K Number
K970443
Device Name
HOLLISTER RETRACTED PENIS POUCH
Manufacturer
Date Cleared
1997-02-25

(20 days)

Product Code
Regulation Number
876.5250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
to collect urine from incontinent men by encompassing the penis
Device Description
The Hollister Urine Collection Pouch is a one-piece disposable system which collects urine by encompassing the penis. The pouch is made from odor-barrier film and features a synthetic skin barrier adhesive which aids in the protection of the skin. If required the precut opening in the barrier may be enlarged to accommodate the anatomy of the user. Strips of adhesive microporous tape may be used for additional security.
More Information

Not Found

No
The device description and intended use are purely mechanical and do not mention any computational or analytical capabilities. The "Mentions AI, DNN, or ML" field is explicitly "Not Found".

No
The device is described as a collection system for urine and does not mention any therapeutic claims or mechanisms of action beyond collection.

No
The device is described as a collection system for urine, not for diagnosing medical conditions.

No

The device description clearly describes a physical, disposable system made of film and adhesive, designed to collect urine. There is no mention of software components or functionality.

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

Here's why:

  • Intended Use: The intended use is "to collect urine from incontinent men by encompassing the penis." This describes a physical collection method for a bodily fluid, not a test performed on the urine to diagnose or monitor a condition.
  • Device Description: The description focuses on the physical components and function of the pouch for collection and skin protection. There is no mention of reagents, testing procedures, or analysis of the urine itself.
  • Lack of IVD Indicators: The document does not mention any of the typical characteristics of an IVD, such as:
    • Analysis of biological samples (beyond simple collection).
    • Detection or measurement of substances in the sample.
    • Diagnosis, monitoring, or screening of diseases or conditions based on the sample analysis.
    • Use of reagents or testing kits.

The device is a urine collection device, which is a different category of medical device than an IVD.

N/A

Intended Use / Indications for Use

The Hollister Urine Collection Pouch is intended to collect urine from incontinent men by encompassing the penis

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

Not Found

Device Description

The Hollister Urine Collection Pouch is a one-piece disposable system which collects urine by encompassing the penis. The pouch is made from odor-barrier film and features a synthetic skin barrier adhesive which aids in the protection of the skin. If required the precut opening in the barrier may be enlarged to accommodate the anatomy of the user. Strips of adhesive microporous tape may be used for additional security.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

penis

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)

Not Found

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.

K862934

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

§ 876.5250 Urine collector and accessories.

(a)
Identification. A urine collector and accessories is a device intended to collect urine. The device and accessories consist of tubing, a suitable receptacle, connectors, mechanical supports, and may include a means to prevent the backflow of urine or ascent of infection. The two kinds of urine collectors are:(1) A urine collector and accessories intended to be connected to an indwelling catheter, which includes the urinary drainage collection kit and the closed urine drainage system and drainage bag; and
(2) A urine collector and accessories not intended to be connected to an indwelling catheter, which includes the corrugated rubber sheath, pediatric urine collector, leg bag for external use, urosheath type incontinence device, and the paste-on device for incontinence.
(b)
Classification —(1)Class II (special controls) for a urine collector and accessories intended to be connected to an indwelling catheter. The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to § 876.9.(2)
Class I (general controls). For a urine collector and accessories not intended to be connected to an indwelling catheter, the device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 876.9. If the device is not labeled or otherwise represented as sterile, it is exempt from the current good manufacturing practice requirements of the quality system regulation in part 820 of this chapter, with the exception of § 820.180, with respect to general requirements concerning records, and § 820.198, with respect to complaint files.

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Image /page/0/Picture/0 description: The image shows the Hollister company logo. To the left of the company name is a geometric shape that resembles a snowflake. The company name is written in a serif font.

Hollister Incorporated 2000 Hollister Drive Libertyville, Illinois 60048-3781

P192
K970443

Hollister Incorporated Urine Collection Pouch

510(k) Summary

FEB 2 5 1997

1. Submitter's name. Address and Contact Person

Submitter

Hollister Incorporated 2000 Hollister Drive Libertyville, IL 60048

Contact Person Joseph S. Tokarz Manager, Regulatory Affairs Ph (847)680-2849 (847)918-3860 Fax

Date Summary Prepared - February 3, 1997

2. Name of Device:

Hollister Urine Collection Pouch

3. Name of Predicate Device(s)

Hollister Female Urine Collection Pouch, K862934

4. Description of Device

The Hollister Urine Collection Pouch is a one-piece disposable system which collects urine by encompassing the penis. The pouch is made from odor-barrier film and features a synthetic skin barrier adhesive which aids in the protection of the skin. If required the precut opening in the barrier may be enlarged to accommodate the anatomy of the user. Strips of adhesive microporous tape may be used for additional security.

5. Statement of Intended Use

The Hollister Urine Collection Pouch is intended to collect urine from incontinent men by encompassing the penis

6. Statement of Technological Characteristics of the Device

The proposed device is substantially equivalent to the predicate device. The following is a chart comparing the two devices.

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Image /page/1/Picture/0 description: The image shows handwritten text on a white background. The first line reads 'K970443', with each character clearly written. Below this, the second line reads 'P 2 of 2', indicating a page number or a similar reference. The handwriting appears to be consistent across both lines.

Image /page/1/Picture/1 description: The image shows the Hollister brand logo. The logo consists of a geometric symbol on the left and the word "Hollister" on the right. The geometric symbol is a stylized cross shape made up of intersecting bars, and the word "Hollister" is written in a serif font.

Hollister Incorporated Urine Collection Pouch

Comparison of the Proposed Urine Collection Pouch and the Predicate Device

CharacteristicHollister Urine Collection PouchHollister Female Urinary Pouch
Premarket
NotificationCurrent SubmissionK862934
Intended Useto collect urine from incontinent mento collect urine from incontinent women
Barrier AdhesiveHydrocolloid Synthetic Skin BarrierHydrocolloid Synthetic Skin Barrier
Barrier BackingNon-woven Polyethylene FabricClosed-Cell Ethylene Copolymer Foam
Barrier Thickness.045 inch nominal.064 inch nominal
Pouch FilmPolyethylene/Vinylidene Chloride, Vinyl
Chloride Copolymer/ Polyethylene
Laminate Odor Barrier FilmPolyethylene/Vinylidene Chloride, Vinyl
Chloride Copolymer/ Polyethylene
Laminate Odor Barrier Film
Drain ValveMolded Polyethylene ResinMolded Polyethylene Resin
Drain Valve TubingMolded Polyvinylchloride ResinMolded Polyvinylchloride Resin

8. Biocompatibility

The biocompatibility of the Urine Collection Pouch as a nonsterilized configuration was assessed based on principles and guidelines established by various governmental and standard setting organizations, such as:

  • -- ISO 10993, International Standards Organization (ISO) Standard
  • -- General Program Memorandum #G95-1. United States FDA Office of Device Evaluation
  • -- United Stated Pharmacopeia (USP)

Material biocompatibility issues have been addressed based upon biomaterial history or in separate in vitro or in vivo laboratory evaluations using licensed commercial reference laboratories. Specific test methodology has been chosen, where appropriate, from test protocols established or recommended by the aforementioned agencies or organizations, Product use conditions have been mimicked in testing procedures where possible. These evaluations have been contracted either by Hollister or the suppliers of the materials.

Based upon the results of this assessment, the materials used to fabricate the Urine Collection Pouch are considered biocompatible and appropriate for their intended use.

8. Conclusion -

Based upon the information presented above it is concluded that the proposed Urine Collection Device is safe and effective for its intended use and is substantially equivalent to the predicate device.

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