TERUMO SURFLO FLEX I.V. CATHETER AND TERUMO SURFLASH I.V. CATHETER

K991406 · Terumo Medical Corp. · FOZ · Jun 16, 1999 · General Hospital

Device Facts

• Record ID: K991406
• Device Name: TERUMO SURFLO FLEX I.V. CATHETER AND TERUMO SURFLASH I.V. CATHETER
• Applicant: Terumo Medical Corp.
• Product Code: FOZ · General Hospital
• Decision Date: Jun 16, 1999
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 880.5200
• Device Class: Class 2

Intended Use

The TERUMO® SURFLO® FLEX I.V. Catheters and the TERUMO® SURFLASH™ I.V. Catheters are devices consisting of a slender, flexible, radio-opaque, plastic catheter with a hub that is inserted into the patient's vascular system for short term use to withdraw samples, administer fluid intravenously or through which to place monitoring equipment such as blood pressure monitors. The stainless steel cannula, placed in the catheter to maintain rigidity, is withdrawn after the catheter is placed in the vascular system.

Device Story

Device is a sterile, single-use, over-the-needle peripheral intravenous catheter. Components include a polyurethane catheter, stainless steel cannula, catheter hub, and filter cap with air filter. SURFLASH variant features a grooved cannula to allow visual flashback detection at the catheter tip. Device is inserted manually by a clinician into the patient's vascular system; cannula is withdrawn after placement. Catheter remains in the vein for short-term use (24 hours to 30 days). Output is vascular access for fluid delivery, blood withdrawal, or monitoring. Benefits include ease of insertion, flexibility during retention, and radio-opacity for detection. Used in clinical settings.

Clinical Evidence

Bench testing only. No clinical data provided. Testing included catheter body tensile strength, stiffness, elongation, burst pressure, collapse, flexural fatigue, radio-detectability, flow rate, corrosion resistance, fitting strength, and flashback detection. Biocompatibility testing performed per ISO 10993-1.

Technological Characteristics

Materials: Polyurethane catheter, stainless steel cannula/caulking pin, polypropylene hub, polystyrene filter cap, polyester air filter. Radio-opaque barium sulfate stripes. Dimensions per ISO 10555-5. Sterilization: Ethylene Oxide (EtO) per EN 550. Manual operation; no software or electronic components.

Indications for Use

Indicated for short-term vascular access in patients requiring intravenous fluid administration, blood sampling, or placement of monitoring equipment (e.g., blood pressure monitors).

Regulatory Classification

Identification

An intravascular catheter is a device that consists of a slender tube and any necessary connecting fittings and that is inserted into the patient's vascular system for short term use (less than 30 days) to sample blood, monitor blood pressure, or administer fluids intravenously. The device may be constructed of metal, rubber, plastic, or a combination of these materials.

Predicate Devices

• Becton Dickinson (B-D) Insyte I.V. Catheter (K971339)
• Becton Dickinson (B-D) Insyte (N) I.V. Catheter (K971339)
• Terumo Surflo I.V. Catheter (K891087)

Submission Summary (Full Text)

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JUN 16 1999

K99/406

## SUMMARY OF SAFETY AND EFFECTIVENESS INFORMATION PERTAINING TO SUBSTANTIAL EQUIVALENCE

Proprietary Device Name: TERUMO® SURFLO® FLEX I.V. Catheter TERUMO® SURFLASH™ I.V. Catheter, or similar proprietary name

Classification Name: Intravascular Catheter

### INTENDED USE

The TERUMO® SURFLO® FLEX I.V. Catheters and the TERUMO® SURFLASH™ I.V. Catheters are devices consisting of a slender, flexible, radio-opaque, plastic catheter with a hub that is inserted into the patient's vascular system for short term use to withdraw samples, administer fluid intravenously or through which to place monitoring equipment such as blood pressure monitors. The stainless steel cannula, placed in the catheter to maintain rigidity, is withdrawn after the catheter is placed in the vascular system.

#### DESCRIPTION

,

The TERUMO SURFLO FLEX I.V. CATHETER AND THE TERUMO SURFLASH I.V. CATHETER are sterile, single use devices consisting of a slender tube (catheter) made of polyurethane. The devices are inserted into the patient's vascular system for short-term use to withdraw samples, administer fluids intravenously, or through which to place monitoring equipment such as blood pressure monitors.

Each device consists of a catheter assembly-catheter, caulking pin, catheter hub; a needle assembly-cannula, needle hub; and a filter cap with an air filter

The catheters are made of polyurethane, which allows appropriate stiffness for proper insertions into the vein, and flexibility during retention in the vein. Each catheter contains barium sulfate radio-opaque stripes along the length of the catheter to allow radio detectability. A stainless steel caulking pin fastens the catheter to the catheter hub.

Each catheter hub is color coded according to the outside diameter as specified in ISO 10555-5, "Sterile, single-use intravascular catheters - Part 5: Over-needle peripheral catheters".

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The needle assembly has the same specifications as the Terumo® Surflo® I.V. Catheter, which is the subject of K891087. The transparent needle hubs permit flashback detection when the cannula enters the vessel.

The filter cap with an air filter is provided as a vent fitting.

The Terumo Surflo Flex I.V. Catheter is available in 14 sizes with different combinations of 6 catheter diameters and 5 catheter lengths (see following specifications table). The Terumo Surflash I.V. Catheter is available in 24G by 19mm currently. Additional sizes will be implemented at a later date.

The cannula of the Surflash I.V. Catheter are grooved from the heel of the cannula tip bevel to the end of the catheter tip, which allows flashback detection at the catheter tip after the catheter tip enters the vessel.

The only difference between the TERUMO SURFLO FLEX and the TERUMO SURFLASH I.V. catheters is the grooved cannula feature of the SURFLASH. All other specifications are the same.

## SPECIFICATIONS/DIMENSIONS

| Catheter gauge | Color code | Product code | Catheter length | Catheter O.D. | Catheter I.D. | Cannula gauge | Flow rate |
|----------------|-------------|--------------|-----------------|---------------|---------------|---------------|-----------|
| 14G | Orange | SR*OF1451 | 2" (51mm) | 2.17mm | 1.73mm | 16G | 316ml/min |
| | | SR*OF1464 | 2-1/2" (64mm) | | | | 282ml/min |
| 16G | Medium Grey | SR*OF1632 | 1-1/4"(32mm) | 1.70mm | 1.30mm | 18G | 202ml/min |
| | | SR*OF1651 | 2"(51mm) | | | | 184ml/min |
| | | SR*OF1664 | 2-1/2" (64mm) | | | | 177ml/min |
| 18G | Deep Green | SR*OF1832 | 1-1/4"(32mm) | 1.30mm | 0.95mm | 20G | 99ml/min |
| | | SR*OF1851 | 2" (51mm) | | | | 88ml/min |
| | | SR*OF1864 | 2-1/2" (64mm) | | | | 80ml/min |
| 20G | Pink | SR*OF2025 | 1"(25mm) | 1.10mm | 0.80mm | 22G | 73ml/min |
| | | SR*OF2032 | 1-1/4"(32mm) | | | | 67ml/min |
| | | SR*OF2051 | 2"(51mm) | | | | 59ml/min |
| 22G | Deep Blue | SR*OF2225 | 1"(25mm) | 0.85mm | 0.60mm | 24G | 38ml/min |
| | | SR*OF2232 | 1-1/4"(32mm) | | | | 30ml/min |
| 24G | Yellow | SR*OF2419 | 3/4" (19mm) | 0.67mm | 0.47mm | 27G | 15ml/min |

SURFLO FLEX Specification

SURFLASH Specification

| Catheter gauge | Color code | Product code | Catheter length | Catheter O.D. | Catheter I.D. | Cannula gauge | Flow rate |
|----------------|------------|--------------|-----------------|---------------|---------------|---------------|-----------|
| 24G | Yellow | SR*FF2419 | 3/4" (19mm) | 0.67mm | 0.47mm | 27G | 15ml/min |

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### SUBSTANTIAL EQUIVALENCE

The TERUMO® SURFLO® FLEX I.V. Catheters and the TERUMO® SURFLASH™ I.V. Catheters, submitted in this 510k, are substantially equivalent in intended use, design, technology/principles of operation, materials and performance to the cleared Becton Dickinson (B-D®) Insyte® I.V. Catheter and the B-D Insyte (N) I.V. Catheter, which are the subject of K971339 (unable to confirm); and to the Terumo® Surflo® I.V. Catheter which is the subject of K891087.

## PRINCIPLE OF OPERATION/TECHNOLOGY

The Terumo SURFLO FLEX and SURFLASH I.V. catheters, the B-D® Insyte and Insyte (N) I.V. catheters, and the Terumo Surflo I.V. catheters are all operated manually .

| COMPONENT | PROPOSED<br>(SURFLO FLEX &<br>SURFLASH) | PREDICATE<br>TERUMO SURFLO | PREDICATE INSYTE<br>& INSYTE (ND) |
|------------------------|-----------------------------------------|----------------------------|-----------------------------------|
| Cannula | Stainless steel | Stainless steel | Stainless steel |
| Catheter | Polyurethane | Teflon® | Polyurethane |
| Radio opaque<br>medium | Barium sulfate | Barium sulfate | Barium sulfate |
| Catheter hub | Polypropylene | Polypropylene | Unknown |
| Caulking pin | Stainless steel | Stainless steel | Unknown |
| Filter cap | Polystyrene | Polystyrene | Unknown |
| Air filter | Polyester | Polyester | Unknown |

#### MATERIALS

#### PERFORMANCE

The performance of the TERUMO® SURFLO® FLEX and the SURFLASH I.V. Catheters is equivalent to the performance of the cleared Becton-Dickinson® (B-D) Insyte® I.V. Catheter, the cleared Becton-Dickinson® (B-D) Insyte® (N) I.V. Catheter (K971339-unable to confirm), and the cleared Terumo Medical Corporation Surflo I.V. Catheter (K891087).

2007 - 100 - 100 - 100

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The following tests were performed demonstrating the substantial equivalence of the TERUMO SURFLO FLEX and the SURFLASH I.V. Catheters submitted in this 510k to the B-D Insyte I.V. Catheter, the B-D Insyte (N) I.V. Catheter and the Terumo Surflo I.V. Catheter.

- Catheter body tensile strength (force at break of catheter) 1.
- Stiffness 2.
- Elongation 3.
- Burst pressure 4.
- Collapse ડ.
- Flexural fatigue tolerance Q.
- Radio detectability 7.
- 8. Flow rate
- Corrosion resistance of caulking pin 9.
- 10. Catheter body to catheter hub tensile strength (force at break of catheter/hub)
- 11. Catheter/needle attachment (fitting strength)
- 12. Vent fitting
- 13. Detection of flashback at catheter tip and needle hub
- 14. Detection of flashback at needle hub
- 15. Strength of union between needle hub and needle

#### ADDITIONAL SAFETY INFORMATION

The sterility of the product is assured using a sterilization method validated in accordance with the European Standard, EN 550 (1994): "Sterilization of Medical Devices - Validation and Routine Control of Ethylene Oxide Sterilization", to provide a sterility assurance level (SAL) of 10°.

Ethylene oxide residual levels resulting from EtO sterilization will not exceed the maximum residue levels proposed in the Federal Register Notice issued June 23, 1978, and indicated as follows:

| Ethylene oxide | 25 ppm |
|----------------------|---------|
| Ethylene chlorhydrin | 25 ppm |
| Ethylene glycol | 250 ppm |

Manufacturing test methods include functional, chemical stability and sterility tests.

Blood contacting materials were tested in accordance with the tests recommended in FDA General Program Memorandum #G95-1 (5/1/95): Use of International Standard AAMI/ANSI/ISO 10993-1, "Biological Evaluation of Medical Devices Part 1: Guidance on Selection of Tests".

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The SURFLO FLEX and SURFLASH I.V. Catheters are classified as external communicating device, circulating blood, prolonged exposure (24 hrs to 30 days).

The expiration dating for the TERUMO® SURFLO® FLEX and the TERUMO® SURFLASH™ will be 60 months.

#### CONCLUSION

The TERUMO® SURFLO® FLEX I.V. Catheters and the TERUMO® SURFLASH™ I.V. Catheters, submitted in this 510k, are substantially equivalent in intended use, design, technology/principles of operation, materials and performance to the cleared Becton Dickinson (B-D®) Insyte® I.V. Catheter and the B-D Insyte (N) I.V. Catheter, which are the subject of K971339 (unable to confirm); and to the Terumo® Surflo® I.V. Catheter which is the subject of K891087. Differences between the devices cited in this section are not significant and do not raise any new issues of safety or effectiveness.

Terumo's statement that these devices are substantially equivalent to any other device is done solely to comply with the requirements of the Federal Food, Drug and Cosmetic Act and is not intended whatsoever to be the basis for a patent infringement action.

| Date Prepared | April 19, 1999 |
|---------------|--------------------------------------------------------------------------------------------------------------------------------------|
| Prepared by | Kristine Wagner<br>Regulatory Affairs Specialist |
| Prepared for | Terumo Medical Corporation<br>125 Blue Ball Road<br>Elkton, MD 21921<br>Phone [phone] or [phone]<br>Fax [phone] |

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Image /page/5/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is a circular emblem with the department's name encircling an abstract symbol. The symbol resembles a stylized caduceus, featuring a staff with three intertwined snakes. The logo is rendered in black and white.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUN 1 6 1999

Ms. Kristine Wagner Regulatory Affairs Specialist Terumo Medical Corporation Requlatory Affairs Department 125 Blue Ball Road Elkton, Maryland 21921

Re : K991406 TERUMO® SURFLO® FLEX I.V. CATHETER and Trade Name: TERUMO® SURFLASH™ I.V. CATHETER Requlatory Class: II FOZ Product Code: Dated: April 19, 1999 Received: April 22, 1999

Dear Ms. Wagner:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to 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). 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 devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Requlations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the Good Manufacturing Practice for Medical Devices: General (GMP) requlation (21 CFR Part 820) and that, through periodic GMP inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory action. In addition, FDA may publish further announcements concerning your device in the Federal Reqister.

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Page 2 - Ms. Wagner

this response to your premarket notification Please note: 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.

This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling requlation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at [phone]. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at [phone]. Also, please note the regulation entitled, "Misbranding by reference to
premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number [phone] or [phone] or at its internet address "http://www.fda.gov/cdrh/dsmamain.html".

Sincerely yours,

Timothy A. Ulatowski

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

Enclosure

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# 510(k) Number (if known): K991406

#### TERUMO® SURFLO® FLEX I.V. CATHETER and TERUMO® Device Name: SURFLASH I.V. CATHETER

## Indications For Use:

The TERUMO® SURFLO® FLEX I.V. Catheters and the TERUMO® SURFLASH™ I.V. Catheters are devices consisting of a slender, flexible, radioopaque, plastic catheter with a hub. The plastic catheter is inserted into the patient's vascular system for short term use to withdraw samples, administer fluid intravenously or through which to place monitoring equipment such as blood pressure monitors. The stainless steel cannula, placed in the catheter to maintain rigidity, is withdrawn after the catheter is placed in the vascular system.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Patrice Cucenti

**Prescription Use** X
(Per 21 CFR 801.109)

Over-The-Counter Use