Draft Guide on Arthroscopy Pump Tubing Sets

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FDA has released a draft guidance on “Arthroscopy Pump Tubing Sets Intended for Multiple Patient Use - Premarket Notification (510(k)) Submissions” that provides recommendations for device design considerations, risk mitigation strategies, and testing recommendations. The devices are designed to deliver irrigation fluid to surgical sites (knee, shoulder, hip, etc.) during arthroscopic procedures.

 

The document is being developed to address concerns about “backflow” because the devices are often used as a “single source of irrigation fluid for multiple patients without replacing the source of irrigation fluid or replacing/reprocessing the irrigation tubing system between patients,” FDA says. Such use may increase cross-contamination risks if the irrigation system becomes contaminated with patient backflow fluids.

 

The draft also clarifies terminology used to describe arthroscopy pump tubing sets. The agency says the document’s scope is limited to Class 2, arthroscopy pump tubing sets classified under 21 CFR 888.1100 and under product code HRX. Such devices may be part of an arthroscopy pump system or marketed separately as accessories for arthroscopy pump systems, it says.

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