(37 days)
The Pinnacle® Destination® Peripheral Guiding Sheath is designed to be used for the introduction of interventional and diagnostic devices into the human vasculature, including but not limited to lower extremity access via a contralateral approach.
The Pinnacle® Destination® Peripheral Guiding Sheath is designed to perform as a guiding catheter and an introducer sheath. The Peripheral Guiding Sheath is packaged with the following components: a Sheath, a Dilator, a Hemostatic Valve, and a Dilator Retaining Clip.
The provided text describes a Special 510(k) submission for the Pinnacle® Destination® Peripheral Guiding Sheath. The submission asserts substantial equivalence to a predicate device, which allows for a streamlined review process based on demonstrating that the new device is as safe and effective as a legally marketed device. This type of submission does not typically involve the rigorous performance studies with human subjects or complex AI evaluation that would require detailed acceptance criteria, test set characteristics, or MRMC studies.
Here's an analysis of the provided information in the context of your request:
1. A table of acceptance criteria and the reported device performance
The document does not explicitly state quantitative acceptance criteria or detailed reported device performance in the way a clinical study for a novel device or AI algorithm would. Instead, it relies on demonstrating substantial equivalence to a predicate device. The "performance" section states:
| Acceptance Criteria Category | Reported Device Performance (Summary) |
|---|---|
| Overall Performance | Substantially equivalent to the performance of the unmodified Peripheral Guiding Sheath. |
| Validation Method | Equivalence shown through bench and vessel model testing. |
| Sterilization | Validated in accordance with EN ISO 11135-1 to provide a Sterility Assurance Level of 10-6. |
| Biocompatibility | Blood contacting materials tested per FDA G95-1 (ISO 10993) for "Externally Communicating Device, Circulating Blood, Limited Contact (≤24hrs)" and found to be biocompatible. |
| Expiration Dating | Established at 30 months. |
2. Sample size used for the test set and the data provenance
For this type of 510(k) submission, there isn't a "test set" in the context of clinical data for an AI algorithm. The performance evaluation was based on bench and vessel model testing. No human clinical data from a specific test set is mentioned. Therefore, there is no information on sample size, country of origin, or whether it was retrospective or prospective.
3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts
Not applicable. As noted above, there was no clinical "test set" with human data requiring expert ground truth establishment.
4. Adjudication method for the test set
Not applicable. There was no clinical "test set" requiring adjudication.
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 device is a guiding sheath, a manual medical instrument, not an AI-powered diagnostic or assistive tool. Therefore, an MRMC study comparing human readers with and without AI assistance is not relevant and was not performed.
6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done
Not applicable. The device is a physical guiding sheath, not an AI algorithm.
7. The type of ground truth used
For the aspects evaluated:
- Performance (equivalence): The ground truth for "equivalence" was likely established by comparing engineering specifications and performance metrics from the bench and vessel model tests of the new device against the established performance characteristics of the predicate device.
- Sterilization: The ground truth is a Sterility Assurance Level of 10-6, achieved through validation according to EN ISO 11135-1.
- Biocompatibility: The ground truth is compliance with ISO 10993 standards and a finding of biocompatibility, based on laboratory tests.
8. The sample size for the training set
Not applicable. The device is a physical medical instrument, not an AI algorithm that requires a "training set."
9. How the ground truth for the training set was established
Not applicable. As there is no training set for an AI algorithm, this question is not relevant.
In summary: The provided document is a 510(k) summary for a peripheral guiding sheath, demonstrating substantial equivalence to a predicate device. The "study" proving it meets acceptance criteria is primarily bench and vessel model testing, along with standard biocompatibility and sterilization validations. It does not involve human clinical trials or the evaluation methodologies typically associated with AI-powered devices or complex diagnostic tools.
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MAY 21 ZUUd
SECTION II. 510(k) SUMMARY
A. DEVICE NAME
Proprietary Name: Pinnacle® Destination® Peripheral Guiding Sheath Classification Name: Catheter Introducer Common Name: Guiding Sheath
B. PREDICATE DEVICE
The predicate device is the Pinnacle® Destination® Peripheral Guiding Sheath, which is manufactured by Terumo Medical Corporation. The Pinnacle® Destination® Peripheral Guiding Sheath is cleared through the premarket notification process (K080415).
C. INTENDED USE
The Pinnacle® Destination® Peripheral Guiding Sheath is designed to be used for the introduction of interventional and diagnostic devices into the human vasculature, including but not limited to lower extremity access via a contralateral approach.
DESCRIPTION D.
The Pinnacle® Destination® Peripheral Guiding Sheath is designed to perform as a guiding catheter and an introducer sheath. The Peripheral Guiding Sheath is packaged with the following components: a Sheath, a Dilator, a Hemostatic Valve, and a Dilator Retaining Clip.
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PRINCIPLE OF OPERATION / TECHNOLOGY E.
The Pinnacle® Destination® Peripheral Guiding Sheath is operated manually or by a manual process.
Design / Materials F.
The Pinnacle® Destination® Peripheral Guiding Sheath uses similar materials as the predicate device. Differences in materials between the two devices do not raise any new issues of safety and effectiveness.
G. SPECIFICATIONS
| Sheath Size: | 5Fr. |
|---|---|
| Sheath Length: | 45-55 cm |
| Hydrophilic Coating: | Distal 15-55 cm |
| Distal Shape Configurations: | Straight |
H. PERFORMANCE
The performance of the Pinnacle® Destination® Peripheral Guiding Sheath is substantially equivalent to the performance of the unmodified Peripheral Guiding Sheath. The equivalence was shown through bench and vessel model testing.
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I. ADDITIONAL SAFETY INFORMATION
and the comments of the comments of the comments of the comments of the comments of the comments of the comments of the comments of the comments of the contribution of the co
Sterilization conditions have been validated in accordance with EN ISO 11135-1 "Sterilization of health care products -- Ethylene Oxide -- Part 1 : requirements for development, validation and routine control of sterilization process for medical devices." to provide a Sterility Assurance Level of 105.
Blood contacting materials were tested in accordance with the test recommendations in the FDA General Program Memorandum #G95-1 (5/1/95): Use of International Standard ISO 10993. "Biological Evaluation of Medical Devices-Part I: Evaluation and Testing." The Pinnacle® Destination® Peripheral Guiding Sheath is categorized as "Externally Communicating Device, Circulating Blood, Limited Contact (≤24hrs)". The blood contacting materials were found to be biocompatible.
Expiration dating for the Pinnacle® Destination® Peripheral Guiding Sheath will be 30 months.
J. SUBSTANTIAL EQUIVALENCE
·
The Pinnacle® Destination® Peripheral Guiding Sheath submitted in this 510(k) is substantially equivalent in intended use, design, principle of operation / technology, materials and performance to the Pinnacle® Destination® Peripheral Guiding Sheath (K080415), which is manufactured by Terumo Medical Corporation. Differences between the devices do not raise any issues of safety or effectiveness.
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Terumo Medical Corporation Special 510(k) – Pinnacle® Destination® Peripheral Guiding Sheath Section II. 510(k) Summary
K. SUBMITTER INFORMATION
Name and Address
Terumo Medical Corporation 950 Elkton Blvd. Elkton, MD 21921
Contact Person
Mr. Mark Unterreiner Sr. Regulatory Affairs Specialist Ph: 410-392-7213 Fax: 410-398-6079 Email: mark.unterreiner@terumomedical.com
Date Prepared
April 11, 2008
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Image /page/4/Picture/1 description: The image shows the seal of the Department of Health & Human Services - USA. The seal features the department's name in a circular arrangement around an abstract symbol. The symbol consists of four stylized lines that resemble a human figure or a stylized bird.
Food and Drug Administration 200 Corporate Boulevard Rockville MD 20850
MAY 2 1 2008
Terumo Medical Corporation c/o Mr. Mark Unterreiner Sr. Regulatory Affairs Specialist 950 Elkton Blvd. Elkton, MD 21921
Re: K081046
Pinnacle® Destination® Peripheral Guiding Sheath Regulation Number: 21 CFR 870.1340 Regulation Name: Catheter Introducer Regulatory Class: Class II Product Code: DYB Dated: May 16, 2008 Received: May 19, 2008
Dear Mr. Unterreiner:
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.
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Page 2 - Mr. Mark Unterreiner
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 Center for Devices and Radiological Health's (CDRH's) Office of Compliance at (240) 276-0120. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding postmarket surveillance, please contact CDRH's Office of Surveillance and Biometric's (OSB's) Division of Postmarket Surveillance at 240-276-3474. For questions regarding the reporting of device adverse events (Medical Device Reporting (MDR)), please contact the Division of Surveillance Systems at 240-276-3464. 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,
Donna R. Volmer
Bram D. Zuckerman, M.D. Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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Indications for Use
510(k) Number (if known): K081046
Pinnacle® Destination® Peripheral Guiding Sheath Device Name:
Indications For Use:
The Pinnacle® Destination® Peripheral Guiding Sheath is designed to be used for the introduction of interventional and diagnostic devices into the human vasculature, including but not limited to lower extremity access via a contralateral approach.
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)
suma R. de lunes
(Division Sign-Off) (Division of Cardiovascular Devices
510(k) Number Ko 81046
§ 870.1340 Catheter introducer.
(a)
Identification. A catheter introducer is a sheath used to facilitate placing a catheter through the skin into a vein or artery.(b)
Classification. Class II (performance standards).