K Number
K151936
Date Cleared
2015-12-04

(143 days)

Product Code
Regulation Number
870.1340
Panel
CV
Reference & Predicate Devices
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Steerable Intracardiac Catheter Introducer Kit is intended to introduce various catheters into the heart, including the left side of the heart through the interatrial septum.

Device Description

The proposed device includes Steerable Intracardiac Catheter Introducer Kit as well as its accessory, Transseptal Needle. The Steerable Intracardiac Catheter Introducer Kit is intended for introducing various cardiovascular catheters into heart, including both right and left side. When left side of heart is accessed, Transseptal Needle is intended for puncture the interatrial septum during a transseptal catheterization procedure.

The Steerable Intracardiac Catheter Introducer Kit includes three components, which are (1) steerable sheath introducer, (2) dilator and (3) guidewire. The steerable sheath introduced into a body vessel, along with the dilator, over the guidewire, it is available in variable specification and curve configuration: Dilator is assembled with the sheath introduced into a body vessel over the guidewire. It is used to provide support to sheath and ensure smooth advancement; the guidewire is percutaneous placed into the body vessel to function as a guide for the introduction into the chambers of the heart.

The handle of Steerable Intracardiac Catheter Introducer is equipped with the rotation collar, turn the collar in clockwise, the tip can be stered from 0 to 180 degree(s), while turn the collar in counterclockwise, the tip can be steered from 0 to 90 degree(s) on the other side.

The transseptal needle includes two components, which are (1) stylet. The needle is used to puncture the interatrial septum during a transseptal catheterization procedure; the stylet is used to keep the needle lumen intact during handling and facilitate the needle advancement within the dilator.

The kit and the transseptal needle are provided sterilized. They are subject to Ethylene Oxide sterilization prior to release. The Sterility Assurance Level (SAL) is 10-6.

The shelf life of the proposed device is three (3) years.

AI/ML Overview

This document is a 510(k) premarket notification for a medical device called the "Steerable Intracardiac Catheter Introducer Kit and Transseptal Needle". It seeks to demonstrate substantial equivalence to a predicate device, not to prove the device meets specific acceptance criteria through a clinical study with an AI component. Therefore, much of the requested information regarding AI study details cannot be extracted from this document.

However, I can provide information based on the non-clinical tests performed to demonstrate substantial equivalence.

1. Acceptance Criteria and Reported Device Performance

The document states that non-clinical tests were conducted to verify that the proposed device met all design specifications and was substantially equivalent to the predicate device. The acceptance criteria for these non-clinical tests are implicitly defined by compliance with the listed international and ASTM standards. The "reported device performance" is the conclusion that the device complied with these standards.

Acceptance Criteria CategorySpecific Standard / RequirementReported Device Performance
SterilityISO 11070-2014: Sterile single-use intravascular catheter introducerProposed device complies with ISO 11070-2014
Ethylene Oxide sterilization residualsProposed device complies with ISO 10993-7:2008
BiocompatibilityIn Vitro cytotoxicityProposed device complies with ISO 10993-5:2009
Systemic toxicityProposed device complies with ISO 10993-11:2006
Irritation and skin sensitizationProposed device complies with ISO 10993-10:2010
Interactions with blood (hemolytic properties)Proposed device complies with ISO 10993-4:2002 and ASTM F 756-08
General BiocompatibilityProposed device complies with ISO 10993-1
Packaging & Shelf LifeSeal Strength of Flexible Barrier MaterialsProposed device complies with ASTM F88/F88M-09
Internal Pressurization Failure ResistanceProposed device complies with ASTM F1140-07 (Reapproved 2012)
Performance (general)ISO 11070-1998 (related to catheter introducer performance)Proposed device complies with ISO 11070-1998
Shelf Life(Implicitly tested to justify 3-year claim)3 years (Identical to predicate)

2. Sample Size and Data Provenance

This document describes non-clinical bench testing and biocompatibility testing, not a clinical study involving patient data. Therefore, the concepts of "test set" sample size and "data provenance" (country of origin, retrospective/prospective) are not applicable in this context. The samples used would be units of the manufactured device for the specific tests.

3. Number of Experts and their Qualifications for Ground Truth

Not applicable. This is a submission for a physical medical device, not an AI/software device that requires expert-established ground truth for image or data interpretation. The "ground truth" for the non-clinical tests is derived from the objective measurements and defined parameters within the standardized test methods.

4. Adjudication Method

Not applicable. This is a submission for a physical medical device. Adjudication methods like 2+1 or 3+1 are typically used in clinical trials or studies involving human readers/interpreters to resolve discrepancies in assessment.

5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

No. The document explicitly states: "No clinical study is included in this submission." Also, the device is a physical medical instrument (catheter introducer), not an AI system. Therefore, a study comparing human readers with and without AI assistance is not relevant to this submission.

6. Standalone (Algorithm Only) Performance Study

No. This device is a physical medical instrument and does not involve an algorithm with standalone performance.

7. Type of Ground Truth Used

For the non-clinical tests, the "ground truth" is defined by the objective pass/fail criteria and measurable parameters established within the referenced international and ASTM standards (e.g., specific sterility assurance levels, cytotoxicity assays, seal strength measurements, etc.).

8. Sample Size for the Training Set

Not applicable. This document does not describe the development or evaluation of an AI algorithm; there is no "training set."

9. How the Ground Truth for the Training Set was Established

Not applicable, as there is no AI algorithm or training set discussed in this document.

§ 870.1340 Catheter introducer.

(a)
Identification. A catheter introducer is a sheath used to facilitate placing a catheter through the skin into a vein or artery.(b)
Classification. Class II (performance standards).