K Number
K012993
Device Name
MODIFICATION TO PRECISE NITINOL STENT TRANSHEPATIC BILIARY SYSTEM
Manufacturer
Date Cleared
2001-10-05

(29 days)

Product Code
Regulation Number
876.5010
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Precise™ Nitinol Stent Transhepatic Biliary System (6F) is indicated for The use in the palliation of malignant neoplasms in the biliary tree.
Device Description
The device description of the proposed Precise™ Nitinol Stent Transhepatic Biliary System (6F) is as follows. • 5 / 6 French stent delivery system profile; • Stent material – Nickel Titanium alloy; • Expanded stent diameters 8, 9, and 10 mm; • Stent lengths: 20, 30, and 40 mm; • Stent delivery system usable length 135 cm; and • Guidewire lumen 0.018".
More Information

Not Found

No
The summary describes a physical medical device (a stent and delivery system) and does not mention any software, algorithms, or data processing that would indicate the use of AI or ML.

Yes

The device is a stent used to palliate malignant neoplasms in the biliary tree, which directly addresses a medical condition for treatment or relief.

No
Explanation: The device is a stent used for palliation of malignant neoplasms in the biliary tree, which is a therapeutic rather than diagnostic function.

No

The device description clearly outlines physical components made of materials like Nickel Titanium alloy, indicating it is a hardware device (a stent and delivery system) and not software only.

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 performed within the body, not a test performed on a sample taken from the body.
  • Device Description: The device is a stent and a delivery system. This is a medical device designed for implantation, not for analyzing biological samples.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), reagents, or any other components typically associated with in vitro diagnostics.

In vitro diagnostics are tests performed on samples taken from the human body to provide information about a person's health. This device is a therapeutic device used to treat a condition within the body.

N/A

Intended Use / Indications for Use

The Precise™ Nitinol Stent Transhepatic Biliary System (6F) is intended for use in the palliation of malignant neoplasms in the biliary tree.

Product codes

78 FGE

Device Description

The device description of the proposed Precise™ Nitinol Stent Transhepatic Biliary System (6F) is as follows.
• 5 / 6 French stent delivery system profile;
• Stent material – Nickel Titanium alloy;
• Expanded stent diameters 8, 9, and 10 mm;
• Stent lengths: 20, 30, and 40 mm;
• Stent delivery system usable length 135 cm; and
• Guidewire lumen 0.018".

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 equivalence was confirmed through pre-clinical testing.

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

Not Found

Predicate Device(s)

K010445

Reference Device(s)

Not Found

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.

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OCT - 5 2001

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510(k) Summary of Safety and Effectiveness

| General

ProvisionsThe name of the device is:
Proprietary NameCommon or Usual Name
Precise™ Nitinol Stent Transhepatic
Biliary System (6F)Biliary Stent
Name of
Predicate
DevicesThe device is substantially equivalent to:
• Precise™ Nitinol Stent Transhepatic Biliary System (510(k) # K010445
May 16, 2001).
ClassificationClass II.
Performance
StandardsPerformance standards have not been established by the FDA under section
514 of the Food, Drug and Cosmetic Act.
Indications
for UseThe Precise™ Nitinol Stent Transhepatic Biliary System (6F) is intended
for use in the palliation of malignant neoplasms in the biliary tree.
Device
DescriptionThe device description of the proposed Precise™ Nitinol Stent
Transhepatic Biliary System (6F) is as follows.
• 5 / 6 French stent delivery system profile;
• Stent material – Nickel Titanium alloy;
• Expanded stent diameters 8, 9, and 10 mm;
• Stent lengths: 20, 30, and 40 mm;
• Stent delivery system usable length 135 cm; and
• Guidewire lumen 0.018".
BiocompatibilityAll materials used in the Precise™ Nitinol Stent Transhepatic Biliary
System (6F) are biocompatible.
Summary of
Substantial
EquivalenceThe Precise™ Nitinol Stent Transhepatic Biliary System (6F) is
substantially equivalent to the predicate device. The equivalence was
confirmed through pre-clinical testing.
Precise™ Nitinol Stent Transhepatic Biliary System (6F)
Special 510(k)

Special 510(k)
September 5, 2001

1

Image /page/1/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular border with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" arranged around the perimeter. Inside the circle is a stylized image of an eagle or bird with three wing-like shapes extending upwards and to the right. The bird's body is suggested by a curved line, and there are two curved lines below, possibly representing the tail feathers or the base of the bird.

5 2001 OCT

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mr. Sam A. Mirza Manager, Regulatory Affairs Cordis Corporation 14201 N.W. 60th Avenue Miami Lakes, Florida 33014

Re: K012993

Trade/Device Name: Precise™ Nitinol Stent Transhepatic Biliary System (6F) Regulation Number: 21 CFR §876.5010 Regulation Name: Biliary catheter and accessories Regulatory Class: II Product Code: 78 FGE Dated: September 5, 2001 Received: September 6, 2001

Dear Mr. Mirza:

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.

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

2

Page 2 - Mr. Sam Mirza

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".

Sincerely yours,

Bernard E. Statland, M.D., Ph.D. Director Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Page 1 of 1

510(k) Number (if known): K012993

Device Name: Precise™ Nitinol Stent Transhepatic Biliary System (6F)

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

Precise™ Nitinol Stent Transhepatic Biliary System (6F) is indicated for The use in the palliation of malignant neoplasms in the biliary tree.

Prescription Use V OR (Per 21 CFR 801.109)

Over-The-Counter Use_

Colin M. Pollard

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