K Number
K153125
Date Cleared
2016-01-13

(76 days)

Product Code
Regulation Number
870.1200
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The IntraNovo Microcatheter is intended for the infusion of contrast media into all peripheral vessels up to and including the cervical vessels, all vessels in the lower and upper extremittes, and all coronary vessels. The Microcatheter is also intended for drug infusion in intra-arterial therapy and infusion of embolic materials for hemostasis. The Microcatheter should not be used in cerebral vessels.

Device Description

The IntraNovo Microcatheter (the "IntraNovo 21" or the "Microcatheter") is an infusion catheter intended for intravascular use. The Microcatheter consists of a single lumen. The shaft consists of a lubricous inner liner made from polytetrafluoroethylene (PTFE) with a stainless steel coil over the inner liner. The outer liner consists of different lengths of colored polyether block amide with varying durometers hardness. A lubricious hydrophilic coating covers the distal end of the IntraNovo Microcatheter. One radiopaque marker band is placed at the distal end of the Microcatheter and above the stainless steel coil. A polycarbonate hub is attached to the proximal end of the Microcatheter with a strain relief placed over the distal end of the hub. The device shaft has an outer diameter of 2.9 French size on the proximal end and 2.4 French size on the distal end with an inner diameter of 0.021" throughout the shaft. The device is available in lengths of 110 cm and 130 cm. The following accessories are included with the Microcatheter: a stainless steel steam shaping mandrel to allow for manual shaping of the distal tip and a 3.0 mL syringe.

AI/ML Overview

The provided text describes a 510(k) premarket notification for the IntraNovo Microcatheter, a medical device. This document focuses on demonstrating substantial equivalence to a predicate device through bench testing. It does not contain information about clinical studies with human participants or a multi-reader, multi-case comparative effectiveness study. Therefore, several aspects of the requested information, such as sample sizes for test/training sets, data provenance, number/qualifications of experts, adjudication methods, MRMC study details, and standalone algorithm performance, are not applicable or cannot be extracted from this document.

Here's an analysis of the available information:

1. Table of Acceptance Criteria and Reported Device Performance

The document states that the IntraNovo Microcatheter "met the predetermined acceptance criteria" for all tests. However, the specific quantitative acceptance criteria for each test are not provided in the table. Only the "Test Results (T=0) and (T=2)" which uniformly indicate "Pass" are given.

Test #Test NameApplicable Standard or Internal Test MethodAcceptance Criteria (Not Explicitly Stated in Document, only "Pass" is reported for all)Reported Device Performance (T=0 and T=2)
1Guidewire & Guide Catheter CompatibilityInternal Test MethodPredetermined acceptance criteria (not detailed)T=0 Pass, T=2 Pass
2In-Vitro Track ForceInternal Test MethodPredetermined acceptance criteria (not detailed)T=0 Pass, T=2 Pass
3Durability of Hydrophilic CoatingInternal Test MethodPredetermined acceptance criteria (not detailed)T=0 Pass, T=2 Pass
4Lubricity of Hydrophilic CoatingInternal Test MethodPredetermined acceptance criteria (not detailed)T=0 Pass, T=2 Pass
5Tip Shape RetentionInternal Test MethodPredetermined acceptance criteria (not detailed)T=0 Pass, T=2 Pass
6Static Burst PressureISO 10555Predetermined acceptance criteria (not detailed)T=0 Pass, T=2 Pass
7Dimensional & Physical AttributesISO 10555Predetermined acceptance criteria (not detailed)T=0 Pass, T=2 Pass
8Corrosion ResistanceISO 10555Predetermined acceptance criteria (not detailed)T=0 Pass, T=2 Pass
9Dynamic Burst PressureInternal Test MethodPredetermined acceptance criteria (not detailed)T=0 Pass, T=2 Pass
10Air LeakInternal Test MethodPredetermined acceptance criteria (not detailed)T=0 Pass, T=2 Pass
11Liquid LeakageInternal Test MethodPredetermined acceptance criteria (not detailed)T=0 Pass, T=2 Pass
12Tensile StrengthISO 10555Predetermined acceptance criteria (not detailed)T=0 Pass, T=2 Pass
13Flow RateInternal Test MethodPredetermined acceptance criteria (not detailed)T=0 Pass, T=2 Pass
14Kink ResistanceInternal Test MethodPredetermined acceptance criteria (not detailed)T=0 Pass, T=2 Pass
15RadiopacityASTM-F640-12Predetermined acceptance criteria (not detailed)T=0 Pass, T=2 Pass
16Torque to FailureInternal Test MethodPredetermined acceptance criteria (not detailed)T=0 Pass, T=2 Pass
17Catheter StiffnessInternal Test MethodPredetermined acceptance criteria (not detailed)T=0 Pass, T=2 Pass
18Packaging IntegrityASTM F-88-09, ASTM-1929-98Predetermined acceptance criteria (not detailed)T=0 Pass, T=2 Pass
19Therapeutic AgentsInternal Test MethodPredetermined acceptance criteria (not detailed)T=0 Pass, T=2 Pass
20Female Luer Hub VerificationISO 594Predetermined acceptance criteria (not detailed)T=0 Pass, T=2 Pass
21Shipping and Transportation SimulationISTA 3PAPredetermined acceptance criteria (not detailed)T=0 Pass, T=2 Pass
22Coating IntegrityInternal Test MethodPredetermined acceptance criteria (not detailed)T=0 Pass, T=2 Pass
23Torque ResponseInternal Test MethodPredetermined acceptance criteria (not detailed)T=0 Pass, T=2 Pass
24Particulate EvaluationUSP <788>Predetermined acceptance criteria (not detailed)T=0 Pass, T=2 Pass

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

This document describes bench testing of a physical device, not a study involving a test set of data. The "test sets" here refer to batches of manufactured devices used for physical and mechanical evaluations. The document does not specify the sample size for devices used in each bench test, nor does it refer to data provenance in terms of country of origin or retrospective/prospective nature, as these are concepts typically associated with clinical or imaging data sets. The testing was performed on "non-aged devices (T=0) as well as on devices subject to 2 years of accelerated aging (T=2)."

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g., radiologist with 10 years of experience)

Not applicable. This is not a study assessing diagnostic performance or requiring expert ground truth. The "ground truth" for these tests would be the measured physical and mechanical properties of the device against engineering specifications.

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

Not applicable. As noted above, this is not a study requiring adjudication of interpretations.

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 document pertains to the 510(k) clearance of a physical medical device (microcatheter) and does not involve AI or human readers.

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

Not applicable. This document pertains to the 510(k) clearance of a physical medical device (microcatheter) and does not involve an algorithm.

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

The "ground truth" for the bench tests would be the established engineering specifications and performance requirements for the device, often derived from relevant ISO standards (e.g., ISO 10555) or internal test methods. These are objective measurements rather than subjective expert consensus or pathology.

8. The sample size for the training set

Not applicable. This document describes bench testing for device clearance, not the development or evaluation of an algorithm based on a training set.

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

Not applicable.

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Image /page/0/Picture/1 description: The image shows the seal of the U.S. Department of Health & Human Services. The seal features the department's name encircling a symbol. The symbol consists of three stylized human profiles facing right, stacked on top of each other. The text reads "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA".

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

January 13, 2016

Texas Medical Technologies, Inc. % E.J. Smith Consultant Smith Associates 1468 Harwell Avenue Crofton, Maryland 21114

Re: K153125

Trade/Device Name: IntraNovo Microcatheter Regulation Number: 21 CFR 870.1200 Regulation Name: Diagnostic Intravascular Catheter Regulatory Class: Class II Product Code: DQO Dated: December 10, 2015 Received: December 14, 2015

Dear E.J. Smith:

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,

Kenneth J. Cavanaugh -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)

Device Name IntraNovo Microcatheter

Indications for Use (Describe)

The IntraNovo Microcatheter is intended for the infusion of contrast media into all peripheral vessels up to and including the cervical vessels, all vessels in the lower and upper extremittes, and all coronary vessels. The Microcatheter is also intended for drug infusion in intra-arterial therapy and infusion of embolic materials for hemostasis. The Microcatheter should not be used in cerebral vessels.

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

2 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.

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

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510(k) Summary

    1. Company Information & Contact Person
Company Name:Company AddressTexas Medical Technologies, Inc9005 Montana Ave. Ste. AEl Paso, Texas 79925
Telephone:Fax:(915) 774-4321(915) 774-4323
Date Prepared:10/20/2015
    1. Device Name & Classification
Proprietary Name:IntraNovo Microcatheter
Common Name:Microcatheter
Classification Name:Diagnostic Intravascular Catheter
Regulation Number:21 CFR 870.1200
Product Code:DQO
Device Class:Class II
    1. Predicate Device
Proprietary Name:IntraNovo 25 Microcatheter
Company Name:Texas Medical Technologies, Inc.
Common Name:Microcatheter
Classification Name:Diagnostic Intravascular Catheter
Regulation Number:21 CFR 870.1200
Product Code:DQO
Device Class:Class II
510(k) Number:K142817

4. Device Description

The IntraNovo Microcatheter (the "IntraNovo 21" or the "Microcatheter") is an infusion catheter intended for intravascular use. The Microcatheter consists of a single lumen. The shaft consists of a lubricous inner liner made from polytetrafluoroethylene (PTFE) with a stainless steel coil over the inner liner. The outer liner consists of different lengths of colored polyether block amide with varying durometers hardness. A lubricious hydrophilic coating covers the distal end of the IntraNovo Microcatheter. One radiopaque marker band is placed at the distal end of the Microcatheter and above the stainless steel coil. A polycarbonate hub is attached to the proximal end of the Microcatheter with a strain relief placed over the distal end of the hub.

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The device shaft has an outer diameter of 2.9 French size on the proximal end and 2.4 French size on the distal end with an inner diameter of 0.021" throughout the shaft. The device is available in lengths of 110 cm and 130 cm.

The following accessories are included with the Microcatheter: a stainless steel steam shaping mandrel to allow for manual shaping of the distal tip and a 3.0 mL syringe.

Design &DevelopmentModelNumberCommercialModelNumberShaftLength(cm)Outer DiameterInnerDiameterMarker BandConfigurationTip Shape
SMC-21110-1SMC-2411-1SN1102.7 Fr.2.9 Fr.0.025"1 Marker BandStraight(shapeable)
SMC-21130-1SMC-2413-1SN1302.7 Fr.2.9 Fr.0.025"1 Marker BandStraight(shapeable)

Table 4.1 IntraNovo Microcatheter Models and Sizes

    1. Indications for Use
      The IntraNovo Microcatheter is intended for the infusion of contrast media into all peripheral vessels up to and including the cervical vessels, all vessels in the lower and upper extremities, and all coronary vessels. The Microcatheter is also intended for drug infusion in intra-arterial therapy and infusion of embolic materials for hemostasis. The Microcatheter should not be used in cerebral vessels.
  • Predicate Product Comparison Table 6.

TechnicalCharacteristics /Principle ofOperationIntraNovoMicrocatheterIntraNovo 25Microcatheter(Predicate)Comments
510(k) NumberK142817
Length100cm - 130cm100cm -130 cm-150cmSame
Outer DiameterDistal: 2.4 Fr.Proximal 2.9 Fr.Distal: 2.7 Fr.Proximal 2.9 Fr.Different 1Identical
Inner Diameter0.021"0.025"Different 2
Maximum Pressure5,171 kPa (750 psi)5,171 kPa (750 psi)Identical
Distal CurveStraight (shapeable)Straight(shapeable)Identical
Inner LinerMaterialPolytetraflouroethylene(PTFE)*Polytetraflouroethylene(PTFE)*Identical
Coil ReinforcementMaterialStainless Steel*Stainless Steel*Identical

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Radiopaque MarkerPlatinum/Iridium*Platinum/Iridium*Identical
Outer ShaftMaterialPolyether BlockAmide*Polyether BlockAmide*Identical
Luer MaterialPolycarbonate*Polycarbonate*Identical
Luer ConnectorFemale LuerConnector*Female LuerConnector*Identical
Hydrophilic CoatedYes*Yes*Identical
Anatomical SiteUsePeripheral,CoronaryPeripheral,CoronaryIdentical
SuppliedAccessoriesShaping Mandrel,Injection SyringeShaping Mandrel,Injection SyringeIdentical
Delivery to SiteOver-the-wireOver-the-wireIdentical
GuidewireCompatibilityMaximum 0.018"Maximum 0.021"Different 3
PackagingPolyethylene Hoopand Tyvek PouchPolyethylene Hoopand Tyvek PouchIdentical
SterilizationEtO GasEtO GasIdentical

7. Discussion of Technological Characteristics

Both devices are equivalent with respect to their indications for use, fundamental design, technology and principles of operation, materials, performance, sterilization, and packaging.

The IntraNovo Microcatheter does differ from the predicate in outer diameter of 2.4 fr versus predicate's 2.7 fr, inner diameter of 0.021" versus the predicate's 0.025" and guidewire compatibility of a maximum 0.018" versus the predicate's 0.021". The following is a discussion of why no new issues of safety and effectiveness have been raised by these differences:

    1. Difference on the distal outer diameter does not impact the product performance or modifies the intended use. The smaller size is intended to reach smaller target vessels in the anatomy. The Microcatheter's instructions for use indicate the minimum sizes of devices compatible with the Microcatheter outer diameter. This difference does not raise any new issues of safety and effectiveness.
    1. Difference on the inner diameter does not impact on the product performance or modifies the intended use. The smaller size is intended to reach smaller target vessel in the anatomy. The Microcatheter's instructions for use indicate the maximum sizes of therapeutic agents compatible with the Microcatheter inner diameter. This difference does not raise any new issues of safety and effectiveness.
    1. Difference in the guidewire compatibility does not impact on the product performance or modifies the intended use. Device lumen is smaller and therefore the maximum guidewire compatible is smaller. This difference does not raise any new issues of safety and effectiveness.

8. Testing Summary

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The following bench tests were performed to evaluate the design elements and performance characteristics of the IntraNovo Microcatheter and to demonstrate substantial equivalence to the predicate device. The IntraNovo Microcatheter met the predetermined acceptance criteria. Testing was performed on non-aged devices (T=0) as well as on devices subject to 2 years of accelerated aging (T=2). Tests results show that the IntraNovo Microcatheter is substantially equivalent to the predicate device.

Test#Test NameApplicableStandard orInternal TestMethodTestResults(T=0)and(T=2)
1Guidewire & GuideCatheter CompatibilityInternal TestMethodT=0 PassT=2 Pass
2In-Vitro Track ForceInternal TestMethodT=0 PassT=2 Pass
3Durability of HydrophilicCoatingInternal TestMethodT=0 PassT=2 Pass
4Lubricity of HydrophilicCoatingInternal TestMethodT=0 PassT=2 Pass
5Tip Shape RetentionInternal TestMethodT=0 PassT=2 Pass
6Static Burst PressureISO 10555T=0 PassT=2 Pass
7Dimensional & PhysicalAttributesISO 10555T=0 PassT=2 Pass
8Corrosion ResistanceISO 10555T=0 PassT=2 Pass
9Dynamic Burst PressureInternal TestMethodT=0 PassT=2 Pass
10Air LeakInternal TestMethodT=0 PassT=2 Pass
11Liquid LeakageInternal TestMethodT=0 PassT=2 Pass
12Tensile StrengthISO 10555T=0 PassT=2 Pass
13Flow RateInternal TestMethodT=0 PassT=2 Pass
14Kink ResistanceInternal TestMethodT=0 PassT=2 Pass
15RadiopacityASTM-F640-12T=0 PassT=2 Pass
16Torque to FailureInternal TestMethodT=0 PassT=2 Pass
17Catheter StiffnessInternal TestMethodT=0 PassT=2 Pass
18Packaging IntegrityASTM F-88-09ASTM-1929-98T=0 PassT=2 Pass
19Therapeutic AgentsInternal TestMethodT=0 PassT=2 Pass

9. Bench Testing Table

Table 7.1. Bench Testing Performed on the IntraNovo Microcatheter.
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20Female Luer HubVerificationISO 594T=0 PassT=2 Pass
21Shipping and TransportationSimulationISTA 3PAT=0 PassT=2 Pass
22Coating IntegrityInternal TestMethodT=0 PassT=2 Pass
23Torque ResponseInternal TestMethodT=0 PassT=2 Pass
24Particulate EvaluationUSP <788>T=0 PassT=2 Pass

10. Biocompatibility

The IntraNovo Microcatheter is classified as an Externally Communicating Device, Circulating Blood, Limited Contact (<24) hours.

The final sterilized device is identical to IntraNovo 25 Microcatheter (K142817) in formulation, processing, sterilization, and geometry and no other chemicals have been added (e.g., plasticizers, fillers, color additives, cleaning agents, mold release agents).

Biocompatibility testing was not performed since the same materials of the IntraNovo 25 Microcatheter were used and biocompatibility testing results shown that these materials are biocompatible according to ISO 10993. The IntraNovo 25 Microcatheter was cleared under 510K number K142817 on 4/23/2015.

11. Sterilization Testing Summary

Adoption Cycle SterilizationProcessSterility Assurance Level(SAL)Result
Ethylene Oxide Gas$10^{-6}$Pass
LAL - AAMI ST 72:2010Pass

12. Conclusion

The IntraNovo Microcatheter is substantially equivalent in intended use, fundamental design, technology and principles of operation, materials, performance, sterilization, and packaging to the predicate device. Differences between the devices do not raise any new issues of safety or effectiveness.

§ 870.1200 Diagnostic intravascular catheter.

(a)
Identification. An intravascular diagnostic catheter is a device used to record intracardiac pressures, to sample blood, and to introduce substances into the heart and vessels. Included in this generic device are right-heart catheters, left-heart catheters, and angiographic catheters, among others.(b)
Classification. Class II (performance standards).