K Number
K030905
Device Name
MEDAMICUS FLOWGUARD PEELABLE INTRODUCER
Manufacturer
Date Cleared
2003-04-09

(16 days)

Product Code
Regulation Number
870.1340
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The MedAmicus FlowGuard™ Peelable Introducer indicated for use in the percutaneous insertion of pacing leads or catheters in the venous system.
Device Description
The MedAnicus FlowGuard™ Peelable Introducer is a small diameter tubular shaped device with integrated proximal handles. The FlowGuard™ Peelable Introducer is designed to provide a relatively atraumatic method for implanting catheters and pacemaker leads into the venous system. The FlowGuard™ Peelable Introducer has a "teat-away" feature common to the predicate devices. This feature allows the user to remove the introducer without removing the inserted catheter or pacing lead. The MedAmicus FlowGuard™ Peelable Introducer is packaged in three configurations: 1) a convenience kit containing a MedAmicus FlowGuard 100 Peelable Introducer, a thin-wall needle, a disposable syringe, and a flexible guidewire, packaged in a tray and a sealed pouch. 2) individually pouched, sterile MedAmicus FlowGuard™ Peelable Introducer and 3) bulk, nonsterile MedAmicus FlowGuard™ Peelable Introducers.
More Information

Not Found

No
The device description and performance studies focus on the physical characteristics and packaging of a standard peelable introducer, with no mention of AI or ML capabilities.

No
The device is an introducer for inserting pacing leads or catheters, it does not directly provide therapy.

No.
The device is described as an introducer for percutaneous insertion of pacing leads or catheters, not for diagnosing conditions.

No

The device description clearly outlines a physical, tubular-shaped device with integrated handles and a "tear-away" feature, intended for percutaneous insertion. It is packaged in configurations that include physical components like needles, syringes, and guidewires. There is no mention of software as the primary or sole component.

Based on the provided information, the MedAmicus FlowGuard™ Peelable Introducer is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is for the "percutaneous insertion of pacing leads or catheters in the venous system." This describes a device used within the body for a medical procedure, not a device used to test samples outside the body (which is the definition of an IVD).
  • Device Description: The description details a physical device designed for insertion into the venous system and removal after the procedure. This aligns with a surgical or interventional device, not an IVD.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples, reagents, or any other components typically associated with in vitro diagnostics.

Therefore, the MedAmicus FlowGuard™ Peelable Introducer is a medical device used for a procedural purpose, not an IVD.

N/A

Intended Use / Indications for Use

The MedAmicus FlowGuard™ Peelable Introducer is indicated for use in the percutaneous insertion of pacing leads or catheters in the venous system.

Product codes

DYB

Device Description

The MedAmicus FlowGuard™ Peelable Introducer is a small diameter tubular shaped device with integrated proximal handles. The FlowGuard™ Peelable Introducer is designed to provide a relatively atraumatic method for implanting catheters and pacemaker leads into the venous system. The FlowGuard™ Peelable Introducer has a "teat-away" feature common to the predicate devices. This feature allows the user to remove the introducer without removing the inserted catheter or pacing lead. The MedAmicus FlowGuard™ Peelable Introducer is packaged in three configurations: 1) a convenience kit containing a MedAmicus FlowGuard 100 Peelable Introducer, a thin-wall needle, a disposable syringe, and a flexible guidewire, packaged in a tray and a sealed pouch. 2) individually pouched, sterile MedAmicus FlowGuard™ Peelable Introducer and 3) bulk, nonsterile MedAmicus FlowGuard™ Peelable Introducers.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

venous system

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

Design Verification of the device is not required as there are no design modifications to the device. A packaging validation will be completed for the individually pouched, sterile introducers to ensure that there is no effect on the safety and effectiveness of the device. This validation will be completed based on a Risk Analysis per internal procedures that are compliant with European Standard EN1441: 1998 Medical Devices - Risk Analysis. This Risk Analysis was completed by comparing the risks associated with the new packaging configurations with the currently approved convenience kit packaging. This validation is summarized in Section X of this submission.

Key Metrics

Not Found

Predicate Device(s)

K021004

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

MedAmicus, Inc.

Confidential

510(k) Summary V.

Submitter

APR - 9 2003

MedAmicus, Incorporated 15301 Highway 55 West Minneapolis, MN 55447 Main: 763-15301 763-559-0148 Fax: email: www.medamicus.com

Date Prepared

March 20, 2003

Trade Name MedAmicus FlowGuard™ Peelable Introducer

Common Name

Catheter Introducer

Predicate Device MedAmicus Valved Peelable Introducer K021004

Device Description

The MedAnicus FlowGuard™ Peelable Introducer is a small diameter tubular shaped device with integrated proximal handles. The FlowGuard™ Peelable Introducer is designed to provide a relatively atraumatic method for implanting catheters and pacemaker leads into the venous system. The FlowGuard™ Peelable Introducer has a "teat-away" feature common to the predicate devices. This feature allows the user to remove the introducer without removing the inserted catheter or pacing lead. The MedAmicus FlowGuard™ Peelable Introducer is packaged in three configurations: 1) a convenience kit containing a MedAmicus FlowGuard 100 Peelable Introducer, a thin-wall needle, a disposable syringe, and a flexible guidewire, packaged in a tray and a sealed pouch. 2) individually pouched, sterile MedAmicus FlowGuard™ Peelable Introducer and 3) bulk, nonsterile MedAmicus FlowGuard™ Peelable Introducers.

1

Intended Use

There are no changes to the Intended Use of the device from the currently approved device.

The MedAmics FlowGuard™ Peelable Introducer is indicated for use in the percutaneous insertion of pacing leads or catheters in the venous system.

Technological Characteristics

The modified packaging of this device is technologically equivalent to the currently approved device.

Summary of Studies

Design Verification of the device is not required as there are no design modifications to the device. A packaging validation will be completed for the individually pouched, sterile introducers to ensure that there is no effect on the safety and effectiveness of the device. This validation will be completed based on a Risk Analysis per internal procedures that are compliant with European Standard EN1441: 1998 Medical Devices - Risk Analysis. This Risk Analysis was completed by comparing the risks associated with the new packaging configurations with the currently approved convenience kit packaging. This validation is summarized in Section X of this submission.

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 circular design with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized symbol consisting of three abstract human profiles facing to the right, stacked on top of each other.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

APR - 9 2003

Mr. Karyl Haskell Quality Assuarance and Regulatory Affairs Manager MedAmicus, Incorporated 15301 Highway 55 West Minneapolis, MN 55447

K030905 Re:

Trade/Device Name: MedAmicus FlowGuard™ Peelable Introducer Regulation Number: 21 CFR 870.1340 Regulation Name: Catheter introducer. Regulatory Class: Class II Product Code: DYB Dated: March 21, 2003 Received: March 24, 2003

Dear Mr. Haskell:

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.

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

3

Page 2 - Mr. Karyl Haskell

forth in the quality systems (OS) 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), 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) you may obtain. 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,

KOBATU

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

Enclosure

4

MedAmicus, Inc.

Confidential

Indications for Use VI.

510(k) Number (if known): Not Assigned

Device Name: MedAmicus FlowGuard™ Peelable Introducer

Indications for Use: The MedAmicus FlowGuard™ Peelable Introducer indicated for use in the percutaneous insertion of pacing leads or catheters in the venous system.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

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

(Division Sign-Off)
Division of Cardiovascular Devices
510(k) Number K030965