K Number
K093647
Manufacturer
Date Cleared
2010-02-24

(91 days)

Product Code
Regulation Number
870.1330
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Traxcess Docking Wire is intended for general intravascular use, including the neuro and peripheral vasculature. The Traxcess Docking Wire can be used with Traxcess guidewires to facilitate the placement of diagnostic or therapeutic catheters. This device is not intended for use in coronary arteries.

Device Description

The Traxcess Docking Wire is an accessory used to extend the Traxcess guidewire. It consists of a stainless steel shaft with a nitinol pipe and is coated with PTFE and silicone.

AI/ML Overview

Acceptance Criteria and Study for Traxcess Docking Wire

Based on the provided 510(k) summary for the Traxcess Docking Wire (K093647), the device's acceptance criteria and the study proving it meets these criteria are outlined below.

1. Table of Acceptance Criteria and Reported Device Performance

Acceptance Criteria (Bench Testing)Reported Device Performance
Attachment with docking wirePass
Docking wire tensile strengthPass
Simulated use testing (Tracking, supportability, microcatheter compatibility/exchange, repositioning)Pass

Note: The 510(k) summary only explicitly lists "Pass" as the result for each bench test, without providing numerical thresholds or detailed metrics for the "Pass" criteria. This is typical for 510(k) submissions where the focus is on substantial equivalence to a predicate device, rather than novel performance claims.

2. Sample Size Used for the Test Set and Data Provenance

The provided document describes bench testing, meaning the "test set" refers to the physical samples of the Traxcess Docking Wire and associated components.

  • Sample Size: The document does not specify the exact number of samples (e.g., number of wires or components) used for each bench test.
  • Data Provenance: The data provenance is internal to the manufacturer, MicroVention, Inc., based in Tustin, California, U.S.A. The testing is prospective in the sense that it was conducted specifically for this 510(k) submission to demonstrate the device's performance.

3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications

For bench testing of a medical device like a guidewire, the "ground truth" is typically established by engineering specifications, industry standards, and regulatory requirements, not by clinical experts in the same way it would be for an AI diagnostic algorithm.

  • Number of Experts: Not applicable in the context of clinical expert consensus for ground truth. The "experts" would be the design engineers, quality control personnel, and regulatory affairs specialists at MicroVention, Inc.
  • Qualifications: These individuals would possess engineering, scientific, and regulatory expertise relevant to medical device design, manufacturing, and testing standards.

4. Adjudication Method for the Test Set

For bench testing, "adjudication" (e.g., 2+1, 3+1) is not typically applicable as it refers to reconciling differences in expert opinions for clinical data.

  • Adjudication Method: Not applicable. The results are determined by objective measurements and adherence to pre-defined test protocols. Any discrepancies would be resolved through re-testing, investigation of methodology, or review by quality control/engineering.

5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

  • Was a MRMC study done?: No. This submission describes a physical medical device (guidewire) and its bench testing, not an AI diagnostic algorithm or a clinical study involving human readers interpreting cases.

6. Standalone (Algorithm Only Without Human-in-the-Loop Performance) Study

  • Was a standalone study done?: No. This question is relevant for AI algorithms, not for physical medical devices undergoing bench testing. The "performance" being evaluated is the physical properties and functionality of the guidewire itself.

7. Type of Ground Truth Used

The ground truth for the bench tests is based on:

  • Engineering Specifications: Internal design parameters and performance targets set by MicroVention, Inc.
  • Industry Standards: Relevant ASTM, ISO, or other recognized standards for guidewires and medical devices.
  • Regulatory Requirements: Compliance with FDA guidelines for device safety and effectiveness, often implicitly linked to the performance of the predicate device.

8. Sample Size for the Training Set

  • Sample Size for Training Set: Not applicable. This concept is relevant for machine learning algorithms where a model is "trained" on a dataset. For a physical device, the "training" involves the design and manufacturing processes, which are informed by engineering principles and historical data on similar devices, rather than a quantifiable training set in the AI sense.

9. How the Ground Truth for the Training Set Was Established

  • How the Ground Truth for the Training Set Was Established: Not applicable in the conventional sense of AI/machine learning. The "ground truth" for the design and manufacturing processes would be established through a combination of:
    • Prior knowledge and experience: Accumulated expertise from developing previous guidewires and medical devices.
    • Research and development: Iterative design and testing phases.
    • Performance of the predicate device: The predicate device (Runthrough NS Extension Wire, K080563) serves as a benchmark for established safe and effective performance, influencing the design and performance targets of the Traxcess Docking Wire.

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FEB 2 4 2010 1093647

510(k) Summary

Trade Name:Traxcess Docking Wire
Generic Name:Guidewire
Classification:Class II, 21 CFR 870.1330
Submitted By:MicroVention, Inc1311 Valencia AvenueTustin, California U.S.A.
Contact:Naomi Gong

Predicate Device:

NumberDescriptionClearance Date
K080563Runthrough NS Extension WireMarch 20, 2008

Device Description:

The Traxcess Docking Wire is an accessory used to extend the Traxcess guidewire. It consists of a stainless steel shaft with a nitinol pipe and is coated with PTFE and silicone.

Indication For Use:

The Traxcess Docking Wire is intended for general intravascular use, including the neuro and peripheral vasculature. The wire can be steered to facilitate the selective placement of diagnostic or therapeutic catheters. This device is not intended for use in coronary arteries.

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Verification and Test Summary Table

Bench TestingResult
Attachment with docking wirePass
Docking wire tensile strengthPass
Simulated use testing- Tracking, supportability, microcatheter compatibility/exchange, repositioningPass

Summary of Substantial Equivalence

The data presented in this submission demonstrates the technological similarity and equivalency of the Traxcess Docking Wire when compared with the predicate device.

The device

  • Uses the same operating principle, .
  • Incorporates the same basic design,
  • Uses similar construction and material, ■
  • Is packaged and sterilized using same material and processes. .

In summary, the Traxcess Docking Wire described in this submission is, in our opinion, substantially equivalent to the predicate device.

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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 (HHS) of the United States. The seal features the department's name encircling a stylized caduceus symbol, which is a staff with two snakes coiled around it. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the symbol. The caduceus is a common symbol associated with medicine and healthcare.

Public Health Service

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

Microvention. Inc. Ms. Naomi Gong Regulatory Affairs Project Manager 1311 Valencia Avenue Tustin, CA 92780

FEB 2 4 2010

Re: K093647

Trade/Device Name: Traxcess Docking Wire Regulation Number: 21 CFR 870.1330 Regulation Name: Catheter Guidewire Regulatory Class: Class II Product Code: DQX Dated: January 14, 2010 Received: January 15, 2010

Dear Ms. Gong:

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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

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 device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set

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Page 2 - Ms. Gong

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 vours,

R. hamer

Bram 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):_Kuji5647

Device Name: Traxcess Docking Wire

Indications For Use:

ﺘﻨ ﺗ

The Traxcess Docking Wire is intended for general intravascular use, including the neuro and peripheral vasculature. The Traxcess Docking Wire can be used with Traxcess guidewires to facilitate the placement of diagnostic or therapeutic catheters. This device is not intended for use in coronary arteries.

Prescription Use X AND/OR (Part 21 CFR 801 Subpart D)

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)

NURSERY Rhymes

(Division Sign-Off) (Division Sign-Olf)
Division of Cardiovascular Devices

510(k) Number K093647

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§ 870.1330 Catheter guide wire.

(a)
Identification. A catheter guide wire is a coiled wire that is designed to fit inside a percutaneous catheter for the purpose of directing the catheter through a blood vessel.(b)
Classification. Class II (special controls). The device, when it is a torque device that is manually operated, non-patient contacting, and intended to manipulate non-cerebral vascular guide wires, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 870.9.