Xcela PICC with PASV, Xcela Hybrid PICC with PASV, Xcela Power Injectable PICC

FDA 510(k) K152409 · Navilyst Medical, Inc.

Substantially Equivalent

510(k) numberK152409

Submission

Device name
Xcela PICC with PASV, Xcela Hybrid PICC with PASV, Xcela Power Injectable PICC
Applicant
Navilyst Medical, Inc.
Marlborough, MA, US
Received
August 26, 2015
Decision date
September 24, 2015
Decision
Substantially Equivalent (SESE)
Type
Special 510(k)
Summary
510(k) summary available from FDA

Official FDA 510(k) record

Device classification

Product code
LJS – Catheter, Intravascular, Therapeutic, Long-Term Greater Than 30 Days
Device class
Class II (moderate risk)
Regulation
21 CFR 880.5970
Specialty
General Hospital
Implant
Yes

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K260929Neonav ECG Tip Location SystemLJS · Special Navi Medical Technologies04/17/2026SE
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K252792PM2™ System with ECGuide™ ConnectorLJS · Special Piccolo Medical, Inc.11/17/2025SE
K243458HydroPICC 4Fr Single Lumen Marked catheter, 130 cm guidewire - Basic Kit (70001301)…LJS · Traditional Access Vascular, Inc.08/01/2025SE
K251212Dual Lumen 5Fr HydroPICC Catheter (PICC-251CM) (PICC-251CM); Dual Lumen 5Fr HydroPICC…LJS · Special Access Vascular, Inc.07/01/2025SE
K243484PM2+ System and SmartPICC StyletLJS · Traditional Piccolo Medical, Inc.05/29/2025SE
K241587pilot TLSLJS · Traditional Vygon Corporation02/26/2025SE
K241910Neonav ECG Tip Location SystemLJS · Traditional Navi Medical Technologies01/19/2025SE
K243941HydroPICC 4Fr Single Lumen Marked catheter, 130 cm guidewire - Basic Kit (70001201)…LJS · Special Access Vascular, Inc.01/17/2025SE
K240486PM2 System and ECGuide ConnectorLJS · Traditional Piccolo Medical, Inc.09/08/2024SE

More from Piccolo Medical, Inc.

510(k)DeviceDecision
K163452PICC Maximal Barrier Nursing KitLJS · Special 02/03/2017SESK
K161866BioFlo Midline CatheterFOZ · Traditional 09/08/2016SE
K151239Nmi Dual Port IILJT · Traditional 06/06/2016SE
K153228NMI Port, NMI Port IILJT · Special 12/04/2015SE
K152069Exodus Array Multipurpose Drainage Catheter, Exodus Nuance Nephrostomy Drainage…FGE · Traditional 09/24/2015SE
K150407BioFlo Midline CatheterFOZ · Abbreviated 05/15/2015SE
K150527Xcela Power Injectable PICCLJS · Special 03/31/2015SE
K150448NMI PICC III and NMI PICC IVLJS · Special 03/19/2015SE
K142616PICC Maximal Barrier Nursing KitLJS · Special 10/14/2014SE
K140194Namic RCS SyringeFMF · Abbreviated 04/14/2014SE

Questions and answers

When was Xcela PICC with PASV, Xcela Hybrid PICC with PASV, Xcela Power Injectable PICC cleared by the FDA?

Xcela PICC with PASV, Xcela Hybrid PICC with PASV, Xcela Power Injectable PICC (K152409) received a 510(k) decision of Substantially Equivalent on September 24, 2015, 29 days after the submission was received.

What is the product code of K152409?

The FDA product code is LJS – Catheter, Intravascular, Therapeutic, Long-Term Greater Than 30 Days, a Class II (moderate risk) device regulated under 21 CFR 880.5970.