Percutaneous Endoscopic Gastrostomy (PEG) Kit

K254170 · Degania Silicone , Ltd. · PIF · Mar 20, 2026 · Gastroenterology, Urology

Device Facts

• Record ID: K254170
• Device Name: Percutaneous Endoscopic Gastrostomy (PEG) Kit
• Applicant: Degania Silicone , Ltd.
• Product Code: PIF · Gastroenterology, Urology
• Decision Date: Mar 20, 2026
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 876.5980
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

The PEG Catheter Kit is intended for percutaneous endoscopic gastrostomy placement to provide enteral nutrition and/or medication to patients requiring nutritional support and gastric decompression. This device is indicated for adult use only.

Device Story

Single-use, sterile PEG kit for percutaneous endoscopic gastrostomy placement; provides direct gastric access for enteral nutrition, medication, or decompression. Available in 20 Fr and 24 Fr sizes; supports both Pull (Ponsky) and Push (Sachs-Vine) placement methods. Kit includes silicone feeding catheter with internal retention dome, ENFit connector (ISO 80369-3), external retention device (ERD), and procedural accessories (guidewire, scalpel, needles, etc.). Used in clinical settings by healthcare professionals to establish long-term gastric access. Device output is the established feeding tube, which allows clinicians to administer nutrition/medication directly into the GI tract, bypassing oral intake limitations. Benefits include reliable, minimally invasive nutritional support for patients unable to feed orally.

Clinical Evidence

No clinical data. Evidence consists of bench and simulated-use testing, including biocompatibility (ISO 10993-1), sterilization validation (ISO 11135), packaging integrity (ISO 11607, ASTM F1980), transportation testing (ASTM D4169), radiopacity (ASTM F640), MRI safety (ASTM F2503-20), and connector compliance (ISO 80369-3, ISO 20695).

Technological Characteristics

Silicone-based feeding catheter; ENFit connector (ISO 80369-3); external retention device (silicone bolster with clamp). Sizes: 20 Fr, 24 Fr. Sterilization: EtO (SAL 10^-6). Compliant with ISO 20695 (enteral feeding systems), ISO 10993-1 (biocompatibility), and ASTM F640 (radiopacity).

Indications for Use

Indicated for adult patients requiring enteral nutrition, medication delivery, or gastric decompression who have a functional GI tract but cannot maintain adequate oral intake.

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

• Entuit PEG (K213356)

Submission Summary (Full Text)

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FDA U.S. FOOD & DRUG ADMINISTRATION

March 20, 2026

Degania Silicone, Ltd.
Tal Gafni
RA Manager
Degania Silicone Ltd.
Degania Bet, 1513000
Israel

Re: K254170
Trade/Device Name: Percutaneous Endoscopic Gastrostomy (PEG) Kit
Regulation Number: 21 CFR 876.5980
Regulation Name: Gastrointestinal Tube And Accessories
Regulatory Class: Class II
Product Code: PIF, KNT
Dated: December 22, 2025
Received: December 23, 2025

Dear Tal Gafni:

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 (the 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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database available 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.

U.S. Food & Drug Administration
10903 New Hampshire Avenue
Silver Spring, MD 20993
www.fda.gov

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Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device" (https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software Change to an Existing Device" (https://www.fda.gov/media/99785/download).

Your device is also subject to, among other requirements, the Quality Management System Regulation (QMSR) (21 CFR Part 820), which includes, but is not limited to, ISO 13485 clause 7.3 (Design controls), ISO 13485 clause 8.3 (Nonconforming product), ISO 13485 clause 8.5.2 (Corrective action), and ISO 13485 clause 8.5.3 (Preventative action). Please note that regardless of whether a change requires premarket review, the QMSR requires device manufacturers to review and approve changes to device design and production (ISO 13485 clause 7.3 and ISO 13485 clause 7.5) and document changes and approvals in the Medical Device File (ISO 13485 clause 4.2.3).

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 Part 803) for devices or postmarketing safety reporting (21 CFR Part 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reporting-combination-products); good manufacturing practice requirements as set forth in the Quality Management System Regulation (QMSR) (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR Part 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050.

All medical devices, including Class I and unclassified devices and combination product device constituent parts are required to be in compliance with the final Unique Device Identification System rule ("UDI Rule"). The UDI Rule requires, among other things, that a device bear a unique device identifier (UDI) on its label and package (21 CFR 801.20(a)) unless an exception or alternative applies (21 CFR 801.20(b)) and that the dates on the device label be formatted in accordance with 21 CFR 801.18. The UDI Rule (21 CFR 830.300(a) and 830.320(b)) also requires that certain information be submitted to the Global Unique Device Identification Database (GUDID) (21 CFR Part 830 Subpart E). For additional information on these requirements, please see the UDI System webpage at https://www.fda.gov/medical-devices/device-advice-comprehensive-regulatory-assistance/unique-device-identification-system-udi-system.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to https://www.fda.gov/medical-devices/medical-device-safety/medical-device-reporting-mdr-how-report-medical-device-problems.

For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medical-devices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). 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 (https://www.fda.gov/medical-devices/device-advice-comprehensive-regulatory-

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assistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email ([e-mail]) or phone [phone] or 301-796-7100).

Sincerely,

ANTHONY LEE -S

Anthony Lee, Ph.D., MBA
Assistant Director
DHT3A: Division of Renal, Gastrointestinal,
Obesity, and Transplant Devices
OHT3: Office of Gastrorenal, ObGyn,
General Hospital, and Urology Devices
Office of Product Evaluation and Quality
Center for Devices and Radiological Health

Enclosure

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FORM FDA 3881 (6/20)
Page 1 of 1
PSC Publishing Services [phone]
EF

| DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration Indications for Use | Form Approved: OMB No. 0910-0120 Expiration Date: 06/30/2023 See PRA Statement below. |
| --- | --- |
| 510(k) Number (if known) K254170 | |
| Device Name Percutaneous Endoscopic Gastrostomy (PEG) Kit | |
| Indications for Use (Describe) The PEG Catheter Kit is intended for percutaneous endoscopic gastrostomy placement to provide enteral nutrition and/or medication to patients requiring nutritional support and gastric decompression. This device is indicated for adult use only. | |
| 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 [e-mail] | |
| "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." | |

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K254170 page 1 of 3

| 510(k) #: | 510(k) Summary | Prepared on: 2025-12-22 |
| --- | --- | --- |
| Contact Details | | 21 CFR 807.92(a)(1) |
| Applicant Name | Degania Silicone Ltd. | |
| Applicant Address | Degania Silicone Ltd. Degania Bet Degania Bet 1513000 Israel | |
| Applicant Contact Telephone | [phone] | |
| Applicant Contact | Dr. Tal Gafni | |
| Applicant Contact Email | [e-mail] | |
| Device Name | | 21 CFR 807.92(a)(2) |
| Device Trade Name | Percutaneous Endoscopic Gastrostomy (PEG) Kit | |
| Common Name | Gastrointestinal tube and accessories | |
| Classification Name | Tubes, Gastrointestinal (And Accessories) | |
| Regulation Number | 876.5980 | |
| Product Code(s) | PIF, KNT | |
| Legally Marketed Predicate Devices | | 21 CFR 807.92(a)(3) |
| Predicate # | Predicate Trade Name (Primary Predicate is listed first) | Product Code |
| K213356 | Entuit PEG | PIF, KNT |
| Device Description Summary | | 21 CFR 807.92(a)(4) |
| The Degania Silicone Percutaneous Endoscopic Gastrostomy (PEG) Kit with ENFit® connection is a single-use, sterile, disposable kit intended for the initial percutaneous endoscopic placement of a feeding tube (PEG catheter) into the stomach of adult patients who require enteral nutrition or medication delivery and cannot be fed orally.
The PEG Kit provides direct access to the stomach through a minimally invasive endoscopic procedure, allowing administration of nutrition, fluids, or medication directly into the gastrointestinal (GI) tract. The system is designed for use in patients with functional GI tracts who are unable to maintain adequate oral intake.
The device is available in two French sizes (20 Fr and 24 Fr) and four configurations, corresponding to the two standard PEG placement techniques:
* Push method – 20 Fr
* Push method – 24 Fr
* Pull method – 20 Fr
* Pull method – 24 Fr
All configurations are supplied sterile (EtO sterilization) and intended for single use.
Each PEG Kit includes:
* A silicone feeding catheter (PEG tube) designed for either the Pull or Push placement method
* A two-way ENFit® connector compliant with ISO 80369-3.
* An external retention device (ERD) to secure the catheter externally | | |

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K254170 page 2 of 3

* Tools and accessories for site preparation and tube placement (e.g., guidewire, looped placement wire, scalpel, syringe, hypodermic needles, hemostat, drape, and gauze).

## Intended Use/Indications for Use
**21 CFR 807.92(a)(5)**

The PEG Catheter Kit is intended for percutaneous endoscopic gastrostomy placement to provide enteral nutrition and/or medication to patients requiring nutritional support and gastric decompression. This device is indicated for adult use only.

## Indications for Use Comparison
**21 CFR 807.92(a)(5)**

The intended use of the Degania Silicone PEG Kit is identical to the predicate device (Entuit PEG PULL and PUSH Sets, K213356);

## Technological Comparison
**21 CFR 807.92(a)(6)**

The Degania Silicone PEG Kit has the same fundamental technological characteristics as the predicate device, the Entuit PEG PULL and PUSH Sets (K213356). Both devices are silicone-based, sterile, single-use systems designed for percutaneous endoscopic gastrostomy placement using the Pull (Ponsky) or Push (Sachs-Vine) methods. They share the same principle of operation, materials, dimensions, and method of insertion, as well as equivalent components such as the feeding catheter with internal retention dome, external retention system, and guidewire/placement accessories.

The only technological differences are (1) the use of an ENFit®-only connector that complies with ISO 80369-3 to prevent misconnections, replacing the predicate's optional non-ENFit connectors, and (2) a simplified external retention device (ERD) design (silicone bolster with clamp instead of a twist-lock and cable tie). These modifications align the subject device with current international safety standards and do not raise new questions of safety or effectiveness.

## Non-Clinical and/or Clinical Tests Summary & Conclusions
**21 CFR 807.92(b)**

Verification and validation activities were conducted to confirm that the PEG Kit meets its design specifications and performs safely and effectively for its intended use. Testing was performed in accordance with FDA-recognized consensus standards and relevant guidance documents, as summarized below:

- Risk Management: Risk management activities were performed per ISO 14971 to identify and control hazards, ensuring acceptable residual risk throughout the product lifecycle.
- Biocompatibility: A comprehensive biological evaluation was performed per ISO 10993-1 and FDA's Use of ISO 10993-1 guidance, including chemical characterization, toxicological risk assessment, and testing for cytotoxicity, sensitization, irritation, systemic toxicity, pyrogenicity, implantation, and genotoxicity to confirm the device's biocompatibility for its intended use.
- Sterilization and Residuals: The EO sterilization process was validated following ISO 11135, demonstrating a Sterility Assurance Level (SAL) of $10^{-6}$. EO residuals were evaluated and confirmed safe per ISO 10993-7.
- Packaging Validation: Packaging was tested to ensure sterile barrier integrity and shelf life per ISO 11607-1, ISO 11607-2, and accelerated aging guidance (ASTM F1980).
- Transportation and Distribution Testing: Distribution simulation and related packaging tests were performed per: ASTM D4169, ASTM F1886, ASTM F88/F88M, ASTM F1929, ASTM F2098, confirming that packaging and product integrity are maintained during shipping and handling.
- X-Ray Detectability: Radiopacoty was evaluated according to ASTM F640, confirming visibility of device components under clinical imaging conditions.
- ENFit Connector Compliance: Connector dimensions and function were tested to ensure compliance with the ENFit standard using: ISO 20695, ISO 80369-3 and ISO 18250-3, with reference to FDA guidance Safety Considerations to Mitigate the Risks of Misconnections with Small-Bore Connectors.

Testing confirmed correct fit, functionality, and prevention of misconnections.

- MRI Safety: MRI safety and labeling were evaluated according to ASTM F2503-20, ensuring compliance with standardized definitions for MR Safe, MR Conditional, or MR Unsafe device labeling.
- Performance Testing: Bench and simulated-use testing were conducted under internal protocols to confirm the device meets all functional requirements and demonstrates substantial equivalence to predicate devices for its intended use.

No clinical tests were submitted.

Nonclinical testing demonstrated that the Degania Silicone PEG Kit complies with all applicable recognized consensus standards, including ISO 20695 for enteral feeding systems, ISO 80369-3 for ENFit® connectors, and ISO 10993-1 for biocompatibility. The results confirmed that the device meets design and performance specifications for safety, functionality, and packaging integrity. These data support that the Degania Silicone PEG Kit is as safe, performs as intended, and is as effective as the legally marketed predicate device

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(Entuit PEG PULL and PUSH Sets, K213356).