K Number
K132175
Device Name
EDWARDS LIFESCIENCES INTRACLUDE INTRA-AORTIC CATHETER
Date Cleared
2013-09-13

(60 days)

Product Code
Regulation Number
870.4450
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The IntraClude Intra-Aortic Occlusion Catheter is Indicated for use in patients undergoing cardiopulmonary bypass. The IntraClude Intra-Aortic Occlusion Catheter occludes and vents the ascending aorta when the balloon is inflated. The device's central lumen allows delivery of cardioplegia to arrest the heart. The pressure lumen allows monitoring of the aortic root pressure.
Device Description
The IntraClude Intra-Aortic Occlusion Device is a 10.5 Fr (3.5 mm), triple-lumen, 100cm-long catheter with an elastomeric balloon near its distal tip designed to occlude the ascending aorta in order to partition the aortic root from arterial circulation during cardiopulmonary bypass (CPB). The balloon expands to occlude a range of aorta sizes from 20 to 40 mm. This device is designed to be used in the femoral approach with the Edwards arterial cannula/introducer sheath. The shaft is provided with an extended strain relief, which tapers from 10.5 Fr to the remaining 9 Fr catheter, and is designed to prevent kinking and to avoid compressing the shaft when the hemostasis valve of an arterial cannula/introducer sheath is firmly closed around the catheter body. The large central lumen of the IntraClude catheter serves three functions: accommodating the guidewire, delivering cardioplegia solution to the aortic root, and venting fluid and air from the aortic root. The two remaining lumens serve as conduits for balloon inflation/deflation and aortic root pressure monitoring. The hub has two flexible extension tubes with an integrated luer connection to provide access for accessories. The shaft is provided with markers to indicate the insertion depth. A blue Clamp-Lock device, provided on the extended strain relief portion, allows the IntraClude catheter to be locked in position to prevent balloon migration during aortic occlusion. For situations where the 9 Fr section of the device is outside of the arterial cannula or introducer sheath, a white suture loop/box clamp is provided for locking the catheter in position. The IntraClude catheter is packaged sterile and non-pyrogenic and is for single use only.
More Information

K/DEN: Not Found

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

Yes
The device is described as an "Intra-Aortic Occlusion Catheter" used to occlude and vent the ascending aorta, deliver cardioplegia, and monitor aortic root pressure during cardiopulmonary bypass, all of which are interventions aimed at treating a medical condition or supporting a physiological function.

No

The device is designed to occlude and vent the ascending aorta, deliver cardioplegia, and monitor aortic root pressure, which are interventional and monitoring functions, not diagnostic. While it monitors pressure, this is an ongoing physiological parameter during an intervention, not for diagnosing a condition.

No

The device description clearly details a physical catheter with multiple lumens, a balloon, and other hardware components designed for insertion into the body. There is no mention of software as a primary or standalone component.

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

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to perform tests on samples taken from the human body (like blood, urine, or tissue) to provide information about a person's health. This information is used for diagnosis, monitoring, or screening.
  • Device Function: The IntraClude Intra-Aortic Occlusion Catheter is a surgical device used during a medical procedure (cardiopulmonary bypass). Its function is to physically occlude and vent the aorta, deliver cardioplegia, and monitor pressure. It does not perform any tests on samples taken from the body.
  • Intended Use: The intended use clearly describes a procedural function within the body, not a diagnostic test performed on a sample outside the body.
  • Device Description: The description details the physical components and their roles in the surgical procedure. There is no mention of analyzing biological samples.

Therefore, the IntraClude Intra-Aortic Occlusion Catheter is a surgical or interventional device, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The IntraClude Intra-Aortic Occlusion Catheter is indicated for use in patients undergoing cardiopulmonary bypass. The IntraClude Intra-Aortic Occlusion Catheter occludes and vents the ascending aorta when the balloon is inflated. The device's central lumen allows delivery of cardioplegia to arrest the heart. The pressure lumen allows monitoring of the aortic root pressure.

Product codes

DXC

Device Description

The IntraClude Intra-Aortic Occlusion Device is a 10.5 Fr (3.5 mm), triple-lumen, 100cm-long catheter with an elastomeric balloon near its distal tip designed to occlude the ascending aorta in order to partition the aortic root from arterial circulation during cardiopulmonary bypass (CPB). The balloon expands to occlude a range of aorta sizes from 20 to 40 mm. This device is designed to be used in the femoral approach with the Edwards arterial cannula/introducer sheath.

The shaft is provided with an extended strain relief, which নতুনtapers from 10.5 Fr to the remaining 9 Fr catheter, and is designed to prevent kinking and to avoid compressing the shaft when the hemostasis valve of an arterial cannula/introducer sheath is firmly closed around the catheter body.

The large central lumen of the IntraClude catheter serves three functions: accommodating the guidewire, delivering cardioplegia solution to the aortic root, and venting fluid and air from the aortic root. The two remaining lumens serve as conduits for balloon inflation/deflation and aortic root pressure monitoring. The hub has two flexible extension tubes with an integrated luer connection to provide access for accessories. The shaft is provided with markers to indicate the insertion depth. A blue Clamp-Lock device, provided on the extended strain relief portion, allows the IntraClude catheter to be locked in position to prevent balloon migration during aortic occlusion. For situations where the 9 Fr section of the device is outside of the arterial cannula or introducer sheath, a white suture loop/box clamp is provided for locking the catheter in position.

The IntraClude catheter is packaged sterile and non-pyrogenic and is for single use only.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

ascending aorta, aortic root

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)

The following functional and accelerated aging bench testing was performed. All data met acceptance criteria.

  • Biocompatibility cytotoxicity and pyrogenicity Per ISO 10993-1 for External . communicating device, direct circulating blood path, duration ≤ 24 hours.
  • Tensile testing device hub to shaft Confirmation of the bond strength of the . catheter, lumens, and connected accessories.
  • Kink testing axial kink force, kink test under tension, hub kink test -. Confirmation of kink resistance of the catheter, lumens, and connected accessories.
  • Dimensional testing -- Analysis of shaft outer diameter, distal curve, and marking . distance.
  • · Clamp lock testing Confirmation that the clamp lock functions with the catheter shaft.
  • Design Validation Design was validated through bench top in-vitro studies. .

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

Not Found

Predicate Device(s)

K113182

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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

K132175

510(k) Summary
Submitter:Edwards Lifesciences LLC
Contact Person:Luke Meidell, Regulatory Affairs Associate II
12050 Lone Peak Pkwy
Draper, UT 84020
(801) 565-6212SEP 1 3 2013
Date Prepared:September 12, 2013
Trade Name:Edwards Lifesciences® IntraClude™ Intra-Aortic Occlusion
Device
Classification Name:Vascular Clamp
21 CFR Part 870.4450, Product Code DXC, Class II
Predicate Device:K113182: IntraClude™ Intra-Aortic Occlusion Device

Device Description:

The IntraClude Intra-Aortic Occlusion Device is a 10.5 Fr (3.5 mm), triple-lumen, 100cm-long catheter with an elastomeric balloon near its distal tip designed to occlude the ascending aorta in order to partition the aortic root from arterial circulation during cardiopulmonary bypass (CPB). The balloon expands to occlude a range of aorta sizes from 20 to 40 mm. This device is designed to be used in the femoral approach with the Edwards arterial cannula/introducer sheath.

The shaft is provided with an extended strain relief, which tapers from 10.5 Fr to the remaining 9 Fr catheter, and is designed to prevent kinking and to avoid compressing the shaft when the hemostasis valve of an arterial cannula/introducer sheath is firmly closed around the catheter body.

The large central lumen of the IntraClude catheter serves three functions: accommodating the guidewire, delivering cardioplegia solution to the aortic root, and venting fluid and air from the aortic root. The two remaining lumens serve as conduits for balloon inflation/deflation and aortic root pressure monitoring. The hub has two flexible extension tubes with an integrated luer connection to provide access for accessories. The shaft is provided with markers to indicate the insertion depth. A blue Clamp-Lock device, provided on the extended strain relief portion, allows the IntraClude catheter to be locked in position to prevent balloon migration during aortic occlusion. For situations

1

Edwards Lifesciences LLC Traditional 510(k) Premarket Notification IntraClude Intra-Aortic Occlusion Device

where the 9 Fr section of the device is outside of the arterial cannula or introducer sheath, a white suture loop/box clamp is provided for locking the catheter in position.

The IntraClude catheter is packaged sterile and non-pyrogenic and is for single use only.

Indications For Use:

The IntraClude Intra-Aortic Occlusion Catheter is indicated for use in patients undergoing cardiopulmonary bypass. The IntraClude Intra-Aortic Occlusion Catheter occludes and vents the ascending aorta when the balloon is inflated. The device's central lumen allows delivery of cardioplegia to arrest the heart. The pressure lumen allows monitoring of the aortic root pressure.

Comparative Analysis:

The subject device has the same intended use and technological characteristics (i.e., design, material, chemical composition) as the predicate device. It has been demonstrated that the subject IntraClude device is comparable to the predicate device in fundamental scientific technology, material types, principles of operation, and functional performance evaluations. No new issues of safety or efficacy have been raised as a result of the design modifications.

Functional/Safety Testing:

The following functional and accelerated aging bench testing was performed. All data met acceptance criteria.

  • Biocompatibility cytotoxicity and pyrogenicity Per ISO 10993-1 for External . communicating device, direct circulating blood path, duration ≤ 24 hours.
  • Tensile testing device hub to shaft Confirmation of the bond strength of the . catheter, lumens, and connected accessories.
  • Kink testing axial kink force, kink test under tension, hub kink test -. Confirmation of kink resistance of the catheter, lumens, and connected accessories.
  • Dimensional testing -- Analysis of shaft outer diameter, distal curve, and marking . distance.
  • · Clamp lock testing Confirmation that the clamp lock functions with the catheter shaft.
  • Design Validation Design was validated through bench top in-vitro studies. .

2

Conclusion:

The IntraClude Intra-Aortic Occlusion Device is substantially equivalent to the cited predicate device. Additionally, the IntraClude device met all acceptance criteria to confirm safety and efficacy.

3

Image /page/3/Picture/0 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized depiction of an eagle with three tails, positioned to the right of a circular emblem. The circular emblem contains the text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" arranged around the perimeter of the circle.

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

September 13, 2013

Edwards Lifesciences, LLC Mr. Luke Meidell Regulatory Affairs Associate II 12050 Lone Peak Pkwy Draper, UT 84020

Re: K132175

Trade/Device Name: Edwards Lifesciences ® IntraClude™ Intra-Aortic Occlusion Catheter Regulation Number: 21 CFR 870.4450 Regulation Name: Vascular Clamp Regulatory Class: Class II Product Code: DXC Dated: July 12, 2013 Received: July 15, 2013

Dear Mr. Meidell:

We have reviewed your Section 510(k) premarket notification of intent to market the device we nave reviewed four beether wind the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate for asc stated in the enorosals) to regardent date of the Medical Device Amendments, or to continered provide that 20, 1978 the 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 The general controls provisions ac the labeling, and prohibitions against misbranding and adulteration. Please note: CDRH does not evaluate information related to contract liability additeration. Picase note: CDNT abos hat orains labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA). If your device is classified (see above) major regulations affecting your device can be If may be subject to additional controls. 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 mall DA has made a decembiations administered by other Federal agencies. You must of any I ederal statutes and regariments. including, but not limited to: registration and listing (21 CFR Part 807); labeling (2) 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 - Mr. Meidell

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/Resources/or You/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/ReportalProblem/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.ida.goy/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours.

M.A. Lilleheimer

for

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

Enclosure

5

Statement of Indications for Use

Indications for Use

510(k) Number (if known): K 132175

Edwards Lifesciences IntraClude Intra-Aortic Occlusion Catheter Device Name:

The IntraClude Intra-Aortic Occlusion Catheter is Indicated for use in patients undergoing cardiopulmonary bypass. The IntraClude Intra-Aortic Occlusion Catheter occludes and vents the ascending aorta when the balloon is inflated. The device's central lumen allows delivery of cardioplegia to arrest the heart. The pressure lumen allows monitoring of the aortic root pressure.

Prescription Use × (Per 21 CFR 801.109)

OR Over-The-Counter Use_

(PLEASE DO NOT WRITE BELOW THIS LINE – CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office Of Device Evaluation (ODE)


M.A. Willemsen

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