K Number
K131710
Device Name
MERIT HYDROPHILIC GUIDE WIRE
Date Cleared
2013-07-29

(48 days)

Product Code
Regulation Number
870.1330
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Merit Hydrophilic Guide Wire is intended to be used in the peripheral vascular system to facilitate the placement of devices during diagnostic and interventional procedures.
Device Description
The Merit Hydrophilic Guide Wire consists of a jacketed core wire with a hydrophilic coating applied to the jacket. The wire will be offered in straight and angled configurations in various lengths.
More Information

No
The summary describes a physical medical device (a guide wire) and its performance testing, with no mention of software, algorithms, or AI/ML capabilities.

No
The device is a guide wire intended to facilitate the placement of other devices during diagnostic and interventional procedures, not to treat a disease or condition itself.

No

The device is a guide wire used to facilitate the placement of other devices during procedures, not to diagnose a condition itself.

No

The device description clearly states it is a "jacketed core wire with a hydrophilic coating," indicating a physical, hardware-based medical device. The performance studies also focus on physical attributes like tensile strength, torque strength, and coating adherence.

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

Here's why:

  • Intended Use: The intended use clearly states the device is used "in the peripheral vascular system to facilitate the placement of devices during diagnostic and interventional procedures." This describes a device used within the body for procedural support, not a device used to test samples outside the body to diagnose conditions.
  • Device Description: The description details a physical wire with a coating, designed for insertion into the body. This is consistent with an interventional medical device, not an IVD.
  • Lack of IVD Characteristics: The document does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing biological samples (blood, urine, tissue, etc.)
    • Detecting or measuring substances in samples
    • Providing diagnostic information based on sample analysis
    • Reagents or assays

The device is a guide wire, which is a common tool used in various medical procedures to guide other devices (like catheters or stents) through blood vessels. This is a type of interventional device, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The Merit Hydrophilic Guide Wire is intended to be used in the peripheral vascular system to facilitate the placement of devices during diagnostic and interventional procedures.

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

DQX

Device Description

The Merit Hydrophilic Guide Wire consists of a jacketed core wire with a hydrophilic coating applied to the jacket. The wire will be offered in straight and angled configurations in various lengths.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

peripheral vascular system

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. A battery of testing was conducted in accordance with protocols based on requirements outlined in guidance's and industry standards and these were shown to meet the acceptance criteria that were determined to demonstrate substantial equivalence.
Where appropriate, the tests were based on the requirements of the following documents:
FDA guidance Coronary and Cerebrovascular Guide Wire Guidance January 1995. ISO 11070: 1998, Sterile Single-Use Intravascular Catheter Introducers. ISO 11135-1: 2007 Sterilization of health care products-Ethylene oxide- Part 1: Requirements for the development, validation and routine control of a sterilization process for medical devices. ASTM F1980-07 Standard Guide for Accelerated Aging of Sterile Barrier Systems for Medical Devices ISO 10993-1: 2009, Biological Evaluation of Medical Devices Part 1: Evaluation and Testing within a risk management process, and the FDA Modified ISO 10993 Test Profile FDA Memo G95-1. The Merit Hydrophilic Guide Wire was compared to the predicate device(s) for various performance attributes that support substantial equivalence of the device. The difference in wire diameter between the modified device and the cleared device [K120644] has raised no new issues. Performance testing was based on Predicate device # 2 [K863138] Terumo Radiofocus® Glidewire®.
The following is a list of all significant testing that was successfully completed:
Tensile Strength, Torque Strength, Torquability, Tip Flexibility, Coating Adherence/Integrity (including Evaluation using Anatomical Model), Catheter Compatibility (Durability), Surface, Fracture Test, Flex test, Size Designation/ Dimensions and Radiopacity.
As all test results were comparable to the predicate devices and the subject Merit Hydrophilic guide wire met the predeterminded acceptance criteria applicable to the safety and efficacy of the device,this has demonstrated the subject device is substantially equivalent to predicate devices.

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.

K120644, K130588

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.

K863138

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

§ 870.1330 Catheter guide wire.

(a)
Identification. A catheter guide wire is a coiled wire that is designed to fit inside a percutaneous catheter for the purpose of directing the catheter through a blood vessel.(b)
Classification. Class II (special controls). The device, when it is a torque device that is manually operated, non-patient contacting, and intended to manipulate non-cerebral vascular guide wires, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 870.9.

0

Section 6
510(k) Summary
General
ProvisionsSubmitter Name:
Address:Merit Medical Systems, Inc.
Parkmore Business Park
Parkmore, Galway, Ireland
Telephone Number:
Fax Number:
Contact Person:
Registration Number:(+353) 91 703700 (3061)
(+353) 91 680 104
Mark Mullaney
9616662JUL 2 9 2013
Correspondent Name:
Address:Merit Medical Ireland Ltd.
Parkmore Business Park
Parkmore, Galway, Ireland
Telephone Number:
Fax Number:
Contact Person:
Date of Preparation:
Registration Number:(+353) 91 703700 (3168)
(+353) 91 680 104
Martha Folan
26th June 2013
9616662
Subject
DeviceTrade Name:
Common/Usual Name:
Classification Name:Merit Hydrophilic Guide Wire
Hydrophilic Guide Wire
Catheter Guide Wire
Predicate
DeviceTrade Name:
Classification Name:Merit Hydrophilic Guide Wire
Catheter Guide Wire
Premarket Notification Predicate Device # 1:
Merit Hydrophilic Guide Wire K120644
Manufacturer: Merit Medical Systems, Inc
Premarket Notification Predicate Device # 2:
Radiofocus® Glidewire® K863138
Manufacturer: Terumo Medical Corp.
Premarket Notification Predicate Device # 3
Merit Hydrophilic Guide Wire K130588
Manufacturer: Merit Medical Systems, Inc

1

| Classification | Class II
21 CFR § 870.1330,
Product code: DQX
Division of Cardiovascular Devices |
|----------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Intended Use | The Merit Hydrophilic Guide Wire is intended to be used in the peripheral
vascular system to facilitate the placement of devices during diagnostic
and interventional procedures. |
| Device
Description | The Merit Hydrophilic Guide Wire consists of a jacketed core wire with a
hydrophilic coating applied to the jacket. The wire will be offered in
straight and angled configurations in various lengths. |
| Comparison
to Predicate | Technological characteristics of the subject Merit Hydrophilic Guide Wire
are substantially equivalent to those of the predicate, the Merit
Hydrophilic Guide Wire [K120644]. The difference between the devices
relates to the guide wire diameter size. The guide wire design remains
unchanged. Predicate device #2 [K863138] Terumo Radiofocus®
Glidewire® is the predicate for performance testing parameters.
Predicate device #3 [K130588] includes clarification of the Intended use
statement. |

2


| Safety &
Performance
Tests | No performance standards have been established under section 514 of
the Food, Drug and Cosmetic Act for these devices. A battery of testing
was conducted in accordance with protocols based on requirements
outlined in guidance's and industry standards and these were shown to
meet the acceptance criteria that were determined to demonstrate
substantial equivalence.

Where appropriate, the tests were based on the requirements of the
following documents:
FDA guidance Coronary and Cerebrovascular Guide Wire
Guidance January 1995. ISO 11070: 1998, Sterile Single-Use Intravascular Catheter
Introducers. ISO 11135-1: 2007 Sterilization of health care products-Ethylene
oxide- Part 1: Requirements for the development, validation and
routine control of a sterilization process for medical devices. ASTM F1980-07 Standard Guide for Accelerated Aging of Sterile
Barrier Systems for Medical Devices ISO 10993-1: 2009, Biological Evaluation of Medical Devices Part
1: Evaluation and Testing within a risk management process, and
the FDA Modified ISO 10993 Test Profile FDA Memo G95-1. The Merit Hydrophilic Guide Wire was compared to the predicate
device(s) for various performance attributes that support substantial
equivalence of the device. The difference in wire diameter between the
modified device and the cleared device [K120644] has raised no new
issues. Performance testing was based on Predicate device # 2
[K863138] Terumo Radiofocus® Glidewire®.

The following is a list of all significant testing that was successfully
completed:
Tensile Strength, Torque Strength, Torquability, Tip Flexibility, Coating
Adherence/Integrity (including Evaluation using Anatomical Model),
Catheter Compatibility (Durability), Surface, Fracture Test, Flex test, Size
Designation/ Dimensions and Radiopacity.
As all test results were comparable to the predicate devices and the
subject Merit Hydrophilic guide wire met the predeterminded acceptance
criteria applicable to the safety and efficacy of the device,this has
demonstrated the subject device is substantially equivalent to predicate
devices. |
|------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Summary of
Substantial
Equivalence | Based on the Indications for Use, design, safety and performance
testing, the subject Merit Medical Hydrophilic Guide Wire meets the
requirements that are considered essential for its intended use and is
substantively equivalent to the predicate device, the Merit Hydrophilic
Guide Wire manufactured by Merit Medical Systems Inc. |

3

Image /page/3/Picture/0 description: The image shows the logo for the Department of Health & Human Services - USA. The logo is a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized symbol that resembles a caduceus, a traditional symbol of medicine, but with a more abstract and modern design.

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

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

July 29, 2013

Merit Medical Systems, Inc. Ms. Martha Folan Senior Regulatory Affairs Specialist Parkmore Business Park West Galway, Ireland

Re: K131710

Trade/Device Name: Merit Hydrophilic Guide Wire Regulation Number: 21 CFR 870.1330 Regulation Name: Catheter guide wire Regulatory Class: II Product Code: DQX Dated: June 27, 2013 Received: July 1, 2013

Dear Ms. Martha Folan:

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 10 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

4

Page 2 - Ms. Folan

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 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" (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,

Bram D. Zuckerman -S

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

5

K131710

Merit Medical Systems, Inc. Merit Hydrophilic Guide Wire Special Premarket Notification 510(k)

Section 5

Indications for Use Statement

510 (k) Number:

Device Name: Merit Hydrophilic Guide Wire

Indications for Use:

The Merit Hydrophilic Guide Wire is intended to be used in the peripheral vascular system to facilitate the placement of devices during diagnostic and interventional procedures.

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)

Bram D. Zuckerman -S 2013.07.29 18:10:49 -04'00'

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