ANGIODYNAMICS TUMESCENT INFUSION DEVICE

K051142 · AngioDynamics, Inc. · FPA · Jul 13, 2005 · General Hospital

Device Facts

• Record ID: K051142
• Device Name: ANGIODYNAMICS TUMESCENT INFUSION DEVICE
• Applicant: AngioDynamics, Inc.
• Product Code: FPA · General Hospital
• Decision Date: Jul 13, 2005
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 880.5440
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

The AngioDynamics, Inc. Tumescent Infusion Device is indicated for the introduction of dilute lidocaine solutions into subcutaneous tissues for the purpose of tumescent local anesthesia.

Device Story

The AngioDynamics Tumescent Infusion Device is an intravascular administration set designed for the delivery of dilute lidocaine solutions into subcutaneous tissues. It facilitates tumescent local anesthesia, a technique used to provide anesthesia for surgical procedures. The device is operated by clinicians in a clinical setting. It functions as a fluid delivery system, ensuring the controlled introduction of anesthetic solutions to the target tissue area. By providing a reliable means of administering tumescent anesthesia, the device supports patient comfort and pain management during procedures.

Clinical Evidence

No clinical data provided; bench testing only.

Technological Characteristics

Intravascular administration set; classified under 21 CFR 880.5440; product code FPA. Mechanical fluid delivery system.

Indications for Use

Indicated for the introduction of dilute lidocaine solutions into subcutaneous tissues for tumescent local anesthesia in patients requiring such anesthesia.

Regulatory Classification

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.

Special Controls

*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.

Submission Summary (Full Text)

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Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUL 1 3 2005

Ms. Teri Juckett Regulatory Affairs Manager AngioDynamics, Incorporated 603 Queensbury Avenue Queensbury, New York 12804

Re: K051142

Trade/Device Name: AngioDynamics, Inc Tumescent Infusion Device Regulation Number: 21 CFR 880.5440 Regulation Name: Intravascular Administration Set Regulatory Class: II Product Code: FPA Dated: May 2, 2005 Received: May 4, 2005

Dear Ms. Juckett:

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 (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. 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 vour device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to such 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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## Page 2 - Ms. Juckett

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); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

This letter will allow you to begin marketing your device as described in your Section 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), please contact the Office of Compliance at [phone]. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number [phone] or [phone] or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely vours.

Clien Solom be
Chiu Lin, Ph.D.

Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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## Indications for Use

510(k) Number (if known): K051142

and
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Device Name: AngioDynamics, Inc. Tumescent Infusion Device

Indications For Use:

The AngioDynamics, Inc. Tumescent Infusion Device is indicated for the introduction of dilute lidocaine solutions into subcutaneous tissues for the purpose of tumescent local anesthesia.

Prescription Use (Part 21 CFR 801 Subpart D) AND/OR

Over-The-Counter Use (21 CFR 807 Subpart C)

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(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Cintia Viana

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(Division Sign-Off) (Children Oigh-Oir)
Division of Anesthesiology, General Hospital, Infection of Anesthestneslology, Gene

510(k) Number:_长ySh42