K Number
K042489
Device Name
6F Z4 GUIDE CATHETER
Manufacturer
Date Cleared
2004-12-13

(90 days)

Product Code
Regulation Number
870.1250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Medtronic 6F Sherpa NX Guide Catheter is designed to provide a pathway through which therapeutic devices are introduced. The Sherpa NX guiding catheter is intended for used in the coronary or peripheral vascular system.
Device Description
The 6F Z4 Guide Catheter consists of a luer hub, a strain relief, inner liner, a braided wire, an outer jacket, a sleeve, a tungsten/nylon band, and a soft tip. The 6F Z4 Guide Catheter design is based on an inner lumen liner of polyethylene material. The new shaft will be comprised of an inner liner of polyethylene, an intermediate layer of Pebax, stainless steel braid wire and a Vestamid outer jacket. The braided wire, intermediate layer and outer jacket materials have been previously used in others Medtronic Guide Catheters.
More Information

No
The document describes a physical medical device (a guide catheter) and its components, with no mention of software, algorithms, or any technology related to AI or ML.

No
The device is described as a guide catheter designed to introduce therapeutic devices, not as a therapeutic device itself.

No
Explanation: The device description states it is a guide catheter that provides a pathway for therapeutic devices. It is not designed to diagnose a condition, but rather to facilitate treatment.

No

The device description clearly outlines multiple physical components (luer hub, strain relief, inner liner, braided wire, outer jacket, sleeve, tungsten/nylon band, soft tip) and materials, indicating it is a hardware device, not software-only.

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

Here's why:

  • Intended Use: The intended use is to "provide a pathway through which therapeutic devices are introduced" in the coronary or peripheral vascular system. This describes a device used in vivo (within the body) for delivering other medical devices.
  • Device Description: The description details the physical components of a catheter designed for insertion into blood vessels.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens derived from the human body (like blood, urine, tissue, etc.) to provide information for diagnosis, monitoring, or screening.

IVD devices are used to perform tests outside the body on biological samples. This device is clearly intended for use inside the body.

N/A

Intended Use / Indications for Use

The guiding catheter is intended to be used in the coronary or peripheral vascular system

Product codes

DQY

Device Description

The 6F Z4 Guide Catheter consists of a luer hub, a strain relief, inner liner, a braided wire, an outer jacket, a sleeve, a tungsten/nylon band, and a soft tip.

The 6F Z4 Guide Catheter design is based on an inner lumen liner of polyethylene material. The new shaft will be comprised of an inner liner of polyethylene, an intermediate layer of Pebax, stainless steel braid wire and a Vestamid outer jacket. The braided wire, intermediate layer and outer jacket materials have been previously used in others Medtronic Guide Catheters.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

coronary or peripheral vascular 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

In addition to being technologically equivalent to the predicate devices, the 6F Z4 Guiding Catheter has been subjected to performance testing and it has been determined that the 6F Z4 Guiding Catheter is suitable for its intended The 6F Z4 Guiding Catheter is manufactured under the same Summary of Non-The of 24 Galling Catalonian processes and equivalent clinical Data: conditions, as the 6F Launcher Guiding Catheter; the legally marketed predicate device.

Key Metrics

Not Found

Predicate Device(s)

K021256

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 870.1250 Percutaneous catheter.

(a)
Identification. A percutaneous catheter is a device that is introduced into a vein or artery through the skin using a dilator and a sheath (introducer) or guide wire.(b)
Classification. Class II (performance standards).

0

DEC 1 3 2004

Appendix 2. 510(k) Summary

| Submitter: | Medtronic Vascular
37A Cherry Hill Drive
Danvers, MA 01923
USA |
|-------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Contact Person: | Fred Boucher
Director, Regulatory Affairs
978.739.3116
978.777.0390
Fred.Boucher@Medtronic.com |
| Date Prepared: | August 17, 2004 |
| Trade Name: | 6F Z4 Guiding Catheter |
| Common Name: | Percutaneous Catheter |
| Classification
Name: | Percutaneous Catheter |
| Predicate Device: | 6F Launcher Guide Catheter K021256 |
| Device
Description: | The 6F Z4 Guide Catheter consists of a luer hub, a strain relief, inner liner, a braided wire, an outer jacket, a sleeve, a tungsten/nylon band, and a soft tip.

The 6F Z4 Guide Catheter design is based on an inner lumen liner of polyethylene material. The new shaft will be comprised of an inner liner of polyethylene, an intermediate layer of Pebax, stainless steel braid wire and a Vestamid outer jacket. The braided wire, intermediate layer and outer jacket materials have been previously used in others Medtronic Guide Catheters. |
| Statement of
Intended Use: | Provide a pathway through which therapeutic devices are introduced. The guiding catheter is intended to be used in the coronary or peripheral vascular system |
| Summary of
Technological
Characteristics: | In addition to being technologically equivalent to the predicate devices, the 6F Z4 Guiding Catheter has been subjected to performance testing and it has been determined that the 6F Z4 Guiding Catheter is suitable for its intended |

:

1

use.

The 6F Z4 Guiding Catheter is manufactured under the same Summary of Non-The of 24 Galling Catalonian processes and equivalent clinical Data: conditions, as the 6F Launcher Guiding Catheter; the legally marketed predicate device. In addition to being technologically equivalent, the indications for use have not changed.

2

Image /page/2/Picture/1 description: The image shows the seal of the Department of Health & Human Services (HHS) of the United States. The seal features a stylized eagle with three lines forming its body and wings, symbolizing health, services, and people. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" are arranged in a circular pattern around the eagle.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

DEC 1 3 2004

Medtronic Inc. c/o Mr. Fred Boucher Director, Regulatory Affairs 37A Cherry Hill Drive Danvers, MA 01923

K042489 Re:

Trade/Device Name: 6F Z4 Guiding Catheter Regulation Number: 21 CFR 870.1250 Regulation Name: Percutaneous Catheter Regulatory Class: Class II Product Code: DQY Dated: November 22, 2004 Received: November 23, 2004

Dear Mr. Boucher:

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. Fred Boucher

forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic forth in the qualis) Byevisions (Sections 531-542 of the Act); 21 CFR 1000-1050. product radiation of to begin marketing your device as described in your Section 510(k) I mis letter will and in your of substantial equivalence of your device of your device to a legally prematics noticeation. The 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 n you don't 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 other gotting s, 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,

Blimmermoser
R. D. Zuckerman, M.D.

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

Enclosure

4

Indications for Use

510(k) Number:K042489
Device Name:Medtronic 6F Sherpa NX Guiding Catheter
Indications for Use:The Medtronic 6F Sherpa NX Guide Catheter is designed to provide a pathway through which therapeutic devices are introduced. The Sherpa NX guiding catheter is intended for used in the coronary or peripheral vascular system.

Prescription Use _ X (Part 21 CFR 801 Subpart D) AND/OR

Over-The-Counter Use _ (21 CFR 801 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

minutes in and the may

(Division Sign-Off) Division of Cardlovascular Devices 510(k) Number Joseph 2489

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