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 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 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 |
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)
|
|
- 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 |
| 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 |