K Number
K111064
Device Name
TIGERPAW SYSTEM II
Manufacturer
Date Cleared
2011-05-18

(30 days)

Product Code
Regulation Number
878.4750
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The TigerPaw® System II is indicated for the occlusion of the left atrial appendage, under direct visualization, in conjunction with other open cardiac surgical procedures. Direct visualization, in this context, requires that the surgeon is able to see the heart directly, without assistance from a camera, endoscope, or any other viewing technology. This includes procedures performed by sternotomy (full or partial) as well as thoracotomy (single or multiple).
Device Description
The TigerPaw® System II consists of an implantable Fastener and Delivery Tool designed for occlusion of the left atrial appendage, under direct visualization, in conjunction with other open cardiac surgical procedures. The Fastener is composed of linearly spaced connectors overmolded with a soft silicone. The spacing between the connectors along with the silicone gives the Fastener an ability to conform to the anatomy and exclude the LAA. The TigerPaw System II also includes a hand-held disposable Delivery Tool. The Delivery Tool consists of a pistol grip handle with two triggers that when separately actuated, close opposing jaws thus mating the two sides of the permanently implanted Fastener, and, then allowing release of the Fastener and opening of the jaws for Delivery Tool removal.
More Information

Not Found

No
The description focuses on a mechanical device (fastener and delivery tool) for surgical occlusion, with no mention of AI/ML terms, image processing, or data-driven analysis.

Yes
The device is indicated for the occlusion of the left atrial appendage, which is a therapeutic intervention aimed at preventing stroke in patients with atrial fibrillation.

No

Explanation: The TigerPaw® System II is described as a device for occluding the left atrial appendage during surgery, not for diagnosing medical conditions.

No

The device description explicitly details physical components: an implantable Fastener made of connectors and silicone, and a hand-held disposable Delivery Tool with a pistol grip handle and triggers. This indicates a hardware-based medical device, not a software-only one.

Based on the provided information, the TigerPaw® System II is not an IVD (In Vitro Diagnostic) device.

Here's why:

  • Intended Use: The intended use is for the occlusion of the left atrial appendage in conjunction with other open cardiac surgical procedures. This is a surgical procedure performed directly on the patient's body.
  • Device Description: The device is an implantable Fastener and Delivery Tool designed for surgical use.
  • Lack of In Vitro Activity: IVD devices are used to examine specimens (like blood, urine, tissue) outside of the body to provide information about a person's health. The TigerPaw® System II is used inside the body during surgery.
  • No Mention of Specimen Analysis: The description does not mention any analysis of biological specimens.

Therefore, the TigerPaw® System II is a surgical device, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The TigerPaw® System II is indicated for the occlusion of the left atrial appendage, under direct visualization, in conjunction with other open cardiac surgical procedures.

Direct visualization, in this context, requires that the surgeon is able to see the heart directly, without assistance from a camera, endoscope, or any other viewing technology. This includes procedures performed by sternotomy (full or partial) as well as thoracotomy (single or multiple).

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

GDW, FTL

Device Description

The TigerPaw® System II consists of an implantable Fastener and Delivery Tool designed for occlusion of the left atrial appendage, under direct visualization, in conjunction with other open cardiac surgical procedures. The Fastener is composed of linearly spaced connectors overmolded with a soft silicone. The spacing between the connectors along with the silicone gives the Fastener an ability to conform to the anatomy and exclude the LAA. The TigerPaw System II also includes a hand-held disposable Delivery Tool. The Delivery Tool consists of a pistol grip handle with two triggers that when separately actuated, close opposing jaws thus mating the two sides of the permanently implanted Fastener, and, then allowing release of the Fastener and opening of the jaws for Delivery Tool removal.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

left atrial appendage, heart

Indicated Patient Age Range

Not Found

Intended User / Care Setting

surgeon

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)

Verification testing provided proof that the modifications met all design specifications. Extensive bench evaluations were performed on the TigerPaw® II System. This testing consisted of in virro bench testing, including connector tensile testing and pressure leak testing of fasteners, Biocompatibility testing provided evidence of continued biocompatibility of the revised device.

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.

K101961

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

§ 878.4750 Implantable staple.

(a)
Identification. An implantable staple is a staple-like device intended to connect internal tissues to aid healing. It is not absorbable.(b)
Classification. Class II.

0

K111064

Special 510(k): Device Modification TigerPaw® System II

510(K) SUMMARY

MAY 18 2011

This summary of 510(k) safety and effectiveness information is submitted in accordance with the requirements of SMDA 1990 and 21 CFR 807.92.

510(k) Number: TBD

Applicant Information:

Date Prepared: April 15, 2011

Name:LAAx Inc.
Address:151 Lindbergh Ave., Suite I
Livermore, CA 94551
Phone:925-449-4108
Contact Persons (Primary/Secondary):Michael A. Daniel/Christopher R. Timmons
Office Phone Numbers:925-254-5228/925-449-4108
Cell Phone Numbers:415-407-0223/925-699-4072
Facsimile Numbers:925-254-5187/925-449-1845

Device Information:

Classification: Class II Trade Name: TigerPaw® System II Common Name: Implantable Fastener and Accessories Classification Name: Staple, Implantable, GDW / Staple Line Reinforcement Material, FTL Regulation Number: 21 CFR 878.4750 21 CFR 870.3470

Predicate Devices:

The TigerPaw® System II is substantially equivalent in intended use and method of operation to the following predicate device:

LAAx, Inc. TigerPaw® System (K101961)

Device Description:

The TigerPaw® System II consists of an implantable Fastener and Delivery Tool designed for occlusion of the left atrial appendage, under direct visualization, in conjunction with other open cardiac surgical procedures. The Fastener is composed of linearly spaced connectors overmolded with a soft silicone. The spacing between the connectors along with the silicone gives the Fastener an ability to conform to the anatomy and exclude the LAA. The TigerPaw System II also includes a hand-held disposable Delivery Tool. The Delivery Tool consists of a pistol grip handle with two triggers that when separately actuated, close opposing jaws thus mating the

1

two sides of the permanently implanted Fastener, and, then allowing release of the Fastener and opening of the jaws for Delivery Tool removal.

Indications for Use:

The TigerPaw® System II is indicated for the occlusion of the left atrial appendage, under direct visualization, in conjunction with other open cardiac surgical procedures.

Direct visualization, in this context, requires that the surgeon is able to see the heart directly, without assistance from a camera, endoscope, or any other viewing technology. This includes procedures performed by sternotomy (full or partial) as well as thoracotomy (single or multiple).

Comparison to Predicate Device(s):

The design of the TigerPaw® System II is essentially the same as the predicate device with design modifications to increase manufacturing efficiencies, make the system less expensive to produce, and add a 1st Trigger Closure visual indicator for redundant confirmation of first trigger closure. This continues to be a device designed to occlude the left atrial appendage under direct visualization. The products share common features such as identical operating principles, same scissor type jaw actuation, same fastener closure distance, and the same 15° angled jaw. The devices are packaged sterile and are for single use.

The TigerPaw® System II and the predicate device have the same intended use: Occlusion of the left atrial appendage, under direct visualization, in conjunction with other open cardiac surgical procedures.

Device Evaluation:

Verification testing provided proof that the modifications met all design specifications. Extensive bench evaluations were performed on the TigerPaw® II System. This testing consisted of in virro bench testing, including connector tensile testing and pressure leak testing of fasteners, Biocompatibility testing provided evidence of continued biocompatibility of the revised device.

Summary:

Based upon the intended use, product technical information, performance testing and biocompatibility information provided in this pre-market notification, the TigerPaw System II has been shown to be substantially equivalent to the currently cleared predicate device in terms of design, performance and intended use.

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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 consists of a stylized eagle or bird-like symbol with three curved lines forming its body and wings. The logo is surrounded by text that reads "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" in a circular arrangement.

Public Health Service

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

LAAx, Inc. c/o Mr. Michael A. Daniel Regulatory and Clinical Affairs 151 Lindbergh Avenue, Suite I Livermore, CA 94551

MAY 18 2011

Re: K111064 TigerPaw® System II Regulation Number: 21 CFR 870.4750 Regulation Name: Staple, Implantable Regulatory Class: Class II (two) Product Code: GDW/FTL Dated: April 15, 2011 Received: April 18, 2011

Dear Mr. Daniel:

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. Michael Daniel

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/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 yours,

B. D. Zuker, M.P.

Bram D. Zuckeman, 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): K11064

Device Name:

TigerPaw® System II

Indications For Use:

The TigerPaw® System II is indicated for the occlusion of the left atrial appendage, under direct visualization, in conjunction with other open cardiac surgical procedures.

Direct visualization, in this context, requires that the surgeon is able to see the heart directly, without assistance from a camera, endoscope, or any other viewing technology. This includes procedures performed by sternotomy (full or partial) as well as thoracotomy (single or multiple).

Prescription Use X (Part 21 CFR 801 Subpart D) 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) NumberK110641

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