K Number
K222647
Date Cleared
2022-09-13

(12 days)

Product Code
Regulation Number
870.1340
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

Femoral artery Introducer Set: The Introducer set are intended to provide access and facilitate the introduction of guide wires, catheters and other accessory medical devices through the femoral artery while minimizing blood loss during interventional procedures.

Radial Artery Introducer Set: The Introducer set are intended to provide access and facilitate the introduction of guide wres, catheters and other accessory medical devices through the skin into the radial artery while minimizing blood loss during interventional procedures.

Device Description

The Introducer Set is supplied with an introducer sheath, a dilator, a guidewire and an access needle. These devices will be manufactured in 5.0, 6.0, 7.0, and 8.0 French and in lengths of 5, 7 and 11 centimeters. The sets are compatible with the supplied 0.018", 0.021" guidewire and 21G needle in length of 7cm. The sets are supplied sterile and intended for single use.

The sheath shaft and hub are manufactured of Fluorinated ethylene propylene and copolyester; one-piece construction of the sheath shaft and hub allows smooth passage of medical devices. The hub, color-coded by French size, contains a hemostatic valve to prevent blood leakage during a procedure. A side tube equipped with a three-way stopcock is attached to the sheath hub. The side tube extension may be used for fluid and medication administration, as well as blood sampling.

The dilator is an open, tapered plastic tube with an integral luer hub for guidewire insertion. The guidewire is inserted into the introducer sheath to facilitate and support entry of the sheath into the patient's vasculature. The dilator is longer than the sheath with a rounded tapered distal tip. The dilator tubes are manufactured of polypropylene. Dilator tubes are press-fit into the dilator hub with a bushing. The sheath hub and dilator hub lock using a rotating motion.

Introducer Set is designed specifically to introduce therapeutic or diagnostic devices into the vasculature. Using the Seldinger technique, the physician gains percutaneous access to the vascular system and then employs the introducer sheath as a conduit for inserting diagnostic and/or interventional devices into the patient.

AI/ML Overview

The provided text describes a 510(k) submission for the INT Introducer Set. This document is a regulatory submission for a medical device and, as such, focuses on demonstrating substantial equivalence to a predicate device through non-clinical testing rather than proving performance against specific acceptance criteria for AI or diagnostic accuracy, which is what your request implies.

Therefore, many of the requested categories related to AI performance, expert ground truth, multi-reader studies, and training sets are not applicable to this type of device and document.

Below is a breakdown of the available information based on your request, with an explanation of why certain categories are not applicable.


Acceptance Criteria and Study Details for INT Introducer Set

1. Table of Acceptance Criteria and Reported Device Performance

For a traditional medical device like an introducer set, "acceptance criteria" are typically defined by engineering specifications and relevant ISO/ASTM standards, rather than diagnostic performance metrics. The "reported device performance" is the result of testing against these engineering criteria.

Test CategorySpecific Test ItemAcceptance Criteria (Implicit from Standards/Good Engineering Practice)Reported Device Performance (Implied as "passed")
Bench Testing (ISO 11070:2014, ISO 80369-7:2016, ISO 9626:2016)
Sheath IntroducerAppearanceMeets visual inspection standardsMet
O.D and I.DWithin specified dimensionsMet
Effective LengthWithin specified dimensionsMet
Sheath HubMeets functional and dimensional standardsMet
Sheath Introducer LeakageNo leakage beyond specified limitsMet
Hemostasis Valve LeakageNo leakage beyond specified limitsMet
Peak Tensile ForceMeets specified strength requirementsMet
DilatorAppearanceMeets visual inspection standardsMet
O.D and I.DWithin specified dimensionsMet
Effective LengthWithin specified dimensionsMet
Dilator HubMeets functional and dimensional standardsMet
Strength of UnionMeets specified strength requirementsMet
GuidewireAppearanceMeets visual inspection standardsMet
O.D.Within specified dimensionsMet
Effective LengthWithin specified dimensionsMet
Corrosion ResistanceNo significant corrosionMet
Fracture TestNo fracture under specified conditionsMet
Flexing TestNo failure after specified cyclesMet
Peak Tensile ForceMeets specified strength requirementsMet
Torque StrengthMeets specified torque resistanceMet
TorqabilityMeets specified rotational performanceMet
Tip FlexibilityMeets specified flexibility rangeMet
Introducer NeedleAppearanceMeets visual inspection standardsMet
O.D and I.D.Within specified dimensionsMet
Effective LengthWithin specified dimensionsMet
Corrosion ResistanceNo significant corrosionMet
Luer ConnectorMeets ISO 80369-7 standards for connectorsMet
Strength UnionMeets specified strength requirementsMet
Needle PointMeets sharpness and integrity standardsMet
PatencyDemonstrates adequate fluid flowMet
StiffnessMeets specified stiffness rangeMet
Breakage ResistanceNo breakage under specified conditionsMet
Compatibility TestCompatible with related devices/substancesMet
INT Introducer SetRadio-detectabilityVisually detectable under fluoroscopyMet
ParticulateWithin specified particulate limitsMet
EO ResidualWithin specified limits according to ISO 10993-7Met
Acidity and Alkalinity (PH)Within specified limitsMet
SterilitySterile to SAL 10⁻⁶Met
Bacterial Endotoxin (LAL test)Within specified limits according to USP<85>Met
Sterilization and Shelf Life Testing
EO ResidueEO residualWithin specified limits (ISO 10993-7:2008)Met
Bacteria Endotoxin LimitBacteria EndotoxinWithin specified limits (USP<85>)Met
Visual Inspection TestPackage integrityMeets visual inspection standards (ASTM F1886-2016)Met
Seal Strength TestSeal strengthMeets specified strength requirements (ASTM F 88/F88M-2015)Met
Dye Penetration TestPackage integrityNo dye penetration (ASTM F 1929)Met
Shelf-Life EvaluationPhysical, Mechanical, Chemical, Package TestsMaintain integrity and function after agingMet
Biocompatibility Testing (ISO 10993-1, ISO 10993-4, ISO 10993-5, ISO 10993-10, ISO 10993-11)
In Vitro HemolyticHemolytic propertiesNo influence on hemolytic properties (ASTM F756-17)Met
Acute System ToxicitySystemic toxicityNo evidence of systemic toxicity (ISO 10993-11:2017)Met
In Vitro CytotoxicityCytotoxicityNo potential toxicity to L-929 cells (ISO 10993-5:2009)Met
Skin SensitizationSensitizationNo evidence of causing skin sensitization (ISO 10993-10:2010)Met
Intracutaneous ReactivityIntracutaneous reactivityNo intracutaneous reactivity in rabbit (ISO 10993-10:2010)Met
PyrogenicityPyrogenic responseNo individual rise in temperature of 0.5 °C or more (ISO 10993-11:2017)Met
In Vivo ThrombogenicityThrombogenicityMeets requirements of in vivo thrombogenicity test (ISO 10993-4:2017)Met
Complement ActivationComplement activityNo influence on complement activity (ISO 10993-4:2017)Met

2. Sample size used for the test set and the data provenance
The document does not specify the exact sample sizes (e.g., number of devices) used for each individual bench or biocompatibility test. It lists the tests performed, implying that appropriate sample sizes were used according to the referenced standards.
Data provenance is for the device being submitted (INT Introducer Set), manufactured by Shanghai Kindly Medical Instruments Co., Ltd. The studies are non-clinical (bench and lab-based biocompatibility studies).

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts
This question is not applicable. The device is a physical medical instrument (introducer set), not an AI/diagnostic software. "Ground truth" in this context refers to objective measurements and adherence to engineering and biocompatibility standards, not expert consensus on diagnostic interpretations.

4. Adjudication method for the test set
This question is not applicable. Adjudication methods (like 2+1, 3+1) are used in studies involving human interpretation or AI output review. This document describes bench and biocompatibility testing of a physical device.

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
This question is not applicable. This is a physical medical device, not an AI or imaging diagnostic software that would involve human readers or AI assistance.

6. If a standalone (i.e. algorithm only without human-in-the loop performance) was done
This question is not applicable. This is a physical medical device, not an algorithm.

7. The type of ground truth used
The "ground truth" for this device's performance is established by adherence to recognized international standards (e.g., ISO, ASTM, USP) for physical and material properties, sterility, and biocompatibility. The tests performed are designed to objectively measure these properties against predefined specifications from these standards.

8. The sample size for the training set
This question is not applicable. There is no AI component or algorithms that require a training set for this device.

9. How the ground truth for the training set was established
This question is not applicable, as there is no training set for this device.

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Image /page/0/Picture/0 description: The image contains 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 consists of the letters "FDA" in a blue square, followed by the words "U.S. FOOD & DRUG" in blue, with the word "ADMINISTRATION" underneath.

September 13, 2022

Shanghai Kindly Medical Instruments Co., Ltd % Prithul Bom Most Responsible Person Regulatory Technology Services, LLC 1000 Westgate Drive, Suite 510k Saint Paul, Minnesota 55114

Re: K222647

Trade/Device Name: INT Introducer Set Regulation Number: 21 CFR 870.1340 Regulation Name: Catheter introducer Regulatory Class: Class II Product Code: DYB Dated: August 31, 2022 Received: September 1, 2022

Dear Prithul Bom:

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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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

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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) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; 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 https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

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/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). 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 (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

For

Misti Malone Assistant Director DHT2C: Division of Coronary and Peripheral Intervention Devices OHT2: Office of Cardiovascular Devices Office of Product Evaluation and Ouality Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K222647

Device Name INT Introducer set

Indications for Use (Describe)

Femoral artery Introducer Set: The Introducer set are intended to provide access and facilitate the introduction of guide wires, catheters and other accessory medical devices through the femoral artery while minimizing blood loss during interventional procedures.

Radial Artery Introducer Set: The Introducer set are intended to provide access and facilitate the introduction of guide wres, catheters and other accessory medical devices through the skin into the radial artery while minimizing blood loss during interventional procedures.

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

X Prescription Use (Part 21 CFR 801 Subpart D)

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

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510(k) Summary

This 510(k) Summary is being submitted in accordance with the requirements of the guidance The 510(k) Program and 21 CFR 807.92.

510(k) Number: K222647

  • Date of Submission: Aug, 25, 2022 1.

2. Submitter

Shanghai Kindly Medical Instruments Co., Ltd. No. 925, Jinyuan yi Road, Shanghai, 201803, China Establishment Registration Number: 3009605245 Contact Person: Xu Jianhai Position: RA Supervisor Tel.:+86-21-59140056 Fax: +86-21-59140056 Email: xujianhai(@kdl-int.com

Proposed Device 3.

Trade Name: INT Introducer set Common Name: Introducer set Review Panel: Cardiovascular Regulation Number: 21 CFR 870.1340 Classification name: INTRODUCER, CATHETER Regulation Class: Class II Product Code: DYB

4. Predicate device

510(k) Number: K180178 Trade Name: KDL Introducer Set Product Code: DYB Device Class: II Classification Name: INTRODUCER, CATHETER Regulation Number: 21 CFR 870.1340 Manufacturer: Shanghai Kindly Medical Instruments Co., Ltd.

Device description న్.

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The Introducer Set is supplied with an introducer sheath, a dilator, a guidewire and an access needle. These devices will be manufactured in 5.0, 6.0, 7.0, and 8.0 French and in lengths of 5, 7 and 11 centimeters. The sets are compatible with the supplied 0.018", 0.021" guidewire and 21G needle in length of 7cm. The sets are supplied sterile and intended for single use.

The sheath shaft and hub are manufactured of Fluorinated ethylene propylene and copolyester; one-piece construction of the sheath shaft and hub allows smooth passage of medical devices. The hub, color-coded by French size, contains a hemostatic valve to prevent blood leakage during a procedure. A side tube equipped with a three-way stopcock is attached to the sheath hub. The side tube extension may be used for fluid and medication administration, as well as blood sampling.

The dilator is an open, tapered plastic tube with an integral luer hub for guidewire insertion. The guidewire is inserted into the introducer sheath to facilitate and support entry of the sheath into the patient's vasculature. The dilator is longer than the sheath with a rounded tapered distal tip. The dilator tubes are manufactured of polypropylene. Dilator tubes are press-fit into the dilator hub with a bushing. The sheath hub and dilator hub lock using a rotating motion.

Introducer Set is designed specifically to introduce therapeutic or diagnostic devices into the vasculature. Using the Seldinger technique, the physician gains percutaneous access to the vascular system and then employs the introducer sheath as a conduit for inserting diagnostic and/or interventional devices into the patient.

6. Indications for Use Statement

Femoral artery Introducer Set: The Introducer set are intended to provide access and facilitate the introduction of guide wires, catheters and other accessory medical devices through the skin into the femoral artery while minimizing blood loss during interventional procedures.

Radial Artery Introducer Set: The Introducer set are intended to provide access and facilitate the introduction of guide wires, catheters and other accessory medical devices through the skin into the radial artery while minimizing blood loss during interventional procedures.

7. Substantial Equivalence comparison

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ItemProposed DevicePredicate Device (K180178)Remark
Trade NameINT Introducer setKDL Introducer set/
Product CodeDYBDYBIdentical
Regulation No.21 CFR 870.134021 CFR 870.1340Identical
ClassificationClass IIClass IIIdentical
Intended UseThe INT Introducer set is intended toprovide access and facilitate theintroduction of guide wire and cathetersthrough the skin into femoral or radialartery while minimize blood loss duringinterventional procedures.The Introducer set are intended to provideaccess and facilitate the introduction of guidewire, catheters and other accessory medicaldevices through the skin into femoral and/orradial artery while minimize blood lossduring interventional procedures.Similar,The intendeduse of predicatedevice coverthat ofproposeddevice.
Principle ofOperationBy manually operatedBy manually operatedIdentical
AnatomicallocationFemoral artery and Radial arteryFemoral artery and Radial arteryIdentical
Intended patientpopulationAdultAdultIdentical
HydrophiliccoatingNo Hydrophilic coatingOnly for Radial Sheath and Guidewire withintype radial artery.Analysis 1
Radio-opaquematerialsBarium sulfateBarium sulfateIdentical
Function of theside tube withthree ways stopcockInjection of saline and heparinInjection and injection contrast mediumAnalysis 2
ComponentsA Sheath Introducer, a dilator, a introducerNeedle, a Guidewire.A Sheath Introducer, a dilator, a Needle, aNeedle, a I.V. Needle, a Guidewire with straightener.Similar,Analysis 8
SheathhemostasiscontrolHemostasis sealHemostasis sealIdentical
Product specification
Sheath length50mm, 70mm, 110mm110mm, 160mmAnalysis 3
Size5F~8F5F~8FIdentical
GuidewireDiameter0.018", 0.021"0.038", 0.021",0.025"Analysis 4
Guidewirelength45cm45cmIdentical
Needle21G18G, 21G, 20GAnalysis 5
Dilator length110mm, 130mm, 170mm168mm, 218mmAnalysis 6
PackageContentSheath Introducer, Dilator, Guidewire,Introducer NeedleSheath Introducer, Dilator, Guidewire,Needle or I.V.CannulaIdentical
Material
Sheath tubeFluorinated Ethylene Propylene (FEP)Fluorinated Ethylene Propylene (FEP)Identical
Sheath HubCopolyesterCopolyesterIdentical
Side PortTubingPolyvinylchloride(PVC)Polyurethane (PU)Polyvinylchloride(PVC)Polyurethane (PU)Identical
HemostasisValveSiliconSiliconIdentical
3-WayStopcock BodyPolycarbonate (PC)Polyethylene (PE)Analysis 7
Stopcock CapHigh Density Polyethylene (HDPE)Polycarbonate (PC)Analysis 7
Stopcock ValvecoreHigh Density Polyethylene (HDPE)Polyethylene (PE)Analysis 7
Dilator TubePolypropylene (PP)Polypropylene (PP)Identical
Dilator HubAcrylonitrile-butadiene-styrene (ABS)Acrylonitrile-butadiene-styrene (ABS)Identical
GuidewireNiTi, Stainless SteelStainless Steel, Nickel Titanium AlloyIdentical
Needle hubGlue QAcrylonitrile-butadiene-styrene (ABS), PCAnalysis 7
Needle TubeStainless SteelStainless SteelIdentical
Protect CoverPolypropylene (PP)PP, PEAnalysis 7
SterilizedMethodEOEOIdentical
Sterility levelSAL 10-6SAL 10-6Identical

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INT Introducer set is substantially equivalent in design, raw material, indication for use, package, sterilization method to the predicate devices, KDL introducer set. The differences were addressed using appropriate testing as follows.

8. Performance data

All necessary bench and non-clinical testing was conducted on introducer set to support a determination of substantial equivalence to the predicate device.

The non-clinical, bench testing were conducted according to ISO 11070: 2014, ISO 80369-7:2016 and ISO 9626:2016:

No.Testing item
1SheathintroducerAppearance
2O.D and I.D
3Effective length
4Sheath hub
5Sheath introducer leakage
6Hemostasis valve leakage
7Peak tensile force
9DilatorAppearance
10O.D and I.D
11Effective length
12Dilator hub
13Strength of union
15GuidewireAppearance
16O.D.
17Effective length
18Corrosion resistance
19Fracture test
20Flexing test
21Peak tensile force
22Torque strength
23Torqability
24Tip flexibility
25IntroducerneedleAppearance
26O.D and I.D.

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27Effective length
28Corrosion resistance
29Luer connector
30Strength union
31Needle point
32Patency
33Stiffness
34Breakage resistance
35Compatibility test
36INTintroducersetRadio-detectability
37Particulate
38EO residual
39limits for acidity and alkalinity(PH)
40Sterility
41Bacterial Endotoxin (LAL test)

Sterilization and Shelf Life 9.

Sterilization and Shelf-Life Testing were performed on the proposed device:

EO residueISO 10993-7:2008
Bacteria Endotoxin LimitUSP<85>
Visual Inspection testASTM F1886-2016
Seal Strength testASTM F 88/F88M-2015
Dye penetration testASTM F 1929
Shelf-Life EvaluationPhysical, Mechanical, Chemical, Package Tests were performedon aging samples to verify the claimed shelf life of the device.

10. Clinical Test

No clinical study is included in this submission

11. Biocompatibility Testing Summary

Biocompatibility testing was conducted in compliance with ISO 10993-1, for externally communicating devices with limited exposure (<24 hours) to circulating blood and included below test items.

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ItemsStandardsConclusion
In Vitro hemolyticASTM F756-17The test result showed the device had no influence on hemolytic properties.
Acute System ToxicityISO 10993-11:2017Under the conditions of this study, there was no evidence of systemic toxicity from the extract, the test article extract met the requirements of this study.
In Vitro CytotoxicityISO 10993-5:2009Under the conditions of this study, the test article Micro catheter extract did not show potential toxicity to L-929 cells.
Skin SensitizationISO 10993-10:2010No evidence of causing skin sensitization
Intracutaneous reactivityISO 10993-10:2010The test results showed that the polar and non-polar test article extracts did not induce intracutaneous reactivity in rabbit under the test condition.
PyrogenicityISO 10993-11:2017No rabbit an individual rise in temperature of 0.5 °C or more.
In vivo thrombogenicityISO 10993-4:2017Meet the requirement of in vivo thrombogenicity test.
Complement activationISO 10993-4:2017No influence on complement activity.

Table 12-1 Biocompatibility tests

The subject device, INT introducer set is subject to biocompatibility test in accordance with ISO 10993-1, the test results demonstrate that INT Introducer set is substantially equivalent to the predicate.

12. Conclusion

The nonclinical tests demonstrated that the device was substantially equivalent to the predicate device.

§ 870.1340 Catheter introducer.

(a)
Identification. A catheter introducer is a sheath used to facilitate placing a catheter through the skin into a vein or artery.(b)
Classification. Class II (performance standards).