K Number
K022170
Device Name
INNER-LOCK LOCKING INTRODUCER SHEATHS
Manufacturer
Date Cleared
2003-01-21

(202 days)

Product Code
Regulation Number
870.1340
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Inner-Lock Locking Introducer Sheaths are used to facilitate placing a catheter through the skin into a graft. The Inner-Lock dilator is an accessory device, which is used by placing it into the sheath to create an occlusion and further provide support to the wall of the indwelling sheath.
Device Description
The Rex Medical, Inner-Lock Locking Introducer Sheaths, 6F and 7F is a vascular access device consisting of a central lumen, an angled side arm extension and a hemostasis valve. The distal tip contains a retention mechanism that is operated via a control arm on the proximal hub. The device is used in exactly the same manner as the predicate device and other substantially equivalent 510(k) cleared devices.
More Information

K#954234, K#984260

Not Found

No
The document describes a mechanical vascular access device and its accessories, with no mention of AI or ML capabilities. The performance studies focus on functional and material testing against predicate devices, not algorithmic performance.

No
The device is used to facilitate the placement of a catheter, which is a procedural tool, rather than directly treating a disease or condition.

No
The device is described as a vascular access device used to facilitate placing a catheter into a graft, and is an "Introducer Sheath". This is a surgical tool, not a diagnostic one.

No

The device description clearly describes a physical, hardware-based vascular access device (introducer sheath and dilator) and mentions material testing and functional testing of the physical device. There is no mention of software as the primary or sole component.

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

Here's why:

  • Intended Use: The intended use is to facilitate placing a catheter through the skin into a graft. This is a procedure performed on the patient, not a test performed on a sample taken from the patient.
  • Device Description: The device is described as a vascular access device used for inserting a catheter. This aligns with a surgical or interventional procedure, not an in vitro diagnostic test.
  • 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 body to detect diseases, conditions, or infections. This device is used to access a graft within the body for a medical procedure.

N/A

Intended Use / Indications for Use

The Inner-Lock Locking Introducer Sheaths are used to facilitate placing a catheter through the skin into a graft. The Inner-Lock dilator is an accessory device, which is used by placing it into the sheath to create an occlusion and further provide support to the wall of the indwelling sheath.

Product codes

DYB

Device Description

The Rex Medical, Inner-Lock Locking Introducer Sheaths, 6F and 7F is a vascular access device consisting of a central lumen, an angled side arm extension and a hemostasis valve. The distal tip contains a retention mechanism that is operated via a control arm on the proximal hub. The device is used in exactly the same manner as the predicate device and other substantially equivalent 510(k) cleared devices.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

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

Comparative functional testing (to the predicate) was performed based on ISO 10555-1, ISO 11070 and FDA's Reviewer Guidance for Short-Term and Long-Term Intravascular Catheters. Material testing also included ISO 10993 Biocompatibility Testing. Testing results revealed the subject device to be substantially equivalent to the predicate device.

Key Metrics

Not Found

Predicate Device(s)

K#954234, K#984260

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 870.1340 Catheter introducer.

(a)
Identification. A catheter introducer is a sheath used to facilitate placing a catheter through the skin into a vein or artery.(b)
Classification. Class II (performance standards).

0

JAN 21 2003

EXHIBIT #1

510(K) SUMMARY

This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirements of SMDA 1990 and 21 CFR §807.92.

The assigned 510(k) number is: KO22170

Submitter's Identification: 1.

Rex Medical 585 County Line Road Radnor, PA 19087

Contact: Mr. Paul Tashjian

Date Summary Prepared:

July 1, 2002

2. Name of the Device:

Inner-Lock Locking Introducer Sheaths

3. Predicate Device Information:

K#954234, K#984260: PINNACLE™ R/O or RADIFOCUS® Introducer R/O device, Terumo Medical Corporation, Elkton, MD

4. Device Description:

The Rex Medical, Inner-Lock Locking Introducer Sheaths, 6F and 7F is a vascular access device consisting of a central lumen, an angled side arm extension and a hemostasis valve. The distal tip contains a retention mechanism that is operated via a control arm on the proximal hub. The device is used in exactly the same manner as the predicate device and other substantially equivalent 510(k) cleared devices.

5. Intended Use:

The Inner-Lock Locking Introducer Sheaths are used to facilitate placing a catheter through the skin into a graft. The Inner-Lock dilator is an accessory device, which is used by placing it into the sheath to create an occlusion and further provide support to the wall of the indwelling sheath.

1

Comparison to Predicate Devices: 6.

Discussion of Similarities

The Inner-Lock Locking Introducer Sheaths are similar to the Terumo RADIFOCUS ® Introducer R/O device, in that both devices make use of a tapered distal tip with a central lumen to pass over a guidewire and dilator combination; both devices have an elastomer valve, side port and a radio opaque indicator and proximal hubs and extensions are similar in function and material characteristics. Both devices can be used for dialysis graft access.

Discussion of Differences

The Inner-Lock Locking Introducer Sheaths are different from the Terumo RADIFOCUS ® Introducer R/O device, by means of an angled side port and a device retention feature. The angled sidearm may reduce shear force during fluid movement. The retention feature may reduce the risk of the device accidentally being dislodged from the patient. The retention mechanism provides an alternative to suturing the device hub to the skin.

Discussion of Non-Clinical Tests Performed for Determination of 7. Substantial Equivalence are as follows:

Comparative functional testing (to the predicate) was performed based on ISO 10555-1, ISO 11070 and FDA's Reviewer Guidance for Short-Term and Long-Term Intravascular Catheters. Material testing also included ISO 10993 Biocompatibility Testing. Testing results revealed the subject device to be substantially equivalent to the predicate device.

Discussion of Clinical Tests Performed: 8.

Not applicable, as there are no new indications for use which must be supported by clinical data.

9. Conclusions:

The subject device, Inner-Lock Locking Introducer Sheaths, have the same intended use and characteristics as the predicate device, the Terumo RADIFOCUS® Introducer R/O device. Moreover, bench testing contained in our submission and non-clinical testing supplied demonstrates that there are no differences in their technological characteristics, thereby not raising any new questions of safety or effectiveness. Thus, the Inner-Lock Locking Introducer

2

Sheaths are substantially equivalent to the predicate device, the Terumo RADIFOCUS® Introducer R/O device.

:

3

Image /page/3/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 image of an eagle or bird with three curved lines representing its wings or feathers. The bird is positioned to the right of a circular text element that reads "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA". The text is arranged around the circumference of the circle.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JAN 2 1 2003

Ms. Susan D. Goldstein-Falk Rex Medical c/o MDI Consultants, Inc. 55 Northern Blvd. Suite 200 Great Neck, NY 11021

Re: K022170

Rex Medical Inner-Lock Locking Introducer Sheath Regulation Number: 21 CFR 870.1340 Regulation Name: Catheter Introducer Regulatory Class: Class II Product Code: DYB Dated: October 24, 2002 Received: October 28, 2002

Dear Ms. Goldstein-Falk:

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.

4

Page 2 - Ms. Susan D. Goldstein-Falk

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.

Also, please If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Office of Compliance at (301) 594-4646. note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). You may obtain other general information on your responsibilities under the Act 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.qov/cdrh/dsma/dsmamain.html

Sincerely yours.

N. Harrington

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

Enclosure

5

Exhibit B

Page _ 1 _ _ of _ _ 1 _

510(k) Number (if known): _ KO2Q170 __________________________________________________________________________________________________________________________________________

Device Name: Inner-Lock Locking Introducer Sheaths

Indications For Use:

The Inner-Lock Locking Introducer Sheaths are used to facilitate placing a catheter through the skin into a graft. The Inner-Lock dilator is an accessory device, which is used by placing it into the sheath to create an occlusion and further provide support to the wall of the indwelling sheath.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)
(Division Sign-Off)
Division of Cardiovascular Devices
510(k) NumberK022170
Prescription Use (Per 21 CFR 801.109)OROver-The-Counter Use (Optional Format 1-2-96)