K Number
K140345
Device Name
THE SHERLOCK 3CG TIP CONFIRMATION SYSTEM (TCS)
Manufacturer
Date Cleared
2014-03-14

(31 days)

Product Code
Regulation Number
880.5970
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Sherlock 3CG™ Tip Confirmation System (TCS) is indicated for guidance and positioning of Peripherally Inserted Central Catheters (PICCs). The Sherlock 3CG™ TCS provides real-time PICC tip location information by using passive magnet tracking and the patient's cardiac electrical activity (ECG). When relying on the patient's ECG signal, the Sherlock 3CG™ TCS is indicated for use as an alternative method to chest X-ray and fluoroscopy for PICC tip placement confirmation in adult patients. Limiting but not contraindicated situations for this technique are in patients where alterations of cardiac rhythm change the presentation of the P-wave as in atrial fibrillation, atrial flutter, severe tachycardia, and pacemaker driven rhythm. In such patients, who are easily identifiable prior to catheter insertion, the use of an additional method is required to confirm PICC tip location.
Device Description
The Sherlock 3CGTM TCS is indicated for guidance and positioning of PICCs during insertion and placement. The Sherlock 3CGTM TCS provides real-time catheter tip location information by using passive magnet tracking and the patient's cardiac electrical activity (ECG). The Sherlock 3CGTM TCS displays the location of the PICC tip using a magnetic stylet and magnetic sensors. The Sherlock 3CGTM TCS also displays ECG waveforms received from the patient's skin (baseline ECG) and from the tip of the catheter (intravascular ECG) on the graphical user interface.
More Information

Not Found

No
The description focuses on passive magnet tracking and ECG analysis, with no mention of AI or ML techniques for data processing or interpretation.

No.
The device is used for guiding and positioning PICCs and confirming their tip placement, which are diagnostic and procedural guidance functions, not therapeutic.

No
The device provides guidance and positioning for PICC insertion and confirmation of PICC tip placement, which are procedural functions rather than diagnostic functions that identify a disease or condition.

No

The device description explicitly mentions using "passive magnet tracking and the patient's cardiac electrical activity (ECG)" and "magnetic stylet and magnetic sensors," indicating the presence of hardware components beyond just software.

Based on the provided information, the Sherlock 3CG™ Tip Confirmation System (TCS) is not an In Vitro Diagnostic (IVD) device.

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to examine specimens taken from the human body (like blood, urine, or tissue) to provide information about a person's health.
  • Sherlock 3CG™ TCS Function: The Sherlock 3CG™ TCS works by using a magnetic stylet and magnetic sensors to track the position of a PICC line within the body. It also uses the patient's cardiac electrical activity (ECG) to help confirm the tip location.
  • No Specimen Analysis: The device does not analyze any specimens taken from the patient's body. It interacts directly with the patient's internal anatomy (via the PICC line and ECG leads) and physiological signals.

Therefore, the Sherlock 3CG™ TCS falls under the category of a medical device used for guidance and positioning during a medical procedure, rather than an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The Sherlock 3CG™ Tip Confirmation System (TCS) is indicated for guidance and positioning of Peripherally Inserted Central Catheters (PICCs). The Sherlock 3CG™ TCS provides real-time PICC tip location information by using passive magnet tracking and the patient's cardiac electrical activity (ECG). When relying on the patient's ECG signal, the Sherlock 3CG™ TCS is indicated for use as an alternative method to chest X-ray and fluoroscopy for PICC tip placement confirmation in adult patients.
Limiting but not contraindicated situations for this technique are in patients where alterations of cardiac rhythm change the presentation of the P-wave as in atrial fibrillation, atrial flutter, severe tachycardia, and pacemaker driven rhythm. In such patients, who are easily identifiable prior to catheter insertion, the use of an additional method is required to confirm PICC tip location.

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

LJS

Device Description

The Sherlock 3CGTM TCS is indicated for guidance and positioning of PICCs during insertion and placement. The Sherlock 3CGTM TCS provides real-time catheter tip location information by using passive magnet tracking and the patient's cardiac electrical activity (ECG). The Sherlock 3CGTM TCS displays the location of the PICC tip using a magnetic stylet and magnetic sensors. The Sherlock 3CGTM TCS also displays ECG waveforms received from the patient's skin (baseline ECG) and from the tip of the catheter (intravascular ECG) on the graphical user interface.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

adult patients

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)

Verification and validation activities were designed and performed to demonstrate that the subject Sherlock 3CG™ TCS met predetermined performance specifications. The following guidance documents in conjunction with in-house protocols were used to determine appropriate methods for evaluating the performance of the device. Design Control Guidance for Medical Device Manufacturers, March 11, 1997 Draft Guidance - Applying Human Factors and Usability Engineering to Optimize Medical Device Design, June 22, 2011 The subject device met all pre-determined acceptance criteria and demonstrated substantial equivalence as compared to the predicate device.
The results of the testing performed demonstrate the subject device is as safe, as effective, and performs as well as or better than the predicate device.

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.

K113808

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

§ 880.5970 Percutaneous, implanted, long-term intravascular catheter.

(a)
Identification. A percutaneous, implanted, long-term intravascular catheter is a device that consists of a slender tube and any necessary connecting fittings, such as luer hubs, and accessories that facilitate the placement of the device. The device allows for repeated access to the vascular system for long-term use of 30 days or more, and it is intended for administration of fluids, medications, and nutrients; the sampling of blood; and monitoring blood pressure and temperature. The device may be constructed of metal, rubber, plastic, composite materials, or any combination of these materials and may be of single or multiple lumen design.(b)
Classification. Class II (special controls) Guidance Document: “Guidance on Premarket Notification [510(k)] Submission for Short-Term and Long-Term Intravascular Catheters.”

0

Sherlock 3CG Tip Confirmation System (TCS)

·

Bard Access Systems, Inc.

510(k) Summary 21 CFR 807.92

Sherlock 3CG Tip Confirmation System

| | Submitter Name:
Address: | Bard Access Systems, Inc.
605 North 5600 West
Salt Lake City, UT 84116 |
|------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------|
| General
Provisions | Contact Person | James R. Davis
Regulatory Affairs Specialist
james.davis2@crbard.com
801.522.5000 ext 5456
801.522.5425 |
| | Date of Preparation: | 07 February 2014 |
| Subject
Device | Trade Name:
Common/Usual Name:
Classification Name: | Sherlock 3CGTM Tip Confirmation System
Sherlock 3CGTM Tip Confirmation System
Percutaneous, implanted, long-term intravascular
catheter |
| | Product Code/
Regulation: | LJS - 21 CFR 880.5970 |
| Predicate
Device | Trade Name:
Classification Name: | Sherlock 3CGTM Tip Confirmation System
Percutaneous, implanted, long-term intravascular
catheter |
| | Premarket Notification:
Manufacturer: | K113808
Bard Access Systems, Inc. |
| Device
Description | The Sherlock 3CGTM TCS is indicated for guidance and positioning of PICCs
during insertion and placement. The Sherlock 3CGTM TCS provides real-time
catheter tip location information by using passive magnet tracking and the
patient's cardiac electrical activity (ECG). The Sherlock 3CGTM TCS displays the
location of the PICC tip using a magnetic stylet and magnetic sensors. The
Sherlock 3CGTM TCS also displays ECG waveforms received from the patient's
skin (baseline ECG) and from the tip of the catheter (intravascular ECG) on the
graphical user interface. | |
| Indications for
Use / Intended
Use | The Sherlock 3CG™ Tip Confirmation System (TCS) is indicated for guidance and
positioning of Peripherally Inserted Central Catheters (PICCs). The Sherlock 3CG™
TCS provides real-time PICC tip location information by using passive magnet tracking
and the patient's cardiac electrical activity (ECG). When relying on the patient's ECG
signal, the Sherlock 3CG™ TCS is indicated for use as an alternative method to chest
X-ray and fluoroscopy for PICC tip placement confirmation in adult patients.
Limiting but not contraindicated situations for this technique are in patients where
alterations of cardiac rhythm change the presentation of the P-wave as in atrial
fibrillation, atrial flutter, severe tachycardia, and pacemaker driven rhythm. In such
patients, who are easily identifiable prior to catheter insertion, the use of an additional
method is required to confirm PICC tip location. | |
| Technological
Characteristics | Technological characteristics of the subject Sherlock 3CG™ TCS are equivalent with
respect to the basic system design and function to that of the predicate Sherlock 3CG
TCS. Differences do not raise any new questions regarding safety and effectiveness. | |
| Safety &
Performance
Tests | Verification and validation activities were designed and performed to demonstrate
that the subject Sherlock 3CG™ TCS met predetermined performance
specifications. The following guidance documents in conjunction with in-house
protocols were used to determine appropriate methods for evaluating the
performance of the device. Design Control Guidance for Medical Device Manufacturers, March 11, 1997 Draft Guidance - Applying Human Factors and Usability Engineering to
Optimize Medical Device Design, June 22, 2011 The subject device met all pre-determined acceptance criteria and demonstrated
substantial equivalence as compared to the predicate device. | |
| Testing
Conclusion | The results of the testing performed demonstrate the subject device is as safe, as
effective, and performs as well as or better than the predicate device. | |
| Summary of
Substantial
Equivalence | Based on the indications for use, technological characteristics, and safety and
performance testing, the subject Sherlock 3CG™ TCS met the minimum
requirements that are considered adequate for its intended use and is
substantially equivalent in design, materials, principles of operation and
indications for use to the predicate Sherlock 3CG™ TCS. | |

1


·

:

.

2

Image /page/2/Picture/0 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a stylized eagle with three wavy lines extending from its body, enclosed within a circular border. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" is arranged around the border of the circle.

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G60 Silver Spring, MD 20993-0002

March 14, 2014

Bard Access Systems, Incorporated Mr. James Davis Regulatory Affairs Specialist 605 North 5600 West Salt Lake City, UT 84116

Re: K140345

Trade/Device Name: Sherlock 3CGTM Tip Confirmation System Regulation Number: 21 CFR 880.5970 Regulation Name: Percutaneous, Implanted, Long-Term Intravascular Catheter Regulatory Class: II Product Code: LJS Dated: February 7, 2014 Received: February 14, 2014

Dear Mr. Davis:

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.

3

Page 2 - Mr. Davis

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 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/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,

Image /page/3/Picture/8 description: The image shows the text "Erin - Ben - S". The words are written in a simple, sans-serif font. The text is black and the background is white. The text is slightly blurred.

Erin 1. Keith, M.S. Acting Director Division of Anesthesiology, General Hospital, Respiratory, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

510(k) Number (if known) K140345

Device Name

Sherlock 3CG Tip Confirmation System (TCS)

Indications for Use (Describe)

The Sherlock 3CG Tip Confirmation System (TCS) is indicated for guidance and positioning of Peripherally Inserted Central Catheters (PICCs). The Sherlock 3CGTM TCS provides real-time PICC tip location information by using passive magnet tracking and the patient's cardiac electrical activity (ECG). When relying on the patient's ECG signal, the Sherlock 3CGTM TCS is indicated for use as an alternative method to chest X-ray and fluoroscopy for PICC tip placement confirmation in adult patients.

Limiting but not contraindicated situations for this technique are in patients where alterations of cardiac rhythm change the presentation of the P-wave as in atrial fibrillation, atrial flutter, severe tachycardia, and pacemaker driven rhythm. In such patients, who are easily identifiable prior to catherer insertion, the use of an additional method is required to confirm PICC tip location.

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

Image /page/4/Picture/13 description: The image shows a logo with the letters "FDA" in a stylized, outlined font. The letters are formed by multiple parallel lines, giving them a three-dimensional appearance. The logo is simple and recognizable, likely representing the Food and Drug Administration.

Digitally signed by Richard C. Chapman Date: 2014.03.12 18:00:56 -04′00″

Form Approved: OMB No. 0910-0120 Expiration Date: January 31, 2017 See PRA Statement on last page.

5

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."