K Number
K130124
Device Name
CATALYST II AND III
Date Cleared
2013-03-14

(56 days)

Product Code
Regulation Number
870.4450
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Catalyst II " System is intended to promote hemostasis at arteriotomy sites as an adjunct to manual compression. The Catalyst II System is indicated for use in patients undergoing diagnostic and/or interventional femoral artery catheterization procedures using SF, 6F or 7F introducer sheaths. The Catalyst™ III System with Protamine Sulfate is intended to promote hemostasis at arteriotomy sites as an adjunct to manual compression in heparinized patients. The Catalyst™ III System is indicated for use in patients undergoing diagnostic and/or interventional femoral artery catheterization procedures using 5F, 6F or 7F introducer sheaths.
Device Description
The Cardiva Catalyst systems are intended to promote hemostasis at arteriotomy sites as adjuncts to manual compression and retain the same indication for use as the Boomerang Catalyst System family of devices. The Cardiva Catalyst systems consist of a sterile disposable Cardiva Catalyst wire and a sterile disposable Catalyst Clip. The Cardiva Catalyst III System is specifically designed for use with heparinized patients. In conjunction with manual compression, the Cardiva Catalyst systems provide temporary hemostasis at a femoral access site after femoral arterial catheterization while allowing continued distal perfusion. After completion of catheterization, the Cardiva Catalyst wire is inserted into the artery through the existing introducer sheath. After insertion, the distal tip of the Cardiva Catalyst wire is deployed, which opens a flat, low-profile Catalyst Disc within the lumen of the femoral artery. During dwell, natural recoil of the smooth muscle of the vessel wall occurs at the arteriotomy site. A biocompatible coating on the Cardiva Catalyst III Wire aides the body's natural hemostatic process and promotes ease of removal. Specifically, the Cardiva Catalyst III System's biocompatible coating includes a minimal amount of Protamine Sulfate to further aid the body's natural hemostatic process in heparinized patients. Following the procedure, the Catalyst Disc is collapsed and the Cardiva Catalyst III wire is completely removed from the artery. No part of the device is left behind. Final closure of the arteriotomy occurs by applying gentle manual or mechanical compression after removal of the Cardiva Catalyst III System.
More Information

Not Found

No
The device description focuses on mechanical and material properties for hemostasis, with no mention of AI or ML algorithms for analysis, decision-making, or control.

Yes
The device is intended to promote hemostasis and provides temporary hemostasis at a femoral access site after femoral arterial catheterization, which is a method of treating a condition (promoting clotting).

No.
The device's stated intended use is to "promote hemostasis at arteriotomy sites," which is a therapeutic function, not a diagnostic one. While it is indicated for use in patients undergoing "diagnostic and/or interventional femoral artery catheterization procedures," the device itself is for hemostasis after these procedures, not for performing the diagnosis.

No

The device description clearly outlines physical components (wire, clip, disc) that are inserted into the body, indicating it is a hardware medical device, not software-only.

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

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections. They are used to provide information for diagnosis, monitoring, or screening.
  • Device Function: The description clearly states that the Catalyst II and III Systems are intended to promote hemostasis (stop bleeding) at the site where a catheter was inserted into the femoral artery. This is a mechanical or pharmacological intervention performed directly on the patient's body, not a test performed on a sample outside the body.
  • Lack of Diagnostic Testing: There is no mention of analyzing biological samples or providing diagnostic information. The device's purpose is to aid in the physical closure of the access site.

Therefore, the Catalyst II and III Systems fall under the category of medical devices used for therapeutic or procedural support, not in vitro diagnostics.

N/A

Intended Use / Indications for Use

The Catalyst II " System is intended to promote hemostasis at arteriotomy sites as an adjunct to manual compression. The Catalyst II System is indicated for use in patients undergoing diagnostic and/or interventional femoral artery catheterization procedures using SF, 6F or 7F introducer sheaths.

The Catalyst™ III System with Protamine Sulfate is intended to promote hemostasis at arteriotomy sites as an adjunct to manual compression in heparinized patients. The Catalyst™ III System is indicated for use in patients undergoing diagnostic and/or interventional femoral artery catheterization procedures using 5F, 6F or 7F introducer sheaths.

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

DXC

Device Description

The Cardiva Catalyst systems are intended to promote hemostasis at arteriotomy sites as adjuncts to manual compression and retain the same indication for use as the Boomerang Catalyst System family of devices. The Cardiva Catalyst systems consist of a sterile disposable Cardiva Catalyst wire and a sterile disposable Catalyst Clip. The Cardiva Catalyst III System is specifically designed for use with heparinized patients. In conjunction with manual compression, the Cardiva Catalyst systems provide temporary hemostasis at a femoral access site after femoral arterial catheterization while allowing continued distal perfusion. After completion of catheterization, the Cardiva Catalyst wire is inserted into the artery through the existing introducer sheath. After insertion, the distal tip of the Cardiva Catalyst wire is deployed, which opens a flat, low-profile Catalyst Disc within the lumen of the femoral artery. During dwell, natural recoil of the smooth muscle of the vessel wall occurs at the arteriotomy site. A biocompatible coating on the Cardiva Catalyst III Wire aides the body's natural hemostatic process and promotes ease of removal. Specifically, the Cardiva Catalyst III System's biocompatible coating includes a minimal amount of Protamine Sulfate to further aid the body's natural hemostatic process in heparinized patients. Following the procedure, the Catalyst Disc is collapsed and the Cardiva Catalyst III wire is completely removed from the artery. No part of the device is left behind. Final closure of the arteriotomy occurs by applying gentle manual or mechanical compression after removal of the Cardiva Catalyst III System.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

femoral artery

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): 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.

K082930, K072297, K070485

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

§ 870.4450 Vascular clamp.

(a)
Identification. A vascular clamp is a surgical instrument used to occlude a blood vessel temporarily.(b)
Classification. Class II (performance standards).

0

MAR 1 4 2013

Cardiva Medical Inc.

Section 8. Premarket Notification 510(k) Summary

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: K130124

Applicant Information:

Date Prepared:January 16, 2013
Name:Cardiva Medical, Inc.
Establishment Registration #3004182619
Address:888 W. Maude Avenue
Sunnyvale, CA 94085

Contact Person:

NameMichael A Daniel, Acting VP Regulatory Affairs
e-mailmadaniel@clinregconsult.com
Phone Number:(415) 407-0223
Office:(925) 254-5228
Facsimile Number:(925) 254-5187

Device Information:

Device Trade Name:Catalyst™ II and III
Common Name:Vascular Clamp
Classification Name(s):Vascular Clamp
Product Code/ Regulation:DXC / (21 CFR §870.4450)
Classification:Class II

Predicate Device:

Catalyst™ II and III K082930, K072297, and K070485

Device Description:

The Cardiva Catalyst systems are intended to promote hemostasis at arteriotomy sites as adjuncts to manual compression and retain the same indication for use as the Boomerang Catalyst System family of devices. The Cardiva Catalyst systems consist of a sterile disposable Cardiva Catalyst wire and a sterile disposable Catalyst Clip. The Cardiva Catalyst III System is specifically designed for use with heparinized patients. In conjunction with manual compression, the Cardiva Catalyst systems provide temporary hemostasis at a femoral access site after femoral arterial catheterization while allowing continued distal perfusion. After completion of catheterization, the Cardiva Catalyst wire is inserted into the artery through the existing introducer sheath. After insertion, the distal tip of the Cardiva Catalyst wire is deployed, which opens a flat, low-profile Catalyst Disc within the lumen of the femoral artery. During dwell, natural recoil of the smooth muscle of the vessel wall occurs at the arteriotomy site. A biocompatible coating on the Cardiva Catalyst III Wire aides the body's natural hemostatic process and promotes ease of removal. Specifically, the Cardiva Catalyst III System's biocompatible coating includes a minimal amount of Protamine Sulfate to further aid the body's natural hemostatic process in heparinized patients. Following the procedure, the Catalyst Disc is collapsed and the Cardiva

1

Cardiva Medical Inc.

Notice of Change Being Effected 510(k); Device Labeling Modification

Catalyst III wire is completely removed from the artery. No part of the device is left behind. Final closure of the arteriotomy occurs by applying gentle manual or mechanical compression after removal of the Cardiva Catalyst III System.

Device Name: Catalyst™ II System

Indications for Use:

The Catalyst II™ System is intended to promote hemostasis at arteriotomy sites as an adjunct to manual compression. The Catalyst II System is indicated for use in patients undergoing diagnostic and/or interventional femoral artery catheterization procedures using 5F, 6F or 7F introducer sheaths.

Device Name: Catalyst™ III System with Protamine Sulfate

Indications for Use:

The Catalyst™ III System with Protamine Sulfate is intended to promote hemostasis at arteriotomy sites as an adjunct to manual compression in heparinized patients. The Catalyst™ III System is indicated for use in patients undergoing diagnostic and/or interventional femoral artery catheterization procedures using 5F, 6F or 7F introducer sheaths.

Comparison to Predicate Device:

No change is being made to the predicate device. The subject device is identical to the previously cleared device Catalyst™ II and III (K072297 and K082930). The only change that is being made is the addition of a Contraindication for Shell Fish Allergy.

Summary:

The Cardiva Medical Catalyst II System and Catalyst™ III System with Protamine Sulfate is identical to the previously cleared device Catalyst™ II and III (K072297 and K082930). The only change that is being made is the addition of a Contraindication for Shell Fish Allergy.

2

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 circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is a stylized image of an eagle with its wings spread, symbolizing the department's mission to protect the health of all Americans.

Public Health Service

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

March 14, 2013

Cardiva Medical, Inc. c/o Mr. Michael A. Daniel Acting Vice President, Regulatory Affairs 888 W. Maude Ave. Sunnyvale, CA 94085

Re: K130124

Trade/Device Name: Cardiva Catalyst™ II and III Regulation Number: 21 CFR 870.4450 Regulation Name: Vascular Clamp Regulatory Class: Class II Product Code: DXC Dated: January 23, 2013 Received: January 24, 2013

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.

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

3

Page 2 - Mr. Michael A. Daniel

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/ResourcesforYou/Industry/default.htm.

Sincerely yours,

Matthew G. Hillebrenner

for

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

Enclosure

4

Cardiva Medical Inc.

Section 7. Indications for Use Statement

K130124 510(k) Number (if known): _

Device Name: Catalyst™ II System

Indications for Use:

The Catalyst II " System is intended to promote hemostasis at arteriotomy sites as an adjunct to manual compression. The Catalyst II System is indicated for use in patients undergoing diagnostic and/or interventional femoral artery catheterization procedures using SF, 6F or 7F introducer sheaths.

Device Name: Catalyst™ III System with Protamine Sulfate

Indications for Use:

The Catalyst™ III System with Protamine Sulfate is intended to promote hemostasis at arteriotomy sites as an adjunct to manual compression in heparinized patients. The Catalyst™ III System is indicated for use in patients undergoing diagnostic and/or interventional femoral artery catheterization procedures using 5F, 6F or 7F introducer sheaths.

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)

Matthew G. Hillebrenner

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