MEDICINA ENTERAL FEEDING TUBES AND ACCESSORIES MODEL MGX/YY
Applicant
Maxter Catheters
Product Code
KNT · Gastroenterology, Urology
Decision Date
Jun 14, 2010
Decision
SESE
Submission Type
Traditional
Regulation
21 CFR 876.5980
Device Class
Class 2
Attributes
Therapeutic, Pediatric
Indications for Use
MEDICINA enteral feeding tubes and accessories are dedicated to the nasogastric and orogastric administration of liquid nutritional media, through the gastro intestinal tract of neonatal and pediatric patients.
Device Story
MEDICINA enteral feeding tubes and accessories facilitate gastrointestinal feeding of neonatal and pediatric patients with liquid nutritional media. The system consists of tubes in various diameters and lengths, constructed from PolyUrethan (PUR) or silicon (SIL). The device features specialized non-Luer locking connectors designed to prevent accidental connection to intravenous systems by oversizing the connector dimensions relative to standard 6% Luer taper female connectors. The system is intended for use by healthcare professionals in clinical settings. The locking mechanism ensures secure attachment while allowing for simple manual unscrewing for disconnection. The device maintains existing clinical techniques, requiring no special user training. Benefits include reduced risk of misconnection and involuntary disconnection.
Clinical Evidence
Bench testing only. Biocompatibility testing performed per ISO 10993; risk assessment conducted per ISO 14971. Verification tests confirmed performance and safety requirements, including mechanical testing of connector dimensions per EN 1615 to prevent misconnection.
Technological Characteristics
Materials: PolyUrethan (PUR) and silicon (SIL). Connectivity: Non-Luer locking connectors, oversized by ~1mm compared to standard 6% Luer taper female connectors to prevent IV misconnection. Compliance: EN 1615 (Enteral feeding catheters/connectors), ISO 10993 (Biocompatibility), ISO 14971 (Risk management).
Indications for Use
Indicated for nasogastric and orogastric administration of liquid nutritional media in neonatal and pediatric patients.
Regulatory Classification
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).
Special Controls
*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.
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| | Section 5 - 510(k) summary | | Rev 2.0 | |
|--------------------|---------------------------------------------------|--------|------------|---------------|
| | Medicina<br>enteral feeding tubes and accessories | | | |
| Document reference | Date | Status | Writer | 510(k) number |
| AQ022-3-00 | 26 may.-2010 | Final | B Daurelle | K100366 |
## HISTORY OF MODIFICATIONS
| Date | Summary of changes | version # |
|------------|-------------------------------------------------------------------------------------------------------------------------------------------------|-----------|
| 28 jan.-10 | Initial edition | 1.0 |
| 26 may -10 | Addition of a § about the risk of misconnection between the enteral feeding<br>tube with a 6% luer taper connector used in intravascular device | 2.0 |
# Section 5 510k) Summary
JUN 1 4 2010
3
| Applicant : | MAXTER Catheters<br>Village d'entreprise St Henri II<br>Rue Anne Gacon<br>13016 Marseille<br>FRANCE | |
|--------------------|---------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------|
| Contact : | Bernard DAURELLE<br>CEO<br>Tel + 33 (0)4 91 46 73 05<br>Fax + 33 (0)4 91 46 73 48<br>bdaurelle@maxter-catheters.com | |
| Device : | Trade name:<br>Common name:<br>Regulation number:<br>Product code:<br>Classification name:<br>Class: | MEDICINA<br>Enteral feeding tubes and accessories<br>21 CFR 876.5980<br>FPD<br>Gastrointestinal tubes and accessory devices<br>II |
| Predicate devices: | 510k) number:<br>Manufacturer:<br>Trade name:<br>510k) number:<br>Manufacturer:<br>Trade name: | K060944<br>Vygon Corporation<br>Nutrisafe 2<br>K072881<br>Neomed<br>Neomed Enteral Feeding tube |
| | 510k) number:<br>Manufacturer:<br>Trade name: | K082238<br>Neomed<br>Neomed Polyurethan Enteral Feeding tube |
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MEDICINA feeding tubes is a complete range of devices Device description: intended to the gastro-intestinal feeding of patients, with liquid nutritional media. These feeding tubes are available in several sizes (diameter and length), and two materials: PolyUrethan (PUR) and silicon (SIL). They are equipped with connecting elements that does not incorporate a Luer, and thus eliminates the risk of inadvertently connecting the system to an Intra Veinous system. The MEDICINA feeding tube features a locking connection which eliminates the risk of involuntary disconnection; voluntary disconnection is achieved by simply unscrewing the hub connections. Another benefit of the MEDICINA system is that it does not change the technique of the end-user, and therefore it does not require any special training
| TABLE OF REFERENCES | |
|--------------------------------------|------------------------------------------------------|
| DESCRIPTION | REFERENCE |
| Feeding tubes | MGx/yy, MGx/yyW,<br>MGx/yyWSIL |
| Syringes and syringes<br>accessories | MDxx |
| Accessories (sets and<br>connectors) | CxxxM, MAxx, MCxx, MFxxx<br>MKxx, MMxx, MNxx, , NPxx |
Intended use:
MEDICINA enteral feeding tubes and accessories are dedicated to the nasogastric and orogastric administration of liquid nutritional media, through the gastro intestinal tract of neonatal and pediatric patients.
## Comparison with the predicates:
There are no differences between MEDICINA feeding tubes and accessories and the predicate devices; they have the same intended use and same method of use, they are made of the same material. The bench testing has demonstrated that MEDICINA feeding tubes are functionally equivalent to Nutrisafe2 and Neomed Enteral feeding tubes.
## Assessment of performance and safety data:
The material of MEDICINA feeding tubes, that comes into contact with the patient, have been used for clinical purpose in enteral nutrition for a long time; they are non-irritant, non sensitizing and non cytotoxic, and found biocompatible according to ISO 10993. Risk Assessment was conducted in compliance with ISO 14971. Verification tests performed during the design process have shown that MEDICINA feeding tubes meets performance and safety requirements, and are substantially equivalent to the predicate devices.
# Risk of misconnection between the enteral feeding tube with a 6% luer taper connector used in intravascular device
The risk of misconnection is taken into account in design input of Medicina feeding tubes, with reference to EN 1615 (Enteral feeding catheters and enteral giving sets for single use and their connectors. Design and testing). The design of our connectors has been conducted to make the connection to intravenous devices mechanically impossible by greatly oversizing the dimension of Medicina tubes connectors. These connectors are bigger by approximately 1 mm compared to a standard IV 6% luer taper female connector. This has been
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demonstrated in our report RAES10042009 rev 02 attachment III EN1615 section 4.2.1. (copy attached ). Being compliant with EN 1615 requirements, the Medicina connection systems are considered as fulfilling the requirements 4.1 and 4.2 of ANSI ID54:1996.
Conclusion:
Based on performance evaluation and risk assessment, the MEDICINA feeding tubes and accessories can be declared as meeting safety and performance requirements, with respect of their intended use.
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Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized depiction of an eagle or bird-like figure with three curved lines representing its wings or body. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" is arranged in a circular fashion around the bird-like figure. The text is in all capital letters and is evenly spaced around the circle.
Food and Drug Administration 10903 New Hampshire Avenue Document Mail Center - WO66-G6 Silver Spring, MD 20993-0002
Mr. Bernard Daurelle CEO Maxter Catheters Village D'Enterprises Saint Henri II, Rue Anne Gacon Marseille 13016 FRANCE
JUN 1 4 2010
Re: K100366
Trade/Device Name: MEDICINA Enteral Feeding tubes and accessories Regulation Number: 21 CFR 8876.5980 Regulation Name: Gastrointestinal tube and accessories Regulatory Class: II Product code: KNT Dated: May 27, 2010 Received: June 1, 2010
Dear Mr. Daurelle:
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. 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.
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 of medical device-related
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Page 2 –
adverse events) (21 CFR 803); 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.
ff you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHQffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to
http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.
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 (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm.
Sincerely yours,
Janine M. Morris
Acting Director, Division of Reproductive, Abdominal, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health
### Enclosure
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| Section 4 – Indications for use | | | Rev 2.0 | Image: Maxiter catheters logo |
|---------------------------------------------------|---------------|--------|------------|-------------------------------|
| Medicina<br>enteral feeding tubes and accessories | | | | |
| Document reference | Date | Status | Writer | 510(k) number |
| AQ022-3-00 | 10 june.-2010 | Final | B Daurelle | K100366 |
### HISTORY OF MODIFICATIONS
| Date | Summary of changes | version # |
|-------------|------------------------------------------|-----------|
| 28 jan.-10 | Initial edition | 1.0 |
| 10 june -10 | Brand name and common name clarification | 2.0 |
- —Not known (Initial submission) 510 (k) number :
K100366
- MEDICINA Enteral feeding tubes and accessories Device name :
MEDICINA enteral feeding tubes and their accessories are dedicated to Indications for use : the nasogastric and orogastric administration of liquid nutritional media, through the gastro intestinal tract of neonatal and pediatric patients.
Prescription Use ☑ (21CFR part 801 Subpart D).
:
AND/OR
Over the counter Use ■ (21CFR part 801 Subpart C)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Heidi Lemon
(Division Sign-Off) Division of Reproductive, Abdominal, and Radiological Devic 510(k) Number
Two short videos show you everything — or skip straight to the written tutorial if you'd rather read. You can reopen this any time from the Tutorial button in the top bar.
Part 1 — Search, results, and everyday workflows 16 min
Part 2 — Embeddings: the galaxy map 3 min
1. Search: exact and fuzzy
Type a phrase like "coronary artery calcification" into the search box. You get two kinds of results. Exact results match the literal phrase — prefix searches work ("coronary artery calcificati") but suffix searches do not. Fuzzy results match on the meaning and intent of your phrase rather than the exact words, and are sorted by relevance score. Hover over the Exact or Fuzzy badge on any row to see exactly why it matched.
Use the checkboxes above the results to narrow: SaMD keeps only software-only devices, AI / ML keeps only devices with AI.
Exact vs. fuzzy search: what's the difference?
Exact matches on the literal phrase (prefix search works, suffix does not). Fuzzy matches on the meaning and intent of the phrase rather than the exact words. Hover over the badge on any row to see why it matched.
You search "coronary artery calcification" and want only software devices with AI. What two filters do you apply?
Narrow by SaMD (software-only devices), then narrow by AI/ML (devices with AI).
2. The results table
Scroll right in the results table. The intended use is extracted for you — no need to open the PDF. The device story gives a high-level snapshot of what the device does and how it's used. The AI Performance sub-table shows each output name, acceptance criteria, observed values, and development/test dataset descriptions — the same format Innolitics uses for regulatory strategy outputs, and the fastest high-level fingerprint of an AI device. It is AI-generated but has been very reliable in practice.
Where do you find a device's intended use without opening the PDF?
Scroll right in the search results table. The intended use column is extracted for you; no need to dig into the 510(k) summary PDF.
What does the AI Performance sub-table show, and why is it useful?
Output name, acceptance criteria, observed values, development dataset description, and test dataset description. It's the same format we use for regulatory strategy output and Fast 510(k) input, and the fastest high-level fingerprint of an AI device. AI-generated but reliable in practice.
3. Judging fuzzy relevance
Fuzzy results trail off in relevance as you scroll. Use three signals to decide how far down to go: the fuzzy badge explanations, the intended use column, and whether your target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, you're past the relevant zone. A top hit with a low score (~0.4) and a stretched explanation is a hint the closest predicates are far away — the project may be headed for De Novo. Note the fuzzy search is a pattern match: it doesn't handle negation ("not") well, and hardware devices can appear — filter by SaMD/AI ML to cut them.
How do you judge how far down fuzzy search results to go?
Use the relevancy signals: the fuzzy badge explanations, the intended use column, and whether the target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, results are trailing off in relevancy.
4. Device detail page: chat and citations
Click a device name to open its detail page: device facts on the left, a chat window on the right. Ask something like "Describe the training data". The answer carries little citation bubbles — click one to jump to the highlighted passage in the source PDF, so you can verify every AI answer against the document. There's also a Download PDF button for sharing.
How do you verify an AI chat answer on the device detail page?
Click the citation bubbles to jump to the relevant highlight in the source document.
Reading rule for every project: how many summaries do you read in full?
At least the three most relevant 510(k) or De Novo summaries, in full. After that, use targeted chat questions to confirm your memory quickly. The tool supports this professional habit — it doesn't replace it.
5. Side-by-side comparison
Select multiple rows in the results table (aim for under ~10), then open the PDF Viewer tab. Ask one question — it goes to all selected devices in parallel, each with citations. This is the fastest way to compare and contrast devices: training data, PCCP scope, how they handled adding new scanners, and so on.
What does the side-by-side PDF viewer mode do?
Select multiple devices, open the PDF viewer tab, and ask one question (e.g., "Describe the training data"). It queries all selected devices simultaneously with citations, so you can compare and contrast quickly.
6. Collections
With rows selected, go to the Collections tab and create a labeled collection (e.g., "Cobb Angle Project"). Reload that selection any time — before a client call, pull up the collection and ask questions across all of its devices at once.
How do you save a set of selected devices for later use?
Select the rows, go to the Collections tab, and create a labeled collection (e.g., "Cobb Angle Project"). You can reload the selection anytime and carry it into the PDF viewer and other tabs that support selections.
7. Product codes and the regulations tree
Click a product code in the results to jump to it in the regulations tree — identification text, sibling product codes, and devices you can open in a PDF viewer on the right. Click a regulation number to see its identification, special controls, and related product codes. You can also search by product code or regulation number at the top of the tree. Always read the special controls if any exist for your device — it broadens your search and sharpens pre-kickoff research.
What can you do from the regulations tree view?
Browse product codes and regulation numbers, read the identification text and special controls, browse sibling product codes, open device PDFs on the right, and search by product code or regulation number at the top of the tree.
8. Chart view
Click Show Chart and segment by regulation number (or product code) to see which regulations dominate your result set. Clicking a regulation takes you into the regulations tree. Great for spotting that most matches are, say, hardware laparoscopic devices — a cue to go back and filter.
How do you see which regulations dominate a search result set?
Click "Show Chart" and segment by Regulation Number. Clicking a regulation takes you to the regulations tree.
9. The predicate graph
Open the Predicates tab for a family-tree view of predicate relationships. Click a node to trace its parents and children; selections from search carry over pre-selected. Commonly predicated devices are worth reading — a lot of people predicated them for a reason. The visual lineage is also handy on client calls, e.g. to show how a predicate family evolved and justify why your predicate still holds.
In the predicate graph, why are commonly predicated devices worth reading?
A lot of people predicated them for a reason. Clicking a node traces parents and children, and selections from search carry over pre-selected.
10. Embeddings: the galaxy map
The Embeddings tab plots every matching document in a 2-D "galaxy map" where semantically similar devices cluster together. Hover or click clusters to explore, and let AI label the clusters for you. Embeddings beat product codes for grouping: two devices can carry different product codes (LLZ vs. QIH) yet do the same thing — the embedding captures the meaning of the intended use and device story. This is also exactly how retrieval-augmented generation (RAG) works under the hood, and it makes a great visual on client calls.
Try it yourself
Head to the search page and work through a few of these AI/ML fuzzy searches to build intuition: perivascular fat on CT · aortic valve calcification opportunistic screening on noncontrast CT · breast cancer prediction on digital pathology slides · autism detection · gestational age prediction · a hearing aid that can also detect a pulse · foundation model based analysis of ECG · large language models · penetration test. Watch how the relevance scores, intended use, and AI Performance tables tell you when results stop being meaningful.
