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): Canaud Catheters
Manufacturer Name and Address: Medical
Components, Inc. 1499 Delp Drive Harleysville, PA 19438 USA
Basic UDI-DI: 00884908283NH
Date First CE Certificate Was Issued for This Device:
Nov-93
Device Grouping and Variants
The devices in scope of this document are all long-term
hemodialysis catheter sets. The device 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) |
| 10F x 40cm Canaud |
3320 |
Variant Devices:
| Variant Description |
Part Number(s) |
| 10F x 40cm Canaud |
3320 |
Procedure Trays:
Procedure Trays:
| Catalog Code |
Part Number |
Description |
| MCCA1040K-A |
3320 |
10F x 40cm Canaud Catheter Set |
| MCCA1040S-A |
3320 |
10F x 40cm Single Canaud Catheter Set |
| MCCC1040K-A |
3320 |
10F x 40cm Canaud Catheter w/ Stiffening Stylet Set
|
| MCCC1040S-A |
3320 |
10F x 40cm Single Canaud Catheter w/ Stiffening Stylet Set
|
Procedure Trays:
| Catalog Code |
Part Number |
Description |
| MCCA1040K-A |
3320 |
10F x 40cm Canaud Catheter Set |
| MCCA1040S-A |
3320 |
10F x 40cm Single Canaud Catheter Set |
| MCCC1040K-A |
3320 |
10F x 40cm Canaud Catheter w/ Stiffening Stylet Set
|
| MCCC1040S-A |
3320 |
10F x 40cm Single Canaud Catheter w/ Stiffening Stylet Set
|
Configurations of Procedure Trays:
| Configuration Type |
|
Configuration Type:Canaud Dual Hemodialysis Dual Catheter
Set
|
|
Configuration Type:10F x 40cm Canaud Single Lumen
Hemodialysis Single Catheter Set
|
|
Configuration Type:10F x 40cm Canaud Single Lumen
Hemodialysis Dual Catheter w/ Stiffening Stylet Set
|
|
Configuration Type:10F x 40cm Canaud Single Lumen
Hemodialysis Single Catheter w/ Stiffening Stylet Set
|
2. Intended Use of the Device
Intended Purpose: Canaud Catheters are intended
for use in adult patients who do not have functional permanent
vascular access or are not candidates for permanent vascular
access for whom central venous vascular access for hemodialysis is
deemed necessary based on the direction of a qualified, licensed
physician. The catheter is intended to be used under the regular
review and assessment of qualified health professionals. The
catheter is single use only.
Indication(s): Canaud Catheters are indicated for
short-term or long-term use where vascular access is required for
14 days or more for the purpose of hemodialysis.
Intended Patient Group(s): Canaud Catheters are
intended for use in adult patients who do not have functional
permanent vascular access or are not candidates for permanent
vascular access for whom central venous vascular access for
hemodialysis is deemed necessary based on the direction of a
qualified, licensed physician. The catheter is not intended for
use in pediatric patients.
Contraindications and/or Limitations:
-
Known or suspected allergies to any of the components of the
catheter or the kit.
-
This device is contraindicated for patients exhibiting severe,
uncontrolled bleeding.
3. Device Description
Device Name: Canaud Catheters
Description of Device: The Canaud Catheter is a
long-term catheter. The catheter is single tubed. Two catheters
are inserted into the target vein. The catheters remove and return
blood through two separate lines. A suture, attached to each
adapter, is used to anchor the catheter within the tunnel. The
catheter can be seen on x-rays.
Device Name: Canaud Catheters
Description of Device: The Canaud Catheter is a
long-term catheter. The catheter is single tubed. Two catheters
are inserted into the target vein. The catheters remove and return
blood through two separate lines. A suture, attached to each
adapter, is used to anchor the catheter within the tunnel. The
catheter can be seen on x-rays.
Materials / Substances in Contact with Patient Tissue:
The percentages below are based on the catheter weight. The
catheter weighs 7.415 grams.
Materials / substances in contact with patient tissue
| Material |
% Weight (w/w) |
| Polyurethane |
32.83 |
| Acetal copolymer |
18.51 |
| Silicone |
35.86 |
| Nylon |
6.47 |
| Barium sulfate |
6.33 |
The percentages below are based on the catheter weight. The
catheter weighs 7.415 grams.
Materials / substances in contact with patient tissue
| Material |
% Weight (w/w) |
| Polyurethane |
32.83 |
| Acetal copolymer |
18.51 |
| Silicone |
35.86 |
| Nylon |
6.47 |
| Barium sulfate |
6.33 |
Note:The device should not be used if you are allergic to the
above materials.
Note:Accessories containing stainless steel may contain up to 4%
weight of the CMR substance cobalt.
Information on Medicinal Substances in the Device:
How the Device Achieves its Intended Mode of Action:
Hemodialysis catheters are centrally placed access tubes. A
typical hemodialysis catheter uses a thin, flexible tube. This
catheter has two separate tubes. The tubes go into a large vein.
The vein is usually the internal jugular vein. Blood withdraws
through one tube of the catheter. The blood flows to the dialysis
machine through a separate tubing set. The blood is then processed
and filtered. The blood returns to the patient through the second
tube. This device is used when dialysis must start at once.
Patients may not have a functioning AV fistula or graft. Catheter
hemodialysis normally happens on a short-term basis. Long-term
access may occur in some cases. For example, when there are
problems supporting an AV fistula or graft.
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.
|
| Tunneler |
Creates a pocket in between muscle and skin for catheter.
|
| Stylet |
Assist in catheter insertion. |
| Plug |
To block the catheter lumen after insertion and before the
adaptor is attached.
|
| Stiffener Stylet |
Assist in extension insertion. |
| Advancer |
Helps introduction of guidewire. |
| Attachable Suture Wing |
Secures catheter. |
| 2.0 Suture |
Secures catheter. |
| End Cap |
To keep the catheter clean between treatments.
|
| Dilator |
Used to make the opening of a vessel larger.
|
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 does not replace a
consultation with your healthcare professional if needed.
How Potential Risks Have Been Controlled or Managed
There have been 28,740 devices sold since January 2020. There are
side effects and risks associated with the device. These include:
Infection
Bleeding
Catheter Removal
Catheter Replacement These risks are reduced to an acceptable
level. The labeling describes the risks. The benefit of the device
is access for hemodialysis when alternatives are not suitable.
These benefits outweigh the risks. The Canaud catheter is
associated with risks. These include:
Procedural Delays
Thrombosis
Infections
Perforations
Embolism
Cardiac Event
Dissatisfaction
Remaining Risks and Undesirable Effects
The Canaud catheter is associated with risks. These include:
Procedural Delays
Thrombosis
Infections
Perforations
Embolism
Cardiac Event
Dissatisfaction These risks are consistent with risks of other
dialysis 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 2016 – 31 March 2025
|
PMCF Events |
|
Units Sold: 30,881 |
Units Studied: 1,028 |
|
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. |
1 Event in 80 Cases. |
| Cardiac Event |
1 Event in 33,000 Cases. |
Not Reported. |
| Embolism |
1 Event in 10,000 Cases. |
Not Reported. |
| Infection |
Not Reported. |
1 Event in 6 Cases. |
| Perforation |
Not Reported. |
Not Reported. |
| Stenosis |
Not Reported. |
1 Event in 250 Cases. |
| Tissue Injury |
Not Reported. |
Not Reported. |
| Thrombosis |
Not Reported. |
1 Event in 60 Cases. |
| Miscellaneous Complications |
Not Reported. |
Not Reported. |
Warnings and Precautions
The below are warnings, precautions, or measures to be taken by
patient:
To reduce the risk of bacteria entering the catheter, wear a mask
over your nose and mouth whenever the catheter is accessed.
Keep the catheter dressing clean and dry. The dressing should be
changed by a medical professional at each dialysis session.
Avoid letting the catheter or catheter site go under water.
Moisture near the catheter site can potentially lead to an
infection.
Ask the doctor to explain the signs and symptoms of catheter
infection.
Never remove the cap at the end of the catheter. The cap and
clamps of the catheter must be kept closed when not being used for
dialysis.
Summary of Any Field Safety Correction Action (FSCA)
There were no recalls for the device between 01 April 2024 to 31
March 2025.
5. Summary of Clinical Evaluation and Post-Market Clinical
Follow-Up
Clinical Background of Device
The Canaud catheter has been available since 1993. The CE Mark was
received in November 1993. All models included are planned for
distribution in the European Union.
Clinical Evidence for CE-Marking
The clinical literature review identified 14 articles relating to
the safety and/or performance of the subject device when used as
intended. These articles included approximately 3,375 cases. One
patient level data activity received information on 1,028
catheters. Findings from the clinical literature and clinical data
activities support the performance of the subject device. All data
on the Canaud 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 allowing hemodialysis in
patients in whom other therapies or conservative care are not
desirable by the physician.
Safety
There is sufficient data to prove conformity to the applicable
requirements. The device is safe and performs as intended and
claimed by Medcomp. The device is state of the art for allowing
long-term vascular access for hemodialysis in adult patients.
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 51 complaints for 28,740 units sold from 01
January 2020 to 31 March 2025. The complaint rate is 0.18%.
6. Possible Therapeutic Alternatives
When considering alternative treatments, it is recommended to
contact your healthcare professional who can consider your
individual situation. The Kidney Disease Outcomes Quality
Initiative (KDOQI) 2019 clinical practice guidelines have been
used to support the below recommendations for treatments.
| Therapy |
Benefits |
Disadvantages |
Key Risks |
| • AV Fistula |
- Permanent solution.
-
Lower complication rate than catheter.
|
- Requires time.
-
Patients must sometimes self-needle stick.
|
- Stenosis
- Thrombosis
- Aneurysm
- Pulmonary hypertension
- Steal Syndrome
- Septicemia
|
| • Hemodialysis Catheter |
- Useful for quick access.
-
Can be used as a bridge between therapies.
|
- Not permanent.
- Catheter dysfunction can happen.
-
Benefit may not be the same for everyone.
|
- Post-procedural bleeding
- Infection
- Thrombosis
-
Decreased blood flow in dysfunctional catheter
- Cardiovascular events
-
Fibrin sheath formation around catheter
- Septicemia
|
| • Peritoneal Dialysis |
-
Less restrictive diet than hemodialysis.
- Does not require hospitalization.
|
-
Clearance of impurities is limited by flow and space.
|
- Peritonitis
- Septicemia
- Fluid overload
|
| • Kidney Transplant |
- Better quality of life.
- Lower risk of death.
- Fewer dietary restrictions.
|
- Requires a donor.
- More risky for certain groups.
-
Patient must take medication for life.
- Medication has side effects.
|
- Thrombosis
- Hemorrhage
- Ureteral blockage
- Infection
- Organ rejection
- Death
- Myocardial infarction
- Stroke
|
| • Comprehensive Conservative Care |
- Less imposed symptom burden.
- Preserves life satisfaction.
|
- May aggravate clinical condition.
- Not designed to treat.
|
-
Treatment may not actually minimize risks associated
with CKD
|
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. In certain
circumstances, patients who may be suitable for home hemodialysis
may manipulate the external connections of the catheter. Consult
International Society of Hemodialysis guidelines. If home dialysis
is recommended, you will undergo thorough training. The objectives
of the training program are: 1) Give you information to dialyze
safely at home. 2) Enable you to monitor and manage your disease.
3) Help you cope with fears and restrictions of home hemodialysis.
The ideal nurse trainer-to-patient ratio is typically 1:1. A
training schedule will be created. Training will be individualized
to your needs.
Acronyms
| Abbreviation |
Definition |
| AV |
Arteriovenous |
| CE |
Conformité Européenne (European Conformity)
|
| CKD |
Chronic Kidney Disease |
| cm |
centimeter |
| CMR |
Carcinogenic, mutagenic, reprotoxic |
| dba |
Doing Business As |
| F |
French (thickness of catheter) |
| FDA |
Food and Drug Administration |
| FSCA |
Field Safety Corrective Action |
| KDOQI |
Kidney Disease Outcomes Quality Initiative
|
| PA |
Pennsylvania |
| SSCP |
Summary of Safety and Clinical Performance
|
| USA |
United States of America |
| w/w |
Weight over Weight |