K Number
K142241
Device Name
LARIAT sulture Delivery Device
Manufacturer
Date Cleared
2014-09-12

(30 days)

Product Code
Regulation Number
878.5000
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The LARIAT® III Suture Delivery Device facilitates suture placement and knot tying for use in surgical applications where soft tissue are being approximated and/or ligated with a pre-tied polyester suture.
Device Description
The LARIAT® III Suture Delivery Device is a one-piece, single-use suture delivery and deployment device with a pre-tied size "0" polyester suture loop that is pre-loaded on a retractable Delivery Snare on the distal end of the device. The pre-tied suture loop is held onto the Delivery Snare and allows for multiple opening and closings of the suture loop without release. Upon tightening of the suture loop, the suture is released from the Delivery Snare. An accessory lumen within the LARIAT III device is designed for aspiration and flushing. The LARIAT III device is compatible with access site diameters of 4.3mm and larger. The suture is itself a cleared medical device as a part of K021019.
More Information

No
The device description and performance studies focus on mechanical function and material properties, with no mention of AI or ML.

No.
This device is designed to facilitate suture placement and knot tying for approximating and ligating soft tissues, which falls under surgical applications and does not directly treat or alleviate a medical condition.

No

The device is described as a "suture delivery and deployment device" used for "suture placement and knot tying for use in surgical applications where soft tissue are being approximated and/or ligated." This function is therapeutic, not diagnostic.

No

The device description clearly outlines a physical, single-use suture delivery and deployment device with a pre-tied suture loop and accessory lumen. The performance studies also focus on bench testing of physical characteristics and functionalities. There is no mention of software as a component or the primary function of the 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 "surgical applications where soft tissue are being approximated and/or ligated with a pre-tied polyester suture." This describes a surgical procedure performed on the body, not a test performed on a sample taken from the body.
  • Device Description: The description details a physical device used for delivering and tying sutures within the body. It doesn't mention any components or processes related to analyzing biological samples.
  • Lack of IVD Indicators: There is no mention of analyzing samples (blood, urine, tissue, etc.), detecting biomarkers, or providing diagnostic information based on laboratory testing.

IVD devices are used to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. This device is a surgical tool used for physical manipulation of tissue.

N/A

Intended Use / Indications for Use

The LARIAT® III Suture Delivery Device facilitates suture placement and knot tying for use in surgical applications where soft tissue are being approximated and/or ligated with a pre-tied polyester suture.

Product codes

GAT, HCF

Device Description

The LARIAT® III Suture Delivery Device is a one-piece, single-use suture delivery and deployment device with a pre-tied size "0" polyester suture loop that is pre-loaded on a retractable Delivery Snare on the distal end of the device. The pre-tied suture loop is held onto the Delivery Snare and allows for multiple opening and closings of the suture loop without release. Upon tightening of the suture loop, the suture is released from the Delivery Snare. An accessory lumen within the LARIAT III device is designed for aspiration and flushing. The LARIAT III device is compatible with access site diameters of 4.3mm and larger. The suture is itself a cleared medical device as a part of K021019.

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

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

The bench testing included the following:

  • Visual and Dimensional Verification
  • Snare Loop Actuation and Force Testing
  • Ability to Perfuse and Aspirate Testing
  • Suture Preparation and Deployment Testing
  • Snare Loop Lock Testing
  • Suture Recoil Testing
  • Suture Tensile Strength Testing
  • Snare Wire Joint Strength Testing
  • Shaft to Handle Joint Strength Testing
  • Catheter Tip to Shaft Joint Strength
  • Snare Anchor Joint Strength Testing
  • Hypotube to Shaft Joint Strength Testing
  • Suture Knot Strength Testing
  • Suture/Suture Fob Joint Strength Testing

The above testing confirmed that the LARIAT III device performs according the stated intended use.

Key Metrics

Not Found

Predicate Device(s)

LARIAT II Suture Delivery Device, SentreHEART (K090385)

Reference Device(s)

K021019

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 878.5000 Nonabsorbable poly(ethylene terephthalate) surgical suture.

(a)
Identification. Nonabsorbable poly(ethylene terephthalate) surgical suture is a multifilament, nonabsorbable, sterile, flexible thread prepared from fibers of high molecular weight, long-chain, linear polyesters having recurrent aromatic rings as an integral component and is indicated for use in soft tissue approximation. The poly(ethylene terephthalate) surgical suture meets U.S.P. requirements as described in the U.S.P. Monograph for Nonabsorbable Surgical Sutures; it may be provided uncoated or coated; and it may be undyed or dyed with an appropriate FDA listed color additive. Also, the suture may be provided with or without a standard needle attached.(b)
Classification. Class II (special controls). The special control for this device is FDA's “Class II Special Controls Guidance Document: Surgical Sutures; Guidance for Industry and FDA.” See § 878.1(e) for the availability of this guidance document.

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Image /page/0/Picture/1 description: The image shows the seal of the U.S. Department of Health and Human Services. The seal features an abstract design of three human profiles facing right, stacked on top of each other. The profiles are rendered in a flowing, stylized manner. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the design.

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

September 12, 2014

SentreHEART Incorporated Ms. Kit Cariquitan Vice President, Clinical and Regulatory Affairs 300 Saginaw Drive Redwood City, California 94063

Re: K142241

Trade/Device Name: LARIAT® III Suture Delivery Device Regulation Number: 21 CFR 878.5000 Regulation Name: Nonabsorbable poly(ethylene terephthalate) surgical suture Regulatory Class: Class II Product Code: GAT, HCF Dated: August 11, 2014 Received: August 13, 2014

Dear Ms. Cariquitan:

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

1

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 Industry and Consumer Education at its toll-free 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" (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 Industry and Consumer Education 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,

David Krause -S

  • Binita S. Ashar, M.D., M.B.A., F.A.C.S. for Director Division of Surgical Devices Office of Device Evaluation Center for Devices and Radiological Health
    Enclosure

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Indications for Use

510(k) Number (if known) K142241

Device Name LARIAT® III Suture Delivery Device

Indications for Use (Describe)

The LARIAT® III Suture Delivery Device facilitates suture placement and knot tying for use in surgical applications where soft tissue are being approximated and/or ligated with a pre-tied polyester suture.

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

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)

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:

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SECTION 6 510(k) SUMMARY

510(k) Notification K142241

GENERAL INFORMATION

Applicant:

SentreHEART, Inc. 300 Saginaw Drive Redwood City, CA U.S.A. Phone: 650-241-6038 Fax: 650-241-5985

Contact Person:

Kit Cariquitan Vice President, Clinical and Regulatory Affairs SentreHEART, Inc. 300 Saginaw Drive Redwood City, CA U.S.A. Phone: 650-241-6038 Fax: 650-241-5985 Email: kcariquitan@sentreheart.com

Date Prepared: August 11, 2014

Classification:

Class II, 21 CFR§87: .5000

Product Code:

GAT (Suture, Nonabsorbable, Synthetic, Polyethylene) HCF (Instrument, Ligature Passing And Knot Tying)

Trade Name:

LARIAT® III Suture Delivery Device

Generic/Common Name:

Nonabsorbable (ethylene terephthalate) surgical suture Instrument, Ligature Passing And Knot Tying

Predicate Device:

LARIAT II Suture Delivery Device, SentreHEART (K090385)

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SECTION 6 510(k) SUMMARY (CONT.)

Intended Use:

The LARIAT® III Suture Delivery Device facilitates suture placement and knot tying for use in surgical applications where soft tissue are being approximated and/or ligated with a pre-tied polyester suture.

Product Description:

The LARIAT® III Suture Delivery Device is a one-piece, single-use suture delivery and deployment device with a pre-tied size "0" polyester suture loop that is pre-loaded on a retractable Delivery Snare on the distal end of the device. The pre-tied suture loop is held onto the Delivery Snare and allows for multiple opening and closings of the suture loop without release. Upon tightening of the suture loop, the suture is released from the Delivery Snare. An accessory lumen within the LARIAT III device is designed for aspiration and flushing. The LARIAT III device is compatible with access site diameters of 4.3mm and larger. The suture is itself a cleared medical device as a part of K021019.

Substantial Equivalence:

This Special 510(k) premarket notification is for the LARIAT III device, which is a modified version of the cleared and commercially available LARIAT II device (K090385). The LARIAT III device's handle was updated to lengthen the thumb slide slot and the suture fob that is on the end of the handle is now molded and is 1 piece. The LARIAT III device's catheter shaft is braided with stainless steel wire and has 4 lumens. Lastly, the LARIAT III device's distal tip has been updated to include a larger snare size of 45mm and a radiopaque marker. The minor design modifications outlined in this Special 510(k) premarket notification do not (1) affect the intended use or (2) alter the fundamental scientific technology of the device. The LARIAT III device shares the same intended use, similar technological characteristics and the same principles of operation as the predicate device. Any differences between the devices do not raise any new issues of safety or effectiveness. Thus, the LARIAT III device is substantially equivalent to the predicate device.

Testing in Support of Substantial Equivalence Determination:

All necessary bench testing was conducted on the LARIAT III device to support a determination of substantial equivalence to the predicate device.

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SENTREHEART, INC.

SECTION 6 510(k) SUMMARY (CONT.)

The bench testing included the following:

Visual and Dimensional VerificationSnare Wire Joint Strength Testing
Snare Loop Actuation and Force TestingShaft to Handle Joint Strength Testing
Ability to Perfuse and Aspirate TestingCatheter Tip to Shaft Joint Strength
Suture Preparation and Deployment TestingSnare Anchor Joint Strength Testing
Snare Loop Lock TestingHypotube to Shaft Joint Strength Testing
Suture Recoil TestingSuture Knot Strength Testing
Suture Tensile Strength TestingSuture/Suture Fob Joint Strength Testing

The above testing confirmed that the LARIAT III device performs according the stated intended use.

Summary:

The LARIAT III device is substantially equivalent to the predicate device