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 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 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 |