K Number
K110560
Device Name
MEDTRONIC ARES ANTIBIOTIC-IMPREGNATED CATHETER
Date Cleared
2011-11-18

(263 days)

Product Code
Regulation Number
882.5550
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Medtronic ARES™ Antibiotic-Impregnated Catheters are intended for use in the treatment of hydrocephalus as a component of a shunt system when draining or shunting of cerebrospinal fluid (CSF) is indicated.
Device Description
The Medtronic ARES™ Antibiotic-Impregnated Catheters are manufactured using barium sulfate-filled silicone elastomer and are impregnated with clindamycin hydrochloride and rifampicin. ARES Antibiotic-Impregnated Ventricular Catheter The ARES ventricular catheter measures 23 cm in length, 0.13 cm in inner diameter, and 0.25 cm in outer diameter. Lengths are marked in 1 cm intervals starting from 3 cm to 15 cm from the catheter tip, thus enabling the surgeon to gauge the depth of penetration of the catheter into the lateral ventricle. The proximal end of the catheter has 32 flow holes—four lines of eight holes spaced at 90° intervals around the catheter circumference. Components supplied with the ARES Ventricular Catheter include a pre-loaded stainless steel stylet and a Right Angle Clip, which is included to facilitate placement and use of the ventricular catheter. ARES Antibiotic-Impregnated Peritoneal Catheter The ARES peritoneal catheter measures 120 cm in length, 0.13 cm in inner diameter, and 0.25 cm in outer diameter. There are no length markers or wall slits on the catheter, and the tip is open ended. The catheter may be trimmed to the proper length.
More Information

No
The 510(k) summary describes a passive, antibiotic-impregnated catheter. There is no mention of software, algorithms, image processing, or any other components typically associated with AI/ML. The performance studies focus on material properties, sterilization, biocompatibility, and drug release kinetics, not algorithmic performance.

Yes.
The device is impregnated with antibiotics (Rifampicin and Clindamycin Hydrochloride), which are active pharmacological agents used to treat or prevent infections, thus performing a therapeutic function.

No

The device is an antibiotic-impregnated catheter intended for use in the treatment of hydrocephalus by draining or shunting cerebrospinal fluid. It is a therapeutic device, not a diagnostic one.

No

The device description clearly outlines physical components made of silicone elastomer and impregnated with antibiotics, indicating it is a hardware device, not software-only.

Based on the provided information, the Medtronic ARES™ Antibiotic-Impregnated Catheters are not an In Vitro Diagnostic (IVD) device.

Here's why:

  • Intended Use: The intended use is for the treatment of hydrocephalus by draining or shunting cerebrospinal fluid. This is a therapeutic intervention, not a diagnostic test performed on samples outside the body.
  • Device Description: The description details a physical catheter designed for implantation to manage fluid flow. It does not describe a device used to analyze biological samples.
  • Performance Studies: The performance studies focus on the physical properties of the catheter (crush resistance, drug release), sterilization, biocompatibility, and pyrogenicity. These are typical performance metrics for implanted medical devices, not diagnostic devices. There are no mentions of diagnostic performance metrics like sensitivity, specificity, AUC, etc.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (like CSF itself for diagnostic purposes), using reagents, or providing diagnostic information about a patient's condition.

Therefore, the Medtronic ARES™ Antibiotic-Impregnated Catheters are a therapeutic medical device, not an IVD.

N/A

Intended Use / Indications for Use

The Medtronic ARES™ Antibiotic-Impregnated Catheters are intended for use in the treatment of hydrocephalus as a component of a shunt system when draining or shunting of cerebrospinal fluid (CSF) is indicated.

Product codes

JXG

Device Description

The Medtronic ARES™ Antibiotic-Impregnated Catheters are manufactured using barium sulfate-filled silicone elastomer and are impregnated with clindamycin hydrochloride and rifampicin.

ARES Antibiotic-Impregnated Ventricular Catheter
The ARES ventricular catheter measures 23 cm in length, 0.13 cm in inner diameter, and 0.25 cm in outer diameter. Lengths are marked in 1 cm intervals starting from 3 cm to 15 cm from the catheter tip, thus enabling the surgeon to gauge the depth of penetration of the catheter into the lateral ventricle. The proximal end of the catheter has 32 flow holes—four lines of eight holes spaced at 90° intervals around the catheter circumference. Components supplied with the ARES Ventricular Catheter include a pre-loaded stainless steel stylet and a Right Angle Clip, which is included to facilitate placement and use of the ventricular catheter.

ARES Antibiotic-Impregnated Peritoneal Catheter
The ARES peritoneal catheter measures 120 cm in length, 0.13 cm in inner diameter, and 0.25 cm in outer diameter. There are no length markers or wall slits on the catheter, and the tip is open ended. The catheter may be trimmed to the proper length.

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)

SUMMARY OF NON-CLINICAL TESTS CONDUCTED FOR DETERMINATION OF SUBSTANTIAL EQUIVALENCE

Performance Test Summary

Performance testing was performed according to ISO 7197: Neurosurgical implants - Sterile, single use hydrocephalus shunts and components and ASTM 647-94 Standard Practice for Evaluating and Specifying Implantable Shunt Assemblies for Neurosurgical Application. The ARES Antibiotic-Impregnated Catheters have been designed and successfully tested to meet the applicable requirements outlined in ISO 7197 and ASTM 647-94.

Sterilization Testing

Sterilization testing was performed according to ISO 17665: Sterilization of health care products - Moist heat. Sterilization of ARESTM Antibiotic-Impregnated Catheters is validated using the Half Cycle method as outlined in ISO 17665 to a sterility assurance level (SAL) of 10-6.

Pyrogen Testing

Pyrogen testing was performed according to ANSI/AAMI/ST72 Bacterial endotoxins - Test methodologies, routine monitoring and alternatives to batch testing. ARES Antibiotic-Impregnated Catheters conform to FDA standards concerning pyrogen levels for devices in contact with cerebrospinal fluid. Utilizing the Kinetic-Chromogenic LAL method, the product meets a 2.15 EU/device specification.

Biocompatibility Test Summary

For purposes of biocompatibility testing, the Medtronic ARES™ Antibiotic-Impregnated Catheters are considered an implant device with tissue/bone contact and permanent contact duration of greater than 30 days. The selection of biocompatibility testing for Medtronic ARES™ Antibiotic-Impregnated Catheters was based on this categorization of the device, and in accordance with ISO 10993-1:2009-Biological evaluation of medical devices-Part 1: Evaluation and the FDA Blue Book Memo, G95-1, Use of the International Standard ISO-10993, Biological Evaluation of Medical Devices Part 1: Evaluation and Testing.

Test results:

  • Cytotoxicity - MEM Elution (ISO 10993-5): No biological reactivity (Grade 0) was observed at 48 hours post exposure to the test article extract. Conclusion: Non-cytotoxic.
  • Sensitization - Kligman Maximization (ISO 10993-10): The extracts of the test article elicited no reaction at the challenge (0% sensitization), following an induction phase. Conclusion: Non-sensitizing.
  • Intracutaneous Irritation/Reactivity - Intracutaneous Injection (ISO 10993-10): All animals increased in weight and none exhibited overt signs of toxicity at any observation point. The test article extract sites did not show a significantly greater biological reaction than the sites injected with the control article extract. Conclusion: Non-irritant.
  • Acute Systemic Toxicity - Systemic Injection (ISO 10993-11): All animals increased in weight and none exhibited overt signs of toxicity at any observation point. The test article extracts did not induce a significantly greater biological reaction than the control extracts. Conclusion: Non-toxic (acute).
  • Bacterial Reverse Mutation Study - Non-antibiotic impregnated catheter (ISO 10993-3): DMSO and saline test article extracts were considered to be non-mutagenic to Salmonella typhimurium tester strains TA98, TA100, TA1535, and TA1537 and to Escherichia coli tester strain WP2uvrA. Conclusion: Non-genotoxic.
  • Bacterial Reverse Mutation Assay - Extracts - Mock-impregnated catheter (ISO 10993-3): DMSO and saline test article extracts were considered to be non-mutagenic to Salmonella typhimurium tester strains TA98, TA100, TA1535, and TA1537 and to Escherichia coli tester strain WP2uvrA. Conclusion: Non-genotoxic.
  • In Vitro Mouse Lymphoma Assay with Extended Treatment (ISO 10993-3): The mutant frequencies and cloning efficiencies of preparations treated with test article were within the limits defined for a negative response. Conclusion: Non-genotoxic.
  • Mouse Peripheral Blood Micronucleus Study (ISO 10993-3): The test article extracts did not induce micronuclei in mice. Conclusion: Non-genotoxic.
  • Implantation - 13 week brain and subcutaneous implant (ISO 10993-6) & Sub-Chronic / Chronic Toxicity (ISO 10993-11): The test article does not appear to demonstrate any systemic signs of toxicity when implanted in the brain and subcutaneous tissue of New Zealand White rabbits for a period of 13 weeks. Conclusion: No local adverse event, Non-toxic (sub-chronic).

Comparative Performance Information Summary

  • Drug release kinetics: Demonstration of antibiotics release kinetics over a 38 day period is the same for ARES and BACTISEAL. Antibiotics release kinetics measured over a 38 day period. Antibiotic release rates demonstrated the same as BACTISEAL antibiotic release rates.
  • Zone of Inhibition Testing: Demonstration of antimicrobial activity for at least 31 days has statistically equivalent zones of inhibition for ARES and BACTISEAL. Antimicrobial activity demonstrated for at least 31 days. Measured ZOIs statistically equivalent to those of BACTISEAL.
  • Catheter Crush Resistance: ARES catheter mean value must not be significantly lower than control group (BACTISEAL) mean using a two sample t-test at 95% confidence. Result: Pass.
  • Drug Content: Clindamycin: 0.150 ± 45% Rifampicin: 0.054 ± 60%. Result: Pass.

SUMMARY OF CLINICAL TESTS CONDUCTED FOR DETERMINATION OF SUBSTANTIAL EQUIVALENCE AND/OR OF CLINICAL INFORMATION

No prospective clinical trials were conducted in support of this Traditional 510(k).

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

Not Found

Predicate Device(s)

Johnson & Johnson (Codman & Shurtleff) BACTISEAL® Catheter (K003322)

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 882.5550 Central nervous system fluid shunt and components.

(a)
Identification. A central nervous system fluid shunt is a device or combination of devices used to divert fluid from the brain or other part of the central nervous system to an internal delivery site or an external receptacle for the purpose of relieving elevated intracranial pressure or fluid volume (e.g., due to hydrocephalus). Components of a central nervous system shunt include catheters, valved catheters, valves, connectors, and other accessory components intended to facilitate use of the shunt or evaluation of a patient with a shunt.(b)
Classification. Class II (performance standards).

0

510(k) SUMMARY Medtronic ARES™ Antibiotic Impregnated Catheters K110560

A summary of 510(k) safety and effectiveness information in accordance with the requirements of 21 CFR 807.92.

Submitter Information
NameMedtronic Neurosurgery
Address125 Cremona Drive
Goleta, CA 93117-5503
USA
Phone number805-571-8400
Fax number805-571-8480
Establishment
Registration Number2021898
Name of contact
personJeffrey Henderson
Date preparedNovember 17, 2011
Name of device
Trade or proprietary
nameMedtronic ARES™ Antibiotic-Impregnated Catheter
Common or usual
nameHydrocephalus Catheter
Classification nameShunt, Central Nervous System and Components
ClassificationClass II
PanelNeurological
Regulation21 CFR §882.5550
Product Code(s)JXG
Legally marketed device(s)
to which equivalence is
claimedJohnson & Johnson (Codman & Shurtleff)
BACTISEAL® Catheter (K003322)
Reason for 510(k)
submissionNew device
Device descriptionThe Medtronic ARES™ Antibiotic-Impregnated Catheters are
manufactured using barium sulfate-filled silicone elastomer
and are impregnated with clindamycin hydrochloride and
rifampicin.

ARES Antibiotic-Impregnated Ventricular Catheter
The ARES ventricular catheter measures 23 cm in length,
0.13 cm in inner diameter, and 0.25 cm in outer diameter.
Lengths are marked in 1 cm intervals starting from 3 cm to 15
cm from the catheter tip, thus enabling the surgeon to gauge
the depth of penetration of the catheter into the lateral
ventricle. The proximal end of the catheter has 32 flow
holes—four lines of eight holes spaced at 90° intervals |
| | around the catheter circumference. Components supplied
with the ARES Ventricular Catheter include a pre-loaded
stainless steel stylet and a Right Angle Clip, which is included
to facilitate placement and use of the ventricular catheter.
ARES Antibiotic-Impregnated Peritoneal Catheter
The ARES peritoneal catheter measures 120 cm in length,
0.13 cm in inner diameter, and 0.25 cm in outer diameter.
There are no length markers or wall slits on the catheter, and
the tip is open ended. The catheter may be trimmed to the
proper length. |
| Intended use of the device | The Medtronic ARES™ Antibiotic-Impregnated Catheters are
intended for use in the treatment of hydrocephalus as a
component of a shunt system when draining or shunting of
cerebrospinal fluid (CSF) is indicated. |
| Indications for use | The Medtronic ARES™ Antibiotic-Impregnated Catheters are
intended for use in the treatment of hydrocephalus as a
component of a shunt system when draining or shunting of
cerebrospinal fluid (CSF) is indicated. |

p. 1/5

1

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

The Medtronic ARES™ Antibiotic-Impregnated catheter is substantially equivalent in device description, function, principle of operation, and basic composition to the BACTISEAL® predicate device. The ARES and BACTISEAL devices characteristics are summarized below.

| Characteristic | New Device [Medtronic
AREST™ Antibiotic-
Impregnated Catheters] | Predicate [BACTISEAL®
Catheter, K003322] |
|--------------------------|--------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------|
| Catheter Body Material | BaSO4 filled silicone elastomer | BaSO4 filled silicone elastomer |
| Drugs Formulation | 0.054 weight % rifampicin
0.150 weight % clindamycin
hydrochloride | 0.054 weight % rifampicin
0.150 weight % clindamycin
hydrochloride |
| Catheter Body Dimensions | Ventricular: 0.050" ID x 0.100"
OD
Peritoneal: 0.050" ID x 0.100"
OD | Ventricular: 0.055" ID x 0.106"
OD or 0.050" ID x 0.100" OD
Peritoneal: 0.039" ID x 0.0866"
OD or 0.050" ID x 0.100" OD |
| Catheter Length | Ventricular: 23 cm
Peritoneal: 120 cm | Ventricular: 14, 15, or 23 cm
Peritoneal: 120 cm |
| Length Markers | Ventricular: numerical length
markers
Peritoneal: None | Ventricular: 1 dot at 10 cm & 2
dots at 15 cm
Peritoneal: None |
| Tip Configuration | Ventricular: Bullet shape with 32
inlet holes (4 rows of 8 holes)
Peritoneal: Open end, no slits | Ventricular: Bullet shape with 24
inlet holes (3 rows of 8 holes)
Peritoneal: Open end, no slits |

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2

PERFORMANCE DATA

SUMMARY OF NON-CLINICAL TESTS CONDUCTED FOR DETERMINATION OF SUBSTANTIAL EQUIVALENCE

Performance Test Summary

The ARES™ Antibiotic-Impregnated Catheters have been designed and tested to meet the requirements of voluntary standards and FDA guidance documents applicable to the subject and predicate devices. Results of the non-clinical testing support the conclusion of substantial equivalence to the ARES™ Antibiotic-Impregnated Catheters to the predicate devices.

CharacteristicStandard/Test/FDA GuidanceResults Summary
Performance TestingPerformance testing was
performed according to ISO
7197: Neurosurgical implants -
Sterile, single use hydrocephalus
shunts and components and
ASTM 647-94 Standard Practice
for Evaluating and Specifying
Implantable Shunt Assemblies for
Neurosurgical ApplicationThe ARES Antibiotic-
Impregnated Catheters have
been designed and successfully
tested to meet the applicable
requirements outlined in ISO
7197 and ASTM 647-94
Sterilization TestingSterilization testing was
performed according to ISO
17665: Sterilization of health
care products - Moist heatSterilization of ARESTM
Antibiotic-Impregnated
Catheters is validated using
the Half Cycle method as
outlined in ISO 17665 to a
sterility assurance level (SAL)
of 10-6.
Pyrogen TestingPyrogen testing was performed
according to ANSI/AAMI/ST72
Bacterial endotoxins - Test
methodologies, routine monitoring
and alternatives to batch testingARES Antibiotic-Impregnated
Catheters conform to FDA
standards concerning pyrogen
levels for devices in contact
with cerebrospinal fluid.
Utilizing the Kinetic-
Chromogenic LAL method, the
product meets a 2.15
EU/device specification.

p. 3/5

3

Biocompatibility Test Summary

For purposes of biocompatibility testing, the Medtronic ARES™ Antibiotic-Impregnated Catheters are considered an implant device with tissue/bone contact and permanent contact duration of greater than 30 days. The selection of biocompatibility testing for Medtronic ARES™ Antibiotic-Impregnated Catheters was based on this categorization of the device, and in accordance with ISO 10993-1:2009-Biological evaluation of medical devices-Part 1: Evaluation and the FDA Blue Book Memo, G95-1, Use of the International Standard ISO-10993, Biological Evaluation of Medical Devices Part 1: Evaluation and Testing.

Test SystemStudy ResultsConclusion
Cytotoxicity - MEM Elution
(ISO 10993-5)No biological reactivity (Grade 0) was observed at 48
hours post exposure to the test article extract.Non-cytotoxic
Sensitization - Kligman
Maximization
(ISO 10993-10)The extracts of the test article elicited no reaction at the
challenge (0% sensitization), following an induction
phase.Non-sensitizing
Intracutaneous
Irritation/Reactivity -
Intracutaneous Injection
(ISO 10993-10)All animals increased in weight and none exhibited
over signs of toxicity at any observation point. The test
article extract sites did not show a significantly greater
biological reaction than the sites injected with the
control article extract.Non-irritant
Acute Systemic Toxicity -
Systemic Injection
(ISO 10993-11)All animals increased in weight and none exhibited
overt signs of toxicity at any observation point. The
test article extracts did not induce a significantly greater
biological reaction than the control extracts.Non-toxic
(acute)
Bacterial Reverse
Mutation Study - Non-
antibiotic impregnated
catheter
(ISO 10993-3)DMSO and saline test article extracts were considered
to be non-mutagenic to Salmonella typhimurium tester
strains TA98, TA100, TA1535, and TA1537 and to
Escherichia coli tester strain WP2uvrA.Non-genotoxic
Bacterial Reverse
Mutation Assay - Extracts
  • Mock-impregnated
    catheter
    (ISO 10993-3) | DMSO and saline test article extracts were considered
    to be non-mutagenic to Salmonella typhimurium tester
    strains TA98, TA100, TA1535, and TA1537 and to
    Escherichia coli tester strain WP2uvrA. | Non-genotoxic |
    | In Vitro Mouse Lymphoma
    Assay with Extended
    Treatment
    (ISO 10993-3) | The mutant frequencies and cloning efficiencies of
    preparations treated with test article were within the
    limits defined for a negative response. | Non-genotoxic |
    | Mouse Peripheral Blood
    Micronucleus Study
    (ISO 10993-3) | The test article extracts did not induce micronuclei in
    mice. | Non-genotoxic |
    | Implantation - 13 week
    brain and subcutaneous
    implant
    (ISO 10993-6)
    &
    Sub-Chronic / Chronic
    Toxicity
    (ISO 10993-11) | The test article does not appear to demonstrate any
    systemic signs of toxicity when implanted in the brain
    and subcutaneous tissue of New Zealand White rabbits
    for a period of 13 weeks. | No local
    adverse event
    Non-toxic (sub-
    chronic) |

p.4/5

4

K110560

Comparative Performance Information Summary
CharacteristicRequirementARESBACTISEAL
Drug release kineticsDemonstration of
antibiotics release
kinetics over a 38
day period is the
same for
ARES and
BACTISEALAntibiotics release
kinetics measured over
a 38 day period
Antibiotic release rates
demonstrated the same
as BACTISEAL
antibiotic release ratesAntibiotics release
kinetics measured
over a 38 day period
Antibiotic release rates
demonstrated the
same as ARES
antibiotic release rates
Zone of Inhibition TestingDemonstration of
antimicrobial activity
for at least 31 days
has statistically
equivalent zones of
inhibition for
ARES and
BACTISEALAntimicrobial activity
demonstrated for at
least 31 days
Measured ZOIs
statistically equivalent
to those of BACTISEALAntimicrobial activity
demonstrated for at
least 31 days
Measured ZOIs
statically equivalent to
those of ARES
Catheter Crush
ResistanceARES catheter
mean value must
not be significantly
lower than control
group (BACTISEAL)
mean using a two
sample t-test at 95%
confidencePassPass
Drug ContentClindamycin: 0.150
± 45%
Rifampicin: 0.054 ±
60%PassPass
SUMMARY OF CLINICAL TESTS CONDUCTED FOR DETERMINATION OF
SUBSTANTIAL EQUIVALENCE AND/OR OF CLINICAL INFORMATION
No prospective clinical trials were conducted in support of this Traditional 510(k)

CONCLUSIONS DRAWN FROM NON-CLINICAL AND CLINICAL DATA

Medtronic Neurosurgery considers the Medtronic ARES™ Antibiotic-Impregnated Catheters to be the "same" as the predicate BACTISEAL® catheters according to the definition of medical devices containing antimicrobial agents considered by FDA to be "the same" as described in FDA Draft Guidance for Industry and FDA Staff - Premarket Notification (510(k)) Submissions for Medical Devices that Include Antimicrobial Agents (issued July 19, 2007). The indications for use, function, implantation techniques, performance characteristics, and test standards for both devices are substantially equivalent. Medtronic Neurosurgery considers the Medtronic ARES™ Antibiotic-Impregnated Catheters to be substantially equivalent to the previously cleared Codman BACTISEAL® Catheters.

p.5/5

5

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/5/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized image of an eagle with three curved lines representing its wings. The eagle is positioned inside a circle with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" surrounding it.

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

NOV 1 8 2011

Medtronic, Inc. c/o Mr. Jeffrey Henderson Vice President, Quality and Regulations Affairs 125 Cremona Drive Goleta, CA 93117

Re: K110560

Trade/Device Name: Medtronic Ares™ Antibiotic-Impregnated Catheter Regulation Number: 21 CFR 882.5550 Regulation Name: Central Nervous System Fluid Shunt and Components Regulatory Class: Class II Product Code: JXG Dated: November 11, 2011 Received: November 14, 2011

Dear Mr. Henderson:

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.

6

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.

Sincerely yours,

Melvin R. Felder, MD

Malvina B. Eydelman, M)D. Director Division of Ophthalmic, Neurological, and Ear. Nose and Throat Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

7

K110560

  1. Indications for Use Statement

510(k) Number (if known):

To be determined

Device Name:

Indications for Use:

ARES™ Antibiotic-Impregnated The Medtronic Catheters are intended for use in the treatment of hydrocephalus as a component of a shunt system when draining or shunting of cerebrospinal fluid (CSF)

ARES™ Antibiotic-Impregnated Catheters

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Prescription Use _ (Part 21 CFR 801 Subpart D)

AND/OR

is indicated.

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 Ophthalmic, Neurological and Ear, Nose and Throat Devices

510(k) Number k//0560