K Number
K110767
Device Name
ANGIOSCULPT PTA SCORING BALLOON CATHETER
Manufacturer
Date Cleared
2011-04-15

(28 days)

Product Code
Regulation Number
870.1250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The AngioSculpt PTA Scoring Balloon Catheter is intended for dilatation of lesions in the iliac, femoral, ilio-femoral, popliteal, infra popliteal, and renal arteries, and for the treatment of obstructive lesions of native or synthetic arteriovenous dialysis fistulae. Not for use in the coronary or neuro-vasculature.
Device Description
The AngioSculpt catheter is a standard two-lumen catheter with a scoring balloon near the distal tip. The distal end of the catheter has a conventional nylon-blend balloon with a nitinol scoring element that wraps around the balloon. The scoring element creates focal concentrations of dilating force which minimizes balloon slippage and assists with luminal expansion of stenotic arteries. The balloon has radiopaque markers to aid in positioning the balloon in the stenosis, and is designed to provide an expandable segment of known diameter and length at a specific pressure. The modified AngioSculpt PTA catheter has very similar technological characteristics as the cleared AngioSculpt PTA catheter. The modified AngioSculpt PTA Catheter is exactly the same device as the cleared AngioSculpt PTA catheter, except for minor differences to the distal bond and intermediate bond of the 0.018" OTW platform, 20mm balloon length catheters.
More Information

Not Found

No
The device description and performance studies focus on mechanical aspects of the balloon catheter and its bonds, with no mention of AI or ML technologies.

Yes
The device is intended for the "dilatation of lesions" and "treatment of obstructive lesions," which are therapeutic actions.

No

Explanation: The device is described as a balloon catheter intended for the dilatation and treatment of obstructive lesions in arteries and fistulae. Its function is to expand constricted areas, which is a therapeutic intervention, not a diagnostic one.

No

The device description clearly details a physical catheter with a balloon and scoring element, indicating it is a hardware device, not software-only.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to examine specimens taken from the human body (like blood, urine, or tissue) to provide information about a person's health. This testing is done outside of the body.
  • Device Description: The AngioSculpt PTA Scoring Balloon Catheter is a device that is inserted into the body (specifically arteries and fistulae) to perform a physical action (dilatation of lesions).
  • Intended Use: The intended use is to treat obstructive lesions within blood vessels and fistulae, which is a therapeutic intervention performed in vivo (within the living body).

The device is a therapeutic medical device used for interventional procedures, not for diagnostic testing of samples outside the body.

N/A

Intended Use / Indications for Use

The AngioSculpt PTA Scoring Balloon Catheter is intended for dilatation of lesions in the iliac, femoral, ilio-femoral, popliteal, infra popliteal, and renal arteries, and for the treatment of obstructive lesions of native or synthetic arteriovenous dialysis fistulae. Not for use in the coronary or neuro-vasculature.

Product codes (comma separated list FDA assigned to the subject device)

DQY, LIT

Device Description

The AngioSculpt catheter is a standard two-lumen catheter with a scoring balloon near the distal tip. The distal end of the catheter has a conventional nylon-blend balloon with a nitinol scoring element that wraps around the balloon. The scoring element creates focal concentrations of dilating force which minimizes balloon slippage and assists with luminal expansion of stenotic arteries. The balloon has radiopaque markers to aid in positioning the balloon in the stenosis, and is designed to provide an expandable segment of known diameter and length at a specific pressure.

The modified AngioSculpt PTA catheter has very similar technological characteristics as the cleared AngioSculpt PTA catheter. The modified AngioSculpt PTA Catheter is exactly the same device as the cleared AngioSculpt PTA catheter, except for minor differences to the distal bond and intermediate bond of the 0.018" OTW platform, 20mm balloon length catheters.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

iliac, femoral, ilio-femoral, popliteal, infra popliteal, and renal arteries, and for the treatment of obstructive lesions of native or synthetic arteriovenous dialysis fistulae. Not for use in the coronary or neuro-vasculature.

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)

Design verification testing of the distal and intermediate bonds, manufactured using the modified design and modifications to the manufacturing process, was conducted to verify that the modified bonds meet specifications.

Based on the application of risk analysis and a change impact assessment, the device was evaluated for the following product attributes potentially affected by the design changes and the modifications to the bonding processes:

  • Entry Profile (distal bond OD)
  • Profile (intermediate bond OD)
  • Fatigue Strength
  • Bond Tensile Strength
  • Visual inspection for distal bond imperfections
  • Visual inspection for intermediate bond imperfections

Conclusions:
The results of the testing demonstrate that the device meets the acceptance criteria and has substantially equivalent performance to the predicate.
The changes to the distal and intermediate bonds have no impact on all other previously submitted data. The previously submitted data are applicable to the modified AngioSculpt PTA catheter.

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

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K050629, K072225, K080151, K081220, K082059, K091966, K100303

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 870.1250 Percutaneous catheter.

(a)
Identification. A percutaneous catheter is a device that is introduced into a vein or artery through the skin using a dilator and a sheath (introducer) or guide wire.(b)
Classification. Class II (performance standards).

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Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle with its wings spread, and the words "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" are arranged in a circular pattern around the eagle. The logo is black and white.

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

May 31, 2016

AngioScore, Inc. c/o Hogan Lovells US, LLP 555 Thirteenth Street NW Washington, District of Columbia 20004 ATTN: Jonathan S. Kahan

Re: K110767

Trade/Device Name: AngioSculpt® PTA Scoring Balloon Catheter Regulation Number: 21 CFR 870.1250 Regulation Name: Percutaneous Catheter Regulatory Class: Class II Product Code: PNO Dated: March 18, 2011 Received: March 18, 2011

Dear Mr. Kahan:

This letter corrects our substantially equivalent letter of April 15, 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 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

1

Page 2 - Mr. Jonathan S. Kahan

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 contact the Division of Industry and Consumer Education 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. 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 Industry and Consumer Education 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,

Misti L. Malone -S

for Bram D. 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 Statement

510(k) Number (if known): __ K110 + 6 7

Device Name: AngioSculpt PTA Scoring Balloon Catheter

Indications for Use:

The AngioSculpt PTA Scoring Balloon Catheter is intended for dilatation of lesions in the iliac, femoral, ilio-femoral, popliteal, infra popliteal, and renal arteries, and for the treatment of obstructive lesions of native or synthetic arteriovenous dialysis fistulae. Not for use in the coronary or neuro-vasculature.

Prescription Use X (Per 21 C.F.R. 801.109)

AND/OR

Over-The-Counter Use (Per 21 C.F.R. 807 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

summa R vduu

(Division Sign-Off) Division of Cardiovascular Devices

510(k) Number k11076.7

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510(k) SUMMARY

K110747

APR 1 5 2011

AngioScore AngioSculpt® PTA Scoring Balloon Catheter

1. Submitter's Name / Contact Person

| Submitter: | AngioScore, Inc.
5055 Brandin Court
Fremont, CA 94538 |
|-----------------|-------------------------------------------------------------------------------------------|
| Contact Person: | Kimberley Kline
Regulatory Affairs Manager
Phone: 510.933.7989
Fax: 510.933.7994 |

Summary Preparation Date: April 11, 2011

2. General Information

Trade Name:AngioSculpt® PTA Scoring Balloon Catheter
Common / Usual Name:Angioplasty catheter
Classification Name:Percutaneous Catheter
Classification Regulation:21 CFR § 870.1250
Product Codes:DQY and LIT
Predicate Devices:AngioSculpt® Scoring Balloon Catheter (K050629,
K072225, K080151, K081220, K082059, K091966,
K100303)

3. Intended Use / Indications

The AngioSculpt PTA Scoring Balloon Catheter is intended for dilatation of lesions in the illiac, femoral, ilio-femoral, popliteal, infra popliteal, and renal arteries, and for the treatment of obstructive lesions of native or synthetic arteriovenous dialysis fistulae. Not for use in the coronary or neuro-vasculature.

4. Device Description

The AngioSculpt catheter is a standard two-lumen catheter with a scoring balloon near the distal tip. The distal end of the catheter has a conventional nylon-blend balloon with a nitinol scoring element that wraps around the balloon. The scoring element creates focal concentrations of

4

dilating force which minimizes balloon slippage and assists with luminal expansion of stenotic arteries. The balloon has radiopaque markers to aid in positioning the balloon in the stenosis, and is designed to provide an expandable segment of known diameter and length at a specific pressure.

The modified AngioSculpt PTA catheter has very similar technological characteristics as the cleared AngioSculpt PTA catheter. The modified AngioSculpt PTA Catheter is exactly the same device as the cleared AngioSculpt PTA catheter, except for minor differences to the distal bond and intermediate bond of the 0.018" OTW platform, 20mm balloon length catheters.

5. Summary of Non-Clinical Performance Testing

Design verification testing of the distal and intermediate bonds, manufactured using the modified design and modifications to the manufacturing process, was conducted to verify that the modified bonds meet specifications.

Based on the application of risk analysis and a change impact assessment, the device was evaluated for the following product attributes potentially affected by the design changes and the modifications to the bonding processes:

  • . Entry Profile (distal bond OD)
  • Profile (intermediate bond OD) .
  • Fatigue Strength .
  • Bond Tensile Strenath •
  • Visual inspection for distal bond imperfections -
  • Visual inspection for intermediate bond imperfections ・

Conclusions

The results of the testing demonstrate that the device meets the acceptance criteria and has substantially equivalent performance to the predicate.

The changes to the distal and intermediate bonds have no impact on all other previously submitted data. The previously submitted data are applicable to the modified AngioSculpt PTA catheter.

6. Substantial Equivalence Comparison

The modified AngioSculpt PTA Catheter has the same intended use and indications for use as the previously cleared AngioSculpt PTA Catheter. In addition, the modified AngioSculpt PTA Catheter has very similar technological characteristics as its predicate. The differences between the current AngioSculpt PTA Catheter and its cleared predicate include minor modifications to the design and manufacturing process of the distal and intermediate bond of the device. These differences do not raise new questions of safety or efficacy, nor substantially

5

alter the fundamental scientific technology of the device. Testing demonstrates that the modified device meets its specifications with no observations of distal or intermediate bond imperfections, and is substantially equivalent to the cleared AngioSculpt PTA Catheter.

As the AngioSculpt PTA Catheter has the same intended use and indications for use as the predicate, and has substantially similar technological characteristics, and the minor technological differences do not raise new questions of safety or efficacy, the AngioSculpt PTA Catheter is substantially equivalent to the predicate device.