K Number
K140420
Device Name
VADO STEERABLE SHEATH
Date Cleared
2014-04-01

(42 days)

Product Code
Regulation Number
870.1340
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Vado Steerable Sheath is indicated for introducing various cardiovascular catheters into the vasculature and into the chambers of the heart including the left side of the heart through the interatrial septum.
Device Description
The Kalila Vado Steerable Sheath consists of an 8.8F (ID) sheath and dilator, which is designed to provide flexible catheter positioning in the cardiac anatomy. The steerable introducer includes a hemostasis valve to minimize blood loss during catheter exchange. A sideport with three-way stopcock is provided for aspiration, fluid infusion, blood sampling and pressure monitoring. A handle equipped with a deflection knob, deflects the tip 140°. The steerable introducer features distal vent holes for aspiration and radiopaque markers to facilitate visualization under fluoroscopy.
More Information

Not Found

No
The device description and performance studies focus on the mechanical and material properties of a steerable sheath, with no mention of AI or ML capabilities. The "Mentions AI, DNN, or ML" field is explicitly marked as "Not Found".

No
The device is described as a steerable sheath and dilator used for introducing catheters, not for directly treating a medical condition.

No

Explanation: The device is a steerable sheath used for introducing catheters, not for diagnosing medical conditions. Its function is to facilitate the placement of other instruments for procedures such as aspiration, fluid infusion, blood sampling, and pressure monitoring, but it does not inherently diagnose.

No

The device description clearly outlines physical components such as a sheath, dilator, hemostasis valve, sideport, handle with a deflection knob, distal vent holes, and radiopaque markers, indicating it is 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 clearly states the device is for "introducing various cardiovascular catheters into the vasculature and into the chambers of the heart". This describes a device used in vivo (within the body) for a procedural purpose, not for testing samples in vitro (outside the body).
  • Device Description: The description details a physical device designed for insertion into the body, with features like a sheath, dilator, hemostasis valve, sideport for aspiration/infusion/sampling/pressure monitoring, and a steerable tip. These are characteristics of a medical device used for interventional procedures, not for analyzing biological samples.
  • Lack of IVD Characteristics: There is no mention of the device being used to analyze biological samples (like blood, urine, tissue, etc.) to provide diagnostic information. The sideport is for sampling from the body or infusing into the body, not for analyzing samples by the device itself.

In summary, the Vado Steerable Sheath is a medical device used for facilitating cardiovascular procedures within the body, not for performing diagnostic tests on samples outside the body.

N/A

Intended Use / Indications for Use

The Vado Steerable Sheath is indicated for introducing various cardiovascular catheters into the vasculature and into the chambers of the heart including the left side of the heart through the interatrial septum.

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

DYB

Device Description

The Kalila Vado Steerable Sheath consists of an 8.8F (ID) sheath and dilator, which is designed to provide flexible catheter positioning in the cardiac anatomy. The steerable introducer includes a hemostasis valve to minimize blood loss during catheter exchange. A sideport with three-way stopcock is provided for aspiration, fluid infusion, blood sampling and pressure monitoring. A handle equipped with a deflection knob, deflects the tip 140°. The steerable introducer features distal vent holes for aspiration and radiopaque markers to facilitate visualization under fluoroscopy.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

cardiac anatomy, vasculature, chambers of the heart, left side of the heart through the interatrial septum

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 510(k) notice contains summaries of biocompatibility and in vitro studies conducted to evaluate the performance characteristics of the Vado Steerable Sheath. The data presented demonstrate that the Vado Steerable Sheath met its functional and performance characteristics in accordance with applicable industry standards and compares favorably to the predicate device.

To verify that the Vado Steerable Sheath met its functional and performance requirements, representative sterilized samples of the device underwent sterilization, biocompatibility, bench testing, packaging integrity, and shelf life testing.

Biocompatibility Tests:

  1. Cytotoxicity
  2. Acute Systemic Toxicity
  3. Hemocompatibility (Direct and Indirect)
  4. Thrombosis
  5. Sensitization
  6. Irritation / Intracutaneous
  7. Complement Activation
  8. Pyrogenicity (rabbit pyrogen and bacterial endotoxin (LAL)

Bench Tests:

  1. Steerable Sheath and Dilator Visual Inspection
  2. Steerable Sheath Dimension Inspection
  3. Steerable Sheath Marker Band Location Measurement
  4. Dilator Dimensional Inspection
  5. Valve Leakage Resistance at 40kPa
  6. Leakage Resistance at 300kPa
  7. Device Preparation
  8. Dilator Snap Disengagement Force
  9. Dilator Insertion and Retraction Force
  10. Shaft Deflection
  11. Curvature Dimensions
  12. Aspiration
  13. Catheter Insertion Cycling and Flexion Cycling, with Flush
  14. Bend Radius to Kink
  15. Corrosion Resistance
  16. Junction Strengths
  17. Torque and Turns to Failure
  18. Steerable Sheath Radiopacity Study

Packaging Integrity Tests:

  1. Pouch Seal Strength
  2. Gross Leak Detection

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.

K061363

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

§ 870.1340 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

510(k) NumberK140420
Submitter Name and Address
Name:Kalila Medical
Contact:Carrie Neuberger
Address:745 Camden Avenue, Suite A
Campbell, CA 95008
Telephone:415-640-3377
Fax:408-903-4095
Date Prepared:February 7, 2014
General Device Information
Product Name:Vado Steerable Sheath
Common Name:Steerable catheter introducer
Classification:21 CFR 870.1340
A catheter introducer is a sheath used to
facilitate placing a catheter through the skin into
á vein or artery.
Device Class:Class II
Product Code:DYB
Predicate Device
ManufacturerDevice Name510(k) Number
St. Jude MedicalAgilis NxT Steerable
IntroducerK061363

Section 5 510(k) Summarv

Device Description

The Kalila Vado Steerable Sheath consists of an 8.8F (ID) sheath and dilator, which is designed to provide flexible catheter positioning in the cardiac anatomy. The steerable introducer includes a hemostasis valve to minimize blood loss during catheter exchange. A sideport with three-way stopcock is provided for aspiration, fluid infusion, blood sampling and pressure monitoring. A handle equipped with a deflection knob, deflects the tip 140°. The steerable introducer features distal vent holes for aspiration and radiopaque markers to facilitate visualization under fluoroscopy.

Intended Use (Indications)

The Vado Steerable Sheath is indicated for introducing various cardiovascular catheters into the vasculature and into the chambers of the heart including the left side of the heart through the interatrial septum.

Comparison to the Predicate Device

The Vado Steerable Sheath has the same intended use and fundamental scientific technology as the predicate device, including biocompatibility, packaging, sterilization, and labeling. Where dimensional differences exist between the subject device and the predicate device, performance testing demonstrates that these differences do not adversely affect safety and effectiveness.

APR 0 1 2014

1

Kalila Medical

This submission supports the position that the Vado Steerable Sheath is substantially equivalent to the St. Jude Medical Agilis NxT Steerable Introducer (K061363).

Summary of Non-Clinical and Clinical Testing

The 510(k) notice contains summaries of biocompatibility and in vitro studies conducted to evaluate the performance characteristics of the Vado Steerable Sheath. The data presented demonstrate that the Vado Steerable Sheath met its functional and performance characteristics in accordance with applicable industry standards and compares favorably to the predicate device.

To verify that the Vado Steerable Sheath met its functional and performance requirements, representative sterilized samples of the device underwent sterilization, biocompatibility, bench testing, packaging integrity, and shelf life testing.

Biocompatibility Tests:

    1. Cytotoxicity
    1. Acute Systemic Toxicity
    1. Hemocompatibility (Direct and Indirect)
    1. Thrombosis
    1. Sensitization
    1. Irritation / Intracutaneous
    1. Complement Activation
    1. Pyrogenicity (rabbit pyrogen and bacterial endotoxin (LAL)

Bench Tests:

    1. Steerable Sheath and Dilator Visual Inspection
    1. Steerable Sheath Dimension Inspection
    1. Steerable Sheath Marker Band Location Measurement
    1. Dilator Dimensional Inspection
    1. Valve Leakage Resistance at 40kPa
    1. Leakage Resistance at 300kPa
    1. Device Preparation
    1. Dilator Snap Disengagement Force
    1. Dilator Insertion and Retraction Force
    1. Shaft Deflection
    1. Curvature Dimensions
    1. Aspiration
    1. Catheter Insertion Cycling and Flexion Cycling, with Flush
    1. Bend Radius to Kink
    1. Corrosion Resistance
    1. Junction Strengths
    1. Torque and Turns to Failure
    1. Steerable Sheath Radiopacity Study

Packaging Integrity Tests:

2

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  1. Pouch Seal Strength

  2. Gross Leak Detection

Pre-Clinical testing is not provided in this submission.

Clinical testing is not provided in this submission.

The fundamental scientific technology and technological characteristics of the Vado Steerable Sheath are the same as the predicate device including mechanism of action, packaging, biocompatibility, sterilization, and labeling. Through bench performance testing it was demonstrated that the Vado Steerable Sheath does not raise any new questions of safety and effectiveness.

Statement of Equivalence

The Vado Steerable Sheath has the same indications for use and technological characteristics as the predicate device. Based on this and the data provided in this pre-market notification, the subject device and the predicate device have been shown to be substantially equivalent.

3

Image /page/3/Picture/1 description: The image is a seal for the Department of Health & Human Services - USA. The seal is circular with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the edge. In the center of the seal is a stylized image of a caduceus, which is a symbol of medicine.

Public Health Service

Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring MD 20993-002

April 1, 2014

Kalila Medical, Inc. C/O Carrie Neuberger 745 Camden Ave, Suite A Campbell, CA 95008 US

K140420 Re:

Trade/Device Name: Vado Steerable Sheath Regulation Number: 21 CFR 870.1340 Regulation Name: Catheter Introducer Regulatory Class: Class II Product Code: DYB Dated: February 9, 2014 Received: February 18, 2014

Dear Ms. Neuberger:

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

4

Page 2 - Ms. Neuberger

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" (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,

Kenneth J. Cavanaugh -S

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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Page 1/1

Indications for Use

K140420 510(k) Number (if known):

Device Name: Kalila Medical Vado Steerable Sheath

The Vado Steerable Sheath is indicated for introducing various cardiovascular catheters into the vasculature and into the chambers of the heart including the left side of the heart through the interatrial septum.

Prescription Use _____________________________________________________________________________________________________________________________________________________________ (Part 21 CFR 801 Subpart D)

AND/OR

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

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

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