Yikang Latex Foley Catheter
Device Facts
| Record ID | K173340 |
|---|---|
| Device Name | Yikang Latex Foley Catheter |
| Applicant | Jiangxi Yikang Medical Instrument Group Co., Ltd. |
| Product Code | EZL · Gastroenterology, Urology |
| Decision Date | Jul 13, 2018 |
| Decision | SESE |
| Submission Type | Traditional |
| Regulation | 21 CFR 876.5130 |
| Device Class | Class 2 |
| Attributes | Therapeutic, Pediatric |
Indications for Use
The YiKang Latex Foley Catheter is intended to be placed in the bladder, through the urethra, to drain urine and other fluids from the urinary bladder.
Device Story
Flexible tubular device inserted through urethra into bladder; used for urine drainage or bladder irrigation. Consists of shaft with eyelets, balloon, drainage funnel, inflation funnel, and irrigation funnel (3-way models). Balloon inflated with sterile water to retain catheter in bladder; valve controls inflation/deflation. Manufactured from natural latex with silicone elastomer coating. Supplied in French sizes 6Fr to 30Fr. Single-use; ethylene oxide sterilized. Used in clinical settings by healthcare providers to manage urinary drainage.
Clinical Evidence
Bench testing only. Performance testing conducted per ASTM F623-99 (Reapproved 2013) included flow rate, balloon integrity, traction response, volume maintenance, sizing, and deflation reliability. Biocompatibility testing (cytotoxicity, sensitization, irritation) performed per ISO 10993-1. All results met acceptance criteria.
Technological Characteristics
Natural latex shaft with silicone elastomer coating. 2-way and 3-way configurations. Sizes 6Fr-30Fr. Balloon volumes 3cc, 5cc, 30cc. Ethylene oxide sterilization (ISO 11135). Complies with ASTM F623-99 for performance and ISO 10993-1 for biocompatibility.
Indications for Use
Indicated for pediatric, male, and female patients requiring urinary bladder drainage or irrigation.
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
- Medline Latex Foley Catheter (K071423)
Submission Summary (Full Text)
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July 13, 2018
Jiangxi Yikang Medical Instrument Group Co., LTD. Nicholas Su Regulatory Affairs Specialist No.188 LiduAihua Ave., Jinxian County Nanchang, Jiangxi 331725 China
Re: K173340
Trade/Device Name: YiKang Latex Foley Catheter Regulation Number: 21 CFR& 876.5130 Regulation Name: Urological Catheter and Accessories Regulatory Class: II Product Code: EZL Dated: June 8, 2018 Received: June 13, 2018
Dear Nicholas Su:
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 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.
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 (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).
Sincerely,
# Glenn B. Bell -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
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# Indications for Use
510(k) Number (if known) K173340
Device Name YiKang Latex Foley Catheter
Indications for Use (Describe)
The YiKang Latex Foley Catheter is intended to be placed in the bladder, through the urethra, to drain urine and other fluids from the urinary bladder.
| Type of Use (Select one or both, as applicable) | |
|----------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------|
| <div> <span> <span style="font-size: 16px;">☑</span> Prescription Use (Part 21 CFR 801 Subpart D) </span> </div> | <div> <span>☐ Over-The-Counter Use (21 CFR 801 Subpart C)</span> </div> |
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| | Jiangxi Yikang Medical Instrument Group Co., LTD.<br>No.188 LiduAihua Ave., Jinxian County,<br>Nanchang, Jiangxi, China 331725<br>Tel: +86-791-85632226<br>Fax: +86-791-85632226 |
|---------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| | 510(k) Summary |
| | (as requested by 21 CFR 807.92) |
| Submitter / 510(k) owner: | Jiangxi Yikang Medical Instrument Group Co., LTD.<br>Address: No.188 LiduAihua Ave., Jinxian County, Nanchang<br>Jiangxi, China 331725<br>Tel: +86-791-85632226<br>Fax: +86-791-85632226 |
| Contact Person: | Nicholas Su<br>Regulatory Affairs Specialist<br>E-mail: andy_smith@yeah.net |
| Summary Date: | September 20th, 2017 |
| Proposed Device: | Device Name: YiKang Latex Foley Catheter<br>Common Name: Urological catheter<br>Classification Name: Urological catheter and accessories<br>Product Code: EZL<br>Regulation Number: 876.5130<br>Device Class: 2 |
#### Legally marketed predicate device to which substantial equivalence is claimed:
- Medline Latex Foley Catheter, k071423 ●
#### Device Description
The YiKang Latex Foley Catheter is a flexible tubular device that is passed through the urethra into the bladder to drain urine and other fluids from the urinary bladder. The catheter is manufactured from natural latex, consists of a shaft with eyelets near the tip, balloon, drainage funnel, inflation funnel, irrigation funnel (only for 3-way) and valve. The evelets allow for drainage of urine from the tip of the catheter through the drainage lumen. The balloon once inflated with sterile water retains the catheter within the bladder. The valve allows for inflation and deflation of the balloon.
The YiKang Latex Foley Catheter offers various balloon volumes and shaft sizes to accommodate pediatric and adult use, it is supplied in French size ranging from 6Fr to 30Fr and balloon size 3cc(ml), the 6Fr, 8Fr and 10Fr are for pediatric use, remaining size for
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Image /page/4/Picture/1 description: The image shows a circular emblem with a Chinese character inside. The character is complex and stylized, filling most of the circle's interior. The emblem has a thick border, and the character appears to be calligraphic in style. The overall design is traditional and likely represents a word or concept with cultural significance.
Jiangxi Yikang Medical Instrument Group Co., LTD.
No.188 LiduAihua Ave., Jinxian County, Nanchang, Jiangxi, China 331725 Tel: +86-791-85632226 Fax: +86-791-85632226
adult use. The YiKang Latex Foley Catheter consists of two types (2-way & 3-way) of devices. Two-way catheters are used for urological bladder drainage only. Three-way Foley catheters offer the option of irrigating the bladder through a 3rd lumen.
The catheter is coated with a silicone elastomer through a dipping process. The product is individually packaged with a sterile barrier pouch which is produced of plastic film plus paper through heat sealing. The product is ethylene oxide sterilized (per ISO11135), the catheter is for single use.
# Indications for Use
The YiKang Latex Foley Catheter is intended to be placed in the bladder, through the urethra, to drain urine and other fluids from the urinary bladder.
| Description | Proposed Device | Predicate Device |
|---------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Name | YiKang Latex Foley Catheter | Medline Latex Foley Catheter |
| Intended use | The YiKang Latex Foley<br>Catheter is intended to be<br>placed in the bladder, through<br>the urethra, to drain urine and<br>other fluids from the urinary<br>bladder. | The Medline Foley Catheter is<br>intended to be used as a<br>urological catheter inserted<br>through the urethra for the<br>purpose of drainage urine and<br>other fluids from the urinary tract. |
| Patient population | Male, female and pediatric | Male, female and pediatric |
| Type | 2-way & 3-way | 2-way & 3-way |
| Size(Fr) | • Pediatric (6-10)<br>• Male/Female (12-30) | • Pediatric (6-10)<br>• Male/Female (12-30) |
| Balloon capacity | 3cc, 5cc, 30cc | 3cc, 5cc, 30cc |
| Operation principle | • 2-way<br>Insert through urethra to drain<br>urine<br>• 3-way<br>Insert through urethra to drain<br>urine, meanwhile offer the option<br>of irrigating the bladder | • 2-way<br>Insert through urethra to drain<br>urine<br>• 3-way<br>Insert through urethra to drain<br>urine, meanwhile offer the option<br>of irrigating the bladder |
| Material | Natural latex | Natural latex |
| Coating | Silicone | Silicone |
### Substantial Equivalence
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Image /page/5/Picture/1 description: The image shows a black and white circular emblem. The emblem contains a complex design of lines and shapes, resembling stylized characters or symbols. The design is enclosed within a thick, dark border, giving it a distinct and defined appearance.
Jiangxi Yikang Medical Instrument Group Co., LTD.
No.188 LiduAihua Ave., Jinxian County, Nanchang, Jiangxi, China 331725 Tel: +86-791-85632226 Fax: +86-791-85632226
| Labeling | Comply with 21CFR 801 | Comply with 21CFR 801 |
|------------------|--------------------------|--------------------------|
| Performance | Comply with ASTM F623-99 | Comply with ASTM F623-99 |
| Biocompatibility | Comply with ISO10993-1 | Comply with ISO10993-1 |
| Sterility | Sterile and SAL=10-6 | Sterile and SAL=10-6 |
| Single use | Yes | Yes |
Based on the comparison of intended use, design, material, operation principle, and performance, our YiKang Latex Foley Catheter is substantial equivalent to its predicate device which approved by FDA under k071423.
# Summary of Performance testing
Performance testing have been conducted on YiKang Latex Foley Catheters per ASTM F623-99 (Reapproved 2013), and all the testing results meet requirements of ASTM F623-99 (Reapproved 2013) and defined acceptance criteria. Detailed testing conducted as follows:
- . Flow Rate through Drainage Lumen
- Balloon Integrity (Resistance to Rupture) ●
- . Inflated Balloon Response to Traction
- . Balloon Volume Maintenance
- . Balloon Size and Shaft Size
- Deflation Reliability (Failure to Deflate) .
# Biocompatibility
The YiKang Latex Foley Catheter passed biocompatibility testing of cytotoxicity, sensitization and irritation per ISO10993-1.
