K Number
K180864

Validate with FDA (Live)

Manufacturer
Date Cleared
2018-07-20

(109 days)

Product Code
Regulation Number
870.1250
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The WATCHMAN™ TruSeal™ Access System is intended to provide vascular and transseptal access for all WATCHMAN Left Atrial Appendage Closure Devices with Delivery Systems.

Device Description

The Boston Scientific WATCHMAN™ TruSeal™ Access System is composed of an Access Sheath and Dilator. The TruSeal Access System is used to provide vascular and transseptal access for all WATCHMAN Left Atrial Appendage Closure Devices with Delivery Systems.

AI/ML Overview

The document is a 510(k) premarket notification for the WATCHMAN™ TruSeal™ Access System. It does not describe a study involving an AI/Machine Learning device or a Multi-Reader Multi-Case (MRMC) comparative effectiveness study. Instead, it details the performance and biocompatibility testing of a medical catheter system. Therefore, I cannot provide information on acceptance criteria, reader studies, ground truth, or training set relevant to an AI/ML device based on this document.

However, I can extract the acceptance criteria and study information related to the physical device's performance testing:

1. Table of Acceptance Criteria and Reported Device Performance
The document lists various performance tests conducted. While specific quantitative acceptance criteria values are not provided in this summary, the document states: "The results of the tests provide reasonable assurance that the proposed device has been designed and tested to assure conformance to the requirements for its intended use. No new safety or performance issues were raised during the testing." This implies that the device met pre-defined acceptance criteria for each test.

Test CategorySpecific Performance TestReported Device Performance
Device PerformanceDimensional CharacterizationConformed to requirements
Distal and Proximal Marker LocationConformed to requirements
Curve ShapeConformed to requirements
TruSeal Access System Guidance / CrossingConformed to requirements
Contrast Flow RateConformed to requirements
Leak-Free ConduitsConformed to requirements
Pressure RetentionConformed to requirements
Corrosion ResistanceConformed to requirements
Sheath Force TransmissionConformed to requirements
Kink ResistanceConformed to requirements
Tip DeflectionConformed to requirements
TorqueabilityConformed to requirements
Snap Fit Attachment ForceConformed to requirements
Access Sheath Compression ForceConformed to requirements
Dilator StiffnessConformed to requirements
TensileConformed to requirements
RadiopacityConformed to requirements
Luer Lock TestingConformed to requirements
ParticulatesConformed to requirements
SurfaceConformed to requirements
Package PerformanceMaster Shipper Carton IntegrityConformed to requirements
Shelf Carton ConditionConformed to requirements
Sterile Barrier IntegrityConformed to requirements
Sterile Barrier Seal StrengthConformed to requirements
Ease of Opening PouchConformed to requirements
TruSeal Access System ContainmentConformed to requirements
Tray ConditionConformed to requirements
Removal From PackagingConformed to requirements
DFU and eDFU Card Print QualityConformed to requirements
Label Adhesion and Print QualityConformed to requirements
BiocompatibilityCytotoxicityConformed to requirements (biocompatible)
SensitizationConformed to requirements (biocompatible)
Intracutaneous ReactivityConformed to requirements (biocompatible)
Acute Systemic ToxicityConformed to requirements (biocompatible)
Complement ActivationConformed to requirements (biocompatible)
Materials Mediated PyrogenicityConformed to requirements (biocompatible)
Hemolysis Direct ContactConformed to requirements (biocompatible)
Hemolysis Extract MethodConformed to requirements (biocompatible)
In Vitro Platelet and Leukocyte CountConformed to requirements (biocompatible)
Partial Thromboplastin TimeConformed to requirements (biocompatible)

2. Sample size used for the test set and the data provenance: Not applicable. This document describes physical, chemical, and biological testing of a medical device, not a data-driven test set for an algorithm.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts: Not applicable for device performance testing. Ground truth in this context refers to established standards and test methodologies (e.g., ISO standards, internal Boston Scientific specifications).

4. Adjudication method for the test set: Not applicable for device performance testing. Performance was determined by meeting pre-defined physical, mechanical, and biological specifications.

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 is not an AI/ML device.

6. If a standalone (i.e. algorithm only without human-in-the loop performance) was done: Not applicable. This is not an AI/ML device.

7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.): For device performance and biocompatibility, the "ground truth" is defined by established engineering specifications, relevant industry standards (e.g., EN ISO 10555-1: 2013), and regulatory guidance documents (e.g., Class II Special Controls Guidance Document for Certain Percutaneous Transluminal Coronary Angioplasty (PTCA) Catheters, September 2010).

8. The sample size for the training set: Not applicable. This is not an AI/ML device.

9. How the ground truth for the training set was established: Not applicable. This is not an AI/ML device.

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Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

July 20, 2018

Boston Scientific Nikki Ibis Principal Regulatory Affairs Specialist Three Scimed Place Maple Grove, Minnesota 55311-1566

Re: K180864

Trade/Device Name: WATCHMAN TruSeal Access System Regulation Number: 21 CFR 870.1250 Regulation Name: Percutaneous Catheter Regulatory Class: Class II Product Code: DOY Dated: June 27, 2018 Received: June 28, 2018

Dear Ms. Ibis:

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 of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820);

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

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 comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (http://www.fda.gov/DICE) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely.

Rachel E. Neubrander -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) K180864

Device Name WATCHMAN™ TruSeal™ Access System

Indications for Use (Describe)

The WATCHMAN™ TruSeal™ Access System is intended to provide vascular and transseptal access for all WATCHMAN Left Atrial Appendage Closure Devices with Delivery Systems.

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

☑ Residential Use (Part 91, CFR 901 Subpart D)
☐ On-The-Scene Coordinator Use (91 CFR 901 Subpart E)

Prescription Use (Part 21 CFR 801 Subpart D)

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

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510(k) Summary per 21 CFR §807.92

Sponsor:Boston Scientific Corporation300 Boston Scientific WayMarlborough, Massachusetts 01752USA
Contact Name andInformationNikki M IbisThree Scimed PlaceMaple Grove, MN 55311-1566Phone: 763-494-2381Fax: 763-494-2981e-mail: Nikki.Ibis@bsci.com
Prepared30 March 2018
Proprietary NameWATCHMAN™ TruSeal™ Access System
Common NameCatheter, Percutaneous
Product CodeDQY
ClassificationClass II, 21 CFR Part 870.1250
Primary PredicateDeviceAmplatzer® TorqVue®45°x45° DeliverySheathK08321412 May 2009
ReferenceDevice(s)WATCHMAN® AccessSystemP13001313 March 2015

Device Description

The Boston Scientific WATCHMAN™ TruSeal™ Access System is composed of an Access Sheath and Dilator. The TruSeal Access System is used to provide vascular and transseptal access for all WATCHMAN Left Atrial Appendage Closure Devices with Delivery Systems. The TruSeal Access System will be used by interventional cardiologists and/or electrophysiologists who are trained in percutaneous and transseptal procedures.

Indications for Use / Intended Use

The WATCHMAN™ TruSeal™ Access System is intended to provide vascular and transseptal access for all WATCHMAN Left Atrial Appendage Closure Devices with Delivery Systems.

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Comparison of Technological Characteristics

The WATCHMAN™ TruSeal™ Access System incorporates substantially equivalent design, packaging, fundamental technology, and intended use as those featured in the predicate, Amplatzer® TorqVue® 45°x45° Delivery Sheath, K083214.

Performance Data

Design verification testing was performed to support a determination of substantial equivalence according to Class II Special Controls Guidance Document for Certain Percutaneous Transluminal Coronary Angioplasty (PTCA) Catheters, September 2010. The WATCHMAN™ TruSeal™ Access System also conforms to relevant sections of EN ISO 10555-1: 2013, Sterile, single-use intravascular catheters; Part 1: General Requirements. The results of the tests provide reasonable assurance that the proposed device has been designed and tested to assure conformance to the requirements for its intended use. No new safety or performance issues were raised during the testing.

The following device performance tests were completed:

Dimensional CharacterizationTip Deflection
Distal and Proximal MarkerLocationTorqueability
Curve ShapeSnap Fit Attachment Force
TruSeal Access System Guidance / CrossingAccess Sheath Compression Force
Contrast Flow RateDilator Stiffness
Leak-Free ConduitsTensile
Pressure RetentionRadiopacity
Corrosion ResistanceLuer Lock Testing
Sheath Force TransmissionParticulates
Kink ResistanceSurface

The following package performance tests were completed:

Master Shipper Carton IntegrityTruSeal Access System Containment
Shelf Carton ConditionTray Condition
Sterile Barrier IntegrityRemoval From Packaging
Sterile Barrier Seal StrengthDFU and eDFU Card Print Quality
Ease of Opening PouchLabel Adhesion and Print Quality

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The following biocompatibility tests were completed:

  • Cytotoxicity ●
  • Sensitization
  • Intracutaneous Reactivity .
  • Acute Systemic Toxicity .
  • Complement Activation .

Clinical Testing

Clinical evaluation was not required for this device.

Conclusion

Based on the intended use use, technological characteristics, safety and performance testing, the WATCHMAN™ TruSeal™ Access System is appropriate for the stated intended use and is considered to be substantially equivalent to the Amplatzer® TorqVue® 45°x45° Delivery Sheath, K083214.

  • Materials Mediated Pyrogenicity ●
  • . Hemolysis Direct Contact
  • Hemolysis Extract Method .
  • . In Vitro Platelet and Leukocyte Count
  • Partial Thromboplastin Time

§ 870.1250 Percutaneous catheter.

(a)
Identification. A percutaneous catheter is a device that is introduced into a vein or artery through the skin using a dilator and a sheath (introducer) or guide wire.(b)
Classification. Class II (performance standards).