K Number
K142051

Validate with FDA (Live)

Date Cleared
2014-12-17

(142 days)

Product Code
Regulation Number
870.1330
Age Range
All
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticPediatricDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Merit plastic jacketed introducer guide wire is intended to facilitate the placement of devices during diagnostic and interventional procedures, specifically sheath introducers. The wire is indicated for the peripheral vasculature only.

Device Description

The Merit Prelude Plastic jacketed introducer guide wire consists of a high quality metallic core wire with a radiopaque polymer jacket. The wire will be offered in straight and angled versions, in various lengths.

AI/ML Overview

The provided document is a 510(k) Summary for a medical device (Prelude Plastic Jacketed Guide Wire). It describes the device, its intended use, comparison to a predicate device, and a summary of safety and performance tests. However, it does not contain a detailed table of acceptance criteria and reported device performance with specific values. Instead, it broadly states that tests were conducted according to standards and met acceptance criteria.

Therefore, many of the requested elements cannot be fully extracted or are explicitly stated as not applicable to this type of submission.

Here's an analysis based on the information available:


1. A table of acceptance criteria and the reported device performance

The document does not provide a specific table with quantitative acceptance criteria and corresponding reported device performance values. It generally states that "A battery of testing was conducted in accordance with protocols based on requirements outlined in guidance's and industry standards and these were shown to meet the acceptance criteria that were determined to demonstrate substantial equivalence."

It lists the types of tests performed in the "Safety & Performance Tests" section, but without specific criteria or results.

2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

The document does not specify the sample sizes used for the test set or the data provenance. This level of detail is typically found in the full test reports, not usually in the 510(k) summary.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

Not applicable to this type of device (guide wire). The "tests" are primarily physical, chemical, and biological evaluations, not diagnostic assessments requiring expert interpretation of images or patient data.

4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

Not applicable. See point 3.

5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

Not applicable. This device is a medical instrument (guide wire), not an AI/software device that assists human readers.

6. If a standalone (i.e. algorithm only without human-in-the loop performance) was done

Not applicable. This is not an algorithm or AI device.

7. The type of ground truth used (expert consensus, pathology, outcomes data, etc)

For the performance tests listed (e.g., tensile strength, flexibility, biocompatibility), the "ground truth" would be established by the defined test methodologies and expected physical/chemical properties as outlined in the referenced standards (e.g., ISO, ASTM, USP). For example, a "fracture test" would have an acceptance criterion that the wire should not fracture under certain conditions, and the "ground truth" would be the observation of fracture or no fracture.

8. The sample size for the training set

Not applicable. This type of device does not involve a "training set" in the context of machine learning or AI.

9. How the ground truth for the training set was established

Not applicable. See point 8.

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Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is an abstract symbol that resembles a stylized human figure or a bird in flight, composed of three overlapping profiles.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002

December 17, 2014

Merit Medical Systems Inc. Mr. Michael O'Sullivan RA Specialist III Parkmore Business Park West Galway, Ireland

Re: K142051

Trade/Device Name: Prelude Plastic Jacketed Guide Wire Regulation Number: 21 CFR 870.1330 Regulation Name: Catheter Guide Wire Regulatory Class: Class II Product Code: DQX Dated: November 14, 2014 Received: November 17, 2014

Dear Mr. Michael O'Sullivan,

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food. Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting (reporting of medical devicerelated adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in

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the quality systems (OS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Division of Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

You may obtain other general information on your responsibilities under the Act from the Division of Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours,

Melissa A. Torres -S

For Bram D. Zuckerman, M.D. Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K142051

Device Name Prelude Plastic Jacketed guide wire

Indications for Use (Describe)

The Merit plastic jacketed introducer guide wire is intended to facilitate the placement of devices during diagnostic and interventional procedures, specifically sheath introducers. The wire is indicated for the peripheral vasculature only,

Type of Use (Select one or both, as applicable)

Prescription Use (Part 21 CFR 801 Subpart D)

_ Over-The-Counter Use (21 CFR 801 Subpart C)

PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON A SEPARATE PAGE IF NEEDED.

FOR FDA USE ONLY

Concurrence of Center for Devices and Radiological Health (CDRH) (Signature)

This section applies only to requirements of the Paperwork Reduction Act of 1995.

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Merit Medical Systems, Inc.
Merit Prelude Plastic Jacketed Introducer Guide Wire
Traditional Premarket Notification 510(k)

^^?% &$) %510(k) Summary
GeneralProvisionsSubmitter Name:Address:Telephone Number:Fax Number:Contact Person:Registration Number:Correspondent Name:Address:Telephone Number:Fax Number:Contact Person:Date of Preparation:Registration Number:Merit Medical Systems, Inc.1600 West Merit ParkwaySouth Jordan, UT 84095(+353) 91 703700 (Ext. 3061)(+353) 91 680104Mark Mullaney1721504Merit Medical Ireland Ltd.Parkmore Business ParkParkmore, Galway, Ireland(+353) 91 703700 (Ext. 3223)(+353) 91 680104Michael O'Sullivan17th December 20149616662
SubjectDeviceTrade Name:Common/Usual Name:Classification Name:Prelude Plastic jacketed introducer guide wireGuide WireWire, Guide, Catheter
PredicateDevicePremarket Notification Predicate Device # 1:Terumo Glidesheath(mini guide wire): K082644Manufacturer: Terumo Medical Corporation
ClassificationClass II21 CFR § 870.1330Product code: DQXDivision of Cardiovascular Devices
Intended UseThe Merit Prelude Plastic Jacketed introducer guide wire is intended to facilitatethe placement of devices during diagnostic and interventional procedures,specifically sheath introducers. The wire is indicated for the peripheralvasculature only.
DeviceDescriptionThe Merit Prelude Plastic jacketed introducer guide wire consists of a highquality metallic core wire with a radiopaque polymer jacket. The wire will beoffered in straight and angled versions, in various lengths.
Comparison toPredicateThe Technological characteristics of the subject Merit Prelude Plastic jacketedintroducer guide wire are substantially equivalent to those of the mini guide wirepredicate, within the Terumo Glidesheath (mini guide wire) Wire [K082644]. Bothwires consist of a metallic core wire coated in a radiopaque polymer jacket.
Safety &PerformanceTestsNo performance standards have been established under section 514 of theFood, Drug and Cosmetic Act for these devices. A battery of testing wasconducted in accordance with protocols based on requirements outlined inguidance's and industry standards and these were shown to meet theacceptance criteria that were determined to demonstrate substantialequivalence.Where appropriate, the tests were based on the requirements of the followingdocuments:FDA guidance Coronary and Cerebrovascular Guide Wire GuidanceJanuary 1995. ISO 11070: 1998, Sterile Single-Use Intravascular Catheter Introducers. ISO 11135-1: 2007 Sterilization of health care products-Ethylene oxide-Part 1: Requirements for the development, validation and routine controlof a sterilization process for medical devices. ASTM F1980-07 Standard Guide for Accelerated Aging of Sterile BarrierSystems for Medical Devices ISO 2233:2000, Packaging - Complete, filled transport packages andunit loads - Conditioning for testing ISO 10993-1: 2009, Biological Evaluation of Medical Devices Part 1:Evaluation and Testing within a risk management process, and the FDAModified ISO 10993 Test Profile FDA Memo G95-1. ANSI/AAMI/ISO 10993-3:2003, Biological Evaluation of Medical Devices- Part 3: Tests for Genotoxicity, Carcinogenicity and ReproductiveToxicity ISO 10993-4:2002 (Amd.1:2006), Biological evaluation of medicaldevices – Part 4: Selection of tests for interactions with blood ISO 10993-5:2009, Biological evaluation of medical devices – Part 5:Tests for in vitro cytotoxicity ISO 10993-7:2008, Biological evaluation of medical devices – Part 7:Ethylene oxide sterilization residuals ISO 10993-10:2010, Biological evaluation of medical devices – Part 10:Tests for irritation and skin sensitization ISO 10993-11:2006, Biological evaluation of medical devices – Part 11:Tests for systemic toxicity ASTM F756-08, Standard practice for assessment of hemolyticproperties of materials United States Pharmacopeia 36, National Formulary 31, <151> PyrogenTest. 2013 The following is a list of all significant testing that was successfully completed:Performance Testing-Bench Size Designation

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Merit Medical Systems, Inc.
Merit Prelude Plastic Jacketed Introducer Guide Wire
Traditional Premarket Notification 510(k)

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Merit Medical Systems. Inc. Merit Prelude Plastic Jacketed Introducer Guide Wire Traditional Premarket Notification 510(k)

  • Radiodetectability
  • Surface ●
  • Tensile Strength ●
  • Torque Strength
  • Tip Flexibility ●
  • Fracture test .
  • Flex test ●
  • . IV Catheter Compatibility
  • Dilator Catheter Compatibility ●
  • Corrosion Resistance ●
  • Tip Shape Testing ●
  • ETO Residuals ●
  • Bioburden ●
  • Pyrogen (LAL) ●

Biocompatibility

  • Cytotoxicity ●
  • Sensitization
  • Irritation ●
  • Acute Systemic Toxicity ●
  • Pyrogenicity ●
  • Genotoxicity
  • Hemolysis ●
  • Thrombogenicity ●
  • Complement Activation .
  • Chemical Characterization .

As all test results were comparable to the predicate device and as the subject Merit Prelude Plastic jacketed introducer guide wire met the predeterminded acceptance criteria applicable to the safety and efficacy of the device, this has demonstrated that the subject device is substantially equivalent to the predicate device.

Summary of Substantial Equivalence Based on the Indications for Use, design, safety and performance testing, the subject Merit Prelude Plastic jacketed introducer guide wire meets the requirements that are considered essential for its intended use and is substantively equivalent to the predicate device, the Terumo Glidesheath(mini guide wire) manufactured by Terumo Medical Corporation, K082644.

§ 870.1330 Catheter guide wire.

(a)
Identification. A catheter guide wire is a coiled wire that is designed to fit inside a percutaneous catheter for the purpose of directing the catheter through a blood vessel.(b)
Classification. Class II (special controls). The device, when it is a torque device that is manually operated, non-patient contacting, and intended to manipulate non-cerebral vascular guide wires, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 870.9.