(235 days)
Bard Ponsky-Gauderer Silicone Peg Tray
Not Found
No
The summary describes a physical medical device (a gastrostomy tube) and its components, focusing on its design, materials, and comparison to a predicate device. There is no mention of software, algorithms, image processing, AI, ML, or data sets, which are typically associated with AI/ML-enabled devices.
Yes.
The device is a Percutaneous Endoscopic Gastrostomy tube used for long-term nutrition, which is a therapeutic intervention.
No
The device is described as a Percutaneous Endoscopic Gastrostomy tube used for placement of a feeding and/or decompression device. Its purpose is for nutritional support or decompression, not for diagnosing a condition or disease.
No
The device description clearly describes a physical medical device (Percutaneous Endoscopic Gastrostomy tube) with specific hardware components (tube, bolster, connector systems, dilator tip) made of physical materials (polyethylene, silicone). There is no mention of software as the primary or sole component.
Based on the provided information, this device is not an IVD (In Vitro Diagnostic).
Here's why:
- Intended Use: The intended use is for the percutaneous placement of a feeding and/or decompression gastrostomy device. This is a surgical/procedural device used to provide nutrition or decompress the stomach, not to perform tests on samples taken from the body.
- Device Description: The description details a physical tube and its components used for insertion into the body. It doesn't mention any components or functions related to analyzing biological samples.
- Lack of IVD Characteristics: There is no mention of analyzing blood, urine, tissue, or any other biological sample. There is no mention of reagents, assays, or any other elements typically associated with in vitro diagnostics.
In summary, this device is a medical device used for a therapeutic/supportive purpose (feeding/decompression), not for diagnosing conditions by testing samples outside the body.
N/A
Intended Use / Indications for Use
The device is a low profile replacement gastrostomy tube kit designed for percutaneous insertion through an established stoma tract.
The device is indicated for percutaneous placement of a long term initial feeding and/or decompression gastrostomy device.
Product codes (comma separated list FDA assigned to the subject device)
KNT
Device Description
The device is described as a Percutaneous Endoscopic Gastrostomy tube. The device may be life supporting in that it can be the primary source of nutrition for the patient. The indications, complications and contra-indications are identical to those of the predicate Bard device. The actual insertion and placement techniques are also identical. The bolster and connector systems perform the same functions as those performed by the Bard unit. The dilator tip is composed of the same medical grade polyethylene material that is used by Bard and is identical in design. The external bolster is a silicone friction fit as is the Bard. The internal bolster system is comparable to the Bard system in both retention and removal characteristics.
Mentions image processing
Not Found
Mentions AI, DNN, or ML
Not Found
Input Imaging Modality
Not Found
Anatomical Site
Gastrostomy, stoma tract
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.
Bard Ponsky-Gauderer Silicone Peg Tray
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
K 472025
1 of 1
510(K) SUMMARY (as required by 807.92(c))
JAN 2 3 1998
| Submitter of 510(k): | Regulatory & Marketing Services, Inc. (RMS)
40178 U.S. 19 North
Tarpon Springs, FL 34689 |
|--------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| | Phone: 813-942-3908
Fax: 813-942-3828 |
| Contact Person: | Ed Ransom or Pat Lamb |
| Date of Summary: | May 30, 1997 |
| Trade Name: | Radius Pull Percutaneous Endoscopic Gastrostomy Kit |
| Classification Name: | Tube, Gastro-Intenstinal |
| Predicate Device: | Bard Ponsky-Gauderer Silicone Peg Tray |
| Device Description/Comparison: | The device is described as a Percutaneous Endoscopic
Gastrostomy tube. The device may be life supporting in tha
it can be the primary source of nutrition for the patient. The
indications, complications and contra-indications are
identical to those of the predicate Bard device. The actual
insertion and placement techniques are also identical. The
bolster and connector systems perform the same functions
as those performed by the Bard unit. The dilator tip is
composed of the same medical grade polyethylene material
that is used by Bard and is identical in design. The external
bolster is a silicone friction fit as is the Bard. The internal
bolster system is comparable to the Bard system in both
retention and removal characteristics. |
| Intended Use: | The device is a low profile replacement gastrostomy tube kit
designed for percutaneous insertion through an established
stoma tract |
1
Image /page/1/Picture/1 description: The image is a black and white logo for the U.S. Department of Health & Human Services. The logo features a stylized image of a human figure with three faces in profile, one behind the other. The figure is positioned to the right of the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA", which is arranged in a circular pattern around the figure.
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
JAN 2 3 1998
Radius International, Inc. c/o Ed Ransom Consultant Requlatory and Marketing Services, Inc. P.O. Box 1108 Elfers, Florida 34680
Re: K972025 Radius International, Pull Percutaneous Endoscopic Gastrostomy Kit Requlatory Class: II Product Code: 78 KNT Dated: October 24, 1997 Received: October 27, 1997
Dear Mr. Ransom:
We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to 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). You may, therefore, market the device, subject to the general controls provisions of Act. However, you are responsible to determine that the medical devices you use as components in the kit have either been determined as substantially equivalent under the premarket notification process (Section 510(k) of the act), or were on the market prior to May 28, 1976, the enactment date of the Medical Device Amendments. Please note: If you purchase your device components in bulk (i.e., unfinished) and further process (e.g., sterilize) you must submit a new 510(k) before including these components in your kit. 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.
If your device is classified (see above) into either class-H + =============================================================================================================== Controls) or class III (Premarket Approval) 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 895. A substantially equivalent determination assumes compliance with the Current Good Manufacturing Practice requirements, as set forth in the Quality System Regulation (QS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic QS inspections, FDA will verify such assumptions.
Failure to comply with the GMP regulation may result in regulatory action. In addition, the Food and Drug Administration (FDA) may publish further announcements concerning your device in the Federal Reqister.
2
Page - 2 - Mr. Ed Ransom
Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or requlations.
In addition, we have determined that your device kit contains Lidocaine, Povidone - iodine swabs, and Povidone - iodine ointment, which are subject to regulation as drugs.
Our substantially equivalent determination does not apply to the drug components of your device. We recommend you first contact the Center for Drug Evaluation and Research before marketing your device with the drug components. For information on applicable Agency requirements for marketing these drugs, we suggest you contact:
Director, Division of Drug Labeling Compliance (HFD-310) Center for Drug Evaluation and Research Food and Drug Administration 5600 Fishers Lane Rockville, Maryland 20857 (301) 594-0101
This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.
If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 809 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4613. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act, may be obtained from the Division of Small Manufacturers Assistance at its toll free number (800)638-2041 or (301)443-6597, or at its Internet address "http://www.fda.gov/cdrh/dsmamain.html".
Sincerely yours,
Robert R. Satherg/
Lillian Yin, Ph.D. Director, Division of Reproductive, Abdominal, Ear, Nose and Throat, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
3
510(k) Number (if known):
Device Name: Radius Pull Percutaneous Endoscopic Gastrostomy Kit
Indications For Use:
The device is indicated for percutaneous placement of a long term initial feeding and/or decompression gastrostomy device.
(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Robert R. Ratliff
(Division Sign-Off) Division of Reproductive, Abdominal, ENT, and Radiological Devices 1197202 510(k) Number _
Prescription Use (Per 21 CFR 801.109)
-OR-
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(Optional Format 1-2-96)