K Number
K161967
Device Name
FluidiTube 2.7F Infusion Micro Catheter, 110 cm and 130 cm
Date Cleared
2017-01-27

(193 days)

Product Code
Regulation Number
870.1210
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The FluidiTube® 2.7F Infusion Micro Catheter is intended to facilitate infusion of contrast media into all peripheral vessels up to and including the cervical vessels, all vessels in the lower and upper extremities, visceral vessels and all coronary vessels. It is also intended for drug infusion in intra-arterial therapy and embolic materials for hemostasis. The FluidiTube® 2.7F Infusion Micro Catheter is not to be used in cerebral blood vessels.
Device Description
The FluidiTube® 2.7F Infusion Micro Catheter is a tapered 2.7F/2.9F single lumen catheter with a luer lock hub designed to facilitate the access of distal vasculature over a guidewire. The FluidiTube® has a semi-rigid proximal shaft that becomes progressively more flexible towards the distal end. The shaft is reinforced with braided stainless steel wire for kink resistance. The inner lumen is lined with a lubricious material to facilitate the movement of a guidewire. The outer surface of the catheter has a hydrophilic coating that becomes lubricious when wet with saline or blood. The FluidiTube® catheter is introduced to the target location through a guiding catheter 0.038" (0.97 mm) or larger and is compatible with 0.021" (0.53 mm) guidewires or smaller. Device configurations consist of one profile size (2.7F) with two different usable lengths (110cm, 130cm). The final device is packaged in a Tyvek pouch and sterilized by ethylene oxide (EO). The device is for single use only.
More Information

Not Found

No
The 510(k) summary describes a physical medical device (a micro catheter) and its mechanical and material properties. There is no mention of software, algorithms, or data processing that would suggest the use of AI or ML.

Yes
The device is intended for drug infusion in intra-arterial therapy and embolic materials for hemostasis, which are therapeutic applications.

No

The device is an infusion micro catheter designed to facilitate the delivery of substances (contrast media, drugs, embolic materials) into vessels. It is not described as analyzing or interpreting data to provide a diagnosis.

No

The device description clearly details a physical catheter with specific dimensions, materials (stainless steel wire, lubricious material, hydrophilic coating), and packaging. It is a hardware medical device.

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

Here's why:

  • Intended Use: The intended use clearly states the device is for facilitating the infusion of substances (contrast media, drugs, embolic materials) into the body, specifically into blood vessels. This is an in vivo application, meaning it's used within a living organism.
  • Device Description: The description details a catheter designed for insertion into blood vessels to deliver substances. This aligns with an in vivo medical device.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens derived from the human body (like blood, urine, tissue) in vitro (outside the body) to provide information for diagnostic purposes.

IVD devices are used to perform tests on samples taken from the body to diagnose diseases or conditions. This device is used to deliver substances directly into the body for diagnostic imaging (with contrast media) or therapeutic purposes (drug infusion, embolization).

N/A

Intended Use / Indications for Use

The FluidiTube® 2.7F Infusion Micro Catheter is intended to facilitate infusion of contrast media into all peripheral vessels up to and including the cervical vessels, all vessels in the lower and upper extremities, visceral vessels and all coronary vessels. It is also intended for drug infusion in intra-arterial therapy and embolic materials for hemostasis. The FluidiTube® 2.7F Infusion Micro Catheter is not to be used in cerebral blood vessels.

Product codes

KRA

Device Description

The FluidiTube® 2.7F Infusion Micro Catheter is a tapered 2.7F/2.9F single lumen catheter with a luer lock hub designed to facilitate the access of distal vasculature over a guidewire. The FluidiTube® has a semi-rigid proximal shaft that becomes progressively more flexible towards the distal end. The shaft is reinforced with braided stainless steel wire for kink resistance. The inner lumen is lined with a lubricious material to facilitate the movement of a guidewire. The outer surface of the catheter has a hydrophilic coating that becomes lubricious when wet with saline or blood. The FluidiTube® catheter is introduced to the target location through a guiding catheter 0.038" (0.97 mm) or larger and is compatible with 0.021" (0.53 mm) guidewires or smaller. Device configurations consist of one profile size (2.7F) with two different usable lengths (110cm, 130cm). The final device is packaged in a Tyvek pouch and sterilized by ethylene oxide (EO). The device is for single use only.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

all peripheral vessels up to and including the cervical vessels, all vessels in the lower and upper extremities, visceral vessels and all coronary vessels. Not to be used in cerebral blood vessels.

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)

Clinical testing was not conducted to evaluate substantial equivalence. Usability testing was conducted in an animal model under a simulated use environment to validate the performance of the device. Callisyn FluidiTube® 2.7F Infusion Micro Catheters were compared to Progreat® 2.7 F Microcatheters in a healthy male Yorkshire swine. Operators successfully tracked the microcatheters into the right artery, the hepatic arteries, and the contralateral iliac artery, and injected the representative diagnostic (non-ionic contrast media Omnipaque 300), therapeutic (Heparin), and embolic material (embolic microspheres 500-700μm) through each microcatheter into the hepatic arteries as required by the protocol. Both Operators rated all test and control microcatheters as acceptable for:

  • . Ability to flush the packaging hoop and remove the microcatheter from the hoop without damage
  • Ability to track the microcatheter through all three vessels and visualize them ● fluoroscopically
  • Compatibility with the guidewire (0.014 in the RCA, 0.021 in the hepatic . artery, and 0.018 in the iliac artery)
  • . Ability to visualize the device under fluoroscopy
  • Compatibility 1mL of heparin, 2mL of non-dilute contrast media, and 1mL of ● 500-700um embolic microspheres when injected into the hepatic artery
  • Integrity, with no kinking or damage to the tip ●

There was no damage to the catheters noted, no vascular dissection was observed, and no thrombus was observed on any catheter when removed from the animal.

After a thorough assessment of all test article performance features, including use in conjunction with common ancillary diagnostic and therapeutic products, both Operators determined that all study protocol specified acute performance requirements of the FluidiTube® were successfully met for this study and it is comparable to the Terumo Progreat® 2.7Fr Microcatheters predicate device.

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

Not Found

Predicate Device(s)

K033913

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 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).

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" arranged around the perimeter. Inside the circle is a stylized image of three human profiles facing right, resembling a bird in flight.

Public Health Service

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

January 27, 2017

Callisyn Biomedical, Inc. % Gordon MacFarlane Regulatory Project Manager Icon 62 Forest Street. Suite 300 Marlborough, Massachusetts 01752

Re: K161967

Trade/Device Name: FluidiTube 2.7F Infusion Micro Catheter, 110 cm and 130 cm Regulation Number: 21 CFR 870.1210 Regulation Name: Continuous Flush Catheter Regulatory Class: Class II Product Code: KRA Dated: December 28, 2016 Received: December 29, 2016

Dear Gordon MacFarlane:

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 devicerelated adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in

1

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/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,

Fernando Agnel
Fernando Aguel-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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4. INDICATIONS FOR USE

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

Form Approved: OMB No. 0910-0120 Expiration Date: January 31, 2017 See PRA Statement below.

Indications for Use

See PRA Statement below.

510(k) Number (if known)K161967
Device NameFluidiTube® 2.7F Infusion Micro Catheter

Indications for Use (Describe)

The FluidiTube® 2.7F Infusion Micro Catheter is intended to facilitate infusion of contrast media into all peripheral vessels up to and including the cervical vessels, all vessels in the lower and upper extremities, visceral vessels and all coronary vessels. It is also intended for drug infusion in intra-arterial therapy and embolic materials for hemostasis. The FluidiTube® 2.7F Infusion Micro Catheter is not to be used in cerebral blood vessels.

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)

PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON A SEPARATE PAGE IF NEEDED.

FOR FDA USE ONLY

Concurrence of Center for Devices and Radiological Health (CDRH) (Signature)

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 7.9 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."

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5. 510(K) SUMMARY

510(k) Summary for the Callisyn FluidiTube 2.7F Infusion Micro Catheter

(per 21CFR 807.92 and http://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/default.htm)

1. SUBMITTER/510(K) HOLDER

Callisyn Biomedical, Inc. 260 Candlestick Road North Andover, MA 01845

Contact:Shallwei Sun, General Manager
Contact's Phone:+1 (978)-687-0596
Contact's Email:Shallwei0@yahoo.com
Date Prepared:July 14, 2016

2. DEVICE NAME

Trade Name:Callisyn FluidiTube® 2.7F Infusion Micro Catheter
Classification Name:Continuous flush catheter
Classification Panel:Cardiovascular
Classification Regulation:21 CFR 870.1210
Product Code:KRA
Class:II

3. PREDICATE DEVICE

  • Progreat®, manufactured by Terumo Medical Corporation, K033913

4. DEVICE DESCRIPTION

The FluidiTube® 2.7F Infusion Micro Catheter is a tapered 2.7F/2.9F single lumen catheter with a luer lock hub designed to facilitate the access of distal vasculature over a guidewire. The FluidiTube® has a semi-rigid proximal shaft that becomes progressively more flexible towards the distal end. The shaft is reinforced with braided stainless steel wire for kink resistance. The inner lumen is lined with a lubricious material to facilitate the movement of a guidewire. The outer surface of the catheter has a hydrophilic coating that becomes lubricious when wet with saline or blood. The FluidiTube® catheter is introduced to the target location through a guiding catheter 0.038" (0.97 mm) or larger and is compatible with 0.021" (0.53 mm) guidewires or smaller.

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Device configurations consist of one profile size (2.7F) with two different usable lengths (110cm, 130cm). The final device is packaged in a Tyvek pouch and sterilized by ethylene oxide (EO). The device is for single use only.

5. INDICATION FOR USE/INTENDED USE

The FluidiTube® 2.7F Infusion Micro Catheter is intended to facilitate infusion of contrast media into all peripheral vessels up to and including the cervical vessels, all vessels in the lower and upper extremities, visceral vessels and all coronary vessels. It is also intended for drug infusion in intra-arterial therapy and embolic materials for hemostasis.

The FluidiTube® 2.7F Infusion Micro Catheter is not to be used in cerebral blood vessels.

6. SUMMARY OF TECHNOLOGICAL CHARACTERISTICS COMPARED TO THE PREDICATE DEVICE

A summary comparison of technological characteristics, including design and materials is provided in the table below:

FeatureFluidiTube® 2.7F Infusion Micro CatheterProgreat®
(Callisyn Biomedical, Inc.)(Terumo Medical Corporation)
Regulatory StatusSubject DeviceK033913
Indications for UseThe FluidiTube® 2.7F Infusion Micro Catheter is
intended to facilitate infusion of contrast media
into all peripheral vessels up to and including the
cervical vessels, all vessels in the lower and upper
extremities, visceral vessels and all coronary
vessels. It is also intended for drug infusion in
intra-arterial therapy and embolic materials for
hemostasis.
The FluidiTube® 2.7F Infusion Micro Catheter is
not to be used in cerebral blood vessels.The Progreat® is intended for the infusion of
contrast media into all peripheral vessels up to and
including the cervical vessels, all vessels in the
lower and upper extremities, visceral vessels, and
all coronary vessels. The Progreat is also intended
for drug infusion in intra-arterial therapy and the
infusion of embolic materials for hemostasis in
procedures including but not limited to Uterine
Fibroid Embolization. The Progreat should not be
used in cerebral vessels.
Hydrophilic
CoatingYesYes
Working Length110cm and 130cm100 - 150cm
Radiopaque
MarkerYesYes
DimensionsOuter diameter distal: 2.7F, 0.90mm
Outer diameter proximal: 2.9F, 0.97mm
Inner diameter: 0.025in, 0.65mmOuter diameter distal: 2.7F, 0.90mm
Outer diameter proximal: 2.9F, 0.97mm
Inner diameter: 0.025in, 0.65mm
Strain Relief and
HubYesYes
Guidewire
Compatibility0.021" (0.53mm) or smaller0.021" (0.53mm) or smaller
Guiding Catheter
Compatibility0.038" (0.97mm) or bigger0.038" (0.97mm) or bigger
SterileYes (Ethylene Oxide)Yes (Ethylene Oxide)
Single UseYesYes

Callisyn Biomedical, Inc., Traditional 510(k) July 14, 2016

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The FluidiTube® 2.7F Infusion Micro Catheter submitted in this 510(k) is substantially equivalent in intended use, design, technology/principles of operation, materials, and performance to the Progreat Catheter K033913. Differences between the devices do not raise any significant issues of safety or effectiveness.

7. SUMMARY OF NON-CLINICAL TESTING AS BASIS FOR SUBSTANTIAL EQUIVALENCE

Non-clinical testing of the Callisyn FluidiTube® 2.7F Infusion Micro Catheter to demonstrate that the device met its specifications is summarized below.

Biocompatibility Evaluation

Biocompatibility testing is summarized in the table below. Testing was conducted according to the referenced methodology.

Biocompatibility Evaluation and Extractables Testing
TestMethodology
CytotoxicityISO 10993-5:2009
IrritationISO 10993-10:2010
SensitizationISO 10993-10:2010
Acute Systematic InjectionISO 10993-11:2006
Materials Mediated Rabbit PyrogenUSP
Thrombosis (in vivo)ISO 10993-4:2002
HemolysisASTM F756-08
Complement Activation - C3a and SC5b-9 AssayISO 10993-4:2002
In vitro Mouse Lymphoma with Extended TreatmentISO 10993-3:2003
In vivo Mouse Micronucleus AssayISO 10993-3:2003
ISO Bacterial Mutagenicity Test - Ames AssayISO 10993-3:2002
ExtractablesISO 10993-18:2005

Physicial and Mechanical Testing

Physical and mechanical testing is summarized below.

Physical and Mechanical Testing
• Kink resistance• Static Pressure (Burst)
• Tensile (Catheter)• Trackability
• Tensile (Hub-catheter)• Flow Rate
• Reliability (Marker Band Durability)• Size, OD and ID
• Coating Lubricity• Hydrophillic Coating Coverage
• Corrosion Resistance• Paticulate Testing
• Torqueability Testing• Liquid and Air Leakage Testing
• Guidewire Compatibility• Guide Catheter Compatibility

In addition to the testing described above, the Callisyn FluidiTube® 2.7F Infusion Micro Catheter was also subject to shelf-life testing, packaging validation as per ISO 11607-1:2006, and simulated transport testing as per ISTA 2A:2011.

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8. SUMMARY OF CLINICAL TESTING AS BASIS FOR SUBSTANTIAL EQUIVALENCE

Clinical testing was not conducted to evaluate substantial equivalence. Usability testing was conducted in an animal model under a simulated use environment to validate the performance of the device. Callisyn FluidiTube® 2.7F Infusion Micro Catheters were compared to Progreat® 2.7 F Microcatheters in a healthy male Yorkshire swine. Operators successfully tracked the microcatheters into the right artery, the hepatic arteries, and the contralateral iliac artery, and injected the representative diagnostic (non-ionic contrast media Omnipaque 300), therapeutic (Heparin), and embolic material (embolic microspheres 500-700μm) through each microcatheter into the hepatic arteries as required by the protocol. Both Operators rated all test and control microcatheters as acceptable for:

  • . Ability to flush the packaging hoop and remove the microcatheter from the hoop without damage
  • Ability to track the microcatheter through all three vessels and visualize them ● fluoroscopically
  • Compatibility with the guidewire (0.014 in the RCA, 0.021 in the hepatic . artery, and 0.018 in the iliac artery)
  • . Ability to visualize the device under fluoroscopy
  • Compatibility 1mL of heparin, 2mL of non-dilute contrast media, and 1mL of ● 500-700um embolic microspheres when injected into the hepatic artery
  • Integrity, with no kinking or damage to the tip ●

There was no damage to the catheters noted, no vascular dissection was observed, and no thrombus was observed on any catheter when removed from the animal.

After a thorough assessment of all test article performance features, including use in conjunction with common ancillary diagnostic and therapeutic products, both Operators determined that all study protocol specified acute performance requirements of the FluidiTube® were successfully met for this study and it is comparable to the Terumo Progreat® 2.7Fr Microcatheters predicate device.

9. CONCLUSIONS DRAWN FROM NON-CLINICAL AND CLINICAL TESTS

The Indications for Use, overall design, technological and performance characteristics of the FluidiTube® and Progreat® are substantially equivalent. Based on the data and evidence presented (e.g., performance testing, simulated use testing, etc.) for the FluidiTube®, Callisyn concludes that the device is substantially equivalent to the legally marketed micro catheter for its intended use. Differences between the proposed and predicate device do not raise any new issues of safety or effectiveness.