Summary of Safety and Clinical Performance

6.5F Tesio® Catheter

SSCP Document Number: SSCP-010
Revision Number: 6
Revision Date: 5-Sep-25

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): 6.5F Tesio® Catheter

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

Basic UDI-DI: 00884908281ND

Date First CE Certificate Was Issued for This Device: 1997

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. The procedure tray is a configuration including accessories.

Variant Devices:

Variant Devices:
Variant Description Part Number(s)
6.5F Tesio 1398 / 1399

Procedure Trays:

Procedure Trays:
Catalog Code Part Number Description
PBFP 1398 / 1399 6.5F Tesio® Catheter Set (Arterial Cuff - 12cm From Tip) (Venous Cuff - 15cm From Tip)

Configurations of Procedure Trays:

Configuration Type
6.5F Tesio® Set:

2. Intended Use of the Device

Intended Purpose: 6.5F Tesio® Catheters are intended for use in pediatric 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. This catheter is for single-use only.

Indication(s): The 6.5F Tesio® Catheter is 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): 6.5F Tesio® Catheters are intended for use in pediatric 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.

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 coagulopathy or thrombocytopenia.

3. Device Description

Device Image

Device Name: 6.5F Tesio® Catheter

Description of Device: The 6.5F Tesio® 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. Priming volumes are printed on the lumen.

Device Image

Device Name: 6.5F Tesio® Catheter

Description of Device: The 6.5F Tesio® 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. Priming volumes are printed on the lumen.

Materials / Substances in Contact with Patient Tissue:

The percentage below is based on catheter weight. The catheter weighs 9.47 grams.

6.5F Tesio Catheter
Material % Weight (w/w)
Polyvinyl chloride 32.45
Acetal copolymer 40.63
Polyurethane 20.84
Barium sulfate 3.18
Polyethylene terephthalate 1.60
Silicone 1.30

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: N/A

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.
Guidewire Advancer Helps guidewire introduction.
Introducer Needle Placed into the target vein to gain access.
Tunneler Creates a pocket in between muscle and skin for catheter.
Peelable Introducer Used to get central venous access.
End Cap To keep the catheter clean between treatments.

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 612 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 6.5F Tesio® catheter is associated with risks. These include:
  • Procedural Delays
  • Thrombosis
  • Infections
  • Perforations
  • Embolism
  • Cardiac Event
  • Dissatisfaction
  • Remaining Risks and Undesirable Effects

    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 2019 – 31 March 2025 PMCF Events
    Units Sold: 687 Units Studied: 0
    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 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:
  • 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 6.5F Tesio® was marketed previously as the 7F Tesio® catheter. The 6.5F Tesio® catheter has been available since 1997. The CE Mark was received in 1997. US FDA clearance was in February 1999. All models included are planned for distribution in the European Union.

    Clinical Evidence for CE-Marking

    The clinical literature review found 4 articles relating to the safety and/or performance of the subject device when used as intended. These articles include approximately 37 cases. Findings from the clinical literature support the performance of the subject device. All data on the 6.5F Tesio® 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 pediatric 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 0 complaints for 612 units sold from 01 January 2020 to 31 March 2025. The complaint rate is 0.000%.
  • 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.
    • AV Fistula (Pediatrics)
    • Preferred pediatric vascular access.
    • Better solute clearance.
    • Lower complication rate than catheter.
    • Lower risk of infection and thrombosis.
    • Technical difficulty in children with small veins.
    • Not suitable for certain patient size.
    • High tendency of vasospasm due to small vessels.
    • Primary failure and early access thrombosis.
    • Hemodialysis Catheter (Pediatrics)
    • Great alternative in rapid onset of kidney failure.
    • Ability to be used in the absence of needle sticks.
    • Decreased risk of cardiac failure.
    • High infection rates.
    • High failure/replacement rate.
    • Potentially poor treatment.
    • Potential complications with significant morbidity and mortality.
    • Possible Arrhythmia
    • Permanent damage to central venous system.
    • Peritoneal Dialysis (Pediatrics)
    • Most suitable for children.
    • Long-term success is limited by infectious complications and gradual ultrafiltration failure.
    • Catheter exit site and tunnel infection
    • Peritonitis
    • Kidney Transplant (Pediatrics)
    • Enhanced linear growth and potential for remarkable advances in social and intellectual development.
    • Graft survival is about 12-15 years in children.
    • Increase in the lifetime risk of cancer.
    • Newborns and infants may not be large enough to receive a transplant. Patients need to be around 8-10 kg in size generally.
    • Infections, post-transplant lymphoproliferative disorders and malignancy
    • Graft rejection can be difficult to diagnose.

    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

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