K Number
K153533
Device Name
Tearaway Introducer Sheath, MicroSlide Tearaway Introducer
Manufacturer
Date Cleared
2016-07-05

(209 days)

Product Code
Regulation Number
870.1340
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Tearaway introducer sheath: These introducers are used for the percutaneous introduction of diagnostic or therapeutic devices, such as catheters and pacing leads, into the vasculature. MicroSlide™ Tearaway introducers are used for the procedures to introduce catheters and other intravascular devices into the coronary and peripheral vasculature of adult and pediatric patients of all ages.
Device Description
The Galt Medical Tearaway Introducer Sheath assembly consists of an outer peelable sheath and a dilator. The tear-away sheath has a winged hub to initiate the tear in the sheath. The design of the tearaway introducer sheath is unchanged from the current line of Tearaway Introducer Sheaths (K000313), and the pediatric version MicroSlide™ Tearaway Introducer (K123430). The subject and current marketed predicate devices are identical with the exception of the material used in the sheath hub.
More Information

No
The document describes a physical medical device (introducer sheath) and its materials, with no mention of software, algorithms, or AI/ML capabilities.

No
The device itself is an introducer sheath, used to percutaneously introduce other devices (which can be diagnostic or therapeutic) into the vasculature. Its function is to facilitate the introduction of other devices, not to provide therapy itself.

No

The device is an introducer sheath used for the percutaneous introduction of other devices (diagnostic or therapeutic), not for diagnosing conditions itself.

No

The device description clearly states it is a physical assembly consisting of an outer peelable sheath and a dilator, and the performance studies involve functional and biocompatibility testing of physical components and materials. There is no mention of software as the primary or sole component.

Based on the provided text, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use clearly states the device is for the "percutaneous introduction of diagnostic or therapeutic devices, such as catheters and pacing leads, into the vasculature." This describes a device used in vivo (within the body) to facilitate other procedures, not a device used in vitro (outside the body) to examine specimens from the body.
  • Device Description: The description details a physical device (sheath and dilator) used for insertion into the body.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples, reagents, or any other typical components or processes associated with in vitro diagnostics.

Therefore, this device is a medical device used for vascular access, not an IVD.

N/A

Intended Use / Indications for Use

Tearaway introducer sheath: These introducers are used for the percutaneous introduction of diagnostic or therapeutic devices, such as catheters and pacing leads, into the vasculature.

MicroSlide™ Tearaway introducers are used for the procedures to introduce catheters and other intravascular devices into the coronary and peripheral vasculature of adult and pediatric patients of all ages.

Product codes

DYB

Device Description

The Galt Medical Tearaway Introducer Sheath assembly consists of an outer peelable sheath and a dilator. The tear-away sheath has a winged hub to initiate the tear in the sheath. The design of the tearaway introducer sheath is unchanged from the current line of Tearaway Introducer Sheaths (K000313), and the pediatric version MicroSlide™ Tearaway Introducer (K123430). The subject and current marketed predicate devices are identical with the exception of the material used in the sheath hub.

The Galt Tearaway Introducer Sheath (K000313) and Galt MicroSlide™ Tearaway Introducer (K123430) have been previously determined to be substantially equivalent. In this bundled submission, Galt Medical Corp will establish that the subject devices Tearaway Introducer Sheath & MicroSlide™ Tearaway Introducer with the replacement hub material is substantially equivalent to the current marketed devices.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

vasculature, coronary and peripheral vasculature

Indicated Patient Age Range

adult and pediatric patients of all ages.

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)

Functional testing on aged product was conducted to verify that the Tearaway Introducer Sheath and MiroSlide™ Tearaway Introducer with replacement hub material met product specifications and is substantial equivalent to the current marketed predicate devices. Testing was conducted according to protocols based on international standards and Galt Medical requirements. Functional Testing included the following:

  • Hub Break Force
  • . Perpendicular Pull Force
  • Dilator Insertion Test
  • Hub Dimensional

Biocompatibility testing was performed on the Tearaway Introducer Sheath with replacement hub material. Biocompatibility Testing included the following:

  • Cytotoxicity
  • Sensitivity
  • Irritation
  • Systemic Toxicity ●
  • Hemocompatibility (Hemolysis)
  • Pyrogen (Materials Mediated)
  • EO Residuals

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K000313, K123430

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 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).

0

Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is circular and contains the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. In the center of the logo is an abstract symbol that resembles a stylized caduceus or a family of people.

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

July 5, 2016

Galt Medical Corp. David Derrick Director of Quality and Regulatory Affairs 2220 Merritt Dr. Garland, TX 75041

Re: K153533

Trade/Device Name: Tearaway Introducer Sheath and MicroSlide Tearaway Introducer Regulation Number: 21 CFR 870.1340 Regulation Name: Catheter Introducer Regulatory Class: Class II Product Code: DYB Dated: May 31, 2016 Received: June 1, 2016

Dear David Derrick:

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 (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/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 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,

Brian D. Pullin -S

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

Enclosure

2

Indications for Use

510(k) Number (if known) K153533

Device Name Tearaway Introducer Sheath MicroSlide Tearaway Introducer

Indications for Use (Describe)

Tearaway introducer sheath: These introducers are used for the percutaneous introduction of diagnostic or therapeutic devices, such as catheters and pacing leads, into the vasculature.

MicroSlide™ Tearaway introducers are used for the procedures to introduce catheters and other intravascular devices into the coronary and peripheral vasculature of adult and pediatric patients of all ages

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.

This section applies only to requirements of the Paperwork Reduction Act of 1995.

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

3

Application Date:December 04, 2015
Application Type:Bundled Traditional 510(k)
Applicant InformationGalt Medical Corporation
2220 Merritt Dr.
Garland, TX 75041
Phone: 214-778-1306
Fax: 972-271-4706
Official Contact:David Derrick
Director of Quality and Regulatory Affairs
Galt Medical Corporation
2220 Merritt Dr.
Garland, TX 75041
Phone: 214-778-1306
Fax: 972-271-4706
dderrick@galtmedical.com
Device Name:Tearaway Introducer Sheath & MicroSlide™ Tearaway
Introducer
Device Model Number:TBD
Classification Name:Catheter Introducer (DYB),
21 CFR 870.1340
Device Classification:Class II (Cardiovascular)
Predicate Device:Tearaway Introducer Sheath (K000313)
MicroSlide™ Tearaway Introducer (K123430)
Manufacturer:Galt Medical
2220 Merritt Drive
Garland, TX 75041
Phone: 214-778-5177
Fax: 972-271-4706
Establishment
Registration Number:1649395

Intended Use Tearaway Introducer Sheath: These introducers are used for the percutaneous introduction of diagnostic or therapeutic devices, such as catheters and pacing leads, into the vasculature.

Intended Use MicroSlide™ Tearaway Introducer: These introducers are used for the procedures to introduce catheters and other intravascular devices into the coronary and peripheral vasculature of adult and pediatric patients of all ages.

4

Device Description: The Galt Medical Tearaway Introducer Sheath assembly consists of an outer peelable sheath and a dilator. The tear-away sheath has a winged hub to initiate the tear in the sheath. The design of the tearaway introducer sheath is unchanged from the current line of Tearaway Introducer Sheaths (K000313), and the pediatric version MicroSlide™ Tearaway Introducer (K123430). The subject and current marketed predicate devices are identical with the exception of the material used in the sheath hub.

The Galt Tearaway Introducer Sheath (K000313) and Galt MicroSlide™ Tearaway Introducer (K123430) have been previously determined to be substantially equivalent. In this bundled submission, Galt Medical Corp will establish that the subject devices Tearaway Introducer Sheath & MicroSlide™ Tearaway Introducer with the replacement hub material is substantially equivalent to the current marketed devices.

Comparison of Technological Characteristics: The Tearaway Introducer Sheath with the replacement hub material is substantially equivalent to the current marketed predicate in construction, material, and device performance.

Subject devicesPredicate DevicePredicate Device
Mfr. /
ProductGalt Tearaway Introducer
Sheath & MicroSlide™
Tearaway Introducer with
the new hub materialGalt Tearaway
Introducer Sheath
(K000313)Galt MiroSlide™
Tearaway Introducer
(K123430)
510(k)
NumberK153533K000313K123430
Device
Classification
n870.1340870.1340870.1340
Product
CodeDYBDYBDYB
Intended
useAdult Only - Tearaway
Introducer Sheath: The
introducer is used for the
percutaneous introduction of
diagnostic or therapeutic
devices, such as catheters
and pacing leads, into the
vasculature
Adult & Pediatric -
MicroSlide™ Tearaway
Introducer: The introducer is
used for the procedures to
introduce catheters and
other intravascular devices
into the coronary and
peripheral vasculature ofThe introducer is used
for the percutaneous
introduction of
diagnostic or
therapeutic devices,
such as catheters and
pacing leads into the
vasculature.The introducer is used
for the procedures to
introduce catheters
and other
intravascular devices
into the coronary and
peripheral vasculature
of adult and pediatric
patients of all ages.

5

Subject devicesPredicate DevicePredicate Device
adult and pediatric patients
of all ages.
DesignThe Galt Tearaway Introducer
Sheath assembly with new hub
material consists of an outer
peelable sheath and a dilator.
The tear-away sheath has a
winged hub to initiate the tear
in the sheath.The Galt Tearaway
Introducer Sheath
assembly consists of an
outer peelable sheath
and a dilator. The tear-
away sheath has a
winged hub to initiate
the tear in the sheath.The Galt MiroSlide™
Tearaway Introducer
assembly consists of an
outer peelable sheath
and a dilator. The tear-
away sheath has a
winged hub to initiate
the tear in the sheath.
ColorSheath: Color coded winged
hub, gray cannula.
Dilator: White hub, green
cannulaSheath: Color coded
winged hub, gray
cannula.
Dilator: White hub,
green cannulaSheath: Color coded
winged hub, gray
cannula.
Dilator: White hub,
green cannula
ShapeSheath: winged hub,
cylindrical cannula
Dilator: Round hub,
cylindrical cannulaSheath: winged hub,
cylindrical cannula
Dilator: Round hub,
cylindrical cannulaSheath: winged hub,
cylindrical cannula
Dilator: Round hub,
cylindrical cannula
SizesAdult Only - Galt Tearaway
Introducer Sheath
3F - 16F
5 cm and 30 cm
&
Adult/Pediatric - Galt
MicroSlide™ Tearaway
Introducer
2F - 3F
3 cm and 7 cmAdult - Galt Tearaway
Introducer Sheath
3F - 16F
5cm to 30cm lengthsAdult/Pediatric - Galt
MicroSlide™ Tearaway
Introducer
2F-3F
3cm to 7cm lengths
Dilator LockDilator is retainedDilator is retainedDilator is retained

Use Type: The Galt Tearaway Introducer Sheath and MiroSlide™ Tearaway Introducer is a single patient use, disposable device.

Summary of Non-Clinical Data Submitted: Functional testing on aged product was conducted to verify that the Tearaway Introducer Sheath and MiroSlide™ Tearaway Introducer with replacement hub material met product specifications and is substantial equivalent to the current marketed predicate devices. Testing was conducted according to protocols based on international standards and Galt Medical requirements. Functional Testing included the following:

  • Hub Break Force
  • . Perpendicular Pull Force
  • Dilator Insertion Test
  • Hub Dimensional

6

Additionally the Tearaway Introducer Sheath and MiroSlide™ Tearaway Introducer with replacement hub material was adopted into the existing ethylene oxide sterilization cycle for the Galt Tearaway Introducer Sheath cleared under K000313 and Galt MiroSlide™ Tearaway Introducer cleared under K123430.

Biocompatibility testing was performed on the Tearaway Introducer Sheath with replacement hub material. Biocompatibility Testing included the following:

  • Cytotoxicity
  • Sensitivity
  • Irritation
  • Systemic Toxicity ●
  • Hemocompatibility (Hemolysis)
  • Pyrogen (Materials Mediated)
  • EO Residuals

Packaging will remain unchanged from the predicated devices. Current packaging shelf life testing was provided in the predicate submissions.

Conclusion: It will be shown in this 510(k) submission that the differences between the Galt Tearaway Introducer Sheath & MicroSlide™ Tearaway Introducer with replacement hub material and the predicate devices do not raise any questions regarding safety and effectiveness. The Galt Tearaway Introducer Sheath & MicroSlide™ Tearaway Introducer with replacement hub material as designed and manufactured is determined to be substantially equivalent to the current marketed predicate devices.

End of Section