K Number
K150357
Device Name
Reprocessed Electrophysiology Diagnostic Catheters
Manufacturer
Date Cleared
2015-08-27

(196 days)

Product Code
Regulation Number
870.1220
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The reprocessed EP diagnostic catheters are intended for temporary use during electrophysiology studies for intracardiac sensing, recording, and pacing for the electrophysiological mapping and evaluation of cardiac structures and arrhythmias. The catheter is designed for use in the coronary sinus.
Device Description
The EP diagnostic catheters are steerable, multi-electrode catheters with a deflectable tip designed to facilitate electrophysiological mapping of the heart. The catheters have a high-torque shaft with a braided uni-directional deflectable tip section containing an array of ten platinum electrodes that includes a 2 mm tip dome, which can be used for stimulation and recording. The catheters are 6 French with a usable length of 115 cm. The braided tip is controlled by a proximal hand piece that features a thumb operated sliding piston, and is offered in various curve types. The high-torque shaft allows the plane of the curved tip to be rotated to facilitate accurate positioning of the catheter tip at the desired site.
More Information

Not Found

No
The summary describes a physical medical device (catheter) and its reprocessing, with no mention of software, algorithms, or AI/ML capabilities.

No.
The device is used for diagnostic purposes (sensing, recording, pacing for electrophysiological mapping and evaluation of cardiac structures and arrhythmias) and not for treating or curing a condition.

Yes
The "Intended Use / Indications for Use" states that the catheters are intended for "intracardiac sensing, recording, and pacing for the electrophysiological mapping and evaluation of cardiac structures and arrhythmias," which describes a diagnostic function.

No

The device description clearly details a physical, steerable catheter with electrodes and a hand piece, indicating it is a hardware device, not software-only.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to perform tests on samples taken from the human body (like blood, urine, tissue) to provide information about a person's health. These tests are performed outside of the body.
  • Device Function: The description clearly states that this device is an "EP diagnostic catheter" intended for "intracardiac sensing, recording, and pacing for the electrophysiological mapping and evaluation of cardiac structures and arrhythmias." This means it is used inside the body to interact directly with the heart's electrical activity.

The device is used for diagnosis, but it does so through direct interaction within the body, not by analyzing samples taken from the body.

N/A

Intended Use / Indications for Use

The reprocessed EP diagnostic catheters are intended for temporary use during electrophysiology studies for intracardiac sensing, recording, and pacing for the electrophysiological mapping and evaluation of cardiac structures and arrhythmias. The catheter is designed for use in the coronary sinus.

Product codes

NLH

Device Description

The EP diagnostic catheters are steerable, multi-electrode catheters with a deflectable tip designed to facilitate electrophysiological mapping of the heart. The catheters have a high-torque shaft with a braided uni-directional deflectable tip section containing an array of ten platinum electrodes that includes a 2 mm tip dome, which can be used for stimulation and recording. The catheters are 6 French with a usable length of 115 cm. The braided tip is controlled by a proximal hand piece that features a thumb operated sliding piston, and is offered in various curve types. The high-torque shaft allows the plane of the curved tip to be rotated to facilitate accurate positioning of the catheter tip at the desired site.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Coronary sinus

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

Functional and Safety Testing: Representative samples of reprocessed EP diagnostic catheters were tested to demonstrate appropriate functional characteristics. Process validation testing was performed to validate the cleaning and sterilization procedures as well as device packaging. In addition, the manufacturing process includes visual and validated functional testing of 100% of products reprocessed. The reprocessed EP diagnostic catheters are reprocessed no more than four (4) times. Each device is marked and tracked through each reprocessing cycle. After the device has reached the maximum number of reprocessing cycles, the device is rejected from further reprocessing is performed only by the manufacturer Sterilmed. Sterilmed restricts its reprocessings to exclude devices previously reprocessed by other reprocessors.

Summary of Non-clinical Tests Conducted: Specific non-clinical tests performed included: cleaning validation, sterilization validation (ISO 11135, USP ), biocompatibility testing (ISO 10993-1), ethylene oxide residual testing (ISO 10993-7), packaging validation (ASTM D 4169, ASTM F 88, ASTM F 2096), and shelf life validation (ASTM F 1980). In addition, validation of functional performance (bench testing) was performed through simulated use, visual inspection, fatigue testing, and function testing. Performance testing shows the reprocessed EP diagnostic catheters to perform as originally intended.

Key Metrics

Not Found

Predicate Device(s)

K090898, K101345

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 870.1220 Electrode recording catheter or electrode recording probe.

(a)
Identification. An electrode recording catheter or an electrode recording probe is a device used to detect an intracardiac electrocardiogram, or to detect cardiac output or left-to-right heart shunts. The device may be unipolar or multipolar for electrocardiogram detection, or may be a platinum-tipped catheter which senses the presence of a special indicator for cardiac output or left-to-right heart shunt determinations.(b)
Classification. Class II (performance standards).

0

Public Health Service

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

August 27, 2015

Sterilmed. Inc. Patricia F. Kaufman Regulatory Affairs Specialist 5010 Cheshire Parkway Suite 2 Plymouth, Minnesota 55446

Re: K150357

Trade/Device Name: Reprocessed Electrophysiology Diagnostic Catheters (See Attached List of Models) Regulation Number: 21 CFR 870.1220 Regulation Name: Electrode Recording Catheter or Electrode Recording Probe Regulatory Class: Class II Product Code: NLH Dated: July 17, 2015 Received: July 20, 2015

Dear Patricia F. Kaufman:

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

1

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 devicerelated adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (OS) 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,

Mitchell Stei

for Bram D. Zuckerman, M.D. Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

2

Page 3 - Patricia F. Kaufman

| Original

ManufacturerModel #Description
Biosense WebsterD135303Webster® Coronary Sinus Uni-Directional Catheters with
Auto ID Technology, 6F, CS-D Curve, 115 cm useable
length, 2 mm tip electrode
Biosense WebsterD135304Webster® Coronary Sinus Uni-Directional Catheters with
Auto ID Technology, 6F, CS-F Curve, 115 cm useable
length, 2 mm tip electrode

K150357 List of Reprocessed Models Found SE:

3

Indications for Use

510(k) Number: K150357

Device Name: Reprocessed Electrophysiology Diagnostic Catheters

Indications for Use: The reprocessed EP diagnostic catheters are intended for temporary use during electrophysiology studies for intracardiac sensing, recording, and pacing for the electrophysiological mapping and evaluation of cardiac structures and arrhythmias. The catheter is designed for use in the coronary sinus.

Prescription Use X (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (21 CFR 807 Subpart C)

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

Concurrence of CDRH. Office of Device Evaluation (ODE)

Page 1 of

4

Section II. SUMMARY AND CERTIFICATION

A.510(k) SummaryK150357
Submitter:Sterilmed, Inc.
Contact Person:Patricia Kaufman
5010 Cheshire Pkwy N, Suite 2
Plymouth, MN 55446
Phone: 763.488.3211
Fax: 763.488.3350
Date Prepared:11 February 2015
Trade Name:Reprocessed Electrophysiology Diagnostic Catheters
Classification Name:Electrode Recording Catheter or Electrode Recording Probe
Classification Number:Class II, 21 CFR 870.1220
Product Code:NLH
Predicate
Devices:The reprocessed EP diagnostic catheters are substantially equivalent to the Biosense Webster
Webster® Coronary Sinus Uni-Directional Catheters with Auto ID Technology (K090898 and
K101345).
Device
Description:The EP diagnostic catheters are steerable, multi-electrode catheters with a deflectable tip designed to
facilitate electrophysiological mapping of the heart. The catheters have a high-torque shaft with a
braided uni-directional deflectable tip section containing an array of ten platinum electrodes that
includes a 2 mm tip dome, which can be used for stimulation and recording. The catheters are 6
French with a usable length of 115 cm. The braided tip is controlled by a proximal hand piece that
features a thumb operated sliding piston, and is offered in various curve types. The high-torque shaft
allows the plane of the curved tip to be rotated to facilitate accurate positioning of the catheter tip at
the desired site.
Indications for
Use:The reprocessed EP diagnostic catheters are intended for temporary use during electrophysiology
studies for intracardiac sensing, and pacing for the electrophysiological mapping and
evaluation of cardiac structures and arrhythmias. The catheter is designed for use in the coronary
sinus.
Technological
Characteristics:The reprocessed EP diagnostic catheters are identical to the predicate devices in design, materials of
construction, and intended use. There are no changes to the clinical applications, patient population,
performance specifications, or method of operation.
Functional and
Safety Testing:Representative samples of reprocessed EP diagnostic catheters were tested to demonstrate appropriate
functional characteristics. Process validation testing was performed to validate the cleaning and
sterilization procedures as well as device packaging. In addition, the manufacturing process includes
visual and validated functional testing of 100% of products reprocessed. The reprocessed EP
diagnostic catheters are reprocessed no more than four (4) times. Each device is marked and tracked
through each reprocessing cycle. After the device has reached the maximum number of reprocessing
cycles, the device is rejected from further reprocessing is performed only by the
manufacturer Sterilmed. Sterilmed restricts its reprocessings to exclude devices previously
reprocessed by other reprocessors.
Summary of
Non-clinical
Tests
Conducted:Specific non-clinical tests performed included: cleaning validation, sterilization validation (ISO
11135, USP ), biocompatibility testing (ISO 10993-1), ethylene oxide residual testing (ISO
10993-7), packaging validation (ASTM D 4169, ASTM F 88, ASTM F 2096), and shelf life
validation (ASTM F 1980). In addition, validation of functional performance (bench testing) was
performed through simulated use, visual inspection, fatigue testing, and function testing. Performance
testing shows the reprocessed EP diagnostic catheters to perform as originally intended.
Conclusion:Sterilmed concludes that the reprocessed EP diagnostic catheters are safe, effective, and substantially
equivalent to the predicate devices, Webster® Coronary Sinus Uni-Directional Catheters with Auto
ID Technology (K090898 and K101345) , as described in this premarket notification submission.

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