K Number
K172264
Device Name
OTW Takeru PTCA Balloon Dilatation Catheter
Manufacturer
Date Cleared
2018-03-19

(235 days)

Product Code
Regulation Number
870.5100
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The OTW Takeru PTCA Balloon Dilatation Catheter is indicated for balloon dilatation of the stenotic portion in the coronary artery or bypass graft stenosis for the purpose of myocardial perfusion. This product (balloon models 2.0 – 5.0 mm) is also indicated for the post-delivery expansion of balloon expandable stents.
Device Description
OTW Takeru PTCA Balloon Dilatation Catheter (OTW Takeru) is an over-the-wire balloon dilation catheter, which consists of a distal tube, mid tube, proximal tube, balloon, guidewire transition tube, radiopaque marker(s), manifold, and strain relief. A balloon is attached to the distal end of the catheter, and it can be inflated and deflated using the inflation device connected to the manifold at the proximal end. OTW Takeru has a lumen at the distal end of the catheter through which a guidewire can be inserted. This lumen extends from the distal end of the catheter to the guidewire port on the manifold for the guidewire. The maximum compatible diameter of a guidewire used together with OTW Takeru in a PTCA procedure is 0.014 inches. Additionally, guiding catheters with a diameter of 5 or 6 Fr have been deemed to be compatible with OTW Takeru. The nominal inflated balloon diameters range from 1.5 mm to 5.0 mm with balloon working lengths of 6 mm to 30 mm. The catheter working length is 1450 mm.
More Information

K163372, P860019/S208

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

Yes
The device is indicated for balloon dilatation of stenotic portions in coronary arteries or bypass grafts, which is a therapeutic intervention to improve myocardial perfusion.

No

This device is a PTCA (Percutaneous Transluminal Coronary Angioplasty) balloon dilatation catheter, indicated for physical dilatation of stenotic portions in coronary arteries or bypass grafts. Its function involves mechanical expansion, not diagnosis of a condition.

No

The device description clearly outlines physical components such as a distal tube, mid tube, proximal tube, balloon, guidewire transition tube, radiopaque marker(s), manifold, and strain relief. The performance studies also focus on bench testing of these physical characteristics.

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

Here's why:

  • Intended Use: The intended use clearly states that the device is for "balloon dilatation of the stenotic portion in the coronary artery or bypass graft stenosis" and "post-delivery expansion of balloon expandable stents." These are therapeutic procedures performed directly on the patient's body.
  • Device Description: The description details a physical catheter with a balloon designed to be inserted into blood vessels. This is a medical device used for intervention, not for analyzing samples outside the body.
  • 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 treatment.

IVD devices are used to perform tests on samples taken from the body to provide information about a person's health. This device is a therapeutic tool used to treat a condition within the body.

N/A

Intended Use / Indications for Use

The OTW Takeru PTCA Balloon Dilatation Catheter is indicated for balloon dilatation of the stenotic portion in the coronary artery or bypass graft stenosis for the purpose of myocardial perfusion.

This product (balloon models 2.0 – 5.0 mm) is also indicated for the post-delivery expansion of balloon expandable stents.

Product codes

LOX

Device Description

OTW Takeru PTCA Balloon Dilatation Catheter (OTW Takeru) is an over-the-wire balloon dilation catheter, which consists of a distal tube, mid tube, proximal tube, balloon, guidewire transition tube, radiopaque marker(s), manifold, and strain relief. A balloon is attached to the distal end of the catheter, and it can be inflated and deflated using the inflation device connected to the manifold at the proximal end. OTW Takeru has a lumen at the distal end of the catheter through which a guidewire can be inserted. This lumen extends from the distal end of the catheter to the guidewire port on the manifold for the guidewire.

The maximum compatible diameter of a guidewire used together with OTW Takeru in a PTCA procedure is 0.014 inches. Additionally, guiding catheters with a diameter of 5 or 6 Fr have been deemed to be compatible with OTW Takeru. The nominal inflated balloon diameters range from 1.5 mm to 5.0 mm with balloon working lengths of 6 mm to 30 mm. The catheter working length is 1450 mm.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

coronary artery or bypass graft

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)

To demonstrate substantial equivalence of OTW Takeru to the predicate devices, the technological characteristics and performance criteria were evaluated the using the bench testing recommendations outlined in the FDA Guidance Document "Class II Special Controls Guidance Document for Certain Percutaneous Transluminal Coronary Angioplasty (PTCA) Catheters" dated September 8, 2010. The following in vitro tests were performed on the subject device:

Dimensional Verification, Balloon Preparation, Deployment and Retraction, Balloon Rated Burst Pressure, Balloon Fatigue (Repeat Balloon Inflations), Balloon Compliance, Balloon Inflation and Deflation Time, Catheter Bond Strength, Flexibility and Kink Test, Torque Strength, Coating Integrity, Particulate Evaluation, Balloon Rated Burst Pressure (in Stent), and Balloon Fatigue (Repeat Balloon Inflations; in Stent), and Shelf Life Testing.

The results from these tests demonstrate that the technological characteristics and performance of the OTW Takeru are substantially equivalent to the predicate devices.

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

Not Found

Predicate Device(s)

K163372, P860019/S208

Reference Device(s)

K160004

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 870.5100 Percutaneous Transluminal Coronary Angioplasty (PTCA) Catheter.

(a)
Standard PTCA Catheter —(1)Identification. A PTCA catheter is a device that operates on the principle of hydraulic pressurization applied through an inflatable balloon attached to the distal end. A PTCA balloon catheter has a single or double lumen shaft. The catheter features a balloon of appropriate compliance for the clinical application, constructed from a polymer. The balloon is designed to uniformly expand to a specified diameter and length at a specific pressure as labeled, with well characterized rates of inflation and deflation and a defined burst pressure. The device generally features a type of radiographic marker to facilitate fluoroscopic visualization of the balloon during use. A PTCA catheter is intended for balloon dilatation of a hemodynamically significant coronary artery or bypass graft stenosis in patients evidencing coronary ischemia for the purpose of improving myocardial perfusion. A PTCA catheter may also be intended for the treatment of acute myocardial infarction; treatment of in-stent restenosis (ISR) and/or post-deployment stent expansion.(2)
Classification. Class II (special controls). The special control for this device is “Class II Special Controls Guidance Document for Certain Percutaneous Transluminal Coronary Angioplasty (PTCA) Catheters.” See § 870.1(e) for the availability of this guidance document.(b)
Cutting/scoring PTCA Catheter —(1)Identification. A cutting/scoring PTCA catheter is a balloon-tipped catheter with cutting/scoring elements attached, which is used in those circumstances where a high pressure balloon resistant lesion is encountered. A cutting/scoring PTCA catheter is intended for the treatment of hemodynamically significant coronary artery stenosis for the purpose of improving myocardial perfusion. A cutting/scoring PTCA catheter may also be indicated for use in complex type C lesions or for the treatment of in-stent restenosis.(2)
Classification. Class III (premarket approval). As of May 28, 1976, an approval under section 515 of the act is required before this device may be commercially distributed. See § 870.3.

0

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March 19, 2018

Kaneka Corporation % Christopher Sloan Principal Consultant Quintiles IMS 1801 Rockville Pike, Suite 300 Rockville, Maryland 20852

Re: K172264

Trade/Device Name: OTW Takeru PTCA Balloon Dilatation Catheter Regulation Number: 21 CFR 870.5100 Regulation Name: Percutaneous Transluminal Coronary Angioplasty (PTCA) Catheter Regulatory Class: Class II Product Code: LOX Dated: March 2, 2018 Received: March 6, 2018

Dear Christopher Sloan:

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 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);

1

Page 2 - Christopher Sloan

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 mediation-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

510(k) Number (if known) K172264

Device Name

OTW Takeru PTCA Balloon Dilatation Catheter

Indications for Use (Describe)

The OTW Takeru PTCA Balloon Dilatation Catheter is indicated for balloon dilatation of the stenotic portion in the coronary artery or bypass graft stenosis for the purpose of myocardial perfusion.

This product (balloon models 2.0 - 5.0 mm) is also indicated for the post-delivery expansion of balloon expandable stents.

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)

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3

510(K) SUMMARY 5.1

OTW Takeru PTCA Balloon Dilatation Catheter

510(k) Submitter

Kaneka Corporation Medical Devices Solutions Vehicle 1-12-32, Akasaka, Minato-ku Tokyo, Japan Contact Person: Toshihiko Motomine Telephone: +81-3-5574-8023 Email:

Official Correspondent

Christopher M. Sloan Principal Consultant QuintilesIMS 1801 Rockville Pike, Suite 300 Rockville, MD 20852 Phone: (301) 272-3114 chris.sloan@quintilesims.com Email:

Date Prepared: February 23, 2018

4

Subject Device Name:

Trade NameOTW Takeru
Common or usual namePercutaneous Transluminal Coronary
Angioplasty (PTCA) catheter
Classification namePercutaneous Transluminal Coronary
Angioplasty (PTCA) catheter [21 CFR
870.5100; product code LOX]
ClassII
Classification PanelCardiovascular (74)

Predicate Devices:

  • · Primary predicate device: RX Takeru PTCA Balloon Dilatation Catheter or "RX Takeru" [K163372 (Kaneka Corporation)]
  • · Apex™ Over-The-Wire PTCA Dilatation Catheter or "Apex Over-The-Wire" [P860019/S208 (Boston Scientific Corporation)]

Reference Device:

  • · Crosstella OTW PTA Balloon Dilatation Catheter or "Crosstella OTW" [K160004 (Kaneka Corporation)]

Device Description:

OTW Takeru PTCA Balloon Dilatation Catheter (OTW Takeru) is an over-the-wire balloon dilation catheter, which consists of a distal tube, mid tube, proximal tube, balloon, guidewire transition tube, radiopaque marker(s), manifold, and strain relief. A balloon is attached to the distal end of the catheter, and it can be inflated and deflated using the inflation device connected to the manifold at the proximal end. OTW Takeru has a lumen at the distal end of the catheter through which a guidewire can be inserted. This lumen extends from the distal end of the catheter to the guidewire port on the manifold for the guidewire.

The maximum compatible diameter of a guidewire used together with OTW Takeru in a PTCA procedure is 0.014 inches. Additionally, guiding catheters with a diameter of 5 or 6 Fr have been deemed to be compatible with OTW Takeru. The nominal inflated balloon

5

diameters range from 1.5 mm to 5.0 mm with balloon working lengths of 6 mm to 30 mm. The catheter working length is 1450 mm.

Indications for Use

The OTW Takeru PTCA Balloon Dilatation Catheter is indicated for balloon dilatation of the stenotic portion in the coronary artery or bypass graft stenosis for the purpose of myocardial perfusion.

This product (balloon models 2.0 – 5.0 mm) is also indicated for the post-delivery expansion of balloon expandable stents.

Comparison of Indications for Use to Predicate Devices

The OTW Takeru has the same intended use (percutaneous transluminal coronary angioplasty) as the RX Takeru and the Apex Over-The-Wire. The indications for use of the OTW Takeru are identical to that of the RX Takeru and comparable to that of Apex Over-The-Wire. Therefore, the subject device, OTW Takeru, may be considered substantially equivalent to the predicate devices.

Comparison of Technological Characteristics to Predicate Devices

Percutaneous Transluminal Coronary Angioplasty (PTCA) is the technological principle for both OTW Takeru and the predicate devices. PTCA is based on the use of Percutaneous Coronary Intervention (PCI) devices for the purpose of myocardial perfusion.

The OTW Takeru and predicate devices have following same technological elements:

  • Operating principle balloon dilatation of stenotic portion by pressurization of ● inflation medium
  • Fundamental catheter design - balloon, shaft, radiopaque marker, hub or manifold, hydrophilic coating
  • Shaft type – over the wire (same as the Apex Over-The-Wire)
  • Concomitantly used devices guidewire, guiding catheter, inflation device ●

There are following minor technological differences between OTW Takeru and the RX Takeru and/or Apex Over-The-Wire:

  • Combination of balloon diameter and balloon length ●
  • Shaft diameter
  • Catheter working length
  • Nominal Pressure and Rated Burst Pressure of certain balloon sizes

6

Performance Testing

To demonstrate substantial equivalence of OTW Takeru to the predicate devices, the technological characteristics and performance criteria were evaluated the using the bench testing recommendations outlined in the FDA Guidance Document "Class II Special Controls Guidance Document for Certain Percutaneous Transluminal Coronary Angioplasty (PTCA) Catheters" dated September 8, 2010. The following in vitro tests were performed on the subject device:

Dimensional Verification, Balloon Preparation, Deployment and Retraction, Balloon Rated Burst Pressure, Balloon Fatigue (Repeat Balloon Inflations), Balloon Compliance, Balloon Inflation and Deflation Time, Catheter Bond Strength, Flexibility and Kink Test, Torque Strength, Coating Integrity, Particulate Evaluation, Balloon Rated Burst Pressure (in Stent), and Balloon Fatigue (Repeat Balloon Inflations; in Stent), and Shelf Life Testing.

The results from these tests demonstrate that the technological characteristics and performance of the OTW Takeru are substantially equivalent to the predicate devices.

Biocompatibility:

To demonstrate the biological safety of the body-contacting materials and substantial equivalence of the OTW Takeru to the predicate devices, the following biocompatibility testing was performed in accordance with the FDA Guidance Document "Use of International Standard ISO 10993-1, "Biological evaluation of medical devices - Part 1: Evaluation and testing within a risk management process"; Guidance for Industry and Food and Drug Administration Staff" (dated June 16, 2016):

Cytotoxicity, Intracutaneous Reactivity, Sensitization, Material-mediated Pyrogen, Hemocompatibility (hemolysis), and Acute Systemic Toxicity

The results from these tests demonstrate that the OTW Takeru is biocompatible for its intended use similar to the predicate devices.

Conclusions:

The OTW Takeru met all the predetermined acceptance criteria of design verification and validation as specified by applicable standards, guidance, test protocols and/or customer The OTW Takeru PTCA Balloon Dilatation Catheter is substantially equivalent to innuts. legally marketed predicate devices.