K192577 · B.Braun Medical, Inc. · GBM · May 7, 2020 · Gastroenterology, Urology
Device Facts
Record ID
K192577
Device Name
Actreen Hi-Lite Intermittent Urinary Catheters
Applicant
B.Braun Medical, Inc.
Product Code
GBM · Gastroenterology, Urology
Decision Date
May 7, 2020
Decision
SESE
Submission Type
Special
Regulation
21 CFR 876.5130
Device Class
Class 2
Attributes
Therapeutic, Pediatric
Indications for Use
Actreen® Hi-Lite Intermittent Urinary Catheters are indicated for intermittent urinary catheterization by adult and pediatric patients with chronic urine retention or voiding dysfunction.
Device Story
Flexible tubular device; inserted through urethra to drain urine from bladder. Features hydrophilic lubrication; pre-lubricated for immediate use. Designed for single-use; facilitates no-touch access for patients with limited dexterity. Available in 7.5-inch length; French gauge sizes 6-16; straight tip. Used by patients or caregivers in home or clinical settings. Benefits include ease of use and reduced friction during insertion.
Clinical Evidence
Bench testing only. Biocompatibility testing performed per ISO 10993-1:2009. Design verification performance testing performed per EN 1616:1997.
Technological Characteristics
Thermoplastic polyolefin (TPO) catheter tubing; hydrophilic lubricant; EVA connector; acrylate/cyanoacrylate glue. 7.5-inch length; French gauges 6-16; straight tip. Sterilized via Beta Irradiation (E-beam).
Indications for Use
Indicated for intermittent urinary catheterization in adult and pediatric patients with chronic urine retention or voiding dysfunction.
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).
{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 seal of the Department of Health & Human Services. To the right of that is the FDA logo in blue, with the words "U.S. FOOD & DRUG" stacked on top of the word "ADMINISTRATION".
May 7, 2020
B. Braun Medical, Inc. Ms. Anita J. Nemeth Senior Regulatory Affairs Analyst 901 Marcon Boulevard Allentown, PA 18109
Re: K192577
> Trade/Device Name: Actreen® Hi-Lite Intermittent Urinary Catheters Regulation Number: 21 CFR§ 876.5130 Regulation Name: Urological Catheter and Accessories Regulatory Class: II Product Code: GBM Dated: April 6, 2020 Received: April 6, 2020
Dear Ms. Nemeth:
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. 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 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/combination-products/guidance-regulatoryinformation/postmarketing-safety-reporting-combination-products); 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 https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.
For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/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-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).
Sincerely,
Purva Pandya Acting Assistant Director DHT3B: Division of Reproductive, Gynecology and Urology Devices OHT3: Office of GastroRenal, ObGyn, General Hospital and Urology Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health
Enclosure
{2}------------------------------------------------
# Indications for Use
510(k) Number (if known)
K192577
Device Name
Actreen® Hi-Lite Intermittent Urinary Catheters
Indications for Use (Describe)
Actreen® Hi-Lite Intermittent Urinary Catheters are indicated for intermittent urinary catheterization by adult and pediatric patients with chronic urine retention or voiding dysfunction.
Type of Use (Select one or both, as applicable)
| Prescription Use (Part 21 CFR 201 Subpart D) | <span></span> |
|----------------------------------------------|---------------|
| Over-The-Counter Use (21 CFR 201 Subpart C) | <span></span> |
X 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."
{3}------------------------------------------------
#### 5. 510(k) SUMMARY
| DATE: | September 18, 2019 |
|---------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| SUBMITTER: | B. Braun Medical Inc.<br>901 Marcon Boulevard<br>Allentown, PA 18109-9341<br>610-266-0500 |
| | Contact: Anita J. Nemeth<br>Phone: (610) 596-2581<br>Fax: (610) 266-4962<br>E-mail: anita.nemeth@bbraunusa.com |
| DEVICE NAME: | Actreen® Hi-Lite Intermittent Urinary Catheters |
| COMMON NAME: | Intermittent Urinary Catheter |
| DEVICE<br>CLASSIFICATION: | 21 CFR §876.5130, Class II<br>Urological Catheter and Accessories<br>Classification Product Code: GBM |
| PREDICATE DEVICE: | 510(k) Number: K180801<br>Device Name: Actreen® Hi-Lite Intermittent Urinary<br>Catheters Classification Product Code: GBM<br>Regulation Number: §876.5130, Class II<br>Applicant: B. Braun Medical Inc. |
### DESCRIPTION OF THE DEVICE SUBJECT TO PREMARKET NOTIFICATION
The proposed B. Braun Actreen® Hi-Lite Intermittent Urinary Catheter devices are flexible tubular devices that are inserted through the urethra and used to pass fluids from the urinary tract. These Actreen® Hi-Lite Intermittent Urinary Catheters are offered in a 7.5 inch length with a variety of French gauge sizes ranging from 6-16 with a straight tip. The outer packaging was designed to facilitate easier, no touch access for those with limited dexterity, while the hydrophilic lubrication makes this single use catheter ready to use.
### INDICATIONS FOR USE
Actreen® Hi-Lite Intermittent Urinary Catheters are indicated for intermittent urinary catheterization by adult and pediatric patients with chronic urine retention or voiding dysfunction.
{4}------------------------------------------------
# SUBSTANTIAL EQUIVALENCE
The proposed 7.5 inch Actreen® Hi-Lite Intermittent Urinary Catheters are substantially equivalent to the Actreen® Hi-Lite Intermittent Urinary Catheters (K180801) predicate device having the same intended use, technological properties, and performance.
The 7.5 inch Actreen® Hi-Lite Intermittent Urinary Catheters differ from the predicate device in that the proposed Actreen® Hi-Lite Intermittent Urinary Catheters are available in a shorter length, an additional gauge size and only the straight tip configuration. The predicate device is offered in a 14.5 inch catheter tube length with French gauge sizes ranging from 8-18 and straight or curved tip configurations, whereas the proposed device is offered in a 7.5 inch catheter tube length with a straight tip and French gauge sizes ranging from 6-16. Additionally, the predicate device offered a set option designed with a pre-attached urine collection bag, while the proposed device is available with the catheter only at this time.
### Intended Use
The 7.5 inch Actreen® Hi-Lite Intermittent Urinary Catheters have the same intended use as the predicate devices. Both the proposed devices and the predicate devices are intended for intermittent urinary catheterization by adult and pediatric patients.
### Technical Characteristics
The predicate and proposed devices are comprised of the same materials. They include the same components, the same design and have the same technological characteristics. Both are made of thermoplastic polyolefin (TPO) catheter tubing which is pre-lubricated with a hydrophilic lubricant, and include smooth, oval eyelets designed to minimize friction. The proposed Actreen® Hi-Lite Intermittent Urinary Catheters are available in similar gauge sizes with a shorter length than the predicate Actreen® Hi-Lite Intermittent Urinary Catheters.
### Performance Data
Biocompatibility and design verification performance testing were performed which support substantial equivalence of the subject devices to the predicate devices. Biocompatibility testing was performed in accordance with ISO 10993-1: 2009. Design verification performance testing was performed according to EN 1616: 1997 Sterile Urethral Catheters for Single Use.
{5}------------------------------------------------
Table 5.1 summarizes the comparison of the proposed Actreen® Hi-Lite Intermittent Urinary Catheters and the predicate Actreen® Hi-Lite Intermittent Urinary Catheters.
| Table 5.1 Device Comparison Table | | |
|----------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Item | Proposed Device: KXXXXXX<br>Product code: GBM | Predicate Device: K180801<br>Product code: GBM |
| | Actreen® Hi-Lite Cath | Actreen® Hi-Lite Cath<br>Actreen® Hi-Lite Set |
| Intended Use | Intermittent urinary catheterization | Intermittent urinary catheterization |
| Indications for<br>Use | Actreen® Hi-Lite Intermittent Urinary Catheters are<br>indicated for intermittent urinary catheterization<br>by adult and pediatric patients with chronic urine<br>retention or voiding dysfunction. | Actreen® Hi-Lite Intermittent Urinary Catheters are<br>indicated for intermittent urinary catheterization by<br>adult and pediatric patients with chronic urine<br>retention or voiding dysfunction. |
| Description | The Actreen® Hi-Lite Catheters are sterile, single<br>use, disposable catheters designed for use by male<br>or female patients.<br>Once removed from the package, the catheters are<br>ready to use and are pre-lubricated with a<br>hydrophilic lubrication. They are available in one<br>length, with a straight tip configuration only,<br>which accommodates both male and female users.<br>The catheter is available in six gauges sizes.<br>There is no set available at this time. | The Actreen® Hi-Lite Cath and Actreen® Hi-Lite Set<br>are sterile, single use, disposable catheters designed<br>for use by male or female patients.<br>Once removed from the package, the catheters are<br>ready to use and are pre-lubricated with a hydrophilic<br>lubrication. They are available in one length, with a<br>straight or curved tip configuration to accommodate<br>the individual anatomy of both male and female users.<br>The catheter is available in six gauges sizes, while the<br>set is available in five gauge sizes. The Actreen® Hi-<br>Lite Set includes a pre-attached urine collection bag. |
| Dimensions | Catheter: 7.5 inch straight tip catheter tube<br>length,<br>French gauge sizes 06, 08, 10, 12, 14, 16 | Catheter: 14.5 inch straight or curved tip<br>catheter tube length,<br>French gauge sizes 08, 10, 12, 14, 16, 18<br>Set: 14.5 inch straight or curved tip catheter<br>tube length,<br>French gauge sizes 10, 12, 14, 16, 18<br>Actreen® Hi-Lite Set urine collection bag<br>volume: 1000mL |
| Materials | Catheter tube : Thermoplastic Polyolefin (TPO)<br>Lubricant : hydrophilic lubricant<br>Connector : EVA<br>Connector glue : Acrylate UV or<br>Cyanoacrylate<br>Actreen® Hi-Lite Cath primary packaging :<br>Polyethylene, Polypropylene | Catheter tube : Thermoplastic Polyolefin (TPO)<br>Lubricant : hydrophilic lubricant<br>Connector : EVA<br>Connector glue : Acrylate UV or<br>Cyanoacrylate<br>Actreen® Hi-Lite Cath primary packaging :<br>Polyethylene, Polypropylene<br>Actreen® Hi-Lite Set primary packaging and<br>collection bag : Polyethylene, Polypropylene |
| General<br>Performance<br>Requirements | EN 1616: 1997 - Sterile Urethral Catheters for<br>Single Use. | EN 1616: 1997 - Sterile Urethral Catheters for<br>Single Use. |
| Biocompatibility | In accordance with ISO 10993-1: 2009<br>Classification: surface-contacting devices -<br>mucosal membrane<br>Contact Duration: prolonged exposure and a<br>duration of use greater than 24 hours but less<br>than 30 days. | In accordance with ISO 10993-1: 2009<br>Classification: surface-contacting devices -<br>mucosal membrane<br>Contact Duration: prolonged exposure and a<br>duration of use greater than 24 hours but less<br>than 30 days. |
| Sterilization<br>Process | Beta Irradiation (E-beam) | Beta Irradiation (E-beam) |
{6}------------------------------------------------
# CONCLUSION
Results of biocompatibility and performance testing conducted on the proposed Actreen® Hi-Lite Intermittent Urinary Catheters demonstrate that they are substantially equivalent to the predicate device.
Two short videos show you everything — or skip straight to the written tutorial if you'd rather read. You can reopen this any time from the Tutorial button in the top bar.
Part 1 — Search, results, and everyday workflows 16 min
Part 2 — Embeddings: the galaxy map 3 min
1. Search: exact and fuzzy
Type a phrase like "coronary artery calcification" into the search box. You get two kinds of results. Exact results match the literal phrase — prefix searches work ("coronary artery calcificati") but suffix searches do not. Fuzzy results match on the meaning and intent of your phrase rather than the exact words, and are sorted by relevance score. Hover over the Exact or Fuzzy badge on any row to see exactly why it matched.
Use the checkboxes above the results to narrow: SaMD keeps only software-only devices, AI / ML keeps only devices with AI.
Exact vs. fuzzy search: what's the difference?
Exact matches on the literal phrase (prefix search works, suffix does not). Fuzzy matches on the meaning and intent of the phrase rather than the exact words. Hover over the badge on any row to see why it matched.
You search "coronary artery calcification" and want only software devices with AI. What two filters do you apply?
Narrow by SaMD (software-only devices), then narrow by AI/ML (devices with AI).
2. The results table
Scroll right in the results table. The intended use is extracted for you — no need to open the PDF. The device story gives a high-level snapshot of what the device does and how it's used. The AI Performance sub-table shows each output name, acceptance criteria, observed values, and development/test dataset descriptions — the same format Innolitics uses for regulatory strategy outputs, and the fastest high-level fingerprint of an AI device. It is AI-generated but has been very reliable in practice.
Where do you find a device's intended use without opening the PDF?
Scroll right in the search results table. The intended use column is extracted for you; no need to dig into the 510(k) summary PDF.
What does the AI Performance sub-table show, and why is it useful?
Output name, acceptance criteria, observed values, development dataset description, and test dataset description. It's the same format we use for regulatory strategy output and Fast 510(k) input, and the fastest high-level fingerprint of an AI device. AI-generated but reliable in practice.
3. Judging fuzzy relevance
Fuzzy results trail off in relevance as you scroll. Use three signals to decide how far down to go: the fuzzy badge explanations, the intended use column, and whether your target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, you're past the relevant zone. A top hit with a low score (~0.4) and a stretched explanation is a hint the closest predicates are far away — the project may be headed for De Novo. Note the fuzzy search is a pattern match: it doesn't handle negation ("not") well, and hardware devices can appear — filter by SaMD/AI ML to cut them.
How do you judge how far down fuzzy search results to go?
Use the relevancy signals: the fuzzy badge explanations, the intended use column, and whether the target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, results are trailing off in relevancy.
4. Device detail page: chat and citations
Click a device name to open its detail page: device facts on the left, a chat window on the right. Ask something like "Describe the training data". The answer carries little citation bubbles — click one to jump to the highlighted passage in the source PDF, so you can verify every AI answer against the document. There's also a Download PDF button for sharing.
How do you verify an AI chat answer on the device detail page?
Click the citation bubbles to jump to the relevant highlight in the source document.
Reading rule for every project: how many summaries do you read in full?
At least the three most relevant 510(k) or De Novo summaries, in full. After that, use targeted chat questions to confirm your memory quickly. The tool supports this professional habit — it doesn't replace it.
5. Side-by-side comparison
Select multiple rows in the results table (aim for under ~10), then open the PDF Viewer tab. Ask one question — it goes to all selected devices in parallel, each with citations. This is the fastest way to compare and contrast devices: training data, PCCP scope, how they handled adding new scanners, and so on.
What does the side-by-side PDF viewer mode do?
Select multiple devices, open the PDF viewer tab, and ask one question (e.g., "Describe the training data"). It queries all selected devices simultaneously with citations, so you can compare and contrast quickly.
6. Collections
With rows selected, go to the Collections tab and create a labeled collection (e.g., "Cobb Angle Project"). Reload that selection any time — before a client call, pull up the collection and ask questions across all of its devices at once.
How do you save a set of selected devices for later use?
Select the rows, go to the Collections tab, and create a labeled collection (e.g., "Cobb Angle Project"). You can reload the selection anytime and carry it into the PDF viewer and other tabs that support selections.
7. Product codes and the regulations tree
Click a product code in the results to jump to it in the regulations tree — identification text, sibling product codes, and devices you can open in a PDF viewer on the right. Click a regulation number to see its identification, special controls, and related product codes. You can also search by product code or regulation number at the top of the tree. Always read the special controls if any exist for your device — it broadens your search and sharpens pre-kickoff research.
What can you do from the regulations tree view?
Browse product codes and regulation numbers, read the identification text and special controls, browse sibling product codes, open device PDFs on the right, and search by product code or regulation number at the top of the tree.
8. Chart view
Click Show Chart and segment by regulation number (or product code) to see which regulations dominate your result set. Clicking a regulation takes you into the regulations tree. Great for spotting that most matches are, say, hardware laparoscopic devices — a cue to go back and filter.
How do you see which regulations dominate a search result set?
Click "Show Chart" and segment by Regulation Number. Clicking a regulation takes you to the regulations tree.
9. The predicate graph
Open the Predicates tab for a family-tree view of predicate relationships. Click a node to trace its parents and children; selections from search carry over pre-selected. Commonly predicated devices are worth reading — a lot of people predicated them for a reason. The visual lineage is also handy on client calls, e.g. to show how a predicate family evolved and justify why your predicate still holds.
In the predicate graph, why are commonly predicated devices worth reading?
A lot of people predicated them for a reason. Clicking a node traces parents and children, and selections from search carry over pre-selected.
10. Embeddings: the galaxy map
The Embeddings tab plots every matching document in a 2-D "galaxy map" where semantically similar devices cluster together. Hover or click clusters to explore, and let AI label the clusters for you. Embeddings beat product codes for grouping: two devices can carry different product codes (LLZ vs. QIH) yet do the same thing — the embedding captures the meaning of the intended use and device story. This is also exactly how retrieval-augmented generation (RAG) works under the hood, and it makes a great visual on client calls.
Try it yourself
Head to the search page and work through a few of these AI/ML fuzzy searches to build intuition: perivascular fat on CT · aortic valve calcification opportunistic screening on noncontrast CT · breast cancer prediction on digital pathology slides · autism detection · gestational age prediction · a hearing aid that can also detect a pulse · foundation model based analysis of ECG · large language models · penetration test. Watch how the relevance scores, intended use, and AI Performance tables tell you when results stop being meaningful.