K Number
K193495
Device Name
XO Score Percutaneous Transluminal Angioplasty Scoring Catheter
Manufacturer
Date Cleared
2020-05-29

(164 days)

Product Code
Regulation Number
870.1250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The XO Score Percutaneous Transluminal Angioplasty Scoring Catheter is intended to be used in conjunction with a PTA balloon to facilitate dilation and apposition of the scoring surface to the stenotic material in the iliac, femoral, popliteal, infra-popliteal, and renal arteries; and for treatment of obstructive lesions of native or synthetic arteriovenous dialysis fistulae. Not for use in the coronary or neuro-vasculature.
Device Description
The XO Score Percutaneous Transluminal Angioplasty Scoring Catheter is a 6.3 Fr (2.08 mm) diameter, single-lumen, metal alloy hypotube shaft, a proximal polymer outer jacket and a balloon expandable scoring element at the distal tip. Designed to work with a standard PTA balloon catheter. The XO Score catheter essentially adds the lesion scoring / cutting capability to a standard PTA balloon catheter with the scoring element at its distal end. It is available in various catheter lengths (65cm, 125cm), and longitudinal scoring element lengths (5cm, and 7cm).
More Information

Not Found

No
The description focuses on the mechanical function of a scoring catheter and does not mention any AI/ML components or capabilities.

Yes
The device is described as "Percutaneous Transluminal Angioplasty Scoring Catheter," which is used to facilitate dilation and apposition of the scoring surface to stenotic material in arteries for treatment of obstructive lesions, indicating a direct therapeutic action on the body.

No

This device is described as a "Percutaneous Transluminal Angioplasty Scoring Catheter," which is used to treat stenotic material by facilitating dilation and apposition of a scoring surface. Its function is to add "lesion scoring / cutting capability" to a standard PTA balloon catheter. This describes a therapeutic, rather than a diagnostic, function.

No

The device description clearly outlines physical components like a metal alloy hypotube shaft, polymer outer jacket, and a balloon expandable scoring element, indicating it is a hardware device.

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

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to examine specimens taken from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening.
  • Device Function: The XO Score Percutaneous Transluminal Angioplasty Scoring Catheter is a physical device used within the body during a medical procedure (angioplasty). It's designed to mechanically score or cut stenotic material in blood vessels.
  • Intended Use: The intended use clearly describes a procedure performed directly on the patient's anatomy, not the analysis of a biological sample.

Therefore, this device falls under the category of an interventional or surgical device, not an In Vitro Diagnostic.

N/A

Intended Use / Indications for Use

The XO Score Percutaneous Transluminal Angioplasty Scoring Catheter is intended to be used in conjunction with a PTA balloon to facilitate dilation and apposition of the scoring surface to the stenotic material in the iliac, femoral, popliteal, infra-popliteal, and renal arteries; and for treatment of obstructive lesions of native or synthetic arteriovenous dialysis fistulae. Not for use in the coronary or neuro-vasculature.

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

PNO

Device Description

The XO Score Percutaneous Transluminal Angioplasty Scoring Catheter is a 6.3 Fr (2.08 mm) diameter, single-lumen, metal alloy hypotube shaft, a proximal polymer outer jacket and a balloon expandable scoring element at the distal tip. Designed to work with a standard PTA balloon catheter. The XO Score catheter essentially adds the lesion scoring / cutting capability to a standard PTA balloon catheter with the scoring element at its distal end. It is available in various catheter lengths (65cm, 125cm), and longitudinal scoring element lengths (5cm, and 7cm).

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

iliac, femoral, popliteal, infra-popliteal, and renal arteries; native or synthetic arteriovenous dialysis fistulae.

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Hospitals and Clinics

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)

Functional Testing: The following testing was conducted to validate and verify that the subject device was substantially equivalent to the predicate devices. All data met pre-determined acceptance criteria.

  • Design Verification -The XO Score catheter meet or exceeded both Transit Scientific's in-house requirements, and requirements listed in ISO 10555-1. Packaging integrity was validated in conjunction with the sterilization studies.
  • Biocompatibility - Biocompatibility of the complete and finished XO Score catheter has been verified according to the requirements and testing prescribed in ISO 10993-1 and in accordance with FDA guidance document "Use of International Standard ISO 10993-1" for an external communicating device with limited exposure (

§ 870.1250 Percutaneous catheter.

(a)
Identification. A percutaneous catheter is a device that is introduced into a vein or artery through the skin using a dilator and a sheath (introducer) or guide wire.(b)
Classification. Class II (performance standards).

0

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May 29, 2020

Transit Scientific Ms. Srividya Pothana Regulatory Affairs Specialist University of Utah 10 North 1900 East, EHSL Rm. 22B Salt Lake City, Utah 84112

Re: K193495

Trade/Device Name: XO Score Percutaneous Transluminal Angioplasty Scoring Catheter Regulation Number: 21 CFR 870.1250 Regulation Name: Percutaneous Catheter Regulatory Class: Class II Product Code: PNO Dated: April 29, 2020 Received: April 30, 2020

Dear Ms. Pothana:

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/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 medical devices and radiation-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 Gregory O'Connell Assistant Director DHT2C: Division of Coronary and Peripheral Intervention Devices OHT2: Office of Cardiovascular Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

2

Indications for Use

510(k) Number (if known) K193495

Device Name

XO Score Percutaneous Transluminal Angioplasty Scoring Catheter

Indications for Use (Describe)

The XO Score Percutaneous Transluminal Angioplasty Scoring Catheter is intended to be used in conjunction with a PTA balloon to facilitate dilation and apposition of the scoring surface to the stenotic material in the iliac, femoral, popliteal, infra-popliteal, and renal arteries; and for treatment of obstructive lesions of native or synthetic arteriovenous dialysis fistulae. Not for use in the coronary or neuro-vasculature.

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
Submitter:Transit Scientific, LLC.
Contact Person:Srividya Pothana, MS – Regulatory Affairs Specialist
Center for Medical Innovation
10 North 1900 East, Rm 22B
Salt Lake City, UT 84112
(801) 587-1456
Date Prepared:December 27, 2019
Trade Name:XO Score Percutaneous Transluminal Angioplasty Scoring
Catheter
Classification Name:Percutaneous Catheter
21 CFR §870.1250, Product Code PNO
Device Class:Class II
Predicate Device:K150634 - AngioSculpt PTA Scoring Catheter -
Spectranetics Corporation
K113103 - Splitwire Percutaneous Transluminal
Angioplasty Scoring Device - Rex Medical

Device Description:

The XO Score Percutaneous Transluminal Angioplasty Scoring Catheter is a 6.3 Fr (2.08 mm) diameter, single-lumen, metal alloy hypotube shaft, a proximal polymer outer jacket and a balloon expandable scoring element at the distal tip. Designed to work with a standard PTA balloon catheter. The XO Score catheter essentially adds the lesion scoring / cutting capability to a standard PTA balloon catheter with the scoring element at its distal end. It is available in various catheter lengths (65cm, 125cm), and longitudinal scoring element lengths (5cm, and 7cm).

Indications for Use:

The XO Score Percutaneous Transluminal Angioplasty Scoring Catheter is intended to be used in conjunction with a PTA balloon to facilitate dilation and apposition of the scoring surface to the stenotic material in the iliac, femoral, ilio-femoral, popliteal, infrapopliteal, and renal arteries; and for treatment of obstructive lesions of native or synthetic arteriovenous dialysis fistulae. Not for use in the coronary or neurovasculature.

4

Comparative Analysis:

It has been demonstrated that the XO Score catheter is comparable to the predicate devices in intended use, fundamental scientific technology, design, principles of operation and functional performance evaluations. The XO Score catheter has been fully assessed within the Transit Scientific Risk Management and Design Controls systems. All necessary verification steps met pre-determined acceptance criteria to support substantial equivalence.

It has been demonstrated that the XO Score catheter is comparable to the predicate devices in the following manner:

  • . Same or similar intended use
  • Same or similar indications for use
  • . Same or similar fundamental scientific technology
  • Same or similar material properties
  • Same or similar operating principle
  • Same or similar performance specifications ●
  • Same or similar patient-user interface ●
Table 11-2: Substantial Equivalence Comparison Chart
Predicate – K150634
AngioSculpt PTA
Scoring Balloon CatheterPredicate – K113103
SplitWire PTA Scoring
CatheterSubject Device –
XO Score PTA Scoring
Catheter
Ind. for UseThe AngioSculpt PTA Scoring
Balloon Catheter is intended for
dilation of lesions in the iliac,
femoral, ilio-femoral, popliteal,
infra-popliteal, and renal
arteries; and for treatment of
obstructive lesions of native or
synthetic arteriovenous dialysis
fistulae. Not for use in the
coronary or neuro-vasculature.The SplitWire Percutaneous
Transluminal Angioplasty
Scoring device is indicated for
the use with PTA balloon to
facilitate dilation of stenosis in
the iliac, femoral, ilio-femoral,
popliteal, infra-popliteal, and
renal arteries; and for
treatment of obstructive
lesions of native or synthetic
arteriovenous dialysis fistulae.The XO Score Percutaneous
Transluminal Angioplasty
Scoring catheter is intended to
be used in conjunction with a
PTA balloon to facilitate dilation
and apposition of the scoring
surface to the stenotic material
in the iliac, femoral, ilio-femoral,
popliteal, infra-popliteal, and
renal arteries; and for treatment
of obstructive lesions of native
or synthetic arteriovenous
dialysis fistulae.
Not for use in the coronary or
neuro-vasculature.
Classification
NameCardiovascular Device –
Percutaneous Catheter
21 CFR §870.1250
Product Code: PNO
Class IISameSame
Fundamental
Scientific
TechnologyDilation and treatment of
obstructive lesionsSameSame
Single UseYesSameSame
Table 11-2: Substantial Equivalence Comparison Chart
Predicate - K150634
AngioSculpt PTA
Scoring Balloon CatheterPredicate - K113103
SplitWire PTA Scoring
CatheterSubject Device –
XO Score PTA Scoring
Catheter
Prescription (Rx
Only)YesSameSame
Anatomical AccessThe iliac, femoral, ilio-
femoral, popliteal, infra-
popliteal, renal arteries and
arteriovenous dialysis
fistulaeSameSame
Where usedHospitals and ClinicsSameSame
Effective Length50 cm, 90 cm, 137 cm90 cm, 180 cm, 260 cm65 cm, 125 cm
Balloon Length10 mm – 200 mmCompatible with balloon
lengths of 20-80 mmCompatible with balloon
lengths of 20-40 mm
Expanded
Scoring Element
Diameter2-8 mm (balloon)UnlimitedS6.25: 4.5 - 8.5 mm
S6.35: 4.7 - 8.7 mm
S6.50: 5 - 9 mm
Integrated
BalloonYesNoNo
Scoring member
fixed to BalloonNoNoNo
Scoring
MembersImage: AngioSculpt PTA Scoring Balloon CatheterImage: SplitWire PTA Scoring CatheterImage: XO Score PTA Scoring Catheter
3-5 Struts1 Strut/ wireS6.25: 22 Struts,
S6.35: 14 Struts,
S6.50: 14 Struts
Scoring member
Profile (Design)Rectangular Edges/
Helical PatternTriangular Wedge, Straight
PatternRectangular Edges/
Diamond Pattern
Scoring member
size (thickness)~.008"-.010"0.014"0.0025"
Rated Burst
Pressure2-20 atmDependent on RBP of
Balloon UsedDependent on RBP of
Balloon Used
VisibilityRadiopaque Markers2 Radiopaque MarkersRadiopaque catheter body
and tip
Guidewire
Compatibility0.018"0.035" or 0.018"0.014", 0.018", 0.035"
Sheath /
Introducer
Compatibility5 – 6 FrDependent on the
introducer compatibility of
the balloon used7 Fr
SterilityEO SterileSameSame
BiocompatibilityISO 10993SameSame

5

6

Functional Testing:

The following testing was conducted to validate and verify that the subject device was substantially equivalent to the predicate devices. All data met pre-determined acceptance criteria.

  • Design Verification -The XO Score catheter meet or exceeded both Transit . Scientific's in-house requirements, and requirements listed in ISO 10555-1. Packaging integrity was validated in conjunction with the sterilization studies.
  • Biocompatibility - Biocompatibility of the complete and finished XO Score catheter has been verified according to the requirements and testing prescribed in ISO 10993-1 and in accordance with FDA guidance document "Use of International Standard ISO 10993-1" for an external communicating device with limited exposure (