K Number
K173284
Device Name
OptiCross HD, 60 MHz Coronary Imaging Catheter (Paper DFU); OptiCross HD, 60 MHz Coronary Imaging Catheter (e-DFU)
Date Cleared
2017-11-16

(31 days)

Product Code
Regulation Number
870.1200
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
This catheter is intended for ultrasound examination of coronary intravascular pathology only. Intrasound imaging is indicated in patients who are candidates for transluminal coronary interventional procedures.
Device Description
OptiCross™ HD (60 MHz Coronary Imaging Catheters) is a sterile, short rail imaging catheter. It consists of two main assemblies: 1. Imaging Core 2. Catheter Body. The imaging core is composed of a hi-torque, flexible, rotating drive cable with a radial looking 60 MHz ultrasonic transducer at the distal tip. An electro-mechanical connector interface at the proximal end of the catheter makes the connection to the Motordrive Unit (MDU5 PLUS™). The MDU5 PLUS-catheter interface consists of an integrated mechanical drive socket and electrical connection. The catheter body is comprised of three sections: 1. Distal Imaging Window Lumen 2. Proximal Shaft Lumen 3. Telescoping Section. The distal imaging window lumen and proximal shaft lumen sections comprise the "working length" of the catheter, and the telescoping section remains outside of the guiding catheter. The catheter body has a distal imaging window lumen with proximal exit 1.6 cm from the distal end. A radiopaque (RO) marker is embedded in the catheter body at 0.5 cm from the distal tip. In addition, two insertion depth markers are located on the proximal shaft lumen at 90 cm and 100 cm from the distal tip to aid in estimating catheter position relative to the distal guide catheter tip. The proximal shaft lumen is attached to the telescoping section via a strain relief connection. The telescoping shaft (section) allows the imaging core to be advanced and retracted for 15 cm of linear movement. The corresponding movement of the transducer occurs from the proximal end of the guidewire exit port to the proximal end of the distal imaging window lumen. The telescope section has proximal markers for lesion length assessment, consisting of a series of marks spaced 1 cm apart on the telescope body. A flush port with a one-way check valve is used to flush the interior of the catheter body and maintain a flushed condition. The catheter must be flushed with heparinized saline prior to use, as this provides the acoustic coupling media required for ultrasonic imaging. The one-way check valve helps retain saline in the catheter during use.
More Information

No
The description focuses on the physical components and basic functionality of an ultrasound catheter. There is no mention of AI, ML, or advanced image processing that would suggest the use of such technologies. The performance studies described are standard bench and animal testing for device safety and basic imaging performance.

No
The device is solely for diagnostic purposes, specifically for ultrasound examination of coronary intravascular pathology, and does not provide any therapeutic intervention.

Yes

Explanation: The "Intended Use / Indications for Use" section states that the catheter is "intended for ultrasound examination of coronary intravascular pathology only." Examination and pathology are related to diagnosis. Additionally, the "Summary of Performance Studies" section mentions "Acoustic Output was evaluated in accordance with FDA Guidance, Information for Manufacturers Seeking Marketing Clearance of Diagnostic Ultrasound Systems and Transducers (September 9, 2008)," which refers to diagnostic ultrasound systems.

No

The device description clearly details physical components like a catheter body, imaging core, transducer, and connectors, indicating it is a hardware device. The performance studies also focus on hardware-related testing such as physical integrity, acoustic output, and electromagnetic compatibility.

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

Here's why:

  • Intended Use: The intended use is for "ultrasound examination of coronary intravascular pathology" and "intrasound imaging is indicated in patients who are candidates for transluminal coronary interventional procedures." This describes an in vivo imaging procedure performed directly on a patient, not a test performed on a sample of biological material in vitro (outside the body).
  • Device Description: The description details a catheter with an ultrasonic transducer designed to be inserted into the coronary arteries for imaging. This is consistent with an in vivo imaging device.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, tissue, etc.), reagents, or any other components typically associated with in vitro diagnostic testing.

Therefore, the device is an in vivo imaging device, not an IVD.

N/A

Intended Use / Indications for Use

This catheter is intended for ultrasound examination of coronary intravascular pathology only. Intrasound imaging is indicated in patients who are candidates for transluminal coronary interventional procedures.

Product codes

OBJ, ITX

Device Description

OptiCross™ HD (60 MHz Coronary Imaging Catheters) is a sterile, short rail imaging catheter. It consists of two main assemblies:

  1. Imaging Core
  2. Catheter Body
    The imaging core is composed of a hi-torque, flexible, rotating drive cable with a radial looking 60 MHz ultrasonic transducer at the distal tip. An electro-mechanical connector interface at the proximal end of the catheter makes the connection to the Motordrive Unit (MDU5 PLUS™). The MDU5 PLUS-catheter interface consists of an integrated mechanical drive socket and electrical connection.
    The catheter body is comprised of three sections:
  3. Distal Imaging Window Lumen
  4. Proximal Shaft Lumen
  5. Telescoping Section
    The distal imaging window lumen and proximal shaft lumen sections comprise the "working length" of the catheter, and the telescoping section remains outside of the guiding catheter.
    The catheter body has a distal imaging window lumen with proximal exit 1.6 cm from the distal end. A radiopaque (RO) marker is embedded in the catheter body at 0.5 cm from the distal tip. In addition, two insertion depth markers are located on the proximal shaft lumen at 90 cm and 100 cm from the distal tip to aid in estimating catheter position relative to the distal guide catheter tip. The proximal shaft lumen is attached to the telescoping section via a strain relief connection.
    The telescoping shaft (section) allows the imaging core to be advanced and retracted for 15 cm of linear movement. The corresponding movement of the transducer occurs from the proximal end of the guidewire exit port to the proximal end of the distal imaging window lumen. The telescope section has proximal markers for lesion length assessment, consisting of a series of marks spaced 1 cm apart on the telescope body.
    A flush port with a one-way check valve is used to flush the interior of the catheter body and maintain a flushed condition. The catheter must be flushed with heparinized saline prior to use, as this provides the acoustic coupling media required for ultrasonic imaging. The one-way check valve helps retain saline in the catheter during use.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Ultrasound

Anatomical Site

Coronary intravascular

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

Non-clinical performance evaluations, as described below, indicate that the subject device is substantially equivalent to, and at least as safe and effective as the predicate device OptiCross™ 40 MHz Coronary Imaging Catheter (K123621).
Non-clinical data includes bench-top performance testing, packaging validation, biological safety, electromagnetic compatibility, acoustic output testing, and a GLP pre-clinical animal study to validate imaging performance in the porcine model.
Bench Testing:
Bench testing was performed to evaluate physical integrity, functionality, and overall performance of the catheter. Performance criteria includes deliverability, crossability, guide catheter compatibility, lubricity, retraction capability, image resolution, image penetration, non-uniform rotational distortion (NURD), measurement accuracy, pullback reliability, dimensional requirements, visibility under fluoroscopy, interface with ancillary devices, environmental requirements, user interface requirements, catheter robustness and simulated use structural integrity.
Pre-clinical Evaluation:
The purpose of this study was to support design validation and business need evaluations claims associated with in-vivo image quality.
Biological Safety Testing:
OptiCross™ HD catheter utilizes existing materials from the commercially available OptiCross™ family of catheters which have similar configurations and are manufactured under the same processing conditions. Hence the biocompatibility test data has been leveraged from the commercially available OptiCross™ Imaging Catheter to meet the requirements of ISO 10993-1.
Electrical and Mechanical Safety:
Acoustic Output was evaluated in accordance with FDA Guidance, Information for Manufacturers Seeking Marketing Clearance of Diagnostic Ultrasound Systems and Transducers (September 9, 2008). Acoustic Output test results for OptiCross™ HD are below the FDA Track 1 limits. Electromagnetic compatibility testing was also conducted; demonstrating compliance to IEC 60601-1-2 (3rd Edition).
Packaging Validation:
Packaging of OptiCross™ HD catheters is equivalent to the packaging of other commercially available BSC IVUS catheters in the OptiCross product family. Thus, the OptiCross HD packaging will leverage the packaging DV results of the currently available OptiCross catheters to demonstrate it meets the required product specifications.

Key Metrics

Not Found

Predicate Device(s)

OptiCross™ 40 MHz Coronary Imaging Catheter K123621

Reference Device(s)

K153617, K160514

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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November 16, 2017

Boston Scientific Corporation Mugdha Dongre Regulatory Affairs Specialist II 47215 Lakeview Boulevard Fremont, California 94538

Re: K173284

Trade/Device Name: OptiCross™ HD 60 MHz Coronary Imaging Catheter Regulation Number: 21 CFR 870.1200 Regulation Name: Diagnostic Intravascular Catheter Regulatory Class: Class II Product Code: OBJ, ITX Dated: October 13, 2017 Received: October 16, 2017

Dear Mugdha Dongre:

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);

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Page 2 - Mugdha Dongre

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,

M.A. Wilhelm

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) K173284

Device Name

OptiCross™ HD 60 MHz Coronary Imaging Catheter

Indications for Use (Describe)

This catheter is intended for ultrasound examination of coronary intravascular pathology only. Intrasound imaging is indicated in patients who are candidates for transluminal coronary interventional procedures.

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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510(k) Summary per 21 CFR 807.92

Submitter's Name andBoston Scientific Corporation
Address47215 Lakeview Boulevard
Fremont, CA 94538
USA
Contact Name andMugdha Dongre
InformationRegulatory Affairs Specialist II
Tel: 510.624.1314
Fax: 510.440.7698
Email: Mugdha.Dongre@bsci.com
Date PreparedOctober 13, 2017
Trade NameOptiCross™ HD 60MHz Coronary Imaging Catheter
Common NameDiagnostic Intravascular Catheter, Ultrasound Transducer
Classification NameCatheter, Ultrasound, Intravascular (OBJ) has been
classified as Class II per 21 CFR 870.1200
Transducer Ultrasonic (ITX) has been classified as Class II
Predicate Nameper 21 CFR 892.1570
OptiCross™ 40 MHz
Coronary Imaging CatheterK12362115-Apr-2013
Reference DevicesOptiCross™ 6, 40 MHzK15361725-February-2016
Coronary Imaging Catheter
OptiCross™ 18, 30 MHzK16051422-June-2017
Peripheral Imaging Catheter
Device DescriptionOptiCross™ HD (60 MHz Coronary Imaging Catheters) is a
sterile, short rail imaging catheter.
It consists of two main assemblies:
1. Imaging Core
2. Catheter Body
The imaging core is composed of a hi-torque, flexible, rotating
drive cable with a radial looking 60 MHz ultrasonic transducer
at the distal tip. An electro-mechanical connector interface at
the proximal end of the catheter makes the connection to the
Motordrive Unit (MDU5 PLUS™). The MDU5 PLUS-catheter
interface consists of an integrated mechanical drive socket and
electrical connection.
The catheter body is comprised of three sections:
1. Distal Imaging Window Lumen
2. Proximal Shaft Lumen
3. Telescoping Section
The distal imaging window lumen and proximal shaft lumen
sections comprise the "working length" of the catheter, and the

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telescoping section remains outside of the guiding catheter.
The catheter body has a distal imaging window lumen with
proximal exit 1.6 cm from the distal end. A radiopaque (RO)
marker is embedded in the catheter body at 0.5 cm from the
distal tip. In addition, two insertion depth markers are located
on the proximal shaft lumen at 90 cm and 100 cm from the
distal tip to aid in estimating catheter position relative to the
distal guide catheter tip. The proximal shaft lumen is attached
to the telescoping section via a strain relief connection.
The telescoping shaft (section) allows the imaging core to be
advanced and retracted for 15 cm of linear movement.
The corresponding movement of the transducer occurs from
the proximal end of the guidewire exit port to the proximal end
of the distal imaging window lumen. The telescope section has
proximal markers for lesion length assessment, consisting of a
series of marks spaced 1 cm apart on the telescope body.
A flush port with a one-way check valve is used to flush the
interior of the catheter body and maintain a flushed condition.
The catheter must be flushed with heparinized saline prior to
use, as this provides the acoustic coupling media required for
ultrasonic imaging. The one-way check valve helps retain
saline in the catheter during use.
Intended Use/Indications for
UseThis catheter is intended for ultrasound examination of
coronary intravascular pathology only. Intravascular
ultrasound imaging is indicated in patients who are candidates
for transluminal coronary interventional procedures.
Device Technology
Characteristics and
Comparison to Predicate
DeviceThe OptiCross™ HD catheter is a 60 MHz ultrasound coronary
imaging catheter intended to operate with a BSC IVUS system
for diagnostic imaging. It will be used with a minimum 5F
(>0.058" ID) guide catheter / introducer sheath and a 0.014"
guidewire.
The OptiCross™ HD Coronary Imaging Catheter incorporates
a transducer with new design features intended to utilize a
60MHz frequency to enhance image resolution while
maintaining similar depth of penetration as well as similar
performance characteristics as that of its predicate OptiCross™
40Mhz Coronary Imaging Catheter.
Modifications with respect to the predicate device include:
• A new transducer (new design with new materials)
• Female telescope. (OCHD 5F will leverage female
telescope from OptiCross™ 6 [K153617] instead of
OptiCross)
• PCA board populated with two zero Ohm resistors to
generate DC coupling.
In support of a substantial equivalence determination, BSC has
compared and evaluated the material and design differences
between the subject and predicate device.
Non-clinical performance evaluations, as described below,
indicate that the subject device is substantially equivalent to,
and at least as safe and effective as the predicate device
OptiCross™ 40 MHz Coronary Imaging Catheter (K123621).
Non-Clinical Performance
DataDetermination of substantial equivalence is based on an
assessment of non-clinical performance data.
Non-clinical data includes bench-top performance testing,
packaging validation, biological safety, electromagnetic
compatibility, acoustic output testing, and a GLP pre-clinical
animal study to validate imaging performance in the porcine
model.
Bench Testing:
Bench testing was performed to evaluate physical integrity,
functionality, and overall performance of the catheter.
Performance criteria includes deliverability, crossability,
guide catheter compatibility, lubricity, retraction capability,
image resolution, image penetration, non-uniform rotational
distortion (NURD), measurement accuracy, pullback
reliability, dimensional requirements, visibility under
fluoroscopy, interface with ancillary devices, environmental
requirements, user interface requirements, catheter robustness
and simulated use structural integrity.
Pre-clinical Evaluation:
The purpose of this study was to support design validation and
business need evaluations claims associated with in-vivo image
quality.
Biological Safety Testing:
OptiCross™ HD catheter utilizes existing materials from the
commercially available OptiCross™ family of catheters which
have similar configurations and are manufactured under the
same processing conditions. Hence the biocompatibility test
data has been leveraged from the commercially available
OptiCross™ Imaging Catheter to meet the requirements of ISO
10993-1.
Electrical and Mechanical Safety:
Acoustic Output was evaluated in accordance with FDA
Guidance, Information for Manufacturers Seeking Marketing
Clearance of Diagnostic Ultrasound Systems and
Transducers (September 9, 2008). Acoustic Output test results
for OptiCross™ HD are below the FDA Track 1 limits.
Electromagnetic compatibility testing was also conducted;
demonstrating compliance to IEC 60601-1-2 (3rd Edition).

Packaging Validation:
Packaging of OptiCross™ HD catheters is equivalent to the
packaging of other commercially available BSC IVUS
catheters in the OptiCross product family. Thus, the OptiCross
HD packaging will leverage the packaging DV results of the
currently available OptiCross catheters to demonstrate it meets
the required product specifications.

Conclusion:
Non-clinical performance evaluations, as described above,
indicate that the subject device is substantially equivalent to,
and at least as safe and effective as the predicate device,
OptiCross™ 40 MHz Coronary Imaging Catheter (K123621). |
| Clinical Performance Data | Not applicable; determination of substantial equivalence is
based on an assessment of non-clinical performance data. |
| Conclusion | With respect to the predicate, design modifications
incorporated by OptiCross HD do not alter the fundamental
scientific technology or the indications for use. Based on
Failure Mode Effects Analysis (FMEA), comprehensive
verification and validation activities were successfully
completed; raising no new issues of safety or effectiveness.
Non-clinical performance data supports a determination that
the subject device, OptiCross HD, is substantially equivalent to
the predicate device, OptiCross 40 MHz Coronary Imaging
Catheter (K123621); and that it is at least as safe and effective
for its intended use |

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