K Number
K021587
Device Name
ATTAIN LDS 6216A LEFT-HEART DELIVERY SYSTEM, MODEL 6216A
Manufacturer
Date Cleared
2002-05-30

(15 days)

Product Code
Regulation Number
870.1250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Attain™ LDS 6216A Left-heart delivery system is intended for introducing balloon catheters into the coronary sinus or leads into vessels of the left heart via the coronary sinus.
Device Description
The left-heart delivery system features two guide wires to facilitate venous access, adjustable hemostasis valves to reduce blood loss during the implant procedure, two guide catheters for passing venogram balloon catheters or appropriate leads, a guide catheter dilator to facilitate guide catheter passage, guide catheter slitters for removing guide catheters, and a guide wire clip to help contain the guide wire in the sterile field. The Attain LDS 6216A Left-heart delivery system combines devices that are either cleared for market distribution via 510(k) or are exempt from premarket notification because of Class I designation. The key changes being made to the system are the addition of Tungsten Carbidefilled polyether block amide material to the guide catheter distal tip segment and the addition of extra slitters and adjustable hemostasis valves in a revised system configuration.
More Information

Not Found

No
The summary describes a mechanical delivery system with no mention of AI/ML capabilities or data processing.

No
The device is described as a "delivery system" for introducing catheters or leads; it does not itself provide therapy.

No

This device is described as a delivery system for introducing balloon catheters or leads, indicating its function is interventional/therapeutic rather than diagnostic. It facilitates the delivery of other devices.

No

The device description explicitly lists multiple hardware components (guide wires, hemostasis valves, guide catheters, dilator, slitters, guide wire clip) and describes physical changes to the guide catheter material and system configuration.

Based on the provided information, the Attain™ LDS 6216A Left-heart delivery system is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is for introducing balloon catheters or leads into the coronary sinus or left heart vessels. This is a surgical/interventional procedure, not a diagnostic test performed on samples outside the body.
  • Device Description: The components described (guide wires, guide catheters, dilator, slitters, valves) are all tools used for accessing and delivering devices within the body. They are not designed to analyze biological samples.
  • Lack of IVD Characteristics: There is no mention of analyzing blood, tissue, or other biological samples, which is the core function of an IVD.

Therefore, the Attain™ LDS 6216A Left-heart delivery system is a medical device used for interventional procedures, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The intended use of the Medtronic Attain LDS 6216A Left-heart delivery system is for introducing balloon catheters into the coronary sinus or leads into vessels of the left heart via the coronary sinus

The Attain™ LDS 6216A Left-heart delivery system is intended for introducing balloon catheters into the coronary sinus or leads into vessels of the left heart via the coronary sinus.

Product codes

74 DQY, DQY

Device Description

The left-heart delivery system features two guide wires to facilitate venous access, adjustable hemostasis valves to reduce blood loss during the implant procedure, two guide catheters for passing venogram balloon catheters or appropriate leads, a guide catheter dilator to facilitate guide catheter passage, guide catheter slitters for removing guide catheters, and a guide wire clip to help contain the guide wire in the sterile field.

The Attain LDS 6216A Left-heart delivery system combines devices that are either cleared for market distribution via 510(k) or are exempt from premarket notification because of Class I designation.

The key changes being made to the system are the addition of Tungsten Carbidefilled polyether block amide material to the guide catheter distal tip segment and the addition of extra slitters and adjustable hemostasis valves in a revised system configuration.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

coronary sinus, vessels of the left heart

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

In vitro testing and biocompatibility/sterilization testing was performed to support substantial equivalence to the predicate device. The results of this testing indicates that the Attain LDS 6216A meets all of its design and performance requirements.

Key Metrics

Not Found

Predicate Device(s)

K012130, K012083

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 870.1250 Percutaneous catheter.

(a)
Identification. A percutaneous catheter is a device that is introduced into a vein or artery through the skin using a dilator and a sheath (introducer) or guide wire.(b)
Classification. Class II (performance standards).

0

MAY 3 0 2002

CONFIDENTIAL May not be reproduced without written permission from Medtronic, Inc.

510(K) Summary of Substantial Equivalence

Date preparedMay 13, 2002
Submitter:Medtronic, Inc.
Parkmore Business Park West
Galway, Ireland.
Submission Correspondent:Karen Reidt, RAC
Sr. Product Regulation Manager
7000 Central Avenue N.E.
Minneapolis, MN 55432
Telephone:(763) 514-3914
Fax:(763) 514-6424
E-Mail:karen.reidt@medtronic.com
Proprietary Name:Attain™ LDS 6216A Left-heart delivery
system
Common Name:Catheter, Percutaneous
Device Classification:Class II, 21 CFR § 870.1250
Product Code:74 DQY

Performance Standard

Performance standards do not currently exist for these devices. None established under Section 514.

Device Description

The left-heart delivery system features two guide wires to facilitate venous access, adjustable hemostasis valves to reduce blood loss during the implant procedure, two guide catheters for passing venogram balloon catheters or appropriate leads, a guide catheter dilator to facilitate guide catheter passage, guide catheter slitters for removing guide catheters, and a guide wire clip to help contain the guide wire in the sterile field.

The Attain LDS 6216A Left-heart delivery system combines devices that are either cleared for market distribution via 510(k) or are exempt from premarket notification because of Class I designation.

The key changes being made to the system are the addition of Tungsten Carbidefilled polyether block amide material to the guide catheter distal tip segment and the addition of extra slitters and adjustable hemostasis valves in a revised system configuration.

1

CONFIDENTIAL

May not be reproduced without written permission from Medtronic, Inc.

Indications for Use

The intended use of the Medtronic Attain LDS 6216A Left-heart delivery system is for introducing balloon catheters into the coronary sinus or leads into vessels of the left heart via the coronary sinus

Substantially Equivalent Devices

| Attain LDS 6216A
Left-heart
Delivery System

DevicePredicate DevicePredicate Device ManufacturerPredicate 510(k)
40 cm and 45 cm
Guide CathetersMedtronic Attain LDS 6216
Left-heart Delivery SystemMedtronic, Inc.
Minneapolis, MN 55432K012130
Guide Catheter
DilatorMedtronic Attain LDS 6216
Left-heart Delivery SystemMedtronic, Inc.
Minneapolis. MN 55432K012130
Adjustable
Hemostasis ValveMedtronic Attain LDS 6216
Left-heart Delivery SystemMedtronic, Inc.
Minneapolis, MN 55432K012130
120 cm Guide
WiresMedtronic Attain Access
6218 Left-heart Delivery
SystemMedtronic, Inc.
Minneapolis, MN 55432K012083
4 Fr and 6 Fr
Guide Catheter
SlittersMedtronic Attain LDS 6216
Left-heart Delivery SystemMedtronic, Inc.
Minneapolis, MN 55432K012130
Guide Wire ClipClass I device, exempt from premarket notification

Attain LDS 6216A Left-heart Delivery System Predicate Devices

Summary of Studies

In vitro testing and biocompatibility/sterilization testing was performed to support substantial equivalence to the predicate device. The results of this testing indicates that the Attain LDS 6216A meets all of its design and performance requirements.

Biocompatibility Information

Biocompatibility testing was performed on representative samples of Attain product. Complete testing according to ISO 10993-1 was conducted and all materials were found to be biocompatible.

Sterilization Validation

The Attain LDS 6216A Left-heart delivery system is sterilized using a 100% Ethylene Oxide (ETO) sterilization process. Appropriate processes for sterilizing the devices were validated.

2

CONFIDENTIAL

May not be reproduced without written permission from Medtronic, Inc.

Conclusion (Statement of Equivalence)

Through the data and information presented, as well as similarities to a legally Through the data and thronic, Inc. considers the Attain LDS 6216A Left-heart marketed dotho, medically equivalent to the previously discussed legally marketed predicate device.

3

Image /page/3/Picture/1 description: The image shows the logo for the Department of Health & Human Services - USA. The logo is circular, with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a symbol consisting of three stylized human figures, depicted in a flowing, abstract manner. The figures are arranged in a row, with each figure slightly overlapping the previous one.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

MAY 3 0 2002

Ms. Karen Reidt Principal Regulatory Affairs Specialist Cardiac Rhythm Management Medtronic, Inc. 7000 Central Avenue N.E. Minneapolis, MN 55432

Re: K021587

Trade Name: Attain™ LDS 6216A Left-Heart Delivery System Regulation Number: 21 CFR 870.1250 Regulation Name: Percutaneous Catheter Regulatory Class: Class II (two) Product Code: DQY Dated: May 13, 2002 Received: May 15, 2002

Dear Ms. Reidt:

We have reviewed your Section 510(k) premarket notification of intent to market the device we nave roviewed your betermined 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. 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 (PMA), 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 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

4

Page 2 - Ms. Karen Reidt

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.

This letter will allow you to begin marketing your device as described in your Section 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 21 CFR Part 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4646. 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" (21CFR 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,

Da Carter

Donna-Bea Tillman, Ph.D. Acting Director Division of Cardiovascular and Respiratory Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

5

CONFIDENTIAL May not be reproduced without written permission from Medtronic, Inc.

Indications for Use Statement

510(k) Number (if known):N/A
--------------------------------

Device Name:

Attain™ LDS 6216A Left-heart delivery system

Indications For Use:

The Attain™ LDS 6216A Left-heart delivery system is intended for introducing balloon catheters into the coronary sinus or leads into vessels of the left heart via the coronary sinus.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use _ (Per 21 CFR 801.109)

OR

Over-The-Counter Use_

Division of Cardiovascular & Respiratory Devices
510(k) Number K021587