K Number
K133296
Device Name
XCATH
Manufacturer
Date Cleared
2014-02-14

(112 days)

Product Code
Regulation Number
870.1340
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
XCath (model 2064-XC) is intended to be inserted into the HQS Introducer (model 2064-HQS) to establish multiple and simultaneous conduits through the same vascular access (previously established by the HQS introducer). The whole XCath / HQS allows insertion of several endovascular devices at the same time while minimizing blood loss associated with such insertions.
Device Description
The XCath (model 2064-XC) consists of a multiple ways access (2, 3 or 4 ways) adapted to the HQS Introducer (K113849) to optimize the sealing when several vascular tools up to 9,3F need to be introduced through the same vascular access. The device features include (1) a flexible multilumen body, with 2, 3 or 4 channels compatible with the open valve of HQS Introducer; (2) a base with 2, 3 or 4 valves, (3) Extension line for each valve with stopcock and Luer Lock connection. Once the XCath is connected to the HQS Introducer, the device can accommodate vascular tools up to 9,3 French (3,1mm). The XCath (accessory) is fixed in proximal position of the HQS introducer body and allows the simultaneous insertion of several vascular tools.
More Information

No
The device description and performance studies focus on the mechanical and physical properties of a vascular access device, with no mention of AI or ML capabilities.

No.
The device is intended to facilitate the insertion of several endovascular devices simultaneously, minimizing blood loss, rather than directly treating a disease or condition itself.

No

The device description indicates that the XCath is an access device used to introduce multiple endovascular tools simultaneously. It does not mention any function related to diagnosing a condition or disease.

No

The device description clearly outlines physical components such as a flexible multilumen body, base with valves, extension lines, stopcocks, and Luer Lock connections. The performance studies also detail bench testing related to physical properties like tensile strength, overpressure resistance, dimensions, and sealing, indicating a hardware device.

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

Here's why:

  • Intended Use: The intended use describes a device for establishing multiple and simultaneous conduits through vascular access for the insertion of endovascular devices. This is a procedural device used in vivo (within the body) during medical procedures.
  • Device Description: The description details a device with lumens, valves, extension lines, and connections designed to facilitate the insertion of vascular tools. This aligns with a device used for accessing and working within the vascular system.
  • Performance Studies: The performance studies focus on bench testing related to physical properties, sealing, compatibility, and resistance, which are typical for medical devices used in procedures, not for analyzing biological samples in vitro.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), detecting specific analytes, or providing diagnostic information based on in vitro testing.

IVD devices are specifically designed to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. The XCath's function is to provide access and facilitate the use of other devices within the vascular system, which is a procedural function, not an in vitro diagnostic one.

N/A

Intended Use / Indications for Use

XCath (model 2064-XC) is intended to be inserted into the HQS Introducer (model 2064-HQS) to establish multiple and simultaneous conduits through the same vascular access (previously established by the HQS introducer).

The whole XCath / HQS allows insertion of several endovascular devices at the same time while minimizing blood loss associated with such insertions.

Product codes

DYB

Device Description

The XCath (model 2064-XC) consists of a multiple ways access (2, 3 or 4 ways) adapted to the HQS Introducer (K113849) to optimize the sealing when several vascular tools up to 9,3F need to be introduced through the same vascular access.

The device features include (1) a flexible multilumen body, with 2, 3 or 4 channels compatible with the open valve of HQS Introducer; (2) a base with 2, 3 or 4 valves, (3) Extension line for each valve with stopcock and Luer Lock connection.

Once the XCath is connected to the HQS Introducer, the device can accommodate vascular tools up to 9,3 French (3,1mm). The XCath (accessory) is fixed in proximal position of the HQS introducer body and allows the simultaneous insertion of several vascular tools.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

vascular access

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)

SAFETY BENCH TESTING
In accordance with ISO 10993-1, XCath (Model 2064-XCath) is categorized as externally communicating devices in contact with circulating blood for less than 24 hours. The following tests are recommended by ISO 10993-1.

PERFORMANCE TESTING
The following in vitro testing was performed on the XCath (Model 2064-XCath) in accordance with ISO standards and/or internal procedures to assure reliable design and performance. In vitro design verification testing data demonstrates that the device is in compliance with ISO 11070: 1999 Sterile, single use intravascular catheters introducers and product labeling.

    1. Tensile strength
    1. Overpressure resistance
    1. Dimensions and aspect
    1. Sealing resistance
    1. Air leak (vacuum) test
    1. Compatible with HQS introducer
    1. Sealing of the valve
  • Free passage a guide and 9F vascular tool 8.
    1. Validation of luer and extension lines
    1. Ease of assembly
    1. Traction resistance
    1. Packaging resistance
    1. Sterilization tests
    1. Aging tests

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

Not Found

Predicate Device(s)

K113849, K121185

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 870.1340 Catheter introducer.

(a)
Identification. A catheter introducer is a sheath used to facilitate placing a catheter through the skin into a vein or artery.(b)
Classification. Class II (performance standards).

0

K133296

FEB 1 4 2014

510(k) Summary 807.92(c)

SPONSOR

807.92(a)(1)

Company Name:ALSEAL
Company Address2 rue Paul Milleret
25000 Besançon
France
Telephone:+33(0)3 81 61 69 93
Fax:+33(0)3 81 53 47 65

Jean-François DELFORGE Contact Person:

Summary Preparation Date: September 29, 2013

DEVICE NAME

DEVICE NAME807.92(a)(2)
Trade Name:XCath (Model 2064-XC)
Common/Usual Name:Catheter Introducer
Classification Name:Introducer, Catheter
Regulation Number:870.1340
Product Code:DYB
Device Class:Class II

PREDICATE DEVICE

807.92(a)(3)

K NumberProduct NameManufacturer
K113849HQS IntroducerALSEAL
K121185Edwards Percutaneous Sheath
IntroducerEdwards Life Sciences, LLC

DEVICE DESCRIPTION

807.92(a){4}

The XCath (model 2064-XC) consists of a multiple ways access (2, 3 or 4 ways) adapted to the HQS Introducer (K113849) to optimize the sealing when several vascular tools up to 9,3F need to be introduced through the same vascular access.

The device features include (1) a flexible multilumen body, with 2, 3 or 4 channels compatible with the open valve of HQS Introducer; (2) a base with 2, 3 or 4 valves, (3) Extension line for each valve with stopcock and Luer Lock connection.

Once the XCath is connected to the HQS Introducer, the device can accommodate vascular tools up to 9,3 French (3,1mm). The XCath (accessory) is fixed in proximal position of the HQS introducer body and allows the simultaneous insertion of several vascular tools.

1

DEVICE INDICATIONS FOR USE

807.92(a)(5)

XCath (model 2064-XC) is intended to be inserted into the HQS Introducer (model 2064-HQS) to establish multiple and simultaneous conduits through the same vascular access (previously established by the HQS introducer).

The whole XCath / HQS allows insertion of several endovascular devices at the same time while minimizing blood loss associated with such insertions.

Subject DevicePredicate DevicePredicate Device
ManufacturerALSEALALSEALEdwards Life Sciences, LLC
Trade NameXCath (model 2064-XC)HQS IntroducerEdwards Percutaneous
Sheath Introducer
AVA 3Xi and
AVA High Flow
K numberK113849K 121185
Product CodeDYBDYBDYB
Regulation No.870.1340870.1340870.1340
Indications for
UseXCath (model 2064-XC) is
intended to be inserted
into the HQS Introducer
(model 2064-HQS) to
establish multiple and
simultaneous conduits
through the same vascular
access (previously
established by the HQS
introducer).
The whole XCath / HQS
allows insertion of several
endovascular devices at
the same time while
minimizing blood loss
associated with such
insertions.The HQS Introducer (Model
2064-HQS) is intended to be
inserted in the vasculature
to provide a conduit for the
insertion of endovascular
devices while minimizing
blood loss associated with
such insertionsThe Edwards Percutaneous
Sheath Introducer is
indicated for use in patients
requiring access of the
venous system and to
facilitate catheter insertion
(e.g. pulmonary artery or
infusion catheter).
Principle of
OperationTransitions the HQS with
a single insertion into a
multi lumen device
based on the number of
access conduits required
by the use of multiple
silicone valves.The tools are introduced in
the vasculature by placing a
guide through the device
and going through a silicone
valve minimizing blood lossTransitions from an
introducer to a triple lumen
device with a fixed or
detachable introducer valve
as treatment changes
accomplished through single
percutaneous introducer
Device DesignEach channel of XCath
accessory has an
approaching design of HQS
introducer (sheath
equipped with a silicone
valve and a lateralSheath equipped with a
silicone valve and a lateral
extension line with Luer
Lock connectors / 3 way
stopcock.Introducers are composed
of valve housing to which a
sheath is attached distally
and three side
arm/extension tubes are
connected proximally.
extension line with Luer
Lock connectors / 3 way
stopcock).Furnished with a dilator for
facilitating the introduction
into vasculature.The valves located in the
housing body provide a seal
around a catheter when
inserted through the
introducer and prevent
backflow when no catheter
is present
Number of
channels for
vasculature accessAs an accessory to the HQS
Introducer:
2 way
3 way
4 way1 channel IntroducerTriple lumen with 4th access
via the fixed or detachable
introducer valve
Valve comparisonSilicone valve ensures
sealing while empty or
accessed with guide / max
dilator.Silicone valve ensures
sealing while empty or
accessed with guide / max
dilatorValve ensures sealing while
empty or insertion eased
with provided dilator
Biocompatibility
TestingISO 10993-1 for External
communicating device,
direct circulating blood
path, duration ≥ 24 hoursISO 10993-1 for External
communicating device,
direct circulating blood
path, duration ≥ 24 hoursISO 10993-1 for External
communicating device,
direct circulating blood
path, duration ≥ 24 hours
SterilizationProvide sterile;
Single use.Provide sterile; Single use.Provide sterile; Single use.

COMPARISON OF TECHNICAL CHARACTERISTICS 807.92(a)(6)

2

NON-CLINICAL PERFORMANCE DATA

807.92(b)(1)

SAFETY BENCH TESTING

In accordance with ISO 10993-1, XCath (Model 2064-XCath) is categorized as externally communicating devices in contact with circulating blood for less than 24 hours. The following tests are recommended by ISO 10993-1.

PERFORMANCE TESTING

The following in vitro testing was performed on the XCath (Model 2064-XCath) in accordance with ISO standards and/or internal procedures to assure reliable design and performance. In vitro design verification testing data demonstrates that the device is in compliance with ISO 11070: 1999 Sterile, single use intravascular catheters introducers and product labeling.

    1. Tensile strength
    1. Overpressure resistance
    1. Dimensions and aspect
    1. Sealing resistance
    1. Air leak (vacuum) test
    1. Compatible with HQS introducer
    1. Sealing of the valve
  • Free passage a guide and 9F vascular tool 8.
    1. Validation of luer and extension lines
    1. Ease of assembly
    1. Traction resistance
    1. Packaging resistance

3

    1. Sterilization tests
    1. Aging tests

CONCLUSION

807.92(b)(3)

XCath (model 2064-XC) is substantially equivalent to the predicate device in Indications for Use, Materials and design. Safety and performance testing to ISO 11070 and Biocompatibility testing has concluded that the device does not introduce significant questions of safety and is substantially equivalent to the predicate.

4

Image /page/4/Picture/10 description: The image shows the logo for the Department of Health & Human Services - USA. The logo features a stylized representation of three human profiles facing right, stacked on top of each other. The profiles are black and have a flowing, abstract design. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the profiles.

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

February 14, 2014

Alseal C/O Yolanda Smith Consultant Smith Associates 1468 Harwell Avenue Crofton, MD 21114 US

Re: K133296

Trade/Device Name: XCath Model 2064-XC Regulation Number: 21 CFR 870.1340 Regulation Name: Catheter Introducer Accessory Regulatory Class: Class II Product Code: DYB Dated: January 8, 2014 Received: January 10, 2014

Dear Ms. Smith:

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.

5

Page 2 - Ms. Yolanda Smith

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 of medical devicerelated adverse events) (21 CFR 803); good manufacturing practice requirements as set 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/ResourcesforYou/Industry/default.htm.

Sincerely yours.

M. A. Z. Lilliencron

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

Enclosure

6

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

Form Approved: OMB No. 0910-0120 Expiration Date: December 31, 2013 See PRA Statement on last page.

510(k) Number (if known)

K133296

Device Name XCath (Model 2064-XC)

Indications for Use (Describe)

XCath (model 2064-XC) is intended to be inserted into the HQS Introducer (model 2064-HQS) to establish multiple and simultaneous conduits through the same vascular access (previously established by the HQS introducer).

The whole XCath / HQS allows insertion of several endovascular devices at the same time while minimizing blood loss associated with such insertions.

Type of Use (Select one or both, as applicable)

2 Prescription Use (Part 21 CFR 801 Subpart D)

[] Over-The-Counter Use (21 CFR 801 Subpart C)

PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON A SEPARATE PAGE IF NEEDED.

FOR FDA USE ONLY

Concurrence of Center for Devices and Radiological Health (CDRH) (Signature)

M.A. Hillerman