K Number
K182695
Device Name
Pigtail Ureteral Catheter Set, Sof-Flex AQ Coated Pigtail Ureteral Catheter
Manufacturer
Date Cleared
2019-06-17

(263 days)

Product Code
Regulation Number
876.5130
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Indicated for drainage or irrigation in the urinary tract as well as access, advancement, or exchange of wire guides.
Device Description
The Pigtail Ureteral Catheter Sets consist of a catheter and wire guide. The catheters are constructed from polyurethane tubing and have a proximal female Luer lock adapter constructed from polyamide. The catheters are available in 5, 6, and 7 French (Fr) and a length of 70 centimeters (cm). The distal end of the catheter has a single pigtail loop with six sideports. The catheter has ink marks denoting depth and body orientation. The stainless steel wire guides are coated with polytetrafluoroethylene (PTFE) and available in diameters of 0.038 and 0.045 inches (in) with a length of 145 cm. The Pigtail Ureteral Catheter Sof-Flex® AO® is a catheter with a hydrophilic coating. The catheters are constructed from polyurethane tubing and have a female Luer lock adapter constructed from polyamide. The catheters are available in 8.2 and 10 Fr and have a length of 56 cm. The distal end of the catheter has a single pigtail loop with 5 evenly spaced sideports around the pigtail loop. There are also 6 sideports spaced at 1 cm intervals just proximal to the pigtail loop on the same side of the catheter. For the next 10 cm after the sideports, on the straight portion of the catheter, there are no sideports. After which, there are 9 sideports placed at 1 cm intervals spiraled around the catheter across 8 cm. The subject devices are provided sterile and are intended for one time use.
More Information

No
The device description and performance studies focus on the physical characteristics and mechanical performance of the catheter and wire guide, with no mention of AI or ML.

No.
The device is used for drainage, irrigation, and accessing/exchanging wire guides, which are procedural functions, not therapeutic treatments for a disease or condition.

No

The device is indicated for drainage or irrigation in the urinary tract, as well as access, advancement, or exchange of wire guides. These are therapeutic and procedural functions, not diagnostic ones.

No

The device description explicitly details physical components made of polyurethane, polyamide, and stainless steel, and the performance studies focus on physical properties and interactions, not software functionality.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens (like blood, urine, or tissue) taken from the human body to provide information for diagnosis, monitoring, or screening. This testing is performed outside of the body (in vitro).
  • Device Function: The description clearly states the device is a catheter intended for drainage, irrigation, access, advancement, or exchange of wire guides within the urinary tract. This is an invasive procedure performed inside the body.
  • Lack of Specimen Analysis: There is no mention of the device being used to analyze any biological specimens. Its function is purely mechanical and procedural within the body.

Therefore, based on the provided information, this device is a medical device used for procedures within the body, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

Indicated for drainage or irrigation in the urinary tract as well as access, advancement, or exchange of wire guides.

Product codes

EYB

Device Description

The Pigtail Ureteral Catheter Sets consist of a catheter and wire guide. The catheters are constructed from polyurethane tubing and have a proximal female Luer lock adapter constructed from polyamide. The catheters are available in 5, 6, and 7 French (Fr) and a length of 70 centimeters (cm). The distal end of the catheter has a single pigtail loop with six sideports. The catheter has ink marks denoting depth and body orientation. The stainless steel wire guides are coated with polytetrafluoroethylene (PTFE) and available in diameters of 0.038 and 0.045 inches (in) with a length of 145 cm.

The Pigtail Ureteral Catheter Sof-Flex® AO® is a catheter with a hydrophilic coating. The catheters are constructed from polyurethane tubing and have a female Luer lock adapter constructed from polyamide. The catheters are available in 8.2 and 10 Fr and have a length of 56 cm. The distal end of the catheter has a single pigtail loop with 5 evenly spaced sideports around the pigtail loop. There are also 6 sideports spaced at 1 cm intervals just proximal to the pigtail loop on the same side of the catheter. For the next 10 cm after the sideports, on the straight portion of the catheter, there are no sideports. After which, there are 9 sideports placed at 1 cm intervals spiraled around the catheter across 8 cm.

The subject devices are provided sterile and are intended for one time use.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

urinary tract

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 following testing was performed in order to demonstrate that the subject devices, the Pigtail Ureteral Catheter Sets and Pigtail Ureteral Catheter Sof-Flex® AQ®, met applicable design and performance requirements.

  • I Biocompatibility
  • Sterilization I
  • Radiopacity ■
  • l Visual Inspection
  • I Dimensional Evaluation
  • Wire Guide Compatibility I
  • Leakage ■
  • Flow Rate I
  • Kink Radius l
  • l Curl Restoration
  • Curl Retention Strength ■
  • I Tensile Strength
  • Dynamic Friction l

The results of these tests support a conclusion that Pigtail Ureteral Catheter Sets and the Pigtail Ureteral Catheter Sof-Flex® AQ® will perform as intended. The subject devices do not raise new questions of safety or effectiveness as compared to the predicate device.

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

Not Found

Predicate Device(s)

K962004

Reference Device(s)

K171662

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 876.5130 Urological catheter and accessories.

(a)
Identification. A urological catheter and accessories is a flexible tubular device that is inserted through the urethra and used to pass fluids to or from the urinary tract. This generic type of device includes radiopaque urological catheters, ureteral catheters, urethral catheters, coudé catheters, balloon retention type catheters, straight catheters, upper urinary tract catheters, double lumen female urethrographic catheters, disposable ureteral catheters, male urethrographic catheters, and urological catheter accessories including ureteral catheter stylets, ureteral catheter adapters, ureteral catheter holders, ureteral catheter stylets, ureteral catheterization trays, and the gastro-urological irrigation tray (for urological use).(b)
Classification. (1) Class II (performance standards).(2) Class I for the ureteral stylet (guidewire), stylet for gastrourological catheter, ureteral catheter adapter, ureteral catheter connector, and ureteral catheter holder. The devices subject to this paragraph (b)(2) are exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 876.9.

0

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June 17, 2019

Cook Incorporated Chelsea Woods Regulatory Affairs Specialist 750 Daniels Way Bloomington, IN 47404

Re: K182695

Trade/Device Name: Pigtail Ureteral Catheter Set Pigtail Ureteral Catheter Sof-Flex® AO® Regulation Number: 21 CFR§ 876.5130 Regulation Name: Urological Catheter and Accessories Regulatory Class: II Product Code: EYB Dated: May 9, 2019 Received: May 10, 2019

Dear Chelsea Woods:

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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. However, you are responsible to determine that the medical devices you use as components in the kit/tray have either been determined as substantially equivalent under the premarket notification process (Section 510(k) of the act), or were legally on the market prior to May 28, 1976, the enactment date of the Medical Device Amendments. Please note: If you purchase your device components in bulk (i.e., unfinished) and further process (e.g., sterilize) you must submit a new 510(k) before including these components in your kit/tray. 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.

1

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) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; 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 https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). 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 (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely.

for Glenn B. Bell, Ph.D. Assistant Division Director DHT3B: Division of Reproductive, Gynecology and Urology Devices OHT3: Office of Gastrorenal, ObGyn, General Hospital and Urology Devices Office of Product Evaluation and Ouality Center for Devices and Radiological Health

Enclosure

2

Indications for Use

510(k) Number (if known) K182695

Device Name Pigtail Ureteral Catheter Set Pigtail Ureteral Catheter Sof-Flex® AQ®

Indications for Use (Describe)

Indicated for drainage or irrigation in the urinary tract as well as access, advancement, or exchange of wire guides.

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

X Prescription Use (Part 21 CFR 801 Subpart D)

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

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K182695 Page 1 of 4 H-002-1

Image /page/3/Picture/1 description: The image shows the logo for Cook Medical. The logo is set against a red background. The word "COOK" is in white, bold, sans-serif font. Below "COOK" is the word "MEDICAL" in white, sans-serif font, set against a dark red background.

OOK INCORPORATED 750 DANIELS WAY OOMINGTON, IN 47404 USA 2235 TOLL FREE: 800.457,4500 WW.COOKMEDICAL.COM

2.0 510(k) Summary

Pigtail Ureteral Catheter Set and Pigtail Ureteral Catheter Sof-Flex® AQ® 21 CFR §807.92 Date Prepared: May 8, 2019

Submitted By:

Submission: Applicant: Primary Contact: Secondary Contact: Applicant Address:

Primary Contact Phone: Secondary Contact Phone: Contact Fax:

Device Information:

Trade Name:

Device Common Name: Regulation Name: Regulation Number: Product Code: Device Class Review Panel:

Traditional 510(k) Premarket Notification Cook Incorporated Chelsea Woods Karthik Pillai Cook Incorporated 750 Daniels Way Bloomington, IN 47404 (812) 335-3575 x104007 (812) 335-3575 x104929 (812) 332-0281

Pigtail Ureteral Catheter Set Pigtail Ureteral Catheter Sof-Flex® AQ® Catheter, Ureteral, Gastro-Urology Urological Catheter and accessories 21 CFR §876.5130 EYB Class II Gastroenterology/Urology

Predicate Device:

The predicate device is the AQ® Hydrophilic Urological Catheter manufactured by Cook Urological, Inc, which was cleared under K962004.

Predicate Device:

  • AQ® Hydrophilic Urological Catheter (K962004) ■

Reference Device:

  • I Open-End Ureteral Catheter Sof-Flex® (K171662)

4

Image /page/4/Picture/1 description: The image shows the logo for Cook Medical. The logo is a red rectangle with the word "COOK" in white, sans-serif font on the top half. Below the word "COOK" is a smaller red rectangle with the word "MEDICAL" in white, sans-serif font. The logo is simple and clean, and the red and white colors are eye-catching.

COOK INCORPORATED
750 DANIELS WAY
BLOOMINGTON, IN 47404 USA
PHONE: 812.339.2235 TOLL FREE: 800.457.4500
WWW.COOKMEDICAL.COM

Device Description:

The Pigtail Ureteral Catheter Sets consist of a catheter and wire guide. The catheters are constructed from polyurethane tubing and have a proximal female Luer lock adapter constructed from polyamide. The catheters are available in 5, 6, and 7 French (Fr) and a length of 70 centimeters (cm). The distal end of the catheter has a single pigtail loop with six sideports. The catheter has ink marks denoting depth and body orientation. The stainless steel wire guides are coated with polytetrafluoroethylene (PTFE) and available in diameters of 0.038 and 0.045 inches (in) with a length of 145 cm.

The Pigtail Ureteral Catheter Sof-Flex® AO® is a catheter with a hydrophilic coating. The catheters are constructed from polyurethane tubing and have a female Luer lock adapter constructed from polyamide. The catheters are available in 8.2 and 10 Fr and have a length of 56 cm. The distal end of the catheter has a single pigtail loop with 5 evenly spaced sideports around the pigtail loop. There are also 6 sideports spaced at 1 cm intervals just proximal to the pigtail loop on the same side of the catheter. For the next 10 cm after the sideports, on the straight portion of the catheter, there are no sideports. After which, there are 9 sideports placed at 1 cm intervals spiraled around the catheter across 8 cm.

The subject devices are provided sterile and are intended for one time use.

Indications for Use:

Indicated for drainage or irrigation in the urinary tract as well as access, advancement or exchange of wire guides.

Comparison to Predicate Device:

The subject devices have similar indications for use, methods of operation, and fundamental technological characteristics as the predicate device. Differences between the subject devices and the predicate device include a difference in indications for use, length, and coating. Characteristics of the subject devices that differ from the predicate

5

Image /page/5/Picture/1 description: The image shows the logo for Cook Medical. The word "COOK" is in white, bold, sans-serif font on a red background. Below the word "COOK" is the word "MEDICAL" in white, sans-serif font on a red background that is shaped like a banner.

COOK INCORPORATED 750 DANIELS WAY BLOOMINGTON, IN 47404 USA PHONE: 812.339.2235 TOLL FREE: 800.457.4500 WWW.COOKMEDICAL.COM

device are supported by testing and analysis. The substantial equivalence comparison of the subject devices to the predicate device is provided in the table below.

Predicate DeviceSubject Devices
AQ Hydrophilic Urological
CatheterPigtail Ureteral Catheter
SetPigtail Ureteral Catheter
Sof-Flex® AQ®
510(k)
NumberK962004Subject of this SubmissionSubject of this Submission
ManufacturerCook Urological, Inc (Merged
with Cook Incorporated)Cook Incorporated
Regulation
Number876.5130 - Urological Catheter
and accessoriesIdentical to Predicate
Product CodeEYB - Catheter, Ureteral, Gastro-
UrologyIdentical to Predicate
Device ClassIIIdentical to Predicate
Indications
for UseThe AQ Hydrophilic Urological
Catheters are intended for
drainage, irrigation and/or
retrograde pyelogram. The
hydrophilic coating will allow the
catheters to become lubricious
which will reduce friction.Indicated for drainage or irrigation in the urinary tract as
well as access, advancement or exchange of wire
guides.
Catheter
Diameter (Fr)3 - 105, 6, 78.2, 10
Catheter
Length (cm)707056
Catheter
MaterialPolyurethane, polyethylene, and
vinylPolyurethane
Distal EndPigtail Coil, Straight, Flexi-Tip,
Whistle Tip, Round Tip,
Echotip®, Angled Tip, Spiral Tip,
Cone TipPigtail Coil
SideportsSideports in coil and shaftIdentical to Predicate
Ink MarksOrientation MarkerOrientation Marker,
Depth MarkerNone
CoatingHydrophilicNoneHydrophilic
Radiopaque
CatheterYesIdentical to Predicate
Proximal
FittingLuer Lock ConnectorIdentical to Predicate
Wire Guide
Compatibility
(in)0.025, 0.038, 0.0450.038 and 0.0450.038
Set
ComponentsCatheter and Wire Guide,
Catheter OnlyCatheter and Wire GuideCatheter Only
PackagingTyvek PouchIdentical to Predicate
SterilizationEtOIdentical to Predicate
SAL10-6Identical to Predicate

6

Image /page/6/Picture/1 description: The image shows the logo for Cook Medical. The logo consists of the word "COOK" in white, uppercase letters on a red background. Below the word "COOK" is the word "MEDICAL" in white, uppercase letters on a red background. The logo is simple and clean, and the red and white colors are eye-catching.

COOK INCORPORATED
750 DANIELS WAY
BLOOMINGTON, IN 47404 USA
PHONE: 812.339.2235 TOLL FREE: 800.457.4500
WWW.COOKMEDICAL.COM

Performance Data:

The following testing was performed in order to demonstrate that the subject devices, the Pigtail Ureteral Catheter Sets and Pigtail Ureteral Catheter Sof-Flex® AQ®, met applicable design and performance requirements.

  • I Biocompatibility
  • Sterilization I
  • Radiopacity ■
  • l Visual Inspection
  • I Dimensional Evaluation
  • Wire Guide Compatibility I
  • Leakage ■
  • Flow Rate I
  • Kink Radius l
  • l Curl Restoration
  • Curl Retention Strength ■
  • I Tensile Strength
  • Dynamic Friction l

Conclusion:

The results of these tests support a conclusion that Pigtail Ureteral Catheter Sets and the Pigtail Ureteral Catheter Sof-Flex® AQ® will perform as intended. The subject devices do not raise new questions of safety or effectiveness as compared to the predicate device.