K Number
K130569
Device Name
ND NABIL DIB INFUSION CATHETER
Date Cleared
2013-11-15

(256 days)

Product Code
Regulation Number
870.1210
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The ND Infusion Catheter is a multi-channel balloon catheter designed to isolate a specific vascular treatment region from biood flow while allowing infusion of physician-specified fluids into the target region.
Device Description
The ND Infusion Catheter is a multilumen (3) and multichannel (6) balloon catheter designed to isolate a specific treatment region from blood flow while directing infusion of fluids into the specified region. The catheter has a length of 135cm and diameter of 3F, and is intended to be used with a 6F or larger guide catheter along with a 0.014" rapid exchange guide wire for positioning the catheter in the desired region. The bifurcated proximal hub provides for the following functionality: 1) Balloon Port · Inflation of a compliant balloon to requlate blood flow during therapy infusion; target vessel diameter = 2.0 - 4.5 mm. · Balloon is prepared via a 3-way stopcock connection using a 10cc syringe and inflated using a 50:50 contrast/saline solution delivered via a 1cc syringe for precise inflation under fluoroscopic guidance. 2) Infusion Port · Infusion of a therapeutic agent into the vasculature through multiple fluid channels (each with diameter = 0.006"). · Physician-specified fluid is administered through the infusion port via a 1-way stopcock connection using a 1cc syringe. The catheter is designed with 3 shaft transitions. As a result, the catheter has 4 contiguous segments: PROXIMAL, MID, EXPANSION, and DISTAL. Radiopaque marker bands at each end of the balloon and at the distal tip allow for catheter positioning under fluoroscopic guidance.
More Information

Not Found

No
The description focuses on the mechanical and fluid delivery aspects of a catheter and does not mention any AI or ML components.

Yes
The device is intended to allow infusion of physician-specified fluids (therapeutic agents) into a target vascular region, indicating its use in administering therapy.

No

The device is designed for therapeutic purposes, specifically for isolating a vascular region and infusing fluids, not for diagnosing conditions.

No

The device description clearly details a physical catheter with multiple lumens, a balloon, and radiopaque markers, indicating it is a hardware device.

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 (like blood, urine, or tissue) to detect diseases, conditions, or infections. They are used outside of the body.
  • Device Function: The ND Infusion Catheter is a device designed to be inserted into the body (specifically, the vascular system) to isolate a region and deliver fluids. It is an invasive medical device used for treatment delivery, not for testing samples.
  • Intended Use: The intended use clearly states it's for isolating a vascular region and allowing infusion of fluids into the target region. This is a therapeutic or procedural use, not a diagnostic test on a sample.
  • Device Description: The description details the physical characteristics and how it's used within the body (balloon inflation, infusion through lumens, positioning with guide wires and fluoroscopy).
  • Performance Studies: The performance studies focus on the physical properties of the catheter and its performance within an animal model (trackability, pushability, balloon function, lack of vascular injury). These are typical tests for an invasive medical device, not an IVD.

Therefore, the ND Infusion Catheter is an invasive medical device used for therapeutic or procedural purposes, not an In Vitro Diagnostic.

N/A

Intended Use / Indications for Use

The ND Infusion Catheter is a multi-channel balloon catheter designed to isolate a specific vascular treatment region from blood flow while allowing infusion of physician-specified fluids into the target region.

Product codes

KRA

Device Description

The ND Infusion Catheter is a multilumen (3) and multichannel (6) balloon catheter designed to isolate a specific treatment region from blood flow while directing infusion of fluids into the specified region. The catheter has a length of 135cm and diameter of 3F, and is intended to be used with a 6F or larger guide catheter along with a 0.014" rapid exchange guide wire for positioning the catheter in the desired region.

The bifurcated proximal hub provides for the following functionality:

    1. Balloon Port · Inflation of a compliant balloon to regulate blood flow during therapy infusion; target vessel diameter = 2.0 - 4.5 mm.
    • · Balloon is prepared via a 3-way stopcock connection using a 10cc syringe and inflated using a 50:50 contrast/saline solution delivered via a 1cc syringe for precise inflation under fluoroscopic guidance.
  1. Infusion Port
  • · Infusion of a therapeutic agent into the vasculature through multiple fluid channels (each with diameter = 0.006").
  • · Physician-specified fluid is administered through the infusion port via a 1-way stopcock connection using a 1cc syringe.

The catheter is designed with 3 shaft transitions. As a result, the catheter has 4 contiguous segments: PROXIMAL, MID, EXPANSION, and DISTAL.

SEGMENTFUNCTIONALITY
PROXIMALTwo lumens in the PROXIMAL segment --- for fluid infusion and balloon inflation -- extend from the bifurcated hub to the MID section.
MIDMID section includes the guidewire Rx port and lumen. and the balloon located distally. The balloon is compliant and designed to expand to accommodate blood vessels with diameters of 2.0 - 4.5 mm while regulating blood flow during infusion.
EXPANSIONEXPANSION segment extends distally from balloon towards the catheter tip and is designed to provide for volumetric expansion of infusate.
DISTALIn DISTAL segment, infusion lumen divides into 6 independent channels (0.006") delivering infusate to target region at multichannel tip.

Radiopaque marker bands at each end of the balloon and at the distal tip allow for catheter positioning under fluoroscopic guidance.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Fluoroscopic guidance

Anatomical Site

vascular treatment region

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Physician / 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)

Technical Testing:
The results of bench testing provide reasonable assurance that the device has been designed and performs in conformance to the requirements for its intended use. The technical testing included (but was not limited to) the following:

  • Balloon Fatigue
  • · Balloon Burst Testing
  • · Balloon Inflation/Deflation
  • · Balloon Radial Force Testing
  • · Track Force Testing
  • · Torque Strength Test
  • · Tensile Testing
  • · Separation Force at Break
  • · Flexibility-Kink Resistance Test
  • · Liquid Leakage Under Pressure

Biocompatibility:
Blood-contacting materials were tested for biocompatibility.

  • Cytotoxicity -- L929 MEM Elution Test: Non-Cytotoxic
  • Cytotoxicity -- L929 Neutral Red Uptake Test: Non-Cytotoxic
  • Sensitization -- Kligman Maximization Test: Non-Sensitizing
  • Irritation -- Intracutaneous Injection Test: Non-Irritating
  • Systemic Toxicity -- Systemic Injection Test: Nontoxic
  • Genotoxicity -- S Typhimurium & E Coli Reverse Mutation: Non-Genotoxic
  • Hemolysis -- Rabbit Blood: Non-Hemolytic
  • Thrombogenicity - Study in Dogs: Minimal thrombosis with a Grade of 0 observed in 2/2 test sites and 2/2 control sites; Non-Thrombogenic
  • Complement Activation Assay: Non-Complement Activating
  • Coagulation - Unactivated PTT Assay: Non-Coagulating
  • Hemocompatibility -- In Vitro Assay: Hemocompatible

Animal Studies:
An acute animal study in the swine arterial vasculature catheter demonstrated excellent trackability, pushability, balloon inflation, deflation, removal, infusion of fluid through the infusion lumen, marker band visibility, and no hub or catheter leak. There was no vascular injury in any of the vessels that were evaluated (LCx, LAD, RCA, Renal, Femoral, Iliac, Carotid) as assessed by angiography and gross examination.
Key Results: This study robustly validated the functional performance and safety of the ND Infusion Catheter.

Overall Conclusion:
The results of the Technical Testing, Biomaterial Assessments, and Animals Study summarized above did not raise new safety or performance questions.
Based on the above testing, the ND Infusion Catheter is substantially equivalent to devices legally marketed in the United States.

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

Not Found

Predicate Device(s)

K081147

Reference Device(s)

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

§ 870.1210 Continuous flush catheter.

(a)
Identification. A continuous flush catheter is an attachment to a catheter-transducer system that permits continuous intravascular flushing at a slow infusion rate for the purpose of eliminating clotting, back-leakage, and waveform damping.(b)
Classification. Class II (performance standards).

0

TRANSLATIONAL RESEARCH INSTITUTE
----------------------------------

ND INFUSION CATHETER

K130569, 510(k) Summary Page 1 of 3

510(K) SUMMARY

Contact Information

| Submitter's Name and Address: | TRANSLATIONAL RESEARCH INSTITUTE
3420 S Mercy Road, #312
Gilbert, Arizona 85297
Tel: 480-726-1904 / Fax: 480-612-0641 |
|---------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------|
| Name of Contact Person: | DeAnn Dana, Project Manager
Translational Research Institute
3420 S Mercy Road, #312
Gilbert, AZ 85297
Tel: 480-726-1904 / Fax: 480-612-0641 |
| Date Summary was Prepared: | October 14, 2013 |
| Name of Device | |
| Name of the Device:
Trade or Proprietary Name: | NDTM Nabil Dib Infusion Catheter
NDTM Nabil Dib Infusion Catheter |

I rade or Proprietary Name: Common or Usual Name: Classification Name: CFR Reference Product Code Regulatory Class

Nabil Dib Infusion Catheter Infusion Catheter Continuous Flush Catheter 21 CRF 870.1210 KRA Class II

Predicate Device

510(K)MANUFACTURERDEVICEAPPROVAL DATE
K081147Vascular DesignsIsoFlow Infusion Catheter05-29-09

Device Description

The ND Infusion Catheter is a multilumen (3) and multichannel (6) balloon catheter designed to isolate a specific treatment region from blood flow while directing infusion of fluids into the specified region. The catheter has a length of 135cm and diameter of 3F, and is intended to be used with a 6F or larger guide catheter along with a 0.014" rapid exchange guide wire for positioning the catheter in the desired region.

The bifurcated proximal hub provides for the following functionality:

    1. Balloon Port · Inflation of a compliant balloon to requlate blood flow during therapy infusion; target vessel diameter = 2.0 - 4.5 mm.
    • · Balloon is prepared via a 3-way stopcock connection using a 10cc syringe and inflated using a 50:50 contrast/saline solution delivered via a 1cc syringe for precise inflation under fluoroscopic guidance.
  1. Infusion Port
  • · Infusion of a therapeutic agent into the vasculature through multiple fluid channels (each with diameter = 0.006").
  • · Physician-specified fluid is administered through the infusion port via a 1-way stopcock connection using a 1cc syringe.

K130569

510(K) SUMMARY

1

TRANSLATIONAL RESEARCH INSTITUTE

The catheter is designed with 3 shaft transitions. As a result, the catheter has 4 contiguous segments: PROXIMAL, MID, EXPANSION, and DISTAL.

SEGMENTFUNCTIONALITY
PROXIMALTwo lumens in the PROXIMAL segment --- for fluid infusion and balloon
inflation -- extend from the bifurcated hub to the MID section.
MIDMID section includes the guidewire Rx port and lumen. and the
balloon located distally. The balloon is compliant and designed to
expand to accommodate blood vessels with diameters of 2.0 - 4.5
mm while regulating blood flow during infusion.
EXPANSIONEXPANSION segment extends distally from balloon towards the catheter
tip and is designed to provide for volumetric expansion of infusate.
DISTALIn DISTAL segment, infusion lumen divides into 6 independent
channels (0.006") delivering infusate to target region at multichannel tip.

Radiopaque marker bands at each end of the balloon and at the distal tip allow for catheter positioning under fluoroscopic guidance.

Indications for Use

The ND Infusion Catheter is a multi-channel balloon catheter designed to isolate a specific vascular treatment region from blood flow while allowing infusion of physician-specified fluids into the target region.

Comparison to Predicate

ND Infusion Catheter vs. Predicate Device

PARAMETERND Infusion CatheterIsoFlow Infusion Catheter
Length135 cm150 cm
Diameter2.4F3.5F
Number of Lumens33
Number of Infusion Ports63
MaterialsShaft -- Pebax
Balloon -- PellethaneNot known

Technical Testing

The results of bench testing provide reasonable assurance that the device has been designed and performs in conformance to the requirements for its intended use. The technical testing included (but was not limited to) the following:

  • Balloon Fatigue
  • · Balloon Burst Testing
  • · Balloon Inflation/Deflation
  • · Balloon Radial Force Testing
  • · Track Force Testing
  • · Torque Strength Test
  • · Tensile Testing
  • · Separation Force at Break
  • · Flexibility-Kink Resistance Test
  • · Liquid Leakage Under Pressure

K130569

2

TRANSLATIONAL RESEARCH INSTITUTE

Biocompatibility

Blood-contacting materials were tested for biocompatibility as summarized below.

TESTRESULTSCONCLUSIONS
Cytotoxicity -- L929 MEM Elution
TestTest article meets requirements of the test and is
not considered to have a cytotoxic effect.Non-Cytotoxic
Cytotoxicity -- L929 Neutral Red
Uptake TestTest article meets requirements of the test and is
not considered to have a cytotoxic effect.Non-Cytotoxic
Sensitization -- Kligman
Maximization TestGrade I sensitization rate is not considered
significant and the test article meets the
requirements of the ISO 10993-10 guidelines.Non-Sensitizing
Irritation -- Intracutaneous Injection
TestThe test article sites did not show a significantly
greater biological reaction than the sites injected
with the control article.Non-Irritating
Systemic Toxicity -- Systemic
Injection TestThe test article did not induce a significantly
greater biological reaction than the control
extracts, when tested in Swiss Albino mice.Nontoxic
Genotoxicity -- S Typhimurium
& E Coli Reverse MutationThe mean number of revertants per plate was
calculated for the test article extracts, and for the
negative and positive control articles.
A statistically significant increase in the number of
colonies was not observed with the test article.Non-Genotoxic
Hemolysis -- Rabbit BloodThe test article meets the requirements of the test
and is not considered hemolytic.Non-Hemolytic
Thrombogenicity - Study in DogsMinimal thrombosis with a Grade of 0 (a very small
clot is acceptable) was observed in 2/2 test sites
and in 2/2 control sites; the amount of thrombosis
was not considered significant.Non-Thrombogenic
Complement Activation AssayThe test article meets the requirements of the test
and is not considered having activated the
complement system in human plasma.Non-Complement
Activating
Coagulation - Unactivated PTT
AssayThe test article meets the requirements of the test
and is not considered having an effect on the
coagulation of human plasma via UPTT.Non-Coagulating
Hemocompatibility -- In Vitro AssayThe test article meets the requirements of the test
and is not considered having an effect on selected
hematological parameters.Hemocompatible

Animal Studies

An acute animal study in the swine arterial vasculature catheter demonstrated excellent trackability, pushability, balloon inflation, deflation, removal, infusion of fluid through the infusion lumen, marker band visibility, and no hub or catheter leak. There was no vascular injury in any of the vessels that were evaluated (LCx, LAD, RCA, Renal, Femoral, Iliac, Carotid) as assessed by angiography and gross examination. In summary, this study robustly validated the functional performance and safety of the ND Infusion Catheter.

The results of the Technical Testing, Biomaterial Assessments, and Animals Study summarized above did not raise new safety or performance questions.

Conclusions

Based on the above testing, the ND Infusion Catheter is substantially equivalent to devices legally marketed in the United States.

3

Image /page/3/Picture/2 description: The image shows the logo for the U.S. Department of Health and 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 symbol that resembles a caduceus, a traditional symbol of medicine, but with three intertwined figures instead of snakes.

Food and Drug Administration 0903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002

November 15, 2013

Translational Research Institute DeAnn Dana, RN Project Manager 3420 S Mercy Rd #312 Gilbert, AZ 85297 US

Re: K130569

Trade/Device Name: ND™ Nabil Dib Infusion Catheter Regulation Number: 21 CFR 870.1210 Regulation Name: Continuous Flush Catheter Regulatory Class: Class II Product Code: KRA Dated: October 15, 2013 Received: October 16, 2013

Dear Ms. Dana,

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 devicerelated adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in

4

Page 2 - Deann Dana, Rn


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 contact the Division of Small Manufacturers. International and Consumer Assistance at its tollfree number (800) 638-2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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,

M.A. Lillehemen

for

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

Enclosure

5

K130569 Page 1 of 1

Indications for Use Statement

Device Name: ND™ Nabil Dib Infusion Catheter

.

K130569 510(k) Number:

Indications for Use: The ND Infusion Catheter is a multi-channel balloon catheter designed to isolate a specific vascular treatment region from biood flow while allowing infusion of physician-specified fluids into the target region.

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

CONCURRENCE OF CDRH, OFFICE OF DEVICE EVALUATION

Prescription Use _____________________________________________________________________________________________________________________________________________________________

OR

Over-The-Counter Use _________________________________________________________________________________________________________________________________________________________

(Per 21 CFR 801.109)

M.A. Stilleman