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External Compression Device For Internal Jugular Vein Compression

Page Type
Product Code
Definition
External compression device for internal jugular vein compression. An external compression device for internal jugular vein compression is a non-invasive device that is intended to increase intracranial blood volume to reduce the occurrence of specific changes in the brain following head impacts sustained from the environment of use.
Physical State
A plastic neck collar with protuberances located at each end of the device.
Technical Method
The device is designed to lightly compress the sternocleidomastoid muscles in the neck, which is designed to provide compressive force to the internal jugular vein (IJV). The restriction in blood flow is designed to result in an increase in the volume of blood in the venous capacitance vessels within the skull. Whereas the brain generally has room to move slightly within the skull, the increased blood volume is intended to create a tighter fit and reduce intracranial movements within the skull. This is intended to reduce the movement of the brain within the cranial space, the device may aid in the protection of the brain from the effects of head impacts.
Target Area
Neck
Regulation Medical Specialty
Neurology
Review Panel
Physical Medicine
Submission Type
510(K)
Device Classification
Class 2
Regulation Number
890.3050
GMP Exempt?
No
Summary Malfunction Reporting
Ineligible
Implanted Device
No
Life-Sustain/Support Device
No
Third Party Review
Not Third Party Eligible

CFR § 890.3050 External compression device for internal jugular vein compression

§ 890.3050 External compression device for internal jugular vein compression.

(a) Identification. An external compression device for internal jugular vein compression is a non-invasive device that is intended to increase intracranial blood volume to reduce the occurrence of specific changes in the brain following head impacts sustained from the environment of use.

(b) Classification. Class II (special controls). The special controls for this device are:

(1) The patient-contacting components of the device must be demonstrated to be biocompatible.

(2) Performance testing must demonstrate that the device performs as intended under anticipated conditions of use for the duration of the labeled use life.

(3) Human factors and usability testing must demonstrate that users can correctly use the device, including the user's ability to correctly determine device size and confirm the proper fit of the device. Users must understand product limitations, warnings, and precautions, including the warning that the device does not prevent head injury and medical treatment should be sought following head injury.

(4) Labeling must include the following:

(i) A warning that the device does not replace, and should be worn with, other protective sports equipment associated with specific sports activities, such as helmets and shoulder pads;

(ii) A warning that the device should not be worn if it interferes with other existing protective equipment;

(iii) A warning that users should avoid head and neck impacts to the extent possible;

(iv) A warning that serious harm can result from persistent, excessive pressure on the neck due to incorrect device size and fit; and

(v) A warning that the device has not been demonstrated to prevent long-term cognitive function deficits, and the ultimate impact on clinical outcomes has not been evaluated.

[89 FR 71160, Sept. 3, 2024]

External Compression Device For Internal Jugular Vein Compression

Page Type
Product Code
Definition
External compression device for internal jugular vein compression. An external compression device for internal jugular vein compression is a non-invasive device that is intended to increase intracranial blood volume to reduce the occurrence of specific changes in the brain following head impacts sustained from the environment of use.
Physical State
A plastic neck collar with protuberances located at each end of the device.
Technical Method
The device is designed to lightly compress the sternocleidomastoid muscles in the neck, which is designed to provide compressive force to the internal jugular vein (IJV). The restriction in blood flow is designed to result in an increase in the volume of blood in the venous capacitance vessels within the skull. Whereas the brain generally has room to move slightly within the skull, the increased blood volume is intended to create a tighter fit and reduce intracranial movements within the skull. This is intended to reduce the movement of the brain within the cranial space, the device may aid in the protection of the brain from the effects of head impacts.
Target Area
Neck
Regulation Medical Specialty
Neurology
Review Panel
Physical Medicine
Submission Type
510(K)
Device Classification
Class 2
Regulation Number
890.3050
GMP Exempt?
No
Summary Malfunction Reporting
Ineligible
Implanted Device
No
Life-Sustain/Support Device
No
Third Party Review
Not Third Party Eligible

CFR § 890.3050 External compression device for internal jugular vein compression

§ 890.3050 External compression device for internal jugular vein compression.

(a) Identification. An external compression device for internal jugular vein compression is a non-invasive device that is intended to increase intracranial blood volume to reduce the occurrence of specific changes in the brain following head impacts sustained from the environment of use.

(b) Classification. Class II (special controls). The special controls for this device are:

(1) The patient-contacting components of the device must be demonstrated to be biocompatible.

(2) Performance testing must demonstrate that the device performs as intended under anticipated conditions of use for the duration of the labeled use life.

(3) Human factors and usability testing must demonstrate that users can correctly use the device, including the user's ability to correctly determine device size and confirm the proper fit of the device. Users must understand product limitations, warnings, and precautions, including the warning that the device does not prevent head injury and medical treatment should be sought following head injury.

(4) Labeling must include the following:

(i) A warning that the device does not replace, and should be worn with, other protective sports equipment associated with specific sports activities, such as helmets and shoulder pads;

(ii) A warning that the device should not be worn if it interferes with other existing protective equipment;

(iii) A warning that users should avoid head and neck impacts to the extent possible;

(iv) A warning that serious harm can result from persistent, excessive pressure on the neck due to incorrect device size and fit; and

(v) A warning that the device has not been demonstrated to prevent long-term cognitive function deficits, and the ultimate impact on clinical outcomes has not been evaluated.

[89 FR 71160, Sept. 3, 2024]