K Number
K082725
Device Name
GRAFTGUARD PRESSURE CONTROLLING SYRINGE
Date Cleared
2008-12-17

(91 days)

Product Code
Regulation Number
878.4200
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The device is indicated for controlling pressure during the preparation and irrigation of bypass grafts prior to use in bypass surgery.
Device Description
The VASOSHIELD Pressure Controlling Syringe is identical to the InPress Syringe in design, materials, principles of operation, and manufacturing process. The syringe is comprised of 10 biocompatible components including a syringe, a syringe stopper, ball, stainless steel pin, spring and rod, green acetal ring, black acetal pusher, a white acetal knob and body. The syringe has three predetermined pressure settings of 150 mm Hg, 250 mm Hg, and 350 mm Hg. The syringe is a single use device, supplied sterile.
More Information

Not Found

No
The description focuses on mechanical components and predetermined pressure settings, with no mention of AI/ML terms or data-driven learning processes.

No
The device is used for controlling pressure during the preparation and irrigation of bypass grafts, which is a supportive role in a medical procedure rather than directly treating a patient's condition.

No

The device description indicates its function is to control pressure during bypass graft preparation and irrigation, which is an interventional/treatment support function, not a diagnostic one. It does not analyze patient data or provide information for diagnosis.

No

The device description explicitly lists multiple hardware components (syringe, stopper, ball, pin, spring, rod, rings, pusher, knob, body) and describes it as a physical syringe.

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

Here's why:

  • Intended Use: The intended use is "controlling pressure during the preparation and irrigation of bypass grafts prior to use in bypass surgery." This describes a device used during a surgical procedure to manipulate biological material (bypass grafts) outside of the body, but in preparation for implantation.
  • Device Description: The description details a syringe with pressure control features. This is a mechanical device used for fluid handling and pressure regulation.
  • Lack of IVD Characteristics: There is no mention of the device being used to test or analyze samples (blood, tissue, etc.) to provide diagnostic information about a patient's health status. IVDs are typically used to detect, measure, or identify substances or characteristics in biological specimens.

The device's function is related to the preparation of a graft for surgery, not the diagnosis of a condition.

N/A

Intended Use / Indications for Use

The device is indicated for controlling pressure during the preparation and irrigation of bypass grafts prior to use in bypass surgery.

Product codes

GBX

Device Description

The VASOSHIELD Pressure Controlling Syringe is identical to the InPress Syringe in design, materials, principles of operation, and manufacturing process. The syringe is comprised of 10 biocompatible components including a syringe, a syringe stopper, ball, stainless steel pin, spring and rod, green acetal ring, black acetal pusher, a white acetal knob and body. The syringe has three predetermined pressure settings of 150 mm Hg, 250 mm Hg, and 350 mm Hg. The syringe is a single use device, supplied sterile.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

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)

The results of testing and data review demonstrate that the VASOSHIELD Pressure Controlling Syringe meets the established acceptance criteria and performs in a manner equivalent to the predicate devices.

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

Not Found

Predicate Device(s)

K043515, K000704, K853586

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 878.4200 Introduction/drainage catheter and accessories.

(a)
Identification. An introduction/drainage catheter is a device that is a flexible single or multilumen tube intended to be used to introduce nondrug fluids into body cavities other than blood vessels, drain fluids from body cavities, or evaluate certain physiologic conditions. Examples include irrigation and drainage catheters, pediatric catheters, peritoneal catheters (including dialysis), and other general surgical catheters. An introduction/drainage catheter accessory is intended to aid in the manipulation of or insertion of the device into the body. Examples of accessories include adaptors, connectors, and catheter needles.(b)
Classification. Class I (general controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to § 878.9.

0

Kof2725

510(k) SUMMARY

DEC 17 2008
SubmitterMAQUET Cardiovascular
Submitter's
Address170 Baytech Road
San Jose, CA 95134
Telephone(408) 635-6824
Fax(408) 635-3907
Contact PersonChristina L. Rowe
Date PreparedSeptember 16, 2008
Device Trade
NameVASOSHIELD Pressure Controlling Syringe
Device
Common NameDistention and irrigation syringe
Device
Classification
NameIntroduction/drainage catheter and accessories
Device
ClassificationClass II
Summary of
substantial
equivalenceThe design, materials, method of delivery, features, and intended use of the
VASOSHIELD Pressure Controlling Syringe are substantially equivalent to the
predicate devices: InPress Syringe, (K043515, cleared on March 31, 2005), the
DMC Saphenous Vein System (K000704, cleared on May 19, 2000), and the
DLP Pressure Sensing Syringe (K853586, cleared on November 14, 1985).
Device
descriptionThe VASOSHIELD Pressure Controlling Syringe is identical to the InPress
Syringe in design, materials, principles of operation, and manufacturing process.
The syringe is comprised of 10 biocompatible components including a syringe, a
syringe stopper, ball, stainless steel pin, spring and rod, green acetal ring, black
acetal pusher, a white acetal knob and body. The syringe has three
predetermined pressure settings of 150 mm Hg, 250 mm Hg, and 350 mm Hg.
The syringe is a single use device, supplied sterile.
Indications for
UseThe device is indicated for controlling pressure during the preparation and
irrigation of bypass grafts prior to use in bypass surgery.
Technological
characteristicsThe VASOSHIELD Pressure Controlling Syringe is identical to the InPress
Syringe and features similar fundamental scientific technology as its other
predicate devices.
Performance
dataThe results of testing and data review demonstrate that the VASOSHIELD
Pressure Controlling Syringe meets the established acceptance criteria and
performs in a manner equivalent to the predicate devices.

1

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 eagle with its wings spread, and the text "DEPARTMENT OF HEALTH & HUMAN SERVICES . USA" arranged in a circle around the eagle. The eagle is black, and the text is in a simple, sans-serif font. The logo is simple and recognizable.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

DEC 1 7 2008

Maquet Cardiovascular, LLC. c/o Ms. Christina L. Rowe Principal Regulatory Affairs Associate 170 Baytech Drive San Jose, CA 95134

Re: K082725

VASOSHIELD Pressure Controlling Syringe Regulation Number: 21 CFR 878.4200 Regulation Name: Introduction/drainage catheter and accessories Regulatory Class: Class II (two) Product Code: GBX Dated: September 16, 2008 Received: September 25, 2008

Dear Ms. Rowe:

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.

2

Page 2 - Ms. Christina L. Rowe

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 l'ederal 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 (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 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,

$\gamma$

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

Enclosure

3

INDICATIONS FOR USE STATEMENT

510(k) number (if known)K082725
Device nameVASOSHIELD Pressure Controlling Syringe
Indications for UseThe device is indicated for controlling pressure during the preparation and irrigation of bypass grafts prior to use in bypass surgery.

Prescription Use _ X (21 CFR 801 Subpart D) 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)

(Division Sign-Off)

Division of Cardiovascular Devises 510(k) Number 0 X