K Number
K012056
Device Name
CORDIS PALMAZ GENESIS TRANSHEPATIC BILIARY STENT ON SLALOM .018 DELIVERY SYSTEM
Manufacturer
Date Cleared
2001-08-01

(30 days)

Product Code
Regulation Number
876.5010
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Cordis PALMAZ® GENESIS™ Transhepatic Biliary Stent on SLALOM™ .018" Delivery System is intended for use in the palliation of malignant neoplasms in the biliary tree.
Device Description
The PALMAZ GENESIS Transhepatic Biliary Stent on SLALOM .018" Delivery System is a balloon-expandable, stainless steel stent that is provided premounted upon the Cordis SLALOM balloon catheter (ref. K003159). The stent is provided in four nominal, unexpanded stent lengths: 12, 15, 18 & 24 mm. The stent is designed for expansion to diameters from 3 to 6 mm, depending on the diameter of the associated balloon upon which it is mounted. The PALMAZ GENESIS Transhepatic Biliary stent on SLALOM .018" Delivery System is provided sterile and is intended for single use only.
More Information

No
The device description and performance studies focus on the mechanical properties and delivery system of a stent, with no mention of AI or ML.

Yes
The device is described as "intended for use in the palliation of malignant neoplasms in the biliary tree," indicating it is used to manage and alleviate symptoms of a disease, which aligns with the definition of a therapeutic device.

No

The device is a stent intended for palliation of malignant neoplasms, which is a therapeutic purpose, not a diagnostic one.

No

The device description clearly states it is a balloon-expandable, stainless steel stent provided premounted on a balloon catheter, indicating it is a physical medical device, not software.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is "palliation of malignant neoplasms in the biliary tree." This describes a therapeutic intervention (placing a stent to relieve obstruction), not a diagnostic test performed on samples taken from the body.
  • Device Description: The device is a "balloon-expandable, stainless steel stent" and a "delivery system." This is a physical implant and its delivery mechanism, not a reagent, instrument, or system intended for use in vitro.
  • Anatomical Site: The device is used within the "biliary tree," which is an internal anatomical structure. IVDs are used to examine samples from the body (like blood, urine, tissue), not directly within the body for treatment.

IVD devices are specifically designed to perform tests on specimens taken from the human body to provide information for diagnosis, monitoring, or screening. This device is a therapeutic device used to treat a condition within the body.

N/A

Intended Use / Indications for Use

The Cordis PALMAZ GENESIS Transhepatic Biliary Stent on SLALOM .018" Delivery System is intended for use in the palliation of malignant neoplasms in the biliary tree.

Product codes

78 FGE

Device Description

The PALMAZ GENESIS Transhepatic Biliary Stent on SLALOM .018" Delivery System is a balloon-expandable, stainless steel stent that is provided premounted upon the Cordis SLALOM balloon catheter (ref. K003159). The stent is provided in four nominal, unexpanded stent lengths: 12, 15, 18 & 24 mm. The stent is designed for expansion to diameters from 3 to 6 mm, depending on the diameter of the associated balloon upon which it is mounted. The PALMAZ GENESIS Transhepatic Biliary stent on SLALOM .018" Delivery System is provided sterile and is intended for single use only.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

biliary tree

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

The safety and effectiveness of the Cordis PALMAZ GENESIS Transhepatic Biliary Stent on SLALOM .018" Delivery System has been demonstrated via data collected from non-clinical design verification tests and analyses.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K001258, K992755, K994156

Reference Device(s)

K001258, K992755, K994156, K003159

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 876.5010 Biliary catheter and accessories.

(a)
Identification. A biliary catheter and accessories is a tubular flexible device used for temporary or prolonged drainage of the biliary tract, for splinting of the bile duct during healing, or for preventing stricture of the bile duct. This generic type of device may include a bile collecting bag that is attached to the biliary catheter by a connector and fastened to the patient with a strap.(b)
Classification. Class II (special controls). The device, when it is a bile collecting bag or a surgical biliary catheter that does not include a balloon component, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 876.9.

0

Cordis Europa N.V. , a Johnson & Johnson company Special 510(k) Premarket Notification

Attachment 1

KO12056

Summary of Safety and Effectiveness

| Submitter: | Harm Hovinga
Regulatory Affairs Associate
Cordis Europa, N.V.
Oosteinde 8
NL-9301 LJ Roden
The Netherlands
Tel: +31 - (5050) 22479
Fax: +31 - (5050) 22456
e-mail: hhovinga@crdnl.jnj.com |
|-----------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Contact person: | Chuck Ryan
Manager, Regulatory Affairs
Cordis Corporation
7 Powder Horn Drive
Warren, New Jersey 07059
USA
Tel: 908.412.7446
Fax: 908.412.3915
e-mail: cryan@crdus.jnj.com |
| Date prepared | 29 June 2001. |
| General provisions | |
| | Trade name: Cordis PALMAZ® GENESIS™ Transhepatic Biliary Stent on SLALOM™ .018" Delivery System. |
| | Common Name: Biliary stent and accessories |
| | Classification Name: 21 CFR 876.5010 Biliary Catheter. |
| Device Classification | Class II. |
| Name of predicate device(s) | ➤ Cordis BX Transhepatic Biliary Stent and Delivery System (reference K001258)
➤ Cordis PALMAZ CORINTHIAN IQ Transhepatic Biliary Stent and Delivery System (ref. K992755 and K994156)
➤ Cordis SLALOM PTA Balloon Catheter (ref. K003159) |

1

Page 2/2

Cordis Europa N.V. , a Johnson & Johnson company Special 510(k) Premarket Notification

| Performance
standards | Performance standards have not been established for this device by the FDA under
section 514 of the Food, Drug and Cosmetic Act. |
|--------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Device
Description | The PALMAZ GENESIS Transhepatic Biliary Stent on SLALOM .018" Delivery
System is a balloon-expandable, stainless steel stent that is provided premounted
upon the Cordis SLALOM balloon catheter (ref. K003159). The stent is provided in
four nominal, unexpanded stent lengths: 12, 15, 18 & 24 mm. The stent is designed
for expansion to diameters from 3 to 6 mm, depending on the diameter of the
associated balloon upon which it is mounted.

The PALMAZ GENESIS Transhepatic Biliary stent on SLALOM .018" Delivery
System is provided sterile and is intended for single use only. |
| Intended Use | The Cordis PALMAZ GENESIS Transhepatic Biliary Stent on SLALOM .018"
Delivery System is intended for use in the palliation of malignant neoplasms in the
biliary tree. |
| Performance
Data | The safety and effectiveness of the Cordis PALMAZ GENESIS Transhepatic Biliary
Stent on SLALOM .018" Delivery System has been demonstrated via data collected
from non-clinical design verification tests and analyses. |
| Biocompati-
bility | All materials used in the PALMAZ GENESIS Transhepatic Biliary Stent on SLALOM
.018" Delivery System are biocompatible. |
| | A statement of substantial equivalence to another product is required by 21
CFR 807.87 and relates only to whether the present product can be marketed
without prior reclassification or clinical approval. The present submission is
therefore not related to the coverage of any patent and is not to be interpreted
as an admission or used as evidence in a patent infringement lawsuit. As the
commissioner of the FDA stated: "A determination of substantial equivalence
under the Fedral Food, Drug and Cosmetic Act releted to the fact that the
product can be lawfully marketed without pre-market approval or
reclassification. The determination is not intended to have any bearing
whatsoever on the resolution of patent infringement suits." 42 Federal Register
42, 50 et seq. (1977). |

2

Image /page/2/Picture/2 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a stylized caduceus, which is a symbol of medicine, with three horizontal lines representing the three branches of government. The logo is surrounded by a circle of text that reads "U.S. Department of Health & Human Services - USA."

AUG 0 1 2001

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Cordis Europa, N.V. c/o Mr. Chuck Ryan, RAC Manager, Regulatory Affairs Cordis Corporation 7 Powder Horn Drive WARREN NJ 07059

Re: K012056

Cordis PALMAZ® GENESIS™ Transhepatic Biliary Stent on SLALOM™ .018" Delivery System Regulatory Class: II 21 CFR 876.5010 Product Code: 78 FGE Dated: June 29, 2001 Received: July 2, 2001

Dear Mr. Ryan:

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 and the limitations described below. 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.

The Office of Device Evaluation has determined that there is a reasonable likelihood that this device will be used for an intended use not identified in the proposed labeling and that such use could cause harm. Therefore, in accordance with Section 513(i)(1)(E) of the Act, the following limitation must appear in the Warnings section of the device's labeling:

The safety and effectiveness of this device for use in the vascular system have not been established.

Furthermore, the indication for biliary use must be prominently displayed in all labeling, including pouch, box, and carton labels, instructions for use, and other promotional materials, in close proximity to the trade name, of a similar point size, and in bold print.

3

Page 2 - Mr. Chuck Ryan, RAC

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 assumptions. Failure to comply with the GMP regulation may result in 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.

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

Please note that the above labeling limitations are required by Section 513(i)(1)(E) of the Act. Therefore, a new 510(k) is required before these limitations are modified in any way or removed from the device's labeling.

If you desire specific information about the application of other labeling requirements to your device (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4616. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "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.gov/cdrh/dsma/dsmamain.html". ﻬﺎ ﻓﻲ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ

Sincerely yours,

Bernard E. Statland, M.D., Ph.D.

Director Office of Device Evaluation Center for Devices and Radiological Health

: 2

ר

4

510(k) Number (if known): K012056

Device Name: Cordis PALMAZ® GENESIS™ Transhepatic Biliary Stent on SLALOM™ .018" Delivery System

FDA's Statement of the Indications For Use for device:

The Cordis PALMAZ® GENESIS™ Transhepatic Biliary Stent on SLALOM™ .018" The Court I ALTH LS & Sor the palliation of malignant neoplasms in the biliary tree.

Prescription Use OR (Per 21 CFR 801.109)

Over-The-Counter Use

David C. Symons
(Division Sign-Off)

(Division Sign-Off) Division of Reproductive, Abdominal, and Radiological Devices 510(k) Number