K Number
K021996
Device Name
BOLTON PTA CATHETER
Date Cleared
2002-08-23

(66 days)

Product Code
Regulation Number
870.1250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Bolton PTA Catheter is indicated for percutaneous transluminal angioplasty of narrowed or obstructed peripheral arteries such as the iliac, femoral, iliofemoral, renal, popliteal, tibial, tibioperoneal, infrapopliteal, peroneal, and profunda vessels and for treatment of obstructive lesions of native or synthetic arteriovenous dialysis fistulae. This device is not intended for use in the coronary arteries.
Device Description
The Bolton PTA Catheter is a single use, dual lumen, percutaneous, angioplasty catheter with a distally mounted semi-compliant balloon for the dilatation of narrowed peripheral vessels. The dual lumen consists of a balloon lumen and a guidewire lumen with two radiopaque to aid in balloon positioning. The catheter is packaged sterile and is nonpyrogenic.
More Information

No
The summary describes a mechanical device (a balloon catheter) and does not mention any software, algorithms, or data processing that would indicate the use of AI/ML. The "Mentions AI, DNN, or ML" field is explicitly marked as "Not Found".

Yes
The device is used for percutaneous transluminal angioplasty to treat narrowed or obstructed peripheral arteries and obstructive lesions in arteriovenous dialysis fistulae, which are therapeutic interventions.

No

This device is an angioplasty catheter designed for percutaneous transluminal angioplasty, which is a therapeutic procedure to dilate narrowed vessels, not to diagnose a condition.

No

The device description clearly describes a physical catheter with a balloon, lumens, and radiopaque markers, indicating it is a hardware device, not software-only.

Based on the provided information, 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.
  • Device Description and Intended Use: The Bolton PTA Catheter is a medical device used within the body (in vivo) for a therapeutic procedure (angioplasty) to open narrowed blood vessels. It does not analyze samples taken from the body.

The description clearly indicates it's a catheter with a balloon for mechanical dilation of blood vessels, which is a surgical/interventional procedure, not an in vitro diagnostic test.

N/A

Intended Use / Indications for Use

The Bolton PTA Catheter is indicated for percutaneous transluminal angioplasty of narrowed or obstructed peripheral arteries such as the iliac, femoral, iliofemoral, renal, popliteal, tibial, tibioperoneal, infrapopliteal, peroneal, and profunda vessels and for treatment of obstructive lesions of native or synthetic arteriovenous dialysis fistulae. This device is not intended for use in the coronary arteries.

Product codes

LIT, DQY

Device Description

The Bolton PTA Catheter is a single use, dual lumen, percutaneous, angioplasty catheter with a distally mounted semi-compliant balloon for the dilatation of narrowed peripheral vessels. The dual lumen consists of a balloon lumen and a guidewire lumen with two radiopaque to aid in balloon positioning. The catheter is packaged sterile and is nonpyrogenic.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

iliac, femoral, iliofemoral, renal, popliteal, tibial, tibioperoneal, infrapopliteal, peroneal, and profunda vessels; native or synthetic arteriovenous dialysis fistulae.

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

Bench testing was conducted using the Guidance for the Submission of Research and Marketing Application for Interventional Cardiology Devices (5/1994) as a quide, Biocompatibility testing was based on ISO 10993-1 and the FDA Blue Book Memorandum #G95-1. The results of the bench and biocompatibility tests demonstrate that the Bolton PTA catheter is safe and effective for its intended use.

Key Metrics

Not Found

Predicate Device(s)

K972512, K003972, K001087, K000101, K983830, K973012

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).

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AUG 2 3 2002

BM
BOLTON MEDICAL
Bolton Medical Group
A Cardiovasion Company

51D(k) Summary of Safety & Effectiveness

This 510(k) Summary of Safety and Effectiveness for the Bolton PTA Catheter System is provided as required per Section 513(1)(3) of the Food, Drug and Cosmetic Act.

  • Bolton Medical, Inc. 1. Submitter: 16-00 Pollitt Drive Fair Lawn, NJ 07410
    Contact Person: Vivian Kelly Tele: (201) 797-0014 Fax: (201) 797-0201

Date prepared: August 20, 2002

    1. Proprietary Name: Bolton PTA Catheter Peripheral Transluminal Angioplasty Catheter Common Name: Classification Name: Percutaneous Catheter (21 CFR 870.1250)

3. Predicate or legally marketed devices that are substantially equivalent:

  • Smash TM PTA Catheter, Schneider (USA) Inc. (K972512) x
  • NuMED Ghost II PTA Catheter, NuMED, Inc. (K003972) t
  • D PTA Balloon Catheter, Cook Incorporated (K001087)
  • 1 RX VIATRAC 14 Peripheral Dilalation Catheter, Guidant Corporation (K000101)
  • Finch and Copperhead PTA Catheters, Mallinckrodt, Inc. (K983830) 에
  • Opti-plast® Centurion 5.5 PTA Catheter, C.R. Bard, Inc. (K973012) .

4. Description of the device:

The Bolton PTA Catheter is a single use, dual lumen, percutaneous, angioplasty catheter with a distally mounted semi-compliant balloon for the dilatation of narrowed peripheral vessels. The dual lumen consists of a balloon lumen and a guidewire lumen with two radiopaque to aid in balloon positioning. The catheter is packaged sterile and is nonpyrogenic.

5. Intended Use:

The Bolton PTA Catheter is indicated for percutaneous transluminal angioplasty of narrowed or obstructed peripheral arteries such as the iliac, femoral, iliofemoral, renal, popliteal, tibial, tibioperoneal, infrapopliteal, peroneal, and profunda vessels and for treatment of obstructive lesions of native or synthetic arteriovenous dialysis fistulae. This device is not intended for use in the coronary arteries.

7. Comparison of the technological characteristics of the device to predicate devices:

The Bolton PTA Catheter is substantially equivalent to the above reference predicate devices. There are no significant differences between the Bolton PTA Catheter and other PTA catheters currently being marketed which would adversely affect the use of the Bolton PTA Catheter. It is substantially equivalent to these other devices in design, function, material and intended use.

8. Summary of Non-Clinical Testing

Bench testing was conducted using the Guidance for the Submission of Research and Marketing Application for Interventional Cardiology Devices (5/1994) as a quide, Biocompatibility testing was based on ISO 10993-1 and the FDA Blue Book Memorandum #G95-1. The results of the bench and biocompatibility tests demonstrate that the Bolton PTA catheter is safe and effective for its intended use.

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Image /page/1/Picture/1 description: The image shows the logo for the Department of Health & Human Services - USA. The logo consists of a circle with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is a stylized image of a bird.

Public Health Service

AUG 2 3 2002

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Bolton Medical, Inc. c/o Ms. Vivian Kelly Regulatory Affairs Manager 16-00 Pollitt Drive Fair Lawn, NJ 07410

Re: K021996

Trade Name: Bolton PTA Catheter Regulation Number: 21 CFR 870.1250 Regulation Name: Percutaneous Catheter Regulatory Class: Class II (two) Product Code: LIT and DQY Dated: June 17, 2002 Received: June 18, 2002

Dear Ms. Kelly:

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) 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.

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Page 2 - Ms. Vivian Kelly

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 vours.

Elia Mallia

Bram D. Zuckerman, M.D. Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Image /page/3/Picture/0 description: The image shows the logo for Bolton Medical. The logo consists of the letters 'BM' in a circle above the words 'BOLTON MEDICAL'. Below that, in a smaller font, are the words 'Bolton Medical Group A CHRISTEN Company'.

Indications for Use Statement

510(k)Number
(if known)

Device Name BOLTON PTA CATHETER

Indications for Use

The Bolton PTA Catheter is indicated for percutaneous transluminal angioplasty of narrowed or obstructed peripheral arteries such as the iliac, femoral, renal, popliteal, tibial, tibioperoneal, infrapopliteal, peroneal, and profunda vessels and for treatment of obstructive lesions of native or synthetic arteriovenous dialysis fistulae. This device is not intended for use in the coronary arteries.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Elio Mallio

espiratory Devic

510(k) Number_ KO71995

Prescription Use V

OR Over-The-Counter Use -------(Per 21 CFR 801.109)

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