K Number
K200547
Manufacturer
Date Cleared
2020-04-16

(44 days)

Product Code
Regulation Number
870.1330
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Traxcess™ 14 SELECT Guidewire is indicated for general intravascular use, including the neuro and peripheral vasculature. The guidewire can be steered to facilitate the selective placement of diagnostic or therapeutic catheters. This device is not intended for use in coronary arteries.

Device Description

The Traxcess™ 14 SELECT Guidewire is a coiled wire that is designed to fit inside a percutaneous catheter for the purpose of directing the catheter through a blood vessel. The core wire proximal coated section is 0.014" stainless steel wire, and the distal coated section is tapered nitinol wire, contained within a 0.012" outer diameter wire coil. The wire coil is 400 mm in length. The distal 30 mm coil section is constructed of platinum/nickel for maximum radiopacity, and the balance, 370mm of the coil is constructed of stainless steel. The distal 14 mm section of the guidewire is shapeable by the physician. The coil section of the guidewire and the distal stainless-steel section is coated with a hydrophilic coating, while the proximal stainless-steel section is coated with PTFE. The purpose of these surface coatings is to provide lubricity when the Traxcess™ 14 SELECT guidewire is passed through percutaneous catheters. A shaping mandrel, torque device, and insertion tool are included with the device.

AI/ML Overview

The provided text describes the acceptance criteria and a study demonstrating that the Traxcess™ 14 SELECT Guidewire meets these criteria. However, it's important to note that this document is for a medical device (guidewire), not an AI/ML powered device. Therefore, many of the requested categories (e.g., ground truth, experts, MRMC study, training set) typically associated with AI/ML device performance evaluation are not applicable or found in this context.

Here's the information extracted from the document:

1. A table of acceptance criteria and the reported device performance:

Acceptance Criteria (Bench/Biocompatibility Testing)Reported Device Performance (Result & Conclusion)
Bench Testing:
Physical attributes (dimensional requirements)Device met established dimensional specifications
Surface Contamination (absence of defects/contamination)Device was free from surface defects and contamination
Corrosion ResistanceDevice met established corrosion resistance
Simulated use testing (prep, introduction, tracking rating ≥ 3)Device performed as intended under simulated use
Guidewire Coating adherence (maintained after advance/retract cycles)Durability and lubricity of coating was maintained after advance/retract cycles
Guidewire fracture resistance (no fracture, no coating flaking)Device met established fracture resistance specification
Particulate Testing (≤ 6000 particles (≥ 10 microns) and ≤ 600 particles (≥ 25 microns))Device has comparable particulate results to the predicate device
Biocompatibility Testing:
Cytotoxicity (ISO 10993-5:2009) (Scores of grade 0, 1, or 2)The test articles are non-cytotoxic (grade 0)
Sensitization (ISO 10993-10:2010) (Grades of <1)The test articles are not a sensitizer (grade <1)
Irritation (ISO 10993-10:2010) (Difference in mean score ≤ 1.0)The test articles are considered non-irritating (the score ≤1)
Acute Systemic Toxicity (ISO 10993-11:2017) (No significantly greater biological reactivity, no death, no severe reactions, no excessive weight loss)The test articles meet requirements of the test and it's nontoxic
Material-mediated Pyrogenicity (ISO 10993-11:2017) (No animal shows temperature rise ≥ 0.5 °C)Not pyrogenic (temperature rise < 0.5 °C)
Haemo-compatibility - Hemolysis (ISO 10993-4:2017) (< 2.0% hemolytic index for non-hemolytic)Non-hemolytic (1.48% hemolysis - Extract Method; 0.96% hemolysis - Direct Method)
Haemo-compatibility - Coagulation (ISO 10993-4:2017) (No statistically significant decrease in PTT)The test article meets the requirement of the test and not an activator to the coagulation
Haemo-compatibility - Complement Activation (ISO 10993-4:2017) (No statistically significant increase in C3a or SC5b-9a)The test articles are considered a 'Non-Activator of the Complement System'
Haemo-compatibility - Thrombus formation (ISO 10993-4:2017) (Mean percentage value of platelet cell counts 80-120% of negative control and ≥ 30% above positive control, no visible clot)The test article meets the requirement of the test and does not cause thrombus formation
Haemo-compatibility – Thrombogenicity (ISO 10993-4:2017) (Thrombus formation score of 2 or less)The test articles are considered thromboresistant (score <2)

2. Sample sized used for the test set and the data provenance:

The document mentions "Test articles" for bench testing and "animals" for biocompatibility testing, but does not specify the exact sample sizes for each test. The provenance of the data is that it was generated from verification and validation testing on the Traxcess™ 14 SELECT Guidewire. The document does not provide details on the country of origin of the data or whether it was retrospective or prospective.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:

This information is not applicable as the document describes a physical medical device (guidewire) and its performance through bench and biocompatibility testing, not an AI/ML device requiring expert ground truth for image interpretation or diagnosis.

4. Adjudication method (e.g. 2+1, 3+1, none) for the test set:

This information is not applicable for the reasons stated above. The tests performed are objective laboratory assessments.

5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance:

This information is not applicable as the document describes a physical medical device (guidewire), not an AI/ML device that assists human readers.

6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done:

This information is not applicable as the document describes a physical medical device (guidewire), not an AI/ML device.

7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.):

The "ground truth" for this device's performance is based on objective measurements and observations against established specifications and ISO standards for physical and biological properties. This includes dimensional measurements, visual inspection for defects, force resistance, coating integrity, and specific biological responses (e.g., cell viability, immune response, blood compatibility).

8. The sample size for the training set:

This information is not applicable as the document describes a physical medical device and its validation through testing, not an AI/ML device that requires a training set.

9. How the ground truth for the training set was established:

This information is not applicable for the reasons stated above.

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Image /page/0/Picture/0 description: The image contains two logos. On the left is the Department of Health & Human Services logo. On the right is the FDA logo, which includes the letters "FDA" in a blue square, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue text.

April 16, 2020

MicroVention, Inc. Ganesh Balachandar Sr. Regulatory Affairs Specialist 35 Enterprise Aliso Viejo, California 92656

Re: K200547

Trade/Device Name: Traxcess™ 14 SELECT Guidewire Regulation Number: 21 CFR 870.1330 Regulation Name: Catheter Guide Wire Regulatory Class: Class II Product Code: MOF, DQX Dated: March 5, 2020 Received: March 19, 2020

Dear Ganesh Balachandar:

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

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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 (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 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,

Xiaolin Zheng, Ph.D., M.S. Director 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) K200547

Device Name

Traxcess™ 14 SELECT Guidewire

Indications for Use (Describe)

The Traxcess™ 14 SELECT Guidewire is indicated for general intravascular use, including the neuro and peripheral vasculature. The guidewire can be steered to facilitate the selective placement of diagnostic or therapeutic catheters. This device is not intended for use in coronary arteries.

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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510(k) SUMMARY

This 510(k) summary of safety and effectiveness for the Traxcess™14 SELECT Guidewire is submitted in accordance with the requirements of 21 CFR 807.87(h) and 807.92 and following the recommendations outlined in FDA Guidance, The 510(k) Program: Evaluating Substantial Equivalence in Premarket Notifications [510(k)], dated 28 July, 2014.

I SUBMITTER [807.92(a)(1)] MicroVention Inc. Tustin, California U.S.A

Telephone: (714)247-8201 Contact Name: Ganesh Balachandar E-mail address: ganesh.balachander(@)microvention.com Date prepared: 15-April-2020

II DEVICE [807.92(a)(2)]

Name of Device:Traxcess™ 14 SELECT Guidewire
Common or Usual Name:Guidewire
Classification Name:Catheter Guidewire
Product Code:MOF, DQX
Regulatory Class:Class II
Submission Type:Special 510(k)
Regulation Number:21 CFR 870.1330
Reviewing Product Branch:Division of Neurosurgical, Neurointerventional, andNeurodiagnostic Devices (Office of Product Evaluation andQuality)

III PREDICATE DEVICE [807.92(a)(3)] Traxcess 14 SELECT Guidewire (K153053)

IV DEVICE DESCRIPTION [807.92(a)(4)]

The Traxcess™ 14 SELECT Guidewire is a coiled wire that is designed to fit inside a percutaneous catheter for the purpose of directing the catheter through a blood vessel. The core wire proximal coated section is 0.014" stainless steel wire, and the distal coated section is tapered nitinol wire, contained within a 0.012" outer diameter wire coil.

The wire coil is 400 mm in length. The distal 30 mm coil section is constructed of platinum/nickel for maximum radiopacity, and the balance, 370mm of the coil is constructed of stainless steel. The distal 14 mm section of the guidewire is shapeable by the physician.

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The coil section of the guidewire and the distal stainless-steel section is coated with a hydrophilic coating, while the proximal stainless-steel section is coated with PTFE. The purpose of these surface coatings is to provide lubricity when the Traxcess™ 14 SELECT guidewire is passed through percutaneous catheters. A shaping mandrel, torque device, and insertion tool are included with the device.

V INDICATIONS FOR USE [807.92(a)(5)]

The Traxcess™ 14 SELECT Guidewire is indicated for general intravascular use, including the neuro and peripheral vasculature. The guidewire can be steered to facilitate the selective placement of diagnostic or therapeutic catheters. This device is not intended for use in coronary arteries.

VI COMPARISON OF TECHNOLOGICAL CHARACTERISTICS [807.92(a)(6)]

The Traxcess™ 14 SELECT Guidewire has the following similarities to the
predicate device, Traxcess™ 14 SELECT Guidewire (KT53053):

  • Have the same intended use 1.
    1. Use the same operating principle
  • 3 Incorporate the same basic guidewire design
    1. Incorporate the same guidewire construction material
  • റ് Are packaged and sterilized using the same materials and processes

The change in the alternative PTFE coating on the proximal stainless-steel section of the guidewire does not change the indications for use of the Traxcess™ guidewires and is not a change to the fundamental scientific technology. The performance data below shows the device will perform as well as the previously marketed device.

The Table 1 states the comparison between Traxcess™ 14 SELECT Guidewire (Predicate Device, K153053) and Traxcess™14 SELECT Guidewire (Subject Device).

DescriptionPredicate Device (Existing)Traxcess™ 14 SELECTGuidewireSubject Device (Modified)Traxcess™ 14 SELECTGuidewire (K200547)Rationale forDifferences (ifany)
Indications for UseThe Traxcess™ 14 SELECTGuidewire is intended forgeneral intravascular use,including the neuro andperipheral vasculature. Thewire can be steered tofacilitate the selectiveplacement of diagnostic ortherapeutic catheters. ThisThe Traxcess™ 14 SELECTGuidewire is indicated forgeneral intravascular use,including the neuro andperipheral vasculature. Theguidewire can be steered tofacilitate the selectiveplacement of diagnostic ortherapeutic catheters. ThisChanged intendedto indicated in theIndications forUse statement
device is not intended for usein coronary arteries.device is not intended for usein coronary arteries.
Intended UseThe Traxcess™ 14 SELECTguidewire is used in bothdiagnostic and interventionalprocedures where distalaccess is necessary.SameNo differences
FunctionThe steerable guidewire isused to facilitate the selectiveplacement of diagnostic ortherapeutic catheters.SameNo differences
Anatomical LocationGeneral intravascular use,including the neuro andperipheral vasculature.SameNo differences
Wire DiameterProximal = 0.014"Distal = 0.012"SameNo differences
Device Length200 cmSameNo differences
Coil Length40 cmSameNo differences
Platinum/Nickel CoilLength (Radiopaque)3 cmSameNo differences
Stainless Steel CoilLength37 cmSameNo differences
Distal Shaft Length(Shapeable Length)1.4 cmSameNo differences
Distal tip thickness(core wire)0.037 mmSameNo differences
Proximal endconfigurationCompatible with Traxcess™docking wire(K093647)SameNo differences
MaterialCore wire (proximal):Stainless steelCore wire (distal):Nickel titanium(Nitinol) alloyCoil: Platinum nickel alloyand Stainless steelOther: Brazing materialand solderSameNo differences
Coating Material(Distal section)Coil and distal/proximalstainless-steel section:Hydrophilic Coating [SLIP-COAT by Argon Medical]SameNo differences
Coating Material(Proximal section)ProximalStainless-steelsection: PTFEProximal Stainless-steelsection:PTFEChange inSupplier of PTFEcoating
Coating Length(Distal section)Hydrophiliccoating = 980SameNo differences
mm
Coating Length(Proximal section)PTFE = 1000 mmSameNo differences
Method of supplySterile and single useSameNo differences
Sterilization methodEthylene oxide gasSameNo differences
AccessoriesShaping mandrel, Torquedevice, and Insertion toolSameNo differences
Package configurationPlaced into a dispenser hoop,Tyvek pouch, and boxcarton.SameNo differences

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VII PERFORMANCE DATA [807.92(b)]

Results of the verification and validation testing (Table 2,3) indicate that the product meets established performance requirements and is safe and effective for its intended use.

Table 2: Design Verification and Validation Test Summary

Bench TestingResultConclusion
Physical attributesTest articles met specified dimensionalrequirements for guidewire OD, overalllength, length of Pt/Ni coil section, length ofSS section, length of PTFE coated section,length of hydrophilic coated section, lengthof proximal docking section and accessorydevicesDevice met establisheddimensional specifications
Surface ContaminationTest article when examined atmagnification, should meet existing surfacecontamination and defects specification.Device was free from surfacedefects and contamination
Corrosion ResistanceTest article should be corrosion resistant.Device met established corrosionresistance.
Simulated use testingTest articles achieved rating ≥ 3for prep of device, introduction, andtrackingDevice performed as intended undersimulated use
Guidewire CoatingadherenceCoating adherence maintained afteradvance/retract cyclesDurability and lubricity of coatingwas maintained afteradvance/retract cycles

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Guidewire fractureresistanceTest article should not show signs offracture. There should be no coating flakingoff the guidewire.Device met established fractureresistance specification.
Particulate TestingParticle count of test articles ≤ 6000 particles(≥ 10 microns) and ≤600 particles (≥ 25 microns)Device has comparable particulateresults to the predicate device

Table 3: Biocompatibility Test Summary

BiocompatibilityResultConclusion
CytotoxicityCompliance withISO 10993-5:2009Scores of grade 0 (no cell lysis) or grade 1and 2 (slight to mild cytotoxic results) areconsidered passing and non-cytotoxic.The test articles are non-cytotoxic(grade 0)
SensitizationCompliance withISO 10993-10:2010The test article is considered non-sensitizingif all of the animals receive grades of <1 atall time periods.The test articles are not a sensitizer(grade <1)
IrritationCompliance withISO 10993-10:2010Considered to be non-irritating and passingwhen the difference between the test articlemean score (erythema and edema) is 1.0 orless than that of the negative (vehicle)control score.The test articles are considerednon-irritating (the score ≤1)
Acute SystemicToxicityCompliance withISO 10993-11:2017The test is considered negative and non-acutesystemically toxic if none of the animalstreated with the test article showed asignificantly greater biological reactivitythan animals treated with the negativecontrol. If 2 or more test group animals diesor exhibit severe reactions (e.g. convulsions).or if 3 or more test group animals experienceweight loss greater than 10% of their originalmass, the article does not meet requirementsof the testThe test articles meet requirementsof the test and it's nontoxic.
Material-mediatedPyrogenicityCompliance withISO 10993-11:2017Considered non-pyrogenic if no animalshows an individual rise in temperature of0.5 °C or more above the baselinetemperatureNot pyrogenic ((temperature rise <0.5 °C)
BiocompatibilityResultConclusion
Haemo-compatibility -HemolysisCompliance with (ISO)10993-4: 2017A score of< 2.0% hemolytic index is classified as “non-hemolytic". Scores of ≥2% to ≤5%hemolytic index are “slightly hemolytic” andscores of >5% are "hemolytic".The test article is considered non-hemolytic (1.48% hemolysis)Extract Method
A score of< 2.0% hemolytic index is classified as “non-hemolytic". Scores of ≥2% to ≤5%hemolytic index are “slightly hemolytic" andscores of >5% are "hemolytic".Test article is consideration-hemolytic (0.96% hemolysis)).Direct Method
Haemo-compatibility -CoagulationCompliance withISO 10993-4:2017Test article meets the requirements of thetest and is not considered to have an effect onthe PTT, if no statistically significantdecrease is found between the PTT of theplasma exposed to the test article and that ofthe plasma exposed to either the negativecontrol or the untreated control. Thebiological significance is also considered inthe evaluation of the results by comparing toa predicate device.The test article meets therequirement of the test and not anactivator to the coagulation.
Haemo-compatibility- ComplementActivationCompliance with ISO10993-4: 2017No statistically significant increase in thereported level of C3a or SC5b-9a whencompared to both the Normal Human Serum(NHS) and the negative control at 60-minutetime point.The test articles are considered a'Non-Activator of the ComplementSystem'.
Haemo-compatibility- ThrombusformationCompliance withISO 10993-4:2017The mean percentage value of the plateletcell counts is within 80 to 120% of thenegative control and is at least 30% abovethat of the positive control mean percentagevalue. The test article fails if the plateletcount is ≤50% of the negative control and /ora visible clot is producedThe test article meets therequirement of the test and doesnot cause thrombus formation
Haemo-compatibility– ThrombogenicityCompliance with ISO10993-4:2017Considered thromboresistant if the test articlehas a thrombus formation score of 2 or lessThe test articles are consideredthromboresistant (score <2).

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VIII CONCLUSIONS

Based on the 510(k) summary and information provided herein, we conclude the subject device, the Traxcess™ 14 SELECT Guidewire, is substantially
equivalent in its intended use, design, guidewire material, performance, and the underlying fundamental scientific technology used, to the predicate Traxcess™ 14 SELECT Guidewire (K153053).

§ 870.1330 Catheter guide wire.

(a)
Identification. A catheter guide wire is a coiled wire that is designed to fit inside a percutaneous catheter for the purpose of directing the catheter through a blood vessel.(b)
Classification. Class II (special controls). The device, when it is a torque device that is manually operated, non-patient contacting, and intended to manipulate non-cerebral vascular guide wires, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 870.9.