NERIA SOFT 90 INFUSION SET

K132142 · Unomedical A/S · FPA · Oct 8, 2013 · General Hospital

Device Facts

• Record ID: K132142
• Device Name: NERIA SOFT 90 INFUSION SET
• Applicant: Unomedical A/S
• Product Code: FPA · General Hospital
• Decision Date: Oct 8, 2013
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 880.5440
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

The neria™ soft 90 infusion set is indicated for subcutaneous infusion of medication administered by an external pump.

Device Story

The neria™ soft 90 is a 90-degree soft cannula subcutaneous infusion set. It consists of an introducer needle/insertion handle, a soft cannula, a cannula housing with adhesive tape, and tubing with a standard luer-lock connector. The device is used to deliver medication from an external pump into the subcutaneous tissue. The user manually inserts the soft cannula into the skin using the introducer needle, which is removed immediately after insertion. The cannula housing remains secured to the skin via adhesive. The device allows for the connection and disconnection of the infusion tubing. It is intended for use by patients or clinicians to facilitate continuous or intermittent subcutaneous drug delivery. By providing a stable, secure access point for medication infusion, the device helps maintain consistent drug delivery, benefiting patients requiring long-term subcutaneous therapy.

Clinical Evidence

No clinical testing was performed. Substantial equivalence is supported by non-clinical performance data, including functional testing (leak, flow, tensile strength), packaging/transportation testing, biocompatibility (ISO 10993-1), and human factors/usability engineering studies demonstrating safe and effective use.

Technological Characteristics

Materials: Polypropylene, stainless steel, polyethylene, polyurethane, silicone, polycarbonate, polytetrafluoroethylene, meta acrylonitrile butadiene styrene, medical grade paper, UV-cured glue, color pigments. Design: 90-degree soft cannula (6mm/9mm), luer-lock connection, manual insertion handle. Sterilization: Sterile, single-use. Shelf life: 3 years. Complies with ISO 10993-1.

Indications for Use

Indicated for subcutaneous infusion of medication via external pump. Contraindicated for intravenous (I.V.) infusion, including blood and blood products.

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.

Predicate Devices

• Unomedical Inset™ Subcutaneous Infusion Sets (K032854)
• Unomedical Quick-Set® Subcutaneous Infusion Sets (K991759)

Submission Summary (Full Text)

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# 510(k) Summary

### 1. Submission Sponsor

Unomedical A/S Infusion Devices Aaholmvej 1-3 Osted DK-4320 Lejre Denmark Søren Melsted Vice President QA/RA Office number: [phone]

### 2. Submission Correspondent

Emergo Consulting (UK) Limited Unit B9, Taylors Court Parkgate, Rotherham South Yorkshire 562 ENU UK Cell Phone: [phone] Office Phone: [phone] Fax: [phone] Contact: Deirdre Barrow, Senior Regulatory Consultant, RA Email: [e-mail]

**OCT 08 2013**

### 3. Date Prepared

August 30, 2013

### 4. Device Identification

| Trade/Proprietary Name: | neria™ soft 90 Infusion Set |
|----------------------------|-----------------------------------------------------|
| Common/Usual Name: | Subcutaneous Infusion Set |
| Classification Name: | Intravascular administration set. |
| Classification Regulation: | 21 CFR 880.5440, Set, Administration, Intravascular |
| Product Code: | FPA |
| Device Class: | Class II |
| Classification Panel: | General Hospital |

### 5. Predicate Devices

| K032854 | Unomedical Inset™ Subcutaneous Infusion Sets<br>(Formerly known as The Unomedical Monica Set) |
|---------|--------------------------------------------------------------------------------------------------------------|
| K991759 | Unomedical Quick-Set® Subcutaneous Infusion Sets<br>(Formerly known as Maersk Medical Contour™ Infusion Set) |

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# 6. Device Description

The neria™ soft 90 subcutaneous infusion set is a new product designed by Unomedical based on the Unomedical Inset™ Subcutaneous Infusion Set and Unomedical Quick-Set® Subcutaneous Infusion Set.

The neria™ soft 90 is a 90 degree soft cannula infusion set with a standard luer-lock connection. The neria™ soft 90 subcutaneous infusion set consists of an introducer needle/insertion handle that inserts the soft cannula into the skin and is removed immediately after insertion, a cannula housing that rests upon the skin with adhesive tape, securing the soft cannula in place under the skin, tubing with disconnect option and a reservoir connector (standard luer lock) and disconnect cover for the tubing and cannula housing.

The proposed configurations are:

- includes tubing and cannula . Infusion Set
- Tubing Only ●
- . Cannula only

## 7. Intended Use

The neria™ soft 90 infusion set is indicated for subcutaneous infusion of medication administered by an external pump.

## 8. Substantial Equivalence Discussion

The following table compares the neria™ soft 90 infusion set to the predicate device with respect to intended use, technological characteristics and principles of operation, providing more detailed information regarding the basis for the determination of substantial equivalence. Please note that the two predicates included within their indications for use the following statement "The infusion set is neither intended nor indicated for use with blood or blood products" whereas the neria™ soft 90 product includes a very similar statement within the contraindications included in its instructions for use manual.

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| Manufacturer | Unomedical | Unomedical | Unomedical |
|------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Trade Name | neria™ soft 90 infusion<br>set | Unomedical Inset™<br>Subcutaneous Infusion<br>Sets (formerly known as<br>The Unomedical Monica<br>Set) | Unomedical Quick-Set™<br>Subcutaneous Infusion<br>Sets (Formerly known as<br>Maersk Medical<br>Contour™ Infusion Set) |
| 510(k) Number | K132147 | K032854 | K991759 |
| Product Code | FPA | FPA | FPA |
| Regulation Number | 880.5440 | 880.5440 | 880.5440 |
| Regulation Name | Intravascular<br>Administration Set | Intravascular<br>Administration Set | Intravascular<br>Administration Set |
| Indications for Use | The neria™ soft 90<br>infusion set is indicated<br>for subcutaneous<br>infusion of medication<br>administered by an<br>external pump.<br><br>Please Note:<br>The IFU for this product<br>includes the following<br>contraindication:<br>"The infusion set is<br>neither intended nor<br>indicated for intravenous<br>infusion (I.V.) of<br>medication, including<br>blood and blood<br>products" | The Unomedical Inset™<br>Subcutaneous Infusion<br>Sets are intended for the<br>subcutaneous infusion of<br>medication, including<br>insulin from an external<br>pump. The infusion set<br>is neither intended nor<br>indicated for use with<br>blood or blood products. | The Unomedical Quick-<br>Set® Subcutaneous<br>Infusion Sets are<br>intended for the<br>subcutaneous infusion of<br>medicine, including<br>insulin, from an external<br>infusion pump. The<br>infusion set is neither<br>intended nor indicated<br>for use with blood or<br>blood products. |
| Material | Materials include<br>Polypropylene, Stainless<br>Steel, Polyethylene,<br>Polyurethane, Silicone,<br>Polycarbonate,<br>Polytetrafluoroethylene,<br>Meta Acrylonitrile<br>Butadiene Styrene,<br>Medical Grade Paper,<br>UV-cured Glue, Colour<br>Pigments | Materials include<br>Polypropylene, Stainless<br>Steel, Polyethylene,<br>Polyurethane, Silicone,<br>Polycarbonate,<br>Polytetrafluoroethylene,<br>Meta Acrylonitrile<br>Butadiene Styrene, UV-<br>cured Glue, Colour<br>Pigments | Materials include<br>Polypropylene, Stainless<br>Steel, Polyethylene,<br>Polyurethane, Silicone,<br>Polycarbonate,<br>Polytetrafluoroethylene,<br>Meta Acrylonitrile<br>Butadiene Styrene,<br>Medical Grade Paper,<br>UV-cured Glue, Colour<br>Pigments |
| Sterile | Yes | Yes | Yes |
| Single-Use | Yes | Yes | Yes |
| Shelf Life | 3 years | 3 years | 3 years |
| Complies with ISO<br>10993-1 | Yes | Yes | Yes |
| Soft Cannula Length | 6 and 9mm | 6 and 9mm | 6 and 9mm |
| Tubing Length | 30, 60, and 110 cm | 60 and 110 cm | 60 and 110 cm |
| Angle of Insertion | 90 degrees,<br>perpendicular | 90 degrees,<br>perpendicular | 90 degrees,<br>perpendicular |
| Insertion Method | Insertion handle -<br>manual insertion of | Insertion device, which<br>enables the user not to | Insertion handle -<br>manual insertion of |
| Manufacturer | Unomedical | Unomedical | Unomedical |
| Trade Name | neriaTM soft 90 infusion set | Unomedical InsetTM<br>Subcutaneous Infusion Sets (formerly known as The Unomedical Monica Set) | Unomedical Quick-SetTM<br>Subcutaneous Infusion Sets (Formerly known as Maersk Medical ContourTM Infusion Set) |
| | needle into tissue by user | place the soft cannula in the tissue manually | needle into tissue by user |

# Table 5A – Comparison of Characteristics

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## 9. Non-Clinical Performance Data

Testing performed to support substantial equivalence included:

- · Functional tests:
- Leak/Tightness
- o Flow (Occlusion)
- o Tensile test of introducer needle, tubing connections, soft cannula, adhesive tape, connector from cannula housing, connector needle
- · Packaging tests
- o Dynamic Peel Test
- o Visual Peel Test
- Print on Packaging and labelling
- · Transportation Tests
- o Transportation tests general
- o Drop test
- · Dimensional Tests
- o Distance soft cannula to set
- Distance of introducer needle bevel to soft cannula o
- Length of tubes
- . Biocompatibility Testing in accordance with ISO 10993-1
- EO/ECH residuals Testing .
- · Pyrogen/Endotoxin Testing
- Shelf life Testing and Sterilization Testing .

As part of demonstrating safety and effectiveness of neria™ soft 90 infusion set and in showing substantial equivalence to the predicate devices that are subject to this 510(k) submission, Unomedical completed a number of tests. The neria™ soft 90 infusion set meets all the requirements for overall design, sterilization and biocompatibility. The neria™ soft 90 infusion set passed all testing stated above as shown by the acceptable results obtained.

The neria™ soft 90 infusion set complies with the applicable voluntary standards for biocompatibility and sterilization. The device passed all the testing in accordance with national and international standards.

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## 10. Clinical Testing

There was no clinical testing required to support the medical device as the indications for use is equivalent to the predicate device. These types of devices, including the predicate devices, have been on the market for many years with a proven safety and efficacy for the use of the device. The non-clinical testing detailed in this submission supports the substantial equivalence of the device.

## 11. Human Factors/Usability Testing

A Human Factors/Usability Engineering study was conducted to support the use of the neria™ soft 90 subcutaneous infusion set for its intended uses and the use environment.

The purpose of this evaluation was to demonstrate that users can perform critical tasks while using the product in a safe and effective manner. Unomedical has concluded that the neria™ soft 90 infusion sets can be used without a pattern of preventable use errors that would cause harm.

## 12. Statement of Substantial Equivalence

This device has the same overall intended use "are intended for the subcutaneous infusion of medication" as that of the predicates. The device incorporates features from each of the predicates listed which are also manufactured by this submission sponsor. Therefore by definition, this device, neria™ soft 90 infusion set, is substantially equivalent to the referenced predicate devices as the device has the same intended use and the same technological characteristics as the previously cleared predicate devices.

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/5/Picture/1 description: The image shows a logo for the Department of Health & Human Services - USA. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is a stylized symbol that resembles an abstract human figure or a caduceus, a symbol often associated with medicine and healthcare.

Public Health Service

Food and Drug Administration 10903 Now Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002

#### October 8, 2013

Unomedical A/S C/O Ms. Deirdre Barrow Senior Regulatory Consultant Emergo Group Unit B9, Taylors Court Parkgate Rotherham, South Yorkshire United Kingdom S62 6NU

Re: K132142

Trade/Device Name: neria™ soft 90 Infusion Set Regulation Number: 21 CFR 880.5440 Regulation Name: Intravascular Administration Set Regulatory Class: II Product Code: FPA Dated: July 10, 2013 Received: July 11, 2013

### Dear Ms. Barrow:

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.

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Page 2 - Ms. Barrow

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 (reporting of medical device-related 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.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Division of Small Manufacturers, International and Consumer Assistance at its tollfree number [phone] or [phone] or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. 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 [phone] or [phone] or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm.

Sincerely yours,

MarySBunner-S

Kwame Ulmer M.S. Acting Division Director Division of Anesthesiology, General Hospital, Respiratory, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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# Indications for Use Statement

510(k) Number (if known): K132142

Device Name: neria™ soft 90 Infusion Set

Indications for Use:

The neria™ soft 90 infusion set is Indicated for subcutaneous infusion of medication administered by an external pump.

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

Over-The-Counter Use (21 CFR 801 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Sajjad+
Syed

Digitally signed by Sajjad H. Syed DN: c=US, o=U.S. Government, ou=HHS, ou=FDA, ou=People, Saliad H. Sved. 42.19200300.100.1.1=2000 Date: 2013.10.07 13:25:06 -04'00'