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 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 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
|
|
|
• 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)
|
|
- Infection
- Bleeding
- Thrombosis
-
Cannot be used for therapies with blistering agents
- Four days maximum use.
|
|
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 |