K Number
K983940

Validate with FDA (Live)

Manufacturer
Date Cleared
1999-07-15

(252 days)

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

The Adam Spence Percutaneous Catheter Introducer is intended to provide a means for percutaneous vascular access while minimizing the back flow of blood during the introduction of cardiovascular devices such as catheters and guide wires.

Device Description

The Adam Spence Corp. Percutaneous Catheter Introducer (PCI) is a disposable device intended for use in diagnostic angiographic procedures.

AI/ML Overview

Here's an analysis of the provided text regarding the Adam Spence Percutaneous Catheter Introducer, focusing on acceptance criteria and the study that proves the device meets them:

1. Table of Acceptance Criteria and Reported Device Performance

Acceptance Criteria (Feature/Test)Reported Device Performance (Adam Spence PCI)Predicate Device Performance (Daig Fast-Cath™)Acceptance Threshold/Standard (Implied/Explicit)
Tensile PropertiesExceeds RequirementExceeds RequirementManufacturer's internal requirement (not specified quantitatively)
Valve/Sheath LeakNo Leakage4 Fr. leaked after dilationNo leakage
Insertion/WithdrawalSubstantially Equivalent to PredicateAcceptablePerformance comparable to predicate device
Air AspirationGreatly Exceeded Predicate DeviceAcceptableGreater or equivalent to predicate device
Tip PeelbackNo Damage or Peelback; Lower average insertion force required to puncture skin than predicate device.No Damage or Peelback; Higher average insertion force required to puncture skin than ASC PCI.No damage/peelback; Insertion force comparable to or better than predicate.
Sterile PackagingSterile and Bulk PackagedSterile PackSterile
Sterilization MethodEthylene Oxide GasEthylene Oxide GasEthylene Oxide Gas
Shelf Life3 Years3 Years3 Years
Available Sizes4 though 9 French size4 through 9 French size4 though 9 French size
BiocompatibilityAll appropriate biocompatibility tests have been performed per ISO 10993(Not directly stated for predicate)ISO 10993 compliance

Notes on Acceptance Criteria:

  • Many acceptance criteria are comparative against a predicate device rather than absolute quantitative standards.
  • The document explicitly states that "Performance standards have not been established under Section 514 of the Food, Drug and Cosmetic Act."
  • Referenced standards like "ANSI MD70.1-1983" and "ISO/DIS 11070.2" likely define specific physical and performance requirements that the tests above would then demonstrate compliance with, but the specific numerical thresholds from these standards are not detailed in the provided text.

2. Sample Sizes and Data Provenance

The provided document describes a summary of technological characteristics and performance testing for the Adam Spence Percutaneous Catheter Introducer compared to a predicate device. However, it does not provide specific details on the sample sizes used for the test set or the data provenance (e.g., country of origin, retrospective/prospective nature). The testing appears to be primarily bench testing (laboratory-based) comparing physical properties and performance aspects rather than clinical trials with patient data.

3. Number of Experts and Qualifications for Ground Truth

The document does not mention the use of experts to establish ground truth for a test set. The evaluation is based on engineering and performance testing.

4. Adjudication Method

No adjudication method is mentioned, as the evaluation is based on objective performance testing rather than expert-based assessments requiring adjudication.

5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

No MRMC comparative effectiveness study was done. The device is a physical medical device (catheter introducer), not an imaging or diagnostic AI tool that would typically involve human readers.

6. Standalone Performance Study

Yes, a standalone performance evaluation was done for the Adam Spence PCI. The "Summary of Technological Characteristics" table presents the performance of the Adam Spence PCI (algorithm/device only) in various tests (e.g., tensile properties, valve/sheath leak, air aspiration, tip peelback) independent of human-in-the-loop performance, though often in direct comparison to the predicate device.

7. Type of Ground Truth Used

The "ground truth" for the performance claims appears to be established through engineering measurements, physical testing, and laboratory experiments (e.g., measuring tensile strength, observing leakage, quantifying insertion force). For biocompatibility, it's compliance with established ISO standards.

8. Sample Size for the Training Set

The concept of a "training set" is not applicable here as the device is a physical medical device, not an AI/machine learning algorithm.

9. How Ground Truth for the Training Set Was Established

Not applicable for a physical medical device as there is no "training set" in the machine learning sense. The device's design and manufacturing are based on established engineering principles and materials science, with performance validated through direct testing against predetermined specifications or predicate device performance.

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K983940

Image /page/0/Picture/1 description: The image shows a date, "JUL 15 1999". The month is July, the day is the 15th, and the year is 1999. The text is written in a simple, sans-serif font and is easily readable. The date is likely a stamp or a handwritten note.

Adam Spence Corporation

1746 Route 34, P.O. Box 1467, Wall, NJ 07719, (732) 681-7070, Fax, (732) 681-1503

510(k) SUMMARY

Trade Name: Adam Spence Corp. Percutaneous Catheter Introducer

Common or usual Name: Catheter Sheath Introducer System

Classification Name: Catheter, Introducer, Class II device (per 21 CFR 870.1340)

Equivalent Device: Daig Corporation Fast-Cath™ Transseptal Catheter Introducer, K964518

Contact Name: Carol Rosenbloom

Description and Intended Use: The Adam Spence Corp. Percutaneous Catheter Introducer (PCI) is a disposable device intended for use in diagnostic angiographic procedures. The Adam Spence Percutaneous Catheter Introducer is intended to provide a means for percutaneous vascular access while minimizing the back flow of blood during the introduction of cardiovascular devices such as catheters and guide wires.

Performance Standards:

  • Performance standards have not been established under Section 514 of the Food, . Drug and Cosmetic Act.
  • ANSI MD70.1-1983. American National Standard for Medical Material Luer Taper ● Fittings - Dimensional Requirements for Luer Lock Fittings
  • ISO/DIS 11070.2: Sterile, Single-Use Intravascular Catheter Introducers, Sections 4. . 7, 9, and 10.

Biocompatibility: All appropriate biocompatibility tests have been performed per ISO 10993, Biological Evaluation of Medical Devices (Per General Program Memorandum #G95-1)

Summary of Substantial Equivalence: The Adam Spence Percutaneous Catheter Introducer has the same intended use as other catheter sheath introducers on the market (ie., Daig Fast-Cath™ Hemostasis Introducer.) Additionally, based on the technological characteristics and performance testing the Adam Spence Percutaneous Catheter Introducer is substantially equivalent in its basic design, construction, material, safety, efficacy and intended use to currently marketed catheter sheath introducer systems.

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SUMMARY OF TECHNOLOGICAL CHARACTERISTICS
FEATUREADAM SPENCE PCIPREDICATE DEVICE
ManufacturerAdam Spence CorporationDaig Corporation
Sterile PackagingSterile and Bulk PackagedSterile Pack
Sterilization MethodEthylene Oxide GasEthylene Oxide Gas
Shelf Life3 Years3 Years
Available Sizes4 though 9 French size4 through 9 French size
Tensile propertiesExceeds RequirementExceeds Requirement
Valve/Sheath LeakNo Leakage4 Fr. leaked after dilation
Insertion/WithdrawalSubstantially Equivalent to PredicateAcceptable
Air AspirationGreatly Exceeded Predicate DeviceAcceptable
Tip PeelbackNo Damage or Peelback:Lower average insertionforce required to punctureskin than predicate device.No Damage or Peelback:Higher average insertionforce required to punctureskin than ASC PCI.

Prepared By: Carole A. Lusinaka Date: 4/20/99

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Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & 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 a stylized symbol that resembles a human figure or a caduceus, with three wavy lines representing the body and a head-like shape at the top.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUL 15 1999

Ms. Carol Rosenbloom Adam Spence Corporation 1746 Route 34 P.O. Box 1467 Wall, NJ 07719

Re: K983940 EZ-Intro™ Percutaneous Catheter Introducer Regulatory Class: II (two) Product Code: 74 DYB Dated: April 16, 1999 Received: April 21, 1999

Dear Ms. Rosenbloom:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we 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). 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.

If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the Current Good Manufacturing Practice requirements, as set forth in the Quality System Regulation (QS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic QS inspections, the Food and Drug Administration (FDA) will verify such Failure to comply with the GMP regulation may result in assumptions. regulatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

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Page 2 - Ms. Carol Rosenbloom

This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4648. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at Also, please note the regulation entitled, (301) 594-4639. "Misbranding by reference to premarket notification"(21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 638-2041 or (301) 443-6597, or at its internet address "http://www.fda.qov/cdrh/dsma/dsmamain.html".

Sincerely yours,
Thomas J. Callahan

Thomas J. Callahan, Ph.D. Director Division of Cardiovascular, Respiratory, and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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510(k) Number (if known): ____________________________________________________________________________________________________________________________________________________

Device Name:__________________________________________________________________________________________________________________________________________________________________

Indications For Use:

STATIENTENT OF INDICATIONS FOR USE

The Adam Spence Percutaneous Catheter Introducer is intended to provide a means for The Flain Spence Porcalise while minimizing the back flow of blood during the introduction of cardiovascular devices such as catheters and guide wires.

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Division Sign-Off
Division of Cardiovascular, Respiratory, and Neurological Devices
510(k) Number
Prescription Use (Per 21 CFR 801.109)
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OR

Over-The-Counter Use
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(Optional Format 1-2-96)

:

§ 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).