K Number
K083269
Device Name
CROSSOVER
Date Cleared
2009-02-03

(90 days)

Product Code
Regulation Number
870.1340
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The CSI is indicated for use in arterial and venous procedures requiring percutaneous introduction of therapeutic or diagnostic intravascular devices or fluids.
Device Description
The RCIS consists of a 5-7F spiral reinforced sheath introducer and an appropriately sized dilator packaged in a tyvek/polymylar pouch. Each reinforced introducer sheath features an integrated hemostasis valve system with a sideport extension and a 3-way stopcock. Each introducer also has a radiopaque distal tip to aid the physician is correct placement of the device. The RCIS dilator is lockable to the mating reinforced introducer sheath. The dilator has a straight curve configuration that extends approximately 2.5cm beyond the matching sheath when the dilator is locked to the sheath. The dilator is compatible with an up to 0.038" diameter guidewire.
More Information

Not Found

No
The device description and intended use focus on a physical introducer sheath and dilator system. There is no mention of software, algorithms, image processing, or any terms related to AI/ML. The "Mentions AI, DNN, or ML" and "Mentions image processing" fields are explicitly marked as "Not Found".

No.
The device is indicated for percutaneous introduction of therapeutic or diagnostic intravascular devices or fluids, meaning it facilitates the use of other devices, but is not itself performing a therapeutic function.

No

The device is an introducer sheath and dilator, described as a tool for percutaneous introduction of other therapeutic or diagnostic devices, rather than being a diagnostic device itself.

No

The device description clearly outlines physical components like a sheath introducer, dilator, valve system, sideport extension, stopcock, and radiopaque tip, indicating it is a hardware device.

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

Here's why:

  • Intended Use: The intended use clearly states it's for "percutaneous introduction of therapeutic or diagnostic intravascular devices or fluids" in arterial and venous procedures. This describes a device used in vivo (within the body) for accessing blood vessels.
  • Device Description: The description details a sheath introducer and dilator, which are physical tools used to facilitate access to blood vessels. It mentions features like a hemostasis valve, sideport, stopcock, and radiopaque tip, all consistent with a device used for vascular access.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens derived from the human body (like blood, urine, tissue, etc.) to provide information for diagnosis, monitoring, or screening. IVDs are typically reagents, instruments, or systems used for testing these specimens in vitro (outside the body).

Therefore, the CSI is a medical device used for vascular access, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The CSI is indicated for use in arterial and venous procedures requiring percutaneous introduction of therapeutic or diagnostic intravascular devices or fluids.

Product codes

DYB

Device Description

The RCIS consists of a 5-7F spiral reinforced sheath introducer and an appropriately sized dilator packaged in a tyvek/polymylar pouch.

Each reinforced introducer sheath features an integrated hemostasis valve system with a sideport extension and a 3-way stopcock. Each introducer also has a radiopaque distal tip to aid the physician is correct placement of the device.

The RCIS dilator is lockable to the mating reinforced introducer sheath. The dilator has a straight curve configuration that extends approximately 2.5cm beyond the matching sheath when the dilator is locked to the sheath. The dilator is compatible with an up to 0.038" diameter guidewire.

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)

Not Found

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

Not Found

Predicate Device(s)

K081341

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 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).

0

6093269

Reinforced Catheter Introducer System (5-7F) Special 510(k): Device Modification

| SECTION VI: | 510(k) SUMMARY
[as required by section 807.92(c)] | | |
|-------------|------------------------------------------------------|---------------------------|-------------------------------|
| | A. | Submitter's Information: | FEB - 3 2009 |
| | | Name: | Thomas Medical Products, Inc. |
| | | Address: | 65 Great Valley Parkway |
| | | | Malvern, PA 19355 |
| | | Telephone Number: | 610.296.3000 |
| | | Facsimile: | 610.296.4591 |
| | | Contact Person: | Tim Stoudt |
| | | Title: | Manager, QA / RA |
| | | Date Submission Prepared: | October 24, 2008 |
| | B. | Device Information: | |

Trade name: Classification Name(s): Common or usual name(s): Crossover, et al. Catheter Introducer (21 CFR §870.1340) Reinforced Catheter Introducer System 5-7F (RCIS)

Legally marketed device to which equivalence is claimed:

Thomas Medical Products, Inc., Reinforced Catheter Introducer System - K081341

D. Description of the device:

ત.

The RCIS consists of a 5-7F spiral reinforced sheath introducer and an appropriately sized dilator packaged in a tyvek/polymylar pouch.

Each reinforced introducer sheath features an integrated hemostasis valve system with a sideport extension and a 3-way stopcock. Each introducer also has a radiopaque distal tip to aid the physician is correct placement of the device.

The RCIS dilator is lockable to the mating reinforced introducer sheath. The dilator has a straight curve configuration that extends approximately 2.5cm beyond the matching sheath when the dilator is locked to the sheath. The dilator is compatible with an up to 0.038" diameter guidewire.

E. Indications for use:

The CSI is indicated for use in arterial and venous procedures requiring percutaneous introduction of therapeutic or diagnostic intravascular devices or fluids.

Summary of the technological characteristics of the device compared to the predicate device:

The technological characteristics of the device are identical to those of the predicate devices.

G.

F.

Substantial equivalence rationale:

The Thomas Medical Products Inc. 5-7F Reinforced Catheter Introducer Systems have identical intended use / indications for use and technological characteristics as the previously cleared device. Based on these similarities, the Thomas Medical Products, Inc. 5-7F Reinforced Catheter Introducer Systems are substantially equivalent to the legally marketed predicate device.

1

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/1/Picture/1 description: The image is a seal for the Department of Health & Human Services. The seal is circular, with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. In the center of the seal is an abstract image of an eagle.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

FEB -3 2009

Thomas Medical Products, Inc. c/o Mr. Tim Stoudt Manager, Quality Assurance/Regulatory Affairs 65 Great Valley Parkway Malvern, PA 19355

Re: K083269

Reinforced Catheter Introducer System Regulation Number: 21 CFR 870.1340 Regulation Name: Catheter Introducer Regulatory Class: Class II (two) Product Code: DYB Dated: December 23, 2008 Received: December 24, 2008

Dear Mr. Stoudt:

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 - Mr. Tim Stoudt

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 Biometrics' (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,

Daria R. Holmes

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

Enclosure

3

Indications for Use

510(k) Number (if known): K083269

Device Name: Reinforced Catheter Introducer System (5 - 7 F)

Indications For Use:

The CSI is indicated for use in arterial and venous procedures requiring percutaneous introduction of therapeutic or diagnostic intravascular devices or fluids.

Prescription Use (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)

p. volumes

Juvision Sign-Off) Division Olgh-Shylascular Devices

51000 Number

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