K Number
K172635
Device Name
High-Flo Silver Polyethylene Catheter
Manufacturer
Date Cleared
2018-04-03

(214 days)

Product Code
Regulation Number
870.1200
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The High-Flo Silver Polyethylene Catheter is intended for the delivery of contrast media and therapeutic agents to the peripheral, carotid, and coronary vasculature, not including the neurovasculature.
Device Description
The High-Flo Silver Polyethylene Catheter, subject of this submission, is a sterile, single use device designed for use in angiographic procedures. The High-Flo Silver Polyethylene Catheter is available in a 5.5 French size and is manufactured in lengths of 65 to 100 centimeters. Each configuration includes a luer lock adapter, connecting cap, and a single lumen braided shaft.
More Information

No
The description focuses on the physical characteristics and intended use of a catheter for delivering substances, with no mention of AI or ML capabilities.

No
The device is described as intended for the "delivery of contrast media and therapeutic agents", but it is a delivery mechanism, not the therapeutic agent itself.

No.
The device is described as a catheter for delivering contrast media and therapeutic agents, which are functions related to treatment and imaging preparation, not diagnosis. It's used in angiographic procedures, which involve imaging, but the device itself is for delivery, not for generating or interpreting diagnostic information.

No

The device description explicitly states it is a "High-Flo Silver Polyethylene Catheter," which is a physical medical device made of polyethylene and includes components like a luer lock adapter, connecting cap, and a braided shaft. The performance studies also describe physical testing of the catheter.

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 delivery of contrast media and therapeutic agents to the peripheral, carotid, and coronary vasculature. This is a direct intervention within the body for diagnostic imaging or treatment.
  • Device Description: The device is a catheter designed for use in angiographic procedures, which are medical imaging techniques used to visualize blood vessels.
  • Lack of IVD Characteristics: An IVD is a medical device used to perform tests on samples taken from the human body (like blood, urine, tissue) to provide information about a person's health. This device does not perform such tests on samples.

Therefore, the High-Flo Silver Polyethylene Catheter is a medical device used for interventional procedures, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The High-Flo Silver Polyethylene Catheter is intended for the delivery of contrast media and therapeutic agents to the peripheral, carotid, and coronary vasculature, not including the neurovasculature.

Product codes

DQO

Device Description

The High-Flo Silver Polyethylene Catheter, subject of this submission, is a sterile, single use device designed for use in angiographic procedures. The High-Flo Silver Polyethylene Catheter is available in a 5.5 French size and is manufactured in lengths of 65 to 100 centimeters. Each configuration includes a luer lock adapter, connecting cap, and a single lumen braided shaft.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

peripheral, carotid, and coronary vasculature, not including the neurovasculature.

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

The High-Flo Silver Polyethylene Catheter, subject of this submission, was subjected to applicable testing to assure reliable design and performance under the testing parameters. The following tests were conducted to ensure reliable design and performance:

  • Biocompatibility testing - Testing (i.e., cytotoxicity, sensitization, intracutaneous reactivity, systemic toxicity, pyrogenicity, hemocompatibility, complement activation, in vivo thrombogenicity, and partial thromboplastin time) demonstrated that the device is biocompatible for the intended use. In conformance with the applicable sections of ANSI AAMI ISO 10993-1:2009(R)2013, the predetermined acceptance criteria were met.
  • Tensile Testing of the Hub-to-Shaft Bond - Testing verified that under proper clinical use of the catheter, the peak load value of the hub-to-shaft connection is in accordance with the methods of BS EN ISO 10555-1:2013. Annex B. The predetermined acceptance criterion was met.
  • Tensile Testing of the Tip-to-Shaft Bond Testing verified that under proper . clinical use of the catheter, the peak load value of the tip-to-shaft connection is in accordance with the methods of BS EN ISO 10555-1:2013, Annex B. The predetermined acceptance criterion was met.
  • Liquid Leakage Testing Testing verified that under proper clinical use of the . catheter, there will be no liquid leakage when tested in accordance with BS EN ISO 10555-1:2013, Annex C. The predetermined acceptance criterion was met.
  • Air Leakage Testing Testing verified that under proper clinical use of the . catheter. there will be no air leakage when tested in accordance with BS EN ISO 10555-1:2013, Annex D. The predetermined acceptance criterion was met.
  • Static Burst Testing Testing successfully characterized the catastrophic failure . pressure for the catheter is accordance with BS EN ISO 10555-1:2013. Annex F.
  • Dimensional Verification Testing - Testing verified that the dimensional requirements of the subject device are within a specified tolerance. The predetermined acceptance criteria were met.
  • Hub Pressure Testing Testing successfully characterized the hub pressure, when . tested at maximum flow rate, and to verify that it does not exceed the static burst pressure.

Key Metrics

Not Found

Predicate Device(s)

K122937

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 870.1200 Diagnostic intravascular catheter.

(a)
Identification. An intravascular diagnostic catheter is a device used to record intracardiac pressures, to sample blood, and to introduce substances into the heart and vessels. Included in this generic device are right-heart catheters, left-heart catheters, and angiographic catheters, among others.(b)
Classification. Class II (performance standards).

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April 3, 2018

Cook Incorporated Jessica Swafford Regulatory Affairs Specialist 750 Daniels Wav Bloomington, Indiana 47402

Re: K172635

Trade/Device Name: High-Flo Silver Polyethylene Catheter Regulation Number: 21 CFR 870.1200 Regulation Name: Diagnostic Intravascular Catheter Regulatory Class: Class II Product Code: DQO Dated: March 5, 2018 Received: March 6, 2018

Dear Jessica Swafford:

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 (OS) 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

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

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Indications for Use

510(k) Number (if known)

K172635

Device Name High-Flo Silver Polyethylene Catheter

Indications for Use (Describe)

The High-Flo Silver Polyethylene Catheter is intended for the delivery of contrast media and therapeutic agents to the peripheral, carotid, and coronary vasculature, not including the neurovasculature.

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

2 Prescription Use (Part 21 CFR 801 Subpart D)

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

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FOR FDA USE ONLY

Concurrence of Center for Devices and Radiological Health (CDRH) (Signature)

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COOK INCORPORATED OOMINGTON. IN 47404 USA N.COOKME

510(k) Summary -- K172635

High-Flo Silver Polyethylene Catheter Traditional 510(k) Summary 21 CFR §807.92

Submitter Information

Applicant:Cook Incorporated
Address:750 Daniels Way
Bloomington, IN 47404
Contact:Jessica P. Swafford
Email:RegSubmissions@cookmedical.com
Contact Phone Number:812-335-3575 ext. 104260
Contact Fax Number:812-332-0281
Date Prepared:05 March 2018
Device Information
Trade Name:High-Flo Silver Polyethylene Catheter
Common Name:Angiographic Catheters

Predicate Device

Classification Name:

The predicate device of the subject High-Flo Silver Polyethylene Catheter is the Slip-Cath® Beacon® Tip Catheter cleared under 510(k) number K122937. The predicate Slip-Cath® Beacon® Tip Catheter is visually identified by a distal radiopaque tip bonded onto a stainless steel braided catheter shaft. The predicate device is manufactured in lengths of 60 to 150 centimeters and in sizes of 4.0 to 6.5 French. The shaft of these catheters have an inner lumen that tapers to a 0.035 or 0.038 inch endhole diameter and are manufactured in a variety of distal tip configurations.

Catheter, Intravascular, Diagnostic

DQO (21 CFR §870.1200)

4

Comparison to Predicate(s)

It has been demonstrated that the subject High-Flo Silver Polyethylene Catheter and the predicate device are substantially equivalent in terms of intended use, duration of use, principles of operation, fundamental technological characteristics, and insertion method. The design, dimensions, manufacture, and materials of the subject device are either similar to the materials of the predicate device(s) or have been used in other cleared devices. The differences between the subject device and the predicate device(s) do not raise new questions of safety and effectiveness as demonstrated by performance and biocompatibility testing.

Device Description

The High-Flo Silver Polyethylene Catheter, subject of this submission, is a sterile, single use device designed for use in angiographic procedures. The High-Flo Silver Polyethylene Catheter is available in a 5.5 French size and is manufactured in lengths of 65 to 100 centimeters. Each configuration includes a luer lock adapter, connecting cap, and a single lumen braided shaft.

Intended Use

The High-Flo Silver Polyethylene Catheter is intended for the delivery of contrast media and therapeutic agents to the peripheral, carotid, and coronary vasculature, not including the neurovasculature.

Test Data

The High-Flo Silver Polyethylene Catheter, subject of this submission, was subjected to applicable testing to assure reliable design and performance under the testing parameters. The following tests were conducted to ensure reliable design and performance:

  • . Biocompatibility testing - Testing (i.e., cytotoxicity, sensitization, intracutaneous reactivity, systemic toxicity, pyrogenicity, hemocompatibility, complement activation, in vivo thrombogenicity, and partial thromboplastin time) demonstrated that the device is biocompatible for the intended use. In conformance with the applicable sections of ANSI AAMI ISO 10993-1:2009(R)2013, the predetermined acceptance criteria were met.

5

  • . Tensile Testing of the Hub-to-Shaft Bond - Testing verified that under proper clinical use of the catheter, the peak load value of the hub-to-shaft connection is in accordance with the methods of BS EN ISO 10555-1:2013. Annex B. The predetermined acceptance criterion was met.
  • Tensile Testing of the Tip-to-Shaft Bond Testing verified that under proper . clinical use of the catheter, the peak load value of the tip-to-shaft connection is in accordance with the methods of BS EN ISO 10555-1:2013, Annex B. The predetermined acceptance criterion was met.
  • Liquid Leakage Testing Testing verified that under proper clinical use of the . catheter, there will be no liquid leakage when tested in accordance with BS EN ISO 10555-1:2013, Annex C. The predetermined acceptance criterion was met.
  • Air Leakage Testing Testing verified that under proper clinical use of the . catheter. there will be no air leakage when tested in accordance with BS EN ISO 10555-1:2013, Annex D. The predetermined acceptance criterion was met.
  • Static Burst Testing Testing successfully characterized the catastrophic failure . pressure for the catheter is accordance with BS EN ISO 10555-1:2013. Annex F.
  • . Dimensional Verification Testing - Testing verified that the dimensional requirements of the subject device are within a specified tolerance. The predetermined acceptance criteria were met.
  • Hub Pressure Testing Testing successfully characterized the hub pressure, when . tested at maximum flow rate, and to verify that it does not exceed the static burst pressure.

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