K Number
K150343
Device Name
V8 Transluminal BAV Catheter
Manufacturer
Date Cleared
2015-04-03

(51 days)

Product Code
Regulation Number
870.1255
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The V8 Transluminal BAV Catheter is indicated for Balloon Aortic Valvuloplasty.
Device Description
The V8 Transluminal BAV Catheter System features an hour glass shaped dilatation balloon on the distal end of a catheter. The catheter is inserted through a percutaneous entry site into the common femoral artery via an introducer sheath and advanced retrograde to the aortic valve. The catheter is always delivered over a guidewire. The balloon is then inflated to dilate the stenotic aortic valve leaflets in an effort to increase valve opening dimensions and systemic blood flow by improving leaflet mobility. The hour glass shaped balloon, with the undersized waist segment, is intended to minimize over-dilatation of the valve annulus while allowing the full dilation of the valve leaflet. The bulbous proximal balloon segment is appropriately sized for the patient's aortic root dimensions to maximize valve leaflet opening.
More Information

No
The device description and performance studies focus on the mechanical properties and function of a balloon catheter, with no mention of AI or ML technologies.

Yes
The device is indicated for "Balloon Aortic Valvuloplasty" which is a medical procedure to dilate the stenotic aortic valve, directly treating a medical condition.

No

This device is designed for a therapeutic procedure (Balloon Aortic Valvuloplasty) to dilate a stenotic aortic valve, which is a treatment, not a diagnostic purpose.

No

The device description clearly outlines a physical catheter with a balloon, intended for insertion into the body. The performance studies also focus on physical properties and performance of the hardware. There is no mention of software as the primary or sole component.

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

Here's why:

  • Intended Use: The intended use is "Balloon Aortic Valvuloplasty." This is a therapeutic procedure performed directly on the patient's body to treat a medical condition (stenotic aortic valve).
  • Device Description: The description details a catheter with a balloon designed to be inserted into the body and physically manipulate the aortic valve. This is an invasive medical device used for treatment.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens (like blood, urine, or tissue) in vitro (outside the body) to provide information for diagnosis, monitoring, or screening.

IVD devices are used to perform tests on samples taken from the body to provide diagnostic information. This device is a therapeutic device used to treat a condition within the body.

N/A

Intended Use / Indications for Use

The V8 Transluminal BAV Catheter is indicated for Balloon Aortic Valvuloplasty.

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

OZT

Device Description

The V8 Transluminal BAV Catheter System features an hour glass shaped dilatation balloon on the distal end of a catheter. The catheter is inserted through a percutaneous entry site into the common femoral artery via an introducer sheath and advanced retrograde to the aortic valve. The catheter is always delivered over a guidewire. The balloon is then inflated to dilate the stenotic aortic valve leaflets in an effort to increase valve opening dimensions and systemic blood flow by improving leaflet mobility. The hour glass shaped balloon, with the undersized waist segment, is intended to minimize over-dilatation of the valve annulus while allowing the full dilation of the valve leaflet. The bulbous proximal balloon segment is appropriately sized for the patient's aortic root dimensions to maximize valve leaflet opening.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Aortic valve, aortic annulus, aortic root

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 performance testing performed during design verification and shelf life testing were not repeated because the design and materials of the device remain the same as the V8 predicate. Therefore there are no changes to the performance or safety of the predicate V8 device. The testing performed during the predicate design verification included:

  • Balloon rated burst pressure ●
  • Balloon compliance
  • Critical dimension verifications ●
  • Guidewire and introducer compatibility
  • Deflation times
  • Repeat inflation
  • Leak
  • Tensile ●
  • Kink ●
  • Torque

Additional bench testing for the use of the V8 as a post-dilatation balloon in a self-expanding TAVR included:

  • The durability of the V8 when used in conjunction with a self-expanding TAVR ●
  • The radial force exerted on a simulated annulus by a V8 and cylindrical balloon ● within a self-expanding TAVR

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.

K133607, K122012

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.

K123111, K132728

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

§ 870.1255 Balloon aortic valvuloplasty catheter.

(a)
Identification. A balloon aortic valvuloplasty catheter is a catheter with a balloon at the distal end of the shaft, which is intended to treat stenosis in the aortic valve when the balloon is expanded.(b)
Classification. Class II (special controls). The special controls for this device are:(1) The device must be demonstrated to be biocompatible.
(2) Sterility and shelf life testing must demonstrate the sterility of patient-contacting components and the shelf life of these components.
(3) Non-clinical performance evaluation must demonstrate that the device performs as intended under anticipated conditions of use, including device delivery, inflation, deflation, and removal.
(4) In vivo evaluation of the device must demonstrate device performance, including the ability of the device to treat aortic stenosis.
(5) Labeling must include a detailed summary of the device-related and procedure-related complications pertinent to the use of the device.

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Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features the department's name in a circular arrangement around a symbol. The symbol consists of a stylized caduceus, which is a traditional symbol of medicine, with three human profiles incorporated into the design.

Public Health Service

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

April 3, 2015

Intervalve, Inc. % Ming Chew Regulatory Consultant Libra Medical Inc. 8401 73rd Avenue North, Suite 63 Brooklyn Park, Minnesota 55428

Re: K150343

Trade/Device Name: V8 Transluminal BAV Catheter Regulation Number: 21 CFR 870.1255 Regulation Name: Balloon Aortic Valvuloplasty Catheter Regulatory Class: Class II Product Code: OZT Dated: March 3, 2015 Received: March 4, 2015

Dear Ming Chew:

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

1

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 of medical devicerelated 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 yours,

M. A. Hilleman

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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| DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration | Form Approved: OMB No. 0910-0120
Expiration Date: January 31, 2017
See PRA Statement below. |

----------------------------------------------------------------------------------------------------------------------------------------------------------------------------
510(k) Number ( if known )K150343
Device NameV8 Transluminal BAV Catheter
Indications for Use ( describe )The V8 Transluminal BAV Catheter is indicated for Balloon Aortic Valvuloplasty.
Type of Use ( select one or both, as applicable )
Prescription Use (Part 21 CFR 801 Subpart D)Over-The-Counter Use (Part 21 CFR 801 Subpart C

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3

Image /page/3/Picture/0 description: The image shows the logo for Libra Medical. The logo consists of a stylized symbol resembling interconnected circles on the left, followed by the text "LIBRAMEDICAL" in a combination of gray and blue. The "LIBRA" portion of the text is in gray, while "MEDICAL" is in blue.

7. 510(K) SUMMARY

ADMINISTRATIVE INFORMATION 7.1

Date of Summary Preparation:

7.1.1 Contact Information

| Submitter/Manufacturer | Mark Ungs
InterValve, Inc.
2445 Xenium Lane
Plymouth, MN 55441
Phone: (612) 599-1795
Fax: 763-657-7055
Email: mark@intervalveinc.com |
|------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Primary Submission Contact | Ming Cheng Chew
Regulatory Consultant,
Libra Medical Inc.
8401 73rd Ave North, Suite 63
Brooklyn Park, MN 55428
Phone: 763-232-3701
Fax: 763-477-6357
Email: mcchew@libramed.com |
| Secondary Submission Contact | Sew-Wah Tay, PhD
Regulatory Consultant,
Libra Medical Inc.
8401 73rd Ave North, Suite 63
Brooklyn Park, MN 55428
Phone: 612-801-6782
Fax: 763-477-6357
Email: swtay@libramed.com |

7.1.2 Device Information

Trade NameV8 Transluminal BAV Catheter
Common NameBalloon Aortic Valvuloplasty Catheter
Classification NameCatheter, Balloon Aortic Valvuloplasty
Classification Regulation870.1255
ClassII
PanelCardiovascular
Product CodeOZT
FDA Documents Related to
Modified DeviceNone

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7.2 PREDICATE DEVICE

The modified device is substantially equivalent to the InterValve V8 Transluminal BAV Catheter (K133607) and the Z-Med/Z-Med II (K122012).

7.3 DEVICE DESCRIPTION

The V8 Transluminal BAV Catheter System features an hour glass shaped dilatation balloon on the distal end of a catheter. The catheter is inserted through a percutaneous entry site into the common femoral artery via an introducer sheath and advanced retrograde to the aortic valve. The catheter is always delivered over a guidewire. The balloon is then inflated to dilate the stenotic aortic valve leaflets in an effort to increase valve opening dimensions and systemic blood flow by improving leaflet mobility. The hour glass shaped balloon, with the undersized waist segment, is intended to minimize over-dilatation of the valve annulus while allowing the full dilation of the valve leaflet. The bulbous proximal balloon segment is appropriately sized for the patient's aortic root dimensions to maximize valve leaflet opening.

7.4 INTENDED USE

The V8 Transluminal BAV Catheter is intended to dilate aortic valve tissue.

There is no change in intended use from the V8 predicate device.

7.5 INDICATIONS FOR USE

The V8 Transluminal BAV Catheter is indicated for Balloon Aortic Valvuloplasty.

There is no change in the indications for use from the predicate devices.

7.6 TECHNOLOGICAL CHARACTERISTICS

The V8 balloon is made of clear semi-compliant polymeric material. The balloon is available in four sizes (waist/bulb diameters of 17/22 mm, 21/26 mm, 21/26 mm and 23/28 mm). The waist of the hour glass balloon is sized such that it is smaller than the bulb diameter up to the rated burst pressure. The V8 balloon is intended to provide a means for dilation of stenotic aortic valve tissue while minimizing dilation of the aortic annulus by virtue of its hour glass shape.

The catheter is currently available in a 110 cm length and is compatible with a 12F introducer sheath. It is introduced through the femoral artery via the introducer sheath and tracked over a 0.035" wire. The catheter's inner shaft beneath the balloon is marked with radiopaque platinum iridium marker bands, two at the center of the waist, and one each at the outside edges of the proximal and distal balloon shoulders. The catheter is packaged in a heat sealed Tyvek pouch and provided sterilized. It is intended for single use only. These characteristics are identical to the predicate V8 device.

7.7 PERFORMANCE DATA

The performance testing performed during design verification and shelf life testing were not repeated because the design and materials of the device remain the same as the V8 predicate. Therefore there are no changes to the performance or safety of the predicate V8 device. The testing performed during the predicate design verification included:

5

  • Balloon rated burst pressure ●
  • Balloon compliance
  • Critical dimension verifications ●
  • Guidewire and introducer compatibility
  • o Deflation times
  • Repeat inflation o
  • Leak o
  • Tensile ●
  • Kink ●
  • Torque

Additional bench testing for the use of the V8 as a post-dilatation balloon in a self-expanding TAVR included:

  • The durability of the V8 when used in conjunction with a self-expanding TAVR ●
  • The radial force exerted on a simulated annulus by a V8 and cylindrical balloon ● within a self-expanding TAVR

The proposed change to the V8 device labeling does not affect the requirements of the special controls because no design changes have been made to the predicate K133607 V8 device.

Special Control RequirementEvidence of Conformity
The device should be demonstrated
to be biocompatible.The proposed change does not affect the
biocompatibility of the device. The
biocompatibility test data were provided in the
K123111 submission. There were no new materials
added.
Sterility and shelf life testing should
demonstrate the sterility of patient-
contacting components and the
shelf-life of these components.The sterile packaging and shelf carton are identical
to the predicate V8 device. The worst case device is
identical to the predicate device. Therefore the
sterility data provided previously is applicable. The
sterilization validation test results provided in the
510(k) notification K123111 is applicable to this
device.
Shelf life testing was not repeated because there
were no design changes to the predicate V8 device.
Shelf life testing data is provided in the K133607
submission.
Non-clinical performance
evaluation of the device should
demonstrate substantial equivalence
in terms of safety and effectiveness
for device delivery, inflation,
deflation, and removal.Design verification testing was not repeated because
there were no design changes made. Test data can
be found in the K133607 submission.
Additional bench testing was performed and is
summarized in Section 11.5 of this submission.
In vivo evaluation of the device
should demonstrate deviceThe shape of the device has not changed and the
principles of operation are also the same. The
Table 1: Special Controls
-------------------------------------

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performance, including the abilitydevice dimensions are identical to the predicate
of the device to treat aortic stenosis.device submitted in 510(k) notification K132728.
Labeling must include a detailed
summary of the device-related and
procedure-related complications
pertinent to use of the device.The IFU contains "Potential Complications,
Outcomes, Adverse Events" section.

SUBSTANTIAL EQUIVALENCE 7.8

The V8 device covered by this submission is substantially equivalent to the V8 predicate device (K133607) and the Z-Med predicate device (K122012). The device intended use has not changed and the overall design principles are the same. There has been no change to the general design or materials of the balloon.

The V8 device covered by this submission has the same intended use and the same technological characteristics as the previously cleared V8 predicate device. The differences between this device and the V8 predicate do not raise new questions of safety or efficacy.

7.9 CONCLUSION

The modified V8 Transluminal BAV Catheter System is substantially equivalent to the predicate devices (K133607 and K122012) in design, materials, function and intended use.