# K223810: Kawasumi Multiple Sample Adapter with Pre-Attached Holder (MBCH)

- Pathway: 510(k) (Special)
- Applicant: Sb-Kawasumi Laboratories, Inc.
- Decided: Feb 24, 2023 after 66 days
- Product code: JKA (Tubes, Vials, Systems, Serum Separators, Blood Collection)
- Device class: 2
- Regulation: 21 CFR 862.1675
- Recalls of this device: none
- Data: FDA decisions to Oct 25, 2026; recalls to Oct 12, 2026

## Lineage
Longest line of descent: 4 generations back to K931367 (1993). 4 ancestors in all.
No later device cites it as a predicate yet.
0 of 5 devices in its family (counting itself) have a Class I recall.

## Predicates on the family tree (from the FDA summary)
- K190485: Kawasumi Multiple Sample Adapter with Pre-Attached Holder (MBCH), Kawasumi Laboratories, Inc. (2019) Summary page 4.

## Indications for use
Female luer type The Kawasumi Multiple Sample Adapter with Pre-Attached Holder (MBCH) is a sterile, non-invasive device used for connection with syringes when transferring blood specimen from a syringe to blood collection tube or blood culture bottle. Male luer type The Kawasumi Multiple Sample Adapter with Pre-Attached Holder (MBCH) is a sterile, non-invasive device used for connection with a female luer system and non-needle devices in order to collect blood specimen to blood collection tube.

Source page: https://510kreport.com/device/K223810
Methodology: https://510kreport.com/methodology
