K Number
K170041
Device Name
XableCath Support Catheter
Manufacturer
Date Cleared
2017-09-07

(245 days)

Product Code
Regulation Number
870.1250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The XableCath catheter is intended to be used to facilitate access to discrete regions of the peripheral vasculature in conjunction with steerable guidewires. This device may be used to facilitate placement and exchange of guidewires and other interventional devices.
Device Description
The XableCath Support Catheter device is an over-the-wire (OTW) single-lumen catheter, with blunt tip design. The catheter is offered in a product family configuration, with size models as outlined in the table below: Catalog Number Blunt Tip (B) | French Size | Working Length (cm) | Recommended Guidewire Inches (mm) ---|---|---|--- XC-014-065B | 5Fr | 65 | 0.014" (0.36 mm) XC-014-090B | 5Fr | 90 | 0.014" (0.36 mm) XC-014-145B | 5Fr | 145 | 0.014" (0.36 mm) XC-018-065B | 6Fr | 65 | 0.018" (0.46 mm) XC-018-090B | 6Fr | 90 | 0.018" (0.46 mm) XC-018-145B | 6Fr | 145 | 0.018" (0.46 mm) XC-035-065B | 7Fr | 65 | 0.035" (0.89 mm) XC-035-090B | 7Fr | 90 | 0.035" (0.89 mm) XC-035-145B | 7Fr | 145 | 0.035" (0.89 mm) The catheter shaft consists of a cortically reinforced co-polymeric material blend, with radiopaque cobalt chromiumtungsten-nickel distal tip. The proximal portion is comprised of an olefin strain relief and polycarbonate hub, which includes a female luer connection with the catheter lumen. The catheter pass-through lumen is used to advance the catheter over an appropriately sized guidewire for intravascular advancement to the target site. Component connections are ensured through inter-mechanical locks and utilization of medical grade adhesives. Catheter quidewire compatibility size/length are declared on the XableCath Support Catheter strain relief. All provided family member models are compatible with >=4Fr introducer sheaths. All configurations are provided sterile, single-use only.
More Information

Not Found

No
The device description and performance studies focus on the physical characteristics and mechanical performance of a catheter, with no mention of AI or ML.

No
The device is described as a "support catheter" intended to "facilitate access to discrete regions of the peripheral vasculature" and "facilitate placement and exchange of guidewires and other interventional devices." Its function is primarily to provide access and support for other devices, not to directly treat a condition or disease.

No

The device is described as a support catheter intended to facilitate access and placement/exchange of guidewires and other interventional devices within the peripheral vasculature. Its function is to provide a pathway for other tools, not to acquire or interpret data for diagnostic purposes.

No

The device description clearly outlines a physical catheter with specific material components, dimensions, and mechanical properties. It is a hardware device intended for physical insertion into the peripheral vasculature.

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

Here's why:

  • Intended Use: The intended use clearly states that the device is used to "facilitate access to discrete regions of the peripheral vasculature" and "facilitate placement and exchange of guidewires and other interventional devices." This describes a device used within the body for a procedural purpose, not for testing samples outside the body.
  • Device Description: The description details a catheter designed for intravascular use, including its physical characteristics, materials, and how it interacts with guidewires and introducer sheaths. This aligns with an interventional medical device.
  • Anatomical Site: The device is intended for use in the "peripheral vasculature," which is a part of the human body. IVDs analyze samples taken from the body (like blood, urine, tissue), not operate within the body.
  • Performance Studies: The performance studies described are bench testing and biocompatibility testing, which are typical for medical devices used in vivo. There are no mentions of studies related to analyzing biological samples or diagnostic accuracy.

In summary, the XableCath catheter is an interventional medical device used for accessing and navigating within the peripheral vasculature, not a device used for testing biological samples outside the body.

N/A

Intended Use / Indications for Use

The XableCath catheter is intended to be used to facilitate access to discrete regions of the peripheral vasculature in conjunction with steerable guidewires. This device may be used to facilitate placement and exchange of guidewires and other interventional devices.

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

DOY, DQY

Device Description

The XableCath Support Catheter device is an over-the-wire (OTW) single-lumen catheter, with blunt tip design. The catheter is offered in a product family configuration, with size models as outlined in the table below:
Catalog Number: XC-014-065B, XC-014-090B, XC-014-145B, XC-018-065B, XC-018-090B, XC-018-145B, XC-035-065B, XC-035-090B, XC-035-145B
French Size: 5Fr (for 0.014" GW), 6Fr (for 0.018" GW), 7Fr (for 0.035" GW)
Working Length (cm): 65, 90, 145
Recommended Guidewire Inches (mm): 0.014" (0.36 mm), 0.018" (0.46 mm), 0.035" (0.89 mm)

The catheter shaft consists of a cortically reinforced co-polymeric material blend, with radiopaque cobalt chromiumtungsten-nickel distal tip. The proximal portion is comprised of an olefin strain relief and polycarbonate hub, which includes a female luer connection with the catheter lumen. The catheter pass-through lumen is used to advance the catheter over an appropriately sized guidewire for intravascular advancement to the target site. Component connections are ensured through inter-mechanical locks and utilization of medical grade adhesives. Catheter quidewire compatibility size/length are declared on the XableCath Support Catheter strain relief. All provided family member models are compatible with >=4Fr introducer sheaths. All configurations are provided sterile, single-use only.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Fluoroscopic imaging

Anatomical Site

Peripheral vasculature

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Rx Only – By or on the order of a physician. Hospital, Lab/Surgical Suite

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)

Summary of non-clinical tests conducted for determination of substantial equivalence:

  • Direct product bench in-vitro comparison testing has shown the subject & predicate products to be substantially equivalent, via assessment within the following areas:
    • Visual & technical inspections
    • Luer syringe compatibility
    • Sheath compatibility
    • Guidewire retraction/reinsertion
    • Relative radiopacity comparison
    • Torque transmission & capability
    • Simulated use (iliac model)
    • Dimensional assessment & comparisons
    • Guidewire compatibility
    • Leak Testing
    • Catheter kink-resistance
    • Tensile testing (proximal & distal)
    • Corrosion testing
    • General packaging, shelf-life/expiry
  • Full panel biocompatibility was successfully performed in accord with product classification, under GLP rigors, demonstrating that all utilized materials and methods of construction/processing passed biocompatibility rigors. Conducted test included:
    • Cytotoxicity
    • Irritation/Intracutaneous Reactivity
    • Hemolysis
    • Complement Activation
    • Platelet and Leukocyte Count
    • Sensitization
    • Systemic Toxicity (Acute)
    • Thromboresistance
    • Partial Thromboplastin Time
    • Materials Mediated Pyrogenicity
  • Packaging integrity, transport challenge testing, and shelf-life testing were applied and successfully completed in accordance with established acceptance criteria demonstrating configurational adequacy.

Summary of clinical tests conducted for determination of substantial equivalence or of clinical information:
No clinical tests were necessary. However human factors engineering and usability assessments were performed.

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.

K123311

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).

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Image /page/0/Picture/1 description: The image shows the logo for the Department of Health & Human Services - USA. The logo is a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized image of three human profiles facing right, with flowing lines suggesting movement or connection. The logo is black and white.

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

September 7, 2017

XableCath, Inc. Mr. Rick Gaykowski Chief Regulatory Officer 417 S. Wakara Way, Suite 3510 Salt Lake City, UT 84108

Re: K170041

Trade/Device Name: XableCath Support Catheter Regulation Number: 21 CFR 870.1250 Regulation Name: Percutaneous Catheter Regulatory Class: Class II Product Code: DOY Dated: July 19, 2017 Received: July 24, 2017

Dear Mr. Gaykowski:

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,

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

2

Indications for Use

510(k) Number (if known) K170041

Device Name XableCath Support Catheter

Indications for Use (Describe)

The XableCath catheter is intended to be used to facilitate access to discrete regions of the peripheral vasculature in conjunction with steerable guidewires. This device may be used to facilitate placement and exchange of guidewires and other interventional devices.

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)
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------

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

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510(k) Section 6 510(k) SUMMARY

XableCath Support Catheter

Date prepared:August 28, 2017
Submitter information [21 CFR 807.929(a)(1)]
Name:XableCath, Inc.
Address:417 S. Wakara Way, Ste 3510, Salt Lake City, Utah 84108-1457
Phone Number:(617) 447-4000 Mobile
Fax number:N/A
Establishment Registration Number:Yet to be secured
Name of contact person:Rick Gaykowski, Chief Regulatory Officer
Name of the device [21 CFR 807.92(a)(2)]
Trade or proprietary name:XableCath Support Catheter
Common or usual name:Peripheral Vascular Support Catheter
Classification name:Percutaneous Catheter
Classification number:21 CFRR 870.1250, Procode DQY
Legally marketed device(s) to which equivalence is claimed [21 CFR 807.92(a)(3)]
Merit Medical SureCross® Catheter (K123311)
Device description [21 CFR 807.92(a)(4)]
The XableCath Support Catheter device is an over-the-wire (OTW) single-lumen catheter, with blunt tip design. The catheter is offered in a product family configuration, with size models as outlined in the table below:
Catalog NumberDimensions
Blunt Tip (B)French SizeWorking Length (cm)Recommended Guidewire Inches (mm)
XC-014-065B5Fr650.014" (0.36 mm)
XC-014-090B5Fr900.014" (0.36 mm)
XC-014-145B5Fr1450.014" (0.36 mm)
XC-018-065B6Fr650.018" (0.46 mm)
XC-018-090B6Fr900.018" (0.46 mm)
XC-018-145B6Fr1450.018" (0.46 mm)
XC-035-065B7Fr650.035" (0.89 mm)
XC-035-090B7Fr900.035" (0.89 mm)
XC-035-145B7Fr1450.035" (0.89 mm)

4

The catheter shaft consists of a cortically reinforced co-polymeric material blend, with radiopaque cobalt chromiumtungsten-nickel distal tip. The proximal portion is comprised of an olefin strain relief and polycarbonate hub, which includes a female luer connection with the catheter lumen. The catheter pass-through lumen is used to advance the catheter over an appropriately sized guidewire for intravascular advancement to the target site. Component connections are ensured through inter-mechanical locks and utilization of medical grade adhesives. Catheter quidewire compatibility size/length are declared on the XableCath Support Catheter strain relief. All provided family member models are compatible with ≥4Fr introducer sheaths. All configurations are provided sterile, single-use only.

Indications for Use [21 CFR 807.92(a)(5)]

The XableCath catheter is intended to facilitate access to discrete regions of the peripheral vasculature in conjunction with steerable quidewires. This device may be used to facilitate placement and exchange of quidewires and other interventional devices.

Comparison of the technological characteristics with the predicate device [21 CFR 807.92(a)(6)]

The subject devices and predicate devices are based on the following similar technological elements:

The XableCath Support Catheter indication for use is comparable to the predicate device, with direct overlap for peripheral application. Both device systems provide support access to the vasculature, utilize similar insertion and deployment principles, and allow for quidewire and other interventional device exchanges. Both products are for use in endovascular catheter utilization and deployment. Both products are configured with uniquely design distal tip regions for intravascular passage across stenotic regions. Furthermore, both catheters possess similarly offered working lengths, and identical dimensional quidewire compatibility (i.e., 0.014", and 0.035").

Both products have similar intended therapeutic applications, used in similar patient populations, and employ equivalent technological characteristics in achieving desired technical methods-of-action through manual advancement under fluoroscopic imaging. Similar categories of product materials comprise the subject and predicate products, with both containing hub/luer, shaft body, and distal tip design regions.

The following table illustrates comparable features of the subject and predicate products:

Substantial Equivalence Comparison

Substantial Equivalence Comparison
Product InformationSubject
XableCath Support CatheterPredicate
Merit Medical SureCross®
Catheter
510(k) #TBD
This SubmissionK123311
FDA ClassificationClass IIClass II
Regulation Number870.1250870.1250
Product CodeDQYDQY
Indications for UseThe XableCath catheter is
intended to be used to facilitate
access to discrete regions of the
peripheral vasculature in
conjunction with steerable
guidewires. This device may be
used to facilitate placement and
exchange of guidewires and other
interventional devices.The Access & Support Catheter is
intended for use during coronary and
peripheral interventional procedures
to guide and support guidewires,
traverse discrete portions of the
vasculature, allow for guidewire
exchange and provide a conduit for
infusion of saline solution, diagnostic
contrast agents and therapeutic
agents.
Proximal Luer/HubHDPEHDPE
Strain ReliefOlefinPEBA
Catheter ShaftNylon, Single lumenHDPE, Single lumen
MarkersCobalt-chromium/SSPt/Ir
CoatingN/AHydrophilic
Infusion Pressure/Burst Strength≥300 psi≥300 psi
Outer DiameterVaries by Model
Proximal: 0.043", 0.053", 0.062"
Distal: 0.060", 0.070", 0.080"
Tip: 0.052", 0.063", 0.071"Varies by Model
Proximal: 0.039", 0.044", 0.063"
Distal: 0.0265", 0.0305", 0.0505"
Tip: 0.0195", 0.0225", 0.0405"
Guidewire Compatibility0.014", 0.018", 0.035"0.014", 0.018", 0.035"
Guide Catheter (max)≥4Fr5Fr
Access Sheath (max)≥4Fr5Fr
Effective Working Length65, 90, 145cm65, 90, 135, 150cm
DeploymentOTW - ManualOTW - Manual
Sterilization MethodGamma
(SAL – 10-6)EO
(SAL – 10-6)
Single Use, SterileYesYes
LabelingIndividual IFU: Warning, Cautions,
Contraindications, tables, images,
organized outline.Individual IFU: Warning, Cautions,
Contraindications, tables, images,
organized outline.
PackagingSterile thermal sealed Tyvek/PET
Pouch, SBS CartonSterile thermal-sealed Pouch, SBS
Carton
Use EnvironmentRx Only – By or on the order of a
physician. Hospital, Lab/Surgical
SuiteRx Only – By or on the order of a
physician. Hospital, Lab/Surgical
Suite
Performance TestingISO 10555-1 Second Edition 2013-
07-01. Intravascular catheters --
Sterile, single-use intravascular
catheters -- Part 1: GeneralISO 10555-1 Second Edition 2013-
07-01. Intravascular catheters --
Sterile, single-use intravascular
catheters -- Part 1: General

5

The following technological differences exist between the subject and predicate devices:

The subject and predicate devices have slightly differing distal tip configurations, unique to their particular design, .

6

and overall product composition. Nevertheless, both product distal tip designs are intended to achieve the same outcomes and have been shown to be commensurate in performance through comparative assessment.
The predicate product contains an exterior hydrophilic coating over the distal 40cm of length, whilst the subject product does not. Nevertheless, ease of insertion and tracking within applied models yields equivalent product delivery performance through comparative assessment.
The predicate product is indicated for coronary application, and for delivery of diagnostic/therapeutic solutions, whilst the subject product is not.
Despite these noted differences between the subject and predicate products, these attributes are determined to be cumulatively insignificant as demonstrated through direct product comparative assessment.
Performance Data [21 CFR 807.92(b)]
Summary of non-clinical tests conducted for determination of substantial equivalence [21 CFR 807.92(b)(1)]
Direct product bench in-vitro comparison testing has shown the subject & predicate products to be substantially equivalent, via assessment within the following areas:
Visual & technical inspectionsLuer syringe compatibilitySheath compatibilityGuidewire retraction/reinsertionRelative radiopacity comparisonTorque transmission & capabilitySimulated use (iliac model)Dimensional assessment & comparisonsGuidewire compatibilityLeak TestingCatheter kink-resistanceTensile testing (proximal & distal)Corrosion testingGeneral packaging, shelf-life/expiry
Full panel biocompatibility was successfully performed in accord with product classification, under GLP rigors, demonstrating that all utilized materials and methods of construction/processing passed biocompatibility rigors. Conducted test included:
CytotoxicityIrritation/Intracutaneous ReactivityHemolysisComplement ActivationPlatelet and Leukocyte CountSensitizationSystemic Toxicity (Acute)ThromboresistancePartial Thromboplastin TimeMaterials Mediated Pyrogenicity
Packaging integrity, transport challenge testing, and shelf-life testing were applied and successfully completed in accordance with established acceptance criteria demonstrating configurational adequacy.
Summary of clinical tests conducted for determination of substantial equivalence or of clinical information [21 CFR 807.92(b)(2)]
No clinical tests were necessary. However human factors engineering and usability assessments were performed.
Conclusions drawn [21 CFR 807.92(b)(3)]
Based upon the overlapping intended use, basal product designs, methods of deployment, target population and anatomical site overlap, and direct bench comparative assessment the preponderance of gathered evidence within this pre-market notification application demonstrates the XableCath Support Catheter has been shown to be substantially equivalent to the predicate device. Furthermore, the XableCath Support Catheter raises no new questions of safety or effectiveness when compared directly to the predicate device, and is therefore justifiably concluded to be substantially equivalent for declared intended use.