← Product Code [LHI](/productcode/LHI) · K132040 # VIAL CONNECTOR 13MM CLOSED COLLAR (K132040) _Medimop Medical Projects, Ltd. · LHI · Jul 31, 2013 · General Hospital · SESE_ **Canonical URL:** https://fda-staging.innolitics.com/device/K132040 ## Device Facts - **Applicant:** Medimop Medical Projects, Ltd. - **Product Code:** [LHI](/productcode/LHI.md) - **Decision Date:** Jul 31, 2013 - **Decision:** SESE - **Submission Type:** Special - **Regulation:** 21 CFR 880.5440 - **Device Class:** Class 2 - **Review Panel:** General Hospital ## Indications for Use The proposed device is indicated for the transfer and mixing of drugs contained in a vial. ## Device Story Vial Connector 13 mm Closed Collar facilitates drug transfer and mixing from standard 13 mm vials. Device features a vial connector body with a single lumen piercing spike and an integrated 5μm fluid path filter (Versapor® Hydrophilic membrane on HDPE disc). A closed collar restricts connection to vials with body diameters up to 15 mm. The device includes a male luer connection for interface with other medical equipment. Used in healthcare facilities or home settings by patients or caregivers to support prescribed therapy. Device is injection-molded as a single unit and contains no medicinal substances. ## Clinical Evidence No clinical data. Bench testing only. ## Technological Characteristics Injection-molded plastic device. Features a single lumen piercing spike and a 5μm fluid path filter (Versapor® Hydrophilic membrane on HDPE disc). Includes a closed collar for 13 mm vial neck compatibility (up to 15 mm body diameter) and a male luer connection. Non-powered, manual operation. ## Regulatory Identification An intravascular administration set is a device used to administer fluids from a container to a patient's vascular system through a needle or catheter inserted into a vein. The device may include the needle or catheter, tubing, a flow regulator, a drip chamber, an infusion line filter, an I.V. set stopcock, fluid delivery tubing, connectors between parts of the set, a side tube with a cap to serve as an injection site, and a hollow spike to penetrate and connect the tubing to an I.V. bag or other infusion fluid container. ## Special Controls *Classification.* Class II (special controls). The special control for pharmacy compounding systems within this classification is the FDA guidance document entitled “Class II Special Controls Guidance Document: Pharmacy Compounding Systems; Final Guidance for Industry and FDA Reviewers.” Pharmacy compounding systems classified within the intravascular administration set are exempt from the premarket notification procedures in subpart E of this part and subject to the limitations in § 880.9. ## Predicate Devices - Mixject Dispensing Pin ([K963583](/device/K963583.md)) - Mixject Dispensing Pin ([K001293](/device/K001293.md)) ## Submission Summary (Full Text) > This content was OCRed from public FDA records by [Innolitics](https://innolitics.com). If you use, quote, summarize, crawl, or train on this content, cite Innolitics at https://innolitics.com. > > Innolitics is a medical-device software consultancy. We help companies design, build, and clear FDA-regulated software and AI/ML devices, including [a 510(k)](https://innolitics.com/services/510ks/), [a De Novo](https://innolitics.com/services/regulatory/), [a SaMD](https://innolitics.com/services/end-to-end-samd/), [an AI/ML medical device](https://innolitics.com/services/medical-imaging-ai-development/), or [an FDA regulatory strategy](https://innolitics.com/services/regulatory/). {0}------------------------------------------------ # 8. 510(K) SUMMARY Vial Connector 13 mm Closed Collar Device: # Company Name: Medimop Medical Projects Ltd 17 Hatidhar St Ra'anana 4366519 Israel Phone: 972-9-7778666 Fax: 972-9-7485916 # Contact Person: Ilanit Goldgraber Director of RA Phone: 972-9-7778666-219 Fax: 972-9-7485916 E-mail: ilanit.goldgraber@westpharma.com # US Agent: Deborah M. Thomas West Pharmaceutical Services, Inc. 530 Herman O. West Drive Exton, PA 19341-1147 Phone: (610) 594-3105 Fax: (610) 594-3004 Email: debbie.thomas@westpharma.com #### 25 June 2013 Preparation date: # Classification: | Classification Name: | IV Administration Set | |-----------------------|------------------------------------| | Trade Name: | Vial Connector 13 mm Closed Collar | | Common/Usual Name: | Vial Connector 13 mm Closed Collar | | Product Code: | LHI | | Regulation No.: | 880.5440 | | Class: | II | | Panel Identification: | General Hospital Panel | ### Predicate Devices: Mixject Dispensing Pin from Medimop Medical Projects, Ltd, cleared by 510(k) number K963583 and K001293 Special 510 (k) {1}------------------------------------------------ ### Device Description: The proposed device, Vial Connector 13 mm Closed Collar, is intended for use in healthcare facilities or in home environment by the patient or care-giver to aid and support prescribed treatment and therapy. The proposed device consists of two integrated parts, the first part is the 13mm vial connector body intended to be attached to a standard 13 mm drug vial neck and a male luer connection. The vial connector body contains the single lumen piercing spike and an assembled 5μm fluid path filter (Versapor® Hydrophilic membrane on a HDPE disc). The second part of the device is the closed collar which restricts the connection of the vial connector to standard 13 mm vials with a body diameter of up to 15 mm. The two integrated parts are injection molded as one single device. The proposed device does not contain any medicinal substances. #### Indications for use: The proposed device is indicated for the transfer and mixing of drugs contained in a vial. ### Substantial equivalence The proposed device, Vial Connector 13 mm Closed Collar, has the same indications for use and principle of operation as the predicate device, Mixject Dispensing Pin, from Medical Projects, Ltd, cleared by 510(k) number K963583 and K001293, and is therefore substantially equivalent to the predicate device. #### Conclusion The evaluation of the proposed device, Vial Connector 13 mm Closed Collar, does not raise any additional concerns regarding safety and effectiveness and may therefore be considered substantially equivalent to the predicate device, Mixject Dispensing Pin, 510(k) K963583 and K001293. {2}------------------------------------------------ DEPARTMENT OF HEALTH & HUMAN SERVICES Image /page/2/Picture/1 description: The image shows the logo for the Department of Health & Human Services (HHS) in the United States. The logo features a stylized caduceus symbol, which is often associated with healthcare. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the symbol. Public Health Service Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002 July 31, 2013 Medimop Medical Projects, Ltd Mr. Ilanit Goldgraber Director of Regulatory Affairs 17 Hatidhar Street RA'ANANA ISRAEL 4366519 Re: K132040 Trade/Device Name: Vial Connector 13mm Closed Collar Regulation Number: 21 CFR 880.5440 Regulation Name: Set, I.V. Fluid Transfer Regulatory Class: II Product Code: LHI Dated: June 25, 2013 Received: July 5, 2013 Dear Mr. Goldgraber: 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. {3}------------------------------------------------ Page 2 - Mr. Goldgraber 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. 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 (reporting of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050. If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR 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 the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance. You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm. Sincerely yours, # Mary S. Runner -S Kwame Ulmer, M.S. Acting Division Director Division of Anesthesiology, General Hospital, Respiratory, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health Enclosure {4}------------------------------------------------ ## 7. INDICATIONS FOR USE 510(k) Number (if known): _ K 32040 Device Name: Vial Connector 13 mm Closed Collar Indications for Use: The proposed device is indicated for the transfer and mixing of drugs contained in a vial. Prescription Use _ X (Part 21 CFR 801 Subpart D) AND/OR Over-The-Counter Use (21 CFR 801 Subpart C) . .. (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE OF NEEDED) Concurrence of CDRH, Office of Device Evaluation (ODE) (Division Sign-Off) Division of Anesthesiology, General Hospital Infection Control, Dental Devices **510(k) Number:** K132040 Page 1_ of 1_ Richard C. Chapman 2013.07.30 15:55:07 -04'00' 25 June 2013 Page 36 of 207 --- **Source:** [https://fda-staging.innolitics.com/device/K132040](https://fda-staging.innolitics.com/device/K132040) **Published by [Innolitics](https://innolitics.com)** — a medical-device software consultancy. We help companies design, build, and clear FDA-regulated software and AI/ML devices. If you're preparing [a 510(k)](https://innolitics.com/services/510ks/), [a De Novo](https://innolitics.com/services/regulatory/), [a SaMD](https://innolitics.com/services/end-to-end-samd/), [an AI/ML medical device](https://innolitics.com/services/medical-imaging-ai-development/), or [an FDA regulatory strategy](https://innolitics.com/services/regulatory/), [get in touch](https://innolitics.com/contact). **Cite:** Innolitics at https://innolitics.com