K Number
K152240
Device Name
Passeo-14 Peripheral Dilatation Catheter
Manufacturer
Date Cleared
2015-10-08

(59 days)

Product Code
Regulation Number
870.1250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Passeo-14 is indicated for balloon dilatation of the stenotic portion of a lower limb artery for the purpose of improving perfusion.
Device Description
The Passeo-14 peripheral dilatation catheter is intended for the dilatation of stenotic in lower limb arteries. The dilatation balloon is designed to inflate to a known diameter at a specific inflation pressure consistent with the compliance chart on the label. One radiopaque marker is located at each end of the balloon to facilitate fluoroscopic visualization and positioning of the balloon catheter towards and across the lesion. The dilatation catheter includes a soft tapered tip to facilitate advancement of the catheter has two Luer-ports at the proximal end. One port (inflation port) serves for connecting an inflation device to inflate/deflate the balloon. The other port enables flushing of the guide wire lumen. The dilatation catheter has a hydrophobic silicone coating on the outer surface of the proximal shaft and a hydrophilic polymeric based coating on the outer surface of the distal shaft, coated over 150 mm length (valid for 1.5 and 2 mm balloon diameter and 20 to 100 mm balloon length) or coated over 75 mm length (valid for 2 mm balloon diameter and 140 to 220 mm balloon length, and 2.5 to 4 mm balloon diameter and 20 to 220 mm balloon lenqth). The balloon has a hydrophilic patchwork coating. The dilatation catheter is compatible with quide wire and introducer sheath sizes according to the recommendations on the label.
More Information

No
The summary describes a mechanical device (a balloon catheter) and its physical properties and performance in non-clinical testing. There is no mention of software, algorithms, or data processing that would suggest the use of AI/ML.

Yes
The device is described as a "peripheral dilatation catheter" indicated for "balloon dilatation of the stenotic portion of a lower limb artery for the purpose of improving perfusion," which directly describes a therapeutic application to treat a medical condition.

No

Explanation: The device is a percutaneous transluminal angioplasty (PTA) dilatation catheter, which is used for treatment (dilatation of stenotic arteries), not for diagnosis.

No

The device description clearly details a physical medical device (catheter with balloon, ports, coatings, etc.) and the performance studies focus on physical and material properties, not software functionality.

Based on the provided information, the Passeo-14 is not an In Vitro Diagnostic (IVD) device.

Here's why:

  • Intended Use: The intended use is "balloon dilatation of the stenotic portion of a lower limb artery for the purpose of improving perfusion." This describes a therapeutic intervention performed in vivo (within the living body) to treat a medical condition.
  • Device Description: The description details a physical catheter with a balloon designed for mechanical dilatation within an artery. It mentions features like radiopaque markers for visualization during the procedure and ports for inflation and flushing. These are characteristics of a device used directly on the patient's anatomy.
  • Input Imaging Modality: Fluoroscopic visualization is used during the procedure to guide the device within the body.
  • Anatomical Site: The device is used in the "lower limb artery," which is an internal anatomical structure.
  • Performance Studies: The performance studies focus on the physical and biological interactions of the device with the body and simulated environments (e.g., trackability, pushability, biocompatibility, sterilization). These are relevant to devices used in vivo.

In Vitro Diagnostic (IVD) devices are used to examine specimens (like blood, urine, or tissue) taken from the human body to provide information for diagnosis, monitoring, or screening. The Passeo-14 does not perform any such analysis of specimens. It is a therapeutic device used directly within the patient's body.

N/A

Intended Use / Indications for Use

The Passeo-14 is indicated for balloon dilatation of the stenotic portion of a lower limb artery for the purpose of improving perfusion.

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

LIT

Device Description

The Passeo-14 peripheral dilatation catheter is intended for the dilatation of stenotic in lower limb arteries. The dilatation balloon is designed to inflate to a known diameter at a specific inflation pressure consistent with the compliance chart on the label. One radiopaque marker is located at each end of the balloon to facilitate fluoroscopic visualization and positioning of the balloon catheter towards and across the lesion.

The dilatation catheter includes a soft tapered tip to facilitate advancement of the catheter has two Luer-ports at the proximal end. One port (inflation port) serves for connecting an inflation device to inflate/deflate the balloon. The other port enables flushing of the guide wire lumen.

The dilatation catheter has a hydrophobic silicone coating on the outer surface of the proximal shaft and a hydrophilic polymeric based coating on the outer surface of the distal shaft, coated over 150 mm length (valid for 1.5 and 2 mm balloon diameter and 20 to 100 mm balloon length) or coated over 75 mm length (valid for 2 mm balloon diameter and 140 to 220 mm balloon length, and 2.5 to 4 mm balloon diameter and 20 to 220 mm balloon lenqth). The balloon has a hydrophilic patchwork coating.

The dilatation catheter is compatible with quide wire and introducer sheath sizes according to the recommendations on the label.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

lower limb artery

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)

Non-Clinical Performance Testing

  • Dimensional Verification:
    • Visual and Dimensional Inspection: The balloon catheter was visually inspected for defects, printing, coating homogeneity, x-ray marker positioning and adherence to dimensional specs. Inspectional acceptance criteria were met.
    • Crossing Profile (system profile): The diameter of the device is measured by passing the device through a ring-hole gauge to verify French size compatibility. Acceptance criteria for crossing profile were met.
  • Simulated Use Testing:
    • Simulated Use: Testing is conducted to demonstrate that the balloon catheter can be safely and reliably prepared, delivered, and retracted using the recommended techniques and instructions for use, without damage to the device. Acceptance criteria were met. Test shows device performs similar to reference devices (K083919; K093139; K090849) in a simulated use environment.
    • Deflated Balloon Profile: The test is conducted to evaluate the deflated balloon profile after inflation. Acceptance criteria were met. Test shows deflated profile is less than 4F for all sizes.
    • Trackability and Pushability: Test recorded frictional force (N) when tracked over a guide wire in arterial model. Acceptance criteria were met. Test shows device performs similar to reference devices (K083919; K093139) in a simulated use environment.
    • Torqueability: This test evaluates the transfer of rotational movement from the manifold to the distal tip (torque response). Rotational movement was transmitted. Test was passed.
    • Pullback and reintroduction test: With the balloon in an appropriate sheath, the friction to introduce and pullback the device after inflation to RBP is evaluated. Measured pullback and reintroduction forces met acceptance criteria.
    • Balloon Rated Burst Pressure: This test determines the balloon Rated Burst Pressure (RBP). The balloon is inflated until burst and pressure at burst is recorded. The burst failure mode is recorded. Balloons met acceptance criteria for lower 99.9% quantile at 95% confidence interval for all sizes.
    • Balloon Fatigue: The balloons were subjected to repeat inflation/deflation cycles to determine survivability of the balloon. Any loss of pressure, whether due to failure of the balloon, shaft or proximal or distal seals, was reported as a test failure. All failure modes were recorded. Results demonstrate that 90% of the balloons will survive the 20 inflation cycles with at least 95% confidence.
    • Balloon Compliance Radial: Radial compliance is calculated as the difference between balloon diameter at NP and at RBP. Radial compliance meets acceptance criteria. Device performs similar to predicate (K142379)
    • Balloon Compliance Axial: Axial compliance (balloon length at RBP and NP) of the device is measured to verify that it meets product specification. The difference between balloon length at RBP and NP is within specification.
    • Balloon Inflation / Deflation Time: Inflation and deflation time are measured with the device placed in an anatomical model. Inflation and deflation times were measured for characterization. Inflation time was characterized and deflation time was determined to be according to specifications within the instructions for use.
    • Tensile Strength Catheter: Following simulated use, a tensile strain is applied along the relevant catheter region until the first sign of fracture. The force (Fmax) at first sign of damage is recorded. Tensile strength performance (Fmax) for distal and proximal balloon sections met performance specifications.
    • Tip pull test: The purpose of this test is to determine the bond strength of the distal tip of the Passeo-14 products. All tested samples met acceptance criteria.
    • Flexibility and kink test: The purpose of this test is to verify that the Passeo-14 products will not kink at bend radii which are appropriate for the intended anatomy. All tested samples passed the test at the clinically relevant radius.
    • Resistance to Kink: Test was performed to determine the minimum bending radius of the catheter shaft at proximal and distal locations. Measured mean catheter kink radius was well within the acceptance criteria.
    • Torsional bond / Torque Strength: The purpose of this test is to verify whether the functionality of the Passeo-14 products is still given after application of a torsional load. Acceptance criteria were met. Test was passed.
    • Visibility / Radiopacity: The purpose of this test is to evaluate X-ray visibility (also referred to as radiopacitiy) of the Passeo-14 products. Acceptance criteria were met. Test was passed.
    • Coating Integrity: The purpose of this test is to evaluate the ability of the coating to resist damage due to loading, tracking, deployment and delivery system withdrawal. Passeo-14 coating performs comparable or better than reference devices (K083919; K090849)
    • Adhesive Strength of Catheter Coating (hydrophobic coating): This test evaluates the adhesive strength of the coating after tracking, deployment and withdrawal to support coating integrity testing. All samples passed visual inspection.
    • Particulate Evaluation: This test determines the size and quantity of particles that could potentially be introduced into the bloodstream during delivery, deployment and retraction of Passeo-14 products. Particle sizes

§ 870.1250 Percutaneous catheter.

(a)
Identification. A percutaneous catheter is a device that is introduced into a vein or artery through the skin using a dilator and a sheath (introducer) or guide wire.(b)
Classification. Class II (performance standards).

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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 consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is an abstract symbol that resembles three stylized human profiles facing to the right, stacked on top of each other.

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

October 8, 2015

Biotronik, Inc. Mr. Jon Brumbaugh Vice President, Regulatory Affairs and Compliance 6024 Jean Road Lake Oswego, OR 97035

Re: K152240

Trade/Device Name: Passeo-14 Peripheral Dilatation Catheter Regulation Number: 21 CFR 870.1250 Regulation Name: Percutaneous Catheter Regulatory Class: Class II Product Code: LIT Dated: August 7, 2015 Received: August 10, 2015

Dear Mr. Brumbaugh:

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 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.

1

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,

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

Enclosure

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Indications for Use

510(k) Number (if known)

K152240

Device Name Passeo 14 Peripheral Dilatation Catheter

Indications for Use (Describe)

The Passeo-14 is indicated for balloon dilatation of the stenotic portion of a lower limb artery for the purpose of improving perfusion.

Type of Use (Select one or both, as applicable)
---------------------------------------------------

X Prescription Use (Part 21 CFR 801 Subpart D)

| Over-The-Counter Use (21 CFR 801 Subpart C)

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Passeo-14 Peripheral Dilatation Catheter Traditional 510(k) Premarket Notification

510(k) Summary

| Name and Address of Sponsor: | BIOTRONIK, Inc.
6024 Jean Road
Lake Oswego, OR 97035 |
|-----------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| 510(k) Contact Person and Phone Number: | Jon Brumbaugh
Vice President, Regulatory Affairs and Compliance
BIOTRONIK, Inc.
6024 Jean Road
Lake Oswego, OR 97035
Phone: (888) 345-0374
Fax: (503) 635-9936
jon.brumbaugh@biotronik.com |
| Date Prepared: | October 6, 2015 |
| Device Name: | |
| Proprietary Name: | Passeo-14 |
| Common Name: | Percutaneous Transluminal Angioplasty (PTA) Catheter |
| Classification: | Class II (21 CFR 870.1250) |
| Classification Name: | Catheter, angioplasty, peripheral, transluminal |
| Product Code: | LIT |

Predicate and Reference Devices:

510(k) #Device NameManufacturerDate of Clearance
PredicateK142379Passeo-35BIOTRONIK5-Dec-2014
ReferenceK083919Amphirion Deep PTAInvatec13-Mar-2009
ReferenceK090849NanoCross 0.014 OTW PTA
Dilatation CatheterEv3 Inc.1-May-2009
ReferenceK093139BantamClearstream30-Dec-2009

General Description:

The Passeo-14 peripheral dilatation catheter is intended for the dilatation of stenotic in lower limb arteries. The dilatation balloon is designed to inflate to a known diameter at a specific inflation pressure consistent with the compliance chart on the label. One radiopaque marker is located at each end of the balloon to facilitate fluoroscopic visualization and positioning of the balloon catheter towards and across the lesion.

The dilatation catheter includes a soft tapered tip to facilitate advancement of the catheter has two Luer-ports at the proximal end. One port (inflation port) serves for connecting an inflation device to inflate/deflate the balloon. The other port enables flushing of the guide wire lumen.

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The dilatation catheter has a hydrophobic silicone coating on the outer surface of the proximal shaft and a hydrophilic polymeric based coating on the outer surface of the distal shaft, coated over 150 mm length (valid for 1.5 and 2 mm balloon diameter and 20 to 100 mm balloon length) or coated over 75 mm length (valid for 2 mm balloon diameter and 140 to 220 mm balloon length, and 2.5 to 4 mm balloon diameter and 20 to 220 mm balloon lenqth). The balloon has a hydrophilic patchwork coating.

The dilatation catheter is compatible with quide wire and introducer sheath sizes according to the recommendations on the label.

Indication for Use:

Passeo-14 is indicated for balloon dilatation of the stenotic portion of a lower limb artery for the purpose of improving perfusion.

Sizes
Balloon Length (mm)204070100140180220
Usable Length (cm)90120150901201509012015090120150901201509012015090120150
Nominal Balloon Ø (mm)1.5xxxxxx
2xxxxxxxxxxxxxxxxxxxxx
2.5xxxxxxxxxxxxxxxxxxxxx
3xxxxxxxxxxxxxxxxxxxxx
3.5xxxxxxxxxxxxxxx
4xxxxxxxxxxxxxxx

Purpose of Submission:

BIOTRONIK submits this 510(k) for clearance of the new device, Passeo-14.

Summary of technological characteristics in comparison to Predicate Device:

The technological differences between the Passeo-14 and the predicate (Passeo-35; K142379) can be summarized as differences in materials of construction and changes to device dimensions (Passeo-14 has smaller balloon diameters and longer balloon lengths). These differences do not affect the principles of operation or intended use. Therefore, the different technological characteristics of the devices do not raise different questions of safety and effectiveness.

The different characteristics' effects on the performance of the Passeo-14 were evaluated using established scientific methods prescribed in the following FDA guidance documents:

  • . Class II Special Controls Guidance Document for Certain Percutaneous Transluminal Coronary Angioplasty (PTCA) Catheters (#1608) – Published 8-Sep-2010.
  • . Use of International Standard ISO-10993, "Biological Evaluation of Medical Devices Part 1: Evaluation and Testing" - Draft Guidance for Industry and Food and Drug Administration Staff (#1811) - Published 23-Apr-2013.

Non-clinical testing results demonstrate acceptable bench top performance and biological safety of the Passeo-14 in support of the substantial equivalence to the predicate.

The balloon diameter range of the Passeo-14 is similar to the "Amphirion Deep 0.014 OTW PTA Balloon Catheter" (Invatec Innovative Technologies, S.R.L; K083919) that has a balloon diameter range of 2.0-4.0 mm and a balloon length range of 20-210 mm.

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Non-Clinical Performance Testing

Test NameTest Description / PurposeSummary Results
Dimensional Verification
Visual and
Dimensional
InspectionThe balloon catheter was visually inspected for defects,
printing, coating homogeneity, x-ray marker positioning
and adherence to dimensional specs.Inspectional acceptance criteria
were met.
Crossing Profile
(system profile)The diameter of the device is measured by passing the
device through a ring-hole gauge to verify French size
compatibility.Acceptance criteria for crossing
profile were met.
Simulated Use Testing
Simulated UseTesting is conducted to demonstrate that the balloon
catheter can be safely and reliably prepared, delivered,
and retracted using the recommended techniques and
instructions for use, without damage to the device.Acceptance criteria were met.
Test shows device performs
similar to reference devices
(K083919; K093139; K090849)
in a simulated use environment.
Deflated Balloon
ProfileThe test is conducted to evaluate the deflated balloon
profile after inflationAcceptance criteria were met.
Test shows deflated profile is
less than 4F for all sizes.
Trackability and
PushabilityTest recorded frictional force (N) when tracked over a
guide wire in arterial modelAcceptance criteria were met.
Test shows device performs
similar to reference devices
(K083919; K093139) in a
simulated use environment.
TorqueabilityThis test evaluates the transfer of rotational movement
from the manifold to the distal tip (torque response).Rotational movement was
transmitted. Test was passed.
Pullback and
reintroduction testWith the balloon in an appropriate sheath, the friction to
introduce and pullback the device after inflation to RBP is
evaluated.Measured pullback and
reintroduction forces met
acceptance criteria.
Balloon Rated Burst
PressureThis test determines the balloon Rated Burst Pressure
(RBP). The balloon is inflated until burst and pressure at
burst is recorded. The burst failure mode is recorded.Balloons met acceptance criteria
for lower 99.9% quantile at 95%
confidence interval for all sizes.
Balloon FatigueThe balloons were subjected to repeat inflation/deflation
cycles to determine survivability of the balloon. Any loss
of pressure, whether due to failure of the balloon, shaft or
proximal or distal seals, was reported as a test failure. All
failure modes were recorded.Results demonstrate that 90%
of the balloons will survive the
20 inflation cycles with at least
95% confidence.
Balloon Compliance
RadialRadial compliance is calculated as the difference
between balloon diameter at NP and at RBP.Radial compliance meets
acceptance criteria. Device
performs similar to predicate
(K142379)
Balloon Compliance
AxialAxial compliance (balloon length at RBP and NP) of the
device is measured to verify that it meets product
specification.The difference between balloon
length at RBP and NP is within
specification.
Balloon Inflation /
Deflation TimeInflation and deflation time are measured with the device
placed in an anatomical model. Inflation and deflation
times were measured for characterization.Inflation time was characterized
and deflation time was
determined to be according to
specifications within the
instructions for use.
Test NameTest Description / PurposeSummary Results
Tensile Strength
CatheterFollowing simulated use, a tensile strain is applied along
the relevant catheter region until the first sign of fracture.
The force (Fmax) at first sign of damage is recorded.Tensile strength performance
(Fmax) for distal and proximal
balloon sections met
performance specifications.
Tip pull testThe purpose of this test is to determine the bond strength
of the distal tip of the Passeo-14 products.All tested samples met
acceptance criteria.
Flexibility and kink
testThe purpose of this test is to verify that the Passeo-14
products will not kink at bend radii which are appropriate
for the intended anatomy.All tested samples passed the
test at the clinically relevant
radius
Resistance to KinkTest was performed to determine the minimum bending
radius of the catheter shaft at proximal and distal
locationsMeasured mean catheter kink
radius was well within the
acceptance criteria.
Torsional bond /
Torque StrengthThe purpose of this test is to verify whether the
functionality of the Passeo-14 products is still given after
application of a torsional load.Acceptance criteria were met.
Test was passed.
Visibility /
RadiopacityThe purpose of this test is to evaluate X-ray visibility
(also referred to as radiopacitiy) of the Passeo-14
products.Acceptance criteria were met.
Test was passed.
Coating IntegrityThe purpose of this test is to evaluate the ability of the
coating to resist damage due to loading, tracking,
deployment and delivery system withdrawal.Passeo-14 coating performs
comparable or better than
reference devices (K083919;
K090849)
Adhesive Strength
of Catheter Coating
(hydrophobic
coating)This test evaluates the adhesive strength of the coating
after tracking, deployment and withdrawal to support
coating integrity testing.All samples passed visual
inspection.
Particulate
EvaluationThis test determines the size and quantity of particles
that could potentially be introduced into the bloodstream
during delivery, deployment and retraction of Passeo-14
products.Particle sizes ≤10, 25 and 50µm
were below threshold.
Passeo-14 particle counts were
less than reference devices
(K090849).
Corrosion
Resistance
(Catheter)The radiopaque markers were assessed for corrosion
resistanceNo signs of corrosion were
visible on the samples tested.
The test was passed.
Compatibility with
Contrast mediaDevices were stored for in contrast medium (ionic and
non-ionic) for a specified time, dilated to RBP and then
visually inspected.No visible damage or
deformation.
Connector testThe purpose of this test is to ensure that the Luer lock
fittings of the manifolds are resistant to air leakage,
excessive torque and stress crackingAll samples met acceptance
criteria.
Indelibility and
adhesive strength of
printingThe purpose of this report is to verify that the printing on
the Passeo-14 products is indelible and readable after
exposure to solvents.All samples tested showed
readable printing following
exposure to solvent.
Visual Inspection
(following exposure
to adverse
environmental
conditions)The purpose of this test is to ensure that the Passeo-14
products maintain their integrity after exposure to
conditions experienced during normal transport, storage
and handling.All devices passed inspection of
shipping container, box integrity,
pouch integrity, labeling
integrity, product fixation and
device integrity.
Test NameTest Description / PurposeSummary Results
Biocompatibility
CytotoxicityL929 cells are incubated with test article extracts and
evaluated for percentage of cell growth inhibition and
compared to the control (control: cells exposed to
extraction medium).Growth analyses of cells
cultured with test article extract
showed no cytotoxic effects.
Test was passed.
SensitizationPolar and non-polar test article extracts are intradermally
injected and topically applied to test animals. Animals are
observed for skin reaction after 24 and 48 hours.Test animals showed no allergic
skin reaction compared to the
control group. Test was passed.
Irritation /
Intracutaneous
reactivityThe test was conducted by injecting polar and non-polar
test article extracts and extraction vehicle blank in
animals. The sites were observed for erythema and
edema at 24, 48 and 72 hours.There were no signs of irritation.
Test was passed.
Acute systemic
toxicityPolar and non-polar test article extracts were injected
into test animals. The animals were observed over a 72
hour period and then assessed for toxicity.The test was passed as there
were no signs of acute systemic
toxicity.
PyrogenicityPolar extracts of the test article were injected
intravenously into test animals. The temperature was
measured prior to injection and between 1 and 3 hours.None of the animals showed a
temperature increase above its
baseline temperature. Test was
passed.
HemolysisDirect and indirect test method was performed to
determine hemolysis index of the test article vs. control.The test article showed no
hemolytic effect. The test was
passed.
In vitro
hemocompatibility
assayThe test article was exposed to human blood and the
following parameters were measured: complete blood
count, hematocrit, erythrocyte indices and platelet count.There was no statistically
significant difference observed
between test article and control.
Test was passed.
Inactivated partial
thromboplastin time
assay.The test article was exposed to human plasma and the
time required for clot formation was measured.The test article did not have an
effect on the clotting time. Test
was passed
Lee and White
coagulation testThe test article was exposed to human blood and the
time for coagulation was measured.The test was passed as the
average coagulation time was
within the accepted range.
Complement
activation assay
(C3a and SC5b-9)The test article was exposed to human plasma and the
C3a and SC5b-9 proteins were quantified in the human
plasma.The test was passed as the test
article did not induce
complement activation of C3 or
C5 proteins in human plasma.
In vivo
thromboresistanceThrombus formation after exposure to the device was
evaluated in test animals.The test article showed
equivalent performance
compared to the control article
(predicate device; K142379).
Test was passed.
Bacterial reverse
mutation assay
(AMES test)This test evaluates the mutagenicity
of polar
and
non-polar extracts of the test article.No toxic or mutagenic effects
were identified in tester strains.
Test was passed.
Mouse lymphoma
assayL5178Y/TK+/- cells are incubated with polar and non-
polar test article extracts in the presence and absence of
metabolic activation. Cell colonies are then evaluated for
colony size and induced mutant frequency in comparison
to a global evaluation factor (GEF)The mutant frequencies of the
test article extracts did not
exceed the GEF of their
concurrent negative control.
Test was passed.
Test NameTest Description / PurposeSummary Results
In Vivo Mouse
Micronucleus AssayThis test evaluated mutagenicity of polar and non-polar
test article extracts by evaluating change in percentage
of micronucleated polychromatic erythrocytes in test
animals in comparison to the controlThere was no statistically
significant increase in the
percentage of micronucleated
polychromatic erythrocytes. The
test was passed.
Sterilization Validation
Correction factor
and bioburdenTest conducted to determine typical device bioburden
prior to sterilization.Determine bioburden correction
factor. Device meets
specifications for CFU/device.
Bacterial endotoxin
test (Pyrogen test)Test conducted to determine device endotoxin levels
after manufacturing.Bacterial endotoxin test results
met acceptance criteria.
Validation of the
Sterilization
SuccessTest was performed according to determine if sterilization
parameters are sufficient for a SAL of 1x10-6.Testing confirmed SAL of 10-6.
The device performs similar to
predicate (K142379).
Residual gas
analysis: EO and
ECHTest conducted to determine EO and ECH residuals on
the device following two sterilization cycles.Device meets acceptance
criteria. The device performs
similar to predicate (K142379).

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Clinical Test Data

The determination of substantial equivalency on this subject device does not rely upon the clinical data. There is no clinical data submitted in this application.

Conclusion

Based on the non-clinical performance testing, the subject Passeo-14 catheter is substantially equivalent to the predicate (K142379).