K Number
K024303
Device Name
EDWARDS LIFESCIENCES LIFESTENT NT18 SELF-EXPANDING BILIARY STENT AND DELIVERY SYSTEM
Date Cleared
2003-07-03

(191 days)

Product Code
Regulation Number
876.5010
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Edwards Lifesciences LifeStent NT18 Self-Expanding Biliary Stent and Delivery System is indicated for use in the palliative treatment of patients with malignant biliary strictures.
Device Description
The Edwards LifeStent™ NT18 Self-Expanding Biliary Stent and Delivery System is designed to deliver a self-expanding stent to the biliary tree via a sheathed delivery system to provide palliative treatment for malignant strictures. The Edwards LifeStent™ NT18 Self-Expanding Biliary Stent and Delivery System is comprised of the following: - An implantable self-expanding nickel-titanium alloy (nitinol) stent. The stent is available in 6mm to 8mm diameters, and a variety of lengths. - A 6Fr delivery system available in 75cm and 120cm usable lengths. The Edwards LifeStent™ NT18 Self-Expanding Biliary Stent and Delivery System products are supplied sterile and are "single-use only" devices.
More Information

Not Found

No
The description focuses on the mechanical components and performance of a self-expanding stent and delivery system, with no mention of AI or ML capabilities.

Yes

The device is indicated for "palliative treatment of patients with malignant biliary strictures" and is designed to deliver a stent to treat these strictures, which directly performs a therapeutic function.

No

The device is a stent and delivery system used for the palliative treatment of malignant biliary strictures, which is a therapeutic function, not a diagnostic one.

No

The device description explicitly states it is comprised of a physical, implantable stent made of nickel-titanium alloy and a physical delivery system. These are hardware components, not software.

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

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to perform tests on samples taken from the human body (like blood, urine, or tissue) to provide information about a person's health. These tests are performed outside the body.
  • Device Description: The Edwards LifesStent NT18 Self-Expanding Biliary Stent and Delivery System is an implantable device designed to be placed inside the body (in the biliary tree) to provide structural support and palliative treatment for malignant strictures.
  • Intended Use: The intended use is for the "palliative treatment of patients with malignant biliary strictures," which is a therapeutic intervention performed in vivo.

The device is a therapeutic medical device, not a diagnostic one.

N/A

Intended Use / Indications for Use

The Edwards LifeStent™ NT18 Self-Expanding Billary Stent and Delivery System is intended for use in the palliation of malignant strictures (neoplasms) in the biliary tree.

The Edwards Lifesciences LifeStent NT18 Self-Expanding Biliary Stent and Delivery System is indicated for use in the palliative treatment of patients with malignant biliary strictures.

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

78 FGE

Device Description

The Edwards LifeStent™ NT18 Self-Expanding Biliary Stent and Delivery System is designed to deliver a self-expanding stent to the biliary tree via a sheathed delivery system to provide palliative treatment for malignant strictures. The Edwards LifeStent™ NT18 Self-Expanding Biliary Stent and Delivery System is comprised of the following:

  • An implantable self-expanding nickel-titanium alloy (nitinol) stent. The stent is . available in 6mm to 8mm diameters, and a variety of lengths.
  • A 6Fr delivery system available in 75cm and 120cm usable lengths. .

The Edwards LifeStent™ NT18 Self-Expanding Biliary Stent and Delivery System products are supplied sterile and are "single-use only" devices.

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)

Edwards Lifesciences completed bench testing such as deployment testing, expansion force testing, compression force testing, dimensional testing, corrosion testing, as well as tensile strength testing on applicable joints of the delivery system. The results indicate that the Edwards LifeStent™ NT18 Self-Expanding Biliary Stent and Delivery System performed in a manner substantially equivalent to the predicate devices cited in item 7 above.

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.

K001843, K010445, K012993, K021898

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.

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K024303 1 of 2

Image /page/0/Picture/2 description: The image shows a logo with a large letter 'E' superimposed on a grid-like background. The letter 'E' is white and appears to be the focal point of the design. Below the logo, the word 'Edwards' is written in a serif font. The overall design is simple and professional, suggesting a corporate or business identity.

510(k) Summary

1. Submitter's Name and Address:

Edwards Lifesciences LLC One Edwards Way Irvine, CA 92614

2. Contact:

Kevin Drisko Senior Manager, Regulatory Affairs Edwards Lifesciences LLC Phone: (949) 250-2416 Fax: (949) 250-3630 E-mail: kevin_drisko@edwards.com

3. Date Prepared:

December 23, 2003

4. Device Trade Name:

Edwards LifeStent™ NT18 Self-Expanding Biliary Stent and Delivery System

5. Device Common Name:

Biliary Stent (self-expanding)

6. Device Classification Name:

Biliary Catheter (78 FGE), Class II

7. Predicate Devices:

Cordis S.M.A.R.T.TM Nitinol Stent Transhepatic Biliary System (K001843) Cordis Precise™ Nitinol Stent Transhepatic Biliary System (K010445) Cordis Precise™ Nitinol Stent Transhepatic Biliary System (6F) (K012993) Cordis S.M.A.R.T.TM Control™ Nitinol Stent Transhepatic Biliary System (K021898)

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Image /page/1/Figure/1 description: The image shows a stylized letter "E" inside of a circle. The letter and circle are white, and they are set against a gray, textured background. The background appears to be made up of small squares, giving it a pixelated or mosaic-like appearance.

510(k) Summary (continued)

8. Device Description:

The Edwards LifeStent™ NT18 Self-Expanding Biliary Stent and Delivery System is designed to deliver a self-expanding stent to the biliary tree via a sheathed delivery system to provide palliative treatment for malignant strictures. The Edwards LifeStent™ NT18 Self-Expanding Biliary Stent and Delivery System is comprised of the following:

  • An implantable self-expanding nickel-titanium alloy (nitinol) stent. The stent is . available in 6mm to 8mm diameters, and a variety of lengths.
  • A 6Fr delivery system available in 75cm and 120cm usable lengths. .

The Edwards LifeStent™ NT18 Self-Expanding Biliary Stent and Delivery System products are supplied sterile and are "single-use only" devices.

9. Intended Use:

The Edwards LifeStent™ NT18 Self-Expanding Billary Stent and Delivery System is intended for use in the palliation of malignant strictures (neoplasms) in the biliary tree.

10. Technological Characteristics:

Comparisons of the new and predicate devices show that the technical characteristics such as materials, performance properties, biocompatibility, method of sterilization, and packaging are identical or substantially equivalent.

11. Performance Data:

Edwards Lifesciences completed bench testing such as deployment testing, expansion force testing, compression force testing, dimensional testing, corrosion testing, as well as tensile strength testing on applicable joints of the delivery system. The results indicate that the Edwards LifeStent™ NT18 Self-Expanding Biliary Stent and Delivery System performed in a manner substantially equivalent to the predicate devices cited in item 7 above.

12. Conclusion:

Since the Edwards LifeStent™ NT18 Self-Expanding Biliary Stent and Delivery System has the same intended use, identical material properties, similar performance properties, packaging and sterilization methods, it may be considerd substantially equivalent to the predicate devices cited in item 7 above.

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Image /page/2/Picture/1 description: The image shows a circular logo with text around the perimeter and a symbol in the center. The symbol in the center appears to be three stylized human profiles facing to the right, stacked on top of each other. The text around the perimeter is not fully legible but seems to be part of an organization's name. The logo has a simple, clean design with a focus on the human profiles.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUL - 3 2003

Mr. Kevin Drisko Senior Manager, Regulatory Affairs Edwards Lifesciences, LLC One Edwards Way Irvine, California 92614

Re: K024303

Trade/Device Name: Edwards LifeStent NT18 Self-Expanding Biliary Stent and Delivery System Regulation Number: 21 CFR §876.5010 Regulation Name: Biliary catheter and accessories Regulatory Class: II Product Code: 78 FGE Dated: April 3, 2003 Received: April 4, 2003

Dear Mr. Drisko:

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.

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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

Daniel G. Schultz, MD. Director Office of Device Evaluation Center for Devices and Radiological Health

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Page _ 1 of 1

510(k) Number (if known): K024303

Device Name: LifeStent NT18 Self-Expanding Biliary Stent and Delivery System

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

The Edwards Lifesciences LifeStent NT18 Self-Expanding Biliary Stent and Delivery System is indicated for use in the palliative treatment of patients with malignant biliary strictures.

Prescription Use_"_ OR (Per 21 CFR 801.109)

Over-The-Counter Use__________________________________________________________________________________________________________________________________________________________

Nancy C. Brandon

510(k) Nun