K Number
K100930
Date Cleared
2010-04-30

(25 days)

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

The PrimeWire PRESTIGE™ Pressure Guide Wire Device is indicated for use to measure pressure in blood vessels including both coronary and peripheral vessels, during diagnostic angiography and/or any interventional procedures. Blood pressure measurements provide hemodynamic information for the diagnosis and treatment of blood vessel disease.

Device Description

The PrimeWire PRESTIGE™ Pressure Guide Wire is a steerable guide wire with a pressure transducer mounted 3 cm proximal to the tip. The PrimeWire PRESTIGE™ guide wire measures pressure when used with the SmartMap, s5 Family, and ComboMap systems. The PrimeWire PRESTIGE™ guide wire has a diameter of 0.014" (0.36 mm) and is available in lengths of 185 cm and 300 cm, with straight or pre-shaped tips. The PrimeWire PRESTIGE™ guide wire is packaged preconnected to the connector with a torque device to facilitate navigation through the vasculature.

AI/ML Overview

Here's a summary of the acceptance criteria and study information for the PrimeWire PRESTIGE™ Pressure Guide Wire, based on the provided text:

Acceptance Criteria and Device Performance

The provided text does not explicitly state specific numerical acceptance criteria for the PrimeWire PRESTIGE™ Pressure Guide Wire. Instead, it relies on a statement of substantial equivalence to predicate devices and general performance claims.

Acceptance Criteria CategorySpecific Criteria (as inferred/stated)Reported Device Performance
Functional EquivalenceDevice performs pressure measurement in blood vessels (coronary and peripheral).The device measures pressure when used with SmartMap, s5 Family, and ComboMap systems. "The PrimeWire PRESTIGE™ guide wire has the same performance specifications... as that of the predicate devices."
Technological EquivalenceUses the same fundamental scientific technology as predicate devices."The modified PrimeWire PRESTIGE™ Pressure Guide Wire Device uses the same fundamental scientific technology... as that of the predicate device."
Intended Use EquivalenceSame intended use as predicate devices."The modified PrimeWire PRESTIGE™ Pressure Guide Wire Device... has the same intended use as that of the predicate device."
Safety and Efficacy (General)Modifications do not raise new questions regarding safety or efficacy. Product is comparable to the predicate device."Modifications to the device do not raise any new questions regarding safety or efficacy. The test results indicate the revised product is comparable to the predicate device."
Design Controls ComplianceCompliance with design controls."The performance data and a declaration of conformity with design controls support a determination of continuing substantial equivalence..."

Study Information

  1. Sample size used for the test set and the data provenance:

    • Sample Size: Not specified. The document states "Applicable testing was performed in accordance with the Design Verification Plan," but details about the sample size (e.g., number of devices tested, number of measurements taken) are not provided.
    • Data Provenance: Not specified (e.g., country of origin, retrospective or prospective). The testing described appears to be internal device verification and validation performed by Volcano Corporation.
  2. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:

    • This information is not provided. The submission focuses on device performance compared to predicate devices and internal verification, not on clinical studies with expert-established ground truth.
  3. Adjudication method (e.g., 2+1, 3+1, none) for the test set:

    • None stated or implied. The document describes design verification and comparability testing to predicate devices rather than a clinical study requiring adjudication.
  4. 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 MRMC study was done or reported. This device is a medical instrument (pressure guide wire) and not an AI or imaging diagnostic device that would typically involve a multi-reader, multi-case comparative effectiveness study.
  5. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done:

    • This question is not applicable as the device is a physical medical instrument, not a standalone algorithm. Its function inherently involves human operation and interaction with other medical systems.
  6. The type of ground truth used (expert consensus, pathology, outcomes data, etc.):

    • The concept of "ground truth" as typically used in AI/diagnostic device validation (e.g., expert consensus, pathology, outcomes data) is not applicable in the context of this device's submission. The "ground truth" for this device's performance would be the direct measurement of physical parameters (pressure) by the device itself, validated against established reference standards or the performance of predicate devices within a controlled environment, but the specifics of these reference standards are not detailed here.
  7. The sample size for the training set:

    • This question is not applicable as the device is a physical medical instrument, not an algorithm that requires a training set.
  8. How the ground truth for the training set was established:

    • This question is not applicable for the same reason as above; there is no "training set" for this type of device.

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Ki00930

SmartWire Pressure Guide Wire Special 510(k)

APR 3 0 2010

510 (K) Summary

PrimeWire PRESTIGE™ Pressure Guide Wire

Date Prepared: April 2, 2010

Submitted by: Volcano Corporation 3661 Valley Centre Dr. Suite 200 San Diego, CA 92130

Contact person: Marilyn Pourazar Director of Regulatory Affairs

Phone number: (858) 720-4116

Facsimile number: (858) 720-0335

PrimeWire PRESTIGETM Pressure Guide Wire Device Name:

Classification name:Class
> 870.1330 Catheter guide wireII
> 870.2870 Catheter tip pressure transducerII

Predicate Device:

The Volcano PrimeWire PRESTIGE™ Pressure Guide Wire is substantially equivalent to the following:

510(k) NumberProduct NameClearance Date
K021209SmartWire/SmartMap Pressure SystemMay 17, 2002
K070487SmartWire II Pressure Guide WireMarch 16, 2007
Letter to FilePrimeWire Pressure Guide WireJune 26, 2008
Letter to FilePrimeWire Pressure Guide WireApril 6, 2009

Device Description:

The PrimeWire PRESTIGE™ Pressure Guide Wire is a steerable guide wire with a pressure transducer mounted 3 cm proximal to the tip. The PrimeWire PRESTIGE™ guide wire measures pressure when used with the SmartMap, s5 Family, and ComboMap

19

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systems. The PrimeWire PRESTIGE™ guide wire has a diameter of 0.014" (0.36 mm) and is available in lengths of 185 cm and 300 cm, with straight or pre-shaped tips. The PrimeWire PRESTIGE™ guide wire is packaged preconnected to the connector with a torque device to facilitate navigation through the vasculature.

Intended Use:

The PrimeWire PRESTIGE™ Pressure Guide Wire Device is indicated for use to measure pressure in blood vessels including both coronary and peripheral vessels, during diagnostic angiography and/or any interventional procedures. Blood pressure measurements provide hemodynamic information for the diagnosis and treatment of blood vessel disease.

Device Technological Characteristics and Comparison to Predicate Device:

The Volcano Corporation PrimeWire PRESTIGE™ Pressure Guide Wire Device is substantially equivalent to the predicate devices, Volcano SmartWire II/PrimeWire Pressure Guide Wires.

The modified PrimeWire PRESTIGE™ Pressure Guide Wire Device uses the same fundamental scientific technology and has the same intended use as that of the predicate device.

Performance Data:

Applicable testing was performed in accordance with the Design Verification Plan including a Risk Analysis addressing the impact of modifications to the device and components. The test results indicate the revised product is comparable to the predicate device.

Conclusion:

The Volcano PrimeWire PRESTIGE™ Pressure Guide Wire Device has the same performance specifications, fundamental scientific technology and intended use as that of the predicate devices, Volcano SmartWire II/PrimeWire Pressure Guide Wires.

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Modifications to the device do not raise any new questions regarding safety or efficacy. The performance data and a declaration of conformity with design controls support a determination of continuing substantial equivalence of the modified device to the predicate device.

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/3/Picture/1 description: The image is a black and white logo for the Department of Health & Human Services - USA. The logo consists of a circular border with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" written around it. Inside the circle is an abstract symbol that resembles a stylized human figure or bird in flight.

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

APR 3 0 2010

Volcano Corporation c/o Ms. Marilyn Pourazar Director of Regulatory Affairs 3661 Valley Centre Dr., Suite 200 San Diego, CA 92130

Re: K100930

Device Name: PrimeWire PRESTIGE™ Pressure Guide Wire, Models 8185, 8185J, 8300, 8300J Regulation Number: 21 CFR 870.1330 Regulation Name: Catheter Guide Wire Regulatory Class: Class II (Two) Product Code: DOX Dated: April 2, 2010 Received: April 5, 2010

Dear Ms. Pourazar:

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 approvál 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.

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Page 2 - Ms. Marilyn Pourazar

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 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.

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/ResourcesforYou/Industry/default.htm.

Singerely yours.

Bram D. Zuckerman, M.D.

Directd Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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K100930

PrimeWire PRESTIGETM Pressure Guide Wire Special 510(k)

510(k) Number (if known):

PrimeWire PRESTIGE™ Pressure Guide Wire Device Device Name:

Indications for Use:

The PrimeWire PRESTIGE™ Pressure Guide Wire Device is indicated for use to measure pressure in blood vessels including both coronary and peripheral vessels, during diagnostic angiography and/or any interventional procedures. Blood pressure measurements provide hemodynamic information for the diagnosis and treatment of blood vessel disease.

The intended use and indications for use of the modified device as described in its labeling have not changed. The fundamental scientific technology of the modified device has not changed.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use X

OR

Over-the-Counter Use

(Per 21 CFR 801.19)

W.M.C.

vision Sian-Off) Division of Cardiovascular Devices

510(k) Numbe

§ 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.