K Number
K963009
Device Name
DELTEC SUBCUTANEOUS INFUSION SET
Manufacturer
Date Cleared
1996-10-18

(77 days)

Product Code
Regulation Number
880.5440
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The subject device is intended to facilitate subcutaneous infusion of fluids.
Device Description
The Deltec Subcutaneous Infusion Set consists of a needle with attached wing, extension tubing and female luer.
More Information

Not Found

None

No
The summary describes a simple mechanical infusion set with no mention of AI or ML capabilities, image processing, or performance metrics typically associated with AI/ML devices.

No.
The device facilitates fluid infusion but does not directly treat a disease or medical condition.

No
Explanation: The device is intended to facilitate subcutaneous infusion of fluids, which is a treatment delivery function, not a diagnostic one.

No

The device description explicitly states it consists of physical components: a needle, wing, extension tubing, and female luer. This indicates it is a hardware device, not software-only.

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

Here's why:

  • Intended Use: The intended use is "to facilitate subcutaneous infusion of fluids." This describes a device used to deliver substances into the body, not to test samples from the body.
  • Device Description: The description of a needle, tubing, and luer is consistent with a device for administering fluids, not for performing diagnostic tests on biological samples.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), reagents, or any process related to diagnosing a condition based on in vitro testing.

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

N/A

Intended Use / Indications for Use

The subject device is intended to facilitate subcutaneous infusion of fluids.

Product codes

Not Found

Device Description

The Deltec Subcutaneous Infusion Set consists of a needle with attached wing, extension tubing and female luer.

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

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

Functional Testing: The subject device is designed to meet certain functional requirements related to tubing to needle and luer to tubing bond strength.
Clinical Studies: Not deemed necessary.

Key Metrics

Not Found

Predicate Device(s)

Not Found

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 880.5440 Intravascular administration set.

(a)
Identification. An intravascular administration set is a device used to administer fluids from a container to a patient's vascular system through a needle or catheter inserted into a vein. The device may include the needle or catheter, tubing, a flow regulator, a drip chamber, an infusion line filter, an I.V. set stopcock, fluid delivery tubing, connectors between parts of the set, a side tube with a cap to serve as an injection site, and a hollow spike to penetrate and connect the tubing to an I.V. bag or other infusion fluid container.(b)
Classification. Class II (special controls). The special control for pharmacy compounding systems within this classification is the FDA guidance document entitled “Class II Special Controls Guidance Document: Pharmacy Compounding Systems; Final Guidance for Industry and FDA Reviewers.” Pharmacy compounding systems classified within the intravascular administration set are exempt from the premarket notification procedures in subpart E of this part and subject to the limitations in § 880.9.

0

K963009

510(k) Summary of Safety and Effectiveness Date Prepared: May 20, 1996

I. GENERAL INFORMATION

OCT 1 8 1996

Applicant's name and address:SIMS Deltec, Inc.
1265 Grey Fox Road
St. Paul, MN 55112

David H. Short Manager, Regulatory Affairs (612)628-7214

II. PRODUCT INFORMATION

Contact:

Common/Usual Name:Subcutaneous Infusion Set
Classification Name:Infusion Set
Proprietary Name:Deltec Subcutaneous Infusion Set

III. EQUIVALENCE DEVICE COMPARISON

SIMS Deltec's Subcutaneous Infusion Set and Micro Med's 42" Winged Sub-Q Infusion Set.

IV. DEVICE DESCRIPTION

The Deltec Subcutaneous Infusion Set consists of a needle with attached wing, extension tubing and female luer.

1

Image /page/1/Picture/0 description: The image contains a series of dark, abstract shapes against a white background. The shapes appear to be randomly distributed and vary in size and form. The shapes are simple and lack any distinct features. The image has a high contrast between the dark shapes and the white background.

510(k) Summary of Safety and Effectiveness Date Prepared: May 20, 1996

IV. DEVICE COMPARISON

Provided in Table 1 is a feature comparison of commercially available subcutaneous infusion sets.

| | Deltec Subcutaneous
Infusion Set | Subcutaneous Infusion
Set | Micro Med 42" Winged
Sub-Q Infusion Set |
|----------------------------------------|-------------------------------------|------------------------------|--------------------------------------------|
| MANUFACTURER | SIMS Deltec Inc. | SIMS Deltec Inc. | Micro Med, Inc. |
| CONFIGURATION | | | |
| needle length
needle angle
gauge | ½ inch
90°
27 | ¾ inch
30°
27 | 0.475 inch
90°
27 |
| tubing length | 42 inches | 30 inches | 42 inches |
| winged needle | yes | yes | yes |

Table 1. Comparison Chart

V. INTENDED USE

The subject device is intended to facilitate subcutaneous infusion of fluids.

SUMMARY OF STUDIES VI.

A. Functional Testing

The subject device is designed to meet certain functional requirements related to tubing to needle and luer to tubing bond strength.

B. Clinical Studies

Clinical studies were not deemed necessary.

VII. CONCLUSION

Based upon the information provided above, the Deltec Subcutaneous Infusion Set is suitable for its intended use.