(476 days)
The CYSTOGLIDE INTRODUCER SHEATH is intended to facilitate the introduction of catheters or instruments into the urethra. The CYSTOGLIDE INTRODUCER SHEATH is indicated for use as a guide for urological catheters or instruments inserted into the urethra and as a lubricious barrier between the urethral tissue and the catheter or instrument.
The CYSTOGLIDE INTRODUCER SHEATH consists of a film, a sheath, a stabilizing ring, and an obturator. The sheath is isolated from the skin microflora by the ViaShield film membrane.
This document is a 510(k) summary for the CYSTOGLIDE INTRODUCER SHEATH, a medical device. A 510(k) summary focuses on demonstrating substantial equivalence to a predicate device, rather than providing detailed clinical study data with specific acceptance criteria and performance metrics typically found in AI/ML device submissions.
Therefore, the provided text does not contain the kind of detailed information requested about acceptance criteria, study design, sample sizes, expert qualifications, adjudication methods, or ground truth establishment that would be present for an AI/ML device.
The "Performance Data" section merely states: "Performance data demonstrated no significant difference in the performance of the CYSTOGLIDE INTRODUCER SHEATH and the predicate devices." This is a qualitative statement of equivalence, not a presentation of specific metrics against predefined acceptance criteria.
Based only on the provided text, I cannot complete the requested tables and information.
However, I can extract the relevant information that is present:
1. Table of Acceptance Criteria and Reported Device Performance:
| Acceptance Criteria | Reported Device Performance |
|---|---|
| Not specified | No significant difference in performance compared to predicate devices (PSI's UPDATED SLIP Urology Introducer Sheath, Astra Tech's LoFric catheter, Rusch's MMG/O'Neil catheter). |
Explanation: The document states that "Performance data demonstrated no significant difference in the performance of the CYSTOGLIDE INTRODUCER SHEATH and the predicate devices." This is the core 'performance' claim. However, the specific acceptance criteria (e.g., a threshold for friction, ease of insertion, durability) that would define "no significant difference" are not detailed in this 510(k) summary.
2. Sample size used for the test set and the data provenance:
- Sample Size (Test Set): Not specified.
- Data Provenance: Not specified (e.g., country of origin, retrospective/prospective).
3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:
- Not applicable to this type of device submission. The device is a physical introducer sheath, not an AI/ML diagnostic tool using expert-labeled images/data.
4. Adjudication method for the test set:
- Not applicable.
5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance:
- Not applicable. This is not an AI/ML device.
6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done:
- Not applicable. This is not an AI/ML device.
7. The type of ground truth used:
- Not applicable in the context of AI/ML ground truth. The "ground truth" for this device would be its physical properties and clinical function (e.g., lubricity, strength, biocompatibility), which are typically assessed through bench testing and potentially limited human use studies, but not in the sense of 'ground truth' for an AI model.
8. The sample size for the training set:
- Not applicable. This is not an AI/ML device.
9. How the ground truth for the training set was established:
- Not applicable. This is not an AI/ML device.
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510(k) SUMMARY
DEC 1 2 2006
Percutaneous Systems, Inc.'s CYSTOGLIDE INTRODUCER SHEATH Advertising Claims
Submitter's Name, Address, Telephone Number, Contact Person and Date Prepared
Percutaneous Systems, Inc. 1300 Crittenden Lane, #101 Mountain View, CA 94043-1359
(650) 969-8800 x 204 Phone: Facsimile: (650) 969-8801
Contact Person: Thomas Lawson
Date Prepared: August 15, 2005
Common or Usual Name
Urology Introducer Sheath
Classification Name
Accessories, Catheter, G-U
Predicate Device
PSI's UPDATED SLIP Urology Introducer Sheath Astra Tech's LoFric catheter Rusch's MMG/O'Neil catheter
Intended Use / Indications for Use
The CYSTOGLIDE INTRODUCER SHEATH is intended to facilitate the introduction of catheters or instruments into the urethra. The CYSTOGLIDE INTRODUCER SHEATH is indicated for use as a guide for urological catheters or instruments inserted into the urethra and as a lubricious barrier between the urethral tissue and the catheter or instrument.
Image /page/0/Picture/17 description: The image shows an oval shape with three diagonal lines inside. The oval is slightly tilted to the right. The three diagonal lines are parallel to each other and are also tilted to the right.
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Technological Characteristics
The CYSTOGLIDE INTRODUCER SHEATH consists of a film, a sheath, a stabilizing ring, and an obturator. The sheath is isolated from the skin microflora by the ViaShield film membrane.
Performance Data
Performance data demonstrated no significant difference in the performance of the CYSTOGLIDE INTRODUCER SHEATH and the predicate devices.
Substantial Equivalence
The CYSTOGLIDE INTRODUCER SHEATH has similar intended use, indications for use, principles of operation and technological characteristics as the predicate devices. The CYSTOGLIDE INTRODUCER SHEATH is substantially equivalent to the cleared UPDATED SLIP Urology Introducer Sheath, the LoFric Intermittent Catheter and the MMG/O'Neil catheter.
Image /page/1/Picture/6 description: The image contains a hand-drawn oval shape with the number 112 written inside. The number is written in a simple, slightly slanted style. The oval shape is not perfectly symmetrical, giving it a casual, hand-drawn appearance.
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Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized caduceus, which is a symbol often associated with medicine and healthcare. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" are arranged in a circular pattern around the caduceus.
Food and Drug Administration 9200 Corporate Blvd. Rockville MD 20850
DEC 1 2 2006
Thomas Lawson, Ph.D. VP, Clinical and Regulatory Affairs Percutaneous Systems, Inc. 1300 Crittenden Lane Suite 101 MOUNTAIN VIEW CA 94043
Re: K052298
Trade/Device Name: CYSTOGLIDE INTRODUCER SHEATH Regulation Number: 21 CFR §876.5130 Regulation Name: Urological catheter and accessories Regulatory Class: II Product Code: KNY Dated: October 11, 2006 Received: October 12, 2006
Dear Dr. Lawson:
We have reviewed your Section 510(k) premarket notification of intent to market the device we nave ro rolled your concerning the device is substantially equivalent (for the indications for referenced about and harv to legally marketed predicate devices marketed in interstate commerce ass mated in the enactment date of the Medical Device Amendments, or to devices that provision in accordance with the provisions of the Federal Food, Drug, and Cosmetic nave occh roomsbirred in accerantoval 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 (sec above) into either class II (Special Controls) or class III (Premarket If your devise is elasting (500 work) ditional controls. Existing major regulations affecting your Apploval), it they be saylor to out.Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.
Image /page/2/Picture/10 description: The image shows a circular logo with the text "FDA Centennial" and the years "1906 - 2006". The logo features the letters "FDA" in a stylized font. There are three stars below the word "Centennial". The logo is surrounded by a dotted border.
Protecting and Promoting Public Health
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Page 2 -
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.
This letter will 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 marketed 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 one of the following numbers, based on the regulation number at the top of this letter:
| 21 CFR 876.xxx | (Gastroenterology/Renal/Urology) | 240-276-0115 |
|---|---|---|
| 21 CFR 884.xxx | (Obstetrics/Gynecology) | 240-276-0115 |
| 21 CFR 894.xxx | (Radiology) | 240-276-0120 |
| Other | 240-276-0100 |
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 (240) 276-3150
or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.
Sincerely yours,
Nancy C. Hogdon
Nancy C. Brogdon Director, Division of Reproductive, Abdominal, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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Indications for Use Statement
510(k) Number (if known):
Device Name: CYSTOGLIDE INTRODUCER SHEATH
Indications for Use:
The CYSTOGLIDE INTRODUCER SHEATH Urology is intended to facilitate the introduction of catheters and instruments into the urethra.
The CYSTOGLIDE INTRODUCER SHEATH is indicated for use as a guide for urological catheters or instruments inserted into the urethra and as a lubricious barrier between the urethral tissue and the catheter or instrument.
_ X _ _ AND/OR Over-The-Counter Use_ Prescription Use
(Per 21 C.F.R. 801.109)
(PLEASE DO NOT WRITE BELOW THIS LINE -- CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
David A. Leperm
Page 1 of _/
(Division Sign-Off)
Division of Reproductive, Abdominal, and
Radiological Devices
510(k) Number K052298
11e
§ 876.5130 Urological catheter and accessories.
(a)
Identification. A urological catheter and accessories is a flexible tubular device that is inserted through the urethra and used to pass fluids to or from the urinary tract. This generic type of device includes radiopaque urological catheters, ureteral catheters, urethral catheters, coudé catheters, balloon retention type catheters, straight catheters, upper urinary tract catheters, double lumen female urethrographic catheters, disposable ureteral catheters, male urethrographic catheters, and urological catheter accessories including ureteral catheter stylets, ureteral catheter adapters, ureteral catheter holders, ureteral catheter stylets, ureteral catheterization trays, and the gastro-urological irrigation tray (for urological use).(b)
Classification. (1) Class II (performance standards).(2) Class I for the ureteral stylet (guidewire), stylet for gastrourological catheter, ureteral catheter adapter, ureteral catheter connector, and ureteral catheter holder. The devices subject to this paragraph (b)(2) are exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 876.9.