Summary of Safety and Clinical Performance

Pro-Line® Power Injectable Central Venous Catheters

SSCP Document Number: SSCP-017
Revision Number: 6
Revision Date: 22-Oct-24

Important Information

This Summary of Safety and Clinical Performance (SSCP) is intended to provide public access to an updated summary of the main aspects of the safety and clinical performance of the device. The information presented below is intended for patients or lay persons. A more extensive summary of safety and clinical performance prepared for healthcare professionals is found in the first part of this document.

The SSCP is not intended to give general advice on the treatment of a medical condition. Please contact your healthcare professional in case you have questions about your medical condition or about the use of the device in your situation. This SSCP is not intended to replace an Implant Card or the Instructions for Use to provide information on the safe use of the device.

1. Device Identification and General Information

Device Trade Name(s): Pro-Line® Power Injectable Central Venous Catheters

Manufacturer Name and Address: Medical Components, Inc. 1499 Delp Drive Harleysville, PA 19438 USA

Basic UDI-DI: 00884908290NE

Date First CE Certificate Was Issued for This Device: Pro-Line® - October 2008

Device Grouping and Variants

The devices in scope of this document are all central venous catheter (CVC) sets. The catheter part numbers are organized into variant categories. These devices are distributed as procedure trays. Procedure trays come in different configurations.

Variant Devices:

Variant Devices:
Variant Description Part Number(s)
5F x 55cm Double Lumen Pro-Line 10667-955-801 10669-955-801
5F x 60cm Single Lumen Pro-Line 10570-960-801 10606-960-801
6F x 60cm Double Lumen Pro-Line 10573-960-801 10608-960-801
6F x 60cm Single Lumen Pro-Line 10571-960-801 10607-960-801
6F x 60cm Triple Lumen Pro-Line 10575-960-801
7F x 60cm Double Lumen Pro-Line 10290-860-801
7F x 60cm Single Lumen Pro-Line 10289-860-801
Variant Devices:
Variant Description Part Number(s)

Procedure Trays:

Procedure Trays:
Catalog Code Part Number Description
Procedure Trays:
Catalog Code Part Number Description
MR28035201 10667-955-801 5F X 55CM PRO-LINE® POWER INJECTABLE CENTRAL VENOUS CATHETER DUAL LUMEN BASIC SET
MR28035221 10669-955-801 5F X 55CM PRO-LINE® POWER INJECTABLE CENTRAL VENOUS CATHETER DUAL LUMEN BASIC SET
MR28036201 10573-960-801 6F X 60CM PRO-LINE® POWER INJECTABLE CENTRAL VENOUS CATHETER DUAL LUMEN BASIC SET
MR28036221 10608-960-801 6F X 60CM PRO-LINE® POWER INJECTABLE CENTRAL VENOUS CATHETER DUAL LUMEN BASIC SET
MR28037201 10290-860-801 7F X 60CM PRO-LINE® POWER INJECTABLE CENTRAL VENOUS CATHETER DUAL LUMEN BASIC SET
MR28035101 10570-960-801 5F X 60CM PRO-LINE® POWER INJECTABLE CENTRAL VENOUS CATHETER SINGLE LUMEN BASIC SET
MR28035121 10606-960-801 5F X 60CM PRO-LINE® POWER INJECTABLE CENTRAL VENOUS CATHETER SINGLE LUMEN BASIC SET
MR28036101 10571-960-801 6F X 60CM PRO-LINE® POWER INJECTABLE CENTRAL VENOUS CATHETER SINGLE LUMEN BASIC SET
MR28036121 10607-960-801 6F X 60CM PRO-LINE® POWER INJECTABLE CENTRAL VENOUS CATHETER SINGLE LUMEN BASIC SET
MR28037101 10289-860-801 7F X 60CM PRO-LINE® POWER INJECTABLE CENTRAL VENOUS CATHETER SINGLE LUMEN BASIC SET
MR28036301 10575-960-801 6F X 60CM PRO-LINE® POWER INJECTABLE CENTRAL VENOUS CATHETER TRIPLE LUMEN BASIC SET

Configurations of Procedure Trays:

Configuration Type
Basic Set:

2. Intended Use of the Device

Intended Purpose: The Pro-Line® Power Injectable Central Venous Catheters are for use in adult patients requiring frequent needlesticks for whom short-term or long-term access to the central venous system without requiring many needlesticks is deemed necessary based on the direction of a qualified, licensed physician. The device is intended to be used under the regular review and assessment of qualified health professionals. This catheter is for Single Use Only.

Indication(s): The Pro-Line® Power Injectable Central Venous Catheter is for short- term or long-term access to the central venous system for intravenous administration of fluids or medications and power injection of contrast media.

Intended Patient Group(s): Pro-Line® Power Injectable Central Venous Catheters are intended for use in adult patients requiring many needlesticks for whom short-term or long-term access to the central venous system without the need for many needlesticks is deemed necessary based on the direction of a qualified, licensed physician. The device is not intended for use in pediatric patients.

Contraindications and/or Limitations:

  • The presence of device related infection is known or suspected.
  • This catheter is intended for short- or long-term vascular access and should not be used for any purpose other than indicated in these instructions.
  • The patient is known or is suspected to be allergic to materials contained in the device.

3. Device Description

Device Image

Device Name: Pro-Line® Power Injectable Central Venous Catheters

Description of Device: The Pro-Line® Power Injectable Central Venous Catheters are made from specially formulated biocompatible medical grade materials and are available in a variety of lumen shapes and sizes to accommodate clinical needs. They are packaged in a tray with accessories necessary for percutaneous insertion using a microintroducer (Modified Seldinger or Seldinger technique). The highest recommended infusion rate is 5cc/sec. The maximum pressure of power injectors used with the Pro-Line® Power Injectable CVC may not exceed 300psi.

Device Image

Device Name: Pro-Line® Power Injectable Central Venous Catheters

Description of Device: The Pro-Line® Power Injectable Central Venous Catheters are made from specially formulated biocompatible medical grade materials and are available in a variety of lumen shapes and sizes to accommodate clinical needs. They are packaged in a tray with accessories necessary for percutaneous insertion using a microintroducer (Modified Seldinger or Seldinger technique). The highest recommended infusion rate is 5cc/sec. The maximum pressure of power injectors used with the Pro-Line® Power Injectable CVC may not exceed 300psi.

Materials / Substances in Contact with Patient Tissue:

The percentage ranges in the table below are based on the weight of the 5F Single Lumen (3.64g) and 6F Triple Lumen (7.76g) Pro-Line® devices.

Material
Material % Weight (w/w)
Polyurethane 29.2463.56
Polyvinyl Chloride 0 - 30.44
Acetal Co-polymer 15.55 23.44
Barium Sulfate 5.96 12.56
Acrylonitrile Butadiene Styrene 6.73 10.15
Polyethylene Terephthalate 0.43 - 2.47

The percentage ranges in the table below are based on the weight of the 5F Single Lumen (3.64g) and 6F Triple Lumen (7.76g) Pro-Line® devices.

Material
Material % Weight (w/w)
Polyurethane 29.2463.56
Polyvinyl Chloride 0 - 30.44
Acetal Co-polymer 15.55 23.44
Barium Sulfate 5.96 12.56
Acrylonitrile Butadiene Styrene 6.73 10.15
Polyethylene Terephthalate 0.43 - 2.47

Note:Accessories containing stainless steel may contain up to 0.4% weight of the CMR substance cobalt.

Note:The device should not be used if you are allergic to the above materials.

Information on Medicinal Substances in the Device:

How the Device Achieves its Intended Mode of Action: The subject device can be inserted using a standard or modified Seldinger percutaneous surgical technique. Catheter insertion is to be done using aseptic techniques in a sterile field, preferably in an operating room. Once in place, the CVC can be connected to a gravity-feed intravenous (IV) bag, or connected to a pump, for administration of fluids and medications. Catheter care includes use of a locking solution to maintain catheter function. Catheter removal is a surgical procedure intended to be performed by a physician familiar with the appropriate techniques.

Cleaning (Sterilization) Information: Contents sterile and non-pyrogenic in unopened, undamaged package. Sterilized by Ethylene Oxide.

Accessories Intended for Use in Combination with the Device:

Name of Accessory Description of Accessory
Guidewire Acts as a path for other components.
Introducer Needle Placed into the target vein to gain access.
Stylet Assists in catheter placement.
Peelable Introducer Used to get central venous access.
Scalpel A cutting device.
Tunneler Instrument used to create a subcutaneous tunnel.
Syringe Helps get blood return once the needle punctures the vein.

4. Risks and Warnings

Contact your healthcare professional if you believe you are experiencing side-effects related to the device or its use or if you are concerned about risks. This document is not intended to replace a consultation with your healthcare professional if needed.

How Potential Risks Have Been Controlled or Managed

  • There have been 80,809 devices sold since January 2019. There are side effects and risks associated with the device. These include:
  • Infection
  • Bleeding
  • Device Removal
  • Device Replacement These risks are reduced to an acceptable level. The labeling describes the risks. The benefit of the device is central venous access when alternatives are not suitable. These benefits outweigh the risks.
  • Remaining Risks and Undesirable Effects

  • The Power Injectable Central Venous Catheters are associated with risks. These include:
  • Procedural Delays
  • Thrombosis
  • Infections
  • Perforations
  • Embolism
  • Cardiac Event
  • Dissatisfaction These risks are consistent with risks of other catheters. They are not unique to the Medcomp product. Some of the most common reactions include infection. Infection may be associated with general surgical procedure and hospitalization. Infection may not always be device-related.
  • Quantification of Residual Risks
    PMS Complaints (01 January 2019 – 31 August 2024) PMCF Events
    Units Sold: 80,809 Units Studied: 749
    Patient Residual Harm Category # of Cases Per Event # of Cases Per Event
    Allergic Reaction Not Reported. Not Reported.
    Bleeding Not Reported. Not Reported.
    Cardiac Event Not Reported. Not Reported.
    Embolism Not Reported. Not Reported.
    Infection 1 Event in 80,000 Cases. 1 Event in 8 Cases.
    Perforation Not Reported. Not Reported.
    Stenosis Not Reported. Not Reported.
    Tissue Injury Not Reported. Not Reported.
    Thrombosis Not Reported. 1 Event in 150 Cases.

    Warnings and Precautions

  • The below are warnings, precautions, or measures to be taken by patient:
  • Keep catheter dressing clean and dry. Ask your doctor for specific instructions on how to care for your catheter.
  • Avoid letting the catheter or catheter site go under water. Moisture near the catheter site can potentially lead to an infection. Patients must not swim, shower or soak dressing while bathing.
  • Contact your doctor right away if you notice any signs or symptoms of your catheter complications, such as o The area around your line is increasingly red, swollen, bruised or warm to the touch. o Drainage from your catheter site. o The length of the catheter that sticks out of your insertion site gets longer. o Difficulty flushing your line because it seems to be blocked.
  • Avoid lifting heavy objects.
  • Do not have blood pressure readings taken on arm where the catheter is placed
  • Summary of Any Field Safety Correction Action (FSCA)

    There were no recalls for the device between 01 December 2023 to 31 August 2024.

    5. Summary of Clinical Evaluation and Post-Market Clinical Follow-Up

    Clinical Background of Device

    The subject devices have been available since 2008. The CE Mark was received in October 2008. US FDA clearance was in November 2009. All models included are planned for distribution in the European Union.

    Clinical Evidence for CE-Marking

    The clinical literature review identified 3 articles relating to the safety and/or performance of the subject device when used as intended. These articles included approximately 54 cases. Three patient level data activities received information on 751 catheters. 14 user surveys have been received relating to this device. Findings from the clinical literature and data activities support the performance of the subject device. All data on the Pro-Line® catheter has been evaluated. The benefits of the subject device outweigh the risks when the device is used as intended. The benefit of the device is facilitating delivery of fluids and medications for treatments including chemotherapy and power injection of contrast media for CT examinations. These benefits are for patients in whom short- term or long-term access to the central venous system without requiring frequent needlesticks is deemed necessary based on the direction of a qualified, licensed physician.

    Safety

  • There is sufficient data to prove conformity to the applicable requirements. The device is safe and performs as intended. The device is state of the art. Medcomp has reviewed:
  • Post-Market Data
  • Medcomp Information Materials
  • Risk Management Documentation The risks are appropriately displayed and consistent with the state of the art. The risks associated with the device are acceptable when weighed against the benefits. There were 80,809 devices sold from January 1st 2019, to August 31st, 2024. Also, during this period there were 47 complaints received resulting in a 0.058% complaint frequency for the product family.
  • 6. Possible Therapeutic Alternatives

    When considering alternative treatments, it is recommended to contact your healthcare professional who can consider your individual situation. The Infusion Nurses Society (INS) Standards 2021 clinical practice guidelines have been used to support the below recommendations for treatments.

    Therapy Benefits Disadvantages Key Risks
    • Central Venous Catheters (CVCs)
    • Easy access.
    • Minimizes repeat puncture.
    • Requires surgery.
    • Surgery risks.
    • Requires maintenance.
    • Infection
    • Occlusion
    • Malfunction
    • Implantable Ports
    • Increased patient mobility.
    • Easier for outpatients.
    • Less Vein Damage.
    • Easier to See and Access.
    • Reduces chance for corrosive medications to make skin contact
    • One puncture location.
    • Longer Dwell Time.
    • Can be permanent.
    • Requires surgery.
    • Surgery Risks.
    • Requires maintenance.
    • High risk of infection or thrombosis.
    • Infection
    • Embolism
    • Necrosis
    • Midline Catheters
    • Patient comfort.
    • Longer dwell time than PIVs.
    • Lower risk of infection compared to IVs
    • No X-ray required.
    • Decreased chance of extravasation.
    • Not suitable for continuous injections of most vesicants or irritants
    • Phlebitis
    • Peripherally Inserted Central Catheters (PICCS)
    • Decreased risk of catheter occlusion compared to CVC
    • Fewer punctures compared to PIV
    • Increased risk of deep vein thrombosis compared to CVC
    • Pain/Discomfort over time
    • Daily Life Adaption
    • Deep vein thrombosis (DVT)
    • Pulmonary embolism
    • Venous thromboembolism (VTE)
    • Post thrombotic syndrome
    • Peripheral Intravenous Catheters (PIVs)
    • No Surgery.
    • Infection
    • Bleeding
    • Thrombosis
    • Cannot be used for therapies with blistering agents
    • Four days maximum use.
    • Infection
    • Phlebitis

    7. Suggested Profile and Training for Users

    The catheter should be inserted, manipulated, and removed by a qualified, licensed physician or other qualified health care professional under the direction of a physician.

    Acronyms

    Abbreviation Definition
    CE Conformité Européenne (European Conformity)
    cm centimeter
    CMR Carcinogenic, mutagenic, reprotoxic
    CT Computerized Tomography (CAT Scan)
    CVC Central Venous Catheter
    dba Doing Business As
    F French (thickness of catheter)
    FDA Food and Drug Administration
    FSCA Field Safety Corrective Action
    INS Infusion Nurses Society
    IV Intravenous
    N/A Not Applicable
    PA Pennsylvania
    PICC Peripherally Inserted Central Catheter
    PIV Peripheral Intravenous Catheters
    SSCP Summary of Safety and Clinical Performance
    USA United States of America
    w/w Weight over Weight

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