K Number
K153502
Device Name
ClariVein IC
Date Cleared
2016-01-06

(30 days)

Product Code
Regulation Number
870.1210
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Clari Vein IC is indicated for infusion of physician specified agents in the peripheral vasculature.

Device Description

The ClariVein IC is a specialty infusion catheter with 360°rotatable fluid dispersion wire connected to a proximally located integral battery powered motor drive unit (MDU). The MDU includes the speed selector, handle grip and syringe support features which facilitate physician-controlled infusion of the selected agent. The ClariVein IC is introduced through a microintroducer. Utilizing vascular imaging, the coaxial catheter sheath with dispersion wire is navigated through the vasculature to the treatment site. Fluid delivered through the catheter assembly's infusion port, surrounds the dispersion wire and exits via an opening at the distal end of the catheter. The Clari Vein IC has no user serviceable parts or capital equipment. It is provided to the user sterile, for single patient use and is fully disposable.

AI/ML Overview

The provided document is a 510(k) Premarket Notification for the ClariVein IC device. This type of FDA submission is primarily focused on demonstrating substantial equivalence to a legally marketed predicate device, rather than proving the safety and effectiveness of a novel device through extensive clinical trials.

The document does not describe a study that proves the device meets specific acceptance criteria in the context of an AI/ML-driven medical device, which would typically involve performance metrics like sensitivity, specificity, AUC, etc., on a clinical dataset. Instead, it describes non-clinical testing to demonstrate that the device functions as intended and is safe for its indicated use, relying heavily on its similarity to a predicate device.

Therefore, I cannot populate the requested table and answer the questions related to acceptance criteria, AI/ML performance, sample size, expert ground truth establishment, MRMC studies, or standalone algorithm performance, as these concepts are not applicable to the information provided for this specific device's 510(k) submission.

The document explicitly states:
"H. Clinical Testing: Not applicable."
"I. Animal Testing: Not applicable."

This signifies that the FDA's substantial equivalence determination for this device did not require human or animal clinical studies to demonstrate its performance against specific clinical acceptance criteria in the way you've outlined for an AI/ML device.

The "Performance Data" section (G) focuses on:

  • Compliance with Industry Standards: (ISO, ISTA, IEC) related to the physical characteristics, safety, and manufacturing processes of medical devices.
  • Biocompatibility Testing: To ensure the materials used in the device are safe for contact with human tissue.
  • Nonclinical Performance Testing: Mechanical and functional tests (e.g., tensile strength, leak tests, wire rotation speed, torque force, simulated use) to verify the device's physical integrity and functional parameters.

Summary of Device Performance (based on provided text, not an AI/ML context):

Acceptance Criteria (Non-Clinical/Functional)Reported Device Performance (as per "Summary of Nonclinical Tests")
Biocompatibility
Hemocompatibility - HemolysisMeets requirements
Hemocompatibility - CoagulationMeets requirements
CytotoxicityMeets requirements
Direct/Indirect ContactMeets requirements
Unactivated Partial Thromboplastin TimeMeets requirements
L929 Natural Red UptakeMeets requirements
Irritation/SensitizationMeets requirements
ThrombogenicityMeets requirements
Kligman MaximizationMeets requirements
Intracutaneous ReactivityMeets requirements
Systemic Toxicity (acute)Meets requirements
Materials Mediated Rabbit PyrogenMeets requirements
Performance Testing
Visual Quality (no extraneous materials)Test demonstrates no extraneous materials
Corrosion (no signs of corrosion)Test demonstrates no signs of corrosion
Labeling Nominals (meets unit expressions)Test demonstrates that labeling meets unit expressions
Peak Tensile Tests (all joints meet req.)Test demonstrates that all joints meet requirements
Dispersion Wire Tests (all joints meet req.)Test demonstrates that all joints meet requirements
Simulated Use (functionality in fixture)Test demonstrates functionality in a simulated fixture
Liquid leak under pressureTest demonstrates no leakage
Wire rotation Speed (required rotation speed)Test demonstrates required rotation speed
Torque Force to drive train (torque req.)Test demonstrates torque requirements
Syringe and check valve functionalityTest demonstrates compatible functionality

Reasons why the other requested information cannot be provided from this document:

  • Sample sized used for the test set and data provenance: No clinical test set. The non-clinical tests typically involve a sample of devices tested under laboratory conditions, but specific sample sizes for these engineering tests are not detailed here. Data provenance (country, retrospective/prospective) is not relevant for non-clinical lab tests.
  • Number of experts used to establish the ground truth for the test set and the qualifications of those experts: Not applicable as there is no clinical test set requiring expert ground truth for diagnostic or prognostic performance.
  • Adjudication method (e.g. 2+1, 3+1, none) for the test set: Not applicable (no clinical test set).
  • If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance: Not applicable (not an AI/ML device; no MRMC study).
  • If a standalone (i.e. algorithm only without human-in-the-loop performance) was done: Not applicable (not an AI/ML device).
  • The type of ground truth used (expert consensus, pathology, outcomes data, etc.): Not applicable (no clinical ground truth established for performance metrics). The "ground truth" for the non-clinical tests would be the pre-defined engineering specifications and standards.
  • The sample size for the training set: Not applicable (not an AI/ML device).
  • How the ground truth for the training set was established: Not applicable (not an AI/ML device).

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Image /page/0/Picture/1 description: The image is a logo for the U.S. Department of Health & Human Services. The logo features the department's symbol, which consists of a stylized human figure with three profiles facing right, representing the department's focus on people and health. The symbol is encircled by the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" in a circular arrangement.

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

January 6, 2016

Vascular Insight, LLC c/o Lorraine Hanlev Vice President, Regulatory Affairs 1 Pine Hill Drive Two Batterymarch Park Suite 100 Quincy, MA 02169

Re: K153502

Trade/Device Name: ClariVein IC Regulation Number: 21 CFR 870.1210 Regulation Name: Continuous Flush Catheter Regulatory Class: Class II Product Code: KRA Dated: December 1, 2015 Received: December 7, 2015

Dear Ms. Hanley:

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

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device-related 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 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/Resourcesfor You/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

Enclosure

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Indications for Use

510(k) Number (if known) K153502

Device Name ClariVein IC

Indications for Use (Describe)

The Clari Vein IC is indicated for infusion of physician specified agents in the peripheral vasculature.

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)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

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510(k) SUMMARY (Page 1 of 3)

Device Name: ClariVein® IC

Date Prepared: 6 January 2016

A. Submitter/Sponsor

Vascular Insights. LLC. 1 Pine Hill Drive, Two Batterymarch Park Suite 100 Quincy, MA 02169 Telephone Number/Fax: 617-519-1109/203-350-0311 Contact Person: Lorraine M. Hanley, Vice President Regulatory Affairs

B. Device Name

Trade Name:ClariVein® IC
Common/Usual names:Intravascular Catheter, Infusion Catheter, Cannula
Classification Names:Continuous Flush Catheter
Regulation Number21 CFR§870.1210
Classification:Class II
ProCodeKRA
C. Predicate Device(s)ClariVein® IC
510(k)K071468
Common/Usual names:Intravascular Catheter, Infusion Catheter, Cannula
Classification Names:Continuous Flush Catheter
Regulation Number21 CFR§870.1210
Classification:Class II
ProCodeKRA

D. Device Description

The ClariVein IC is a specialty infusion catheter with 360°rotatable fluid dispersion wire connected to a proximally located integral battery powered motor drive unit (MDU). The MDU includes the speed selector, handle grip and syringe support features which facilitate physician-controlled infusion of the selected agent. The ClariVein IC is introduced through a microintroducer. Utilizing vascular imaging, the coaxial catheter sheath with dispersion wire is navigated through the vasculature to the treatment site. Fluid delivered through the catheter assembly's infusion port, surrounds the dispersion wire and exits via an opening at the distal end of the catheter. The Clari Vein IC has no user serviceable parts or capital equipment. It is provided to the user sterile, for single patient use and is fully disposable.

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510(k) SUMMARY (Page 2 of 3)

E. Indication For Use

The ClariVein® IC is indicated for infusion of physician specified agents in peripheral vasculature.

F. Technology Characteristics

The ClariVein IC is a sterile, single use, low profile infusion catheter available in multiple lengths and configurations for physician selection. Its distally located catheter assembly, including the catheter shaft and a 360° rotatable dispersion wire, is connected to the proximally located motor drive unit (MDU) powered by an integral, self-contained 9V battery and circuitry. Infusion is through an opening at the distal end of the catheter and the fluid delivery is enhanced by use of a rotating dispersion wire to deliver the infused fluid into the vessel wall. The rate of rotation of the dispersion wire is physician determined and controlled via the MDU's speed selector. The device provides the user with four optional dispersion wire rotation speeds (RPM); i.e. 2,000 (Low), 2,500 (Medium), 3,000 (Medium-High) and 3,500 (High). Wire rotation is physiciancontrolled by selecting the desired rotation speed and depressing the trigger. The ClariVein IC is provided with labeling which presents instruction for the safe and effective use of the device.

The Clari Vein IC is manufactured of materials demonstrated to be biocompatible for its intended use. The ClariVein IC is not made with phthalate material or natural rubber latex. The ClariVein product does not include medicants. There are no user serviceable parts or capital equipment. The device is entirely disposable upon completion of the procedure.

G. Performance Data

The ClariVein IC has been assessed in accordance with relevant industry standards. FDA recognized standards, and FDA Guidance documents. The product has been determined to meet all relevant parts of the following industry standards and guidance documents:

ISO 10555-1 Singular Use Intravascular CatheterISO 11607-1 Packaging
ISO 10993-1, -4, -5, -7, -10, -11 BiocompatibilityISTA 2A - Transportation
IEC 60601-1 3rd Ed. - Electrical SafetyISO 11135-1 - Sterilization
IEC 60601-2 – Electromagnetic Compatibility (EMC)ISO 15223-1, EN 1041, Labeling
ISO 11070 Sterile single use intravascular introducers, dilators and guidewires

Summary of Nonclinical Tests

Nonclinical testing was performed on the Clari Vein IC to support a determination of substantial equivalence. The results of these tests provide reasonable assurance that the proposed device has been designed and tested to assure conformance to the requirements for its intended use. No new safety or performance issues were raised during testing. Testing included the follow:

Biocompatibility

Hemocompatibility - HemolysisHemocompatibility-CoagulationCytotoxicity
Direct/Indirect ContactUnactivated Partial Thromboplastin TimeL929 Natural Red Uptake
HemocompatibilityIrritation/SensitizationIrritation/Sensitization
ThrombogenicityKligman MaximizationIntracutaneous Reactivity
Systemic Toxicity (acute)Systemic Toxicity - AcuteSystemic Toxicity (acute)
Materials Mediated Rabbit PyrogenMaterials Mediated Rabbit Pyrogen

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510(k) SUMMARY (Page 3 of 3)

Performance Testing

Visual QualityCorrosionLabeling Nominals
Test demonstrates that there are noTest demonstrates that there are noTest demonstrates that labeling
extraneous materials.signs of corrosion.meets unit expressions.
Peak Tensile Tests:Distal Tip to SheathHub to sheath at strain reliefHub to Guide WingFemale coupling to male couplingMale coupling to motor drive shaftWire to female couplingTest demonstrates that all joints meetrequirements.Dispersion Wire Tests:TensileFatigueTest demonstrates that all jointsmeet requirements.Simulated UseTest demonstrates functionalityin a simulated fixture.
Liquid leak under pressureTest demonstrates no leakageWire rotation SpeedTest demonstrates required rotationspeed.Torque Force to drive trainTest demonstrates torquerequirements.
Syringe and check valve functionalityTest demonstrates compatible functionality.

H. Clinical Testing

Not applicable.

I. Animal Testing

Not applicable.

J. Conclusion

Responses to questions posed in the FDA's Substantial Equivalence Decision Flow Chart lead to a determination of "substantial equivalence" for the subject ClariVein IC.

The ClariVein IC is substantially equivalent to the predicate in the following aspects:

  • . Design, Function and Manufacture - the subject and predicate devices are substantially equivalent to the technological characteristics of both designs. The predicate ClariVein IC is available in 45 and 65 cm lengths; the proposed ClariVein IC introduces an 85 cm length device.
  • Materials - There are no new materials used between the predicate and proposed devices.
  • Indications Both the predicate and proposed devices have identical indications for use. ●
  • Packaging - The subject and predicate devices utilize similar packaging configurations using industry accepted materials.
  • . Sterilization - The subject and predicate devices are both sterilized utilizing a validated EO sterilization process in accordance to ISO 11135.
  • . Labeling - Both the subject and predicate device have similar labeling.

Testing was conducted to show that no new risks were identified and that the performance profile is similar to the well-established predicate device cleared for market.

§ 870.1210 Continuous flush catheter.

(a)
Identification. A continuous flush catheter is an attachment to a catheter-transducer system that permits continuous intravascular flushing at a slow infusion rate for the purpose of eliminating clotting, back-leakage, and waveform damping.(b)
Classification. Class II (performance standards).