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U.S. Department of Health and Human Services

Product Classification

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Device intravenous catheter force-activated separation device.
Definition An intravenous (IV) catheter force-activated separation device. An intravenous catheter force-activated separation device is placed inline with an intravenous catheter and an intravascular administration set, including any administration set accessories. It separates into two parts when a specified force is applied. The device is intended to reduce the risk of IV catheter failure(s) requiring IV catheter replacement.
Physical State The device allows fluid flow when intact. Once separated, valves inside the device close and stop fluid flow.
Technical Method Separates when a specified force is exerted on an intravascular administration set that stops fluid flow from the IV administration set and blood flow from the IV catheter. The luer ends of the device may be compliant with ISO 80369-7, Small-bore connectors for liquids and gases in healthcare applications — Part 7: Connectors for intravascular or hypodermic applications or ISO 594-1, Conical fittings with a 6 % (Luer) taper for syringes, needles and certain other medical equipment - Part 1: General requirements or ISO 594-2, Conical fittings with 6 % (Luer) taper for syringes, needles and certain other medical equipment — Part 2: Lock fittings.
Target Area Indirect contact to peripheral intravenous system.
Regulation Medical Specialty General Hospital
Review Panel General Hospital
Product CodeQOI
Premarket Review Drug Delivery and General Hospital Devices, and Human Factors (DHT3C)
Drug Delivery and General Hospital Devices, and Human Factors (DHT3C)
Submission Type 510(k)
Regulation Number 880.5220
Device Class 2
Total Product Life Cycle (TPLC) TPLC Product Code Report
GMP Exempt? No
Summary Malfunction
Reporting
Ineligible
Implanted Device? No
Life-Sustain/Support Device? No
Third Party Review Not Third Party Eligible
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