K Number
K171275
Device Name
Micropuncture Introducer Set, Micropuncture Introducer Set with Push-Plus Design, Micropuncture Introducer Set with Silhouette Transitionless Design, Micropuncture Introducer Set with Silhouette Transitionless Design and Push-Plus Design
Manufacturer
Date Cleared
2017-12-20

(233 days)

Product Code
Regulation Number
870.1340
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Micropuncture® Introducer Set is intended for the placement of wire guides up to 0.038 inch diameter into the peripheral vascular system when a small 21 gage needle stick is desired.
Device Description
The Micropuncture® Introducer Set is intended for the placement of wire guides up to 0.038 inch diameter into the peripheral vascular system when a small 21 gage needle stick is desired. The device is utilized to gain access to the vasculature using the Seldinger technique. These introducer sets are comprised of either 4.0 French outer introducer and 3.0 French inner dilator coaxial pair, a 21 gage percutaneous entry needle, and a 0.018 inch mandrel wire guide with a distal coil tip. The dilator of these sets can come with a stainless steel stiffening cannula embedded in the shaft. These sets are supplied sterile and are intended for one-time use.
More Information

No
The device description and performance studies focus on the physical components and mechanical properties of the introducer set, with no mention of AI or ML.

No.
This device is an introducer set intended for the placement of wire guides into the peripheral vascular system to gain access for other medical procedures, not to directly treat a disease or condition.

No

Explanation: The device is an introducer set used for accessing the peripheral vascular system to place wire guides for interventional procedures. It is a tool for accessing the body, not for diagnosing a condition or disease.

No

The device description clearly outlines physical components like needles, dilators, wire guides, and cannulas, and the performance studies focus on physical properties and testing of these hardware components.

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

Here's why:

  • Intended Use: The intended use is for the placement of wire guides into the peripheral vascular system for access. This is a procedural device used in vivo (within the body) for a medical intervention.
  • Device Description: The description details components like needles, dilators, and wire guides, all of which are used for accessing and navigating within the vascular system.
  • 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. The device itself is not performing a diagnostic test.
  • Performance Studies: The performance studies focus on the physical and mechanical properties of the device (biocompatibility, leakage, tensile strength, etc.) and its ability to function as an introducer, not on its ability to detect or measure biological markers.

Therefore, the Micropuncture® Introducer Set is a medical device used for vascular access, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The Micropuncture® Introducer Set is intended for the guides up to 0.038 inch diameter into the peripheral vascular system when a small 21 gage needle stick is desired.

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

DYB

Device Description

The Micropuncture® Introducer Set is intended for the placement of wire guides up to 0.038 inch diameter into the peripheral vascular system when a small 21 gage needle stick is desired. The device is utilized to gain access to the vasculature using the Seldinger technique. These introducer sets are comprised of either 4.0 French outer introducer and 3.0 French inner dilator coaxial pair, a 21 gage percutaneous entry needle, and a 0.018 inch mandrel wire guide with a distal coil tip. The dilator of these sets can come with a stainless steel stiffening cannula embedded in the shaft. These sets are supplied sterile and are intended for one-time use.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

peripheral vascular system

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)

  • Biocompatibility Testing, in conformance with ANSI AAMI ISO 10993-. 1:2009(R)2013, shows the device is biocompatible. Cytotoxicity, Pyrogen, Sensitization, Intracutaneous Reactivity, Acute Systemic Toxicity, Complement Activation, and Hemocompatibility testing were all performed, completed, and passed. The predetermined acceptance criteria were met.
  • Liquid Leakage Testing: Testing verified that under proper clinical use of the outer introducer sheath and Y-Connector, each test article shall not leak when tested in accordance with BS EN ISO 11070:2014, Annex D and E. The predetermined acceptance criteria were met.
  • Tensile Test of the Hub to Shaft Bond Testing verified that the hub of the outer introducer, inner dilator, and needle would not loosen or separate from the shaft when tested in accordance with BS EN ISO 11070:2014. The predetermined acceptance criteria were met.
  • Tensile Test of the Sideported Section Testing verified that the sideported section of the outer introducer shaft would not separate under clinically relevant conditions. The predetermined acceptance criterion was met.
  • Dimensional Verification Testing Testing verified that the components of the Micropuncture Introducer Sets met the dimensional requirements in terms of overall length, inner diameter, outer diameter, and component compatibility. The predetermined acceptance criteria were met.
  • Evaluation of Corrosion Resistance Testing verified that the metallic components of the set would resist corrosion. The predetermined acceptance criteria were met.
  • Insertion Force Test - Testing simulated percutaneous insertion force through a simulated skin membrane. The predetermined acceptance criteria were met.
  • Wire Fracture Test – Testing verified that the wire guide would show no signs of fracture when subjected to the resistance to fracture testing. The predetermined acceptance criteria were met.
  • Wire Tensile Test Testing verified that the distal tip of the wire guide would not separate under clinically relevant conditions. The predetermined acceptance criteria were met.
  • Radiopacity Testing Testing verified that the wire guide would be detectable under fluoroscopy. The predetermined acceptance criteria were met.
  • Resistance to Damage by Flex Testing Testing verified that the wire guide would not show any damage or defects when subjected to repeated flexing. The predetermined acceptance criteria were met.

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.

K133114

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.

K101604, K062627, K112631, K142829

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

§ 870.1340 Catheter introducer.

(a)
Identification. A catheter introducer is a sheath used to facilitate placing a catheter through the skin into a vein or artery.(b)
Classification. Class II (performance standards).

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Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

December 20, 2017

Cook Incorporated Daniel Corbin Regulatory Affairs Specialist 750 Daniels Wav Bloomington, Indiana 47404

Re: K171275

Trade/Device Name: Micropuncture Introducer Set. Micropuncture Introducer Set with Push-Plus Design. Micropuncture Introducer Set with Silhouette Transitionless Design. Micropuncture Introducer Set with Silhouette Transitionless Design and Push-Plus Design Regulation Number: 21 CFR 870.1340 Regulation Name: Catheter Introducer Regulatory Class: Class II Product Code: DYB Dated: November 20, 2017 Received: November 21, 2017

Dear Daniel Corbin:

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. However, you are responsible to determine that the medical devices you use as components in the kit have either been determined as substantially equivalent under the premarket notification process (Section 510(k) of the act), or were legally on the market prior to May 28, 1976, the enactment date of the Medical Device Amendments. Please note: If you purchase your device components in bulk (i.e., unfinished) and further process (e.g., sterilize) you must submit a new 510(k) before including these components in your kit/tray. The general controls 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.

1

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 of medical device-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.

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.

For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (http://www.fda.gov/DICE) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

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

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

510(k) Number (if known)

K171275

Device Name

Micropuncture Introducer Set, Microducer Set with Push-Plus Design, Micropuncture Introducer Set with

Silhouette Transitionless Design, Micropuncture Introducer Set with Transitionless Design and Push-Plus Design

Indications for Use (Describe)

Indications for Use for the Micropuncture® Introducer Set:

The Micropuncture@ Introducer Set is intended for the guides up to 0.038 inch diameter into the peripheral vascular system when a small 21 gage needle stick is desired.

Type of Use (Select one or both, as applicable)
---------------------------------------------------

Prescription Use (Part 21 CFR 801 Subpart D)

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

CONTINUE ON A SEPARATE PAGE IF NEEDED.

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

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

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

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

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

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Image /page/3/Picture/0 description: The image shows the logo for Cook Medical. The logo consists of the word "COOK" in white, large, sans-serif font, with a registered trademark symbol next to it. Below "COOK", the word "MEDICAL" is written in a smaller, white, sans-serif font. Both words are set against a red background.

510(k) SUMMARY - K171275

| Submitted By: | Daniel J. Corbin
Cook Incorporated
750 Daniels Way
P.O. Box 489
Bloomington, IN 47402
Phone: (812) 335-3575 x104018
Fax: (812) 332-0281
Date Prepared: April 28, 2017 |
|----------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Device: | |
| Trade Name: | Micropuncture® Introducer Set
Micropuncture® Introducer Set with Push-Plus™ Design
Micropuncture® Introducer Set with Silhouette®
Transitionless Design
Micropuncture® Introducer Set with Silhouette®
Transitionless Design and Push-Plus™ Design |
| Common Name: | Introducer Catheter |
| Classification Name: | Catheter, Introducer
DYB (21 CFR §870.1340) |

Indications for Use:

The Micropuncture® Introducer Set is intended for the placement of wire guides up to 0.038 inch diameter into the peripheral vascular system when a small 21 gage needle stick is desired.

Predicate Device:

The device, subject of this submission, is substantially equivalent to the predicate device, the Micropuncture® Introducer Set cleared under 510(k) number K133114. Reference devices include the VSI Micro-Introducer Set (K101604), the VSI InnerChange Micro-Introducer Catheter (K062627), the VSI Guidewire (K112631), and Cook Inc. Flexor Tuohy-Borst Side-Arm Introducer, Ansel Modification (K142829).

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Image /page/4/Picture/0 description: The image shows the logo for Cook Medical. The logo consists of the word "COOK" in white, block letters on a red background. Below the word "COOK" is the word "MEDICAL" in white, block letters. The word "MEDICAL" is on a red background that is slightly darker than the background for the word "COOK".

Comparison to Predicate Device:

The Micropuncture® Introducer Set is substantially equivalent to the predicate devices, the Micropuncture® Introducer Set (K133114), in that these devices have the same intended use, identical method of sterilization, method of operation, and similar fundamental technological characteristics. The predicate, K133114, is available in 4 or 5 French, 10 centimeter in length coaxial introducer/dilator pair, 40 centimeter in length 0.018 inch mandrel wire guide, and 21 gage, 7 centimeter in length entry access needle. The range of available lengths of the introducer/dilator, wire guide, and needle will increase with this submission to include a range of 4.5 to 60 centimeter introducer/dilator pair, 30 to 130 centimeter wire guide, and 2.5 to 15 centimeter needle; however, the outer diameters of each component will remain the same as the predicate, K133114. Additional materials of constructions, additional devices dimensions, and additional variations of set components have been included in this submission in order to expand the product line. This submission will also add sideports to the 4 and 5 French introducers, as well as a Y-Connector Hemostasis Valve to a limited number of sets. The substantial equivalence of the modified device to the predicate device is supported by biocompatibility and benchtop performance testing.

Device Description:

The Micropuncture® Introducer Set is intended for the placement of wire guides up to 0.038 inch diameter into the peripheral vascular system when a small 21 gage needle stick is desired. The device is utilized to gain access to the vasculature using the Seldinger technique. These introducer sets are comprised of either 4.0 French outer introducer and 3.0 French inner dilator coaxial pair, a 21 gage percutaneous entry needle, and a 0.018 inch mandrel wire guide with a distal coil tip. The dilator of these sets can come with a stainless steel stiffening cannula embedded in the shaft. These sets are supplied sterile and are intended for one-time use.

Test Data:

The following tests were performed to demonstrate that the Micropuncture® Introducer Set met applicable design and performance requirements and support a determination of substantial equivalence.

  • Biocompatibility Testing, in conformance with ANSI AAMI ISO 10993-. 1:2009(R)2013, shows the device is biocompatible. Cytotoxicity, Pyrogen, Sensitization,

5

Image /page/5/Picture/0 description: The image shows the logo for Cook Medical. The logo consists of the word "COOK" in white, sans-serif font, stacked on top of the word "MEDICAL" in a smaller, white, sans-serif font. Both words are set against a red background. The word "COOK" is in a larger font size than the word "MEDICAL", and the "COOK" is on a red rectangle, while the word "MEDICAL" is on a red rectangle with a corner cut out.

Intracutaneous Reactivity, Acute Systemic Toxicity, Complement Activation, and Hemocompatibility testing were all performed, completed, and passed. The predetermined acceptance criteria were met.

  • Liquid Leakage Testing: Testing verified that under proper clinical use of the outer . introducer sheath and Y-Connector, each test article shall not leak when tested in accordance with BS EN ISO 11070:2014, Annex D and E. The predetermined acceptance criteria were met.
  • Tensile Test of the Hub to Shaft Bond Testing verified that the hub of the outer ● introducer, inner dilator, and needle would not loosen or separate from the shaft when tested in accordance with BS EN ISO 11070:2014. The predetermined acceptance criteria were met.
  • Tensile Test of the Sideported Section Testing verified that the sideported section of the . outer introducer shaft would not separate under clinically relevant conditions. The predetermined acceptance criterion was met.
  • Dimensional Verification Testing Testing verified that the components of the . Micropuncture Introducer Sets met the dimensional requirements in terms of overall length, inner diameter, outer diameter, and component compatibility. The predetermined acceptance criteria were met.
  • Evaluation of Corrosion Resistance Testing verified that the metallic components of the . set would resist corrosion. The predetermined acceptance criteria were met.
  • . Insertion Force Test - Testing simulated percutaneous insertion force through a simulated skin membrane. The predetermined acceptance criteria were met.
  • . Wire Fracture Test – Testing verified that the wire guide would show no signs of fracture when subjected to the resistance to fracture testing. The predetermined acceptance criteria were met.
  • Wire Tensile Test Testing verified that the distal tip of the wire guide would not . separate under clinically relevant conditions. The predetermined acceptance criteria were met.
  • Radiopacity Testing Testing verified that the wire guide would be detectable under . fluoroscopy. The predetermined acceptance criteria were met.
  • Resistance to Damage by Flex Testing Testing verified that the wire guide would not . show any damage or defects when subjected to repeated flexing. The predetermined acceptance criteria were met.

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Image /page/6/Picture/0 description: The image shows the Cook Medical logo. The word "COOK" is in white, sans-serif font on a red background. Below the word "COOK" is the word "MEDICAL" in white, sans-serif font.

COOK INCORPORATED 750 DANIELS WAY, P.O. BOX 489 BLOOMINGTON, IN 47402-0489 U.S.A. PHONE: 812.339.2235 TOLL FREE: 800.457.4500 WWW.COOKMEDICAL.COM

In conclusion, the results of these tests support a determination of substantial equivalence to the predicate device.