Monoject

K161045 · Covidien · PNR · Jun 17, 2016 · Gastroenterology, Urology

Device Facts

• Record ID: K161045
• Device Name: Monoject
• Applicant: Covidien
• Product Code: PNR · Gastroenterology, Urology
• Decision Date: Jun 17, 2016
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 876.5980
• Device Class: Class 2
• Attributes: Therapeutic, Pediatric

Intended Use

The Monoject™ Enteral Feeding Syringe with ENFit Connector is indicated for use as a dispenser, a measuring device, and a fluid transfer device. It is used to deliver fluids into the gastrointestinal system of a patient who is physically unable to eat and swallow. The enteral syringes are intended to be used in clinical or home care settings by users ranging from laypersons (under the supervision of a clinician) to clinicians, in all age groups.

Device Story

Disposable enteral feeding syringe (1mL and 3mL) used to measure and transfer fluids into patient gastrointestinal systems. Features female ENFit connector with internal tip lumen for connection to enteral access devices. Used in clinical or home settings by clinicians or supervised laypersons. Device ensures dosing accuracy for low-dose applications via standardized small-bore connector design. Benefits patient by facilitating enteral nutrition for those unable to swallow; prevents misconnections via ENFit standard.

Clinical Evidence

No clinical data. Substantial equivalence supported by bench testing, including biocompatibility, stability, dimensional analysis, and mechanical performance testing (leakage, stress cracking, axial load, unscrewing, overriding) per AAMI/CN3 (PS):2014 and ISO 80369-20 standards.

Technological Characteristics

Disposable enteral syringe (1mL, 3mL). Features female ENFit connector with internal tip lumen. Conforms to AAMI/CN3 (PS):2014 and ISO 80369-20 for small-bore connectors. Tested per ISO 7886-1 for manual syringes. Non-powered, manual operation.

Indications for Use

Indicated for patients of all ages unable to eat or swallow, requiring enteral fluid delivery. Used in clinical or home settings by clinicians or supervised laypersons.

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.

Predicate Devices

• Kangaroo™ Enteral Feeding Syringe with ENFit Connector (K142128)
• NeoMed NeoConnect™ Enteral Syringes with ENFit Connector and compatible NeoSecure™ Tip Caps (K152857)

Submission Summary (Full Text)

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Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized caduceus symbol, which is a staff with two snakes coiled around it. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" are arranged in a circular pattern around the caduceus symbol. The logo is black and white.

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

June 17, 2016

Covidien Sona Manickam Senior Regulatory Affairs Specialist 15 Hampshire Street Mansfield, MA 02048

Re: K161045

Trade/Device Name: Monoject™ Enteral Feeding Syringe with ENFit Connector Regulation Number: 21 CFR§ 876.5980 Regulation Name: Gastrointestinal Tube and Accessories Regulatory Class: II Product Code: PNR Dated: April 11, 2016 Received: April 13, 2016

Dear Sona Manickam:

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.

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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 Industry and Consumer Education at its toll-free 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" (21 CFR 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 Industry and Consumer Education at its toll-free number [phone] or [phone] or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours,

# Benjamin R. Fisher -S

Benjamin R. Fisher, Ph.D. Director Division of Reproductive, Gastro-Renal, and Urological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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# 1.0 Indications for Use Statement

# Indications for Use

510(k) Number (if known): K161045

Device Name:

Monoject™ Enteral Feeding Syringe with ENFit Connector

The Monoject™ Enteral Feeding Syringe with ENFit Connector is indicated for use as a dispenser, a measuring device, and a fluid transfer device. It is used to deliver fluids into the gastrointestinal system of a patient who is physically unable to eat and swallow. The enteral syringes are intended to be used in clinical or home care settings by users ranging from laypersons (under the supervision of a clinician) to clinicians, in all age groups.

Prescription Use X (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

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# 2.0 510(k) Summary

# Monoject™ Enteral Feeding Syringe with ENFit Connector

In accordance with section 513(i) of the SMDA and as defined in 21CFR Part 807.92 this summary is submitted by:

Covidien 15 Hampshire Street Mansfield, MA 02048 Date Prepared: June 15, 2016

#### a. Contact Person

Sona Manickam Sr. Regulatory Affairs Specialist Covidien Telephone: [phone] Fax: [phone]

- b. Name of Medical Device
Common Name: Enteral Syringes with Enteral Specific Connectors

U.S. FDA Classification Product Code: PNR

U.S. Regulation Description: Gastrointestinal tube and accessories, 21 CFR 876.5980

Proprietary / Trade Name: Monoject™ Enteral Feeding Syringe with ENFit Connector

#### c. Identification of Legally Marketed Device(s)

K142128 - Kangaroo™ Enteral Feeding Syringe with ENFit Connector K152857 - NeoMed NeoConnect™ Enteral Syringes with ENFit Connector and compatible NeoSecure™ Tip Caps

#### d. Device Brief Description

The Monoject™ Enteral Feeding Syringe with ENFit Connector is a disposable enteral feeding syringe provided in sizes of 1mL and 3mL. The device specific for low dose applications incorporates a female ENFit Syringe tip with an internal tip lumen for connection to an enteral access device with male ENFit connector.

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#### e. Indications for Use

The Monoject™ Enteral Feeding Syringe with ENFit Connector is indicated for use as a dispenser, a measuring device, and a fluid transfer device. It is used to deliver fluids into the gastrointestinal system of a patient who is physically unable to eat and swallow. The enteral syringes are intended to be used in clinical or home care settings by users ranging from laypersons (under the supervision of a clinician) to clinicians, in all age groups.

#### Product Comparison Summary f.

The proposed and predicate enteral feeding syringes are intended for patients who require enteral nutrition due to illness or injury which prevents normal chewing and swallowing. These products are enteral syringes that have the same intended use, the same function, and the same general characteristics except for the modification of the ENFit connector in compliance with AAMI /CN3 (PS):2014 to include an internal lumen tip to ensure dosing accuracy in low dose applications.

#### g. Nonclinical testing

- Biocompatibility testing has demonstrated the biological safety of the proposed devices which may indirectly contact the patients
- . Stability testing evaluated the properties of the enteral feeding syringes after accelerated aging in support of the labeling.
- Testing performed on low dose Enteral Syringe design demonstrates the proposed devices conform to the requirements of ISO 7886-1 Sterile Hypodermic Syringes for Single Use - Part 1: Syringes for Manual Use
- Dimensional analysis of the low dose ENFit connector was conducted for critical dimensions, in accordance with AAMI /CN3 (PS):2014, Small-bore connectors for liquids and gases in healthcare applications - Part 3: Connectors for enteral applications. The analysis demonstrates the proposed devices conform to the criteria in Table B.2 of AAMI /CN3 (PS):2014.
- . Testing performed on the Monoject™ Enteral Feeding Syringes with low dose tip ENFit Connectors included the items listed below, in accordance with AAMI /CN3 (PS):2014, Small-bore connectors for liquids and gases in healthcare applications -Part 3: Connectors for enteral applications, using the test methods provided in ISO 80369-20, Small-bore connectors for liquids and gases in healthcare applications -Part 20: Common test methods. The testing demonstrates the proposed devices conform to the requirements of ISO 80369-20.

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| Individual Test Defined<br>in AAMI /CN3<br>(PS):2014 | Requirement<br>Defined in AAMI<br>/CN3 (PS):2014 | Test Method<br>Defined in ISO<br>80369-20 |
|------------------------------------------------------|--------------------------------------------------|-------------------------------------------|
| Fluid Leakage | Clause 6.2 | Annex C |
| Stress Cracking | Clause 6.3 | Annex E |
| Resistance to separation<br>from axial load | Clause 6.4 | Annex F |
| Resistance to separation<br>from unscrewing | Clause 6.5 | Annex G |
| Resistance to overriding | Clause 6.6 | Annex H |
| Disconnection by<br>unscrewing | Clause 6.7 | Annex I |

- Verification of low dose Enteral Syringe design to demonstrate the dosing Accuracy of ● the low dose tip ENFit connector
- The risk associated with the misconnection of the ENFit low dose tip connector has been assessed.
- Low Dose Tip ENFit Syringe Tip Usability Testing. ●

## h. Clinical testing

Clinical evaluations were not relied upon for evidence of safety and effectiveness, or for a determination of substantial equivalence.

#### i. Conclusions

The information provided within this pre-market notification demonstrates that the Monoject™ Enteral Feeding Syringe with ENFit Connector has no difference that would affect the safety or effectiveness of the devices as compared to the predicate devices and is substantially equivalent.

End of Summary