(119 days)
The Medtronic Confida™ Brecker Curve™ Guidewire is intended for use to introduce and position catheters during diagnostic and interventional procedures within the chambers of the heart, including transcatheter aortic valve implantation (TAVI).
The Medtronic ConfidaTM Brecker Curve™ Guidewire is manufactured of 304 stainless steel and is polytetrafluoroethylene (PTFE) coated, which is consistent with guidewires presently in commercial distribution and with the same intended use. The device diameter is 0.035 inches and 260 cm in length. The distal end of the Medtronic Confida TM Brecker Curve™ Guidewire is comprised of a preformed curved tip. The loop configuration has a 540° curved tip which is 30 mm in width and aids in anchoring of the distal spring tip during diagnostic and interventional procedures, including TAVI.
The provided text describes a 510(k) summary for the Medtronic Confida™ Brecker Curve™ Guidewire (K132623). This type of submission relies on demonstrating "substantial equivalence" to predicate devices, rather than conducting a de novo study with specific performance criteria for AI-powered devices or clinical efficacy studies in the same way modern AI/ML devices might.
Therefore, many of the requested categories related to AI performance, expert consensus, and clinical trial methodologies are not applicable to this document. The "acceptance criteria" here are based on physicochemical and functional performance characteristics compared to existing devices.
Here's a breakdown of the information as it relates to the provided document:
1. Table of Acceptance Criteria and Reported Device Performance
The document does not explicitly state "acceptance criteria" in a quantitative, pass/fail table format. Instead, it lists the non-clinical evaluations performed to demonstrate substantial equivalence to predicate devices. The implication is that the device met the internal specifications for these tests, which are deemed comparable to the cleared predicates.
| Acceptance Criteria (Non-Clinical Evaluation Performed) | Reported Device Performance |
|---|---|
| Visual Inspection | Met (implied by substantial equivalence claim) |
| Overall Length | Met (implied by substantial equivalence claim) |
| Proximal Outer Diameter | Met (implied by substantial equivalence claim) |
| Coil Outer Diameter | Met (implied by substantial equivalence claim) |
| Tip Curve Rotation | Met (implied by substantial equivalence claim) |
| Tip Curve Outer Diameter | Met (implied by substantial equivalence claim) |
| Tip Tensile | Met (implied by substantial equivalence claim) |
| Tip Stiffness | Met (implied by substantial equivalence claim) |
| Loop Compression | Met (implied by substantial equivalence claim) |
| Proximal Stiffness | Met (implied by substantial equivalence claim) |
| Coil Length | Met (implied by substantial equivalence claim) |
| PTFE Coating Adhesion | Met (implied by substantial equivalence claim) |
| PTFE Coating, Simulated Clinical Use | Met (implied by substantial equivalence claim) |
| Corrosion Resistance | Met (implied by substantial equivalence claim) |
| Anchoring | Met (implied by substantial equivalence claim) |
| Usability for Design Validation | Met (implied by substantial equivalence claim) |
| Flexibility | Met (implied by substantial equivalence claim) |
| Torque | Met (implied by substantial equivalence claim) |
| Biocompatibility (ISO 10993-1:2009 requirements) | Met (implied by substantial equivalence claim) |
| Packaging and Shelf Life Testing | Met (implied by substantial equivalence claim) |
| Sterilization Validation Adoption (SAL of 10^-6) | Met (implied by substantial equivalence claim) |
2. Sample Size Used for the Test Set and the Data Provenance
This is a physical medical device, not a software/AI device. Therefore, the concept of a "test set" in the context of data provenance (country of origin, retrospective/prospective) and sample size for testing data does not apply in the same way as an AI/ML product.
The non-clinical evaluations would have involved physical samples of the guidewire, but the document does not specify the sample sizes for each test. The provenance would be from manufacturing lots used for testing.
3. Number of Experts Used to Establish the Ground Truth for the Test Set and the Qualifications of Those Experts
This is not applicable as this is a physical medical device, not an AI/ML device requiring expert ground truth for image or data interpretation. Performance is assessed through physical and chemical testing.
4. Adjudication Method for the Test Set
Not applicable for a physical medical device. Performance is determined by standardized laboratory testing methods.
5. If a Multi Reader Multi Case (MRMC) Comparative Effectiveness Study Was Done, and the Effect Size of How Much Human Readers Improve with AI vs. Without AI Assistance
Not applicable. This is a physical medical device, not an AI-assisted diagnostic or interpretive tool. There are no "human readers" in this context.
6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) Study Was Done
Not applicable. This is a physical medical device; there is no standalone algorithm.
7. The Type of Ground Truth Used
For this physical device, the "ground truth" is defined by established engineering and material science standards (e.g., ISO, ASTM) and the performance characteristics of the predicate devices. These are not "expert consensus, pathology, or outcomes data" in the AI sense, but rather objective measurements against predefined specifications.
8. The Sample Size for the Training Set
Not applicable. This product is a physical medical device, not an AI/ML algorithm that requires a training set.
9. How the Ground Truth for the Training Set Was Established
Not applicable. As above, there is no training set for a physical guidewire.
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DEC 1 9 2013
510(k) Summary 5.0
As required by the Safe Medical Devices Act of 1990, coded under Section 513, part (1)(3)(A) of the Food, Drug and Cosmetic Act, a 510(k) summary upon which substantial equivalence determination is based is as follows:
| Date Prepared: | August 21, 2013 |
|---|---|
| Applicant: | Medtronic CoreValve, LLC |
| 1851 E. Deere Ave. | |
| Santa Ana, CA 92705 | |
| U.S.A. | |
| Establishment Registration No. 2025587 | |
| Contact Person: | Monica Hernandez-Soto |
| Regulatory Affairs Specialist | |
| Phone: (707) 591-2285 | |
| Fax: (707) 573-4443 |
E-mail: Monica.hernandez-soto@medtronic.com
Subject Device Name:
Device Trade Name: Medtronic Confida™ Brecker Curve™ Guidewire
Common Name: Guidewire
Classification Name: Wire, Guide, Catheter
Classification: Class II, 21 CFR 870.1330
Product Code: DQX
Predicate Device(s):
- Medtronic Archer TM Super Stiff Guidewire (K101339, cleared . Aug. 31, 2010), manufactured by Medtronic, Inc.
- Toray TORAYGUIDE™ Guidewire (K042370, cleared Dec. 17, . 2004), manufactured by Toray Industries, Inc.
Device Description: The Medtronic ConfidaTM Brecker Curve™ Guidewire is manufactured of 304 stainless steel and is polytetrafluoroethylene (PTFE) coated, which is consistent with guidewires presently in commercial distribution and with the same intended use. The device diameter is 0.035 inches and 260 cm in length. The distal end of the Medtronic Confida TM Brecker Curve™ Guidewire is comprised
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of a preformed curved tip. The loop configuration has a 540° curved tip which is 30 mm in width and aids in anchoring of the distal spring tip during diagnostic and interventional procedures, including TAVI.
Statement of
Intended Use:
The Medtronic Confida "M Brecker Curve" Guidewire is intended to to facilitate the placement of devices during diagnostic and interventional procedures.
Statement of
Indications for Use: The Medtronic Confida™ Brecker Curve™ Guidewire is intended for use to introduce and position catheters during diagnostic and interventional procedures within the chambers of the heart including transcatheter aortic valve implantation (TAVI).
Comparison of Indications for Use
to Predicate Devices: The Indications for Use of the Medtronic Confida™ Brecker Curve™ Guidewire is within the scope of the Indications for Use of both predicate devices. While the Indications for Use are different between the subject device and the predicate devices, the differences do not raise any new issues of safety and effectiveness of the device or change the intended use of the device.
Contraindications:
The Medtronic Confida™ Brecker Curve™ Guidewire is contraindicated for patients presenting with an intolerance to anticoagulation therapy and unheparinized patients. The Guidewire is contraindicated for use in the coronary arteries and in the cerebrovasculature.
Comparison of Technological Characteristics
to Predicate Devices: The Medtronic Confidated Brecker Curve™ Guidewire has the following similarities to the predicate devices:
- . Intended use (all predicates)
- Indications for use (all predicates)
- Target population (all predicates) .
- Fundamental scientific technology (all predicates)
· � Curve Response to Questions
ーとして、
Operating principle (all predicates) Packaging materials (all predicates)
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Sterility assurance level and method of sterilization (all predicates) ♥
Summary of
Non-Clinical Data:
In order to demonstrate substantial equivalence of the subject device, the Medtronic ConfidaTM Brecker Curve™ Guidewire, to the predicate devices, the following non-clinical evaluations were performed:
- . Visual Inspection
- Overall Length .
- Proximal Outer Diameter �
- . Coil Outer Diameter
- Tip Curve Rotation .
- t Tip Curve Outer Diameter
- . Tip Tensile
- . Tip Stiffness
- . Loop Compression
-
Proximal Stiffness
- Coil Length ●
- PTFE Coating Adhesion .
- PTFE Coating, Simulated Clinical Use .
- Corrosion Resistance ●
- Anchoring ●
- Usability for Design Validation .
- Flexibility �
- Torque .
Biocompatibility testing was also performed per the requirements of ISO 10993-1:2009 on the Medtronic Confida™ Brecker Curve™ Guidewire as listed below:
- ISO Cytotoxicity Study .
- ISO Maximization Sensitization Study .
- ISO Intracutaneous Study .
- ISO/USP Pyrogen Study Material Mediated .
- ISO Acute Systematic Toxicity Study .
- In Vivo Thromboresistance
- In Vitro Hemolysis Study (Modified ASTM - Extraction Method)
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- C3a Compliment Activation .
- SC5b-9 Compliment Activation .
Packaging and shelf life testing (product and package) was performed on the Medtronic ConfidaTM Brecker Curve TM Guidewire. In addition, a sterilization validation adoption was performed to ensure the Medtronic Confida™ Brecker Curve™ Guidewire adequately met a Sterility Assurance Level (SAL) of 10 6. The non-clinical evaluations verify the Medtronic Confida™ Brecker Curve™ Guidewire is substantially equivalent to the predicate devices and is adequate for its intended use.
Based on the information above, the Medtronic Confida™ Brecker Curve™ Guidewire is substantially equivalent in intended use performance, and fundamental scientific technology to the predicate devices, the Archer™ Super Stiff
Guidewire (K101339), and Toray TORAYGUIDE™ Guidewire (K042370).
Conclusion:
.
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DEPARTMENT OF HEALTH & HUMAN SERVICES
Image /page/4/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle with three stripes extending from its head, representing the department's commitment to health, human services, and well-being. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the eagle symbol.
Public Health Service
Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-002
December 19, 2013
Medtronic Ms. Monica Hernandez-Soto Regulatory Affairs Specialist 3576 Unocal Place Santa Rosa, CA 95403
Re: K132623
Trade/Device Name: Confida Brecker Curve Guidewire Regulation Number: 21 CFR 870.1330 Regulation Name: Catheter Guidewire Regulatory Class: Class II Product Code: DQX Dated: November 15, 2013 Received: November 18, 2013
Dear Ms. Hernandez-Soto:
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 device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set
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Page 2 - Ms. Monica Hernandez-Soto
forth in 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 vours.
for Bram D. Zuckerman, MD Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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4.0 Indication for Use Statement
510(k) Number (if known): _
K132623 500 |
Device Name:
Medtronic Confida™ Brecker Curve™ Guidewire
Indication for Use:
The Medtronic Confida™ Brecker Curve™ Guidewire is intended for use to introduce and position catheters during diagnostic and interventional procedures within the chambers of the heart, including transcatheter aortic valve implantation (TAVI).
Prescription Use X _ _ AND/OR Over-The Counter Use (Part 21 CFR 801 Subpart D) (21 CFR 801 Subpart C)
(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrent of CDRH, Office of Device Evaluation (ODE)
M FDA
§ 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.