K Number
K051379
Device Name
PROTEGE RX GPS SELF-EXPANDING NITRINOL STENT
Manufacturer
Date Cleared
2005-06-17

(21 days)

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

Not Found

Not Found

No
The summary describes a physical medical device (a stent) and its mechanical properties, with no mention of software, algorithms, or data processing that would indicate AI/ML.

Yes
The device is intended for "palliative treatment of malignant neoplasms," which directly addresses a health condition.

No
The device is described as a "stent" intended for "palliative treatment of malignant neoplasms," which suggests it is a therapeutic device designed to treat a condition, not to diagnose one.

No

The device description clearly states it is a "self-expanding nitinol stent" and is "provided premounted on a delivery catheter," indicating it is a physical medical device, not software only.

Based on the provided information, the Protégé® RX GPS™ Self-Expanding Nitinol Stent is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is "as a palliative treatment of malignant neoplasms in the biliary tree." This describes a therapeutic intervention performed within the body (in vivo) to treat a disease.
  • Device Description: The device is a stent designed to be implanted in the biliary tree. This is a medical device used for treatment, not for testing samples outside the body (in vitro).
  • 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

IVDs are used to examine specimens obtained from the human body to provide information for diagnosis, monitoring, or screening. The Protégé stent is a device implanted to treat a condition.

N/A

Intended Use / Indications for Use

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

Product codes (comma separated list FDA assigned to the subject device)

78 FGE

Device Description

The Protégé stent is a self-expanding nitinol stent with an open lattice design. The stent is electropolished. The device is provided premounted on a delivery catheter. Upon lo elour porthe 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 Rx GPS Self-Expanding Nitino! Stent meets the requirements that are considered acceptable for the intended use.

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

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

Not Found

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

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

Premarket Notification (510(k)) Summary

510(k) Number:K051379
Product Name:Protégé® Rx 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 55442
Official Contact:Glen D. Smythe
Sr. Regulatory Affairs Specialist
Telephone: 763-398-7391
Fax: 763-398-7200
Summary Preparation Date:May 26, 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

sunimatized the barer a modification to the Protégé® GPS™ Self-Expanding Nitinol Stent.

The Protégé® Rx 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 nitinol stent with an open lattice design. The stent is electropolished. The device is provided premounted on a delivery catheter. Upon lo elour porthe constrained stent self-expands to conform to the duct inner luminal surface.

The modified device is substantially equivalent* to the currently marketed stent and The modified as roo is becount, materials, technological characteristics and performance. denvory system was modified to rapid exchange. Performance testing (bench) further supports a substantial equivalence claim. The collective evidence therefore provides assurance that the Protégé Rx GPS Self-Expanding Nitino! 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

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/1/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized caduceus symbol, which is a staff with two snakes coiled around it, and the words "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" arranged in a circular pattern around the symbol. The logo is black and white.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUN 17 2005

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

Re: K051379

K051379
Trade/Device Name: ev3 Protégé® RX GPS™ Self-Expanding Nitinol Stent (Biliary Indication) Regulation Number: 21 CFR §876.5010 Regulation Name: Biliary catheter and accessories Regulatory Class: II Product Code: 78 FGE Dated: May 26, 2005 Received: May 27, 2005

Dear Mr. Smythe:

We have reviewed your Section 510(k) premarket notification of intent to market the device We have reviewed your Section 710(x) prematic is substantially equivalent (for the indications
referenced above and have determined the device is substantially equivals we referenced above and nave decembined the arresed predicate devices marketed in interstate for use stated in the enclosure) to regally manced produced Device Amendments, or to
commerce prior to May 28, 1976, the enactment date of the Federal Food. Drug commerce prior to May 28, 1970, the chaculeur and othe Federal Food. Drug, devices that have been recrassified in accordance , subject to the general controls provisions of the and Cosmetic Act (Act). You may, therefore, thanker and ontrols provisions of the survisions of the provisions of the Act and the immations described of devices, good manufacturing practice,
Act include requirements for annual registration, listing of the stim Act merude requirentions against misbranding and adulteration.

The Office of Device Evaluation has determined that there is a reasonable likelihood that this such u The Office of Device Evaluation has detectified in the proposed labeling and that such use device will be used for an michaed as Intended as Included to 13(i)(i)(E) of the Act, the following could cause nami. "Therefere, 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, Furthermore, the Indication for onlary ass mast of promotions for use, and other promotional materials, in
including pouch, box, and carton labels, instructions for hold prin including pouch, box, and carten inotics, includes, includes point size, and in bold print.

2

Page 2 – Mr. Glen D. Smythe

Please note that the above labeling limitations are required by Section 513(i)(1)(E) of the Act, Please note that the above labeling innfations are required by a views of ( ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( from the device's labeling.

The FDA finding of substantial equivalence of your device to a legally marketed predicate The FDA finding of substantial equivalence or your device and permits your device to proceed to the device results in a classification for your device and perined your Section on section
market. This letter will allow you to begin marketing your devices and added to your market. I his letter will anow you to ocgin manceling your as received above is added to your labeling.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), If your device is classified (See above) into entire regulations affecting your device can be
it may be subject to additional controls. Existing major regulations affection if may be subject to additional controls: Existing majors 800 to 898. In addition, FDA may
found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In additio found in the Code of I edefal Regarations) your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean Please be advised that FDA s Issualited of a substinat equirements of the Act
that FDA has made a determination that your device with other requires . You must that FDA nas made a decemination mac your as roo be other Federal agencies. You must and list or any Federal statutes and regulations daministered to: registration and listing (21)
comply with all the Act's requirements, including, but not limited to: set comply with all the Act s requirements, more and manufacturing practice requirements as setting CFR Part 807); labeling (21 CFR Part 801); good manaxt 820); and if applicable, the electronic
forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicab forth in the quality systems (Sections (Sections 531-542 of the Act); 21 CFR 1000-1050.
product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

If you desire specific information about the application of other labeling requirements to your If you desire specific information about the upplication of Compliance at (240) 276-0115. Also,
device (21 CFR Part 801), please contact the Office of Compliance at (240) 27 device (21 CFR Part 801), picase contact and office of premarket notification" (21
please note the regulation entitled, "Misbranding by reference anyaya responsibilities unde please note the regulation entitled, "Misorananing of your responsibilities under the CFR Part 807.97). You may bound other general micriational, and Consumer Assistance at its Act from the DrVision of St.2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html.

Sincerely yours,

NOCATN
B. D. Tillman, Ph.D.

Donna-Bea Tillman, Ph.D. Director Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

3

Indications for Use

510(k) Number (if known): K051379

Device Name: ev3 Protégé® RX GPS™ Self-Expanding Nitinol Stent (Biliary Indication)

Indications For Use:

.

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

Prescription Use ___X

AND/OR

Over-The-Counter Use

(Part 21 CFR 801 Subpart D)

(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)

Nancy C. Hodgson
(Division Sign-Off)

Division of Reproductive, Abdominal, and Radiological Devices 510(k) Number

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