K Number
K173685
Device Name
Peel-Away Introducer Set
Manufacturer
Date Cleared
2017-12-20

(19 days)

Product Code
Regulation Number
870.1340
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Peel-Away Introducer Set is intended for the percutaneous introduction of balloon, electrode and closed or nontapered end catheters into central and peripheral vasculature, and for nonvascular use.
Device Description
The Peel-Away Introducer Set is a single-use, sterile, disposable product that is used to provide initial percutaneous access. It is comprised of a co-axial introducer assembly (peel-away sheath and dilator). Set may contain a wire guide in a size fitted to the endhole of the dilator and may contain an access needle in a gage that allows the included wire guide to pass through its lumen. Additional set components (e.g., luer-slip syringe) are available.
More Information

Not Found

No
The device description and performance studies focus on the physical properties and functionality of a standard medical introducer set, with no mention of AI or ML.

No.
The device is used for introducing other catheters into the body, not for treating a disease or condition itself.

No

The device description indicates it is "intended for the percutaneous introduction of balloon, electrode and closed or nontapered end catheters" and "is used to provide initial percutaneous access." This describes an interventional access tool, not a device that processes or analyzes data to diagnose a condition.

No

The device description clearly states it is a physical, single-use, sterile, disposable product comprised of a co-axial introducer assembly and potentially other physical components like a wire guide, access needle, and syringe. The performance studies also focus on physical properties like biocompatibility, radiopacity, tensile strength, and peel force.

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

Here's why:

  • Intended Use: The intended use clearly states the device is for the "percutaneous introduction of balloon, electrode and closed or nontapered end catheters into central and peripheral vasculature, and for nonvascular use." This describes a procedure performed on the body (in vivo), not a test performed on a sample taken from the body (in vitro).
  • Device Description: The description details a physical device used for access and introduction, not a reagent, instrument, or system used to examine specimens.
  • Lack of IVD Indicators: There is no mention of analyzing samples, detecting substances, diagnosing conditions based on sample analysis, or any other activity typically associated with in vitro diagnostics.

Therefore, this device is a medical device used for interventional procedures, not an IVD.

N/A

Intended Use / Indications for Use

The Peel-Away Introducer Set is intended for the percutaneous introduction of balloon, electrode and closed or nontapered end catheters into central and peripheral vasculature, and for nonvascular use.

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

DYB, KNT

Device Description

The Peel-Away Introducer Set is a single-use, sterile, disposable product that is used to provide initial percutaneous access. It is comprised of a co-axial introducer assembly (peel-away sheath and dilator). Set may contain a wire guide in a size fitted to the endhole of the dilator and may contain an access needle in a gage that allows the included wire guide to pass through its lumen. Additional set components (e.g., luer-slip syringe) are available.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

central and 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)

The subject device, Peel-Away Introducer Set, was subjected to applicable testing to assure reliable design and performance under the testing parameters. The following tests have been conducted to ensure reliable design and performance under the specified testing parameters.

  • Biocompatibility Testing – Testing was performed in accordance with BS EN ISO 10993-1:2003, the material and methods used to manufacture the subject device are nontoxic and met the acceptance criteria for their intended use.
  • Introducer Assembly (Radiopacity – Accelerated) - Test articles must demonstrate that the shaft gradient shall fall along the gradient of an aluminum X-ray step wedge gauge, following the method described in ASTM F6540-12, "Standard Test Methods For Determining Radiopacity for Medical Use." Test results met predetermined criteria.
  • Introducer Dilator (Tensile Testing Accelerated) Test article must demonstrate that . 90% of test articles at the 95% confidence can be expected to meet or exceed therequirements of BS EN ISO 11070: 2014. Test results met predetermined criteria.
  • Introducer Sheath (Peel Force Testing – Accelerated) - Characterization of peel force for various Peel-Away Introducer sheath sizes was successfully performed.
  • Wire Guide (Corrosion, Flex, Fracture and Tensile Testing Accelerated)- Test article . must shall not show signs of corrosion, defect, damage, fracture that could affect their functional performance. Test articles must also demonstrate per the standard, minimal tensile strength for wire guides with having a certain diameter size. Test results met predetermined criteria.
    In conclusion, the results of these tests support a determination of substantial equivalence to the predicate device.

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.

K170020

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.

Not Found

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).

0

Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). On the left is the seal of the Department of Health & Human Services. 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 FDA logo is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

December 20, 2017

Cook Incorporated Colin Jacob Regulatory Affairs Specialist 750 Daniels Wav P.O. Box 489 Bloomington, Indiana 47402

Re: K173685

Trade/Device Name: Peel-Away Introducer Set Regulation Number: 21 CFR 870.1340 Regulation Name: Catheter Introducer Regulatory Class: Class II Product Code: DYB, KNT Dated: November 30, 2017 Received: December 1, 2017

Dear Colin Jacob:

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

K173685

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)

K173685

Device Name Peel-Away Introducer Set

Indications for Use (Describe)

The Peel-Away Introducer Set is intended for the percutaneous introduction of balloon, electrode and closed or nontapered end catheters into central and peripheral vasculature, and for nonvascular use.

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.

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

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3

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

Image /page/3/Picture/1 description: The image shows the Cook Medical logo. The logo is a red square with the word "COOK" in white, sans-serif font on the top half of the square. Below the word "COOK" is the word "MEDICAL" in white, sans-serif font. The word "MEDICAL" is smaller than the word "COOK".

510(K) SUMMARY

Submitted By:

Applicant: Contact: Applicant Address:

K173685

Cook Incorporated Colin Jacob Cook Incorporated P.O. Box 489 750 Daniels Way Bloomington, IN 47402 (812) 335-3575 x 104965 (812) 332-0281

Device Information:

Contact Fax Number:

Contact Phone Number:

Trade Name: Classification Name: Panel: Regulation: Regulation name: Product Code:

Peel-Away Introducer Set Introducer, Catheter Cardiovascular 21 CFR § 870.1340 Catheter introducer DYB; KNT

Predicate Device:

  • Peel-Away Introducer Set (K170020)

Device Description:

The Peel-Away Introducer Set is a single-use, sterile, disposable product that is used to provide initial percutaneous access. It is comprised of a co-axial introducer assembly (peel-away sheath and dilator). Set may contain a wire guide in a size fitted to the endhole of the dilator and may contain an access needle in a gage that allows the included wire guide to pass through its lumen. Additional set components (e.g., luer-slip syringe) are available.

Indications for Use:

The Peel-Away Introducer Set is intended for the percutaneous introduction of balloon, electrode and closed or nontapered end catheters into central and peripheral vasculature, and for nonvascular use.

4

Image /page/4/Picture/0 description: The image shows the logo for Cook Medical. The logo is set against a red background. The word "COOK" is in large, white, sans-serif font, and the word "MEDICAL" is in a smaller, white, sans-serif font below the word "COOK".

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

Comparison to Predicates:

The Peel-Away Introducer Set and the predicate device, Peel-Away Introducer Set (K170020), are substantially equivalent in that these devices have intended use and principle of operation, basic design, and functional characteristics. The only differences between the subject and predicate device are the materials and additional lengths as stated in the comparison table below.

Predicate DeviceSubject Device
Peel-Away Introducer Set
(K170020)Peel-Away Introducer Set
ManufacturerCook IncorporatedIDENTICAL TO PREDICATE
Regulation21 CFR § 870.1340,
21 CFR § 876.5980IDENTICAL TO PREDICATE
Product CodeDYB, KNTIDENTICAL TO PREDICATE
ClassificationIIIDENTICAL TO PREDICATE
Indications for UseThe Peel-Away Introducer Set is
intended for the percutaneous
introduction of balloon, electrode and
closed or nontapered end catheters
into central and peripheral
vasculature, and for non-vascular
use.IDENTICAL TO PREDICATE
Fundamental Scientific
TechnologyInitial percutaneous access for
temporary working channelIDENTICAL TO PREDICATE
Duration of useLimited (≤ 24 hours)IDENTICAL TO PREDICATE
DesignIntroducer assembly includes an
outer peelable sheath and an inner
dilator. Peelable sheath has a winged
hub to facilitate a tear in the sheath.IDENTICAL TO PREDICATE
ShapeOuter sheath: winged
hub, cylindrical cannulaIDENTICAL TO PREDICATE
Inner Dilator: Round hub, cylindrical
cannulaIDENTICAL TO PREDICATE
DimensionsIntroducer Assembly
Diameter3.5-26 Fr3.5-18 Fr
Sheath Length7, 9, 13, 15.5 cm8, 9, 10, 24, 30, 47 cm
Dilator Length11, 13, 20 cm13.5, 16, 16.5, 20, 35, 37, 51.5
Wire Guide Diameter0.018, 0.021, 0.025, 0.035, 0.038 in0.018 and 0.038 in
Wire Guide Length30, 50, 70, 100 cm50, 65, 85 cm
MaterialsSheathThick Wall Sheathing Radiopaque
TFE (VRTS)6.0 to 18 Fr -VAD[-CVI]
modification: Thick Wall Sheathing
Radiopaque TFE (VRTS)
3.5 to 7.5 Fr -DENNY modification:
TFE
Dilator3.5 to 12 Fr: Radiopaque
Polyethylene
13 to 26 Fr: Vinyl3.5 to 7.5 Fr -DENNY modification:
Radiopaque Polyethylene
6.0 to 18 Fr -VAD[-CVI]
modification: TFE Radiopaque
Tubing
Predicate DeviceSubject Device
Peel-Away Introducer Set
(K170020)Peel-Away Introducer Set
Wire GuideStainless Steel SolderStainless Steel / Solder
Nitinol / Platinum / Solder
Additional Set ComponentsEntry access needle, needle holder
cup, luer-slip syringe, serial dilators,
thumb scalpelEntry access needle and luer-slip
syringe
Shelf LifeThree yearsIDENTICAL TO PREDICATE
Sterilization ProcessEthylene OxideIDENTICAL TO PREDICATE
Sterility Assurance Level10-6IDENTICAL TO PREDICATE

5

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

Image /page/5/Picture/11 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 on a darker red background.

Technological Characteristics:

The subject device. Peel-Away Introducer Set, was subjected to applicable testing to assure reliable design and performance under the testing parameters. The following tests have been conducted to ensure reliable design and performance under the specified testing parameters.

  • . Biocompatibility Testing – Testing was performed in accordance with BS EN ISO 10993-1:2003, the material and methods used to manufacture the subject device are nontoxic and met the acceptance criteria for their intended use.
  • . Introducer Assembly (Radiopacity – Accelerated) - Test articles must demonstrate that the shaft gradient shall fall along the gradient of an aluminum X-ray step wedge gauge, following the method described in ASTM F6540-12, "Standard Test Methods For Determining Radiopacity for Medical Use." Test results met predetermined criteria.
  • Introducer Dilator (Tensile Testing Accelerated) Test article must demonstrate that . 90% of test articles at the 95% confidence can be expected to meet or exceed therequirements of BS EN ISO 11070: 2014. Test results met predetermined criteria.
  • . Introducer Sheath (Peel Force Testing – Accelerated) - Characterization of peel force for various Peel-Away Introducer sheath sizes was successfully performed.
  • Wire Guide (Corrosion, Flex, Fracture and Tensile Testing Accelerated)- Test article . must shall not show signs of corrosion, defect, damage, fracture that could affect their functional performance. Test articles must also demonstrate per the standard, minimal tensile strength for wire guides with having a certain diameter size. Test results met predetermined criteria.

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