K Number
K151145
Device Name
2.4mm X 127 cm Phoenix Atherectomy Deflecting System
Date Cleared
2015-05-26

(27 days)

Product Code
Regulation Number
870.4875
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Phoenix® Atherectomy System is in atherectomy of the peripheral vasculature. It is not intended for use in coronary, carotid, iliac or renal vasculature.
Device Description
The Phoenix Atherectomy System is a sterile, single-use device designed for atherectomy of the peripheral vasculature. The Phoenix Atherectomy System has two main components: the Phoenix Catheter and the Phoenix Handle. The Phoenix Catheter is a flexible, over-the-wire (OTW), front-cutting Catheter that continuously captures and clears debulked plaque proximally through the Catheter and Handle into a collection reservoir that resides outside the patient. For use, the Phoenix Catheter is inserted into the Phoenix Handle incorporates a self-contained battery-powered motor designed to drive and rotate the cutter of the Phoenix Atherectomy Catheter at its specified rotational speed. The device is activated by an ON/OFF slider switch on the top of the Handle. An accessory, the Phoenix Wire Support Clip, is also supplied and can be used to clip a guidewire torque device in a fixed position relative to the Phoenix Handle. The Catheter, Handle, and Wire Support Clip are each packaged separately as sterile, single-use components of the Phoenix Atherectomy System. There are multiple models of the Phoenix Catheter. The smaller 1.8mm and 2.2mm Phoenix Catheter models are compatible with 5F and 6F sheaths, respectively, and track directly over the guidewire with no tip deflection capability. The larger 2.4mm Phoenix Catheter is 7F with the tip having deflection capability. All Phoenix Catheter models use the same Phoenix Handle and are compatible with specific commercially available 0.014" exchange length (260 cm or greater) guidewires listed in the product's instructions for use. This 510(k) includes modifications to the 2.4mm tip diameter Phoenix Deflecting Catheter distal cutter assembly, as well as the Catheter and proximal chassis design to optimize the ease of use, tip deflection capabilities and manufacturability of the device. Table 9-1 summarizes the subject modifications relative to the predicate devices.
More Information

Not Found

No
The summary describes a mechanical atherectomy system with a motor and cutter. There is no mention of any software, algorithms, or data processing that would indicate the use of AI or ML. The performance studies focus on mechanical and functional characteristics.

Yes
The 'Intended Use / Indications for Use' states that the device is "in atherectomy of the peripheral vasculature," which is a procedure designed to remove plaque and restore blood flow, thus treating a medical condition.

No

The device is an atherectomy system designed for the removal of plaque from peripheral vasculature, which is a therapeutic rather than a diagnostic function.

No

The device description clearly outlines physical components like a catheter, handle with a battery-powered motor, and a wire support clip, indicating it is a hardware-based medical device.

Based on the provided text, the Phoenix® Atherectomy System is not an In Vitro Diagnostic (IVD) device.

Here's why:

  • Intended Use: The intended use is "atherectomy of the peripheral vasculature." This is a surgical procedure performed within the patient's body to remove plaque from blood vessels.
  • Device Description: The description details a mechanical device (catheter, handle, motor, cutter) designed for physical intervention within the body.
  • Lack of IVD Characteristics: The text does not mention any components or processes related to testing samples outside the body (in vitro), such as analyzing blood, tissue, or other bodily fluids.

IVD devices are used to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. The Phoenix Atherectomy System is a therapeutic device used for a surgical procedure.

N/A

Intended Use / Indications for Use

The Phoenix® Atherectomy System is in atherectomy of the peripheral vasculature. It is not intended for use in coronary, carotid, iliac or renal vasculature.

The Phoenix® Atherectomy System is intended for use in atherectomy of the peripheral vasculature. It is not intended for use in coronary, carotid, iliac or renal vasculature.

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

MCW

Device Description

The Phoenix Atherectomy System is a sterile, single-use device designed for atherectomy of the peripheral vasculature. The Phoenix Atherectomy System has two main components: the Phoenix Catheter and the Phoenix Handle.

The Phoenix Catheter is a flexible, over-the-wire (OTW), front-cutting Catheter that continuously captures and clears debulked plaque proximally through the Catheter and Handle into a collection reservoir that resides outside the patient. For use, the Phoenix Catheter is inserted into the Phoenix Handle incorporates a self-contained battery-powered motor designed to drive and rotate the cutter of the Phoenix Atherectomy Catheter at its specified rotational speed. The device is activated by an ON/OFF slider switch on the top of the Handle. An accessory, the Phoenix Wire Support Clip, is also supplied and can be used to clip a guidewire torque device in a fixed position relative to the Phoenix Handle. The Catheter, Handle, and Wire Support Clip are each packaged separately as sterile, single-use components of the Phoenix Atherectomy System.

There are multiple models of the Phoenix Catheter. The smaller 1.8mm and 2.2mm Phoenix Catheter models are compatible with 5F and 6F sheaths, respectively, and track directly over the guidewire with no tip deflection capability. The larger 2.4mm Phoenix Catheter is 7F with the tip having deflection capability. All Phoenix Catheter models use the same Phoenix Handle and are compatible with specific commercially available 0.014" exchange length (260 cm or greater) guidewires listed in the product's instructions for use.

This 510(k) includes modifications to the 2.4mm tip diameter Phoenix Deflecting Catheter distal cutter assembly, as well as the Catheter and proximal chassis design to optimize the ease of use, tip deflection capabilities and manufacturability of the device. Table 9-1 summarizes the subject modifications relative to the predicate devices.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

peripheral vasculature

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 demonstrate the substantial equivalence of the modified 2.4mm Deflecting Phoenix Atherectomy System to the predicate 2.4mm Deflecting Phoenix Atherectomy System, the performance and technological characteristics were evaluated by completion of the following testing:

  • Dimensional and Visual Inspection
  • Catheter Sweep & Deflection Span Verification
  • Simulated Use
  • Comparative Predicate Testing in Simulated Lesion
  • Cutter Torque Chain Torque-to-Failure Test
  • Functional Outer Shaft Torque Test
  • Outer Shaft Torque Test, Deflecting Catheter
  • Thrust Bearing Tensile Test
  • Outer Shaft to Slider Tensile Test
  • Catheter Drive Train Stress Test
  • Cutter Stall Test
  • Temperature Rise of Catheter During Simulated Use
  • Kink Bend Radius Test
  • Guidewire Compatibility
  • Sheath Compatibility
  • Sheath Flow Rate
  • Corrosion Resistance
  • Large Vessel Debulking Diameter for Deflecting Catheter
  • Packaging and Shelf Life

The results from this testing demonstrate that the performance and technological characteristics of the modified Phoenix 2.4mm Deflecting Atherectomy System meet defined design requirements and that the modified device performs in a manner equivalent to the predicate Phoenix 2.4mm Deflecting Atherectomy System with the identical intended use.

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.

K132682, K140944

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

§ 870.4875 Intraluminal artery stripper.

(a)
Identification. An intraluminal artery stripper is a device used to perform an endarterectomy (removal of plaque deposits from arterisclerotic arteries.)(b)
Classification. Class II (performance standards).

0

Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is a stylized image of three human profiles facing to the right, stacked on top of each other.

Public Health Service

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

May 26, 2015

Volcano AtheroMed, Inc. c/o Ms. Jean Chang Vice President, Operations 1455 Adams Drive, Suite 1120 Menlo Park, CA 94025

Re: K151145

Trade/Device Name: Phoenix Atherectomy System Regulation Number: 21 CFR 870.4875 Regulation Name: Intraluminal Artery Stripper Regulatory Class: Class II Product Code: MCW Dated: April 28, 2015 Received: April 29, 2015

Dear Ms. Chang:

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 device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set

1

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" (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 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

2

Form Approved: OMB No. 0910-0120

Expiration Date: January 31, 2017 See PRA Statement below.

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

510(k) Number (if known)

K151145

Device Name

Phoenix® Atherectomy System

Indications for Use (Describe)

The Phoenix® Atherectomy System is in atherectomy of the peripheral vasculature. It is not intended for use in coronary, carotid, iliac or renal vasculature.

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)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

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3

510(k) Summary

Submitter Information:

Date of 510(k) Summary Preparation:April 28, 2015
Name and Address of Manufacturer:Volcano AtheroMed, Inc.
1455 Adams Dr.
Menlo Park, CA 94025
Contact Person:Jean Chang
Vice President, Operations
Phone: (650) 473-6846
Fax: (650) 473-9927
Subject Device:
Device Trade Name:Phoenix® Atherectomy System
Common Name:Peripheral Atherectomy Catheter
Regulation Description:Intraluminal Artery Stripper
Regulation Number:21 CFR 870.4875
Product Code:MCW
Device Class:Class II
Classification Panel:Cardiovascular

Predicate Device:

Trade Name: 510(k) Number: Manufacturer:

Phoenix Atherectomy System K132682 & K140944 Volcano AtheroMed, Inc.

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Device Description:

The Phoenix Atherectomy System is a sterile, single-use device designed for atherectomy of the peripheral vasculature. The Phoenix Atherectomy System has two main components: the Phoenix Catheter and the Phoenix Handle.

The Phoenix Catheter is a flexible, over-the-wire (OTW), front-cutting Catheter that continuously captures and clears debulked plaque proximally through the Catheter and Handle into a collection reservoir that resides outside the patient. For use, the Phoenix Catheter is inserted into the Phoenix Handle incorporates a self-contained battery-powered motor designed to drive and rotate the cutter of the Phoenix Atherectomy Catheter at its specified rotational speed. The device is activated by an ON/OFF slider switch on the top of the Handle. An accessory, the Phoenix Wire Support Clip, is also supplied and can be used to clip a guidewire torque device in a fixed position relative to the Phoenix Handle. The Catheter, Handle, and Wire Support Clip are each packaged separately as sterile, single-use components of the Phoenix Atherectomy System.

There are multiple models of the Phoenix Catheter. The smaller 1.8mm and 2.2mm Phoenix Catheter models are compatible with 5F and 6F sheaths, respectively, and track directly over the guidewire with no tip deflection capability. The larger 2.4mm Phoenix Catheter is 7F with the tip having deflection capability. All Phoenix Catheter models use the same Phoenix Handle and are compatible with specific commercially available 0.014" exchange length (260 cm or greater) guidewires listed in the product's instructions for use.

This 510(k) includes modifications to the 2.4mm tip diameter Phoenix Deflecting Catheter distal cutter assembly, as well as the Catheter and proximal chassis design to optimize the ease of use, tip deflection capabilities and manufacturability of the device. Table 9-1 summarizes the subject modifications relative to the predicate devices.

Indications for Use:

The Phoenix® Atherectomy System is intended for use in atherectomy of the peripheral vasculature. It is not intended for use in coronary, carotid, iliac or renal vasculature.

Testing Summary:

To demonstrate the substantial equivalence of the modified 2.4mm Deflecting Phoenix Atherectomy System to the predicate 2.4mm Deflecting Phoenix Atherectomy System, the performance and technological characteristics were evaluated by completion of the following testing:

  • Dimensional and Visual Inspection
  • . Catheter Sweep & Deflection Span Verification
  • Simulated Use

5

  • Comparative Predicate Testing in Simulated Lesion .
  • . Cutter Torque Chain Torque-to-Failure Test
  • . Functional Outer Shaft Torque Test
  • Outer Shaft Torque Test, Deflecting Catheter
  • . Thrust Bearing Tensile Test
  • Outer Shaft to Slider Tensile Test
  • Catheter Drive Train Stress Test
  • . Cutter Stall Test
  • Temperature Rise of Catheter During Simulated Use
  • Kink Bend Radius Test
  • Guidewire Compatibility
  • . Sheath Compatibility
  • . Sheath Flow Rate
  • . Corrosion Resistance
  • . Large Vessel Debulking Diameter for Deflecting Catheter
  • Packaging and Shelf Life

The results from this testing demonstrate that the performance and technological characteristics of the modified Phoenix 2.4mm Deflecting Atherectomy System meet defined design requirements and that the modified device performs in a manner equivalent to the predicate Phoenix 2.4mm Deflecting Atherectomy System with the identical intended use.

6

Table 9-1: Summary of Technological Characteristics for the Modified Phoenix
Atherectomy System
TechnologicalPredicate Phoenix Atherectomy
System (K132682),Modified Phoenix Atherectomy
System, (Subject Device),
Characteristic7F Phoenix Catheters (FG1179)7F Phoenix Catheters (FG1728)
Rotational Speed10,000-12,000 RPMIdentical
Guidewire ExchangeOver-the-wireIdentical
Guidewire Compatibility0.014"Identical
Sheath Compatibility7FIdentical
Catheter Working Length130 cm127 cm Straight
117 cm Deflected
Catheter Torque ShaftMulti-Strand Stainless Steel (SS)Multi-Strand Stainless Steel (SS)
Catheter Inner ShaftStainless Steel Outer Shaft and
Teflon SheathStainless Steel Outer Shaft and Thicker
Teflon sheath
Catheter Outer ShaftStainless Steel Outer Shaft and
Teflon sheathIdentical
Catheter Shaft Diameter2.2mmIdentical
Distal Cutter Flute
Maximum Diameter2.3mm2.4mm
Tip Diameter and
Crossing Profile2.4mmIdentical
Cutting Tip PortNoneSingle exit port conveys excised debris
from the inner guidewire lumen into the
Distal Cutting Flute channel
Second Stage
Maceration within
HousingYesIdentical
Cutter HousingCoatingNo Coating
Distal Tip Assembly
CoatingYesYes
Minimum Vessel Size for
Device Use3.0mmIdentical
Deflection span
(Side-to-side)≥ 5.5mm≥ 6.0mm
Deflection MechanismKnob Advances/Retracts Inner Shaft
to straighten or buckle inner Nitinol
tube for deflectionSlider Advances/Retracts the Outer
Shaft with the pre-shaped Nitinol
section at the distal end to deflect or
straighten the tip of the Inner Shaft
housing the cutter assembly
Debris Collection &
RemovalContinuous collection and removal of
excised debris by mechanical
conveyanceIdentical
Steering (Directional)
mechanismRotation of knob steers distal tip and
cutter by torqueing Catheter Inner
ShaftIdentical Mechanism: Rotation of knob
steers distal tip and cutter by torqueing
Catheter Outer Shaft
Catheter CoatingNoIdentical
SterilizationEthylene OxideIdentical
Single-use onlyYesIdentical