K Number
K050725
Device Name
PROTEGE GPS SELF-EXPANDING NITINOL STENT
Manufacturer
Date Cleared
2005-04-20

(30 days)

Product Code
Regulation Number
876.5010
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Protégé® GPS™ Self-Expanding Nitinol Stent is intended as a palliative treatment of malignant neoplasms in the biliary tree. The Protégé® GPS™ Self-Expanding Nitinol Stent is indicated for use in the palliation of malignant strictures (neoplasms) in the biliary tree.
Device Description
The Protégé stent is a self-expanding nitimol stent with an open lattice design. The stent is electropolished. The device is provided premounted on a delivery catheter. Upon deployment the constrained stent self-expands to conform to the duct inner luminal surface.
More Information

Not Found

None

No
The summary describes a physical medical device (a stent) and its delivery system. There is no mention of software, algorithms, image processing, or any terms related to AI/ML. The performance studies mentioned are bench tests, not studies evaluating algorithmic performance.

Yes
The device is intended for the "palliative treatment of malignant neoplasms in the biliary tree," which classifies it as a therapeutic device aimed at alleviating symptoms and improving quality of life.

No

The provided text explicitly states the device is intended for "palliative treatment of malignant neoplasms" and "palliation of malignant strictures". Palliation is about alleviating symptoms or pain, not diagnosing a condition.

No

The device description clearly states it is a physical stent made of nitinol and a delivery catheter, which are 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 a "palliative treatment of malignant neoplasms in the biliary tree." This describes a therapeutic intervention performed within the body to alleviate symptoms, not a test performed outside the body on biological samples to diagnose or monitor a condition.
  • Device Description: The device is a "self-expanding nitinol stent" designed to be implanted in the biliary tree. This is a medical device used for treatment, not a reagent, instrument, or system used for in vitro testing.
  • 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.)
    • Providing diagnostic information
    • Using reagents or assays
    • Measuring analytes

Therefore, the Protégé® GPS™ Self-Expanding Nitinol Stent is a therapeutic medical device, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The Protégé® GPS™ Self-Expanding Nitinol Stent is intended as a palliative treatment of malignant neoplasms in the biliary tree.

Product codes

FGE

Device Description

The Protégé stent is a self-expanding nitimol stent with an open lattice design. The stent is electropolished. The device is provided premounted on a delivery catheter. Upon deployment the constrained stent self-expands to conform to the duct inner luminal surface.

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)

Performance testing (bench) further supports a substantial equivalence claim. The collective evidence therefore provides assurance that the Protégé GPS Self-Expanding Nitinol Stent meets the requirements that are considered acceptable for the intended use.

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

Not Found

Predicate Device(s)

Not Found

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

APR 2 0 2005

Premarket Notification (510(k)) Summary

510(k) Number:K050725
Product Name:Protégé® GPS™ Self-Expanding Nitinol Stent (Biliary Indication)
Common Name:biliary stent
Class:Class II, 21 CFR 876.5010
Submitter's Name:
ev3 Inc.
4600 Nathan Lane North
Plymouth, MN 55442Official Contact:
Glen D. Smythe
Sr. Regulatory Affairs Specialist
Telephone: 763-398-7391
Fax: 763-398-7200
Summary Preparation Date:March 18, 2005

This summary is provided in compliance with section 513(I)(3)(A) of the Act and summarizes the safety and effectiveness information contained in this premarket notification submission for a modification to the Protégé® GPS™ Self-Expanding Nitinol Stent.

The Protégé® GPS™ Self-Expanding Nitinol Stent is intended as a palliative treatment of malignant neoplasms in the biliary tree.

The Protégé stent is a self-expanding nitimol stent with an open lattice design. The stent is electropolished. The device is provided premounted on a delivery catheter. Upon deployment the constrained stent self-expands to conform to the duct inner luminal surface.

The modified device is substantially equivalent* to the currently marketed stent and delivery system in intended use, materials, technological characteristics and performance. Two stents in diameters of 12 and 14 mm have been added to the 6Fr 0.035" delivery system. Performance testing (bench) further supports a substantial equivalence claim. The collective evidence therefore provides assurance that the Protégé GPS Self-Expanding Nitinol Stent meets the requirements that are considered acceptable for the intended use.

*This document uses the term "substantial equivalence" as intended in 21 CFR 807.87, and not as defined in Title 35 of the US Code.

1

APR 2 0 2005

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mr. Glen D. Smythe Sr. Regulatory Affairs Specialist ev3 Inc. 4600 Nathan Lane North PLYMOUTH MN 55442-2920

Re: K050725

Trade/Device Name: Protégé® GPS™ Self-Expanding Nitinol Stent (Biliary Indication) Regulation Number: 21 CFR §876.5010 Regulation Name: Biliary catheter and accessories Regulatory Class: II Product Code: FGE Dated: March 18, 2005 Received: March 21, 2005

Dear Mr. Smythe:

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 arior 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 wir o about for a 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 x and other of on on on tabels, 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 - Mr. Glen Smythe

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it If your device is classified (see above) intesting major regulations affecting your device and be found may be subject to additional controls. Existing major regarder. 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 doesnot Art a gau Please be advised that TDA's Issualled of a substances with other requirements of the Act or any FDA has made a determination that your der Federal agencies. You must comply with all
Federal statutes and regulations administered by other Federal (2), CED Re- 807), Federal statures and regulations administered by one registration and listing (21 CFR Part 807); the Act s requirements, mending, van not minister requirements as set forth in the quality labeling (21 CFR Part 801), good manazatting franchically, the electronic product radiation (21) systems (QS) regulation (2) 531-542 of the Act); 21 CFR 1000-1050.

The FDA finding of substantial equivalence of your device to a legally marketed predicate device The FDA finaling of substantal equivalence or your device to proceed to the market. This results in a classincation for your device and points your Section 510(k) premarket letter will allow you to begin mantents 5 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1

Please note that the above labeling limitations are required by Section 513(i)(1)(E) of the Act. Please note that the above labeling mintations 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 as a If you desire specific information about the approached at (301) 594-4616. Also, please note (21 CFR Part 801), picase contact in Oriffecar compremarket notification" (21 CFR Part 807.97).
the regulation entitled, "Misbranding by reference to premarket notification" The regulation entitled, "Misolanding of responsibilities under the Act from the Division You may other other general mional, 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 vours,

Nunton MD for

Jea Tillman, Ph Donna Director Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

3

Page__1_of_1

510(k) Number: K050725

Device Name: Protégé® GPS™ Self-Expanding Nitinol Stent (Biljary Indication)

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

The Protégé® GPS™ Self-Expanding Nitinol Stent is indicated for use in the palliation of malignant strictures (neoplasms) in the biliary tree.

Prescription Use _ 4 (Per 21 CFR 801.109) OR

Over-the-Counter Use _________________________________________________________________________________________________________________________________________________________

Evid. Hyaon

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