Summary of Safety and Clinical Performance

Vascu-Line® Central Venous Catheters

SSCP Document Number: SSCP-018
Revision Number: 5
Revision Date: 28-Mar-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): Vascu-Line® Central Venous Catheters

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

Basic UDI-DI: 00884908291NG

Date First CE Certificate Was Issued for This Device: Vascu-Line® - August 2012

Device Grouping and Variants

This document talks about central venous catheter [tube] (CVC) sets. They help in medical treatment and come in different types. They are often given to doctors in packages that have everything they need for the procedure. These packages can be set up in different ways depending on the needs of the patient.

Variant Devices:

Variant Description Part Number(s)
3F x 60cm Single Lumen Vascu-Line® 10550-960-001 10604-960-001
4F x 60cm Dual Lumen Vascu-Line® 10553-960-001 10601-960-001
4F x 60cm Single Lumen Vascu-Line® 10551-960-001
5F x 60cm Dual Lumen Vascu-Line® 10554-960-001
Variant Description Part Number(s)

Procedure Trays:

Configurations of Procedure Trays:
Catalog Code Part Number Description
MR28014221 10601-960-001 4F X 60CM VASCU-LINE® CENTRAL VENOUS CATHETER DUAL LUMEN BASIC SET
MR28014251 10553-960-001 4F X 60CM VASCU-LINE® CENTRAL VENOUS CATHETER DUAL LUMEN BASIC SET
MR28015251 10554-960-001 5F X 60CM VASCU-LINE® CENTRAL VENOUS CATHETER DUAL LUMEN BASIC SET
MR28013121 10550-960-001 3F X 60CM VASCU-LINE® CENTRAL VENOUS CATHETER SINGLE LUMEN BASIC SET
MR28013151 10604-960-001 3F X 60CM VASCU-LINE® CENTRAL VENOUS CATHETER SINGLE LUMEN BASIC SET
MR28014151 10551-960-001 4F X 60CM VASCU-LINE® CENTRAL VENOUS CATHETER SINGLE LUMEN BASIC SET
Configurations of Procedure Trays:
Catalog Code Part Number Description

Configurations of Procedure Trays:

Configuration Type
Basic Set:

2. Intended Use of the Device

Intended Purpose: The Vascu-Line® 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 the need for 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.

Indication(s): The Vascu-Line® Central Venous Catheter is indicated for short-term or long-term access to the central venous system for intravenous administration of fluids or medications.

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

Contraindications and/or Limitations:

  • The presence of device related infection is known or suspected.
  • This catheter is 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: Vascu-Line® Central Venous Catheters

Description of Device: The Vascu-Line® Central Venous Catheters are made from special materials that are safe for the body and come in different sizes to fit the patient's needs. They are packaged with tools that the doctor needs to use them. The percentage ranges below are based on catheter weights. The 3F Single Lumen Vascu-Line® weighs 2.75 grams. The 5F Dual Lumen Vascu-Line® weighs 5.85 grams.

Device Image

Device Name: Vascu-Line® Central Venous Catheters

Description of Device:

Materials / Substances in Contact with Patient Tissue:

The percentage ranges below are based on catheter weights. The 3F Single Lumen Vascu-Line® weighs 2.75 grams. The 5F Dual Lumen Vascu-Line® weighs 5.85 grams.

Material % Weight (w/w)
Polyurethane 60.70-62.52
Acetal Co-polymer 19.80-22.08
Acrylonitrile Butadiene Styrene 8.57-9.56
Barium Sulfate 5.46-8.15
Polyethylene Terephthalate 0.97-2.49

Material % Weight (w/w)

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 device can be placed using a special technique called the Seldinger or modified Seldinger technique. The doctor will put the catheter in a very clean and germ-free environment, such as an operating room, to reduce the risk of infection. After placing the catheter, the doctor can connect it to a bag or a pump to give medicine and fluids. To keep the catheter working properly, a special solution is used. If the catheter needs to be removed, a doctor who knows how to do it will perform a surgical procedure.

Cleaning (Sterilization) Information: Contents are clean and will not cause fever 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
Tunneler Instrument used to create a subcutaneous tunnel
Scalpel A cutting device
Syringe Helps get blood return once the needle punctures the vein

4. Risks and Warnings

If you think something is wrong with how you feel after using the device or you're worried about any problems, talk to your healthcare professional. Remember, this information is not meant to take the place of talking to your doctor if you need to.

How Potential Risks Have Been Controlled or Managed

  • There have been 11,811 Vascu-Line® CVCs sold since January 2019. There are side effects and risks associated with the device. These include:
  • Infection Bleeding
  • Tube Removal
  • Tube Replacement The device has some risks, but they are very low so that it is safe to use. You can read about these risks on the label. The device is helpful because it can give you medicine or food when other ways don't work. The benefits you get from using it are more than the risks.
  • Remaining Risks and Undesirable Effects

  • The Vascu-Line® CVCs are associated with risks. These include:
  • Procedural Delays
  • Blood clots in veins (Thrombosis)
  • Infections
  • Punctures in organs (Perforations)
  • Air bubbles in veins (Embolism) Heart problems (Cardiac Event)
  • Feeling unhappy with the procedure (Dissatisfaction) The risks of using the Medcomp device are similar to other dialysis tubes. The most common problem is getting an infection. Infections can happen when someone has surgery or stays in the hospital. Infections are not always caused by use of the device.
  • Quantification of Residual Risks
    PMS Complaints (01 January 2019 – 31 December 2023) PMCF Events
    Units Sold: 9,335 Units Studied: 95
    Patient Residual Harm Category # of Cases Per Event # of Cases Per Event
    Allergic Reaction Not Reported. Not Reported.
    Bleeding 1 Event in 1,600 Cases. Not Reported.
    Cardiac Event Not Reported. Not Reported.
    Embolism Not Reported. Not Reported.
    Infection Not Reported. Not Reported.
    Perforation Not Reported. Not Reported.
    Stenosis Not Reported. Not Reported.
    Tissue Injury Not Reported. Not Reported.
    Thrombosis Not Reported. Not Reported.

    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.
  • Don't let the catheter or the area around it get wet. This can cause infection, so don't swim or shower with the catheter.
  • If you have any problems with your catheter, call your doctor right away. Signs of problems include Ο The area around your line is very red, swollen, bruised or warm to the touch. Ο Liquid from your catheter site.
  • The length of the catheter that sticks out of your insertion site gets longer. Ο Difficulty flushing your line because it seems to be blocked.
  • Do not lift heavy things.
  • Do not have blood pressure taken on arm where the catheter is placed
  • Summary of Any Field Safety Correction Action (FSCA)

    There were no recalls for the subject device from 01 January 2018 to 31 December 2022.

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

    Clinical Background of Device

    The subject devices have been available since 2012. The CE Mark was received in August 2012. All models included are planned for distribution in the European Union.

    Clinical Evidence for CE-Marking

    The clinical literature review did not find articles relating to the safety and/or performance of the subject device when used as intended. Two patient level data activities received information on 95 catheters. 6 user surveys have been received relating to this device. Findings from the data activities support the performance of the subject device. All data on the Vascu-Line® catheter has been evaluated. The advantages of using this item outweigh the dangers when it is used as intended. This device helps people who have kidney problems get hemodialysis when other treatments are not right for them.

    Safety

  • There is enough information that shows the device is safe and does what it's supposed to do. The device is the most up-to-date technology to get medicine or fluids into the body. The device can be used for a short time or a long time. 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 11,811 Vascu-Line® CVCs sold from January 1st, 2019, to December 31st, 2023. Also, during this period there were eight complaints received resulting in a 0.06% complaint frequency for the Vascu-Line® 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.
    • Increased patient mobility.
    • Easier for outpatients.
    • Less Vein Damage.
    • Requires surgery.
    • Surgery risks.
    • Requires maintenance.
    • High risk of infection or thrombosis.
    • Infection
    • Blockage of a vessel (Occlusion)
    • Malfunction (Thrombosis)
    • Implantable Ports
    • 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.
    • Infection
    • Embolism
    • Death to a tissue (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
    • Swelling of a vein (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
    CVC Central Venous Catheter
    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

    Version 5.00 of Medical Components, Inc. Template QA-CL-200-1