K Number
K182972
Device Name
Phoenix Atherectomy System
Date Cleared
2018-12-20

(55 days)

Product Code
Regulation Number
870.4875
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Phoenix Atherectomy System is intended for use in atherectomy of the peripheral vasculature. It is not intended for use in coronary, carotid, iliac or renal vasculature.
Device Description
The Phoenix Atherectomy System is a sterile, single-use device designed for atherectomy of the peripheral vasculature. The Phoenix Atherectomy System has two main components: the Phoenix Catheter and the Phoenix Handle. The Phoenix Catheter is a flexible, over-the-wire (OTW), front-cutting Catheter that continuously captures and clears debulked plaque proximally through the Catheter and Handle into a collection reservoir that resides outside the patient. For use, the Phoenix Catheter is inserted into the Phoenix Handle. The Handle incorporates a self-contained battery-powered motor designed to drive and rotate the cutter of the Phoenix Atherectomy Catheter at its specified rotational speed. The device is activated by an ON/OFF slider switch on the top of the Handle. A Wire Support Clip is used to hold a guidewire in a fixed position relative to the Handle and prevent guidewire rotation during the procedure. The Catheter, Handle, and Wire Support Clip are packaged as sterile, single-use components of the Phoenix Atherectomy System.
More Information

No
The device description and performance studies focus on mechanical and electrical components and their physical performance, with no mention of AI/ML terms or functionalities.

Yes

The device is intended for atherectomy of the peripheral vasculature, which is a medical procedure used to remove plaque from blood vessels to treat peripheral artery disease, directly impacting the patient's health by addressing a medical condition.

No

The device is described as an atherectomy system intended to remove plaque from peripheral vasculature, which is a therapeutic function, not a diagnostic one.

No

The device description clearly outlines physical hardware components including a catheter, handle with a battery-powered motor, and a wire support clip. The performance studies also focus on the physical and mechanical characteristics of these components.

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

Here's why:

  • Intended Use: The intended use is "atherectomy of the peripheral vasculature." This is a surgical procedure performed in vivo (within the living body) to remove plaque from blood vessels.
  • Device Description: The description details a mechanical system (catheter, handle, motor, cutter) designed to physically interact with and remove material from within the patient's body.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens (blood, tissue, etc.) in vitro (outside the living body) to provide information about a physiological state, health, or disease.

IVD devices are used to perform tests on samples taken from the body, while this device is used to perform a therapeutic procedure directly on the patient's anatomy.

N/A

Intended Use / Indications for Use

The Phoenix® Atherectomy System is intended for use in atherectomy of the peripheral vasculature. It is not intended for use in coronary, carotid, iliac or renal vasculature.

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

MCW

Device Description

The Phoenix Atherectomy System is a sterile, single-use device designed for atherectomy of the peripheral vasculature. The Phoenix Atherectomy System has two main components: the Phoenix Catheter and the Phoenix Handle.

The Phoenix Catheter is a flexible, over-the-wire (OTW), front-cutting Catheter that continuously captures and clears debulked plaque proximally through the Catheter and Handle into a collection reservoir that resides outside the patient. For use, the Phoenix Catheter is inserted into the Phoenix Handle. The Handle incorporates a self-contained battery-powered motor designed to drive and rotate the cutter of the Phoenix Atherectomy Catheter at its specified rotational speed. The device is activated by an ON/OFF slider switch on the top of the Handle. A Wire Support Clip is used to hold a guidewire in a fixed position relative to the Handle and prevent guidewire rotation during the procedure. The Catheter, Handle, and Wire Support Clip are packaged as sterile, single-use components of the Phoenix Atherectomy System.

There are multiple models of the Phoenix Catheter. The current Phoenix Tracking Catheter models track directly over the guidewire with no tip deflection capability. These Tracking Catheter models are available in 1.8 mm , 2.2 mm and 2.4mm tip diameter sizes. The controls for cutter tip rotation are housed in the Phoenix Handle when the Catheter is inserted into the Handle. All Phoenix Catheter models are compatible with commercially available 0.014" exchange length (260 cm or greater) guidewires, and all use the same Phoenix Handle.

This 510(k) includes modifications to the predicate 2.2 mm X 130cm Phoenix Tracking Catheter to add a new model, i.e., a 2.2mm X 130cm Deflecting Phoenix Catheter, that includes two modifications: (1) a minor modification to the distal cutter design to improve cutter efficiency, and (2) a modification to add a shaped tip at the distal end of the catheter shaft (similar in design to the currently marketed 2.4 mm Phoenix Deflecting Catheter) to enable debulking to a larger lumen diameter. Table 9-1 summarizes the subject modifications relative to the predicate device.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

peripheral vasculature

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Prescription Use

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)

To demonstrate the substantial equivalence of the proposed 2.2mm X 130cm Phoenix Deflecting Atherectomy System to the predicate 2.2mm X 130cm Phoenix Tracking Atherectomy System, the performance and technological characteristics were evaluated by completion of the following testing:

  • Dimensional and Visual Inspection ●
  • Simulated Use ●
  • . Simulated Use -Volume Debris
  • Cutter Torque Chain Torque-to-Failure Test
  • Functional Outer Shaft Torque Test
  • Knob to Shaft Testing
  • Catheter Drive Train Stress Test
  • Cutter Stall Test
  • . Temperature Rise of Catheter During Simulated Use
  • Kink Bend Radius Test ●
  • Catheter Trackability in Below-the-Knee Anatomy
  • . Minimum Debulking Diameter for Deflection Catheter (Large Vessel Debulking Diameter)
  • Comparative Predicate Testing in Simulated Lesion
  • Guidewire Compatibility ●
  • Packaging and Shelf Life

Furthermore, testing of specific device attributes of the subject device demonstrated better or equivalent performance when compared to that of the secondary predicate devices (K151145, K172386). The results from this testing demonstrate that the performance and technological characteristics of the proposed 2.2mm X 130cm Phoenix Deflecting Atherectomy System meet pre-defined design requirements and that the modified Phoenix Atherectomy System performs in a manner equivalent to the predicate Phoenix Atherectomy System with the identical use.

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.

K140944

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.

K151145, K172386

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

§ 870.4875 Intraluminal artery stripper.

(a)
Identification. An intraluminal artery stripper is a device used to perform an endarterectomy (removal of plaque deposits from arterisclerotic arteries.)(b)
Classification. Class II (performance standards).

0

Image /page/0/Picture/0 description: The image contains the logos of the Department of Health & Human Services and the Food and Drug Administration (FDA). The Department of Health & Human Services logo is on the left, and the FDA logo is on the right. The FDA logo includes the FDA acronym in a blue square, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue text.

December 20, 2018

Volcano AtheroMed Inc. Ms. Jean Chang Senior Director. Operations 1530 O'Brien Drive, Suite A Menlo Park, California 94025

Re: K182972

Trade/Device Name: Phoenix® Atherectomy System Regulation Number: 21 CFR 870.4875 Regulation Name: Intraluminal Artery Stripper Regulatory Class: Class II Product Code: MCW Dated: December 3, 2018 Received: December 4, 2018

Dear Ms. Jean Chang:

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. 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

1

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/CombinationProducts/GuidanceRegulatoryInformation/ucm597488.htm); 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 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 2018.12.20 11:33:16 -05'00' 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

510(k) Number (if known) K182972

Device Name Phoenix® Atherectomy System

Indications for Use (Describe)

The Phoenix Atherectomy System is intended for use in atherectomy of the peripheral vasculature. It is not intended for use in coronary, carotid, iliac or renal vasculature.

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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3

9 510(k) Summary

Submitter Information:

Date of 510(k) Summary Preparation:December 14, 2018
Name and Address of Manufacturer:Volcano AtheroMed, Inc.
1530 O'Brien Drive, Suite A.
Menlo Park, CA 94025
Contact Person:Jean Chang
Sr Director, Operations
Phone: (650) 352 5255

Subject Device:

Device Trade Name:Phoenix® Atherectomy System
Common Name:Peripheral Atherectomy Catheter
Regulation Description:Intraluminal Artery Stripper
Regulation Number:21 CFR 870.4875
Product Code:MCW
Device Class:Class II
Classification Panel:Cardiovascular

Predicate Device:

Trade Name:Phoenix Atherectomy System
510(k) Numbers:Primary: K140944
Secondary: K151145, K172386
Manufacturer:Volcano AtheroMed, Inc.

4

Device Description:

The Phoenix Atherectomy System is a sterile, single-use device designed for atherectomy of the peripheral vasculature. The Phoenix Atherectomy System has two main components: the Phoenix Catheter and the Phoenix Handle.

The Phoenix Catheter is a flexible, over-the-wire (OTW), front-cutting Catheter that continuously captures and clears debulked plaque proximally through the Catheter and Handle into a collection reservoir that resides outside the patient. For use, the Phoenix Catheter is inserted into the Phoenix Handle. The Handle incorporates a self-contained battery-powered motor designed to drive and rotate the cutter of the Phoenix Atherectomy Catheter at its specified rotational speed. The device is activated by an ON/OFF slider switch on the top of the Handle. A Wire Support Clip is used to hold a guidewire in a fixed position relative to the Handle and prevent guidewire rotation during the procedure. The Catheter, Handle, and Wire Support Clip are packaged as sterile, single-use components of the Phoenix Atherectomy System.

There are multiple models of the Phoenix Catheter. The current Phoenix Tracking Catheter models track directly over the guidewire with no tip deflection capability. These Tracking Catheter models are available in 1.8 mm , 2.2 mm and 2.4mm tip diameter sizes. The controls for cutter tip rotation are housed in the Phoenix Handle when the Catheter is inserted into the Handle. All Phoenix Catheter models are compatible with commercially available 0.014" exchange length (260 cm or greater) guidewires, and all use the same Phoenix Handle.

This 510(k) includes modifications to the predicate 2.2 mm X 130cm Phoenix Tracking Catheter to add a new model, i.e., a 2.2mm X 130cm Deflecting Phoenix Catheter, that includes two modifications: (1) a minor modification to the distal cutter design to improve cutter efficiency, and (2) a modification to add a shaped tip at the distal end of the catheter shaft (similar in design to the currently marketed 2.4 mm Phoenix Deflecting Catheter) to enable debulking to a larger lumen diameter. Table 9-1 summarizes the subject modifications relative to the predicate device.

Indications for Use:

The Phoenix® Atherectomy System is intended for use in atherectomy of the peripheral vasculature. It is not intended for use in coronary, carotid, iliac or renal vasculature.

5

Testing Summary:

To demonstrate the substantial equivalence of the proposed 2.2mm X 130cm Phoenix Deflecting Atherectomy System to the predicate 2.2mm X 130cm Phoenix Tracking Atherectomy System, the performance and technological characteristics were evaluated by completion of the following testing:

  • Dimensional and Visual Inspection ●
  • Simulated Use ●
  • . Simulated Use -Volume Debris
  • Cutter Torque Chain Torque-to-Failure Test
  • Functional Outer Shaft Torque Test
  • Knob to Shaft Testing
  • Catheter Drive Train Stress Test
  • Cutter Stall Test
  • . Temperature Rise of Catheter During Simulated Use
  • Kink Bend Radius Test ●
  • Catheter Trackability in Below-the-Knee Anatomy
  • . Minimum Debulking Diameter for Deflection Catheter (Large Vessel Debulking Diameter)
  • Comparative Predicate Testing in Simulated Lesion
  • Guidewire Compatibility ●
  • Packaging and Shelf Life

Furthermore, testing of specific device attributes of the subject device demonstrated better or equivalent performance when compared to that of the secondary predicate devices (K151145, K172386). The results from this testing demonstrate that the performance and technological characteristics of the proposed 2.2mm X 130cm Phoenix Deflecting Atherectomy System meet pre-defined design requirements and that the modified Phoenix Atherectomy System performs in a manner equivalent to the predicate Phoenix Atherectomy System with the identical use.

6

| Table 9-1: Technological Characteristics Comparison Summary of the Predicate 2.2mm X 130cm
Phoenix Tracking Atherectomy System to the Proposed 2.2mm X 130cm Phoenix Deflecting

Atherectomy System
Technological
CharacteristicPredicate Phoenix Atherectomy
System (K140944),
6F (FG1984) Phoenix CathetersModified Phoenix Atherectomy
System (Subject Device),
6F (FG3061)
Rotational Speed10,000-12,000 RPMIdentical
Guidewire ExchangeOver-the-wireIdentical
Guidewire Compatibility0.014"Identical
Sheath Compatibility6FIdentical
Catheter Working Length130 cmIdentical
Catheter Torque ShaftMulti-Strand Stainless Steel (SS)Identical
Catheter Outer ShaftStainless Steel Outer Shaft and
Teflon sheathIdentical
Catheter Shaft Diameter1.7mmIdentical
Distal Cutter Flute Maximum
Diameter2.2 mm (FG1984)Identical
Tip Diameter and Crossing Profile2.2 mm (FG1984)Identical
Cutting Tip PortSingle exit port conveys excised
debris from the inner guidewire
lumen into the Distal Cutting
Flute channelIdentical
Second Stage Maceration within
HousingYesYes
Cutter HousingNo CoatingIdentical
Distal Tip Assembly CoatingCoatedIdentical
Minimum Vessel Size for Device
Use3.0 mm (FG1984)Identical
Tip ConfigurationStraightShaped
Deflection Span (Side to Side)N/A3.0-4.0mm
Steering (Directional) MechanismRotation of Knob steers distal tip
and cutter by torqueing Catheter
ShaftIdentical
Debris Collection & RemovalContinuous collection and
removal of excised debris by
mechanical conveyanceIdentical
Catheter CoatingNoIdentical
SterilizationEthylene OxideIdentical
Single-use onlyYesIdentical