K Number
K193607
Device Name
BOBBY Balloon Guide Catheter
Manufacturer
Date Cleared
2020-07-21

(208 days)

Product Code
Regulation Number
870.1250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The BOBBY Balloon Guide Catheter is intended: For use in facilitating the insertion and guidance of an intravascular catheter into a selected blood vessel in the peripheral and neuro vascular systems. The balloon provides temporary vascular occlusion during these and other angiographic procedures. The Balloon Guide Catheter is also indicated for use as a conduit for retrieval devices.
Device Description
The BOBBY Balloon Guide Catheter is a co-axial, braid-reinforced, variable stiffness catheter with an external hydrophilic coating. The BOBBY Balloon Guide Catheter incorporates a compliant balloon, radiopaque markers, and a bifurcated luer hub on the proximal end. The BOBBY Balloon Guide Catheter has an inner lumen through which a guidewire and catheter can be inserted, and a co-axial outer lumen that is used to inflate and deflate the balloon with a syringe filled with contrast media. A bifurcated luer hub is attached to the proximal end of the balloon guide catheter to provide access to both the inner and outer lumens. In addition, a hydrophilic coating is applied to the distal end of the balloon guide catheter to provide a lubricious outer surface for catheter advancement in the vasculature. A compliant balloon is mounted on the distal end to provide temporary vascular occlusion during angiographic procedures. The balloon incorporates a distal air-purging system to purge air from the inflation lumen prior to use. The balloon catheter also incorporates radiopaque markers to facilitate fluoroscopic visualization and indication of the balloon position.
More Information

Not Found

No
The device description and performance studies focus on the physical and mechanical properties of a balloon guide catheter, with no mention of software, algorithms, or data processing that would indicate AI/ML.

No.
This device is designed to facilitate procedures and temporarily occlude blood vessels, which are interventional actions, not therapeutic ones in themselves.

No

The BOBBY Balloon Guide Catheter is intended for facilitating the insertion and guidance of other intravascular catheters and for temporary vascular occlusion. It is a tool used during procedures, not a device that independently diagnoses a condition.

No

The device description clearly details a physical catheter with a balloon, lumens, radiopaque markers, and a hub. It is a hardware device used for physical intervention in blood vessels.

Based on the provided information, the BOBBY Balloon Guide Catheter is not an In Vitro Diagnostic (IVD) device.

Here's why:

  • Intended Use: The intended use clearly states the device is for facilitating the insertion and guidance of catheters within the body (intravascular), providing temporary vascular occlusion, and acting as a conduit for retrieval devices. These are all in vivo procedures, meaning they are performed on a living organism.
  • Device Description: The description details a physical catheter designed to be inserted into blood vessels. It describes features like lumens for guidewires and inflation, a balloon for occlusion, and a hydrophilic coating for insertion. These are all characteristics of a device used directly within the body.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens derived from the human body (like blood, urine, tissue, etc.) outside of the body. IVDs are used to provide information about a patient's health status through the analysis of such specimens.

Therefore, the BOBBY Balloon Guide Catheter is an invasive medical device used for interventional procedures within the vascular system, not an IVD.

N/A

Intended Use / Indications for Use

The BOBBY Balloon Guide Catheter is intended: For use in facilitating the insertion and guidance of an intravascular catheter into a selected blood vessel in the peripheral and neuro vascular systems. The balloon provides temporary vascular occlusion during these and other angiographic procedures. The Balloon Guide Catheter is also indicated for use as a conduit for retrieval devices.

Product codes

DQY, QJP

Device Description

The BOBBY Balloon Guide Catheter is a co-axial, braid-reinforced, variable stiffness catheter with an external hydrophilic coating. The BOBBY Balloon Guide Catheter incorporates a compliant balloon, radiopaque markers, and a bifurcated luer hub on the proximal end.

The BOBBY Balloon Guide Catheter has an inner lumen through which a guidewire and catheter can be inserted, and a co-axial outer lumen that is used to inflate and deflate the balloon with a syringe filled with contrast media. A bifurcated luer hub is attached to the proximal end of the balloon guide catheter to provide access to both the inner and outer lumens. In addition, a hydrophilic coating is applied to the distal end of the balloon guide catheter to provide a lubricious outer surface for catheter advancement in the vasculature. A compliant balloon is mounted on the distal end to provide temporary vascular occlusion during angiographic procedures. The balloon incorporates a distal air-purging system to purge air from the inflation lumen prior to use. The balloon catheter also incorporates radiopaque markers to facilitate fluoroscopic visualization and indication of the balloon position.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Peripheral and neuro vascular systems.

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)

Performance Testing Summary includes:

  • Conditioning, Distribution, and Shelf Life Aging Verification: Pass. All samples met the pre-determined acceptance criteria.
  • Packaging Visual Inspection: Pass. All samples met the pre-determined acceptance criteria.
  • Visual Surface Requirements: Pass. All samples met the pre-determined acceptance criteria.
  • Dimensional/Physical Attributes Inspection: Pass. All samples met the pre-determined acceptance criteria.
  • Inflation Volume vs Balloon Diameter: Pass. All samples met the pre-determined acceptance criteria.
  • Balloon Burst Volume: Pass. All samples met the pre-determined acceptance criteria.
  • Tip Stiffness: Pass. All samples met the pre-determined acceptance criteria.
  • Torque Testing: Pass. All samples met the pre-determined acceptance criteria.
  • Force at Break: Pass. All samples met the pre-determined acceptance criteria.
  • Small Bore Connector Compliance with Standard: Pass. All samples met the pre-determined acceptance criteria.
  • Radiopacity: Pass. All samples met the pre-determined acceptance criteria.
  • Particulate, Coating Integrity: Pass. All samples met the pre-determined acceptance criteria.
  • Freedom from Liquid Leakage: Pass. All samples met the pre-determined acceptance criteria.
  • Hub Aspiration Air Leakage: Pass. All samples met the pre-determined acceptance criteria.
  • Balloon Fatigue Test: Pass. All samples met the pre-determined acceptance criteria.
  • Simulated Use: Simulated use under in vitro conditions in a cerebral vascular model. Pass. All samples met the pre-determined acceptance criteria.
  • Flexural Fatigue: Pass. All samples met the pre-determined acceptance criteria.
  • Kink Resistance: Pass. All samples met the pre-determined acceptance criteria.
  • Lubricity and durability of the hydrophilic coating: Pass. All samples met the pre-determined acceptance criteria.
  • Guidewire lumen burst pressure (Static, dynamic): Pass. All samples met the pre-determined acceptance criteria.
  • Balloon Deflation Time: Pass. All samples met the pre-determined acceptance criteria.
  • Lumen Collapse: Pass. All samples met the pre-determined acceptance criteria.

Biocompatibility Testing Summary includes:

  • Cytotoxicity: Pass. Noncytotoxic according to the predetermined acceptance criteria.
  • Sensitization: Pass. Did not elicit a sensitization response according to the predetermined acceptance criteria.
  • Intracutaneous Irritation: Pass. Test requirements for intracutaneous reactivity were met according to the predetermined acceptance criteria.
  • Systemic Toxicity: Systemic Injection Test: Pass. Test requirements for systemic toxicity were met according to the predetermined acceptance criteria.
  • Systemic Toxicity: Material Mediated Pyrogenicity: Pass. Non-pyrogenic, met the predetermined acceptance criteria.
  • Hemocompatibility: Hemolysis: Pass. Non-hemolytic, met the predetermined acceptance criteria.
  • Hemocompatibility: Complement Activation: Pass. Does not activate the complement system, met the predetermined acceptance criteria.
  • Hemocompatibility: Thrombogenicity: Pass. Demonstrates similar thromboresistance characteristics as the control device, met the predetermined acceptance criteria.
  • Hemocompatibility: In Vitro Hemocompatibility: Pass. Not expected to result in adverse effects in vivo, met the predetermined acceptance criteria.
  • Hemocompatibility: Partial Thromboplastin Time: Pass. Does not have an effect on coagulation of human plasma, met the predetermined acceptance criteria.

No animal or clinical studies were required to demonstrate substantial equivalence.

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

Not Found

Predicate Device(s)

Concentric Medical, FlowGate2 (K153729)

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 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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July 21, 2020

MicroVention, Inc. Stephanie Onstot Senior Regulatory Affairs Specialist 1311 Valencia Avenue Tustin, CA 92780

Re: K193607

Trade/Device Name: BOBBY Balloon Guide Catheter Regulation Number: 21 CFR 870.1250 Regulation Name: Percutaneous Catheter Regulatory Class: Class II Product Code: DQY, QJP Dated: June 25, 2020 Received: June 26, 2020

Dear Stephanie Onstot:

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 801); medical device reporting of medical device-related adverse events) (21 CFR 803) for

1

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 (OS) 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,

Naira Muradyan, Ph.D. Assistant Director (Acting) DHT5A: Division of Neurosurgical, Neurointerventional and Neurodiagnostic Devices OHT5: Office of Neurological and Physical Medicine Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K193607

Device Name BOBBY Balloon Guide Catheter

Indications for Use (Describe) The BOBBY Balloon Guide Catheter is intended:

For use in facilitating the insertion and guidance of an intravascular catheter into a selected blood vessel in the peripheral and neuro vascular systems. The balloon provides temporary vascular occlusion during these and other angiographic procedures. The Balloon Guide Catheter is also indicated for use as a conduit for retrieval devices.

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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3

510(K) SUMMARY

510(k) Owner Information:

510(k) Owner:MicroVention, Inc.
Address:1311 Valencia Ave
Tustin, California, USA
Telephone:714-247-8000
Fax:714-247-8014
Contact PersonStephanie Onstot
Telephone714-247-8000 x 8317
Date Prepared:June 25, 2020
Device Trade Name:BOBBY™ Balloon Guide Catheter
Classification:Class II
Classification Name:Percutaneous Catheter
Product Code(s):DQY, QJP
Regulation Number(s)870.1250
Predicate Devices:Concentric Medical, FlowGate2™ (K153729)

Indication for Use:

The BOBBY Balloon Guide Catheter is intended:

For use in facilitating the insertion and guidance of an intravascular catheter into a selected blood vessel in the peripheral and neuro vascular systems. The balloon provides temporary vascular occlusion during these and other angiographic procedures. The Balloon Guide Catheter is also indicated for use as a conduit for retrieval devices.

Device Description

The BOBBY Balloon Guide Catheter is a co-axial, braid-reinforced, variable stiffness catheter with an external hydrophilic coating. The BOBBY Balloon Guide Catheter incorporates a compliant balloon, radiopaque markers, and a bifurcated luer hub on the proximal end.

The BOBBY Balloon Guide Catheter has an inner lumen through which a guidewire and catheter can be inserted, and a co-axial outer lumen that is used to inflate and deflate the balloon with a syringe filled with contrast media. A bifurcated luer hub is attached to the proximal end of the balloon guide catheter to provide access to both the inner and outer lumens. In addition, a hydrophilic coating is applied to the distal end of the balloon guide catheter to provide a lubricious outer surface for catheter advancement in the vasculature. A compliant balloon is mounted on the distal end to provide temporary vascular occlusion during angiographic

4

procedures. The balloon incorporates a distal air-purging system to purge air from the inflation lumen prior to use. The balloon catheter also incorporates radiopaque markers to facilitate fluoroscopic visualization and indication of the balloon position.

Performance Testing Summary:

The BOBBY Balloon Guide Catheter has successfully completed the following relevant performance testing demonstrating that the device is suitable for its intended use.

Performance Test Summary
Study NameDescriptionReference StandardResults
Conditioning,
Distribution, and Shelf
Life Aging VerificationTo demonstrate that the product
meets the packaging strength and
packaging integrity following
accelerated aging to a 1-year
shelf life equivalentASTM F88 Seal
Strength of Flexible
Barrier materials
ASTM F2096 Standard
Test Method for
Detecting Gross Leaks
in Medical PackagingPass
All samples met the pre-
determined acceptance
criteria
Packaging Visual
InspectionTo demonstrate that the product
meets the packaging visual
inspection requirements givenN/APass
All samples met the pre-
determined acceptance
criteria
Visual Surface
RequirementsTo demonstrate the product
satisfies the visual surface
requirementsISO 10555-1:2013
Intravascular catheters
  • Sterile and single-use
    catheters - Part 1:
    General requirements | Pass
    All samples met the pre-
    determined acceptance
    criteria |
    | Dimensional/Physical
    Attributes Inspection | To demonstrate that the product
    meets the dimensional
    specifications | ISO 10555-1:2013
    Intravascular catheters
  • Sterile and single-use
    catheters - Part 1:
    General requirements | Pass
    All samples met the pre-
    determined acceptance
    criteria |
    | Inflation Volume vs
    Balloon Diameter | To demonstrate that the product
    meets the inflation volume vs
    balloon diameter specifications | In consideration of
    ISO 10555-4:2013
    Intravascular Catheters
  • Sterile and Single-
    Use Catheters - Part 4:
    Balloon Dilation
    Catheters | Pass
    All samples met the pre-
    determined acceptance
    criteria |
    | Balloon Burst Volume | To demonstrate that the Balloon
    is capable of withstanding an
    injection volume above the
    maximum fill volume. | In consideration of
    ISO 10555-4:2013
    Intravascular Catheters
  • Sterile and Single-
    Use Catheters - Part 4:
    Balloon Dilation
    Catheters | Pass
    All samples met the pre-
    determined acceptance
    criteria |
    | Tip Stiffness | To demonstrate that the stiffness
    of the distal end of the product is
    similar to other marketed devices. | N/A | Pass
    All samples met the pre-
    determined acceptance
    criteria |
    | Torque Testing | To demonstrate that the product
    is capable of 720 degrees of
    rotation about the central lumen
    axis without failure. | N/A | Pass
    All samples met the pre-
    determined acceptance
    criteria |
    | Performance Test Summary | | | |
    | Study Name | Description | Reference Standard | Results |
    | Force at Break | To demonstrate the product
    satisfies the force at break
    requirements | ISO 10555-1:2013
    Intravascular catheters
  • Sterile and single-use
    catheters - Part 1:
    General requirements | Pass
    All samples met the pre-
    determined acceptance
    criteria |
    | Small Bore Connector
    Compliance with
    Standard | To demonstrate that the product
    meets the requirements | ISO 80369-7 2016,
    Small-bore connectors
    for liquids and gases in
    healthcare applications
  • Part 7, Connectors
    for intravascular or
    hypodermic
    applications. | Pass
    All samples met the pre-
    determined acceptance
    criteria |
    | Radiopacity | To determine the radiopaque
    characteristics of the device. | ISO 10555-1:2013
    Intravascular catheters
  • Sterile and single-use
    catheters - Part 1:
    General requirements
    ASTM F640-12
    Standard Test Methods
    for Determining
    Radiopacity for
    Medical Use | Pass
    All samples met the pre-
    determined acceptance
    criteria |
    | Particulate, Coating
    Integrity | This study was conducted to
    determine the quantity and size of
    particles generated during
    simulated use | USP Particulate
    Matter in Injections | Pass
    All samples met the pre-
    determined acceptance
    criteria |
    | Freedom from Liquid
    Leakage | To demonstrate that the product
    meets the liquid leakage
    requirements given in ISO
    10555- 1. | ISO 10555-1:2013
    Intravascular catheters
  • Sterile and single-use
    catheters - Part 1:
    General requirements | Pass
    All samples met the pre-
    determined acceptance
    criteria |
    | Hub Aspiration Air
    Leakage | To demonstrate that the product
    meets the hub aspiration air
    leakage requirements given in
    ISO 10555-1. | ISO 10555-1:2013
    Intravascular catheters
  • Sterile and single-use
    catheters - Part 1:
    General requirements | Pass
    All samples met the pre-
    determined acceptance
    criteria |
    | Balloon Fatigue Test | To demonstrate that there is no
    degradation of the Balloon after
    repetitive inflation cycles. | In consideration of
    ISO 10555-4:2013
    Intravascular Catheters
  • Sterile and Single-
    Use Catheters - Part 4:
    Balloon Dilation
    Catheters | Pass
    All samples met the pre-
    determined acceptance
    criteria |
    | Simulated Use | Simulated use under in vitro
    conditions in a cerebral vascular
    model | In consideration of
    ISO 10555-4:2013
    Intravascular Catheters
  • Sterile and Single-
    Use Catheters - Part 4:
    Balloon Dilation
    Catheters | Pass
    All samples met the pre-
    determined acceptance
    criteria |
    | Performance Test Summary | | | |
    | Study Name | Description | Reference Standard | Results |
    | Flexural Fatigue | To demonstrate that the product
    does not lose structural integrity
    when used in the tortuous path
    model. | ISO 10555-1:2013
    Intravascular catheters
  • Sterile and single-use
    catheters - Part 1:
    General requirements | Pass
    All samples met the pre-
    determined acceptance
    criteria |
    | Kink Resistance | To demonstrate that the device
    has similar kink resistance
    compared to the predicate device. | N/A | Pass
    All samples met the pre-
    determined acceptance
    criteria |
    | Lubricity and durability of
    the hydrophilic coating | To demonstrate that the
    hydrophilic coating is lubricious
    and durable. | N/A | Pass
    All samples met the pre-
    determined acceptance
    criteria |
    | Guidewire lumen burst
    pressure (Static, dynamic) | To demonstrate that the device
    does not burst below rated burst
    pressure. | ISO 10555-1:2013
    Intravascular catheters
  • Sterile and single-use
    catheters - Part 1:
    General requirements | Pass
    All samples met the pre-
    determined acceptance
    criteria |
    | Balloon Deflation Time | To demonstrate that the device
    has similar balloon deflation time
    compared to the predicate device. | ISO10555-4:2013
    Intravascular catheters
  • Sterile and single-use
    catheters – Part 4:
    Balloon dilation
    catheters | Pass
    All samples met the pre-
    determined acceptance
    criteria |
    | Lumen Collapse | To demonstrate that the
    guidewire lumen does not
    collapse under aspiration. | N/A | Pass
    All samples met the pre-
    determined acceptance
    criteria |

5

6

No animal or clinical studies were required to demonstrate substantial equivalence.

Biocompatibility Testing Summary

Categorized as Externally Communicating Device, Circulating Blood, Limited Contact (vitro cytotoxicity | Pass
Noncytotoxic according to the
predetermined acceptance criteria | |
| | Sensitization | Tested in accordance with ISO 10993-10, Biological
Evaluation of Medical Devices – Part 10 Tests for
Irritation and Skin Sensitization, Kligman
Maximization Test | Pass
Did not elicit a sensitization response
according to the predetermined
acceptance criteria |
| Intracutaneous
Irritation | | Tested in accordance with ISO 10993-10, Biological
Evaluation of Medical Devices – Part 10: Tests for
Irritation and Skin Sensitization | Pass
Test requirements for
intracutaneous reactivity were met
according to the predetermined
acceptance criteria |

7

Test NameTest MethodResults
Systemic Toxicity:
Systemic Injection
TestTested in accordance with ISO 10993-11, Biological
Evaluation of Medical Devices - Part 11: Tests for
Systemic ToxicityPass
Test requirements for systemic
toxicity were met according to the
predetermined acceptance criteria
Systemic Toxicity:
Material Mediated
PyrogenicityTested in accordance with ISO 10993-11, Biological
Evaluation of Medical Devices – Part 11: Tests for
Systemic Toxicity and USP NF 36:2018
Pyrogen TestPass
Non-pyrogenic, met the
predetermined acceptance criteria
Hemocompatibility:
HemolysisTested in accordance with ASTM F756-17,
Standard Practice for Assessment of Hemolytic
Properties of Materials and ISO 10993-4, Biological
Evaluation of Medical Devices - Part 4: Selection of
Tests for Interactions with Blood. Tests for
Hemolytic Properties, Direct and Indirect MethodsPass
Non-hemolytic, met the
predetermined acceptance criteria
Hemocompatibility:
Complement
ActivationTested in accordance with ISO 10993-4, Biological
Evaluation of Medical Devices - Part 4: Selection of
Tests for Interactions with Blood, SC5b-9
Complement ActivationPass
Does not activate the complement
system, met the predetermined
acceptance criteria
Hemocompatibility:
ThrombogenicityTested in accordance with ISO 10994-4, Biological
Evaluation of Medical Devices - Part 4: Selection of
Tests for Interactions with Blood, and ASTM
F2888-19, Standard Practice for Platelet Leukocyte
Count-An In Vitro Measure for Hemocompatibility
Assessment of Cardiovascular MaterialsPass
Demonstrates similar
thromboresistance characteristics as
the control device, met the
predetermined acceptance criteria
Hemocompatibility:
In Vitro
HemocompatibilityTested in accordance with ISO 10993-4, Biological
Evaluation of Medical Devices - Part 4: Selection of
Tests for Interactions with Blood,
Hemocompatibility, Direct Contact MethodPass
Not expected to result in adverse
effects in vivo, met the
predetermined acceptance criteria
Hemocompatibility:
Partial
Thromboplastin TimeTested in accordance with ISO 10994-4, Biological
Evaluation of Medical Devices - Part 4: Selection of
Tests for Interactions with Blood and ASTM F2382-
18, Standard Test Method for Assessment of
Intravascular Medical Device Materials on Partial
Thromboplastin Time (PTT)Pass
Does not have an effect on
coagulation of human plasma, met
the predetermined acceptance
criteria

Predicate Device Comparison

The following table provides a comparison of the key characteristics of the BOBBY Balloon Guide Catheter to the predicate device.

Comparison Chart
FeatureSubject DevicePredicate deviceComparison
BOBBY Balloon
Guide Catheter
K1936078F FlowGate2™
Balloon Guide Catheter
K153729
FDA ClassificationClass IIClass IISame
Product Code(s)DQY, QJPDQYSame
Regulation Number870.1250870.1250Same
Regulation NamePercutaneous CatheterPercutaneous CatheterSame
Anatomical LocationsPeripheral and neuro vasculaturePeripheral and neuro vasculatureSame
Comparison Chart
FeatureSubject Device
BOBBY Balloon
Guide Catheter
K193607Predicate device
8F FlowGate™
Balloon Guide Catheter
K153729Comparison
MaterialCommonly used
medical grade plastics
(e.g. nylon, PTFE,
polyethylene,
polyolefin) and
stainless steelCommonly used
medical grade plastics
(e.g. nylon, PTFE,
polyethylene,
polyolefin) and
stainless steelSimilar, minor
differences do not
raise new questions
of safety and
efficacy, confirmed
through
biocompatibility and
performance testing
Reinforced Catheter
ShaftStainless steel braid
and coil reinforced
shaftStainless steel braid
reinforced shaftSimilar, minor
differences do not
raise new questions
of safety and
efficacy
Injection PortYesYesSame
RadiopacityYes, shaft is visible
due to distal tip Pt-Ir
marker bandsYes, shaft material
contains barium
sulfate, distal tip Pt-Ir
marker bandSimilar, minor
difference does not
raise new questions
regarding safety and
efficacy, both
devices are
radiopaque
Radiopaque Marker
Bands21Similar, minor
difference does not
raise new questions
regarding safety and
efficacy, both
devices utilize
radiopaque marker
bands
Compliant BalloonYes, polyurethaneYes, siliconeSimilar, material
differences do not
raise new questions
of safety and
efficacy, both
materials are used
for compliant
balloons for
intravascular use
Labeled Shaft Outer
Diameter0.110 in (2.8 mm)
8Fr0.106 in (2.7 mm)
8FrSimilar, minor
differences do not
raise new questions
of safety and
efficacy
Comparison Chart
FeatureSubject Device
BOBBY Balloon
Guide Catheter
K193607Predicate device
8F FlowGate2™
Balloon Guide Catheter
K153729Comparison
Labeled Shaft Inner
Diameter0.086 in (2.18 mm)
6.5Fr0.084 in (2.1 mm)
6.4FrSimilar, minor
differences do not
raise new questions
of safety and
efficacy
Effective length95 cm
(37.4 in)85 cm, 95cm
(33.5, 37.4 in)Similar, minor
differences do not
raise new questions
of safety and
efficacy
Tip ShapeStraightStraightSame
CoatingHydrophilic Coating -
Distal portion of shaftNoneDifference does not
raise new questions
of safety and
efficacy.
Hydrophilic coatings
are commonly used
to lubricate vascular
catheters.
Internal ConstructionCoaxial lumenCoaxial lumenSame
Accessories SuppliedPeel Away SheathDilator, Rotating
Hemostasis Valve,
Tuohy Borst Valve
with sideport, Peel
Away Sheaths, Luer-
Activated ValvesSimilar, minor
differences do not
raise new questions
of safety and
efficacy.
How SuppliedSterile, single useSterile, single useSame
Sterilization MethodEtOEtOSame
Sterility Assurance
Level10-610-6Same

8

9

Conclusion:

MicroVention, Inc. concludes through a review of the benchtop assessments, the comparison of the device classification, indications for use, operating principle, technological characteristics, sterility, and biocompatibility that the BOBBY Balloon Guide Catheter is substantially equivalent to the predicate device, FlowGate2™ Balloon Guide Catheter. Any differences are minor and do not raise different questions of safety and effectiveness.