(80 days)
The Sapphire® II PRO balloon dilatation catheter (1.0-1.25mm configurations) is indicated for: balloon pre-dilatation of a stenotic portion of a coronary artery or bypass graft stenosis (≥70% stenosis) for the purposes of improving myocardial perfusion. The Sapphire® II PRO balloon dilatation catheter (1.5-4.0mm configurations) is indicated for: balloon dilatation of the stenotic portion of a coronary artery or bypass graft stenosis in patients evidencing coronary ischemia for the purpose of improving myocardial perfusion. balloon dilatation of a coronary artery occlusion for the treatment of acute myocardial infarction. The Sapphire® II PRO balloon dilatation catheter is also indicated for: percutaneous transluminal angioplasty in the peripheral vasculature, including renal, femoral, popliteal, infra-popliteal, tibial, and peroneal arteries.
The Sapphire II PRO balloon dilatation catheter is a rapid exchange balloon catheter with a working length of 140cm design for both coronary and peripheral indications. This catheter was previously cleared for coronary use (K173680, K163114) and this submission is intended to support the peripheral use of this balloon catheter. The proximal shaft is a PTFE coated stainless steel hypotube. Hydrophilic lubricious coatings are applied to the distal section. The semi-compliant balloons, available in diameters from 1.0-4.0mm and lengths from 5-30mm, can be inflated by injecting dilute contrast media solution through the trailing hub of the catheter. Two radiopaque platinum marker bands are located within the balloon segment (there is only one centrally located marker band for the Ø1.0-1.5mm configurations). The catheter is compatible with 4F or larger guiding sheaths or 5F or larger guiding catheters. The internal lumen of the catheter accepts a standard 0.014 inch guidewire. The proximal part of the guidewire enters the catheter tip and advances coaxially out the catheter proximal port, thereby allowing both coaxial guidance and rapid exchange of catheters with a single standard length guidewire. Two marked sections are located on the hypotube shaft to indicate catheter position relative to the tip of either a guiding sheath or guiding catheter. The design of this dilatation catheter does not incorporate a lumen for distal dye injections or distal pressure measurements.
Here's an analysis of the provided text regarding the acceptance criteria and study for the Sapphire II PRO Balloon Dilatation Catheter, focusing on the peripheral use indication:
1. Table of Acceptance Criteria and Reported Device Performance
The document does not explicitly list acceptance criteria in a quantitative table format alongside performance data. Instead, it states that the device "met all acceptance criteria" and "were similar to the reference devices" for the performed tests.
The performance tests conducted include:
| Test | Reported Device Performance |
|---|---|
| Sterilization | Complete (leveraged from reference device K173680, K163114) |
| Shelf-Life | Complete (leveraged from reference device K173680, K163114) |
| Dimensional Verification | Met acceptance criteria (partially leveraged) |
| Balloon Rated Burst Pressure | Met acceptance criteria (partially leveraged) |
| Shaft Burst | Met acceptance criteria (partially leveraged) |
| Balloon Fatigue | Met acceptance criteria (partially leveraged) |
| Balloon Compliance | Met acceptance criteria (partially leveraged) |
| Balloon Inflation and Deflation Time | Met acceptance criteria (partially leveraged) |
| Catheter Bond Strength | Met acceptance criteria (partially leveraged) |
| Tip Pull Strength | Met acceptance criteria (partially leveraged) |
| Flexibility and Kinking | Met acceptance criteria (partially leveraged) |
| Torque Strength | Met acceptance criteria (partially leveraged) |
| Radiopacity | Met acceptance criteria (partially leveraged) |
| Coating Integrity | Met acceptance criteria (partially leveraged) |
| Visual Inspection (for peripheral use) | Met acceptance criteria (additional testing performed) |
| Balloon Preparation, Deployment, and Retraction (for peripheral use) | Met acceptance criteria (additional testing performed) |
2. Sample Size Used for the Test Set and Data Provenance
The document does not provide specific sample sizes for any of the tests. It refers to testing being "leveraged from the reference device (K173680, K163114)" for many criteria, and "additional testing was performed" for others.
There is no information on the country of origin of the data, and the studies are retrospective in the sense that existing data from previous clearances (K173680, K163114) were used, supplemented by new (implicitly prospective) tests for the peripheral use indication.
3. Number of Experts Used to Establish the Ground Truth for the Test Set and Their Qualifications
This document describes a medical device clearance for a balloon catheter, not an AI/software device. Therefore, the concept of "experts" establishing ground truth in the context of clinical imagery or diagnostic data is not applicable here. The ground truth for device performance is established through engineering and performance testing against predetermined specifications.
4. Adjudication Method for the Test Set
Not applicable for this type of medical device performance testing. Adjudication methods like "2+1" or "3+1" are relevant for expert review of clinical cases, often in AI development contexts.
5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done, and Its Effect Size
No, an MRMC comparative effectiveness study was not done. This is a physical medical device, not an AI system being evaluated for diagnostic or interpretive tasks by human readers.
6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) Was Done
Not applicable. This is not an algorithm or AI system.
7. The Type of Ground Truth Used
The "ground truth" for this device's performance is based on engineering specifications and established performance standards for balloon dilatation catheters. These standards are likely derived from industry best practices, regulatory guidance, and clinical requirements for the safe and effective operation of such devices. For example, balloon burst pressure needs to meet a certain PSI, and shaft flexibility needs to fall within a defined range.
8. The Sample Size for the Training Set
Not applicable. This document pertains to a physical medical device, not a machine learning model, so there is no "training set."
9. How the Ground Truth for the Training Set Was Established
Not applicable, as there is no training set for this type of device.
{0}------------------------------------------------
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.
June 28, 2018
OrbusNeich Medical Trading Inc. Mr. John Pazienza General Manager and Senior Director, Engineering 5363 NW 35th Avenue Fort Lauderdale, Florida 33309
Re: K180921
Trade/Device Name: Sapphire II PRO Balloon Dilatation Catheter Regulation Number: 21 CFR 870.5100 Regulation Name: Percutaneous Transluminal Coronary Angioplasty (PTCA) Catheter Regulatory Class: Class II Product Code: LOX, LIT Dated: April 6, 2018 Received: April 9, 2018
Dear Mr. Pazienza:
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 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,
Gregory O'Connell 2018.06.28 13:35:53 -04'00'
For
Bram D. Zuckerman, M.D. Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
{2}------------------------------------------------
| DEPARTMENT OF HEALTH AND HUMAN SERVICES | |
|---|---|
| Food and Drug Administration | |
| Indications for Use | |
| Form Approved: OMB No. 0910-0120 | |
| Expiration Date: 06/30/2020 | |
| See PRA Statement below. | |
| 510(k) Number (if known) | K180921 |
| Device Name | Sapphire II PRO Balloon Dilatation Catheter |
| Indications for Use (Describe) | The Sapphire® II PRO balloon dilatation catheter (1.0-1.25mm configurations) is indicated for: balloon pre-dilatation of a stenotic portion of a coronary artery or bypass graft stenosis (≥70% stenosis) for the purposes of improving myocardial perfusion. The Sapphire® II PRO balloon dilatation catheter (1.5-4.0mm configurations) is indicated for: balloon dilatation of the stenotic portion of a coronary artery or bypass graft stenosis in patients evidencing coronary ischemia for the purpose of improving myocardial perfusion.balloon dilatation of a coronary artery occlusion for the treatment of acute myocardial infarction. The Sapphire® II PRO balloon dilatation catheter is also indicated for: percutaneous transluminal angioplasty in the peripheral vasculature, including renal, femoral, popliteal, infra-popliteal, tibial, and peroneal arteries. |
| 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
"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."
| FORM FDA 3881 (7/17) | Page 1 of 1 |
|---|---|
| ---------------------- | ------------- |
{3}------------------------------------------------
510(k) Summary
| This 510(k) Summary is submitted in accordance with 21 CFR 807.92(c). | |
|---|---|
| Submitter: | OrbusNeich Medical Trading, Inc.5363 NW 35th AvenueFort Lauderdale, FL 33309Phone: 954.730.0711Fax: 954.730.7601 |
| Contact Person: | John D. Pazienza |
| Date Prepared: | June 22, 2018 |
| Trade Name: | Sapphire II PRO Balloon Dilatation Catheter |
| Common Name: | Percutaneous Transluminal Coronary Angioplasty (PTCA) Catheter |
| Classification Name: | Catheters, transluminal coronary angioplasty, percutaneous21 CFR 870.5100(a) |
| Product Code: | LOX (primary)LIT (secondary) |
| Device Class: | Class II |
| Predicate Device: | Bard Ultraverse (K131199; LIT; cleared May 30, 2013) |
| Reference Devices: | Abbott Armada 14 XT (K121352; LIT; cleared 15-Aug-2012)Brosmed Castor NC (K160941; LIT; cleared 13-Dec-2016)OrbusNeich Jade (K173894; LIT; cleared 9-Feb-2018)OrbusNeich Sapphire II PRO (K173680; LOX; cleared 1-Mar-2018)OrbusNeich Sapphire II PRO (K163114; LOX; cleared 5-Jan-2017) |
| Device Description: | The Sapphire II PRO balloon dilatation catheter is a rapid exchangeballoon catheter with a working length of 140cm design for bothcoronary and peripheral indications. This catheter was previouslycleared for coronary use (K173680, K163114) and this submission isintended to support the peripheral use of this balloon catheter. Theproximal shaft is a PTFE coated stainless steel hypotube. Hydrophiliclubricious coatings are applied to the distal section. The semi-compliant balloons, available in diameters from 1.0-4.0mm and lengthsfrom 5-30mm, can be inflated by injecting dilute contrast mediasolution through the trailing hub of the catheter. Two radiopaqueplatinum marker bands are located within the balloon segment (there isonly one centrally located marker band for the Ø1.0-1.5mmconfigurations). The catheter is compatible with 4F or larger guidingsheaths or 5F or larger guiding catheters. The internal lumen of thecatheter accepts a standard 0.014 inch guidewire. The proximal part ofthe guidewire enters the catheter tip and advances coaxially out thecatheter proximal port, thereby allowing both coaxial guidance andrapid exchange of catheters with a single standard length guidewire.Two marked sections are located on the hypotube shaft to indicatecatheter position relative to the tip of either a guiding sheath or guidingcatheter. The design of this dilatation catheter does not incorporate alumen for distal dye injections or distal pressure measurements. |
| Intended Use: | The Sapphire® II PRO Balloon Dilatation Catheter (Ø1.0-1.25mm configurations) is indicated for:balloon pre-dilatation of a stenotic portion of a coronary artery or bypass graft stenosis (≥70% stenosis) for the purposes of improving myocardial perfusion The Sapphire® II PRO Balloon Dilatation Catheter (Ø1.5-4.0mm configurations) is indicated for:balloon dilatation of the stenotic portion of a coronary artery or bypass graft stenosis in patients evidencing coronary ischemia for the purpose of improving myocardial perfusion balloon dilatation of a coronary artery occlusion for the treatment of acute myocardial infarction The Sapphire® II PRO Balloon Dilatation Catheter is also indicated for:percutaneous transluminal angioplasty in the peripheral vasculature, including renal, femoral, popliteal, infra-popliteal, tibial, and peroneal arteries. |
| Technological Characteristics: | At a high level, the subject and predicate devices are based on the same technological elements:the same indications for use rapid exchange catheter design hydrophilic coating semi-compliant balloon nominal pressure of 6 atm 0.014" guidewire compatibility EO sterilization The following technological differences exist between the subject and predicate device: specific materials selected exact dimensions of components and catheter balloon diameter and length range rated burst pressure of 14 atm (vs. 16 atm) |
| Performance Data: | Testing was leveraged from the reference device (K173680, K163114): Sterilization (Complete) Shelf-Life (Complete) Performance Testing (Partial) Dimensional Verification Balloon Rated Burst Pressure Shaft Burst Balloon Fatigue Balloon Compliance Balloon Inflation and Deflation Time Catheter Bond Strength Tip Pull Strength Flexibility and Kinking Torque Strength Radiopacity Coating Integrity |
{4}------------------------------------------------
{5}------------------------------------------------
Additional testing was performed to support the peripheral use of the Sapphire II PRO balloon dilatation catheter:
-
Performance Testing
. -
o Visual Inspection
-
Balloon Preparation, Deployment, and Retraction O
The Sapphire II PRO balloon dilatation catheter test results met all acceptance criteria and were similar to the reference devices.
This information supports a determination of substantial equivalence between the Sapphire II PRO PTA balloon dilatation catheter and the predicate device described above.
Conclusion:
§ 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.