K Number
K162565
Device Name
VIA 17 Microcatheter
Date Cleared
2017-02-18

(157 days)

Product Code
Regulation Number
870.1250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The VIA™ 17 Microcatheter is intended for the introduction of non-liquid interventional devices (such as coils/ stents) and infusion of diagnostic agents (such as contrast media) into the neuro, peripheral and coronary vasculature.
Device Description
The VIA™ 17 Microcatheter is a sterile single lumen device designed to aid the physician in accessing distal vasculature when used with a guide catheter and steerable guidewire. Variable shaft stiffness ranging from a flexible tip to a semi-rigid proximal section aid the physician in tracking over selectively placed guidewires. The proximal end of the catheter incorporates a standard luer adapter to facilitate attachment of accessories. A single radiopaque marker positioned at the distal tip facilitates fluoroscopic visualization. The outer surface of the catheter is coated with a hydrophilic coating which reduces friction during manipulation in the vessel. The inner lumen of the catheter has a PTFE liner which assists with delivery of interventional devices, such as coils/stents. The VIATM 17 Microcatheter is available in an effective length of 154 cm and an inner diameter of 0.0175 inches. The VIA™ 17 Microcatheter is presented in a tyvek pouch and is sterile, single use only and non-pyrogenic. Accessories: Each VIA™ 17 Microcatheter is provided with shaping mandrels to facilitate distal tip shaping. In intravascular procedures, the device assists the physician in: - Accessing the targeted vasculature to facilitate the delivery of interventional devices, such as coils and stents, and infusion of diagnostic agents such as contrast.
More Information

VIA™ 21 Microcatheter (K150894), VIA™ and VIA™ PLUS Microcatheters (K132652), Headway 17 Advanced Microcatheter (K101542)

Not Found

No
The description focuses on the physical characteristics and mechanical function of a microcatheter, with no mention of AI or ML capabilities.

No
The device is described as a microcatheter intended for the introduction of non-liquid interventional devices (like coils/stents) and diagnostic agents (like contrast media) into the vasculature, which serves as a delivery tool rather than directly providing therapy.

No

The device is a microcatheter intended for the introduction of non-liquid interventional devices and infusion of diagnostic agents. While it facilitates the infusion of diagnostic agents, the device itself is not performing diagnosis; it's a delivery tool.

No

The device description clearly details a physical microcatheter with specific dimensions, materials (PTFE liner, hydrophilic coating), and accessories (shaping mandrels). It also mentions bench testing, sterilization validation, packaging, shelf life, biocompatibility, and simulated use testing in animals, all of which are associated with a physical medical device, not software.

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 the introduction of non-liquid interventional devices and infusion of diagnostic agents into the neuro, peripheral and coronary vasculature. This is an in-vivo application, meaning it's used within a living organism.
  • Device Description: The description details a physical catheter designed for navigating blood vessels.
  • 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, etc.) to provide information for diagnosis, monitoring, or compatibility testing.

IVD devices are specifically designed to perform tests on samples taken from the body, not to be inserted into the body for therapeutic or diagnostic delivery purposes as described here.

N/A

Intended Use / Indications for Use

The VIA™ 17 Microcatheter is intended for the introduction of non-liquid interventional devices (such as coils/ stents) and infusion of diagnostic agents (such as contrast media) into the neuro, peripheral and coronary vasculature.

Product codes

DQY, KRA

Device Description

The VIA™ 17 Microcatheter is a sterile single lumen device designed to aid the physician in accessing distal vasculature when used with a guide catheter and steerable guidewire. Variable shaft stiffness ranging from a flexible tip to a semi-rigid proximal section aid the physician in tracking over selectively placed guidewires. The proximal end of the catheter incorporates a standard luer adapter to facilitate attachment of accessories. A single radiopaque marker positioned at the distal tip facilitates fluoroscopic visualization. The outer surface of the catheter is coated with a hydrophilic coating which reduces friction during manipulation in the vessel. The inner lumen of the catheter has a PTFE liner which assists with delivery of interventional devices, such as coils/stents.

The VIA™ 17 Microcatheter is available in an effective length of 154 cm and an inner diameter of 0.0175 inches.

The VIA™ 17 Microcatheter is presented in a tyvek pouch and is sterile, single use only and non-pyrogenic.

Accessories: Each VIA™ 17 Microcatheter is provided with shaping mandrels to facilitate distal tip shaping.

In intravascular procedures, the device assists the physician in:

  • Accessing the targeted vasculature to facilitate the delivery of interventional devices, such as coils and stents, and infusion of diagnostic agents such as contrast.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

neuro, peripheral and coronary vasculature.

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Physician / 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)

Device performance testing confirms that the VIA™ 17 Microcatheter can be used according to its intended use. The VIA™ 17 Microcatheter has been verified and validated according to Sequent Medical's procedures for product design and development. Performance testing included:

  • Bench Testing
  • Sterilization Validation
  • Packaging and Shelf Life Assessment
  • Biocompatibility Assessment
  • Simulated Use Testing in Animals

This testing regime demonstrates that the subject device is substantially equivalent to the legally marketed predicate device, for its intended use in the introduction of interventional devices and infusion of diagnostic agents into the vasculature.

The nonclinical tests included:

  • Physical characteristics unique to the VIA™ 17 Microcatheter, such as visual and dimensional tolerances, kink resistance, and catheter tip shape retention.
  • Safety features such as burst pressure, tensile force and coating adherence.
  • Functional characteristics such as navigation and track force. Interventional device retraction and catheter flow rate.

Kink Resistance: All units passed acceptance criteria. Acceptance criteria based on measured Headway 17 kink resistance. Substantially equivalent to predicate.
Tip Buckling: All units passed acceptance criteria. Acceptance criteria based on measured Headway 17 tip buckling. Substantially equivalent to predicate.
Tracking Force: All units passed acceptance criteria. Acceptance criteria identical to VIA 21 and VIA 27/33. Substantially equivalent to predicate.
Steam Shaping and Shape Retention: All units passed acceptance criteria. Acceptance criteria based on measured Headway 17 shape retention. Substantially equivalent to predicate.
Microcatheter Tensile Strength: All units passed acceptance criteria per ISO10555-1:2014. Substantially equivalent to predicate.
Catheter Leakage and Static Burst: All units passed acceptance criteria. Acceptance criteria identical to VIA 21 and VIA 27/33. Substantially equivalent to predicate.
Retraction: All units passed acceptance criteria. Acceptance criteria identical to VIA 21 and VIA 27/33. Substantially equivalent to predicate.
Coating Friction and Coating Integrity: All units passed acceptance criteria. Acceptance criteria identical to VIA 21 and VIA27/33. Substantially equivalent to predicate.
Coating Adherence/Particulate: All units passed acceptance criteria per USP24 . Acceptance criteria identical to VIA 21 and VIA27/33. Substantially equivalent to predicate.
Flow Rate: All units passed acceptance criteria per ISO10555-1:2014. Flow rate was determined and documented in the instructions for use. Substantially equivalent to predicate.
Hub Performance: Test results adopted from VIA 27/VIA33 (K132652). All units passed acceptance criteria per ISO594-1:1986 and ISO 594-2:1998. Substantially equivalent to predicate.
Visual and Dimensional: All units passed acceptance criteria. Substantially equivalent to predicate.
Catheter Torque to Failure: Characterization only. Results comparable to VIA 21. Substantially equivalent to predicate.

Biocompatibility and chemical testing was adopted from the testing performed on the VIA (VIA 27) Microcatheter:
Materials Mediated Rabbit Pyrogen Test: Non-pyrogenic - Pass
ISO Guinea Pig Maximization Sensitization: Non-sensitization response - Pass
ISO Acute Systemic Injection Test: Non Toxic - Pass
ISO Intracutaneous Reactivity Test: Non-irritant - Pass
Four Hour Thromboresistance Evaluation in Dogs: Thromboresistance characteristics of test group similar to control - Pass
ASTM Hemolysis Assay Direct Contact and Extract: Non-hemolytic under direct and extract test conditions - Pass
Complement Activation with Comparison Article: Results of test group comparable to control group - Pass
Partial Thromboplastin Time with Comparison Article: Results of test group comparable to control group -both non-activators of the intrinsic coagulation pathway - Pass
Platelet and Leukocyte Counts with Comparison Article: Results of test group comparable to control group - Pass
ISO MEM Elution Assay with L-929 Mouse Fibroblast: Non-toxic - Pass
Colorant Analysis Testing: Elemental results meet requirements of 21 CFR 74.3045 - Pass

Use in a clinical setting was conducted in animals to show that no new risks were identified and that the safety and effectiveness profile is similar to well-established comparison market-approved devices. Bench Testing was performed in models representing the higher risk neurovascular anatomy which is the worst case representation of the cardiac and peripheral vascular anatomies.

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

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

VIA™ 21 Microcatheter (K150894), VIA™ and VIA™ PLUS Microcatheters (K132652), Headway 17 Advanced Microcatheter (K101542)

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 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).

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 stylized caduceus symbol, which is a staff with two snakes coiled around it. The logo is surrounded by the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" in a circular arrangement. The text is written in a simple, sans-serif font.

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

February 18, 2017

Sequent Medical, Inc. Bethany Barrett Regulatory/Clinical Project Manager 11A Columbia Aliso Viejo, California 92656

Re: K162565

Trade/Device Name: VIA™ 17 Microcatheter Regulation Number: 21 CFR 870.1250 Regulation Name: Percutaneous Catheter Regulatory Class: Class II Product Code: DQY, KRA Dated: January 26, 2017 Received: February 1, 2017

Dear Ms. Barrett:

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 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,

Carlos L. Pena-S

Carlos L. Peña, PhD, MS Director Division of Neurological and Physical Medicine Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

2

Indications for Use

510(k) Number (if known): K162565

Device Name VIA™ 17 Microcatheter

Indications for Use (Describe)

The VIA™ 17 Microcatheter is intended for the introduction of non-liquid interventional devices (such as coils/ stents) and infusion of diagnostic agents (such as contrast media) into the neuro, peripheral and coronary vasculature.

Type of Use (Select one or both, as applicable)
Prescription Use (Part 21 CER 801 Subpart D)Over-The-Counter Use (21 CFR 801 Subpart C)

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3

510(K) SUMMARY

This 510(k) summary is being submitted in accordance with the requirements of SMDA 1990 and 21 CFR 807.92(c).

DATE PREPARED2/17/2017
APPLICANTSequent Medical, Inc.
11A Columbia
Aliso Viejo, CA 92656
Tel: (949) 830-9600
Fax: (949) 830-9658
OFFICIAL
CORRESPONDENTBethany Barrett
11A Columbia
Aliso Viejo, CA 92656
bethanyb@sequentmedical.com
Tel: (949) 830-9600 x 113
Fax: (949) 830-9568
TRADE NAMEVIA™ 17 Microcatheter
COMMON NAMEPercutaneous Catheter, Continuous Flush Catheter
DEVICE
CLASSIFICATIONClass II, 21 CFR §870.1250, §870.1210
PRODUCT CODESDQY: Percutaneous Catheter
KRA: Continuous Flush Catheter
PREDICATE
DEVICESVIA™ 21 Microcatheter (K150894)
VIA™ and VIA™ PLUS Microcatheters (K132652)
Headway 17 Advanced Microcatheter (K101542)

SUBSTANTIALLY EQUIVALENT TO:

The VIA™ 17 Microcatheter is substantially equivalent to the previously cleared VIA 21 Microcatheter (K150894), VIA (VIA 27) and VIA PLUS (VIA 33) Microcatheters (K132652), and Headway 17 Advanced Microcatheter (K101542).

DESCRIPTION OF THE DEVICE SUBJECT TO PREMARKET NOTIFICATION:

The VIA™ 17 Microcatheter is a sterile single lumen device designed to aid the physician in accessing distal vasculature when used with a guide catheter and steerable guidewire. Variable shaft stiffness ranging from a flexible tip to a semi-rigid proximal section aid the physician in tracking over selectively placed guidewires. The proximal end of the catheter incorporates a standard luer adapter to facilitate attachment of accessories. A single radiopaque marker positioned at the distal tip facilitates fluoroscopic visualization. The outer surface of the catheter is coated with a hydrophilic

4

coating which reduces friction during manipulation in the vessel. The inner lumen of the catheter has a PTFE liner which assists with delivery of interventional devices, such as coils/stents.

The VIATM 17 Microcatheter is available in an effective length of 154 cm and an inner diameter of 0.0175 inches.

The VIA™ 17 Microcatheter is presented in a tyvek pouch and is sterile, single use only and non-pyrogenic.

Accessories: Each VIA™ 17 Microcatheter is provided with shaping mandrels to facilitate distal tip shaping.

In intravascular procedures, the device assists the physician in:

  • Accessing the targeted vasculature to facilitate the delivery of interventional devices, such as coils and stents, and infusion of diagnostic agents such as contrast.

INDICATIONS FOR USE:

The VIA™ 17 Microcatheter is intended for the introduction of non-liquid interventional devices (such as coils/stents) and infusion of diagnostic agents (such as contrast media) into the neuro, peripheral and coronary vasculature.

TECHNICAL CHARACTERISTICS:

The VIA™ 17 Microcatheter incorporates variable shaft stiffness ranging from a flexible tip to a semi-rigid proximal section aid the physician in tracking over selectively placed guidewires. The inner lumen incorporates a PTFE liner to facilitate movement of devices through the catheter's lumen to the intended destination in the vasculature. The outer surface of the catheter is coated with a hydrophilic coating which reduces friction during manipulation in the vessel. The tip of the catheter can be steam shaped by physician for proper adjustment to the anatomy prior to use.

PERFORMANCE DATA:

Device performance testing confirms that the VIA™ 17 Microcatheter can be used according to its intended use. The VIA™ 17 Microcatheter has been verified and validated according to Sequent Medical's procedures for product design and development. Performance testing included:

  • Bench Testing ●
  • Sterilization Validation
  • Packaging and Shelf Life Assessment
  • Biocompatibility Assessment
  • Simulated Use Testing in Animals ●

5

This testing regime demonstrates that the subject device is substantially equivalent to the legally marketed predicate device, for its intended use in the introduction of interventional devices and infusion of diagnostic agents into the vasculature.

The information provided by Sequent Medical in this 510(k) application was found to be substantially equivalent to the predicate devices, the VIA 21 Microcatheter (K150894), VIA (VIA 27) and VIA PLUS (VIA 33) Microcatheters (K132652), and the Headway 17 Advanced Microcatheter (K101542).

NONCLINICAL TESTS DISCUSSION:

The nonclinical tests included:

  • Physical characteristics unique to the VIA™ 17 Microcatheter, such as visual and ● dimensional tolerances, kink resistance, and catheter tip shape retention.
  • Safety features such as burst pressure, tensile force and coating adherence.
  • Functional characteristics such as navigation and track force. Interventional ● device retraction and catheter flow rate.
  • The full list of non-clinical tests are listed in Table 1 below: ●
TestTest Method SummaryResult
Kink ResistanceThis method measures the diameter at which the VIA shaft sections
and junctions will kink. Each catheter section is inserted into an
automated test fixture and kinked. The kink diameter is then
calculated based on shaft displacement at peak force.All units passed
acceptance criteria.
Acceptance criteria
based on measured
Headway 17 kink
resistance.
Substantially
equivalent to
predicate.
Tip BucklingThis method measures the catheter tip buckling force by pushing the
catheter tip into a load cell until it buckles. The peak force is
measured and recorded.All units passed
acceptance criteria.
Acceptance criteria
based on measured
Headway 17 tip
buckling. Substantially
equivalent to
predicate.
Tracking ForceThis method tests the force required to pass interventional devices
through the VIA catheter. Each VIA is inserted into a tracking
fixture and the hard model tortuosity fixture. The interventional
device is pushed through the tortuosity fixture and VIA catheter. The
peak force required to push the device through the VIA is recorded.All units passed
acceptance criteria.
Acceptance criteria
identical to VIA 21
and VIA 27/33.
Substantially
equivalent to
predicate.
TestTest Method SummaryResult
Steam Shaping
and Shape
RetentionThis method measures the ability of the VIA to be steam shaped
using a shaping mandrel and the ability of the VIA to hold the shape
during use. The VIA is shaped per the VIA IFU shaping instructions.
The tip angle is measured and must fall within the documented
specification. The VIA is then subjected to simulated use through a
guide catheter in 37° water. After guidewire insertion for a specified
time, the tip angle is measured again and shape retention is evaluated
per the specification.All units passed
acceptance criteria.
Acceptance criteria
based on measured
Headway 17 shape
retention.
Substantially
equivalent to
predicate.
Microcatheter
Tensile StrengthThis method tests the tensile strength of the microcatheter shaft
sections (each joint/transition tested individually). This method
aligns with the method described in ISO 10555-1:2014.All units passed
acceptance criteria per
ISO10555-1:2014.
Substantially
equivalent to
predicate.
Catheter
Leakage and
Static BurstThis method measures the leakage and static burst pressure of the
VIA. This method aligns with the method described in ISO 10555-
1:2014.All units passed
acceptance criteria.
Acceptance criteria
identical to VIA 21
and VIA 27/33.
Substantially
equivalent to
predicate.
RetractionThis method measures the distance that the VIA catheter pulls back
during interventional device recapture. This test is performed in a
simulated use model. The guide catheter and VIA Microcatheter are
inserted into the fixture. A worst case interventional device is
deployed through the VIA and recaptured. The displacement of the
catheter in the fixture is measured and recorded.All units passed
acceptance criteria.
Acceptance criteria
identical to VIA 21
and VIA 27/33.
Substantially
equivalent to
predicate.
Coating Friction
and Coating
IntegrityMeasures the catheter coating friction/lubricity over multiple friction
test cycles using an automated friction tester.
Coating integrity uses dye to test that coating remains adhered to
catheter after simulated use through a tortuous model.All units passed
acceptance criteria.
Acceptance criteria
identical to VIA 21
and VIA27/33.
Substantially
equivalent to
predicate.
Coating
Adherence/
ParticulateThis method measures the particulate generated during simulated
navigation and adjunct device delivery. The VIA is cycled through
the tracking fixture and the hard model tortuosity fixture. A worst
case interventional device is then cycled through the inner diameter
(ID) of the VIA while inside the tortuosity fixture. Both the ID of the
fixture and the ID of the VIA are flushed with particulate free water
and the collected fluid is tested for particulate using the light
obscuration method.All units passed
acceptance criteria per
USP24 .
Acceptance criteria
identical to VIA 21
and VIA27/33.
Substantially
equivalent to
predicate.
Flow RateThis method measures the flow rate through the VIA by pushing
fluid through the catheter at a constant rate while pressure is being
monitored.All units passed
acceptance criteria per
ISO10555-1:2014.
Flow rate was
TestTest Method SummaryResult
determined and
documented in the
instructions for use.
Substantially
equivalent to
predicate.
Hub
PerformanceThis method tests hub liquid and air leakage, as well as that the hub
can withstand adequate forces. Tests that the hub meets general
requirements for conical fittings. Methods used are per ISO594-
1:1986 and ISO 594-2:1998.Test results adopted
from VIA 27/VIA33
(K132652). All units
passed acceptance
criteria per ISO594-
1:1986 and ISO 594-
2:1998. Substantially
equivalent to
predicate.
Visual and
DimensionalThis method measures inner diameter, outer diameter, catheter
length, coated length, tip length, distance between marker bands, and
unbraided length.All units passed
acceptance criteria.
Substantially
equivalent to
predicate.
Catheter Torque
to FailureThis method measures how many complete rotations the catheter can
withstand before breaking. The catheter is inserted through a
tortuous model inside a heated water bath. The distal end of the
catheter is secured in place and the proximal end is rotated until
failure. This test is performed in both clockwise and
counterclockwise directions.Characterization only.
Results comparable to
VIA 21. Substantially
equivalent to
predicate.

Table 1. Non-Clinical Tests

6

7

Nonclinical testing demonstrated that the VIA™ 17 Microcatheter can perform as intended, and demonstrated substantial equivalence to the predicate devices: VIA 21 Microcatheter (K150894), VIA (VIA 27) and VIA PLUS (VIA 33) Microcatheters (K132652), and Headway 17 Advanced Microcatheter (K101542).

BIOCOMPATIBILITY AND CHEMICAL TESTING:

Biocompatibility and chemical testing was adopted from the testing performed on the VIA (VIA 27) Microcatheter. The full list of biocompatibility and chemical testing that was adopted can be found in Table 2 below:

Table 2. Biocompatibility and Chemical Testing

| Test | Applicable International
Standard | Result |
|----------------------------------------------|--------------------------------------|--------------------------------------|
| Materials Mediated Rabbit
Pyrogen Test | ISO10993-11:2006 | Non-pyrogenic - Pass |
| ISO Guinea Pig Maximization
Sensitization | ASTM F720-81 (2002) | Non-sensitization response -
Pass |

8

| Test | Applicable International
Standard | Result |
|----------------------------------------------------------|--------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------|
| ISO Acute Systemic Injection
Test | ISO10993-11:2006 | Non Toxic - Pass |
| ISO Intracutaneous Reactivity
Test | ISO10993-10:2010 | Non-irritant - Pass |
| Four Hour Thromboresistance
Evaluation in Dogs | ISO10993-4:2002 (2006) | Thromboresistance
characteristics of test group
similar to control - Pass |
| ASTM Hemolysis Assay Direct
Contact and Extract | ISO10993-4:2002 (2006)
ASTM F619-03
ASTM F756-08 | Non-hemolytic under direct and
extract test conditions - Pass |
| Complement Activation with
Comparison Article | ISO10993-4:2002 (2006) | Results of test group comparable
to control group - Pass |
| Partial Thromboplastin Time
with Comparison Article | ISO10993-4:2002 (2006)
ASTM F2382-04 | Results of test group comparable
to control group -both non-
activators of the intrinsic
coagulation pathway - Pass |
| Platelet and Leukocyte Counts
with Comparison Article | ISO10993-4:2002 (2006) | Results of test group comparable
to control group - Pass |
| ISO MEM Elution Assay with
L-929 Mouse Fibroblast | ISO10993-5:2009 | Non-toxic - Pass |
| Chemical Testing | | |
| Test | Applicable International
Standard | Result |
| Colorant Analysis Testing | 21 CFR 74.3045 (2012) | Elemental results meet
requirements of 21 CFR
74.3045 - Pass |

BASIS FOR DETERMINATION OF SUBSTANTIAL EQUIVALENCE:

A technological comparison, as well as bench and simulated use testing demonstrate the substantial equivalence of the VIA™ 17 Microcatheter to the predicate devices. Table 3 below shows a summary of the VIA™ 17 technological characteristics as compared to the predicate devices.

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Table 3. Substantial Equivalence Summary – Technological Characteristics

| Element | SUBJECT DEVICE

  • VIATM 17
    MICROCATHETER | VIATM 21
    MICROCATHETER
    (K150894) | VIATM (VIA 27) AND
    VIATM PLUS (VIA 33)
    MICROCATHETER
    (K132652) | HEADWAY 17
    ADVANCED
    MICROCATHETER
    (K101542) |
    |-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
    | Summary of Differences in Technological Characteristics | | | | |
    | The subject and predicate devices are substantially equivalent with respect to design characteristics. The slight variations in
    flexibility as well as differences in ID and OD are what differentiate these catheters. Each manufacturer optimizes these design
    variations towards a more specific application (e.g. infusion of diagnostic and therapeutic agents) or for the introduction of specific
    devices such as embolic agents, coils and stents. Devices are composed of similar materials, all of which have extensive clinical
    history of safe use in medical devices | | | | |
    | Design Features -
    Equivalent ? | | | | |
    | Materials | PTFE, Pebax, Vestamid,
    Stainless Steel wire,
    Polypropylene
    Yes | PTFE, Pebax, Vestamid,
    Stainless Steel wire,
    Polypropylene
    Yes | PTFE, Pebax, Vestamid,
    Stainless Steel wire,
    Polypropylene
    Yes | PTFE, Pebax, Stainless
    Steel wire, Nylon
    Santoprene
    Yes |
    | Tip Shape | Straight tip configuration
    and the physician has the
    option to steam shape the
    tip using the Shaping
    Mandrel prior to use to
    ensure proper adjustment
    to the anatomy.
    Yes | Straight tip
    configuration and the
    physician has the option
    to steam shape the tip
    using the Shaping
    Mandrel prior to use to
    ensure proper
    adjustment to the
    anatomy.
    Yes | Straight tip configuration
    and the physician has the
    option to steam shape the
    tip using the Shaping
    Mandrel prior to use to
    ensure proper adjustment
    to the anatomy.
    Yes | Straight tip
    configuration and the
    physician has the
    option to steam shape
    the tip prior to use to
    ensure proper
    adjustment to the
    anatomy.
    Yes |
    | Element | SUBJECT DEVICE
  • VIATM 17
    MICROCATHETER | VIATM 21
    MICROCATHETER
    (K150894) | VIATM (VIA 27) AND
    VIATM PLUS (VIA 33)
    MICROCATHETER
    (K132652) | HEADWAY 17
    ADVANCED
    MICROCATHETER
    (K101542) |
    | Effective
    Lengths | Via 17: 154 cm
    Yes | Via 21: 154 cm
    Yes | Via 27: 154 cm
    Via 33: 133 cm
    Yes | 150 cm
    Yes |
    | Proximal/Distal
    OD | Via 17: Proximal
    2.5F/Distal 2.2F
    Yes | Via 21: Proximal
    2.8F/Distal 2.5F
    Yes | Via 27: Proximal
    3.2F/Distal 3.0F
    Via 33: Proximal 3.8
    F/Distal 3.4F
    Yes | Proximal OD: 2.4F
    Distal OD: 1.7F
    Yes |
    | ID | Via 17: 0.0175 inch/1.3F
    Yes | Via 21: 0.021 inch/1.6F
    Yes | Via 27: 0.027 inch/2.1F
    Via 33: 0.033 inch/2.5F
    Yes | ID: 0.017 inch
    Yes |
    | Hydrophilic
    Coating Length | Via 17: 100 cm
    Yes | Via 21: 100 cm
    Yes | Via 27: 100 cm
    Via 33: 100 cm
    Yes | 102 cm (measured)
    Yes |
    | Tip Length | 1mm
    Yes | 1mm
    Yes | 1mm
    Yes | 0.64 mm (measured)
    Yes |
    | Distal Tip
    Length | Via 17: 10cm
    Yes | Via 21: 5cm
    Yes | Via 27:10cm
    Via 33: 5 cm
    Yes | 11cm
    Yes |
    | Element | SUBJECT DEVICE
  • VIATM 17
    MICROCATHETER | VIA TM 21
    MICROCATHETER
    (K150894) | VIATM (VIA 27) AND
    VIA™ PLUS (VIA 33)
    MICROCATHETER
    (K132652) | HEADWAY 17
    ADVANCED
    MICROCATHETER
    (K101542) |
    | Tip Markers | 2 markers, 90%Pt-10%Ir
    Yes | 1 marker, 90%Pt-10%Ir
    Yes | 1 marker, 90%Pt-10%Ir
    Yes | 2 markers, confirmed
    to be radiopaque
    Yes |
    | Coating | Polyvinylpyrrolidone
    Yes | Polyvinylpyrrolidone
    Yes | Polyvinylpyrrolidone
    Yes | Confirmed to be
    lubricious
    Yes |
    | Method of
    supply | Sterile, single-use, non-
    pyrogenic
    Yes | Sterile, single-use, non-
    pyrogenic
    Yes | Sterile, single-use, non-
    pyrogenic
    Yes | Sterile, single-use, non-
    pyrogenic
    Yes |
    | Packaging | Primary package: Coiled
    Hoop within a single
    pouch
    Secondary Package:
    Chipboard unit carton
    Yes | Primary package: Coiled
    Hoop within a single
    pouch
    Secondary Package:
    Chipboard unit carton
    Yes | Primary package: Coiled
    Hoop within a single
    pouch
    Secondary Package:
    Chipboard unit carton
    Yes | Primary package:
    Coiled Hoop within a
    single pouch
    Secondary Package:
    Chipboard unit carton
    Yes |
    | Sterilization | Ethylene Oxide
    Sterilization
    Yes | Ethylene Oxide
    Sterilization
    Yes | Ethylene Oxide
    Sterilization
    Yes | Ethylene Oxide
    Sterilization
    Yes |
    | Element | SUBJECT DEVICE
  • VIATM 17
    MICROCATHETER | VIATM 21
    MICROCATHETER
    (K150894) | VIATM (VIA 27) AND
    VIATM PLUS (VIA 33)
    MICROCATHETER
    (K132652) | HEADWAY 17
    ADVANCED
    MICROCATHETER
    (K101542) |
    | Indication for Use
  • Equivalent ? | | | | |
    | The Subject and
    the comparison
    devices maintain
    similar indications | The VIA 17 Microcatheter
    is intended for the
    introduction of non-liquid
    interventional devices
    (such as coils/stents) and
    infusion of diagnostic
    agents (such as contrast
    media) into the neuro,
    peripheral, and coronary
    vasculature.
    Yes | The VIA Catheter is
    intended for the
    introduction of non-
    liquid interventional
    devices (such as
    stents/flow diverters)
    and infusion of
    diagnostic (such as
    contrast media) or non-
    liquid therapeutic agents
    into the neuro,
    peripheral, and coronary
    vasculature.
    Yes | The VIA Catheter is
    intended for the
    introduction of non-liquid
    interventional devices
    (such as stents/flow
    diverters) and infusion of
    diagnostic (such as
    contrast media) or
    therapeutic agents into the
    neuro, peripheral, and
    coronary vasculature.
    Yes | The Headway 21
    Microcatheter is
    intended to for general
    intravascular use,
    including the
    peripheral, coronary
    and neuro vasculature
    for the infusion of
    diagnostic agents, such
    as contrast media, and
    therapeutic agents, such
    as occlusion coils.
    Yes |
    | Summary Statement of Substantial Equivalence | | | | |
    | Use in a clinical setting was conducted in animals to show that no new risks were identified and that the safety and effectiveness
    profile is similar to well-established comparison market-approved devices. Bench Testing was performed in models representing
    the higher risk neurovascular anatomy which is the worst case representation of the cardiac and peripheral vascular anatomies. The | | | | |

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the higher risk neurovascular anatomy, which is the worst case representation of the earther and peripheral vascular anato
VIA™ 17 Microcatheter has equivalent performance ch