Gastroenterology, Urology

KDJ · Set, Administration, For Peritoneal Dialysis, Disposable

Gastroenterology, Urology · 21 CFR 876.5630 · Class 2

Overview

Product CodeKDJ
Device NameSet, Administration, For Peritoneal Dialysis, Disposable
Regulation21 CFR 876.5630
Device ClassClass 2
Review PanelGastroenterology, Urology
Life-SustainingYes

Identification

(1) A peritoneal dialysis system and accessories is a device that is used as an artificial kidney system for the treatment of patients with renal failure or toxemic conditions, and that consists of a peritoneal access device, an administration set for peritoneal dialysis, a source of dialysate, and, in some cases, a water purification mechanism. After the dialysate is instilled into the patient's peritoneal cavity, it is allowed to dwell there so that undesirable substances from the patient's blood pass through the lining membrane of the peritoneal cavity into this dialysate. These substances are then removed when the dialysate is drained from the patient. The peritoneal dialysis system may regulate and monitor the dialysate temperature, volume, and delivery rate together with the time course of each cycle of filling, dwell time, and draining of the peritoneal cavity or manual controls may be used. This generic device includes the semiautomatic and the automatic peritoneal delivery system.(2) The peritoneal access device is a flexible tube that is implanted through the abdominal wall into the peritoneal cavity and that may have attached cuffs to provide anchoring and a skin seal. The device is either a single use peritioneal catheter, intended to remain in the peritoneal cavity for less than 30 days, or a long term peritoneal catheter. Accessories include stylets and trocars to aid in the insertion of the catheter and an obturator to maintain the patency of the surgical fistula in the abdominal wall between treatments. (3) The disposable administration set for peritoneal dialysis consists of tubing, an optional reservoir bag, and appropriate connectors. It may include a peritoneal dialysate filter to trap and remove contaminating particles. (4) The source of dialysate may be sterile prepackaged dialysate (for semiautomatic peritoneal dialysate delivery systems or “cycler systems”) or dialysate prepared from dialysate concentrate and sterile purified water (for automatic peritoneal dialysate delivery systems or “reverse osmosis” systems). Prepackaged dialysate intended for use with either of the peritoneal dialysate delivery systems is regulated by FDA as a drug.

Classification Rationale

Class II (special controls). The following accessories are exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 876.9: A catheter finger grip that is non-patient contacting and intended for single use with a peritoneal catheter; a continuous ambulatory peritoneal dialysis (CAPD) belt; and a catheter stand that does not include weigh scales.

Special Controls

*Classification.* Class II (special controls). The following accessories are exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 876.9: A catheter finger grip that is non-patient contacting and intended for single use with a peritoneal catheter; a continuous ambulatory peritoneal dialysis (CAPD) belt; and a catheter stand that does not include weigh scales.

Cleared Devices (113)

RecordDevice NameApplicantDecision DateDecision
K250404stay•safe® catheter extension set with Safe- Lock, 12 inch; stay•safe® catheter extension set with Luer-Lock, 6 inch; stay•safe® catheter extension set with Luer-Lock, 12 inch; stay•safe® catheter extension set with Luer-Lock, 18 inch; stay•safe® to Luer-Lock Adapter, 4 inchFresenius Medical Care Renal Therapies Group, LLCApr 3, 2025SESE
K231849MiniCap Extended Life PD Transfer Set with Twist Clamp - Code 5C4482A; MiniCap Extended Life PD Transfer Set with Twist Clamp - Extra Short - Code 5C4483Baxter HealthcareMar 12, 2024SESE
K21401615L Cycler Drainage BagBaxter Healthcare CorporationMar 18, 2022SESE
K192705MiniCap Extended Life PD Transfer SetsBaxter HealthcareOct 25, 2019SESE
K173593stay•safe catheter extension set with Safe-Lock, 12 inch, stay•safe catheter extension set with Luer-Lock, 6 inch, stay•safe catheter extension set with Luer-Lock, 12 inch, stay•safe catheter extension set with Luer-Lock, 18 inch, stay•safe to Luer-Lock adapter, 4 inchFresenius Medical Care Renal Therapies Group, LLCMay 21, 2018SESE
K173651Multiple Tubing Segment Set with stay safe PIN Connectors, stay safe Drain SetFresenius Medical Care Renal Therapies Group, LLCFeb 14, 2018SESE
K173363Cycler Drain Bag SetFresenius Medical Care Renal Therapies Group, LLCJan 24, 2018SESE
K151620Firefly Peritoneal Dialysis Connector Disinfection SystemPuracath Medical, Inc.Jan 20, 2016SESE
K152675EXTENDED LIFE CAPD TRANSFER SET, PERITONEAL DIALYSIS TITANIUM CATHETER ADAPTER AND LOCKING CAP FOR TITANIUM CATHETER ADAPTERBaxter HealthcareOct 29, 2015SESE
K152129FlexiCap Disconnect Cap with Povidone-Iodine Solution, MiniCap with Povidone-Iodine SolutionBaxter Healthcare CorporationOct 29, 2015SESE
K124024APD LUER-LOCK ADAPTERFresensius Medical Care North AmericaSep 19, 2013SESE
K083542FRESENIUS STERILE STAY SAFE CAPFresenius Medical Care North AmericaDec 29, 2008SESE
K042900K.E.P. CONNECTOR AND CLIPK.E.P., LLCNov 5, 2004SESE
K041792FRESENIUS STAYSAFE PATIENT CONNECTORS, MODEL 050-87211Fresenius Medical Care North AmericaSep 24, 2004SESE
K031676HOMECHOICE APD SET WITH LINEO CONNECTOR, MODELS 5C4469Q, 5C4468Q, 5C4531Q, 5C8302Q, 5C4599QBaxter Healthcare CorpNov 20, 2003SESE
K022412FRESENIUS CAPD STAY.SAFE DISPOSABLE ADMINISTRATION SETS WITH STAY.SAFE CONNECTORFresenius Medical Care North AmericaMar 5, 2003SESE
K974387PDM3 DISINFECTION SYSTEM FOR PERITONEAL DIALYSIS EXCHANGES, PATIENT TRANSFER SET PTS102, CAP, HIGH TEMPERATUREMicrowave Medical Systems, Inc.Sep 1, 1999SESE
K972579HIGH DOSE DISCONNECT CAP AND MINICAP WITH POVIDONE-IODINE, HIGH DOSE DISCONNECT CAP WITH POVIDONE-IODINEBaxter Healthcare CorpOct 1, 1997SESE
K972731NEO-CARE PERITONEAL DIALYSIS ADMINISTRATION SETKlein-Baker Medical, Inc.Sep 29, 1997SESE
K963668MEDISYSTEMS PERITONEAL DIALYSIS SETSMedisystems Corp.Aug 15, 1997SESE
K961825ULTRASET/3L CAPD DISPOSABLE DISCONNECT Y-SET MODELS 5C4366 & 5C4493Baxter Healthcare CorpAug 6, 1996SESE
K945567QC CAPMedionics International, Inc.Feb 7, 1995SESE
K930843RAPID DISCONNECT Y-SET, CAT. NO. 48-7000National Medical Care, Medical Products Div., Inc.Aug 31, 1994SESE
K921818ABBOTT SMART CAPAbbott LaboratoriesMar 28, 1994SESE
K925403BAXTER APD 12' EXTENSION LINEBaxter Healthcare CorpFeb 22, 1994SESE
K921052FRESENIUS VARIABLE FILL MONITORFresenius USA, Inc.Feb 25, 1993SESE
K920586DEXTROLYTE II PERITONEAL DIALYSIS ADMIN. SETNational Medical Care, Medical Products Div., Inc.Sep 21, 1992SESE
K920029DEXTROLYTE II CAPD TRNSFER SETNational Medical Care, Medical Products Div., Inc.Sep 21, 1992SESE
K915628DEXTROLYTE II PERITONEAL DIALYSIS PUMPNational Medical Care, Medical Products Div., Inc.Mar 16, 1992SESE
K915304ABBOTT SMART CAPAbbott LaboratoriesFeb 19, 1992SESE
K912208FRESENIUS SAFE-CONNECT CAPD MANUAL ASSIST DEVICEFresenius USA, Inc.Jul 24, 1991SESE
K904806CAPD SAFELOCK TRANSFER SET W/PRE-FILLED CONNECTORFresenius USA, Inc.Jan 11, 1991SESE
K900295PERITONEAL DIALYSIS STYSTEM AND ACCESSORIESMicrowave Medical Systems, Inc.Nov 21, 1990SESE
K90386990/2 PERITONEAL DIALYSIS SYSTEM DISPOS CYCLER SETFresenius/Delmed, Inc.Nov 20, 1990SESE
K902526CAPD DISPOSABLE DISCONNECT Y-SET CODE: 5C4481Baxter Healthcare CorpNov 20, 1990SESE
K902451LONG-LIFE Y-SET CAT. NO. 48-6366-8National Medical Care, Medical Products Div., Inc.Aug 14, 1990SESE
K900106CLOSED DISCONNECT SYSTEMDelmed, Inc.Jul 16, 1990SESE
K895992CATHETER EXTENSION SET CAT. NO. 48-3027-9National Medical Care, Medical Products Div., Inc.Mar 23, 1990SESE
K895792DEXTROLYTE II CAPD TRANSFER SET - NO. 48-4009-6National Medical Care, Medical Products Div., Inc.Mar 23, 1990SESE
K900323PERITONEAL DIALYSIS CYCLER SETNational Medical Care, Medical Products Div., Inc.Mar 22, 1990SESE
K900243DEXTROLYTE II, PERITONEAL DIALYSIS NO. 48-1015-6National Medical Care, Medical Products Div., Inc.Mar 22, 1990SESE
K900242DEXTROLYTE II, PERITONEAL DIALYSIS NO. 48-1031-3National Medical Care, Medical Products Div., Inc.Mar 22, 1990SESE
K900226DEXTROLYTE II, PERITONEAL DIALYSIS NO. 48-1001-6National Medical Care, Medical Products Div., Inc.Mar 22, 1990SESE
K900142DEXTROLYTE II, W/5 PRONG MANIFOLD NO. 48-1003-2National Medical Care, Medical Products Div., Inc.Mar 22, 1990SESE
K900141DEXTROLYTE II, W/5 PRONG MANIFOLD NO. 48-1100-6National Medical Care, Medical Products Div., Inc.Mar 22, 1990SESE
K900140DEXTROLYTE II, PERITONEAL DIALYSIS CYCLER SET W/3National Medical Care, Medical Products Div., Inc.Mar 22, 1990SESE
K900012DEXTROLYTE II, PERITONEAL DIALYSIS CYCLER SETNational Medical Care, Medical Products Div., Inc.Mar 22, 1990SESE
K900008DEXTROLYTE II, PERITONEAL DIALYSIS CYCLER SETNational Medical Care, Medical Products Div., Inc.Mar 22, 1990SESE
K896600DEXTROLYTE II, SINGLE USE Y SET NO. 48-6360-1National Medical Care, Medical Products Div., Inc.Mar 22, 1990SESE
K896599DEXTROLYTE II, PERITONEAL DIALYSIS CYCLER SET -(8)National Medical Care, Medical Products Div., Inc.Mar 22, 1990SESE
K895991PERITONEAL DIALYSIS DRAINAGE SET NO. 48-0025-6National Medical Care, Medical Products Div., Inc.Mar 22, 1990SESE
K895990DEXTROLYTE II PERITONEAL DIALYSIS CYCLER SETNational Medical Care, Medical Products Div., Inc.Mar 22, 1990SESE
K900005DEXTROLYTE II, MANUAL ADMINISTRATION SET 48-1032-1National Medical Care, Medical Products Div., Inc.Mar 2, 1990SESE
K900006CATHETER ADAPTER SEALING CAP NO. 48-1028-9National Medical Care, Medical Products Div., Inc.Feb 27, 1990SESE
K900004CONVERTIBLE ADAPTER CATALOG NO. 48-4039-3National Medical Care, Medical Products Div., Inc.Feb 27, 1990SESE
K896956QUICK DISCONNECT CLAMP CATALOG NO. 48-0300-3National Medical Care, Medical Products Div., Inc.Feb 27, 1990SESE
K896764UNIVERSAL CONNECTOR CATALOG NO. 48-1025-5National Medical Care, Medical Products Div., Inc.Feb 26, 1990SESE
K896763CATHETER ADAPTER CO-PAK CATALOG NO. 48-0122-1National Medical Care, Medical Products Div., Inc.Feb 26, 1990SESE
K896761TRANSFER SET SEALING CAP, CAT. NO. 48-1027-1National Medical Care, Medical Products Div., Inc.Feb 26, 1990SESE
K895673CONNECTION SHIELDS CODES 5C4213 AND 5C4215Baxter Healthcare CorpJan 29, 1990SESE
K895631DISCONNECT CAPS PRODUCT CODES 5C4212 AND 5C4466Baxter Healthcare CorpJan 29, 1990SESE
K894783PERITONEAL DIAL. TITA. CATH ADAPTER & LOCKING CAPBaxter Healthcare CorpSep 7, 1989SESE
K893712PERITONEAL DIALYSIS SYSTEM AND ACCESS.Delmed, Inc.Jul 24, 1989SESE
K893231DELCLAMPDelmed, Inc.Jun 8, 1989SESE
K892872PERITONEAL DIALYSIS CYCLER SET W/12 PRONG MANIFOLDNational Medical Care, Medical Products Div., Inc.May 18, 1989SESE
K892871PERITONEAL DIALYSIS CYCLER SET, W/8 PRONG MANIFOLDNational Medical Care, Medical Products Div., Inc.May 18, 1989SESE
K892870PERITONEAL DIALYSIS CYCLER SET, W/5 PRONG MANIFOLDNational Medical Care, Medical Products Div., Inc.May 18, 1989SESE
K883393CAPD DISPOSABLE Y SYSTEM - DY SETMedionics International , Ltd.Nov 3, 1988SESE
K883239CAPD ULTRAVIOLET(U.V.) GERMICIDAL EXCHANGE DEV SYSBaxter Healthcare CorpOct 21, 1988SESE
K882498EXTENDED LIFE CAPD TRANSFER SET 5C4444Baxter Healthcare CorpJul 13, 1988SESE
K882455EXTENDED LIFE CAPD SOLUTION TRANSFER SET IC4373Baxter Healthcare CorpJul 13, 1988SESE
K873984AUTOMATIC PERITONEAL DIALYSIS CYCLER SET (5C4437)Travenol Laboratories, S.A.Oct 20, 1987SESE
K871155DELFLEX RIGID DRAIN CONTAINERDelmed, Inc.Jul 16, 1987SESE
K871583MODIFIED LABELING FOR AMUKIN-50%Amuchina Intl., Inc.Jul 9, 1987SESE
K870626FREEDOM SET II WITH TRIFLEX VALVEDelmed, Inc.Jun 3, 1987SESE
K871154DELFLEX SAFE LOCK CAPD PATIENT ASSIST DEVICEDelmed, Inc.Apr 30, 1987SESE
K871050CAPD ADMIN. SET USED W/INPERSOL CAPD BIOCAP Y-ADM.Abbott LaboratoriesApr 10, 1987SESE
K871049CAPD Y-ADMIN. SET USED W/INPERSOL BIOCAP ADMIN.Abbott LaboratoriesApr 10, 1987SESE
K870145EXTERNAL Y VALVE 5C4198Travenol Laboratories, S.A.Mar 10, 1987SESE
K860700CAPD DISCONNECT SYSTEM 5C4182, 5C4183, 5C4186Travenol Laboratories, S.A.Apr 7, 1986SESE
K860230CAPD TRANSFER SET SPIKE 5C4363Travenol Laboratories, S.A.Feb 5, 1986SESE
K853550TRAVENOL CAPD Y SET 5C4354Travenol Laboratories, S.A.Oct 4, 1985SESE
K852678CAPD TRANSFER SET FOR REDUCED FILL VOLUMES 5C4353Travenol Laboratories, S.A.Jul 29, 1985SESE
K851208COMPACT EXCHANGE DEVICE 5C4197Travenol Laboratories, S.A.Apr 8, 1985SESE
K851207EXTENDED LIFE CAPD SOLUTION TRANSFER SET 5C4153Travenol Laboratories, S.A.Apr 8, 1985SESE
K820546CARD U.V. GERMICIDAL CHAMBER IITravenol Laboratories, S.A.Jun 30, 1982SESE
K812802CAPD U.V. GERMICIDAL CONNECTION SYSTEMTravenol Laboratories, S.A.Mar 2, 1982SESE
K813069PERITONEAL DIALYSIS CYCLER SETAmerican Medical Products, Inc.Nov 16, 1981SESE
K812772PERITONEAL DIALYSIS CYCLER SET (8UNIT)Dravon Medical, Inc.Oct 19, 1981SESE
K812771PERITONEAL DIALYSIS DRAINAGEDravon Medical, Inc.Oct 19, 1981SESE
K811863STERI-TRACTRogo Ent.Sep 21, 1981SESE
K812130SPIKE GUARDClinipad Corp.Sep 9, 1981SESE
K811294GAMBRO PERITONEAL DIALYSIS FLUID LINESGambro, Inc.Jun 12, 1981SESE
K810840AMP PERITONEAL DIALYSIS PREP KITAmerican Medical Products, Inc.Apr 29, 1981SESE
K810671CCPD 3 LITER DRAINAGE SETAmerican Medical Products, Inc.Mar 24, 1981SESE
K810670CCPD CYCLER SETAmerican Medical Products, Inc.Mar 24, 1981SESE
K810600CAPD EXCHANGE SETAmerican McgawMar 24, 1981SESE
K803300INPERSOL CAPD BAG PORT CLAMPAbbott LaboratoriesJan 29, 1981SESE
K801881INPERSOL-CAPD ADMINISTRATION SETAbbott LaboratoriesOct 10, 1980SESE
K801220PERITONEAL DIALYSIS CYCLER SET W/PUMPAmerican Medical Products, Inc.Aug 12, 1980SESE
K801193CLIRANS TE15 HOLLOW FIBER DIALYZERTerumo America, Inc.Aug 12, 1980SESE
K800993INPERSOL CAPD ADMIN. SET & CATHETER ADAPAbbott LaboratoriesAug 12, 1980SESE
K792651CAPD TRANSFER SET JC9044Travenol Laboratories, S.A.Feb 6, 1980SESE
K791512CONTINUOUS AMBULATORY DIALYSIS (CAPD)Norton Performance Plastics Corp.Feb 6, 1980SESE
K791722DISPOSABLE PERITONEAL DIALYSIS EXTENSIONAmerican Medical Products, Inc.Nov 16, 1979SESE
K791899CYCLER SETS MOD. #5C4143, 5C4144, 5C4145Travenol Laboratories, S.A.Nov 13, 1979SESE
K791426PERITONEAL PACIntermed, Inc.Aug 28, 1979SESE
K781755DAP-PAKDravon Medical, Inc.Feb 15, 1979SESE
K780957SET, ADMINISTRATION, MANUAL, DIALYSISAmerican Medical Products, Inc.Jul 6, 1978SESE
K780082PERITONEAL DIALYSIS ADMIN. SETPhysio-Control Corp.Jan 24, 1978SESE
K772236FILTER, PERITONEAL DIALY. ADMIN. SETMillipore Corp.Jan 24, 1978SESE
K771482RINSE BLOCK CONNECTORQuinton, Inc.Jan 3, 1978SESE
K772136PERITONEAL CYCLER & MANIFOLD SETPhysio-Control Corp.Dec 20, 1977SESE

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