K Number
K041740
Device Name
SILICONE COATED GUIDEWIRE
Date Cleared
2004-10-15

(109 days)

Product Code
Regulation Number
870.1330
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
To facilitate the placement of devices used during diagnostic and interventional procedures.
Device Description
The proposed device is a silicone coated stainless steel guidewire. It consists of a coiled wire around a solid stainless steel core wire. The internal core wire is secured at both ends to the outer core wire. These guidewires are used to place intravascular catheters.
More Information

Not Found

No
The device description and performance studies focus on the physical properties and mechanical performance of a guidewire, with no mention of AI or ML.

No
The device is a guidewire used to facilitate the placement of other medical devices (intravascular catheters) during diagnostic and interventional procedures, rather than directly providing therapy itself.

No
Explanation: The device is used to facilitate the placement of other devices during diagnostic and interventional procedures, but it does not perform a diagnostic function itself. It is a guidewire, a tool for navigation, not for diagnosis.

No

The device description clearly states it is a "silicone coated stainless steel guidewire," which is a physical hardware component, not software.

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 the placement of devices used during diagnostic and interventional procedures." This describes a tool used during a medical procedure, not a device used to perform a diagnostic test on a sample taken from the body (which is the definition of an IVD).
  • Device Description: The device is a guidewire used to place intravascular catheters. This is a surgical/interventional tool, not a diagnostic reagent or instrument.
  • Lack of IVD Characteristics: The description does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing biological samples (blood, urine, tissue, etc.)
    • Detecting or measuring substances in samples
    • Providing diagnostic information based on sample analysis

The device is clearly intended for use in vivo (within the body) to guide other devices, which is characteristic of a medical device used in interventional procedures, not an IVD.

N/A

Intended Use / Indications for Use

To facilitate the placement of devices used during diagnostic and interventional procedures.

Product codes

DQX

Device Description

The proposed device is a silicone coated stainless steel guidewire. It consists of a coiled wire around a solid stainless steel core wire. The internal core wire is secured at both ends to the outer core wire. These guidewires are used to place intravascular catheters.

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

The following tests were performed to demonstrate substantial equivalence: • Tensile Strength • Catheter Compatibility • Coating Durablity/Lubricity • Flexing Test • Fracture Test • Tip Flexibility

Key Metrics

Not Found

Predicate Device(s)

K905581

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 870.1330 Catheter guide wire.

(a)
Identification. A catheter guide wire is a coiled wire that is designed to fit inside a percutaneous catheter for the purpose of directing the catheter through a blood vessel.(b)
Classification. Class II (special controls). The device, when it is a torque device that is manually operated, non-patient contacting, and intended to manipulate non-cerebral vascular guide wires, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 870.9.

0

510(k) Premarket Notification

K041740

| Submitter: | ARROW International, Inc.
2400 Bernville Road
Reading, PA 19605-9607 USA |
|---------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Contact person: | Suzanne Schorle
Regulatory Affairs Associate
Phone: 610-378-0131, ext. 3443
Fax: 610-478-3167
Email: suzanne.schorle@arrowintl.com |
| Date summary prepared: | June 24, 2004 |
| Device trade name: | Silicone Coated Guidewire |
| Device common name: | Silicone Coated Guidewire |
| Device classification name: | Guidewire |
| Legally marketed devices to
which the device is
substantially equivalent: | K905581 Lake Region Mfg. Silicone Coated Guidewire |
| Description of the device: | The proposed device is a silicone coated stainless steel
guidewire. It consists of a coiled wire around a solid
stainless steel core wire. The internal core wire is secured
at both ends to the outer core wire. These guidewires are
used to place intravascular catheters. |
| Intended use of the device: | The Arrow guide wire will be used to facilitate the
placement of catheters during diagnostic and
interventional procedures. |
| Technological
characteristics: | The proposed guidewires have the same technological
design characteristics as the predicate devices. |
| Performance tests: | The following tests were performed to demonstrate
substantial equivalence:
• Tensile Strength
• Catheter Compatibility
• Coating Durablity/Lubricity
• Flexing Test
• Fracture Test
• Tip Flexibility |
| Conclusions: | The results of the laboratory tests demonstrate that the
guidewires are substantially equivalent to the legally
marketed predicate devices. |

1

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

Image /page/1/Picture/2 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is circular and contains the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. In the center of the circle is an abstract symbol that resembles a stylized caduceus, which is a traditional symbol of medicine.

OCT 1 5 2004

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Arrow International c/o Ms. Suzanne Schorle Regulatory Affairs Associate 2400 Bernville Road Reading, PA 19605

Re: K041740

Trade/Device Name: Silicone Coated Guidewire Regulation Number: 21 CFR 870.1330 Regulation Name: Catheter guide wire Regulatory Class: Class II Product Code: DQX Dated: September 2, 2004 Received: September 3, 2004

Dear Ms. Schorle:

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

2

Page 2 - Ms. Suzanne Schorle

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. product rainell 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 premarked 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 (240) 276-0120. 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 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,

Donna R. Lachner

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

Enclosure

3

Silicone Coated Guidewire 4. - - - - - - - - - - -

SECTION 3.0 INDICATIONS FOR USE STATEMENT
510(k) Number:K041740
Device Name:Silicone Coated Guidewire

To facilitate the placement of devices used during diagnostic Indications for Use: and interventional procedures.

Prescription Use X (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (21 CFR 807 Subpart C)

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED) Concurrence of CDRH, Office of Device Evaluation (ODE)

una R. bochner

(Division Sign-Off) Division of Cardiovascular Devices

510(k) Number K041740