K Number
K170417
Device Name
Glidewire GT
Manufacturer
Date Cleared
2017-09-15

(217 days)

Product Code
Regulation Number
870.1330
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Glidewire® GT is designed to direct a catheter to the desired anatomical location in the peripheral vasculature during diagnostic or interventional procedures. This device is not intended for neurovascular or coronary interventions.
Device Description
The Glidewire® GT is a guide wire which is designed to direct a catheter to the desired anatomical location in the peripheral vasculature during diagnostic or interventional procedures. It is provided sterile and is intended for single use only. The Glidewire® GT consists of a core wire of a Nickel Titanium superelastic alloy and has a flexible radiopaque gold coil around the distal tip of the core wire. The Glidewire® GT is offered with two distal tip types: Shapeable and Preshaped. The wire distal segment comes in angled or straight configurations. Physicians choose the guide wire types depending upon their personal preference and the type of interventional procedure being performed. Other considerations may include: anatomy, difficulty of access, and the interventional device used for procedure. The device is packaged in a plastic holder that is contained within an individual package. A guide wire inserter, torque device and mandrel (Shapeable type only) are contained within the individual package to assist with the manipulation of the guide wire. Following the guide wire insertion, the guide wire inserter is removed from the proximal portion of guide wire.
More Information

No
The device description and performance studies focus on the physical properties and performance of a guide wire, with no mention of AI or ML capabilities.

No.
The device is a guide wire designed to direct a catheter for diagnostic or interventional procedures, not to provide a therapeutic effect itself.

No

The device is a guide wire designed to direct a catheter, not to perform a diagnostic function itself. While it is used during diagnostic procedures, its role is to facilitate the procedure, not to diagnose.

No

The device description clearly states it is a guide wire made of physical materials (Nickel Titanium alloy, gold coil) and includes physical accessories (inserter, torque device, mandrel). It is a hardware device.

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

Here's why:

  • Intended Use: The intended use is to "direct a catheter to the desired anatomical location in the peripheral vasculature during diagnostic or interventional procedures." This describes a device used within the body to facilitate a medical procedure, not a device used to examine specimens outside the body to diagnose a condition.
  • Device Description: The description details a physical guide wire made of specific materials and designed for insertion into the peripheral vasculature. This aligns with an invasive medical device, not an IVD.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), reagents, or any other typical components or processes associated with in vitro diagnostics.

Therefore, the Glidewire® GT is a medical device used for interventional and diagnostic procedures in vivo, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The Glidewire GT is designed to direct a catheter to the desired anatomical location in the peripheral vasculature during diagnostic or interventional procedures. This device is not intended for neurovascular or coronary interventions.

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

DQX

Device Description

The Glidewire GT is a guide wire which is designed to direct a catheter to the desired anatomical location in the peripheral vasculature during diagnostic or interventional procedures. It is provided sterile and is intended for single use only. The Glidewire GT consists of a core wire of a Nickel Titanium superelastic alloy and has a flexible radiopaque gold coil around the distal tip of the core wire. The Glidewire GT is offered with two distal tip types: Shapeable and Preshaped.
The wire distal segment comes in angled or straight configurations. Physicians choose the guide wire types depending upon their personal preference and the type of interventional procedure being performed. Other considerations may include: anatomy, difficulty of access, and the interventional device used for procedure. The device is packaged in a plastic holder that is contained within an individual package. A guide wire inserter, torque device and mandrel (Shapeable type only) are contained within the individual package to assist with the manipulation of the guide wire. Following the guide wire insertion, the guide wire inserter is removed from the proximal portion of guide wire.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

peripheral vasculature

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)

Performance testing was conducted to evaluate the performance of the Glidewire GT throughout the labeled shelf life, verify conformity to applicable standards and demonstrate substantial equivalence to the predicate devices. With the exception of the Radiodetectability1 test, the following performance tests were performed on nonaged and accelerated-aged Glidewire GT samples. All samples tested met the applicable acceptance criteria, and no new issues of safety and effectiveness were raised by the testing 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.

K863138 – Terumo Radifocus Guide Wire

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.

K122590 - Radifocus Glidewire Advantage

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

§ 870.1330 Catheter guide wire.

(a)
Identification. A catheter guide wire is a coiled wire that is designed to fit inside a percutaneous catheter for the purpose of directing the catheter through a blood vessel.(b)
Classification. Class II (special controls). The device, when it is a torque device that is manually operated, non-patient contacting, and intended to manipulate non-cerebral vascular guide wires, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 870.9.

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Image /page/0/Picture/2 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" around the perimeter. Inside the circle is a stylized image of three human profiles facing to the right, with flowing lines representing hair or clothing.

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

September 15, 2017

Terumo Medical Corporation Ms. Monika McDole-Russell, MSRA, RAC Manager, Regulatory Affairs 265 Davidson Ave.. Suite 320 Somerset, New Jersey 08873

Re: K170417

Trade/Device Name: Glidewire GT Regulation Number: 21 CFR 870.1330 Regulation Name: Catheter Guide Wire Regulatory Class: Class II Product Code: DQX Dated: September 1, 2017 Received: September 5, 2017

Dear Ms. McDole-Russell:

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

1

related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Division of Industry and Consumer Education (DICE) 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 (DICE) 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

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Indications for Use

510(k) Number (if known) K170417

Device Name Glidewire GT

Indications for Use (Describe)

The Glidewire GT is designed to direct a catheter to the desired anatomical location in the peripheral vasculature during diagnostic or interventional procedures. This device is not intended for neurovascular or coronary interventions.

Type of Use (Select one or both, as applicable)
Prescription Use (Part 21 CFR 201 Subpart D)
Over-The-Counter Use (21 CFR 201 Subpart C)

Prescription Use (Part 21 CFR 801 Subpart D)

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

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510(K) SUMMARY

A. SUBMITTER INFORMATION (807.92(a)(1))

Prepared by/

Contact Person: Monika McDole-Russell, Manager, Regulatory Affairs
Terumo Medical Corporation
265 Davidson Avenue, Suite 320, Somerset NJ 08873
Phone#: (732)302-4900, ext. 4273 FAX#: (410) 398-6079
E-mail: monika.mcdolerussell@terumomedical.com

Prepared for: Owner/Operator Terumo Corporation 44-1, 2-Chome, Hatagaya, Shibuya-Ku, Tokyo, Japan 151-0072 Registration Number: 801 002 6

Manufacturer and Sterilization Facility

Ashitaka Factory of Terumo Corporation 150 Maimaigi-cho, Fujinomiya, Shizuoka, Japan 418-0015 Registration No: 968 183 4

Date prepared: September 12, 2017

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B. DEVICE NAME (807.92(a)(2))

Proprietary Name:Glidewire® GT
Common Name:Guide wire
Classification Name:Wire, Guide, Catheter
Classification Panel:Cardiovascular
Regulation:21 CFR 870.1330
Product Code:DQX
Classification:Class II

C. PREDICATE DEVICE (807.92(a)(3))

The legally marketed device to which substantial equivalence is claimed is:

K863138 – Terumo Radifocus Guide Wire, manufactured by Ashitaka Factory of Terumo Corporation

The reference predicate is:

K122590 - Radifocus Glidewire Advantage manufactured by Ashitaka Factory of Terumo Corporation.

D. REASON FOR 510(k) SUBMISSION

This premarket notification (510(k)) is being submitted for a new guide wire for peripheral use for the purpose of establishing substantial equivalence to a legally marketed predicate device.

E. DEVICE DESCRIPTION (807.92(a)(4))

Principle of Operation Technology

The Glidewire® GT is operated by manual process.

Design/Construction

The Glidewire® GT is a guide wire which is designed to direct a catheter to the desired anatomical location in the peripheral vasculature during diagnostic or interventional procedures. It is provided sterile and is intended for single use only. The Glidewire® GT consists of a core wire of a Nickel Titanium superelastic alloy and has a flexible radiopaque gold coil around the distal tip of the core wire. The Glidewire® GT is offered with two distal tip types: Shapeable and Preshaped.

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The wire distal segment comes in angled or straight configurations. Physicians choose the guide wire types depending upon their personal preference and the type of interventional procedure being performed. Other considerations may include: anatomy, difficulty of access, and the interventional device used for procedure. The device is packaged in a plastic holder that is contained within an individual package. A guide wire inserter, torque device and mandrel (Shapeable type only) are contained within the individual package to assist with the manipulation of the guide wire. Following the guide wire insertion, the guide wire inserter is removed from the proximal portion of guide wire.

Specifications

The specifications for the Glidewire® GT are provided in the table below.

PartSpecification
Diameter of Guide Wire0.014", 0.016", 0.018"
Length of Guide Wire180 cm, 200 cm
Distal Shape Processing
TypePreshaped, Shapeable
Tip configurationStraight, Angled (Angled (45°, 90°),
Double Angled, Large curve)
Accessory DeviceGuide Wire Inserter, Torque Device,
Mandrel*
*: Mandrel is only included with the
Shapeable type.
Table 5.1: Glidewire® GT Specifications
-----------------------------------------------

F. INDICATIONS FOR USE (807.92(a)(5))

The Glidewire® GT is designed to direct a catheter to the desired anatomical location in the peripheral vasculature during diagnostic or interventional procedures. This device is not intended for neurovascular or coronary interventions.

G. SUBSTANTIAL EQUIVALENCE COMPARISON (807.92(a)(6))

The Glidewire® GT, subject of this 510(k), is substantially equivalent in its intended use/indications for use, technology/principal of operation, materials, and performance to the Terumo Radifocus Guide Wire, cleared under K863138, manufactured by Ashitaka Factory of Terumo Corporation.

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A comparison of the technological characteristics is summarized on the table below.

| Device Characteristic | New Device:
Glidewire® GT | Predicate: Terumo
Radifocus Guide
Wire (K863138) | Reference predicate:
Radifocus Glidewire
Advantage
(K122590) |
|-----------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Manufacturer | Ashitaka Factory of
Terumo Corporation | Same | Same |
| Indication for Use | The Glidewire® GT is
designed to direct a
catheter to the desired
anatomical location in the
peripheral vasculature
during diagnostic or
interventional procedures.
This device is not
intended for
neurovascular or
coronary interventions. | The Glidewire is
designed to direct a
catheter to the desired
anatomical location in
the vasculature system
during diagnostic or
interventional
procedures. | The Radifocus Glidewire
Advantage is designed to
direct a catheter to the
desired anatomical
location in the peripheral
vasculature during
diagnostic or
interventional procedures. |
| Operation Principle | Manual | Same | Same |
| Design/Construction | Core wire is Nickel-
Titanium alloy

Fully hydrophilic coating

  1. tungsten/polyurethane,
  2. hydrophilic polymer | Same | Hydrophilic coating,
    distal:
    tungsten/polyurethane;
    proximal: PTFE |
    | | Gold coil radiopaque
    maker | Not available | Same as the subject
    device |

Table 5.2: Summary of Comparative Information

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| Device Characteristic | New Device:
Glidewire® GT | Predicate: Terumo
Radifocus Guide
Wire (K863138) | Reference predicate:
Radifocus Glidewire
Advantage
(K122590) |
|-----------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------|
| Specifications | • O.D.: 0.014", 0.016",
0.018"
• Lengths: 180cm,
200cm
• Tip configuration:
Straight and Angled
(Angled (45°, 90°),
Double Angled, Large
curve)
• Distal shape
processing type:
Preshaped, Shapeable | • O.D.: 0.018"-0.052"
• Lengths: 30-300cm
• Tip configuration:
Straight and Angled
(including but not
limited to 45°, 90°,
Double Angled)
• Distal shape
processing type:
Preshaped,
Shapeable | • O.D.: 0.014"
• Lengths: 180cm,
300cm
• Tip configuration:
Angled (Angled (45°))
• Distal shape processing
type: Preshaped |
| Package Material | • Individual package
Polyester-
polyethylene
laminated film and
paper
• Unit box
• Shipping carton | Same | Similar
Polyester-polyethylene
laminated film and
Tyvek |
| Sterilization | Ethylene oxide | Same | Same |
| Shelf-life | 24 months | Same | Same |

H. NON CLINICAL TESTS (807.92(b)(1))

Performance

Performance testing was conducted to evaluate the performance of the Glidewire® GT throughout the labeled shelf life, verify conformity to applicable standards and demonstrate substantial equivalence to the predicate devices. With the exception of the Radiodetectability1 test, the following performance tests were performed on nonaged and accelerated-aged Glidewire® GT samples. All samples tested met the applicable acceptance criteria, and no new issues of safety and effectiveness were raised by the testing performed.

1 Only baseline testing was performed since no change in the radiopacity of the gold markers is anticipated with aging.

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Test ItemReference
SurfaceSec. 4.3 of ISO 11070: 2014
Radiodetectability2Sec. 4.5 of ISO 11070: 2014,
ASTM F640-12
Fracture TestSec. 8.4 of ISO 11070: 2014
Flexing TestSec. 8.5 of ISO 11070: 2014
Peak Tensile Force of guidewireSec. 8.6 of ISO 11070: 2014

Table 5.3: Performance Testing per ISO Standard

Additionally, performance testing other than that recommended in the above ISO standard was performed on the device in accordance with FDA guidance documents and/or Terumo's in-house standards. The subject device complies with the acceptance criteria established based on the predicate device and/or the FDA guidance documents, as shown in the table below.

In-house Standards
Test ItemReference
Peak Tensile Force of guidewire3.a of FDA Guidance3,
In-house Standard
Torque strength3.b of FDA Guidance3,
In-house Standard
Torqueability3.c of FDA Guidance3,
In-house Standard
Tip flexibility3.d of FDA Guidance3,
In-house Standard
Sliding resistance/Coating integrity
(Product appearance)3.e of FDA Guidance3,
In-house Standard
Particulate evaluationVIII.A.13 of FDA Guidance4,
USP ,
In-house Standard
Product dimensionIn-house Standard
Shaping testIn-house Standard

Table 5.4: Performance Testing per FDA Guidance Documents and/or In house Standards

Performance testing demonstrated that the Glidewire® GT conformed to the

2 Only baseline testing was performed since no change to the radiopacity of the gold markers is anticipated with aging.

3 Coronary and Cerebrovascular Guidewire Guidance, January 1995

4 Class II Special Controls Guidance Document for Certain Percutaneous Transluminal Coronary Angioplasty (PTCA) Catheters, September 8, 2010

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recognized consensus ISO standards, FDA guidance documents or in-house standards, is substantially equivalent to the predicate device for its shelf life.

Biocompatibility

In accordance with ISO 10993-1: 2009, Biological evaluation of medical devices – Part 1: Evaluation and testing within a risk management process, the Glidewire® GT is classified as an Externally Communicating Devices, Circulating blood, Limited Contact (