K Number
K033909
Device Name
WAVEMAX BALLOON-EXPANDABLE TRANSHEPATIC BILIARY STENT SYSTEM
Date Cleared
2004-02-17

(62 days)

Product Code
Regulation Number
876.5010
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The wavemaX™ Balloon-Expandable Transhepatic Biliary Stent System is intended for use in the palliation of malignant neoplasms in the biliary tree.
Device Description
The wavemaX™ Balloon-Expandable Transhepatic Biliary Stent System is comprised of a balloon-expandable stent mounted on an over the wire (OTW) delivery system designed to deliver the stent to the biliary tree.
More Information

Not Found

No
The summary describes a mechanical device (stent and delivery system) and does not mention any AI/ML terms, image processing, or performance metrics typically associated with AI/ML algorithms.

Yes
The device is described as a "Balloon-Expandable Transhepatic Biliary Stent System" intended for "palliation of malignant neoplasms in the biliary tree", which clearly indicates a therapeutic purpose.

No
The device is described as a stent system intended for palliation of malignant neoplasms, indicating a therapeutic rather than diagnostic function.

No

The device description clearly states it is a "Balloon-Expandable Transhepatic Biliary Stent System" comprised of a "balloon-expandable stent mounted on an over the wire (OTW) delivery system," indicating it is a physical medical device with hardware components.

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

Here's why:

  • Intended Use: The intended use is "palliation of malignant neoplasms in the biliary tree." This describes a therapeutic intervention performed within the body, not a test performed on a sample taken from the body to diagnose a condition.
  • Device Description: The device is a "Balloon-Expandable Transhepatic Biliary Stent System." This is a physical implant designed to open up a blocked passage in the biliary tree.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), detecting analytes, or providing diagnostic information.

IVD devices are used to examine specimens derived from the human body to provide information for diagnostic, monitoring, or screening purposes. This device is a therapeutic device used to treat a condition directly within the body.

N/A

Intended Use / Indications for Use

The wavemaX™ Balloon-Expandable Transhepatic Biliary Stent System is intended for use in the palliation of malignant neoplasms in the biliary tree.

Product codes

78 FGE

Device Description

The wavemaX™ Balloon-Expandable Transhepatic Biliary Stent System is comprised of a balloon-expandable stent mounted on an over the wire (OTW) delivery system designed to deliver the stent to the biliary tree.

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)

Non-clinical testing was conducted.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

Cordis Palmaz Genesis Transhepatic Biliary Stent (K012590), Abbott Vascular Devices Xpert™ Self-Expanding Transhepatic Biliary Stent System (K033537)

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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.

0

APPENDIX A. 510(k) SUMMARY

| A. Sponsor/Submitter: | Abbott Vascular Devices
400 Saginaw Drive
Redwood City, CA 94063 |
|-------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| B. Contact Person: | Joanna Kuskowski
Regulatory Affairs Coordinator
Phone:(650) 474-3331
Fax:(650) 474-3020 |
| Date of Submission: | December 16, 2003 |
| Device Trade Name: | wavemaX™ Balloon-Expandable Transhepatic Biliary Stent System |
| Device Common Name: | Biliary Stent and Delivery System |
| Device Classification: | Class II |
| Regulation Number: | 21 CFR 876.5010 |
| Classification Name: | Biliary Catheter and Accessories |
| Product Code: | 78 FGE |
| Predicate Device: | Cordis Palmaz Genesis Transhepatic Biliary Stent (K012590)
Abbott Vascular Devices Xpert™ Self-Expanding Transhepatic
Biliary Stent System (K033537) |
| Intended Use: | The wavemaX™ Balloon-Expandable Transhepatic Biliary Stent
System is intended for use in the palliation of malignant neoplasms in
the biliary tree. |
| Device Description: | The wavemaX™ Balloon-Expandable Transhepatic Biliary Stent
System is comprised of a balloon-expandable stent mounted on an
over the wire (OTW) delivery system designed to deliver the stent to
the biliary tree. |
| Summary of Substantial Equivalence: | Abbott Vascular Devices has submitted information on indication for
use, design and principle of operation, biocompatibility and
performance characteristics to establish that wavemaX™ Balloon-
Expandable Transhepatic Biliary Stent System is substantially
equivalent to currently marketed predicate device.
The wavemaX™ Balloon-Expandable Transhepatic Biliary Stent
System has the same intended use as the predicate device. Results of
scientific testing have ensured that all materials are biocompatible, no
new adverse effects were introduced and physical properties are
appropriate for the intended use. Non-clinical testing was conducted.
In conclusion, the wavemaX™ Balloon-Expandable Transhepatic
Biliary Stent System has been shown to be substantially equivalent to
the Class II predicate upon which the device is based. |

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Image /page/1/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized representation of an eagle or bird-like figure with three curved lines forming its body and wings. The logo is surrounded by a circular border containing the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" in capital letters. The text is arranged around the top half of the circle.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

FEB 1 3 2004

Ms. Joanna Kuskowski Regulatory Affairs Coordinator Abbott Vascular Devices 400 Saginaw Drive Redwood City, California 94063

Re: K033909

Trade/Device Name: wavemaX™ Balloon-Expandable Transhepatic Biliary Stent System Regulation Number: 21 CFR §876.5010 Regulation Name: Biliary catheter and accessories Regulatory Class: II Product Code: 78 FGE Dated: December 16, 2003 Received: December 17, 2003

Dear Ms. Kuskowski:

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). 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.

2

Page 2 - Ms. Joanna Kuskowski

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 described above is added to your labeling.

Please note that the above labeling limitations arc 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), please contact the Office of Compliance at (301) 594-4616. Also, ply see note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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.gov/cdrh/dsma/dsmamain.html.

Sincerely yours,

Daniel G. Schultz, M.D.

Director Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Page__________________________________________________________________________________________________________________________________________________________________________

510(k) Number: K033909

Device Name: Abbott Vascular Devices wavemaX™ Balloon-Expandable Transhepatic Biliary Stent System

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

The Abbott Vascular Devices wavemaX™ Balloon-Expandable Transhepatic Biliary Stent System is intended for use in the palliation of malignant neoplasms in the biliary tree.

Prescription Use V (Per 21 CFR 801.109)

OR

Over-the-Counter Use -------

David le Seggern

(Division Sign-Off) Division of Reproductive, Abdominal, and Radiological Devices 510(k) Number _