K Number
K200963
Device Name
Halo Single-Loop Microsnare Kit
Date Cleared
2021-01-05

(270 days)

Product Code
Regulation Number
870.5150
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Halo™ Single-Loop Microsnare Kit is intended for use in the retrieval and manipulation of atraumatic foreign bodies located in the coronary and peripheral cardiovascular system and the extra-cranial neurovascular anatomy.
Device Description
Halo™ Single-Loop Microsnare Kit contains: (1) Microsnare, (1) Microsnare Catheter, (1) Introducer and (1) Torque Handle. The microsnare is constructed of a flexible and radiopaque loop. The pre-formed microsnare loop can be introduced through the microsnare catheter without risk of microsnare deformation because of the snare's super-elastic construction. The microsnare catheter is constructed of flexible tubing and contains a radiopaque marker band.
More Information

No
The device description and performance studies focus on the mechanical and material properties of the microsnare kit, with no mention of AI or ML algorithms for image processing, decision support, or any other function.

No.
The device is intended for the retrieval and manipulation of foreign bodies, which is a diagnostic or interventional procedure rather than a therapeutic function that aims to treat a disease or condition.

No

The device is intended for the retrieval and manipulation of foreign bodies, which is a therapeutic or interventional function, not a diagnostic one.

No

The device description explicitly lists physical components (Microsnare, Microsnare Catheter, Introducer, Torque Handle) and the performance studies focus on physical properties and biocompatibility, indicating it is a hardware-based medical device.

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

Here's why:

  • Intended Use: The intended use clearly states the device is for the "retrieval and manipulation of atraumatic foreign bodies located in the coronary and peripheral cardiovascular system and the extra-cranial neurovascular anatomy." This describes a surgical or interventional procedure performed directly on the patient's body.
  • Device Description: The description details a physical device (microsnare, catheter, introducer, torque handle) used for mechanical manipulation within the body.
  • IVD Definition: In Vitro Diagnostics are devices used to examine specimens (like blood, urine, tissue) taken from the human body to provide information about a physiological state, health, disease, or congenital abnormality. This device does not perform such testing on specimens.

The Halo™ Single-Loop Microsnare Kit is an invasive medical device used for interventional procedures.

N/A

Intended Use / Indications for Use

The Halo™ Single-Loop Microsnare Kit is intended for use in the retrieval and manipulation of atraumatic foreign bodies located in the coronary and peripheral cardiovascular system and the extra-cranial neurovascular anatomy.

Product codes

MMX, DQY

Device Description

Halo™ Single-Loop Microsnare Kit contains: (1) Microsnare, (1) Microsnare Catheter, (1) Introducer and (1) Torque Handle. The microsnare is constructed of a flexible and radiopaque loop. The pre-formed microsnare loop can be introduced through the microsnare catheter without risk of microsnare deformation because of the snare's super-elastic construction. The microsnare catheter is constructed of flexible tubing and contains a radiopaque marker band.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

coronary and peripheral cardiovascular system and the extra-cranial neurovascular anatomy

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

Performance No performance standards have been established under section 514, Tests performance standards, of the Food, Drug and Cosmetic Act for (Non-Clinical): these devices. A series of testing was conducted in accordance with protocols based on requirements outlined in guidances and industry standards and the below were shown to meet the acceptance criteria that were determined to demonstrate substantial equivalence.

The following tests were performed under the specified testing parameters to support the Halo™ Single-Loop Microsnare Kit substantial equivalence.

Performance Testing, including:

  • Tensile strength ●
  • Liquid leakage
  • Air leakage
  • Corrosion Resistance
  • System Tip Flexibility
  • Tip Flexibility Microsnare & Microsnare Catheter ●
  • Snare Flexing & Fracture Test
  • Catheter Flexural Modulus
  • Catheter Kink Test
  • Marker Band Pull Test
  • Torque Strength Test
  • Simulative Use
  • Radiopacity
  • Particulate
  • Luer Testing
  • Shipping Test

Biocompatibility Testing, including:

  • Cytotoxicity (ISO 10993-5)
  • Sensitization (ISO 10993-10)
  • Intracutaneous Irritation (ISO 10993-10)
  • Acute Systemic Toxicity (ISO 10993-11)
  • Material Mediated Pyrogen (ISO 10993-11)
  • Hemocompatibility (ISO10993-4)
    • O ASTM Hemolysis – Direct and Indirect Contact
    • Complement Activation, SC5b-9 O
    • Platelet and Leucocyte Counts O
    • Partial Thromboplastin Time (PTT) O

Conclusion: The results of all testing demonstrate that the Halo™ Single-Loop Microsnare Kits are substantially equivalent to the predicate devices.

Key Metrics

Not Found

Predicate Device(s)

K970668

Reference Device(s)

K142265

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 870.5150 Embolectomy catheter.

(a)
Identification. An embolectomy catheter is a balloon-tipped catheter that is used to remove thromboemboli, i.e., blood clots which have migrated in blood vessels from one site in the vascular tree to another.(b)
Classification. Class II (performance standards).

0

Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food & Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

January 5, 2021

Argon Medical Devices, Inc. Ana Jimenez-Hughes Sr. Regulatory Affairs Specialist 1445 Flat Creek Road Athens, Texas 75751

Re: K200963

Trade/Device Name: Halo Single-Loop Microsnare Kit Regulation Number: 21 CFR 870.5150 Regulation Name: Embolectomy Catheter Regulatory Class: Class II Product Code: MMX, DQY Dated: November 30, 2020 Received: December 2, 2020

Dear Ana Jimenez-Hughes:

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

1

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,

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

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Indications for Use

510(k) Number (if known) K200963

Device Name Halo™ Single-Loop Microsnare Kit

Indications for Use (Describe)

The Halo™ Single-Loop Microsnare Kit is intended for use in the retrieval and manipulation of atraumatic foreign bodies located in the coronary and peripheral cardiovascular system and the extra-cranial neurovascular anatomy.

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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Date Prepared:May 19, 2020
Company:Argon Medical Devices, Inc.
1445 Flat Creek Road
Athens, Texas 75751 USA
Facility Registration number: 1625425
Contact:Ana Jimenez-Hughes
Sr. Regulatory Affairs Specialist
Phone:
903-676-4276
Fax:
903-677-9396
Email:
ana.hughes@argonmedical.com
Device Trade
Name:Halo™ Single-Loop Microsnare Kit
Device Common
Name:Percutaneous Retrieval Device
Device
Classification:Device, Percutaneous Retrieval
Product code, MMX
21 CFR 870.5150
Class II
Review Panel: Cardiovascular Devices
Predicate
Device(s):Primary: K970668 Amplatz Goose Neck Microsnare
Reference: K142265 ONE Snare Endovascular Microsnare System
Description of the
Device:Halo™ Single-Loop Microsnare Kit contains: (1) Microsnare, (1) Microsnare
Catheter, (1) Introducer and (1) Torque Handle.
The microsnare is constructed of a flexible and radiopaque loop. The pre-
formed microsnare loop can be introduced through the microsnare catheter
without risk of microsnare deformation because of the snare's super-elastic
construction. The microsnare catheter is constructed of flexible tubing and
contains a radiopaque marker band.
Indication for Use:The Halo™ Single-Loop Microsnare Kit is intended for use in the retrieval and
manipulation of atraumatic foreign bodies located in the coronary and
peripheral cardiovascular system and the extra-cranial neurovascular
anatomy.

4

A comparison of the technological characteristics of the subject device and the Technological Characteristics: predicate devices shows the Halo™ Single-Loop Microsnare Kit to be substantially equivalent to the current marketed predicate devices.

The proposed Halo™ Single-Loop Microsnare Kit is similar in materials of construction, dimensional specifications, design and sterilization process to the primary predicate device, the Amplatz Goose Neck Microsnare (K970668) and the reference predicate, the ONE Snare Endovascular Microsnare System (K142265). The Halo™ Single-Loop Microsnare Kit consist of (1) microsnare made of gold plated Tungsten coil and nitinol loop; (1) microsnare catheter made of Pebax tubing/Platinum Iridium marker band, (1) peel-away introducer and (1) torque handle.

The Halo™ Single-Loop Microsnare Kit has the same principle of operation and indications for use as the predicate devices. The system is advanced through a sheath proximal to the target under imaging. The system is then manipulated to grab and reposition or grab and remove a foreign body. The intended use of the proposed device and the predicate device is the same: for use in the retrieval and manipulation of atraumatic foreign bodies located in the coronary and peripheral cardiovascular system and the extra-cranial neurovascular anatomy.

| | SUBJECT DEVICE | PRIMARY
PREDICATE DEVICE | REFERENCE
PREDICATE DEVICE |
|--------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| | Halo™ Single-Loop
Microsnare Kit | Amplatz Goose Neck
Microsnare | ONE Snare Endovascular
Microsnare System |
| Manufacturer | Argon Medical Devices | ev3 Inc. | Merit Medical Systems,
Inc. |
| 510(k) | TBD | K970668 | K142265 |
| Class | II | SAME | SAME |
| Classification Name | Device, Percutaneous
Retrieval | Catheter, Percutaneous | SAME |
| Regulation | 21 CFR 870.5150 | 21 CFR 870.1250 | SAME |
| Technical Characteristics Comparison | | | |
| Device Description | Each Halo Single-Loop
Microsnare kit consists of
(1) microsnare, (1)
microsnare catheter, (1)
introducer and (1) torque
handle. The microsnare
is constructed of a
flexible and radiopaque
loop. The pre-formed
microsnare loop can be
introduced through the
microsnare catheter
without risk of
microsnare deformation
because of the
microsnare's super-
elastic construction. The
microsnare catheter is
constructed of flexible
tubing and contains a
radiopaque marker band. | The Amplatz "GOOSE
NECK" Microsnare is a
percutaneous retrieval
and manipulation
device with a uniquely
shaped retriever loop.
The "GOOSE NECK"
Microsnare component
consists of a core wire,
with the "beak-like"
retriever loop mounted
at a right angle to the
axis of shaft at its distal
tip. The device is
primarily comprised of a
nickel-titanium alloy
allowing virtual kink-
resistance performance
during navigation and
retrieval of a foreign
object. | ONE Snare
Endovascular
Microsnare System
contains: (1) Snare, (1)
Snare Catheter, (1)
Insertion Tool and (1)
Torque Device. The
snare is constructed of
nitinol cable and a
gold-plated tungsten
loop. The pre-formed
snare loop can be
introduced through
catheters without risk
of snare deformation
because of the snare's
super-elastic
construction. The
snare catheter is
constructed of
polyether block amide
and contains a
platinum/iridium
radiopaque marker
band. |

5

Catheter, French Size3F2.3-3F2.3-3F
Catheter, working length
(cm)150 & 175SAMESAME
Catheter, compositionPebax tubing with
Platinum Iridium Marker
BandHDPE
Barium Sulfate
Platinum/Iridium
Marker Band
LDPE
TPXRT 18X B resinPolyether block amide
(Pebax)
Catheter Tip FlexibilityEquivalent per
Characterization TestingEquivalent per
Characterization TestingNot available
Snare Loop Diameter (mm)2, 4 & 7SAMESAME
Snare Length (cm)175 & 200SAMESAME
Snare Tip FlexibilityEquivalent per
Characterization TestingEquivalent per
Characterization TestingNot available
Snare compositionGold plated Tungsten coil
Nitinol Loop
Nitinol shaft
PTFE heat shrinkGold plated Tungsten
coil
Nitinol Loop
Nitinol shaft
PTFE heat shrinkGold plated tungsten
coil
Nitinol Loop
Nitinol shaft
Torque HandleYESSAMESAME
Introducer StylePeel-Away IntroducerIntroducerSAME
Single UseYESSAMESAME
Supplied SterileYESSAMESAME
Sterilization100% EtOSAMESAME

The Halo™ Single-Loop Microsnare Kit was subject to applicable testing to demonstrate equivalence, based upon the product performance, design and intended use.

Performance No performance standards have been established under section 514, Tests performance standards, of the Food, Drug and Cosmetic Act for (Non-Clinical): these devices. A series of testing was conducted in accordance with protocols based on requirements outlined in guidances and industry standards and the below were shown to meet the acceptance criteria that were determined to demonstrate substantial equivalence.

The following tests were performed under the specified testing parameters to support the Halo™ Single-Loop Microsnare Kit substantial equivalence.

Performance Testing, including:

  • Tensile strength ●
  • Liquid leakage
  • Air leakage
  • Corrosion Resistance
  • System Tip Flexibility

6

  • Tip Flexibility Microsnare & Microsnare Catheter ●
  • Snare Flexing & Fracture Test
  • Catheter Flexural Modulus
  • Catheter Kink Test
  • Marker Band Pull Test
  • Torque Strength Test
  • Simulative Use
  • Radiopacity
  • Particulate
  • Luer Testing
  • Shipping Test

Biocompatibility Testing, including:

  • Cytotoxicity (ISO 10993-5)
  • · Sensitization (ISO 10993-10)
  • · Intracutaneous Irritation (ISO 10993-10)
  • · Acute Systemic Toxicity (ISO 10993-11)
  • · Material Mediated Pyrogen (ISO 10993-11)
  • · Hemocompatibility (ISO10993-4)
    • O ASTM Hemolysis – Direct and Indirect Contact
    • Complement Activation, SC5b-9 O
    • Platelet and Leucocyte Counts O
    • Partial Thromboplastin Time (PTT) O

Substantial Based on the Indication for Use, design, and safety and performance testing, Equivalence: the Halo™ Single-Loop Microsnare Kit meets the requirements for its intended use and is substantially equivalent to the predicate devices. Conclusion: The results of all testing demonstrate that the Halo™ Single-Loop Microsnare Kits are substantially equivalent to the predicate devices.