K Number
K111154
Device Name
SELECTRA IC-50-60, SELECTRA IC-50-75, SELECTRA IC-90-65, SELECTRA IC-90-75
Manufacturer
Date Cleared
2011-05-23

(28 days)

Product Code
Regulation Number
870.1250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Selectra CS lead introducer system is used to facilitate lead implantation in the left side of the heart via the coronary sinus.
Device Description
The Selectra CS lead introducer system is a family of guiding catheters specifically used for the placement of coronary sinus leads. It is designed to assist with introducing leads into the left side of the heart via the coronary sinus. The system also facilitates access to the coronary sinus venous system as well as probing the coronary sinus.
More Information

Not Found

No
The summary describes a physical medical device (guiding catheters) and does not mention any software, algorithms, or data processing that would indicate the use of AI or ML.

No
The device is an introducer system, which is a tool used to facilitate the implantation of leads, not a therapeutic device itself.

No
The device is described as a lead introducer system used to facilitate lead implantation and access to the coronary sinus, not to diagnose a condition or disease.

No

The device description explicitly states it is a "family of guiding catheters," which are physical hardware components used in medical procedures.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use/Indications for Use: The description clearly states the device is used to "facilitate lead implantation in the left side of the heart via the coronary sinus." This is a procedure performed on the patient's body, not a test performed on a sample taken from the patient.
  • Device Description: The device is described as a "guiding catheter" used for "placement of coronary sinus leads" and "access to the coronary sinus venous system." These are all related to a surgical or interventional procedure, not a diagnostic test.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, tissue, etc.), detecting analytes, or providing diagnostic information based on laboratory testing.

IVD devices are used to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. This device is a tool used in a medical procedure.

N/A

Intended Use / Indications for Use

The Selectra CS lead introducer system is used to facilitate lead implantation in the left side of the heart via the coronary sinus.

Product codes

DQY, DRE

Device Description

The Selectra CS lead introducer system is a family of guiding catheters specifically used for the placement of coronary sinus leads. It is designed to assist with introducing leads into the left side of the heart via the coronary sinus. The system also facilitates access to the coronary sinus venous system as well as probing the coronary sinus. The following catheters are the subject of this Special 510(k):

  • . Selectra IC 90-65
  • Selectra IC 50-65
  • Selectra IC 90-75
  • Selectra IC 50-75 . .

The Selectra 5F Guiding Catheters are packaged with the following components:

  • 1 Selectra CS 5F guiding catheter (sterile) .
  • . 1 technical manual or web-card (non-sterile)

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

left side of the heart via the coronary sinus

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)

Not Found

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

Not Found

Predicate Device(s)

K110461

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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).

0

April 22, 2011

BIOTRONIK, Selectra 5F Guiding Catheter, Special 510(k)

Selectra CS Lead Introducer System 5F Guiding Catheters Special 510(k) Premarket Notification

MAY 2 3 2011

1. 510(K) SUMMARY

Name and Address of Sponsor:

BIOTRONIK, Inc. 6024 Jean Road Lake Oswego, OR 97035

1028232 Establishment Registration Number:

Device Name:

Proprietary Name: Classification: Classification Name: Product Code:

Selectra Guiding Catheters Class II (21 CFR 870.1250) Percutaneous Catheter DQY, DRE

General Description:

The Selectra CS lead introducer system is a family of guiding catheters specifically used for the placement of coronary sinus leads. It is designed to assist with introducing leads into the left side of the heart via the coronary sinus. The system also facilitates access to the coronary sinus venous system as well as probing the coronary sinus. The following catheters are the subject of this Special 510(k):

  • . Selectra IC 90-65 � Selectra IC 50-65
  • Selectra IC 90-75 Selectra IC 50-75 . .

The Selectra 5F Guiding Catheters are packaged with the following components:

  • 1 Selectra CS 5F guiding catheter (sterile) .
  • . 1 technical manual or web-card (non-sterile)

Device Modification:

The changes made to the Selectra 5F guiding catheters compared to the previously cleared Selectra 7F guiding catheters are limited to minor dimensional changes.

The usage of the Selectra 5F guiding catheters remains unchanged and the product characteristics including the indications for use, contraindications, materials, and functions are identical to the previously cleared Selectra guiding catheters in submission K110461, cleared on April 20, 2011. Therefore, this previously cleared version will serve as the predicate device for the modified catheters included in this Special 510(k).

1

BIOTRONIK, Selectra 5F Guiding Catheter, Special 510(k). _____________________________________________________________________________________________________________________

Predicate Devices:

BIOTRONIK's Selectra (7F Guiding Catheters (K110461, 20-Apr-2011)

  • Selectra Amplatz 6.0-45 .
  • Selectra Amplatz 6.0-55 .
  • Selectra Straight-45 .
  • . Selectra Straight-55
  • Selectra BIO2-45 .
  • Selectra BIO2-55 .
  • Selectra Extended Hook-45 .
  • Selectra Extended Hook-55 .
  • . Selectra Hook-45

Indication for Use:

The Selectra CS lead introducer system is used to facilitate lead implantation in the left side of the heart via the coronary sinus.

| Name and Address of Manufacturer: | BIOTRONIK SE & Co. KG (reg. no. 9610139)
Woermannkehre 1,
12359 Berlin, Germany
011-49-30-689-05-1210 |
|--------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------|
| Name and Address of Contract Manufacturer: | BIOTRONIK AG (reg. no. 8043892)
Ackerstrasse 6
8180 Bülach,
Switzerland 011-41-44-864-5169 |
| Name and Address of Contract Sterilizer: | Sterigenics Germany GmbH
(reg. no. 3002807090)
Kasteler Straße 45
(Rheingaustrasse 190 - 196)
D-65203 Wiesbaden, Germany |
| Contact Person(s) and Phone Number: | Jon Brumbaugh
VP, Regulatory Affairs and Compliance |

Phone (888) 345-0374 Fax (503) 635-9936 jon.brumbaugh@biotronik.com

  • Selectra Hook-55 .
  • Selectra MPEP-45 .
  • Selectra MPEP-55 .
  • Selectra MPH-45 .
  • Selectra MPH-55 .
  • Selectra Right-45 .
  • Selectra Right-55 .

2

Indications for Use

510(k) Number (if known): TBD

Device Name: Selectra CS Lead Introducer System Indications for Use:

The Selectra CS lead introducer system is used to facilitate lead implantation in the left side of the heart via the coronary sinus.

Prescription Use (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)

(

Page 1 of 1

3

Image /page/3/Picture/0 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo features a stylized depiction of an eagle or bird-like figure with three curved lines forming its body and wings. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the bird-like figure.

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

MAY-2 3 2011

Biotronik, Inc. c/o Mr. Jon Brumbaugh Vice President, Regulatory Affairs and Compliance 6024 Jean Road Lake Oswego, OR 97035

Re: K111154

Selectra ic-50-65 Selectra ic-50-75 Selectra ic-90-65 Selectra ic-90-75 Regulation Number: 21 CFR 870.1250 Regulation Name: Percutaneous Catheter Regulatory Class: Class II Product Code: DQY, DRE Dated: April 22, 2011 Received: April 25, 2011

Dear Mr. Brumbaugh:

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.

4

Page 2 - Mr. Jon Brumbaugh

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 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/CDRH0ffices/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,

Bram D. Zuckerman, M.D.

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

Enclosure

5

Indications for Use

510(k) Number (if known): TBD

Device Name: Selectra CS Lead Introducer System Indications for Use:

The Selectra CS lead introducer system is used to facilitiate lead implantation in the left via the coronary sinus.

Prescription Use V (Part 21 CFR 801 Subpart D) AND/OR

Over-The-Counter Use (21 CFR 801 Subpa11 C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Page 1 of 1

(Division Sign-Off)
Division of Cardiovascular Devices

510(k) Number K111154