Not Cleared Direct

DEN190043 - SafeBreak Vascular (FDA 510(k) Clearance)

May 2021
Decision
617d
Days
Class 2
Risk

DEN190043 is an FDA 510(k) submission for the SafeBreak Vascular. This device is classified as a Intravenous Catheter Force-activated Separation Device. (Class II - Special Controls, product code QOI).

Submitted by Site Saver, Inc. D/B/A Lineus Medical (Fayetteville, US). The FDA issued a Not Cleared (DENG) decision on May 27, 2021.

This device falls under the General Hospital FDA review panel. Regulated under 21 CFR 880.5220. 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..

Submission Details

510(k) Number DEN190043 FDA.gov
FDA Decision Not Cleared Not Substantially Equivalent (DENG)
Date Received September 18, 2019
Decision Date May 27, 2021
Days to Decision 617 days
Submission Type Direct
Review Panel General Hospital (HO)
Summary -

Device Classification

Product Code QOI - Intravenous Catheter Force-activated Separation Device.
Device Class Class II - Special Controls
CFR Regulation 21 CFR 880.5220
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.