K Number
K111766
Device Name
SUPERA VERITAS INTERWOVEN SELF-EXPANDING NITINOL STENT TRANSHEPTIC BILIARY SYSTEMS
Date Cleared
2011-10-19

(118 days)

Product Code
Regulation Number
876.5010
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The SUPERA™ VERITAS™ Interwoven Self-Expanding Nitinol Stent Transhepatic Biliary System is indicated for palliative treatment of biliary strictures produced by malignant neoplasms.
Device Description
The SUPERA VERITAS® Interwoven Self-Expanding Nitinol Stent Transhepatic Biliary System is a 0.014" or 0.018" guidewire compatible, multi-lumen sheath based delivery system and a SUPERA® Biliary Stent. The stent delivery catheter includes a radiopaque Stent Length Marker and Distal Sheath Marker embedded in the Outer Sheath to aid in proper stent positioning; a Thumb Slide connected internally for advancing the Stent out of the Outer Sheath while the Outer Sheath moves proximally in a de-coupled fashion; a Sheath Flush Port for flushing the central lumen of the device; a Deployment Lock that when actuated enables the final deployment stroke of the stent; a Guidewire Lumen with a radiopaque Catheter Tip located on the distal end of the Catheter Shaft; a Guidewire Flush Port used for flushing the Guidewire Lumen; a Stent Driver (ratchet) which moves the stent distally relative to the Outer Sheath; and the System Lock which eliminates the possibility of premature deployment. The working length of the delivery catheter is 80cm and 120cm. The SUPERA® Stent is housed within the SUPERA VERITAS® stent delivery catheter and is a closed end interwoven self-expanding Nitinol stent. The SUPERA® stent is composed of 6 interwoven, closed loop Nitinol wires. The wire loops are closed via a proprietary welding process which utilizes small Nitinol tubes that act as a coupler to provide the mechanical means of joining the wire ends. The SUPERA VERITAS® Interwoven Self-Expanding Nitinol Stent Transhepatic Biliary System is a sterile (via Ethylene Oxide sterilization) device and is intended for single use only.
More Information

Not Found

No
The device description focuses on the mechanical components and materials of the stent and delivery system. There is no mention of AI, ML, image processing, or any data-driven algorithms. The performance studies described are standard bench and biocompatibility testing, not studies related to AI/ML performance.

Yes
The device is indicated for the "palliative treatment of biliary strictures produced by malignant neoplasms," which describes a therapeutic purpose.

No

The device is a stent delivery system indicated for palliative treatment of biliary strictures, not for diagnosing conditions.

No

The device description clearly details a physical medical device, specifically a stent and its delivery system, made of materials like Nitinol and utilizing mechanical components. There is no mention of software as the primary or sole component.

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

Here's why:

  • Intended Use: The intended use is for the "palliative treatment of biliary strictures produced by malignant neoplasms." This describes a therapeutic intervention performed within the body, not a test performed on samples taken from the body.
  • Device Description: The description details a stent and a delivery system designed to be implanted in the biliary tract. This is consistent with an interventional medical device, not a diagnostic one.
  • Lack of IVD Characteristics: The description does not mention any components or processes related to analyzing biological samples (like blood, urine, tissue, etc.) to diagnose a condition or provide information about a patient's health status.

IVD devices are used to examine specimens derived from the human body to provide information for diagnosis, monitoring, or screening. This device is used to treat a condition directly within the body.

N/A

Intended Use / Indications for Use

The SUPERA VERITAS® Interwoven Self-Expanding Nitinol Stent Transhepatic Biliary System is indicated for palliative treatment of biliary strictures produced by malignant neoplasms.

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

FGE

Device Description

The SUPERA VERITAS® Interwoven Self-Expanding Nitinol Stent Transhepatic Biliary System is a 0.014" or 0.018" guidewire compatible, multi-lumen sheath based delivery system and a SUPERA® Biliary Stent. The stent delivery catheter includes a radiopaque Stent Length Marker and Distal Sheath Marker embedded in the Outer Sheath to aid in proper stent positioning; a Thumb Slide connected internally for advancing the Stent out of the Outer Sheath while the Outer Sheath moves proximally in a de-coupled fashion; a Sheath Flush Port for flushing the central lumen of the device; a Deployment Lock that when actuated enables the final deployment stroke of the stent; a Guidewire Lumen with a radiopaque Catheter Tip located on the distal end of the Catheter Shaft; a Guidewire Flush Port used for flushing the Guidewire Lumen; a Stent Driver (ratchet) which moves the stent distally relative to the Outer Sheath; and the System Lock which eliminates the possibility of premature deployment. The working length of the delivery catheter is 80cm and 120cm.

The SUPERA® Stent is housed within the SUPERA VERITAS® stent delivery catheter and is a closed end interwoven self-expanding Nitinol stent. The SUPERA® stent is composed of 6 interwoven, closed loop Nitinol wires. The wire loops are closed via a proprietary welding process which utilizes small Nitinol tubes that act as a coupler to provide the mechanical means of joining the wire ends.

The table below includes the available sizes and model numbers for the 6Fr SUPERA VERITAS Stent Delivery System.

Model No.Stent DiameterStent LengthCatheter Length
S-04-040-80-6F4mm40mm80cm
S-04-060-80-6F4mm60mm80cm
S-04-080-80-6F4mm80mm80cm
S-04-100-80-6F4mm100mm80cm
S-04-120-80-6F4mm120mm80cm
S-05-040-80-6F5mm40mm80cm
S-05-060-80-6F5mm60mm80cm
S-05-080-80-6F5mm80mm80cm
S-05-100-80-6F5mm100mm80cm
S-05-120-80-6F5mm120mm80cm
S-06-040-80-6F6mm40mm80cm
S-06-060-80-6F6mm60mm80cm
S-06-080-80-6F6mm80mm80cm
S-06-100-80-6F6mm100mm80cm
S-06-120-80-6F6mm120mm80cm
S-07-040-80-6F7mm40mm80cm
S-07-060-80-6F7mm60mm80cm
S-07-080-80-6F7mm80mm80cm
S-07-100-80-6F7mm100mm80cm
S-04-040-120-6F4mm40mm120cm
S-04-060-120-6F4mm60mm120cm
S-04-080-120-6F4mm80mm120cm
S-04-100-120-6F4mm100mm120cm
S-04-120-120-6F4mm120mm120cm
S-05-040-120-6F5mm40mm120cm
S-05-060-120-6F5mm60mm120cm
S-05-080-120-6F5mm80mm120cm
S-05-100-120-6F5mm100mm120cm
S-05-120-120-6F5mm120mm120cm
S-06-040-120-6F6mm40mm120cm
S-06-060-120-6F6mm60mm120cm
S-06-080-120-6F6mm80mm120cm
S-06-100-120-6F6mm100mm120cm
S-06-120-120-6F6mm120mm120cm
S-07-040-120-6F7mm40mm120cm
S-07-060-120-6F7mm60mm120cm
S-07-080-120-6F7mm80mm120cm
S-07-100-120-6F7mm100mm120cm

The SUPERA VERITAS® Interwoven Self-Expanding Nitinol Stent Transhepatic Biliary System is a sterile (via Ethylene Oxide sterilization) device and is intended for single use only.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Biliary

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)

Non-clinical testing was performed.

Biocompatibility testing included:

  • Cytotoxicity (Pass)
  • Klingman Maximization (NaCl and CSO extracts) (Pass)
  • Intracutaneous Injection (NaCl and CSO extracts) (Pass)
  • Systemic Injection (NaCl and CSO extracts) (Pass)
  • Rabbit Pyrogen (Pass)
  • Hemolysis (Pass)
  • Thrombogenicity Study in Dogs (Pass)
  • Complement Activation Assay (C3a and SC5b-9) (Pass)
  • Unactivated Partial Thromboplastin Time (UPTT) (Pass)

Performance Bench Testing included:

  • Biliary Radial Force: Comparison of the results of the SUPERA Stent deployed from a 6Fr SUPERA VERITAS Stent Delivery System to the Bard E-LUMINEXX in regards to compressive force (radial stiffness and radial strength) and expansive force (radial stiffness and radial strength). (Pass)
  • Catheter Torque Strength: Performed to characterize the torque strength of the SUPERA VERITAS Stent Delivery system when the handle was rotated on its central axis. (Pass)
  • Deployment Testing: The following elements were assessed during deployment testing: Working length, ratchet release, Tensile, Leak, Introducer Compatibility, Guidewire Compatibility, Pushability/Flexibility, Trackability, Torque, Distal stent deployment and Accuracy, Thumb slide deployment force, Thumb slide retraction force and Deployed stent length accuracy. (Pass)
  • Particulate: Performed using USP , Particulate Matter in Injections and AAMI TIR42, Evaluation of Particulates Associated with Vascular Medical Devices. (Pass)

Performance bench testing demonstrated that the 6Fr SUPERA VERITAS® Interwoven Self-Expanding Nitinol Stent Transhepatic Biliary System is substantially equivalent to its predicate devices. No additional safety risks were observed during testing.

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.

K093893, K063532, K062798

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

§ 876.5010 Biliary catheter and accessories.

(a)
Identification. A biliary catheter and accessories is a tubular flexible device used for temporary or prolonged drainage of the biliary tract, for splinting of the bile duct during healing, or for preventing stricture of the bile duct. This generic type of device may include a bile collecting bag that is attached to the biliary catheter by a connector and fastened to the patient with a strap.(b)
Classification. Class II (special controls). The device, when it is a bile collecting bag or a surgical biliary catheter that does not include a balloon component, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 876.9.

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K 111766
Page 1 of 4

OCT 1 9 2011

Image /page/0/Picture/2 description: The image shows the logo for IDEV. The logo consists of the letters "IDEV" in a bold, sans-serif font. To the right of the letters, there are three concentric circles that appear to be incomplete, creating a sense of motion or dynamism. A registered trademark symbol is located above the circles.

inspiration · innovation · intervention

510(k) Summary

SUPERA VERITAS® Interwoven Self-Expanding Nitinol Stent Transhepatic Biliary System

Submitter:

IDEV Technologies, Inc. 253 Medical Center Boulevard Webster, Texas 77598 281/525-2000

Contact Person: Darlene Garner Regulatory Affairs Manager 281/525-2052 (phone) 281/525-2001 (fax) dgarner@idevmd.com

Date Prepared: June 22, 2011

SUPERA VERITAS® Interwoven Self-Expanding Nitinol Stent Trade Name: Transhepatic Biliary System

Common Name: Stent Delivery Catheter

Classification Name: Catheter, Biliary, Diagnostic; Class II

Product Code: FGE

SUPERA VERITAS® Interwoven Self-Expanding Nitinol Stent Predicate Devices: Transhepatic Biliary System (K093893)

Bard E-LUMINEXX® Biliary Stent (K063532)

Cordis S.M.A.R.T. ®Nitinol Stent Transhepatic Biliary System (K062798)

1

Device Description:

The SUPERA VERITAS® Interwoven Self-Expanding Nitinol Stent Transhepatic Biliary System is a 0.014" or 0.018" guidewire compatible, multi-lumen sheath based delivery system and a SUPERA® Biliary Stent. The stent delivery catheter includes a radiopaque Stent Length Marker and Distal Sheath Marker embedded in the Outer Sheath to aid in proper stent positioning; a Thumb Slide connected internally for advancing the Stent out of the Outer Sheath while the Outer Sheath moves proximally in a de-coupled fashion; a Sheath Flush Port for flushing the central lumen of the device; a Deployment Lock that when actuated enables the final deployment stroke of the stent; a Guidewire Lumen with a radiopaque Catheter Tip located on the distal end of the Catheter Shaft; a Guidewire Flush Port used for flushing the Guidewire Lumen; a Stent Driver (ratchet) which moves the stent distally relative to the Outer Sheath; and the System Lock which eliminates the possibility of premature deployment. The working length of the delivery catheter is 80cm and 120cm.

The SUPERA® Stent is housed within the SUPERA VERITAS® stent delivery catheter and is a closed end interwoven self-expanding Nitinol stent. The SUPERA® stent is composed of 6 interwoven, closed loop Nitinol wires. The wire loops are closed via a proprietary welding process which utilizes small Nitinol tubes that act as a coupler to provide the mechanical means of joining the wire ends.

The table below includes the available sizes and model numbers for the 6Fr SUPERA VERITAS Stent Delivery System.

Model No.Stent DiameterStent LengthCatheter Length
S-04-040-80-6F4mm40mm80cm
S-04-060-80-6F4mm60mm80cm
S-04-080-80-6F4mm80mm80cm
S-04-100-80-6F4mm100mm80cm
S-04-120-80-6F4mm120mm80cm
S-05-040-80-6F5mm40mm80cm
S-05-060-80-6F5mm60mm80cm
S-05-080-80-6F5mm80mm80cm
S-05-100-80-6F5mm100mm80cm
S-05-120-80-6F5mm120mm80cm
S-06-040-80-6F6mm40mm80cm
S-06-060-80-6F6mm60mm80cm
S-06-080-80-6F6mm80mm80cm
S-06-100-80-6F6mm100mm80cm
S-06-120-80-6F6mm120mm80cm
S-07-040-80-6F7mm40mm80cm
S-07-060-80-6F7mm60mm80cm
S-07-080-80-6F7mm80mm80cm
S-07-100-80-6F7mm100mm80cm
S-04-040-120-6F4mm40mm120cm
S-04-060-120-6F4mm60mm120cm
S-04-080-120-6F4mm80mm120cm
S-04-100-120-6F4mm100mm120cm

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Model No.Stent DiameterStent LengthCatheter Length
S-04-120-120-6F4mm120mm120cm
S-05-040-120-6F5mm40mm120cm
S-05-060-120-6F5mm60mm120cm
S-05-080-120-6F5mm80mm120cm
S-05-100-120-6F5mm100mm120cm
S-05-120-120-6F5mm120mm120cm
S-06-040-120-6F6mm40mm120cm
S-06-060-120-6F6mm60mm120cm
S-06-080-120-6F6mm80mm120cm
S-06-100-120-6F6mm100mm120cm
S-06-120-120-6F6mm120mm120cm
S-07-040-120-6F7mm40mm120cm
S-07-060-120-6F7mm60mm120cm
S-07-080-120-6F7mm80mm120cm
S-07-100-120-6F7mm100mm120cm

The SUPERA VERITAS® Interwoven Self-Expanding Nitinol Stent Transhepatic Biliary System is a sterile (via Ethylene Oxide sterilization) device and is intended for single use only.

Intended Use:

The SUPERA VERITAS® Interwoven Self-Expanding Nitinol Stent Transhepatic Biliary System is indicated for palliative treatment of biliary strictures produced by malignant neoplasms.

Comparison to Predicate Devices:

The 6Fr SUPERA VERITAS® Interwoven Self-Expanding Nitinol Stent Transhepatic Biliary System is substantially equivalent to the predicate devices: IDEV's 7Fr SUPERA VERITAS® Interwoven Self-Expanding Nitinol Stent Transhepatic Biliary System (K093893); the Bard E-LUMINEXX® Biliary Stent (K063532) and the Cordis S.M.A.R.T® Nitinol Stent Transhepatic Biliary System (K. 062798).

A review of the product specifications concluded that there are no major differences in design, materials, performance, safety and product effectiveness. Substantial Equivalence to the predicate devices has been demonstrated via bench performance testing.

Non-clinical Testing:

Non-clinical testing were performed per the FDA's "Guidance of Premarket notification 510(k) Submissions for Short Term and Long Term Intravascular Catheters', the "Guidance for the Content of Premarket Notifications for Metal Expandable Biliary Stents; ISO 10555 - Sterile, Single-use Intravascular Catheters; and ISO 1093 -International Standard for Biological Evaluation of Medical Devices". Clinical 1077yas not required in order to demonstrate safety and efficacy for the device modifications described in this 510(k).

3

Biocompatibility testing included:

TestResults
CytotoxicityPass
Klingman Maximization (NaCl and CSO extracts)Pass
Intracutaneous Injection (NaCl and CSO extracts)Pass
Systemic Injection (NaCl and CSO extracts)Pass
Rabbit PyrogenPass
HemolysisPass
Thrombogenicity Study in DogsPass
Complement Activation Assay (C3a and SC5b-9)Pass
Unactivated Partial Thromboplastin Time (UPTT)Pass

All biocompatibility testing was performed under the 21 CFR, Part 58 Good Laboratory Practice for Non-Clinical Laboratory Studies. All tests passed the acceptance criteria identified in the applicable protocols.

Performance Bench Testing included:

TestDescription of TestResults
Biliary Radial
ForceComparison of the results of the SUPERA Stent deployed from a 6Fr
SUPERA VERITAS Stent Delivery System to the Bard E-
LUMINEXX in regards to compressive force (radial stiffness and
radial strength) and expansive force (radial stiffness and radial
strength.Pass
Catheter Torque
StrengthPerformed to characterize the torque strength of the SUPERA
VERITAS Stent Delivery system when the handle was rotated on its
central axisPass
Deployment
TestingThis following elements were assessed during deployment testing:
Working length, ratchet release, Tensile, Leak, Introducer
Compatibility, Guidewire Compatibility, Pushability/Flexibility,
Trackability, Torque, Distal stent deployment and Accuracy, Thumb
slide deployment force, Thumb slide retraction force and Deployed
stent length accuracyPass
ParticulatePerformed using USP , Particulate Matter in Injections and
AAMI TIR42, Evaluation of Particulates Associated with Vascular
Medical Devices.Pass

Performance bench testing demonstrated that the 6Fr SUPERA VERITAS® Interwoven Self-Expanding Nitinol Stent Transhepatic Biliary System is substantially equivalent to its predicate devices. No additional safety risks were observed during testing.

Conclusion:

The 6Fr SUPERA VERITAS® Interwoven Self-Expanding Nitinol Stent Transhepatic Biliary System demonstrated to be substantially equivalent to the predicate devices based on design specifications and characteristics, principle of operation, indications for use and performance testing.

4

Image /page/4/Picture/1 description: The image is a black and white logo for the U.S. Department of Health & Human Services. The logo consists of a circular border with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the top half of the circle. Inside the circle is a stylized symbol that resembles a bird in flight or a human figure with outstretched arms, composed of three curved lines.

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

Ms. Darlene Garner Regulatory Affairs Manager IDEV Technologies, Inc. 253 Medical Center Boulevard WEBSTER TX 77598

OCT 19 2011

Re: K111766

Trade/Device Name: SUPERA VERITAS® Interwoven Self-Expanding Nitinol Stent Transhepatic Biliary System Regulation Number: 21 CFR § 876.5010 Regulation Name: Biliary catheter and accessories Regulatory Class: II Product Code: FGE Dated: September 29, 2011 Received: September 30, 2011

Dear Ms. Garner:

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). You may, therefore, market the device, subject to the general controls provisions of the Act and the limitations described below. 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.

The Office of Device Evaluation has determined that there is a reasonable likelihood that this device will be used for an intended use not identified in the proposed labeling and that such use could cause harm. Therefore, in accordance with Section 513(i)(1)(E) of the Act, the following limitation must appear in the Warnings section of the device's labeling:

The safety and effectiveness of this device for use in the vascular system have not been established.

Furthermore, the indication for use must be prominently displayed in all labeling, including pouch box, and carton labels, instructions for use, and other promotional materials, in close proximity to the trade name, of a similar point size, and in bold print.

Please note that the above labeling limitations are required by Section 513(i)(1)(E) of the Act. Therefore, a new 510(k) is required before these limitations are modified in any way or removed from the device's labeling.

5

The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and permits your device to proceed to the market. This letter will allow you to begin marketing your device as described in your Section 510(k) premarket notification if the limitation statement described above is added to your labeling.

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 contact the Center for Devices and Radiological Health's (CDRH's) Office of Compliance at (301) 796-5484. 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 contact the CDRH/Office of Surveillance and Biometrics/Division of Postmarket Surveillance at (301) 796-6926. For more information regarding the reporting of adverse events, please go to http://www.fda.gov/cdrh/mdr/.

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/cdrh/industry/support/index.html.

Sincerely yours.

Christy Foreman

Christy Foreman Director Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

6

Indications for Use

510(k) Number (if known): K11766

The SUPERA™ VERITAS™ Interwoven Self-Expanding Nitinol Stent Device Name: Transhepatic Biliary System

FDA's Statement of the Indications for Use for device:

The SUPERA™ VERITAS™ Interwoven Self-Expanding Nitinol Stent Transhepatic Biliary System is indicated for palliative treatment of biliary strictures produced by malignant neoplasms.

Prescription Use 1 (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (21 CFR 807 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

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