SimplCath

K182511 · F&S Medical Solutions, LLC · GBM · Mar 20, 2019 · Gastroenterology, Urology

Device Facts

• Record ID: K182511
• Device Name: SimplCath
• Applicant: F&S Medical Solutions, LLC
• Product Code: GBM · Gastroenterology, Urology
• Decision Date: Mar 20, 2019
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 876.5130
• Device Class: Class 2

Indications for Use

The SimplCath™, Female Urethra Catheterization-Assisting Device, is intended for urological use only. It is designed for use by healthcare personnel for catheterization of the female bladder. The device is to be inserted into the vagina before catheterization of the urethra.

Device Story

SimplCath is a mushroom-shaped, single-piece molded thermoplastic elastomer (MD-105) device used by healthcare personnel in clinical settings to assist female bladder catheterization. Inserted into the vagina, the device retracts the labia, blocks the vaginal entrance to prevent catheter contamination, and provides a top groove to guide the catheter toward the urethral opening. This design allows for single-handed insertion and hands-free stabilization, facilitating catheterization even when the urethra is retracted or not visible. The device is compatible with all catheter sizes and is provided sterile for single-use. By improving catheterization accuracy and reducing contamination risk, the device benefits patients undergoing intermittent or indwelling catheterization.

Clinical Evidence

No clinical data. Substantial equivalence supported by bench testing, including package integrity and biocompatibility testing.

Technological Characteristics

Material: MD-105 biocompatible thermoplastic elastomer. Form factor: Mushroom-shaped, single-piece molded. Function: Mechanical guide for urethral catheterization. Sterilization: Provided sterile (single-use). Connectivity: None. Software: None.

Indications for Use

Indicated for adult female patients requiring bladder catheterization; intended for use by healthcare personnel to assist in catheter placement.

Regulatory Classification

Identification

A urological catheter and accessories is a flexible tubular device that is inserted through the urethra and used to pass fluids to or from the urinary tract. This generic type of device includes radiopaque urological catheters, ureteral catheters, urethral catheters, coudé catheters, balloon retention type catheters, straight catheters, upper urinary tract catheters, double lumen female urethrographic catheters, disposable ureteral catheters, male urethrographic catheters, and urological catheter accessories including ureteral catheter stylets, ureteral catheter adapters, ureteral catheter holders, ureteral catheter stylets, ureteral catheterization trays, and the gastro-urological irrigation tray (for urological use).

Predicate Devices

• Asta-Cath (K961361)

Submission Summary (Full Text)

{0}------------------------------------------------

Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

March 20, 2019

F&S Medical Solutions, LLC % Tom Renner Quality, Efficiency & Regulatory Affairs Consultant Vision28 915 SW Rimrock Way STE 201 PMB 402 Redmond, OR 97756

Re: K182511

Trade/Device Name: SimplCath Regulation Number: 21 CFR§ 876.5130 Regulation Name: Urological Catheter and Accessories Regulatory Class: II Product Code: GBM Dated: February 28, 2019 Received: March 5, 2019

Dear Tom Renner:

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 mav, therefore, market the device, subject to the general controls provisions of the Act. Although this letter refers to your product as a device, please be avare that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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.

{1}------------------------------------------------

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 adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see

https://www.fda.gov/CombinationProducts/GuidanceRegulatoryInformation/ucm597488.html; good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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 comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (http://www.fda.gov/DICE) for more information or contact DICE by email ([e-mail]) or phone [phone] or 301-796-7100).

Sincerely,

Angel A. Solergarcia -S

for

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

{2}------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

### Indications for Use

510(k) Number (if known)

K182511

Device Name SimplCath

Indications for Use (Describe)

The Simpl Cath™, Female Urethra Catheterization-Assisting Device, is intended for urological use only. It is designed for use by healthcare personnel for catheterization of the female bladder. The device is to be inserted into the vagina before catheterization of the urethra.

Type of Use (Select one or both, as applicable)

> Prescription Use (Part 21 CFR 801 Subpart D)

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

### CONTINUE ON A SEPARATE PAGE IF NEEDED.

This section applies only to requirements of the Paperwork Reduction Act of 1995.

### *DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.*

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

> Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff(@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

4-002

{3}------------------------------------------------

# Section 5: 510(k) Summary or 510(k) Statement

This section contains a 510(k) Summary for this submission.

### Contact Details

| Applicant Name: | F&S Medical Solutions, LLC<br>10221 Woodridge Lane<br>Omaha NE, 68124 |
|-----------------------|-----------------------------------------------------------------------|
| Contact Name: | Dr. Sonia M. Rocha-Sanchez<br>[e-mail] |
| Date Prepared: | September 10, 2018 |
| Device Name | |
| Trade Name: | SimplCath |
| Common Name: | Female catheter guide |
| Classification Name: | 876.5130 Urological catheter and accessories (GBM) |
| Classification: | Class II |
| Classification Panel: | Gastroenterology/Urology |

# Legally Marketed Predicate Device

| 510(k) | Product Code | Trade Name | Applicant |
|---------|--------------|------------|-----------------------------------------------------------------|
| K961361 | GBM | Asta-Cath | A+ Medical Products, Inc.<br>16 Alden Place<br>Newton, MA 02165 |

### Device Description

SimplCath, the Female Urethra Catheterization-Assisting Device, is made of MD-105, a biocompatible thermoplastic elastomer. It has a mushroom shape and is intended to be inserted into the vagina for facilitating catheterization of the female urethra. It does so by: 1) retracting the vulvar labia, 2) blocking the vaginal entrance to prevent catheter contamination, and 3) providing a guide or landmark for the female urethral opening. SimplCath is compatible with all catheter sizes.

SimplCath is provided in boxes of 25 or 50 individually sealed, sterile units.

{4}------------------------------------------------

In use, the SimplCath inserts into the vagina, blocking the vaginal opening, spreading the labia, and exposing the female urethra. which falls into the top groove, and guides catheter placement.

Image /page/4/Figure/3 description: The image contains five diagrams labeled A, B, C, D, and E. Diagrams A and B are black and white drawings, while C, D, and E are color photographs. Diagram A shows a medical device with a cylindrical body and two curved wings. Diagram B shows the device in use on a human body. Diagrams C, D, and E show different views of the medical device.

Fig. 1. A. Schematic representation of SimplCath™. B. Upon insertion, SimplCath™ blocks the vaginal opening, opens the labia, exposes the female urethra, which falls into the top groove, therefore guiding catheter placement. C-E. SimplCath™ prototype.

The design makes it especially useful for (1) medical personnel performing female catheterization in inpatient and outpatient settings, (2) training medical personnel and caregivers to catheterize female patients.

Additionally, SimplCath:

a) Fits all catheter sizes, making it suitable to be used in both intermittent and indwelling catheterization;

b) Can be introduced with the use of a single hand and stays in place, freeing both hands to help with other tasks, including catheter insertion;

c) Exposes the urethra, preventing vaginal contamination of the catheter and improving catheterization accuracy.

d) Allows the urethra to fall into the top groove of the device, therefore guiding the catheter to the urethra entrance, even when the urethra is not visible (e.g., retracted urethra).

A dimensioned, toleranced CAD drawing is shown below:

{5}------------------------------------------------

### Section 5: 510(k) Summary SimplCath 510(k) Notification

Image /page/5/Figure/2 description: This image is a technical drawing of a vaginal barrier, labeled as NO: FS-1700. The drawing includes multiple views of the barrier, with dimensions such as 3.77, 1.08, 2.27, and a diameter of 2.25. The drawing also includes notes about critical dimensions, surface finish, and draft angles, as well as the material (MD-105D) and shrink percentage (1.8%). The drawing is dated 3/1/18 and approved by D. Tyrrel.

{6}------------------------------------------------

## Intended Use/Indications for use

The SimplCath™, Female Urethra Catheterization-Assisting Device, is intended for urological use only. It is designed for use by healthcare personnel for catheterization of the female bladder. The device is to be inserted into the vagina before catheterization of the urethra.

### Substantial Equivalence Comparison

SimplCath is substantially equivalent to Asta-Cath from A+ Medical Products, Inc. based upon regulatory parameters, intended use, device features, and use parameters. The detailed comparison of these products is given in this section with explanations of the similarities and differences described.

### I. Regulatory Comparison

| Category | SimplCath | |
|---------------------|-------------------------|-------|
| Indications for Use | The SimplCathTM, Female | The A |

Table 5-1: Comparison of Regulatory Parameters

{7}------------------------------------------------

| Common or usual name | Female catheter guide | Female catheter guide |
|----------------------|-------------------------------------|-------------------------------------|
| Classification name | Urological catheter and accessories | Urological catheter and accessories |
| Product Code | GBM | GBM |
| Classification | Class II | Class II |

Discussion of Similarities and Differences

The two products are identical in regulatory parameters. Both are urological catheter accessories. They have the same product code (GBM) and the same classification (Class II).

The two products have different language in their indications for use statements corresponding to the difference between use by a health care professional and by the layperson, but both are nonetheless assistive devices for female catheterization.

### II. Device Features Comparison

### Table 5-2: Comparison of Device Features

| Category | SimplCath | Asta-Cath K961361 |
|-------------------------------------------|-----------|-------------------|
| Homogenous single piece of molded plastic | Yes | Yes |
| Inserted into vaginal opening | Yes | Yes |
| Aligns catheter with urinary meatus | Yes | Yes |
| Remains in place during catheter use | Yes | Yes |
| Functions with variety of catheter sizes | Yes | Yes |
| Can be used with lubricants | Yes | Yes |
| Not made of natural rubber latex | Yes | Yes |
| Provided sterile | Yes | No |
| Intended for reprocessing and re-use | No | Yes |

### Discussion of Similarities and Differences

The two products are very similar. Both are inserted into the vaginal opening during use. Both have physical features to align a catheter with the urinary meatus. Both remain in place during catheter use. Both function with a variety of catheter sizes. Both can be used with lubricants, and are not made of natural rubber latex.

{8}------------------------------------------------

The two products differ in a few ways. The SimplCath is provided sterile and is intended for single use, whereas the Asta-Cath is non-sterile, and intended for reprocessing and re-use.

Taken individually and together, these differences do not affect the substantial equivalence; both products are still using the same technological basis. These differences do not introduce any new concerns regarding safety or efficacy.

### III. Use Parameters Comparison

### Table 5-3: Comparison of Use Parameters

| Category | SimplCath | Asta-Cath<br>K961361 |
|--------------------------------|--------------------------|----------------------|
| Intended use<br>environment | Health care environment | Home use |
| Intended user | Health care professional | Female layperson |
| Intended patient<br>population | Adults | Adults |

### Discussion of Similarities and Differences

Both products are intended for use on adult females. The SimplCath is intended for use by medical professionals in a health care environment, whereas the Asta-Cath is intended for home use.

### V. Comparative Performance Evaluations

Package integrity and biocompatibility testing were performed on finished product.

### V. Clinical Performance Evaluations

Clinical performance evaluations are not necessary to demonstrate substantial equivalence to the predicate device.

### VI. Conclusion

The two devices have substantially equivalent intended use and the same classification. They have many of the same features. They are used on the same populations. The two products are different in minor ways that do not materially affect their technological basis or use.

Package integrity and biocompatibility testing results support substantial equivalence.

SimplCath is substantially equivalent to Asta-Cath from A+ Medical Products, Inc. in intended use, device features, and use parameters.