PERITONEAL DIALYSIS CATHETERS AND ADAPTERS
Device Facts
| Record ID | K993149 |
|---|---|
| Device Name | PERITONEAL DIALYSIS CATHETERS AND ADAPTERS |
| Applicant | Medionics International, Inc. |
| Product Code | FJS · Gastroenterology, Urology |
| Decision Date | Apr 28, 2000 |
| Decision | SESE |
| Submission Type | Traditional |
| Regulation | 21 CFR 876.5630 |
| Device Class | Class 2 |
| Attributes | Therapeutic |
Indications for Use
Peritoneal Dialysis Catheters and Adapters are access devices used for providing peritoneal dialysis treatment for patients suffering from End Stage Renal Disease (ESRD). Their main function is to allow the bi-directional flow of peritoneal dialysis solution in a consistent manner, without requiring extraordinary effort or causing discomfort.
Device Story
Peritoneal dialysis catheters and adapters facilitate bi-directional flow of dialysis solution for patients with End Stage Renal Disease (ESRD). Devices provide access for peritoneal dialysis treatment; allow consistent fluid exchange without excessive effort or patient discomfort. Used in clinical or home settings under physician prescription. Operation involves physical connection to dialysis equipment to enable fluid transfer.
Clinical Evidence
No clinical data provided; bench testing only.
Technological Characteristics
Access device for peritoneal dialysis; facilitates bi-directional fluid flow. Mechanical design for fluid transfer.
Indications for Use
Indicated for patients with End Stage Renal Disease (ESRD) requiring peritoneal dialysis treatment.
Regulatory Classification
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.
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.