K Number
K133625
Device Name
AGILITY 10 STANDARD & SOFT 0.01IN. X 195CM, AGILITY 14 STANDARD & SOFT 0.014IN X 205CM & XL 350CM, AGILITY 16 STANDARD &
Date Cleared
2014-02-24

(90 days)

Product Code
Regulation Number
870.1330
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The AGILITY® Steerable Guidewires are intended for selective placement of microcathers and other devices in the neuro and peripheral vasculature. The NEUROSCOUT® Steerable Guidewires are intended for selective placement of microcatheters and other devices in the neuro and peripheral vasculature.
Device Description
The hydrophilically coated AGILITY® and NEUROSCOUT® Steerable Guidewires consists of a stainless steel wire core and a radiopaque platinum/tungsten coil on the distal tip. Guidewire length, diameter, and distal tip configuration are indicated on the product label. A steering/torquing device and a guidewire introducer are packaged with the AGILITY® and NEUROSCOUT® Guidewires.
More Information

Not Found

No
The document describes a physical medical device (guidewires) and its packaging modifications. There is no mention of software, algorithms, or any computational processing that would suggest the use of AI or ML. The performance studies focus on packaging integrity and biocompatibility, not algorithmic performance.

No.
The device is a guidewire intended for selective placement of microcatheters and other devices, not for directly treating a medical condition.

No

The device is described as guidewires intended for selective placement of microcatheters and other devices in the vasculature, which is an interventional function, not a diagnostic one.

No

The device description clearly states it consists of a stainless steel wire core and a radiopaque platinum/tungsten coil, which are physical hardware components. The submission focuses on packaging modifications for these physical guidewires.

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 devices are for "selective placement of microcatheters and other devices in the neuro and peripheral vasculature." This describes a surgical or interventional procedure performed on the patient, not a test performed on a sample taken from the patient.
  • Device Description: The description details a physical guidewire used for navigation within blood vessels. This is consistent with a medical device used in a procedure, not a diagnostic test.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), detecting analytes, or providing diagnostic information based on laboratory testing.

IVD devices are specifically designed to perform tests on samples taken from the human body to provide information for diagnosis, monitoring, or screening. This device's function is purely procedural.

N/A

Intended Use / Indications for Use

The AGILITY® Steerable Guidewires are intended for selective placement of microcathers and other devices in the neuro and peripheral vasculature.

The NEUROSCOUT® Steerable Guidewires are intended for selective placement of microcatheters and other devices in the neuro and peripheral vasculature.

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

MOF, DQX

Device Description

The hydrophilically coated AGILITY® and NEUROSCOUT® Steerable Guidewires consists of a stainless steel wire core and a radiopaque platinum/tungsten coil on the distal tip. Guidewire length, diameter, and distal tip configuration are indicated on the product label. A steering/torquing device and a guidewire introducer are packaged with the AGILITY® and NEUROSCOUT® Guidewires.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

neuro and peripheral vasculature

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 AGILITY® and NEUROSCOUT® Steerable Guidewires were evaluated and have been found to be substantially equivalent to the predicate devices in terms of intended use, design, material, function, mechanism of action, clinical utility, manufacturing and sterilizationprocess. The testing conducted to assess the packaging modifications includes performance assessment per the following recognized standards:
ISO 11135-1:2007
ISO 10993-1:2009
ISO 10993-7:2008
ISO 14971: 2012
HE75 : 2009
ISO 11607-1: 2009
ISO 10993-5:2009

Bench Testing
There were no changes made that affect the AGILITY and NEUROSCOUT steerable guidewires' intended use, operational principle, design principle, manufacturing or sterilization processes. The modifications proposed in this submission are for the packaging only. Therefore, design verification and validation of the devices was not warranted.

Verification and validation activities were focused on demonstrating package integrity of the proposed pouches. Appropriate testing was identified based on a review of the products' risk analyses and previous use of the new pouch materials. Testing was conducted as appropriate for the inclusion of the proposed pouches based on current standards, and all testing was performed on final sterile product.

The following testing was conducted:
Packaging Validation
o Visual Inspection
O Dye Leak
o Seal Strength

Sterilization Validation
o EO/ECH Residuals

Sterile Pouch Shelf-Life Stability Validation
Visual Inspection o
o Dye Leak
Seal Strength o

Biocompatibility Testing
o In vitro Cytotoxicity

Animal Testing
No animal studies were required as appropriate verification and validation of the packaging modifications were achieved based on the similarities of the proposed device to the predicate device, and from results of bench testing.

Summary of Clinical testing:
No clinical studies were required as appropriate verification and validation of the packaging modifications were achieved based on the similarities of the proposed device to the predicate device, and from results of bench testing.

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.

K121776

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

§ 870.1330 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

K133625

FEB 2 4 2014

510(k) Summary

[As Required By 21 CFR 807.92(a)]

A. Sponsor
Submitter's Name:Codman & Shurtleff, Inc.
Address:325 Paramount Drive
Raynham, MA 02767
Primary Contact:Hannah Foley
Telephone:(305) 265-6810
Fax:(305) 265-6889
Secondary Contact:Amarilys Machado
Telephone:(305) 265-6869
Fax:(305) 265-6889
B. Date Prepared:November 25, 2013

C. Device Name and Classification:

| Proprietary Name: | AGILITY® Steerable Guidewire and
NEUROSCOUT® Steerable Guidewire |
|----------------------|---------------------------------------------------------------------|
| Common/Usual Name: | Wire, Guide, Catheter
Neurovascular |
| Classification Name: | Catheter Guide Wire (21 CFR 870.1330), Class II |
| Product Code: | MOF, DQX |

D. Predicate Devices

This 510(k) submission provides pre-market notification of the AGILITY® and NEUROSCOUT® Steerable Guidewires' packaging change. The proposed packaging changes have not altered the fundamental technology of the predicate devices or the devices' intended use.

Table 1: Prior 510(k) Clearances
510(k)
NumberDate
ClearedNameManufacturer
Predicate
K12177608/14/2012AGILITY® Steerable Guidewires
and NEUROSCOUT® Steerable
GuidewiresCodman &
Shurtleff, Inc.

1

E. Device Description

The hydrophilically coated AGILITY® and NEUROSCOUT® Steerable Guidewires consists of a stainless steel wire core and a radiopaque platinum/tungsten coil on the distal tip. Guidewire length, diameter, and distal tip configuration are indicated on the product label. A steering/torquing device and a guidewire introducer are packaged with the AGILITY® and NEUROSCOUT® Guidewires.

F. Indications for Use

The Codman AGILITY® and NEUROSCOUT® Guidewires are intended for selective placement of microcatheters and other devices within the neuro and peripheral vasculature.

G. Summary of Technological Characteristics of the Proposed Device to the Predicate Device

The proposed AGILITY and NEUROSCOUT Steerable Guidewires are identical to the predicate AGILITY and NEUROSCOUT Steerable Guidewires with regard to intended use, design, material, function, mechanism of action, clinical utility, manufacturing and sterilization process.

The AGILITY® and NEUROSCOUT® Steerable Guidewires were shown to be substantially equivalent to the predicate devices through comparison of indications for use, function, operating principle, bench testing, biocompatibility, and materials. A summary table including characteristics of the proposed device compared with those of the predicate device is provided in Table 2.

Table 2: Predicate Comparison Profile
Predicate Device:
AGILITY® &
NEUROSCOUT® Steerable
GuidewiresThis Submission:
Device w/ Proposed
Packaging Change:
AGILITY® Steerable
GuidewireThis Submission:
Device w/ Proposed
Packaging Change:
NEUROSCOUT®
Steerable Guidewire
Description(K121776)
Intended UseThe Codman AGILITY® and
NEUROSCOUT® Guidewires
are intended for selective
placement of microcatheters
and other devices within the
neuro and peripheral
vasculature.SameSame
Product CodeDQXSameSame
Classification21 CFR 870.1330,
Class IISameSame
Guidewire Length (cm)AGILITY®:
175cm, 195cm, 205cm, &
350cm
NEUROSCOUT®:SameSame

2

Table 2: Predicate Comparison Profile
DescriptionPredicate Device:
AGILITY® &
NEUROSCOUT® Steerable
Guidewires
(K121776)
205cm & 300cmThis Submission:
Device w/ Proposed
Packaging Change:
AGILITY® Steerable
GuidewireThis Submission:
Device w/ Proposed
Packaging Change:
NEUROSCOUT®
Steerable Guidewire
Guidewire Proximal Shaft
Maximum Diameter
(Inches)AGILITY®:
0.0110"(10), 0.0144"(14), &
0.0164" (16)
NEUROSCOUT®:
0.0144" (14)SameSame
Shapeable Tip Length
(cm)2cm-5cmSameSame
Radiopaque Length
(cm)AGILITY®:
5cm-45cm
NEUROSCOUT®:
10cmSameSame
Corewire MaterialStainless SteelSameSame
Coil MaterialPlatinum/ TungstenSameSame
Corewire & Distal Tip CoatingHydrophilicSameSame
Tip StyleStraightSameSame
Sterilization MethodEthylene OxideSameSame
Product Shelf-LifeTwo (2) yearsSameSame

There are no new technological characteristic being introduced with the proposed packaging changes to the AGILITY® and NEUROSCOUT® Guidewires. The only differences are the packaging. modifications identified for both products, which are summarized in Table 3.

Table 3: AGILITY® and NEUROSCOUT® Steerable Guidewires Packaging Modifications
DescriptionProposed
AGILITY® Steerable GuidewireProposed NEUROSCOUT®
Steerable Guidewire
Sterile Pouch DimensionsXX
Sterile Pouch Material:
(Uncoated Tyvek 1073B)XX
Sterile Pouch Material:
(Nylon/Polyethylene Film)XNo Change
Sterile Pouch VendorXNo Change
Carton DimensionsXX
Carton VendorXX
Hoop Dispenser
ConfigurationX*No Change

3

H. Summary of Nonclinical testing:

The AGILITY® and NEUROSCOUT® Steerable Guidewires were evaluated and have been found to be substantially equivalent to the predicate devices in terms of intended use, design, material, function, mechanism of action, clinical utility, manufacturing and sterilizationprocess. The testing conducted to assess the packaging modifications includes performance assessment per the following recognized standards:

Table 4: Performance Standards
StandardDescription
ISO 11135-1:2007Sterilization of health care products Ethylene Oxide Part 1
ISO 10993-1:2009Biological Evaluation of Medical Devices-Part 1: Evaluation and Testing
ISO 10993-7:2008Biological Evaluation of Medical Devices Part 7: Ethylene oxide sterilization residuals
ISO 14971: 2012Medical Device - Application of Risk Management to Medical Devices
HE75 : 2009Human Factors Engineering - Design of Medical Devices
ISO 11607-1: 2009Packaging for terminally sterilized medical devices -- Part 1: Requirements for materials.
sterile barrier systems and packaging systems
ISO 10993-5:2009Biological evaluation of medical devices -- Part 5: Tests for in vitro cytotoxicity

Bench Testing

There were no changes made that affect the AGILITY and NEUROSCOUT steerable guidewires' intended use, operational principle, design principle, manufacturing or sterilization processes. The modifications proposed in this submission are for the packaging only. Therefore, design verification and validation of the devices was not warranted.

Verification and validation activities were focused on demonstrating package integrity of the proposed pouches. Appropriate testing was identified based on a review of the products' risk analyses and previous use of the new pouch materials. Testing was conducted as appropriate for the inclusion of the proposed pouches based on current standards, and all testing was performed on final sterile product.

The following testing was conducted:

Packaging Validation

  • o Visual Inspection
  • O Dye Leak
  • o Seal Strength

Sterilization Validation

  • o EO/ECH Residuals

4

Sterile Pouch Shelf-Life Stability Validation

  • Visual Inspection o
  • o Dye Leak
  • Seal Strength o

Biocompatibility Testing

  • o In vitro Cytotoxicity

I. Animal Testing

No animal studies were required as appropriate verification and validation of the packaging modifications were achieved based on the similarities of the proposed device to the predicate device, and from results of bench testing.

J. Summary of Clinical testing:

No clinical studies were required as appropriate verification and validation of the packaging modifications were achieved based on the similarities of the proposed device to the predicate device, and from results of bench testing.

Conclusion:

Based upon the design, materials, function, intended use, and the non-clinical testing performed by Codman it is concluded that the proposed packaging for the AGILITY® and NEUROSCOUT® Steerable Guidewire is substantially equivalent to the current AGILITY® and NEUROSCOUT® Steerable Guidewire (K121776), and therefore, does not raise any new questions of safety and effectiveness.

5

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/5/Picture/1 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. In the center of the seal is a stylized image of an eagle with its wings spread.

Public Health Service

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

February 24, 2014

Codman & Shurtleff, Inc. % Ms. Hannah Foley Regulatory Affairs Specialist II Codman & Shurtleff, Inc. 325 Paramount Drive Raynham, MA 02767

Re: K133625

Trade/Device Name: AGILITY and NEUROSCOUT Steerable Guidewires Regulation Number: 21 CFR 870.1330 Regulation Name: Neurovascular Catheter Guide Wire Regulatory Class: Class II Product Code: MOF Additional Procode: DQX Dated: January 28, 2014 Received: January 29, 2014

Dear Ms. Foley,

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

6

Page 2 - Ms. Hannah Foley

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 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/Resourcesfor You/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,

Carlos L. Pena -S

Carlos L. Peña, PhD, MS Director Division of Neurological and Physical Medicine Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

7

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

510(k) Number (if known) K133625

Device Name

AGILITY® Steerable Guidewire, NEUROSCOUT® Steerable Guidewire

Indications for Use (Describe)

The AGILITY® Steerable Guidewires are intended for selective placement of microcathers and other devices in the neuro and peripheral vasculature.

The NEUROSCOUT® Steerable Guidewires are intended for selective placement of microcatheters and other devices in the neuro and peripheral vasculature.

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

[x] Prescription Use (Part 21 CFR 801 Subpart D)

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

Form Approved: OMB No. 0910-0120

Expiration Date: January 31, 2017

See PRA Statement on last page.

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)

Carlos L. Pena -S

FORM FDA 3881 (1/14)

8

This section applies only to requirements of the Paperwork Reduction Act of 1995.

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."