K Number
K150225
Device Name
NovaGold High Performance Guidewire
Manufacturer
Date Cleared
2015-03-16

(42 days)

Product Code
Regulation Number
876.1500
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The NovaGold Guidewire is intended for use in selective cannulation of the billary ducts including the common bile, pancreatic, cystic, right and left hepatic ducts, and to aid in the placement of diagnostic devices during endoscopic procedures.
Device Description
The NovaGold Guidewire is constructed from a steerable, metallic core with a PTFE polymer coating over the shaft. A hydrophilic coating is applied over the distal portion of the device. The guidewire has a radiopaque, floppy tip.
More Information

Not Found

No
The summary describes a physical guidewire and its materials, with no mention of software, algorithms, or AI/ML terms.

No
The NovaGold Guidewire is described as being used to aid in the placement of diagnostic devices, not for therapeutic purposes. Its function is to facilitate access and placement of other devices, which is generally considered a procedural aid rather than a direct therapeutic intervention.

No
The primary function of the NovaGold Guidewire is to aid in the placement of other diagnostic devices, not to diagnose a condition itself.

No

The device description clearly states it is a physical guidewire constructed from metallic and polymer materials, indicating it is a hardware device.

Based on the provided information, the NovaGold Guidewire is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use clearly states that the device is for "selective cannulation of the billary ducts... and to aid in the placement of diagnostic devices during endoscopic procedures." This describes a device used within the body for a procedural purpose, not for testing samples outside the body to diagnose a condition.
  • Device Description: The description details a physical guidewire with a metallic core, coatings, and a tip. This is consistent with an interventional medical device, not a reagent, kit, or instrument used for laboratory testing.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), reagents, or any process related to in vitro testing.

Therefore, the NovaGold Guidewire is an interventional medical device, not an IVD.

N/A

Intended Use / Indications for Use

The NovaGold Guidewire is intended for use in selective cannulation of the billary ducts including the common bile, pancreatic, cystic, right and left hepatic ducts, and to aid in the placement of diagnostic devices during endoscopic procedures.

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

OCY

Device Description

The NovaGold Guidewire is constructed from a steerable, metallic core with a PTFE polymer coating over the shaft. A hydrophilic coating is applied over the distal portion of the device. The guidewire has a radiopaque, floppy tip.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Biliary ducts including the common bile, pancreatic, cystic, right and left hepatic ducts.

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)

To verify that device design met functional and performance requirements, representative samples of the device underwent bench testing in accordance to applicable standards and guidances. These data provides an acceptable assurance of the safety and effectiveness of the NovaGold guidewire and demonstrated the device is equivalent to the predicate.

Non-Clinical Tests Submitted:
• Fracture resistance
• Flex resistance
• Tensile strength
• Torqueability
• Torque Strength
• Tip flexibility
• Distal fatigue resistance

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.

K133076

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

§ 876.1500 Endoscope and accessories.

(a)
Identification. An endoscope and accessories is a device used to provide access, illumination, and allow observation or manipulation of body cavities, hollow organs, and canals. The device consists of various rigid or flexible instruments that are inserted into body spaces and may include an optical system for conveying an image to the user's eye and their accessories may assist in gaining access or increase the versatility and augment the capabilities of the devices. Examples of devices that are within this generic type of device include cleaning accessories for endoscopes, photographic accessories for endoscopes, nonpowered anoscopes, binolcular attachments for endoscopes, pocket battery boxes, flexible or rigid choledochoscopes, colonoscopes, diagnostic cystoscopes, cystourethroscopes, enteroscopes, esophagogastroduodenoscopes, rigid esophagoscopes, fiberoptic illuminators for endoscopes, incandescent endoscope lamps, biliary pancreatoscopes, proctoscopes, resectoscopes, nephroscopes, sigmoidoscopes, ureteroscopes, urethroscopes, endomagnetic retrievers, cytology brushes for endoscopes, and lubricating jelly for transurethral surgical instruments. This section does not apply to endoscopes that have specialized uses in other medical specialty areas and that are covered by classification regulations in other parts of the device classification regulations.(b)
Classification —(1)Class II (special controls). The device, when it is an endoscope disinfectant basin, which consists solely of a container that holds disinfectant and endoscopes and accessories; an endoscopic magnetic retriever intended for single use; sterile scissors for cystoscope intended for single use; a disposable, non-powered endoscopic grasping/cutting instrument intended for single use; a diagnostic incandescent light source; a fiberoptic photographic light source; a routine fiberoptic light source; an endoscopic sponge carrier; a xenon arc endoscope light source; an endoscope transformer; an LED light source; or a gastroenterology-urology endoscopic guidewire, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 876.9.(2) Class I for the photographic accessories for endoscope, miscellaneous bulb adapter for endoscope, binocular attachment for endoscope, eyepiece attachment for prescription lens, teaching attachment, inflation bulb, measuring device for panendoscope, photographic equipment for physiologic function monitor, special lens instrument for endoscope, smoke removal tube, rechargeable battery box, pocket battery box, bite block for endoscope, and cleaning brush for endoscope. The devices subject to this paragraph (b)(2) are exempt from the premarket notification procedures in subpart E of part 807of this chapter, subject to the limitations in § 876.9.

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

March 16, 2015

NeoMetrics, Inc. Dave Liebl President and Chief Technology Officer 2605 Fernbrook Lane North, Suite J Plymouth, MN 55447

Re: K150225

Trade/Device Name: NovaGold™ High Performance Guidewire Regulation Number: 21 CFR§ 876.1500 Regulation Name: Endoscope and accessories Regulatory Class: II Product Code: OCY Dated: January 30, 2015 Received: February 2, 2015

Dear Dave Liebl,

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.

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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 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. 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 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 vours.

Herbert P. Lerner -S

for

Benjamin R. Fisher, Ph.D. Director Division of Reproductive, Gastro-Renal, and Urological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K150225

Device Name NovaGold™ High Performance Guidewire

Indications for Use (Describe)

The NovaGold Guidewire is intended for use in selective cannulation of the billary ducts including the common bile, pancreatic, cystic, right and left hepatic ducts, and to aid in the placement of diagnostic devices during endoscopic procedures.

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)
------------------------------------------------------------------------------------------------------------------------------------------------

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6.0 510(k) Summary

| Submitter: | NeoMetrics, Inc.
2605 Fernbrook Lane North, Suite J
Plymouth, MN 55447 |
|----------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Contact Person: | Dave Liebl, President and Chief Technology Officer
2605 Fernbrook Lane North, Suite J
Plymouth, MN 55447 |
| Date Prepared: | January 30, 2015 |
| Trade Name: | NovaGold™ High Performance Guidewire |
| Classification: | Class II
Regulation Number: 21 CFR 876.1500. |
| Product Code: | OCY |
| Predicate Device: | The subject device is substantially equivalent to K133076;
NovaGold High Perfomance Guidewire manufactured by
NeoMetrics, Inc. |
| Device Description: | The NovaGold Guidewire is constructed from a steerable,
metallic core with a PTFE polymer coating over the shaft. A
hydrophilic coating is applied over the distal portion of the
device. The guidewire has a radiopaque, floppy tip. |
| Indication for Use: | The NovaGold Guidewire is intended for use in selective
cannulation of the biliary ducts including the common bile,
pancreatic, cystic, right and left hepatic ducts, and to aid in the
placement of diagnostic and therapeutic devices during
endoscopic procedures. |
| Principle of
Operation: | The NovaGold Guidewire is manually inserted and advanced to
the target region. |
| Functional and Safety
Testing: | To verify that device design met functional and performance
requirements, representative samples of the device underwent
bench testing in accordance to applicable standards and
guidances. |
| | These data provides an acceptable assurance of the safety and
effectiveness of the NovaGold guidewire and demonstrated the
device is equivalent to the predicate. |
| Comparative
Technology
Characteristics | A comparison of the characteristics of the proposed device and
the predicate device shows the NovaGold guidewire to have the
same technological characteristics to the predicate which has
received 510(k) clearance.
• Identical intended use
• Identical operating principle
• Identical packaging and sterilization process
• Identical overall design, materials of construction, and
technology
Identical:
• Nominal diameter: 0.018”
• Guidewire lengths: 260 and 480 cm
• Nitinol alloy core wires
• Distal radiopaque tip
• Lubricious coatings |
| Non-Clinical Tests
Submitted | The following tests were performed to support NovaGold's
substantial equivalence. |
| | • Fracture resistance
• Flex resistance
• Tensile strength
• Torqueability
• Torque Strength
• Tip flexibility
• Distal fatigue resistance |
| Conclusion: | NeoMetrics Inc. considers the NovaGold guidewire to be
equivalent to the predicate device. This conclusion is based upon
the fact that device has an equivalent intended use, and there are
no differences that raise new types of questions of safety and
effectiveness. |

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