K Number
K132914
Device Name
ACUITY PRO LEAD DELIVERY SYSTEM
Manufacturer
Date Cleared
2014-04-03

(198 days)

Product Code
Regulation Number
870.1250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The ACUITY™ Pro Lead Delivery System is intended to access the coronary venous system, and may be used alone (9F) or in a dual catheter delivery (9F with 7F). The catheter serves as a conduit for the delivery of contrast medium and devices, including implantable coronary venous leads, introduced into the coronary venous system.
Device Description
The ACUITY™ Pro Lead Delivery System is designed for venous use to aid in the selective placement of cardiac resynchronization therapy (CRT) implantable venous leads in the cardiac vasculature. The catheter shafts are comprised of a PTFE inner iner, a reinforcing layer of stainless steel braid, and an outer polymer jacket. The distal end has a radiopaque polymer tip, while the proximal end has a hub with flush luer fitting to allow flush, contrast injection and aspiration polymer . The approximate working lengths of the catheters are 45-54cm for the 9F design and 60-69 cm for the 7F design. The ACUITY Pro 9F is provided with the following accessories: Guidewire Introducer Guidewire Torquer Venous Access Dilator ACUITY™ Universal Cutter Transvalve Introducer Tool (2)
More Information

Not Found

No
The summary describes a mechanical catheter system for lead delivery and does not mention any software, algorithms, or data processing that would indicate AI/ML.

No
The device is a delivery system for implantable leads; it does not directly treat a condition but facilitates the delivery of therapeutic devices.

No

The device is described as a delivery system intended to access the coronary venous system and serve as a conduit for the delivery of other devices and contrast medium, specifically for placing cardiac resynchronization therapy leads. Its function is to facilitate the delivery of therapies and devices, not to diagnose a condition.

No

The device description clearly outlines physical components like catheter shafts, a PTFE inner liner, stainless steel braid, polymer jacket, radiopaque polymer tip, and a hub with a luer fitting. It also mentions accessories like a guidewire introducer and venous access dilator. This indicates a hardware-based medical device, not a software-only one.

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 for accessing the coronary venous system and delivering devices and contrast medium within the body. This is an in-vivo (within a living organism) application.
  • Device Description: The description details a catheter system designed for placement within the cardiac vasculature. This is consistent with an in-vivo medical device.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens derived from the human body (like blood, urine, tissue, etc.) to provide information for diagnosis, monitoring, or compatibility testing.

IVD devices are used outside the body to analyze samples. This device is used inside the body for a procedural purpose.

N/A

Intended Use / Indications for Use

The ACUITY™ Pro Lead Delivery System is intended to access the coronary venous system, and may be used alone (9F) or in a dual catheter delivery (9F with 7F). The catheter serves as a conduit for the delivery of contrast medium and devices, including implantable coronary venous leads, introduced into the coronary venous system.

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

DQY

Device Description

The ACUITY™ Pro Lead Delivery System is designed for venous use to aid in the selective placement of cardiac resynchronization therapy (CRT) implantable venous leads in the cardiac vasculature. The catheter shafts are comprised of a PTFE inner iner, a reinforcing layer of stainless steel braid, and an outer polymer jacket. The distal end has a radiopaque polymer tip, while the proximal end has a hub with flush luer fitting to allow flush, contrast injection and aspiration polymer .

The approximate working lengths of the catheters are 45-54cm for the 9F design and 60-69 cm for the 7F design.

The ACUITY Pro 9F is provided with the following accessories:

Guidewire Introducer Guidewire Torquer

Venous Access Dilator ACUITY™ Universal Cutter

Transvalve Introducer Tool (2)

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Coronary venous 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)

Design verification and validation testing, including mechanical bench testing, was performed to verify that the performance and usability of the ACUITY™ Pro Lead Delivery System remains substantially equivalent to both predicate devices. Biocompatibility, and packaging testing were also performed to verify the overall safety and efficacy of the device.

Specifically the following design verification and validation testing was performed:

  • Dimensional Verification
  • Tensile
  • Pushability and Shaft Stiffness
  • Shaft Cutting
  • Kink Resistance
  • Curve Shape
  • Radiopacity
  • Curve Shape
  • Tip Deflection
  • Torque Strength
  • Hub Leak
  • Hub Separation
  • Hub Cutting /Catheter Removal
  • Compatibility With Accessories And Adjunctive Devices
  • Lead Passage
  • Product Marking And Identification
  • Product Integrity
  • Ease Of Removal Of Device And Accessories From Packaging
  • Particulates
  • Microbiology Endotoxin
  • EO Residuals
  • Biocompatibility Testing
    • Cytotoxicity
    • Sensitization
    • Irritation Or Intracutaneous Reactivity
    • Systemic Toxicity (Acute)
    • Hemocompatibility
    • Latex
    • USP Physicochemical

Clinical Evaluation was not required for these 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.

K093969, K111252

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

§ 870.1250 Percutaneous catheter.

(a)
Identification. A percutaneous catheter is a device that is introduced into a vein or artery through the skin using a dilator and a sheath (introducer) or guide wire.(b)
Classification. Class II (performance standards).

0

510(k) Summary per 21 CFR §807.92

| Sponsor: | Boston Scientific Corporation
One Boston Scientific Place
Natick MA 01760 |
|-----------------|---------------------------------------------------------------------------------|
| Contact Person: | Holly Ramirez |
| Phone Number: | 763-494-2113 |
| Fax Number: | 763-494-2222 |
| Prepared: | September 16, 2013 |
| Trade Name: | ACUITY™ Pro Lead Delivery System |
| Common Name: | Percutaneous Guide Catheter |
| Classification: | II |
| Product Code: | DQY
21 CFR 870.1250 |

Predicate Device:

ACUITY Break-Away™ Guide Catheters (K093969; March 05, 2010) and ACUITY Cut-Away™ Guide Catheters (K111252, June 02, 2011).

Device Description:

The ACUITY™ Pro Lead Delivery System is designed for venous use to aid in the selective placement of cardiac resynchronization therapy (CRT) implantable venous leads in the cardiac vasculature. The catheter shafts are comprised of a PTFE inner iner, a reinforcing layer of stainless steel braid, and an outer polymer jacket. The distal end has a radiopaque polymer tip, while the proximal end has a hub with flush luer fitting to allow flush, contrast injection and aspiration polymer .

The approximate working lengths of the catheters are 45-54cm for the 9F design and 60-69 cm for the 7F design.

The ACUITY Pro 9F is provided with the following accessories:

Guidewire Introducer Guidewire Torquer

Venous Access Dilator ACUITY™ Universal Cutter

Transvalve Introducer Tool (2)

Intended Use:

The ACUITY™ Pro Lead Delivery System is intended to access the coronary venous system, and may be used alone (9F) or in a dual catheter delivery (9F with 7F). The catheter serves as a conduit for the delivery of contrast medium and devices, including implantable coronary venous leads, introduced into the coronary venous system.

Substantial Equivalence:

The ACUITY™ Pro Lead Delivery System design, materials, manufacturing process and intended use are substantially equivalent to the ACUITY Break-Away™ Guide Catheter (K093969) and the ACUITY Cut-Away™ Guide Catheter (K111252).

Summary of Non-Clinical Testing:

Design verification and validation testing, including mechanical bench testing, was performed to verify that the performance and usability of the ACUITY™ Pro Lead Delivery System remains substantially equivalent to both predicate devices. Biocompatibility, and packaging testing were also performed to verify the overall safety and efficacy of the device.

Boston Scientific Corporation Premarket Notification - Traditional 510(k) ACUITY™ Pro Lead Delivery System

1

Specifically the following design verification and validation testing was performed:

  • � Dimensional Verification
  • Tensile �
  • � Pushability and Shaft Stiffness
  • � Shaft Cutting
  • � Kink Resistance
  • � Curve Shape
  • � Radiopacity
  • � Curve Shape
  • � Tip Deflection
  • Torque Strength �
  • � Hub Leak
  • � Hub Separation
  • � Hub Cutting /Catheter Removal
  • � Compatibility With Accessories And Adjunctive Devices
  • Lead Passage �
  • � Product Marking And Identification
  • � Product Integrity
  • � Ease Of Removal Of Device And Accessories From Packaging
  • � Particulates
  • Microbiology Endotoxin �
  • EO Residuals �
  • Biocompatibility Testing �
    • Cytotoxicity o
    • Sensitization O
    • Irritation Or Intracutaneous O Reactivity
    • Systemic Toxicity (Acute) ಂ
    • Hemocompatibility 0
    • Latex ೧
    • USP Physicochemical O

Summary of Clinical Testing:

Clinical Evaluation was not required for these devices.

Boston Scientific Corporation Premarket Notification - Traditional 510(k) ACUITY™ Pro Lead Delivery System

2

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/2/Picture/1 description: The image shows a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the edge. Inside the circle is a stylized image of an eagle with three overlapping wings. The seal appears to be a government or official emblem.

April 3, 2014

Public Health Service

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

Boston Scientific Corporation % Holly Ramirez Sr. Regulatory Affairs Specialist One Scimed Place Maple Grove, MN 55311

Re: K132914

Trade/Device Name: ACUITY™ Pro Lead Delivery System Regulation Number: 21 CFR 870.1250 Regulation Name: Percutaneous Catheter Regulatory Class: Class II Product Code: DOY Dated: March 27, 2014 Received: March 28, 2014

Dear Holly Ramirez,

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 that I Driver Inatutes 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

3

Page 2 - Holly Ramirez

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 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" (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.

Bram D. Zuckerman -S

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

Enclosure

4

Indications for Use Statement

510(k) Number (if known): K132914 ----------------------------------------------------------------------------------------------------------------------------------------------------------------------

Device Name:

ACUITY Pro Lead Delivery System

Indications for Use:

The ACUITY™ Pro Lead Delivery System is intended to access the coronary venous system, and may be used alone (9F) or in a dual catheter delivery (9F with 7F). The catheter serves as a conduit for the delivery of contrast medium and devices, including implantable coronary venous leads, introduced into the coronary venous system.

Prescription Use X (Part 21 CFR 801 Subpart D) AND/OR

Over-The-Counter Use (21 CFR 807 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. Zuckerm 2014.04.03 13