K Number
K122190
Device Name
PRELUDE 7F SHORT SHEATH INTRODUCER
Date Cleared
2012-08-17

(24 days)

Product Code
Regulation Number
870.1340
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Prelude® 7F Short Sheath Introducer is intended to provide access and facilitate the percutaneous introduction of various devices into veins and/or arteries while maintaining hemostasis for a variety of diagnostic and therapeutic procedures. This device can also provide access to a native or synthetic graft used for hemodialysis. The side port of the sheath allows adequate flow to perform temporary hemodialysis. The device is not indicated for long term vascular or hemodialysis access.
Device Description
The Prelude® 7F Short Sheath Introducer consists of a sheath introducer with integral hemostasis valve and side port extension tubing extending from the sheath hub. A detachable 3-way stopcock is connected to the side port extension tubing. A compatible vessel dilator is provided with the introducer. The device is available in 7F size with a sheath tubing length of 11cm. The French size designates the size of the catheter the sheath will accept. The 11cm effective length of the sheath introducer refers to the usable length of the sheath. The French size and wire tip size are printed on the dilator hub indicating the size of the catheter and guide wire that the sheath will accept.
More Information

Not Found

No
The device description and performance studies focus on the physical characteristics and mechanical performance of a sheath introducer, with no mention of AI or ML capabilities.

No.
The device itself is an introducer that facilitates the percutaneous introduction of other devices used for diagnostic and therapeutic procedures, and it can also provide access for temporary hemodialysis. However, it is not a therapeutic device in itself.

No

The device is an introducer sheath and dilator, which is a tool used to facilitate the introduction of other devices. It is explicitly stated that this device is intended for "introduction of various devices into veins and/or arteries while maintaining hemostasis for a variety of diagnostic and therapeutic procedures." This indicates it's an accessory to diagnostic procedures rather than performing the diagnosis itself.

No

The device description clearly outlines physical components like a sheath introducer, hemostasis valve, side port extension tubing, stopcock, and vessel dilator. It also describes physical characteristics like size and length. There is no mention of software as a component or function of the device.

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

Here's why:

  • Intended Use: The intended use clearly states that the device is for providing access and facilitating the introduction of devices into veins and/or arteries for diagnostic and therapeutic procedures. It also mentions providing access for temporary hemodialysis. These are all procedures performed in vivo (within the living body).
  • Device Description: The description details a physical device (sheath introducer, dilator, stopcock) designed for insertion into the vascular system.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens derived from the human body (like blood, urine, tissue, etc.) in vitro (outside the living body) to provide information for diagnostic purposes.

IVD devices are specifically designed to perform tests on biological samples outside the body to diagnose diseases or conditions. This device is an invasive medical device used for accessing the vascular system.

N/A

Intended Use / Indications for Use

The Prelude® 7F Short Sheath Introducer is intended to provide access and facilitate the percutaneous introduction of various devices into veins and/or arteries while maintaining hemostasis for a variety of diagnostic and therapeutic procedures. This device can also provide access to a native or synthetic graft used for hemodialysis. The side port of the sheath allows adequate flow to perform temporary hemodialysis. The device is not indicated for long term vascular or hemodialysis access.

Product codes

DYB

Device Description

The Prelude® 7F Short Sheath Introducer consists of a sheath introducer with integral hemostasis valve and side port extension tubing extending from the sheath hub. A detachable 3-way stopcock is connected to the side port extension tubing. A compatible vessel dilator is provided with the introducer. The device is available in 7F size with a sheath tubing length of 11cm. The French size designates the size of the catheter the sheath will accept. The 11cm effective length of the sheath introducer refers to the usable length of the sheath. The French size and wire tip size are printed on the dilator hub indicating the size of the catheter and guide wire that the sheath will accept.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

veins and/or arteries

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)

No performance standards have been established under Section 514 of the Food, Drug and Cosmetic Act for these devices. Performance testing of the subject Prelude® 7F Short Sheath Introducer was conducted based on the risk analysis and based on the requirements of the following international standard: ISO 11070:1998: Sterile, single-use intravascular catheter introducers. The following is a list of all significant testing that was successfully completed: Dimensional verification, Force at break - junction between sheath introducer and sheath hub, Surface imperfections. The results of the testing demonstrated that the subject Prelude® 7F Short Sheath Introducer met the pre-determined acceptance criteria applicable to the safety and efficacy of the device.

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

Not Found

Predicate Device(s)

K082063

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 870.1340 Catheter introducer.

(a)
Identification. A catheter introducer is a sheath used to facilitate placing a catheter through the skin into a vein or artery.(b)
Classification. Class II (performance standards).

0

K122190 Page 1 of 2

Prelude® 7F Short Sheath Introducer Section 5, 510(k) Summary Special Premarket Notification 510(k)

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AUG 1 7 2012

Section 5

510(k) Summary

| General

ProvisionsSubmitter Name:Merit Medical Systems, Inc.
Address:1600 West Merit Parkway
South Jordan, UT 84095
Telephone Number:(801) 316-4831
Fax Number:(801) 826-4113
Contact Person:Dan Clark
Date of Preparation:July 23, 2012
Registration Number:1721504
Subject
DeviceTrade Name:Prelude® 7F Short Sheath Introducer
Common/Usual Name:Introducer Catheter
Classification Name:Introducer, Catheter
Predicate
DeviceTrade Name:Prelude® Short Sheath Introducer
Classification Name:Introducer, Catheter
Premarket Notification:K082063
Manufacturer:Merit Medical Systems, Inc.
ClassificationClass II
21 CFR § 870.1340
FDA Product Code: DYB
Review Panel: Cardiovascular
Intended UseThe Prelude® 7F Short Sheath Introducer is intended to provide access
and facilitate the percutaneous introduction of various devices into
veins and/or arteries while maintaining hemostasis for a variety of
diagnostic and therapeutic procedures. This device can also provide
access to a native or synthetic graft used for hemodialysis. The side
port of the sheath allows adequate flow to perform temporary
hemodialysis. The device is not indicated for long term vascular or
hemodialysis access.
Device
DescriptionThe Prelude® 7F Short Sheath Introducer consists of a sheath
introducer with integral hemostasis valve and side port extension tubing
extending from the sheath hub. A detachable 3-way stopcock is
connected to the side port extension tubing. A compatible vessel dilator
is provided with the introducer. The device is available in 7F size with a
sheath tubing length of 11cm. The French size designates the size of
the catheter the sheath will accept. The 11cm effective length of the
sheath introducer refers to the usable length of the sheath. The French
size and wire tip size are printed on the dilator hub indicating the size of
the catheter and guide wire that the sheath will accept.
Comparison to
Predicate
DeviceThe subject device has the same technological characteristics (i.e.,
design, material, chemical composition, energy source) as predicate
device. The only difference is the sheath tubing on the subject device is
11cm in length without a black marker tip and the sheath tubing on the
predicate device is 4cm in length with a black marker tip.
Safety &
Performance
TestsNo performance standards have been established under Section 514 of
the Food, Drug and Cosmetic Act for these devices. Performance
testing of the subject Prelude® 7F Short Sheath Introducer was
conducted based on the risk analysis and based on the requirements of
the following international standard:
ISO 11070:1998: Sterile, single-use intravascular catheter
introducers The following is a list of all significant testing that was successfully
completed: Dimensional verification Force at break - junction between sheath introducer
and sheath hub Surface imperfections The results of the testing demonstrated that the subject Prelude® 7F
Short Sheath Introducer met the pre-determined acceptance criteria
applicable to the safety and efficacy of the device.
Summary of
Substantial
EquivalenceBased on the indications for use, design, safety and performance
testing, the subject Prelude® 7F Short Sheath Introducer meets the
requirements that are considered essential for its intended use and is
substantially equivalent to the predicate device, the Prelude® Short
Sheath Introducer, manufactured by Merit Medical Systems, Inc.

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1

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Prelude® 7F Short Sheath Introducer
Section 5, 510(k) Summary
Special Premarket Notification 510(k)

2

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

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

AUG 17 2012

Merit Medical Systems, Inc. % Dan Clark 1600 West Merit Pkwy. South Jordan, UT 84095 US

Re: K122190

Trade/Device Name: Prelude 7F Short Sheath Introducer Regulation Number: 21 CFR 870.1340 Regulation Name: Introducer, Catheter Regulatory Class: Class II Product Code: DYB Dated: July 23, 2012 Received: July 24, 2012

Dear Mr. Clark:

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.

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

3

Page 2 - Mr. Dan Clark

forth in the quality systems (OS) 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/Resourcesfor You/Industry/default.htm.

Sincerely yours,

.g. Holleber

C. Bram D. Zuckerman, M.D. Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

Prelude® 7F Short Sheath Introducer Section 4, Indications for Use Special Premarket Notification 510(k)

Section 4

Indications for Use

K122190

510(k) Number (if known):

Device Name: Prelude® 7F Short Sheath Introducer

Indications for Use:

The Prelude® 7F Short Sheath Introducer is intended to provide access and facilitate the percutaneous introduction of various devices into veins and/or arteries while maintaining hemostasis for a variety of diagnostic and therapeutic procedures. This device can also provide access to a native or synthetic graft used for hemodialysis. The side port of the sheath allows adequate flow to perform temporary hemodialysis. The device is not indicated for long term vascular or hemodialysis access.

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)

ChyAillel

(Division Sign-Off) Division of Cardiovascular Devices

510(k) Number_ 1122190