K Number
K103657
Device Name
SAPPHIRE
Date Cleared
2011-08-09

(237 days)

Product Code
Regulation Number
870.5100
Reference & Predicate Devices
N/A
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Sapphire Coronary Dilatation Catheter is indicated for:

  • balloon dilatation of the stenotic portion of a coronary artery or bypass graft stenosis in patients evidencing coronary ischemia for the purpose of improving myocardial perfusion
  • balloon dilatation of a coronary artery occlusion for the treatment of acute myocardial infarction
Device Description

The Sapphire coronary dilatation catheter is a percutaneous transluminal coronary angioplasty (PTCA) balloon catheter with a working length of 140cm. The proximal shaft is a polymer coated stainless steel hypotube. Lubricious coatings are applied to the distal section. The semi-compliant balloons, available in diameters from 1.5-4.0mm and lengths from 10-30mm, can be inflated by injecting dilute contrast media solution through the trailing hub of the catheter. Two radiopaque platinum marker bands are located within the balloon segment with the exception of balloon diameters less than 2.0mm which incorporate a centrally positioned single marker band. The catheter is compatible with 5F or larger guiding catheters. The internal lumen of the catheter accepts a standard 0.014 inch PTCA guidewire. The proximal part of the guidewire enters the catheter tip and advances coaxially out the catheter proximal port, thereby allowing both coaxial guidance and rapid exchange of catheters with a single standard length guidewire. Two marked sections are located on the hypotube shaft to indicate catheter position relative to the tip of either a brachial or femoral guiding catheter. The design of this dilatation catheter does not incorporate a lumen for distal dye injections or distal pressure measurements.

AI/ML Overview

The provided text describes the regulatory submission for the Sapphire Coronary Dilatation Catheter, focusing on demonstrating substantial equivalence to predicate devices rather than proving a specific AI algorithm's performance against acceptance criteria. Therefore, much of the requested information regarding AI-specific criteria, studies, and data provenance is not applicable.

However, I can extract information related to the device's acceptance criteria and the studies performed to demonstrate equivalence.

Here's a breakdown of the requested information based on the provided text:

1. Table of Acceptance Criteria and Reported Device Performance

The document states that the test results "met all acceptance criteria" and were "similar to predicate devices." However, it does not explicitly list specific numerical acceptance criteria for each performance test. Instead, it refers to general guidelines and the successful fulfillment of these criteria.

Acceptance Criteria Category (Implied)Reported Device Performance
In vitro Performance Tests:
Dimensional verificationMet all acceptance criteria
Balloon preparationMet all acceptance criteria
Deployment and retractionMet all acceptance criteria
Balloon rated burst pressureMet all acceptance criteria
Balloon fatigueMet all acceptance criteria
Balloon complianceMet all acceptance criteria
Balloon inflation and deflation timeMet all acceptance criteria
Catheter bond strengthMet all acceptance criteria
Tip pull strengthMet all acceptance criteria
Flexibility and kinkingMet all acceptance criteria
Torque strengthMet all acceptance criteria
RadiopacityMet all acceptance criteria
Coating integrityMet all acceptance criteria
Particulate evaluationMet all acceptance criteria
Biocompatibility Tests:
CytotoxicityMet all acceptance criteria
SensitizationMet all acceptance criteria
Hemocompatibility (hemolysis)Met all acceptance criteria
Hemocompatibility (complement activation)Met all acceptance criteria
Hemocompatibility (in vivo thromboresistance)Met all acceptance criteria
Hemocompatibility (prothromboplastin time)Met all acceptance criteria
Hemocompatibility (platelet and leukocyte counts)Met all acceptance criteria
PyrogenicityMet all acceptance criteria
Acute systemic toxicityMet all acceptance criteria
Intracutaneous reactivityMet all acceptance criteria
Genotoxicity (bacterial mutagenicity)Met all acceptance criteria
Genotoxicity (in vitro mouse lymphoma)Met all acceptance criteria

The document also states that the tests "ensure that the Sapphire coronary dilatation catheter design and construction are suitable for its intended use as recommended by the Class II Special Controls Guidance Document for Certain Percutaneous Transluminal Coronary Angioplasty (PTCA) Catheters (FDA; September 8, 2010)." This guidance document would contain the specific acceptance criteria.

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

The document describes product performance and biocompatibility tests, which are laboratory or in vitro studies, not typically involving "test sets" in the context of AI algorithms or clinical trials. Therefore:

  • Sample size for the test set: Not applicable in the context of clinical or AI performance. The number of physical units or samples tested for each in vitro or biocompatibility assessment is not specified in this summary.
  • Data provenance: Not explicitly stated as country of origin, retrospective, or prospective, as these are not clinical studies. These are laboratory-based validation tests performed internally by the manufacturer (OrbusNeich Medical, Inc.).

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

This information is not applicable. The device is a medical catheter, not an AI diagnostic tool that requires ground truth established by human experts for performance evaluation. The "ground truth" for these tests would be the established scientific and engineering principles for device performance and biocompatibility.

4. Adjudication Method for the Test Set

This information is not applicable. As these are laboratory tests, an adjudication method for human interpretation of results is not relevant. The results are based on objective measurements against engineering specifications and biocompatibility standards.

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

This information is not applicable. The device is a physical medical catheter, not an AI algorithm intended to assist human readers. Therefore, an MRMC study and effect size of AI assistance are not relevant.

6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) Was Done

This information is not applicable. The device is a physical medical catheter, not an AI algorithm.

7. The Type of Ground Truth Used

For the performance and biocompatibility studies:

  • Ground Truth: The "ground truth" for the device's performance is based on established engineering specifications, international standards, and regulatory guidelines (e.g., FDA Class II Special Controls Guidance Document for Certain Percutaneous Transluminal Coronary Angioplasty (PTCA) Catheters). The tests aim to demonstrate that the device functions according to its design and regulatory requirements.

8. The Sample Size for the Training Set

This information is not applicable. The device is subjected to engineering and biocompatibility testing, not machine learning model training.

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

This information is not applicable. There is no "training set" or "ground truth" establishment in the context of machine learning for this physical medical device.

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510(k) Summary

AUG - 9 2011

This 510(k) Summary is submitted in accordance with 21 CFR 807.92(c).

Submitter:OrbusNeich Medical, Inc.5363 NW 35th AvenueFort Lauderdale, FL 33309Phone: 954.730.0711Fax: 954.730.7601
Contact Person:John D. Pazienza
Date PreparedJuly 20, 2011
Trade Name:Sapphire Coronary Dilatation Catheter
Common Name:Percutaneous Transluminal Coronary Angioplasty (PTCA) Catheter
Classification Name:Catheters, transluminal coronary angioplasty, percutaneous (21 CFR870.5100(a), Product Code LOX)
Predicate Devices:Sprinter Legend RX (P790017 S096; cleared October 31, 2008)Voyager RX (P810046 S216; cleared June 18, 2004)Maverick (P860019 S160; cleared September 27, 2000)Apex (P860019 S208; cleared November 7, 2008)Fire Star (P880003 S090; cleared August 31, 2007)
Device Description:The Sapphire coronary dilatation catheter is a percutaneoustransluminal coronary angioplasty (PTCA) balloon catheter with aworking length of 140cm. The proximal shaft is a polymer coatedstainless steel hypotube. Lubricious coatings are applied to the distalsection. The semi-compliant balloons, available in diameters from 1.5-4.0mm and lengths from 10-30mm, can be inflated by injecting dilutecontrast media solution through the trailing hub of the catheter. Tworadiopaque platinum marker bands are located within the balloonsegment with the exception of balloon diameters less than 2.0mmwhich incorporate a centrally positioned single marker band. Thecatheter is compatible with 5F or larger guiding catheters. The internallumen of the catheter accepts a standard 0.014 inch PTCA guidewire.The proximal part of the guidewire enters the catheter tip and advancescoaxially out the catheter proximal port, thereby allowing both coaxialguidance and rapid exchange of catheters with a single standard lengthguidewire. Two marked sections are located on the hypotube shaft toindicate catheter position relative to the tip of either a brachial orfemoral guiding catheter. The design of this dilatation catheter doesnot incorporate a lumen for distal dye injections or distal pressuremeasurements.
Intended Use:The Sapphire coronary dilatation catheter is indicated for:• balloon dilatation of the stenotic portion of a coronary arteryor bypass graft stenosis in patients evidencing coronaryischemia for the purpose of improving myocardial perfusion• balloon dilatation of a coronary artery occlusion for thetreatment of acute myocardial infarction

{1}------------------------------------------------

  • Technological Characteristics: Comparisons of the new and predicate devices show that the technological characteristics such as product performance, design, and intended use are substantially equivalent to the currently marketed predicate devices.
  • Both in vitro performance tests, such as dimensional verification, Performance Data: balloon preparation, deployment, and retraction, balloon rated burst pressure, balloon fatigue, balloon compliance, balloon inflation and deflation time, catheter bond strength, tip pull strength, flexibility and kinking, torque strength, radiopacity, coating integrity, and particulate evaluation, and also biocompatibility tests, such as cytotoxicity, sensitization, hemocompatibility (hemolysis, complement activation, in vivo thromboresistance, prothromboplastin time, and platelet and leukocyte counts), pyrogenicity, acute systemic toxicity. intracutaneous reactivity, and genotoxicity (bacterial mutagenicity and in vitro mouse lymphoma) were conducted on the Sapphire coronary dilatation catheter. The test results met all acceptance criteria, were similar to predicate devices, and ensure that the Sapphire coronary dilatation catheter design and construction are suitable for its intended use as recommended by the Class II Special Controls Guidance Document for Certain Percutaneous Transluminal Coronary Angioplasty (PTCA) Catheters (FDA; September 8, 2010).
  • Conclusion: This information supports a determination of substantial equivalence between the Sapphire coronary dilatation catheter and the predicate devices described above.

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Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features the department's seal, which includes an emblem with a stylized caduceus-like symbol consisting of three wavy lines. The seal also includes the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the emblem in a circular fashion.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring, MD 20993-0002

JUN 26 2012

OrbusNeich Medical, Inc. c/o Mr. John D. Pazienza Director, Product Development 5363 NW 35th Avenue Fort Lauderdale, FL 33309

Re: K103657

Trade Name: Sapphire Coronary Dilatation Catheter Regulation Number: 21 CFR 870.5100 Regulation Name: Catheters, Transluminal Coronary Angioplasty, Percutaneous Regulatory Class: II (two) Product Code: LOX Dated: July 21, 2011 Received: July 22, 2011

Dear Mr. Pazienza:

This letter corrects our substantially equivalent letter of August 9, 2011.

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.

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Page 2 - Mr. John D. Pazienza

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" (21 CFR 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.

Cmg. Hillebean

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

Enclosures

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Indications for Use

510(k) Number:

K103657

Device Name

Sapphire Coronary Dilatation Catheter

Indications for Use:

The Sapphire Coronary Dilatation Catheter is indicated for:

  • balloon dilatation of the stenotic portion of a coronary artery or bypass graft stenosis in patients evidencing coronary ischemia for the purpose of improving myocardial perfusion
  • balloon dilatation of a coronary artery occlusion for the treatment of acute myocardial infarction

Prescription Use
(Part 21 CFR 801 Subpart D)

1

AND/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 Devices
510(k) NumberK103657

§ 870.5100 Percutaneous Transluminal Coronary Angioplasty (PTCA) Catheter.

(a)
Standard PTCA Catheter —(1)Identification. A PTCA catheter is a device that operates on the principle of hydraulic pressurization applied through an inflatable balloon attached to the distal end. A PTCA balloon catheter has a single or double lumen shaft. The catheter features a balloon of appropriate compliance for the clinical application, constructed from a polymer. The balloon is designed to uniformly expand to a specified diameter and length at a specific pressure as labeled, with well characterized rates of inflation and deflation and a defined burst pressure. The device generally features a type of radiographic marker to facilitate fluoroscopic visualization of the balloon during use. A PTCA catheter is intended for balloon dilatation of a hemodynamically significant coronary artery or bypass graft stenosis in patients evidencing coronary ischemia for the purpose of improving myocardial perfusion. A PTCA catheter may also be intended for the treatment of acute myocardial infarction; treatment of in-stent restenosis (ISR) and/or post-deployment stent expansion.(2)
Classification. Class II (special controls). The special control for this device is “Class II Special Controls Guidance Document for Certain Percutaneous Transluminal Coronary Angioplasty (PTCA) Catheters.” See § 870.1(e) for the availability of this guidance document.(b)
Cutting/scoring PTCA Catheter —(1)Identification. A cutting/scoring PTCA catheter is a balloon-tipped catheter with cutting/scoring elements attached, which is used in those circumstances where a high pressure balloon resistant lesion is encountered. A cutting/scoring PTCA catheter is intended for the treatment of hemodynamically significant coronary artery stenosis for the purpose of improving myocardial perfusion. A cutting/scoring PTCA catheter may also be indicated for use in complex type C lesions or for the treatment of in-stent restenosis.(2)
Classification. Class III (premarket approval). As of May 28, 1976, an approval under section 515 of the act is required before this device may be commercially distributed. See § 870.3.