K Number
K014205
Device Name
MODIFICATION TO BRIDGE SELF-EXPANDING BILIARY STENT DELIVERY SYSTEM (BRIDGE SE)
Date Cleared
2002-01-14

(24 days)

Product Code
Regulation Number
876.5010
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Bridge SE Biliary Self-Expanding Stent Delivery System is indicated for use in the palliation of malignant neoplasm in the biliary tree.
Device Description
The subject device is a system consisting of a single-lumen, tubular, self-expanding nickel-titanium ("nitinol") stent pre-loaded onto a sheathed delivery catheter. The delivery system is designed to deliver the stent to the stricture site via transhepatic access. Once positioned at the stricture site, the sheath is withdrawn and the stent is released. Upon release, the stent expands and conforms to the inner lumen of the biliary duct. The device has two radiopaque markers to aid in stent placement during fluoroscopy.
More Information

Not Found

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 indicated for the palliation of malignant neoplasm in the biliary tree, which is a therapeutic application.

No
The device is a stent delivery system for palliation of malignant neoplasm, which is a therapeutic intervention, not a diagnostic one. Fluoroscopy is used for placement, not for diagnosis.

No

The device description clearly outlines physical components including a stent, delivery catheter, sheath, and radiopaque markers, indicating it is a hardware device.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections. They are used outside of the body (in vitro).
  • Device Description: The description clearly states that this device is a stent delivery system designed to be inserted into the biliary tree (an internal part of the body) to palliate malignant neoplasms. It is an implantable device used within the body (in vivo).
  • Intended Use: The intended use is to treat a condition within the body, not to diagnose a condition using samples taken from the body.

Therefore, based on the provided information, the Bridge SE Biliary Self-Expanding Stent Delivery System is a medical device used for treatment in vivo, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The Bridge SE Biliary Self-Expanding Stent Delivery System is indicated for use in the palliation of malignant neoplasm in the biliary tree.
The Medtronic AVE Bridge SE Biliary Self-Expanding Stent Delivery System is indicated for use in the palliation of malignant neoplasms in the biliary tree.

Product codes (comma separated list FDA assigned to the subject device)

78 FGE

Device Description

The subject device is a system consisting of a single-lumen, tubular, self-expanding nickel-titanium ("nitinol") stent pre-loaded onto a sheathed delivery catheter. The delivery system is designed to deliver the stent to the stricture site via transhepatic access. Once positioned at the stricture site, the sheath is withdrawn and the stent is released. Upon release, the stent expands and conforms to the inner lumen of the biliary duct. The device has two radiopaque markers to aid in stent placement during fluoroscopy.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

fluoroscopy

Anatomical Site

biliary tree / biliary duct

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)

Preclinical testing was conducted to confirm the safe and effective performance of the Bridge SE Biliary Self-Expanding Stent Delivery System as well as the biocompatibility of the device.

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

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K011080

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

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

510(k) Summary for the Bridge SE Biliary Self-Expanding Stent Delivery System

JAN 1 4 2002
510(k)
SummaryThis summary of 510(k) safety and effectiveness information is being
submitted in accordance with the requirements of 21 C.F.R. § 807.92.
SubmitterMedtronic AVE, Inc., Peripheral Technologies
2170-A Northpoint Parkway
Santa Rosa, California 95407
Contact PersonJohn Riolo
Vice President, Regulatory Affairs and Quality Assurance
Phone: (707) 541-3271
FAX: (707) 566-1159
e-mail: john.riolo@medtronic.com
Date PreparedDecember 20, 2001
Trade NameBridge SE Biliary Self-Expanding Stent Delivery System ("Bridge SE")
Common
NameBiliary Stent and Delivery System
Classification
NameBiliary Catheter and Accessories
Device
ClassificationClassification: Class II
Classification Panel: 78FGE
Regulation Number: 21 C.F.R. §876.5010
Predicate
DeviceBridge SE Biliary Self-Expanding Stent Delivery System
K011080; cleared 10/11/2001
Performance
StandardsPerformance standards have not been established by the FDA under section
514 of the Federal, Food, Drug and Cosmetic Act
Device DescriptionThe subject device is a system consisting of a single-lumen, tubular, self-
expanding nickel-titanium ("nitinol") stent pre-loaded onto a sheathed
delivery catheter. The delivery system is designed to deliver the stent to
the stricture site via transhepatic access. Once positioned at the stricture
site, the sheath is withdrawn and the stent is released. Upon release, the
stent expands and conforms to the inner lumen of the biliary duct. The
device has two radiopaque markers to aid in stent placement during
fluoroscopy.
Indications for UseThe Bridge SE Biliary Self-Expanding Stent Delivery System is
indicated for use in the palliation of malignant neoplasm in the biliary
tree.
Technological
CharacteristicsThe Bridge SE Biliary Self-Expanding Stent Delivery System ("Bridge
SE") is substantially equivalent to the currently marketed Bridge SE
Biliary Self-Expanding Stent Delivery System. The subject and predicate
stents are technologically similar and are intended for palliation of
malignant neoplasms in the biliary tree. The subject and predicate stents
are constructed of biocompatible materials. The subject and predicate
stents are delivered percutaneously via sheathed delivery systems. The
subject device offers additional stent sizes and a longer catheter length.
The subject and predicate stents are comparable and are intended to meet
clinical needs. The difference between the subject and predicate devices
are minor and are not relevant to the ability of the subject device to
palliate malignant neoplasms in the biliary tree.
Nonclinical
PerformancePreclinical testing was conducted to confirm the safe and effective
performance of the Bridge SE Biliary Self-Expanding Stent Delivery
System as well as the biocompatibility of the device.
SterilizationThe Bridge SE Biliary Self-Expanding Stent Delivery System is provided
sterile. The device is not intended for reuse or resterilization.
ConclusionThe Bridge SE Biliary Self-Expanding Stent Delivery System is
substantially equivalent to the currently cleared and marketed device and
meets the clinical needs of the physicians.

1

510(k) Summary for the Bridge SE Biliary Self-Expanding Stent Delivery System

2

Image /page/2/Picture/1 description: The image is a black and white logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle with three lines forming its body and wings. The eagle is enclosed in a circle with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" surrounding it.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JAN 1 4 2002

Mr. Kevin Drisko Regulatory Affairs Manager Medtronic AVE, Inc. Medtronic Peripheral Technologies 2170-A Northpoint Parkway Santa Rosa, California 95407

Re: K014205

Trade/Device Name: Medtronic AVE Bridge SE Biliary Self-Expanding Stent Delivery System Regulation Number: 21 CFR §876.5010 Regulation Name: Biliary catheter and accessories Regulatory Class: II Product Code: 78 FGE Dated: December 20, 2001 Received: December 21, 2001

Dear Mr. Drisko:

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). 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. Kevin Drisko

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); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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 Section 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 Part 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 Part 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers, International and Consumer 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.

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

Enclosure

4

Page 1 of 1

510(k) Number (if known): K014205

Device Name: Medtronic AVE Bridge SE Biliary Self-Expanding Stent Delivery System

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

The Medtronic AVE Bridge SE Biliary Self-Expanding Stent Delivery System is indicated for use in the palliation of malignant neoplasms in the biliary tree.

Prescription Use \✓ OR Over-The-Counter Use _
(Per 21 CFR 801.109)

(Division Sign-Off)
Division of Reproductive, Abdominal,
and Radiological Devices
510(k) Number: K014205

.