MEDCOMP H-CATH TRIPLE LUMEN CENTRAL VENOUS ACCESS CATHETER, MODEL SIC 12-3T

K983412 · Medical Components, Inc. · LJS · Dec 10, 1998 · General Hospital

Device Facts

• Record ID: K983412
• Device Name: MEDCOMP H-CATH TRIPLE LUMEN CENTRAL VENOUS ACCESS CATHETER, MODEL SIC 12-3T
• Applicant: Medical Components, Inc.
• Product Code: LJS · General Hospital
• Decision Date: Dec 10, 1998
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 880.5970
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

The Medcomp H-Cath Central Venous Access Catheter is designed for long-term central venous access. It can be used for total parenteral nutrition (TPN), infusion of I.V. liquids, blood, blood products and drugs. It can also be used for repeated withdrawal of blood samples.

Device Story

Medcomp H-Cath is a triple-lumen central venous access catheter; designed for long-term vascular access. Device facilitates infusion of TPN, I.V. fluids, blood products, and medications; enables repeated blood withdrawal. Used in clinical settings by healthcare professionals. Provides stable venous access for patients requiring chronic therapy.

Technological Characteristics

Triple-lumen central venous access catheter. Materials and specific technical standards not disclosed in provided text.

Indications for Use

Indicated for patients requiring long-term central venous access for total parenteral nutrition (TPN), infusion of I.V. fluids, blood, blood products, drugs, and repeated blood sampling.

Regulatory Classification

Identification

A percutaneous, implanted, long-term intravascular catheter is a device that consists of a slender tube and any necessary connecting fittings, such as luer hubs, and accessories that facilitate the placement of the device. The device allows for repeated access to the vascular system for long-term use of 30 days or more, and it is intended for administration of fluids, medications, and nutrients; the sampling of blood; and monitoring blood pressure and temperature. The device may be constructed of metal, rubber, plastic, composite materials, or any combination of these materials and may be of single or multiple lumen design.

Special Controls

*Classification.* Class II (special controls) Guidance Document: “Guidance on Premarket Notification [510(k)] Submission for Short-Term and Long-Term Intravascular Catheters.”

Submission Summary (Full Text)

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Public Health Service

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/0/Picture/2 description: The image shows the seal of the Department of Health and Human Services. The seal is circular and contains the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. In the center of the seal is a stylized design of three curved shapes that resemble a human figure.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

DEC 1 0 1998

Ms. Jeanne M. Cush Technical Submissions Coordinator Medical Components, Incorporated 1499 Delp Drive Harleysville, Pennsylvania 19438

K983412 Re : Medcomp H-Cath Triple Lumen Central Venous Trade Name : Access Catheter Unclassified Regulatory Class : Product Code: Inis September 28, 1998 Dated: September 28, 1998 Received:

Dear Ms. Cush:

We have reviewed your Section 510(k) notification of intent to we have reviewed your boosed above and we have determined the market the device felly equivalent (for the indications for use stated in the enclosure) to devices marketed in interestate commerce prior to May 28, 1976, the enactment date of the Commerce proof ovendments, or to devices that have been Medical Device Amendically, with the provisions of the Federal Food, Drug, and Cosmetic Act (Act). You may, therefore, market the device, subject to the general controls provisions The general controls provisions of the Act of the Act. include requirements for annual registration, listing of Include requiremanufacturing practice, labeling, and prohibitions against misbranding and adulteration.

into either class II If your device is classified (see above) (Special Controls) or class III (Premarket Approval), it may be subject to such additional controls. Existing major be auffect to back us your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 895. ਉ rederal Negalvalent determination assumes compliance with the Good Manufacturing Practice for Medical Devices: General (GMP) regulation (21 CFR Part 820) and that, through periodic (SMP inspections, the Food and Drug Administration (PDA) will Failure to comply with the GMP verify such assumptions. regulation may result in regulatory action. In addition, FDA may publish further announcements concerning your device in Please note: this response to your the Federal Register. premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

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Page 2 - Ms. Cush

This letter will allow you to begin marketing your device as the FDA This letter will allow you to begin mailoung your maintenen. The FDA
described in your 510(k) premarket notification. The FDA described in your 510(k) premarker notificacion: - books of the same of across of substantial equivalence of your device of or your and marketed predicate device results in a crassission and the parket.
device and thus, permits your device to proceed to the market.

at you desire specific advice for your device on our labeling
If you desire app Box 801 and additionally 809.10 for in If you desire specific advice for your active of the or in
regulation (21 CFR Part 801 and additionally 809.10 for in yitro diagnostic devices), please contact the Office of ritro diagnostic devices ( 1) 594-4692. Additionally, for questions on
Compliance at [phone]. Additionally, for questions on Compliance at [phone]. Additionarity, 2004-2001
the promotion and advertising of your device, please not Also, please note the promotion and advertising on 594-4639.
the Office of Compliance at [phone].
The Office of compliance at [phone]. the regulation entification" (21 CFR 807) . . Oteferences to Other general premarket notification" (21 CFR 807.97). "Other on your con information on your responsibilities and in the more and at its toll-free number (800) 638-204) or [phone] at
at its toll-free number (800) 638-204) or [phone] at . ol its toll-free number [phone] of [phone] 11:41
its internet address "http://www.fda.gov/cdrh/dsmamain.html".

Sincerely yours,

Timothy A. Ulatowski

Director Director of Dental, Infection Control, and General Hospital Devices Office of Device Evaluation Center for Devices and Radiological Health

2

Enclosure

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1 Page 1 র্প্ত

510(K) Number (if known): ____________________________________________________________________________________________________________________________________________________

Device Name: _Medcomp H-Cath Triple Lumen Central Venous Access Catheter

Indications for Use:

The Medcomp H-Cath Central Venous Access Catheter is designed for long-term The Medcomp H-Cath Central venusal for total parenters nutrition (TPN), infusion
central venous access. It can be used for total parenters nutrition (TPN), infusion central venous access. It can be used for total parentered in the mail of the mail of repeated
of I.V. liquids, blood, blood products and drugs. It can also be used for rep withdrawal of blood samples.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use
(Per 21 CFR 801.109)

OR

Over-The-Counter

Peterea Aucenbe
(Division Sign-Off)

(Optional Format 1-2-96)

510(k) Number K983412

sion of Dental, Infection Control.

General Hospital Devices

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