K Number
K092378
Date Cleared
2009-11-02

(89 days)

Product Code
Regulation Number
870.1310
Reference & Predicate Devices
N/A
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The VisiSheath Dilator Sheath is intended for use in patients requiring the percutaneous dilation of tissue surrounding cardiac leads, indwelling catheters and foreign objects. The device is also intended for use in the introduction and support of intravascular catheters.

Device Description

The VisiSheath™ Dilator Sheath is a single lumen polymer sheath used independently or as a support for an inner sheath to facilitate tissue dilation. One end is terminated with a 45° angle cut, while the other end is blunt. Both ends contain a metallic radiopaque marker band to enable fluoroscopic identification of tip location and orientation. An additional exterior mark aligned with the tip of the 45° angle cut permits visual identification of sheath orientation. There are multiple diameter and length options available.

AI/ML Overview

The provided 510(k) summary for the VisiSheath Dilator Sheath indicates that it is a Class II medical device and that there are no established performance standards under Section 514 for these types of devices. Therefore, the information provided does not include specific predetermined acceptance criteria or a detailed study proving the device meets such criteria in terms of quantitative performance metrics (e.g., sensitivity, specificity, accuracy).

Instead, the submission relies on functional testing to demonstrate performance.

Here's a breakdown of the available information based on your request:

1. A table of acceptance criteria and the reported device performance

Since specific numerical acceptance criteria (like sensitivity/specificity targets) are not provided, this table will reflect the general statement made in the submission.

Acceptance CriteriaReported Device Performance
Functional as Intended"All device functional test results for the VisiSheath™ Dilator Sheath met specified requirements."

2. Sample size used for the test set and the data provenance

The document does not specify the sample size for the functional testing conducted ("device functional testing"). It also does not mention the data provenance (e.g., country of origin, retrospective or prospective nature) as the tests described are laboratory-based functional tests, not clinical studies with patient data.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

This information is not applicable. Functional testing typically relies on engineering specifications and direct measurement, rather than expert judgment for ground truth establishment.

4. Adjudication method for the test set

This information is not applicable as the testing involves functional measurements against specifications, not human interpretation 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

No such study was conducted or reported. This device is a physical medical instrument (dilator sheath), not an AI-powered diagnostic tool, so MRMC studies and AI-related performance metrics are irrelevant.

6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

This is not applicable. The device is a physical instrument, not an algorithm.

7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.)

For functional testing, the "ground truth" would be the engineering specifications and design requirements for the device's physical properties and performance (e.g., tensile strength, flexibility, dimensions, radiopacity, ability to dilate tissue).

8. The sample size for the training set

This is not applicable. The device is a physical medical instrument, meaning there is no "training set" in the context of machine learning or AI.

9. How the ground truth for the training set was established

This is not applicable as there is no training set for this device.

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K07237S

510(k) Premarket Notification 510(k) Summary of Substantial Equivalence Visisheath Dilator Sheath

510(k) SUMMARY OF SUBSTANTIAL EQUIVALENCE

NOV - 2 2009

Proprietary Name:

Common Name:

Classification Name:

Device Classification:

Product Classification and Code:

Classification Panel:

Establishment Registration Number: 3007284006

Contact Person:

Cardiovascular Devices Cheryl Hastings Regulatory Affairs

21 CFR 870.1310, DRE

Visisheath™ Dilator Sheath

dilator, vessel, for percutaneous

Dilator sheath

catheterization

Class II

Spectranetics Corporation 9965 Federal Drive Colorado Springs, CO 80921

Telephone: (719) 659-1848 Facsimile: (719) 447-2040 E-mail: Cheryl.hastings(a)spnc.com

Performance Standards

Performance standards do not currently exist for these devices. None established under Section 514.

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Device Description

The VisiSheath™ Dilator Sheath is a single lumen polymer sheath used independently or as a support for an inner sheath to facilitate tissue dilation. One end is terminated with a 45° angle cut, while the other end is blunt. Both ends contain a metallic radiopaque marker band to enable fluoroscopic identification of tip location and orientation. An additional exterior mark aligned with the tip of the 45° angle cut permits visual identification of sheath orientation. There are multiple diameter and length options available.

Indication for Use

The VisiSheath™ Dilator Sheath is intended for use in patients requiring the percutaneous dilation of tissue surrounding cardiac leads, indwelling catheters and foreign objects. The device is also intended for use in the introduction and support of intravascular catheters.

Substantially Equivalent Devices

In Spectranetics' opinion, the VisiSheath™ Dilator Sheath is believed to be substantially equivalent to the predicate device.

Summary of Studies

Spectranetics performed device functional testing to support that the VisiSheath™ Dilator Sheath functions as intended. All device functional test results for the VisiSheath™ Dilator Sheath met specified requirements.

Conclusion (Statement of Equivalence)

Through data and information presented, numerous similarities support a determination of substantial equivalence, and therefore market clearance of the Spectranetics VisiSheath™ Dilator Sheath through this 510(k) Premarket Notification.

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/2/Picture/1 description: The image shows the seal of the Department of Health & Human Services - USA. The seal is circular, with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. In the center of the seal is an abstract symbol that resembles an eagle or bird in flight.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room W-O66-0609 Silver Spring, MD 20993-0002

Spectranetics Corp. ATTN: Cheryl Hastings Regulatory Affairs and Compliance Manager 9965 Federal Drive Colorado Springs, CO 80921

NOV - 2 2009

Re: K092378

Trade/Device Name: Spectranetics VisiSheath Dilator Sheath Regulation Number: 21 CFR 870.1310 Regulation Name: Vessel Dilator for Percutaneous Catheterization Regulatory Class: Class II Product Code: DRE Dated: July 24, 2009 Received: August 19, 2009

Dear Ms. Hastings:

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 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.

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); medical device reporting (reporting of medical

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Page 2 - Ms. Hastings

device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

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 (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm.

Sincerely yours,

W.M.R.

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

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Indications for Use

510(k) Number K092378

Device Name: Spectranetics VisiSheath™ Dilator Sheaths

Indications for Use:

The VisiSheath Dilator Sheath is intended for use in patients requiring the percutaneous dilation of tissue surrounding cardiac leads, indwelling catheters and foreign objects. The device is also intended for use in the introduction and support of intravascular catheters.

Prescription Use X (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (21 CFR 801 Subpart C)

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE OF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)
(Division Sign-Off)
Division of Cardiovascular Devices
510(k) NumberK092378
Page1 of 1

§ 870.1310 Vessel dilator for percutaneous catheterization.

(a)
Identification. A vessel dilator for percutaneous catheterization is a device which is placed over the guide wire to enlarge the opening in the vessel, and which is then removed before sliding the catheter over the guide wire.(b)
Classification. Class II (performance standards).