K Number
K122772
Manufacturer
Date Cleared
2012-11-20

(71 days)

Product Code
Regulation Number
870.1250
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The DDC™ Catheters are indicated for the introduction of interventional devices into the peripheral and neurovasculature.

Device Description

The DDC™ Catheters are variable stiffness catheter with various diameters, a catheter shaft reinforced with a stainless steel or Nitinol coil, and have a radiopaque markerband on the distal end. They are available in various lengths. The DDC™ Catheters have a PTFE-lined lumen, which is coil re-enforced, flexible, and hydrophilically coated. The DDC™ Catheters are inserted through a guide catheter or vascular sheath, provide access to the target site and once in place, provides a reinforcing conduit for other intravascular devices. The devices are provided sterile and include a rotating hemostasis valve and tip shaping mandrel. The DDC™ Catheters will be available in various configurations to allow physician ease of device tracking to the target site

AI/ML Overview

Here's an analysis of the provided text regarding the acceptance criteria and the study proving the device meets them:

1. Table of Acceptance Criteria and Reported Device Performance

AttributeAcceptance CriteriaReported Device Performance
DDC™ must be compatible with 6F sheath100% Pass100% Pass
DDC™ tracking over 0.038" guidewire100% Pass100% Pass
0.038" Guidewire Compatible100% Pass100% Pass
Hub Transition100% Pass100% Pass
Microcatheter compatibility100% Pass100% Pass
Microcatheter friction100% Pass100% Pass
Microcatheter support100% Pass100% Pass
0.038in guidewire compatibility (Friction Force) (DDC 5MAX only)100% Pass100% Pass
Torsion (DDC 4MAX only)100% Pass100% Pass

2. Sample Size Used for the Test Set and Data Provenance

The document does not explicitly state the sample size used for the performance tests. It also does not mention the data provenance (e.g., country of origin, retrospective or prospective data) for these tests. The tests appear to be "Non-clinical testing," suggesting they were conducted in a lab setting rather than with patient data.

3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications of those Experts

This information is not provided in the document. Given that the testing is described as "Non-clinical testing" and focuses on physical and mechanical attributes, it's unlikely that clinical experts were used to establish a ground truth in the traditional sense. The "ground truth" here would be the physical measurement and functional assessment against predefined engineering specifications.

4. Adjudication Method for the Test Set

The document does not describe an adjudication method. For non-clinical, objective performance tests, formal adjudication by multiple experts is typically not relevant. The pass/fail criteria are usually based on objective measurements and engineering standards.

5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

There is no mention of an MRMC comparative effectiveness study involving human readers or AI in this document. The device is a physical medical device (catheter), not an AI-powered diagnostic tool.

6. If a Standalone (i.e. algorithm only without human-in-the-loop performance) was done

This is not applicable as the device is a physical medical catheter, not an algorithm.

7. The Type of Ground Truth Used

The ground truth for the non-clinical performance testing appears to be based on pre-defined engineering specifications and objective measurements of the catheter's physical and mechanical properties. The "Acceptance Criteria" table implicitly defines these desired performance characteristics.

8. The Sample Size for the Training Set

This information is not applicable. The DDC™ Catheters are physical medical devices, and the provided document describes non-clinical performance testing for regulatory submission, not a machine learning model that would require a training set.

9. How the Ground Truth for the Training Set was Established

This information is not applicable, as there is no training set for a machine learning model.

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510(k) Summary

K122772

Sponsor/Applicant Name and Address 1.1

Penumbra Inc.

1351 Harbor Bay Parkway Alameda, CA 94502

Sponsor Contact Information 1.2

Seth A. Schulman

Director, Regulatory Affairs Phone: 510-748-3223 FAX: 510-217-6414 email: seth.schulman@penumbrainc.com

Date of Preparation of 510(k) Summary 1.3

September 7, 2012

Device Trade or Proprietary Name 1.4

DDC™ Catheters

1.5 Device Common/Usual or Classification Name

Catheter, Percutaneous (Product Code: DQY)

NOV 2 0 7012

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Identification of the Legally Marketed Devices to which Equivalence 1.6 is Being Claimed:

Name of Predicate DeviceName of Manufacturer(Town, State)510(k) Number
Penumbra PICA™ CatheterPenumbra, IncAlameda, CAK093970
Penumbra System ReperfusionCathetersPenumbra, IncAlameda, CAK072718,K090752 &K113163

1.7 Device Description:

The DDC™ Catheters are variable stiffness catheter with various diameters, a catheter shaft reinforced with a stainless steel or Nitinol coil, and have a radiopaque markerband on the distal end. They are available in various lengths. The DDC™ Catheters have a PTFE-lined lumen, which is coil re-enforced, flexible, and hydrophilically coated. The DDC™ Catheters are inserted through a guide catheter or vascular sheath, provide access to the target site and once in place, provides a reinforcing conduit for other intravascular devices. The devices are provided sterile and include a rotating hemostasis valve and tip shaping mandrel. The DDC™ Catheters will be available in various configurations to allow physician ease of device tracking to the target site

1.8 Intended Use:

The DDC™ Catheters are indicated for the introduction of interventional devices into the peripheral and neuro vasculature.

Comparison to Predicate Devices 1.9

The DDC™ Catheters include design modifications that enable improved trackability and therapeutic device deliverability to the vasculature. This submission also includes larger lumen catheters in various lengths compared to the predicate PICA™ Catheter.

Penumbra SystemReperfusion CathetersPICA™ CatheterSubject DDC™Catheters
-----------------------------------------------------------------------------------------

1.6

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Penumbra SystemReperfusion CathetersPICATM CatheterSubject DDCTMCatheters
IndicationThe Penumbra System™is intended for use in therevascularization ofpatients with acuteischemic strokesecondary to intracraniallarge vessel occlusivedisease (within theinternal carotid, middlecerebral - M1 and M2segments, basilar, andvertebral arteries) within8 hours of symptomonset.The PICA™ Catheteris indicated for theintroduction ofinterventional devicesinto the peripheral andneuro vasculature.SAME(PICA)
Materials
- CatheterShaft/HubNylon, PTFE,Polyurethane,Polycarbonate,hydrophilic coatingNylon, PTFE,Polyurethane,Polycarbonate,hydrophilic coatingSAME
- Catheter shaftsupportStainless Steel/NitinolStainless SteelSAME(Penumbra SystemReperfusion Catheters)
- CatheterMarkerbandPlatinum / IridiumPlatinum / IridiumSAME
- PackagingTyvek/Mylar pouch,polyethylene hooppaper packaging card,SBS cartonTyvek/Mylar pouch,polyethylene hooppaper packaging card,SBS cartonSAME
SterilizationEtOEtOSAME
Shelf-Life36 Months36 MonthsSAME

1.10 Summary of Non-clinical Data:

Biocompatibility tests conducted for the DDC™ Catheters were selected in accordance with ISO-10993 -1 guidelines (Biological Evaluation of Medical Devices) for external communicating devices contacting circulating blood. All studies were conducted pursuant to 21 CFR, Part 58, Good Laboratory Practices.

Non-clinical testing found the DDC™ Catheters to be biocompatible and non-pyrogenic. The physical, mechanical and performance testing of the subject DDC™ Catheters demonstrate that the product is safe and effective for its labeled indications and is Substantially Equivalent to the currently marketed predicate devices.

Table 1: DDC Performance Testing

Attribute Acceptance Criteria Results

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AttributeAcceptance CriteriaResults
DDC must becompatible with 6Fsheath100% Pass100% Pass
DDC tracking over0.038" guidewire100% Pass100% Pass
0.038" GuidewireCompatible100% Pass100% Pass
Hub Transition100% Pass100% Pass
Microcathetercompatibility100% Pass100% Pass
Microcatheterfriction100% Pass100% Pass
Microcathetersupport100% Pass100% Pass
0.038in guidewirecompatibility100% Pass100% Pass
(Friction Force)(DDC 5MAX only)100% Pass100% Pass
Torsion(DDC 4MAX only)100% Pass100% Pass

:

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Image /page/4/Picture/0 description: The image shows the logo for the Department of Health & Human Services - USA. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized image of an eagle with three parallel lines forming its body and wings.

DEPARTMENT OF HEALTH & HUMAN SERVICES

Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-002

November 20, 2012

Penumbra, Inc. c/o Mr. Seth A. Schulman Director, Regulatory Affairs 1351 Harbor Bay Parkway Alameda, CA 94502

Re: K122772

Trade/Device Name: DDCTM Catheters Regulation Number: 21 CFR 870.1250 Regulation Name: Percutaneous Catheter Regulatory Class: Class II Product Code: DQY Dated: September 7, 2012 Received: September 10, 2012

Dear Mr. Schulman:

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. Seth A. Schulman

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/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,

Joyce M. Whang

for Victor Krauthamer, Ph.D. Acting Director Division of Neurological and Physical Medicine Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number: K122772

Device Name: DDC™ Catheters

Indications For Use:

The DDC™ Catheters are indicated for the introduction of interventional devices into the peripheral and neurovasculature.

Prescription Use _ XX (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)

K122772

Joyce M. Whang

(Division Sign Off) Division of Neurological and Physical Medicine Devices (DNPMD)

510(k) Number

Page 1 of 1

§ 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).