceptance Criteria and the Study that Proves the Device Meets the Acceptance Criteria

The CentroVena Central Venous Catheter (CVC) with the CentroVena One Insertion System underwent various performance and safety tests to demonstrate substantial equivalence to its predicate device, the BD Acute Central Line (K190855). The acceptance criteria for the device are primarily derived from compliance with recognized industry consensus standards and FDA guidance documents. The studies involved functional performance testing, biocompatibility testing, and evaluation of the insertion system.

1. Table of Acceptance Criteria (as indicated by reference standards) and Reported Device Performance

CategoryAcceptance Criteria (Reference Standard & Test)Reported Device Performance (Summary from Document)
BiocompatibilityISO 10993-1:2018 - Biological Evaluation: Cytotoxicity, Sensitization, Irritation, Acute Systemic Toxicity, Pyrogenicity, Subchronic Systemic Toxicity, Genotoxicity, Hemocompatibility, Implantation (for CVC)"Tests to confirm that the catheter is free from biological hazard." (CVC) "Tests to confirm that the system is free from biological hazard." (Insertion System) No specific quantitative results provided, but implies successful completion.
Catheter Functional PerformanceISO 10555-1:2013 - Catheters General Requirements: Clamp Engagement, Leak Test, Dimensional Test, Implantable Length, Extension Leg Length, Burst Test, Hydraulic Catheter Burst Test, Power Injection Conditioning, Gravity Flow, Luer to Extension Leg Tensile Test, Extension Leg to Catheter Junction Tensile, Catheter Junction to Shaft Tensile, Shaft Tensile Test"evaluated with functional performance testing and did not raise any new questions of safety or effectiveness." (Tapered Tip) "evaluated by functional and performance testing and does not raise any new questions of safety or effectiveness." (Skives) No specific quantitative results provided, implies successful completion to demonstrate equivalence.
Radiopacity (CVC)ASTM F640-2020 - Radiopacity of Plastics for Medical UseTest performed. No specific quantitative results provided.
Hemolytic Properties (CVC)ASTM F756-17 - Assessment of Hemolytic Properties of Materials: Mechanical HemolysisTest performed. No specific quantitative results provided.
Central Venous Catheter SpecificISO 10555-3:2013 - Central Venous Catheters: Tip Tensile, Catheter PrintingTest performed. No specific quantitative results provided.
FDA Guidance (CVC)FDA Guidance on Premarket Notification [510(k)] Submission for Short-Term and Long-Term Intravascular Catheters, 1995: Catheter Collapse Test, Shaft Tensile and Elongation Test, Suture Wing Integrity Test, Priming Volume, OD Swell, Tip Stability Test, Guidewire Drag TestTest performed. No specific quantitative results provided.
Small-bore Connectors (CVC)ISO 80369-1:2018 & ISO 80369-7:2021: Dimensions, ISO Luer Functional PerformanceTest performed. No specific quantitative results provided.
MR Safety (CVC)FDA Guidance on Testing and Labeling Medical Devices for Safety in the Magnetic Resonance (MR) Environment, 2023: MR TestingTest performed. No specific quantitative results provided.
Particulate Matter (CVC)USP <788>:2012 - Small Volume Injections: Particulate TestingTest performed. No specific quantitative results provided.
Guidewire Performance (Insertion System)FDA Guidance Document, 2019, Coronary, Peripheral, and Neurovascular Guidewires – Performance Tests and Recommended Labeling: Guidewire Dimensions, Corrosion Resistance, Particulate, Tensile, Kink Resistance, Torque Strength, Tip Flexibility, Simulated Use ConditioningTest performed. No specific quantitative results provided.
Intravascular Introducers (Insertion System)ISO 11070:2014 - Sterile Single-Use Intravascular Introducers, Dilators and Guidewires: Effective Needle Length, Guidewire/Sheath Radiopacity, Corrosion Resistance, Guidewire Surface Defects, Sheath Surface, Lubricant, Needle/Hub Separation Force, Sheath Separation Force, Guidewire Uncoiling, Guidewire Shear Force (Fracture, Flexure), Guidewire Peak Tensile Force, Guidewire Size Designation, Needle Size DesignationTest performed. No specific quantitative results provided.
Radiopacity (Insertion System)ASTM F640-20 - RadiopacityTest performed. No specific quantitative results provided.
Hemolytic Properties (Insertion System)ASTM F756-17 - Assessment of Hemolytic Properties of Materials: Mechanical HemolysisTest performed. No specific quantitative results provided.
Sharps Injury Protection (Insertion System)FDA Guidance, 2005, Sharps Injury Prevention, and ISO 23908:2011: Needle Point Exposure Limit, Needle Safety and Reliability, Needle Use, Needle Reliability, Needle Tip AccessTest performed. No specific quantitative results provided.
Intravascular Catheters General (Insertion System)ISO 10555-1:2013 - Intravascular Catheters General Requirements: Sheath Tip, Sheath SurfaceTest performed. No specific quantitative results provided.
Over-Needle Peripheral Catheters (Insertion System)ISO 10555-5:2008 - Over-Needle Peripheral Catheters: Needle / Sheath Outer Diameter, Lie DistanceTest performed. No specific quantitative results provided.
Hypodermic Needles (Insertion System)ISO 7864:2016 - Sterile Hypodermic Needles for Single Use: Needle Cleanliness, Needle Hub Socket Cleanliness, Needle PointTest performed. No specific quantitative results provided.
Small-bore Connectors (Insertion System)ISO 80369-1:2018 & ISO 80369-7:2021: Dimensions, ISO Luer Functional PerformanceTest performed. No specific quantitative results provided.
Stainless Steel Needle Tubing (Insertion System)ISO 9626:2016 - Stainless Steel Needle Tubing: Needle Cleanliness, Needle Surface, Needle Stiffness, Needle BreakageTest performed. No specific quantitative results provided.
Particulate Matter (Insertion System)USP <788>:2012 - Small Volume Injections: ParticulateTest performed. No specific quantitative results provided.
Human Factors & Risk ManagementN/A (mentioned in context of insertion system)"evaluated using human factors and risk management approaches to show that there are no additional or increased risks in placing the subject CentroVena CVC with the insertion device compared to a traditional placement."

2. Sample Size Used for the Test Set and Data Provenance

The document does not explicitly state the specific sample sizes for each of the numerous tests conducted. The testing described is typical for physical medical devices and usually involves a statistically relevant number of units/components for each specific test to ensure robust results.

The data provenance is not explicitly stated beyond the fact that these are tests conducted by Becton Dickinson Inc. (BD) to support their 510(k) submission. These would generally be pre-market, prospective tests conducted in a controlled laboratory environment. The country of origin of the data is not mentioned but would presumably be where BD's testing facilities are located.

3. Number of Experts and Qualifications for Ground Truth

This information is not applicable and not provided in the document. The device is a physical catheter and insertion system, not an AI/software device that requires expert labeled ground truth for image interpretation or diagnosis. The "ground truth" for these tests would be the established scientific and engineering principles outlined in the reference standards themselves.

4. Adjudication Method

This information is not applicable. Adjudication methods (like 2+1, 3+1 consensus) are typically used in studies where human readers are interpreting images or data and their decisions need to be reconciled to establish a ground truth, often for AI performance evaluation. This is not relevant for the type of bench and performance testing documented here.

5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

No MRMC study was done or is mentioned. This type of study is specifically designed for evaluating the performance of diagnostic devices, especially those involving human interpretation (e.g., radiology AI aids), and comparing human performance with and without AI assistance. This device is a physical medical instrument, not a diagnostic AI.

6. Standalone (Algorithm Only) Performance

Not applicable. This device is a physical medical instrument, not an algorithm or software requiring standalone performance testing.

7. Type of Ground Truth Used

The "ground truth" for the various performance tests is established by:

  • Established Industry Consensus Standards: Such as ISO 10993, ISO 10555, ASTM F640, etc. These standards outline methodologies and acceptable performance limits for specific characteristics of medical devices.
  • FDA Guidance Documents: Which also provide testing recommendations and performance expectations for device types.
  • Engineering Specifications and Design Requirements: The device must meet its own design specifications, which are based on the intended use and safety considerations, often derived from the above standards.

8. Sample Size for the Training Set

Not applicable. This device is a physical medical instrument, not an AI/machine learning model that requires a training set. The tests performed are for verification and validation of the manufactured device.

9. How the Ground Truth for the Training Set Was Established

Not applicable. As there is no training set for this type of device, no ground truth needs to be established for it.

FDA 510(k) Clearance Letter - CentroVena Central Venous Catheter

Page 1

U.S. Food & Drug Administration
10903 New Hampshire Avenue
Silver Spring, MD 20993
www.fda.gov

Doc ID # 04017.07.05

April 9, 2025

Becton Dickinson Inc. (BD)
Connor Dahl
Staff Regulatory Affairs Specialist
605 North 5600 West
Salt Lake City, Utah 84116

Re: K242429
Trade/Device Name: CentroVena Central Venous Catheter (CVC) with the CentroVena One Insertion System
Regulation Number: 21 CFR 880.5200
Regulation Name: Intravascular Catheter
Regulatory Class: Class II
Product Code: SEF
Dated: March 6, 2025
Received: March 7, 2025

Dear Connor Dahl:

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.

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.

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K242429 - Connor Dahl Page 2

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 820.30 and 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 (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-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 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.

All medical devices, including Class I and unclassified devices and combination product device constituent parts are required to be in compliance with the final Unique Device Identification System rule ("UDI Rule"). The UDI Rule requires, among other things, that a device bear a unique device identifier (UDI) on its label and package (21 CFR 801.20(a)) unless an exception or alternative applies (21 CFR 801.20(b)) and that the dates on the device label be formatted in accordance with 21 CFR 801.18. The UDI Rule (21 CFR 830.300(a) and 830.320(b)) also requires that certain information be submitted to the Global Unique Device Identification Database (GUDID) (21 CFR Part 830 Subpart E). For additional information on these requirements, please see the UDI System webpage at https://www.fda.gov/medical-devices/device-advice-comprehensive-regulatory-assistance/unique-device-identification-system-udi-system.

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-devices/medical-device-safety/medical-device-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-devices/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-advice-comprehensive-regulatory-

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K242429 - Connor Dahl Page 3

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,

David Wolloscheck, Ph.D.
Assistant Director
DHT3C: Division of Drug Delivery and
General Hospital Devices, and
Human Factors
OHT3: Office of Gastrorenal, ObGyn,
General Hospital, and Urology Devices
Office of Product Evaluation and Quality
Center for Devices and Radiological Health

Enclosure

Page 4

FORM FDA 3881 (8/23) Page 1 of 2

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Indications for Use

Form Approved: OMB No. 0910-0120
Expiration Date: 07/31/2026
See PRA Statement below.

510(k) Number (if known): K242429

Device Name: CentroVena Central Venous Catheter (CVC) with the CentroVena One Insertion System

Indications for Use (Describe)

CentroVena Central Venous Catheter (CVC)

Acute central venous catheters are indicated to provide short term access (< 30 days) to the central venous system. They are designed for administering IV fluids, blood products, drugs and parenteral nutrition solutions, as well as blood withdrawal, central venous pressure monitoring, and power injection of contrast media.

  • 7F Triple Lumen Catheter Size, 16 cm and 20 cm Catheter Length, Distal Lumen, 10 mL/s Power Injection Flow Rate, 325 psi Maximum Power Injector Pressure Setting
  • 7F Triple Lumen, 16 cm and 20 cm Catheter Length, Medial/Proximal Lumen, 9 mL/s Power Injection Flow Rate, 325 psi Maximum Power Injector Pressure Setting
  • 7F Triple Lumen Catheter Size, 30 cm Catheter Length, Distal Lumen, 9 mL/s Power Injection Flow Rate, 325 psi Maximum Power Injector Pressure Setting
  • 7F Triple Lumen Catheter Size, 30 cm Catheter Length, Medial/Proximal Lumen, 7 mL/s Power Injection Flow Rate, 325 psi Maximum Power Injector Pressure Setting
  • 7F Dual Lumen Catheter Size, 16 cm and 20 cm Catheter Length, Distal Lumen, 10 mL/s Power Injection Flow Rate, 325 psi Maximum Power Injector Pressure Setting
  • 7F Dual Lumen Catheter Size, 16 cm and 20 cm Catheter Length, Medial/Proximal Lumen, 10 mL/s Power Injection Flow Rate, 325 psi Maximum Power Injector Pressure Setting

CentroVena One Insertion System

The CentroVena One Insertion System is indicated to facilitate the insertion of the included central venous catheters. Acute central venous catheters are indicated to provide short term access (< 30 days) to the central venous system. They are designed for administering IV fluids, blood products, drugs and parenteral nutrition solutions, as well as blood withdrawal, central venous pressure monitoring, and power injection of contrast media.

  • 7F Triple Lumen Catheter Size, 16 cm and 20 cm Catheter Length, Distal Lumen, 10 mL/s Power Injection Flow Rate, 325 psi Maximum Power Injector Pressure Setting
  • 7F Triple Lumen, 16 cm and 20 cm Catheter Length, Medial/Proximal Lumen, 9 mL/s Power Injection Flow Rate, 325 psi Maximum Power Injector Pressure Setting
  • 7F Triple Lumen Catheter Size, 30 cm Catheter Length, Distal Lumen, 9 mL/s Power Injection Flow Rate, 325 psi Maximum Power Injector Pressure Setting

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FORM FDA 3881 (8/23) Page 2 of 2

  • 7F Triple Lumen Catheter Size, 30 cm Catheter Length, Medial/Proximal Lumen, 7 mL/s Power Injection Flow Rate, 325 psi Maximum Power Injector Pressure Setting
  • 7F Dual Lumen Catheter Size, 16 cm and 20 cm Catheter Length, Distal Lumen, 10 mL/s Power Injection Flow Rate, 325 psi Maximum Power Injector Pressure Setting
  • 7F Dual Lumen Catheter Size, 16 cm and 20 cm Catheter Length, Medial/Proximal Lumen, 10 mL/s Power Injection Flow Rate, 325 psi Maximum Power Injector Pressure Setting

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)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

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Page 6

K242429 – 510k Summary – The CentroVena Central Venous Catheter (CVC) with the CentroVena One Insertion System

21 CFR 807.92(a)

As required by the Safe Medical Devices Act of 1990, coded under Section 513, Part(I)(3)(A) of the Food, Drug and Cosmetic Act, a 510(k) summary upon which substantial equivalence determination is based on is presented in the following table.

General Provisions
Submitter Name:Becton Dickinson Inc.(BD)
Submitter Address:605 North 5600 West Salt Lake City, UT 84116
Contact Person:Connor Dahl -Staff Regulatory Affairs Specialist
Telephone Number:801.522.5000
Fax Number:801.522.5425
Date of Preparation:04/09/2025
Subject Device
Trade Name(s):CentroVena Central Venous Catheter (CVC) with the CentroVena One Insertion System
Common Name:Central venous catheter with manual insertion system
Classification Name:Catheter, Intravascular, Therapeutic, Short-Term Less than 30 days
Class:2
Regulation Number:21 CFR 880.5200
Product Code:SEF
Classification PanelGeneral Hospital

Page 7

Page 2 of 15

Predicate Device
Predicate Trade Name:BD Acute Central Line
Classification Name:Catheter, Intravascular, Therapeutic, Short-Term Less than 30 days
Class:2
Product Code:FOZ
Regulation Number:21 CFR 880.5200
Premarket Notification #:K190855
Manufacturer:Bard Access Systems, Inc
Classification Panel:General Hospital
Device Description
CentroVena Central Venous Catheters are power-injectable, constructed of medical grade polyurethane and designed for insertion into the central venous system. The central venous catheters are radiopaque and have a soft tip that is more pliable than the catheter body. Each catheter is provided in a sterile package with other applicable insertion kit accessories.
The CentroVena One Insertion System integrates the essential components for placing central venous catheters. It combines an introducer needle with a passive needle tip safety mechanism, syringe, guidewire, and self-dilating catheter into one unit. The device is preassembled and also has an integrated drape clip permanently attached to the guidewire designed to keep the system organized in the sterile field and prevent guidewire embolism.
Intended UseBD Acute Central Lines are intended for short-term access to the central venous system for intravenous therapy and blood sampling.
Indications for Use
CentroVena Central Venous Catheter (CVC)
Acute central venous catheters are indicated to provide short term access (< 30 days) to the central venous system. They are designed for administering IV fluids, blood products, drugs and parenteral nutrition solutions, as well as blood withdrawal, central venous pressure monitoring, and power injection of contrast media.
7F Triple Lumen Catheter Size, 16 cm and 20 cm Catheter Length, Distal Lumen, 10 mL/s Power Injection Flow Rate, 325 psi Maximum Power Injector Pressure Setting
7F Triple Lumen, 16 cm and 20 cm Catheter Length, Medial/Proximal Lumen, 9 mL/s Power Injection Flow Rate, 325 psi Maximum Power Injector Pressure Setting
7F Triple Lumen Catheter Size, 30 cm Catheter Length, Distal Lumen, 9 mL/s Power Injection Flow Rate, 325 psi Maximum Power Injector Pressure Setting
7F Triple Lumen Catheter Size, 30 cm Catheter Length, Medial/Proximal Lumen, 7 mL/s Power Injection Flow Rate, 325 psi Maximum Power Injector Pressure Setting
7F Dual Lumen Catheter Size, 16 cm and 20 cm Catheter Length, Distal Lumen, 10 mL/s Power Injection Flow Rate, 325 psi Maximum Power Injector Pressure Setting
7F Dual Lumen Catheter Size, 16 cm and 20 cm Catheter Length, Medial/Proximal Lumen, 10 mL/s Power Injection Flow Rate, 325 psi Maximum Power Injector Pressure Setting

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Page 3 of 15

CentroVena One Insertion System

The CentroVena One Insertion System is indicated to facilitate the insertion of the included central venous catheters.

Acute central venous catheters are indicated to provide short term access (< 30 days) to the central venous system. They are designed for administering IV fluids, blood products, drugs and parenteral nutrition solutions, as well as blood withdrawal, central venous pressure monitoring, and power injection of contrast media.

  • 7F Triple Lumen Catheter Size, 16 cm and 20 cm Catheter Length, Distal Lumen, 10 mL/s Power Injection Flow Rate, 325 psi Maximum Power Injector Pressure Setting
  • 7F Triple Lumen, 16 cm and 20 cm Catheter Length, Medial/Proximal Lumen, 9 mL/s Power Injection Flow Rate, 325 psi Maximum Power Injector Pressure Setting
  • 7F Triple Lumen Catheter Size, 30 cm Catheter Length, Distal Lumen, 9 mL/s Power Injection Flow Rate, 325 psi Maximum Power Injector Pressure Setting
  • 7F Triple Lumen Catheter Size, 30 cm Catheter Length, Medial/Proximal Lumen, 7 mL/s Power Injection Flow Rate, 325 psi Maximum Power Injector Pressure Setting
  • 7F Dual Lumen Catheter Size, 16 cm and 20 cm Catheter Length, Distal Lumen, 10 mL/s Power Injection Flow Rate, 325 psi Maximum Power Injector Pressure Setting
  • 7F Dual Lumen Catheter Size, 16 cm and 20 cm Catheter Length, Medial/Proximal Lumen, 10 mL/s Power Injection Flow Rate, 325 psi Maximum Power Injector Pressure Setting

Page 9

Technological characteristics of the subject, the CentroVena Central Venous Catheter (CVC) with the CentroVena One Insertion System, are substantially equivalent with respect to basic design, function and fundamental scientific technology to those of the cited predicate device.

Key differences in the subject device when compared to the predicate device are as follows:

  • Design: Catheter Tip Shape and Geometry changed from the predicate
  • Materials: Polyurethane Formulation changed to achieve tapered tip geometry
  • Labeling: Contraindications previously included with the predicate device, were changed to precautions in the subject device
  • Packaging: CentroVena One Insertion System Kits were introduced and will be packaged in sterile, single-use sealed trays with an additional sealed header bag that was previously not included with the predicate.

The following table provides a comparison between the subject and predicate devices.

AttributeSubject DevicePredicate DeviceEquivalency
CentroVena Central Venous Catheter (CVC) with the CentroVena One Insertion SystemBD Acute Central Line
OwnerBecton Dickinson Inc. (BD)Becton Dickinson Inc. (BD)Equivalent
Indications for UseCentroVena Central Venous Catheter (CVC)Acute central venous catheters are indicated to provide short term access (< 30 days) to the central venous system. They are designed for administering IV fluids, blood products, drugs and parenteral nutrition solutions, as well as blood withdrawal, central venous pressure monitoring, and power injection of contrast media.7F Triple Lumen Catheter Size, 16 cm and 20 cm Catheter Length, Distal Lumen, 10 mL/s Power Injection Flow Rate, 325 psi Maximum Power Injector Pressure Setting7F Triple Lumen, 16 cm and 20 cm Catheter Length, Medial/Proximal Lumen, 9 mL/s Power Injection Flow Rate, 325 psi Maximum Power Injector Pressure Setting7F Triple Lumen Catheter Size, 30 cm Catheter Length, Distal Lumen, 9 mL/s Power Injection FlowAcute central venous catheters are indicated to provide short-term access (< 30 days) to the central venous system. They are designed for administering I.V. fluids, blood products, drugs and parenteral nutrition solutions, as well as blood withdrawal, central venous pressure monitoring, and power injection of contrast media.EquivalentThe Indications for use of the subject catheter are equivalent. The inclusion of the insertion device, which serves to facilitate placement of the parent catheter, does not change the overall intended use of the parent device and does not raise new or different questions of safety or effectiveness compared to the predicate, BD Acute Central Line Basic Kit.
Catheter SizeCatheter LengthLumenPower Injection Flow RateMaximum Power Injector Pressure Setting
7F Triple Lumen16 cm and 20 cmDistal10 mL/s325 psi
Medial/Proximal9 mL/s
30 cmDistal9 mL/s
Medial/Proximal7 mL/s

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Rate, 325 psi Maximum Power Injector Pressure Setting
7F Triple Lumen Catheter Size, 30 cm Catheter Length, Medial/Proximal Lumen, 7 mL/s Power Injection Flow Rate, 325 psi Maximum Power Injector Pressure Setting
7F Dual Lumen Catheter Size, 16 cm and 20 cm Catheter Length, Distal Lumen, 10 mL/s Power Injection Flow Rate, 325 psi Maximum Power Injector Pressure Setting
7F Dual Lumen Catheter Size, 16 cm and 20 cm Catheter Length, Medial/Proximal Lumen, 10 mL/s Power Injection Flow Rate, 325 psi Maximum Power Injector Pressure Setting

CentroVena One Insertion System

The CentroVena One Insertion System is indicated to facilitate the insertion of the included central venous catheters.
Acute central venous catheters are indicated to provide short term access (< 30 days) to the central venous system. They are designed for administering IV fluids, blood products, drugs and parenteral nutrition solutions, as well as blood withdrawal, central venous pressure monitoring, and power injection of contrast media.

7F Triple Lumen Catheter Size, 16 cm and 20 cm Catheter Length, Distal Lumen, 10 mL/s Power Injection Flow Rate, 325 psi Maximum Power Injector Pressure Setting
7F Triple Lumen, 16 cm and 20 cm Catheter Length, Medial/Proximal Lumen, 9 mL/s Power Injection Flow Rate, 325 psi Maximum Power Injector Pressure Setting

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7F Triple Lumen Catheter Size, 30 cm Catheter Length, Distal Lumen, 9 mL/s Power Injection Flow Rate, 325 psi Maximum Power Injector Pressure Setting
7F Triple Lumen Catheter Size, 30 cm Catheter Length, Medial/Proximal Lumen, 7 mL/s Power Injection Flow Rate, 325 psi Maximum Power Injector Pressure Setting
7F Dual Lumen Catheter Size, 16 cm and 20 cm Catheter Length, Distal Lumen, 10 mL/s Power Injection Flow Rate, 325 psi Maximum Power Injector Pressure Setting
7F Dual Lumen Catheter Size, 16 cm and 20 cm Catheter Length, Medial/Proximal Lumen, 10 mL/s Power Injection Flow Rate, 325 psi Maximum Power Injector Pressure Setting

Commercial NameCentroVena Central Venous Catheter (CVC) with the CentroVena One Insertion SystemBD Acute Central Line
Catheter Configurations7 Fr Triple Lumen x 16 cm7 Fr Triple Lumen x 20 cm7 Fr Triple Lumen x 30 cm7 Fr, Dual Lumen x 16 cm7 Fr, Dual Lumen x 20 cm7 Fr Triple Lumen x 16 cm7 Fr Triple Lumen x 20 cm7 Fr Triple Lumen x 30 cm

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Principle of OperationSameConduit for fluids in and out of the central venous systemEquivalent
Duration of UseSameShort term (<30 days)Equivalent
Insertion SiteSameJugular, subclavian or femoral veinsEquivalent
Means of Insertion• Percutaneous insertion using Seldinger Technique (Basic)• Percutaneous insertion using the CentroVena One Insertion System• Percutaneous insertion using Seldinger Technique.(Basic)• The Centrovena One Insertion System was not included with predicateEquivalentThe insertion device was not a means of insertion in the predicate device. However, the insertion device is comprised of components used in the predicate device traditional (Basic) Seldinger kits. This combination of kit components was evaluated using human factors and risk management approaches to show that there are no additional or increased risks in placing the subject CentroVena CVC with the insertion device compared to a traditional placement. Therefore, the addition of an insertion tool does not raise any new questions of safety or effectiveness.
Catheter TipTapered TipBlunt TipEquivalentThe polyurethane was reformulated to achieve the tapered tip geometry The modified tip geometry was evaluated with functional performance testing and did not raise any new questions of safety or effectiveness.

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Catheter Tip Placement LocationSameCentral venous system, with lower 1/3 of superior vena cava (SVC) preferredEquivalent
Skives on Catheter ShaftSkives are moved back on the catheter shaft due to tapered tip.Skives are towards the front of the catheterEquivalentMovement of the skives distally from the tip of the catheter was due to a change in tip geometry and was evaluated by functional and performance testing and does not raise any new questions of safety or effectiveness.

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Subject Device MaterialsCatheter MaterialsCatheter MaterialsEquivalent
Female Luer Hubs: PolyurethaneFemale Luer Hubs: Polyurethane
Thumb Clamp: AcetalThumb Clamp: Acetal
Extension Legs: PolyurethaneExtension Legs: Polyurethane
Catheter Junction: PolyurethaneCatheter Junction: PolyurethaneA reformulated polyurethane was used to achieve the tapered tip geometry. This change in materials was evaluated with biocompatibility testing does not raise any new questions of safety or effectiveness.
Catheter Shaft Tubing: PolyurethaneCatheter Shaft Tubing: Polyurethane
Soft Tip (Tapered): Reformulated PolyurethaneSoft Tip (Blunt): Polyurethane
Kit Component Materials (Basic)Kit Component Materials (Basic)The Kit Components were equivalent to the predicate in the Basic Kits
SameSyringe, Luer Slip, 5mL Polypropylene
Guidewire with Hoop, 60 cm Nitinol and Stainless Steel
Guidewire with Hoop, 70 cm Nitinol and Stainless Steel
Needle, Introducer, 18 Ga Stainless Steel and K-Resin
Dilator, 8F x 10cm HDPE
Mini Scalpel, 11 Blade ABS and Stainless Steel
Dead End Caps Polypropylene
Suture Wing Silicone
Fastener Suture Wing Polycarbonate

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CentroVena One Insertion System MaterialsThere was no insertion system device included in PredicateThe components of the CentroVena One Insertion System were not included in the predicate as there was no insertion systems device included in the predicate.
Syringe: PolypropyleneThe intended use of the syringe will remain the same as the predicate as the device will still be used to inject fluids into, or withdraw fluids from, the body as per the definition described by FDA regulation 880.5860.
Guidewire with J-Tip: Nitinol/Stainless Steel
White Hub: Polycarbonate
Gray Release Tabs: Polycarbonate
Introducer Needle & Integrated Sheath: Stainless Steel/Polyurethane

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Power Injection Maximum Flow RateTriple Lumen: 16 and 20 cm lengths:• Distal (17 Ga.) – 10 mL/sec• Medial (18 Ga.) – 9 mL/sec• Proximal (18 Ga.) – 9 mL/sec30 cm length:• Distal (17 Ga.) – 9 mL/sec• Medial (18 Ga.) – 7 mL/sec• Proximal (18 Ga.) – 7 mL/secDual Lumen: 16 and 20 cm lengths:• Distal (15 Ga.) – 10 mL/sec• Proximal (17 Ga.) – 10 mL/secTriple Lumen: 16 and 20 cm lengths:• Distal (17 Ga.) – 10 mL/sec• Medial (18 Ga.) – 9 mL/sec• Proximal (18 Ga.) – 9 mL/sec30 cm length:• Distal (17 Ga.) – 9 mL/sec• Medial (18 Ga.) – 7 mL/sec• Proximal (18 Ga.) – 7 mL/secEquivalentWhile a dual lumen configuration was not included in the predicate, an additional dual lumen configuration does not raise new or different questions of safety or effectiveness. The dual lumen was evaluated using the same methods as the triple lumen and function in equivalent ways. Testing was performed and submitted on both configurations when the triple lumen was not the worst-case scenario. Results from testing did not raise any new concerns of safety and effectiveness.
Kit PackagingCentroVena Basic (Seldinger) Kits• Thermoformed HIPS tray sealed with a Tyvek lidCentroVena One Insertion System Kits• Thermoformed HIPS tray within a sealed header bag sealed with a Tyvek lidBasic (Seldinger) Kits• Thermoformed HIPS tray sealed with a Tyvek lidInsertion System Kits• Not Applicable to Predicate DeviceEquivalentAdditional header bag for insertion kits have no impact on substantial equivalence as the kit configuration was not utilized in the predicate device.
SterilitySameProvided SterileEquivalent

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The technological differences listed above were evaluated using industry consensus standards, and as defined in the risk assessment. The modifications to subject device when compared to the cited predicate device have been evaluated and demonstrated through functional performance testing to have no new or different concerns regarding safety and effectiveness.

The following performance tests were conducted in determining substantial equivalence of the CentroVena Central Venous Catheter (CVC) with the CentroVena One Insertion System to the predicate BD Acute Central Line:

Testing Relating to the CentroVena Central Venous Catheter (CVC)

Reference Standard: ISO 10993-1:2018 – Biological Evaluation of Medical Devices – Part 1: Evaluation and testing within a risk management process

Biocompatibility Testing - Tests to confirm that the catheter is free from biological hazard.

Testing Performed includes:

  • Cytotoxicity
  • Sensitization
  • Irritation or Intracutaneous Reactivity
  • Acute Systemic Toxicity
  • Pyrogenicity
  • Subchronic Systemic Toxicity
  • Genotoxicity
  • Hemocompatibility
  • Implantation

Reference Standard: ISO 10555-1:2013 – Sterile Single-Use Intravascular Catheters – Part 1: General requirements

Test(s)

  • Clamp Engagement
  • Leak Test
  • Dimensional Test
  • Implantable Length
  • Extension Leg Length
  • Burst Test
  • Hydraulic Catheter Burst Test
  • Power Injection Conditioning
  • Gravity Flow
  • Luer to Extension Leg Tensile Test
  • Extension Leg to Catheter Junction Tensile
  • Catheter Junction to Shaft Tensile
  • Shaft Tensile Test

Reference Standard: ASTM F640-2020 – Standard Test Methods for Radiopacity of Plastics for Medical Use

Test(s)

  • Radiopacity

Reference Standard: ASTM F 756-17 Standard Practice for Assessment of Hemolytic Properties of Materials

Test(s)

  • Mechanical Hemolysis

Reference Standard: ISO 10555-3:2013 – Intravascular catheters – Sterile and single-use catheters – Part 3: Central venous catheters

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Test(s)

  • Tip Tensile
  • Catheter Printing

Reference Standard: FDA Guidance on Premarket Notification [510(k)] Submission for Short-Term and Long-Term Intravascular Catheters, 1995

Test(s)

  • Catheter Collapse Test
  • Shaft Tensile and Elongation Test
  • Suture Wing Integrity Test
  • Priming Volume
  • OD Swell
  • Tip Stability Test
  • Guidewire Drag Test

Reference Standards: ISO 80369-1:2018 Small-bore connectors for liquids and gases in healthcare applications – Part 1: General Requirements and ISO 80369-7:2021 Small-bore connectors for liquids and gases in healthcare applications – Part 7: Connectors for intravascular or hypodermic applications

Test(s)

  • Dimensions
  • ISO Luer Functional Performance

Reference Standard: FDA Guidance on Testing and Labeling Medical Devices for Safety in the Magnetic Resonance (MR) Environment, 2023

Test(s)

  • MR Testing

Reference Standard: USP <788>:2012 Small Volume Injections – Particulate Matter in Injections

Test(s)

  • Particulate Testing

Testing Relating to the CentroVena One Insertion System

Reference Standard: ISO 10993-1:2018 – Biological Evaluation of Medical Devices – Part 1: Evaluation and testing within a risk management process.

Biocompatibility Testing - Tests to confirm that the system is free from biological hazard.

Testing Performed includes:

  • Cytotoxicity
  • Sensitization
  • Irritation or Intracutaneous Reactivity
  • Acute Systemic Toxicity
  • Pyrogenicity
  • Genotoxicity
  • Hemocompatibility

Reference Standard: FDA Guidance Document, 2019, Coronary, Peripheral, and Neurovascular Guidewires – Performance Tests and Recommended Labeling

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Test(s)

  • Guidewire Dimensions
  • Guidewire Corrosion Resistance
  • Guidewire Particulate
  • Guidewire Tensile
  • Guidewire Kink Resistance
  • Guidewire Torque Strength
  • Guidewire Tip Flexibility
  • Simulated Use Conditioning

Reference Standard: ISO 11070:2014 Sterile Single-Use Intravascular Introducers, Dilators and Guidewires

Test(s)

  • Effective Needle Length
  • Guidewire and Sheath Radiopacity
  • Corrosion Resistance
  • Guidewire Surface Defects
  • Sheath Surface
  • Lubricant
  • Needle / Hub Separation Force
  • Sheath Separation Force
  • Guidewire Uncoiling
  • Guidewire Shear Force, Fracture
  • Guidewire Shear Force, Flexure
  • Guidewire Peak Tensile Force
  • Guidewire Size Designation
  • Needle Size Designation

Reference Standard: ASTM F640-20 Radiopacity

Test(s)

  • Radiopacity

Reference Standard: ASTM F756-17 Standard Practice for Assessment of Hemolytic Properties of Materials

Test(s)

  • Mechanical Hemolysis

Reference Standard: FDA Guidance, 2005, Sharps Injury Prevention

Test(s)

  • Needle Point Exposure Limit
  • Needle Safety and Reliability
  • Needle Use
  • Needle Reliability
  • Needle Tip Access

Reference Standard: ISO 10555-1:2013 Intravascular Catheters – Sterile and Single-Use Catheters General Requirements

Test(s)

  • Sheath Tip
  • Sheath Surface

Reference Standard: ISO 10555-5:2008 Intravascular Catheters – Sterile and Single-Use Catheters Over-Needle Peripheral Catheters

Test(s)

  • Needle / Sheath Outer Diameter
  • Lie Distance

Reference Standard: ISO 23908:2011 Sharps Injury Protection – Requirements and Test Methods – Sharps protection features for single-use hypodermic needles, introducers for catheters and needles used for blood sampling.

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Test(s)

  • Needle Point Exposure Limit
  • Needle Safety and Reliability
  • Needle Use
  • Needle Tip Access

Reference Standard: ISO 7864:2016 Sterile Hypodermic Needles for Single Use – Requirements and Test Methods

Test(s)

  • Needle Cleanliness
  • Needle Hub Socket Cleanliness
  • Needle Point

Reference Standard: ISO 80369-1:2018 and -7:2021 Small-bore Connectors for Liquids and Gases in Healthcare Applications Part 1: General Requirements, Part 7: Connectors for Intravascular or Hypodermic Applications

Test(s)

  • Dimensions
  • ISO Luer Functional Performance

Reference Standard: ISO 9626:2016 Stainless Steel Needle Tubing for the Manufacture of Medical Devices – Requirements and Test Methods

Test(s)

  • Needle Cleanliness
  • Needle Surface
  • Needle Stiffness
  • Needle Breakage

Reference Standard: USP <788>:2012 Small Volume Injections – Particulate Matter in Injections

Test(s)

  • Particulate
Technological Comparison to Predicate DeviceTechnological characteristics of the subject CentroVena Central Venous Catheter (CVC) with the CentroVena One Insertion System are substantially equivalent with regard to the intended use and basic design and function of the predicate device, BD Acute Central Line (K190855). The tip geometry, materials, labeling and packaging modifications and the addition of an insertion system device differ from the predicate device. The inclusion of the CentroVena One Insertion System has no impact on the substantial equivalence as it is comprised of several of the same components used in the predicate device kits. Therefore, these differences do not alter the intended use of the subject device, and do not raise any new or different questions regarding safety or effectiveness when compared to the predicate device.
Summary of Substantial EquivalenceBased on the risk management activities and testing, the subject device, CentroVena Central Venous Catheter (CVC) with the CentroVena One Insertion System, has been demonstrated to be substantially equivalent to the cited predicate device.

§ 880.5200 Intravascular catheter.

(a)
Identification. An intravascular catheter is a device that consists of a slender tube and any necessary connecting fittings and that is inserted into the patient's vascular system for short term use (less than 30 days) to sample blood, monitor blood pressure, or administer fluids intravenously. The device may be constructed of metal, rubber, plastic, or a combination of these materials.(b)
Classification. Class II (performance standards).