(191 days)
The SABER™ PTA Dilatation catheter is intended to dilate stenoses in iliac, femoral, iliofemoral, popliteal, infra popliteal and renal arteries and for the treatment of obstructive lesions of native or synthetic arteriovenous dialysis fistulae. The device is also indicated for post-dilation of balloon-expandable and self-expanding stents in the peripheral vasculature.
The SABER™ PTA Catheter is an over-the-wire Percutaneous Transluminal Angioplasty (PTA) catheter consisting of a proximal hub and distal dilatation balloon, connected by a . coaxial, concentric dual lumen shaft. Radiopaque marker bands indicate the dilating section of the balloon and aid in balloon placement. A hydrophilic coating covers the distal tip, balloon, and sections of the shaft, to facilitate balloon placement. The SABER® PTA Catheter is compatible with 4F, 5F, and 6F catheter introducer sheaths, and with guidewires having a maximum diameter of 0.018 inches. The SABER" PTA Catheter is available in a variety of sizes, ranging from 2 to 10 mm in diameter and 20 to 300 mm in length, and useable length of either 90 or 150 cm. It is packaged as a single use, sterile device.
Here's a breakdown of the acceptance criteria and the study information for the SABER™ Percutaneous Transluminal Angioplasty (PTA) Dilatation Catheter, based on the provided text:
Important Note: The provided document is a 510(k) summary, which focuses on demonstrating substantial equivalence to predicate devices, primarily through non-clinical testing. It does not describe a clinical trial with human subjects for the device's efficacy or safety. Therefore, many of the typical questions related to human-AI interaction or clinical outcomes are not applicable here. The "device performance" in this context refers to its physical and functional characteristics.
1. Table of Acceptance Criteria and Reported Device Performance
The document states that "The Saber PTA Catheter met all predetermined acceptance criteria of design verification and validation." However, it does not explicitly list the specific quantitative acceptance criteria for each test and then provide the measured performance values. Instead, it lists the types of tests performed.
Therefore, the table below will list the categories of tests as "Acceptance Criteria" that were met, and generally describe the "Reported Device Performance" as successful conformance to requirements.
| Acceptance Criteria (Test Performed) | Reported Device Performance |
|---|---|
| Performance Tests | |
| Dimensional Verification (Usable length, Marker band spacing/placement, Balloon working length) | Conformed to specified requirements. |
| Visual inspection | Conformed to specified requirements. |
| Catheter sheath introducer withdrawal | Conformed to specified requirements. |
| Guidewire compatibility | Conformed to specified requirements. |
| Preparation verification | Conformed to specified requirements. |
| Kink diameter | Conformed to specified requirements. |
| Balloon deflation time | Conformed to specified requirements. |
| Balloon inflation time | Conformed to specified requirements. |
| Proximal seal tensile test | Conformed to specified requirements. |
| Hub to shaft tensile test | Conformed to specified requirements. |
| Tip to balloon tensile test | Conformed to specified requirements. |
| Minimum burst strength, shaft | Conformed to specified requirements. |
| Balloon Burst | Conformed to specified requirements. |
| Balloon diameter compliance at nominal inflation | Conformed to specified requirements. |
| Balloon diameter compliance at rated burst pressure inflation | Conformed to specified requirements. |
| Particulate test | Conformed to specified requirements. |
| Outer Surface Friction test | Conformed to specified requirements. |
| System fatigue without stent | Conformed to specified requirements. |
| System fatigue with stent | Conformed to specified requirements. |
| Balloon burst in stent | Conformed to specified requirements. |
| Torque | Conformed to specified requirements. |
| Packaging (Dye leak and Seal strength) | Conformed to specified requirements. |
| Biocompatibility Tests | |
| Cytotoxicity | Device demonstrated appropriate biocompatibility. |
| Sensitization | Device demonstrated appropriate biocompatibility. |
| Irritation | Device demonstrated appropriate biocompatibility. |
| Acute systemic toxicity | Device demonstrated appropriate biocompatibility. |
| Pyrogenicity | Device demonstrated appropriate biocompatibility. |
| Hemocompatibility (hemolysis, partial thromboplastin, platelet/leukocyte counts, complement activation, in vivo thrombogenicity) | Device demonstrated appropriate hemocompatibility. |
| Genotoxicity | Device demonstrated appropriate biocompatibility. |
| Physicochemical tests | Device demonstrated appropriate biocompatibility. |
| Animal Study | |
| User needs (insertion, withdrawal, trackability, crossability, visibility, marker band visibility, placement, inflation/deflation time) | The Saber PTA Catheter met all predetermined acceptance criteria, demonstrating conformance to user needs in a swine model. (Results identified no new questions of safety or effectiveness). |
2. Sample size used for the test set and the data provenance
- Test Set Sample Size:
- Bench Testing: The document does not specify the exact number of units or iterations per test for the extensive list of performance and biocompatibility tests. It broadly states "tests were performed."
- Animal Study: The device was validated in one animal study using a swine model. The number of animals or specific procedures within that study is not detailed.
- Data Provenance: The data is prospective as it was generated specifically for the device's verification and validation. The studies were conducted by Cordis Corporation, the manufacturer, or their contracted labs. The country of origin for the bench tests is not specified but would typically be the manufacturing or testing facilities of the company or its contractors. The animal study was also performed by the manufacturer.
3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts
- Number of Experts: Three physicians were involved in the animal study.
- Qualifications of Experts: The document only states "three physicians." It does not specify their specialties (e.g., interventional cardiologists, radiologists) or their years of experience.
4. Adjudication method for the test set
- Adjudication Method: The document does not describe an explicit "adjudication method" in the sense of reconciling differing expert opinions. For the animal study, it simply states that the "Saber PTA Catheter met all predetermined acceptance criteria of design verification and validation," implying a consensus or individual assessment by the physicians that the criteria were fulfilled. There is no mention of a formal 2+1 or 3+1 system.
5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance
- Not Applicable: This device is a physical medical device (a balloon catheter) and not an AI or imaging diagnostic tool. Therefore, a multi-reader multi-case (MRMC) comparative effectiveness study to assess human reader improvement with or without AI assistance was not performed and is not relevant to its regulatory submission.
6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done
- Not Applicable: As mentioned, this is a physical medical device, not an algorithm or AI. Standalone algorithm performance is not applicable.
7. The type of ground truth used
- For Performance Bench Tests: The "ground truth" was established by engineering specifications and international standards (ISO 10555-1 and 10555-4). The device's physical and functional properties were measured against these predefined, objective criteria.
- For Biocompatibility Tests: The "ground truth" was established based on biological evaluation standards (ISO 10993-1). The biological responses to the device materials were evaluated against established safety thresholds.
- For Animal Study (User Needs): The "ground truth" was based on physician consensus/assessment of the device's performance characteristics (insertion, withdrawal, trackability, etc.) in a live biological model, comparing them against the "user needs" defined during the design phase.
8. The sample size for the training set
- Not Applicable: This device does not involve a "training set" in the context of machine learning or AI. The design verification and validation were based on testing physical prototypes and samples, not on training a model with data.
9. How the ground truth for the training set was established
- Not Applicable: There is no training set for this type of device.
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JUN 2 7 2014
SECTION 5. 510(k) SUMMARY
(As Required By 21 CFR 807.92(a)) -
| A. Company Information | |
|---|---|
| Company Name: | Cordis Corporation (Manufacturer) |
| Address: | 6500 Paseo Padre ParkwayFremont, CA 94555 |
| Contact Person: | Kim Fonda |
| Telephone: | (510) 248-2480 |
| Fax: | (510) 248-2533 |
| Date of Submission: | Dec. 16, 2013 |
| Company Name: | Cordis Cashel (Legal Manufacturer) |
| Address: | Cahir RoadCashel Co.Tipperary, Ireland |
| Contact Person: | Kim Fonda |
| Telephone: | (510) 248-2480 |
| Fax: | (510) 248-2533 |
| B. Trade/Device Name: | SABER™ Percutaneous Transluminal AngioplastyDilatation Catheter |
| Common Name: | Percutaneous Catheter |
| Classification Name: | Catheter, angioplasty, peripheral, transluminal |
| Regulation Number: | 21 CFR 870.1250 - Percutaneous Catheter |
| Product Code: | LIT |
C. Predicate Device Information:
'
| Predicate Devices | |||
|---|---|---|---|
| 510(k)Number | DateCleared | Device Name | Manufacturer |
| K971010 | 6/18/1997 | SAVVY® PTA Balloon Catheter | Cordis Corp. |
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| K121442 | 6/14/2012 | Powerflex® Pro PercutaneousTransluminal AngioplastyBalloon Catheter | Cordis Corp. |
|---|---|---|---|
| K103464 | 12/22/2010 | Invatec Pacific™ Xtreme PTABalloon Catheter | Medtronic Inc |
D. Device Description:
The SABER™ PTA Catheter is an over-the-wire Percutaneous Transluminal Angioplasty (PTA) catheter consisting of a proximal hub and distal dilatation balloon, connected by a . coaxial, concentric dual lumen shaft. Radiopaque marker bands indicate the dilating section of the balloon and aid in balloon placement. A hydrophilic coating covers the distal tip, balloon, and sections of the shaft, to facilitate balloon placement. The SABER® PTA Catheter is compatible with 4F, 5F, and 6F catheter introducer sheaths, and with guidewires having a maximum diameter of 0.018 inches. The SABER" PTA Catheter is available in a variety of sizes, ranging from 2 to 10 mm in diameter and 20 to 300 mm in length, and useable length of either 90 or 150 cm. It is packaged as a single use, sterile device.
E. Intended Use:
The SABER™ PTA catheter is intended to dilate stenoses in iliac, femoral, ilio-femoral, popliteal, infra popliteal and renal arteries and for the treatment of obstructive lesions of native or synthetic arteriovenous dialysis fistulae. The device is also indicated for postdilation of balloon-expandable and self-expanding stents in the peripheral vasculature.
F. Summary of technological characteristics of the proposed device to the predicate devices:
The SABER™ PTA Catheter has the following similarities to the predicate devices:
- ◆ Same intended use
- . Same operating principle
- · · Method of delivery
- . Components
- . Performance properties
- Device dimensions .
- . Device labeling
- . Manufacturing processes
- . Same sterilization methods and sterility assurance level
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- Packaging materials and configurations .
The intended use of the SABER™ PTA Catheter is identical to the predicate Powerflex® Pro PTA Catheter. The differences between the SABER "PTA Catheter and predicate devices do not raise any new questions of safety and effectiveness.
Summary of Nonclinical Testing:
Bench, animal and biocompatibility testing were performed to support a determination of substantial equivalence. Results of testing demonstrated that the SABER™ PTA Catheter has been tested to assure conformance to the requirements for its intended use.
The SABER™ PTA Catheter is an externally communicating device, contacting circulating blood for < 24 hours. Appropriate testing was determined in accordance with Cordis Risk Analysis procedures. All tests recommended in ISO 10555-1, Intravascular catheters-Sterile and single-use catheters - Part 1: General Requirements (July 2013,) and 10555-4, Intravascular catheters- Sterile and single-use catheters - Part 4: Balloon dilatation catheters (June, 2013), have been performed. Biocompatibility tests were performed in accordance with Biological evaluation of medical devices - Part 1: Evaluation and testing.
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The following tests were performed:
| SABERTM PTA Catheter testing | |
|---|---|
| Performance | Biocompatibility |
| Dimensional Verification ○ Useable catheter length ○ Marker band spacing ○ Marker band placement ○ Balloon working length Visual inspection Catheter sheath introducer withdrawal Guidewire compatibility Preparation verification Kink diameter Balloon deflation time Balloon inflation time Proximal seal tensile test Hub to shaft tensile test Tip to balloon tensile test Minimum burst strength, shaft Balloon Burst Balloon diameter compliance at nominal inflation Balloon diameter compliance at rated burst pressure inflation Particulate test Outer Surface Friction test System fatigue without stent System fatigue with stent Balloon burst in stent Torque Packaging : Dye leak and Seal strength | Cytotoxicity Sensitization Irritation Acute systemic toxicity Pyrogenicity Hemocompatibility: hemolysis Hemocompatibility: partial thromboplastin Hemocompatibility: platelet and leukocyte counts Hemocompatibility: complement activation Hemocompatibility: in vivo thrombogenicity Genotoxicity Physiochemical tests |
The SABER™ PTA Catheter was validated by three physicians in one animal study using a swine model. This testing was performed to establish by objective evidence that the Saber .018 inch PTA Catheter conforms to the user needs such as insertion and withdrawal, trackability, crossability, visibility, marker band visibility, placement, and inflation and deflation time. The Saber PTA Catheter met all predetermined acceptance criteria of design verification and validation. Testing results identified no new questions of safety or
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effectiveness, and demonstrate that the technological characteristics and device performance of the SABER™ PTA Catheter are comparable to currently marketed devices.
G. Summary of Clinical Testing:
No clinical studies were deemed necessary to support substantial equivalence, as appropriate verification and validation of device requirements were achieved based on the similarities of the proposed device to the predicate device, and from results of bench and animal testing.
Conclusion:
Information contained within this submission demonstrates that the SABER™ PTA Catheter:
- Has legally marketed predicate devices
- Has identical indications for use as the predicate Powerflex® Pro PTA Catheter 트 device
- l Incorporates the same fundamental technology, and uses accepted scientific methods and international standards to evaluate device safety and effectiveness
- 발 Demonstrates that the design and performance of the SABER" PTA catheter has equivalent safety and performance characteristics of predicate devices, and does not raise different questions of safety and effectiveness.
Based upon the intended use, design, performance characteristics, and the non-clinical performance testing performed by Cordis Corporation, and from comparison to legally marketed devices, it is concluded that the SABER" PTA Catheter is appropriate for its intended use, and is substantially equivalent to the predicate devices.
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Public Health Service
ood and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002
DEPARTMENT OF HEALTH & HUMAN SERVICES
June 27, 2014
Cordis Corporation Ms. Kim Fonda Regulatory Affairs Project Manager 6500 Paseo Padre Parkway Fremont, CA 94555
Re: K133843
Trade/Device Name: SABER™ Percutaneous Transluminal Angioplasty (PTA) Dilatation Catheter
Regulation Number: 21 CFR 870.1250 Regulation Name: Percutaneous Catheter Regulatory Class: Class II Product Code: LIT Dated: May 16, 2014 Received: May 19, 2014
Dear Ms. Fonda:
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. Kim Fonda
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" (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/MedicalDeyices/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. Afzal Naeem
for Bram D. Zuckerman, M.D. Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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510(k) Number: K133843
Device Name: SABER™ Percutaneous Transluminal Angioplasty Dilatation Catheter
The SABER™ PTA Dilatation catheter is intended to dilate stenoses in iliac, femoral, iliofemoral, popliteal, infra popliteal and renal arteries and for the treatment of obstructive lesions of native or synthetic arteriovenous dialysis fistulae. The device is also indicated for post-dilation of balloon-expandable and self-expanding stents in the peripheral vasculature.
Prescription Use X AND/OR (Part 21 CFR 801 Subpart D)
Over-The-Counter Use (21 CFR 807 Subpart C)
(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of Center for Devices and Radiological Health (CDRH)
M. Zwillich
§ 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).