K Number
K201720
Device Name
LiPPS Analyzer, LiPPS Wire Pressure Guide Wire
Date Cleared
2021-02-18

(240 days)

Product Code
Regulation Number
870.1330
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
LiPPS™ Intravascular Pressure Sensing System is intended to be used in an environment like cathlab and for use in blood vessels, including coronary and peripheral vessels, to measure intravascular pressure during angiography and/or interventional procedures. Pressurements are obtained to provide hemodynamic information, such as fractional flow reserve, for the diagnosis and treatment of blood vessel diseases.
Device Description
The subject device LiPPSTM Intravascular Pressure Sensing System contains H2000 LiPPS™ Analyzer and LiPPS™ Wire Pressure Guide Wire. The LiPPS™ Wire Pressure Guide Wire is used together with the H2000 LiPPS™ Analyzer in order to measure intravascular pressure. The LiPPS™ Wire contains an optical sensor and an optical fiber to induce the blood pressure and transmit signal. The LiPPS™ Wire can be connected to the analyzer through the companied handle (with an optical cable and an optical connector). The LiPPS™ Analyzer is an electronic signal processing and display units which can process signals received from the LiPPSTM Wire to display intravascular blood pressure and fractional flow reserve (FFR) values, and various connection cables. LiPPS™ Wire and companied handle (with an optical cable and an optical connector) are sterile, single-use devices. The LiPPS™ Analyzer and its accessories are reusable.
More Information

Not Found

No
The description focuses on optical sensing and electronic signal processing for pressure measurement and FFR calculation, with no mention of AI or ML.

No.
The device measures intravascular pressure to provide hemodynamic information for diagnosis and treatment, but it does not directly perform therapy itself.

Yes

The device measures intravascular pressure and provides hemodynamic information such as fractional flow reserve, which is used for the diagnosis of blood vessel diseases.

No

The device description explicitly details hardware components, including a pressure guide wire with an optical sensor and fiber, a handle with an optical cable, and an electronic signal processing and display unit (the Analyzer). This is not a software-only device.

Based on the provided information, the LiPPS™ Intravascular Pressure Sensing System is not an In Vitro Diagnostic (IVD) device.

Here's why:

  • IVD Definition: In Vitro Diagnostics are devices intended for use in the examination of specimens derived from the human body (such as blood, urine, tissue) to provide information for diagnostic, monitoring, or compatibility purposes. This examination is performed outside of the living body (in vitro).
  • LiPPS™ System Function: The LiPPS™ system directly measures intravascular pressure within the blood vessels of a living patient (in vivo). It does not analyze specimens taken from the body.
  • Intended Use: The intended use clearly states it's for use in blood vessels to measure intravascular pressure during procedures, providing hemodynamic information for diagnosis and treatment of blood vessel diseases. This is a direct physiological measurement within the body.

Therefore, the LiPPS™ Intravascular Pressure Sensing System falls under the category of a medical device used for physiological measurement and diagnosis in vivo, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

LiPPSTM Intravascular Pressure Sensing System is intended to be used in an environment like cathlab and for use in blood vessels, including coronary and peripheral vessels, to measure intravascular pressure during angiography and/or interventional procedures. Pressurements are obtained to provide hemodynamic information, such as fractional flow reserve, for the diagnosis and treatment of blood vessel diseases.

Product codes

DOX, DXO

Device Description

The subject device LiPPSTM Intravascular Pressure Sensing System contains H2000 LiPPS™ Analyzer and LiPPS™ Wire Pressure Guide Wire.

The LiPPS™ Wire Pressure Guide Wire is used together with the H2000 LiPPS™ Analyzer in order to measure intravascular pressure. The LiPPS™ Wire contains an optical sensor and an optical fiber to induce the blood pressure and transmit signal. The LiPPS™ Wire can be connected to the analyzer through the companied handle (with an optical cable and an optical connector). The LiPPS™ Analyzer is an electronic signal processing and display units which can process signals received from the LiPPSTM Wire to display intravascular blood pressure and fractional flow reserve (FFR) values, and various connection cables. LiPPS™ Wire and companied handle (with an optical cable and an optical connector) are sterile, single-use devices. The LiPPS™ Analyzer and its accessories are reusable.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

blood vessels, including coronary and peripheral vessels

Indicated Patient Age Range

Not Found

Intended User / Care Setting

cathlab

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)

Bench test were conducted to verify that the subject device met all design specifications, as was Substantially Equivalent (SE) to the predicate device.

The H2000 LiPPS™ Analyzer in subject device is tested per the following standard, to evaluate its performance. The test results demonstrated that the proposed device comply with the standard requirements.

  • IEC 60601-1:2005+AMD1:2012 Medical electrical equipment - Part 1: General requirements for basic safety and essential performance
  • IEC 60601-1-2:2014 Medical Electrical Equipment - Part 1-2: General Requirements For Basic Safety And Essential Performance - Collateral Standard: Electromagnetic Disturbances -Requirements And Tests
  • IEC 60601-2-34:2011 Medical Electrical Equipment - Part 2-34: Particular Requirements For The Basic Safety, Including Essential Performance, Of Invasive Blood Pressure Monitoring Equipment

The software embedded in H2000 LiPPS™ Analyzer has been developed, documented and validated in accordance with industry standards (IEC 62304 - Medical device software - Software life cycle processes) and FDA guidance (GUIDANCE FOR THE CONTENT OF PRE-MARKET SUBMISSIONS FOR SOFTWARE CONTAINED IN DEVICES).

The LiPPS™ Wire Pressure Guide Wire in subject device is sterilized to a 10 o SAL using an ethylene oxide process that has been validated in accordance with ISO 11135.

The LiPPS™ Wire Pressure Guide Wire in subject device is tested per the following standard, to evaluate its performance. The test results demonstrated that the proposed device comply with the standard requirements.

  • ISO 11070:2014 Sterile single-use intravascular introducers, dilators and guidewires

The following items are tested:

  1. Dimensions
  2. Visual Inspection
  3. Tensile Strength and Tip Pull
  4. Torque Strength (Turns to Failure)
  5. Torqueability
  6. Coating Integrity
  7. Particulate Evaluation
  8. Lubricity
  9. Corrosion Resistance
  10. Kink Resistance
  11. Fracture
  12. Flexing
  13. Tip flexibility
  14. Radiopacity
  15. Accuracy
  16. Optical contrast of Interferogram
  17. Zero drift/ Zero thermal effect/Sensitivity thermal effect
  18. Connection / disconnection test

The LiPPS™ Wire Pressure Guide Wire in subject device was assessed against the International Standard ISO 10993-1, "Biological evaluation of medical devices. Part 1. Guidance on selection of tests." The LiPPS™ Wire Pressure Guide Wire in subject device would be classified as an External Communicating Device in contact with the Circulating Blood for a Limited Duration ()

  • ASTM Hemolysis Study Direct Contact and Indirect Contact (Standard: ISO 10993-4, ASTM F756)
  • Partial Thromboplastin Time Study (Standard: ASTM F2382)
  • In Vivo Thromboresistance Study in the Dog NAVI Mode (Standard: ISO 10993-4, ASTM F2382)
  • Complement Activation (Standard: ISO 10993-4)
  • Platelet Leukocyte Count Study (Standard: ASTM F2888)

Part 2: Pressure Guide Wire (LiPPS Wire, in vitro part)

  • Cytotoxicity Study using MTT Method (Standard: ISO 10993-5)
  • ISO Guinea Pig Maximization Sensitization Test (Standard: ISO 10993-10)
  • ISO Intracutaneous Study in Rabbits (Standard: ISO 10993-10)

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

  • Pressure range (analyzer): -30 to 300mmHg
  • Pressure range (guide wire): -300 to 300mmHg
  • Accuracy: ± 1mmHg plus ± 1% of reading (over the range -30 to 50mmHg) or ± 1mmHg plus ± 3% of reading (over the range 50 to 300 mmHg)
  • Zero thermal effect:

§ 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.

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Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and 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.

February 18, 2021

Beijing Bywave Sensing Medical Technology Co., Ltd. Lizhe Zhang General Manager Room 501, Buildinctg 22, No.12, Juyuan Middle Road, Mapo Town, Shunyi District Beijing, Beijing 101399 China

Re: K201720

Trade/Device Name: LiPPSTM Intravascular Pressure Sensing System Regulation Number: 21 CFR 870.1330 Regulation Name: Catheter Guide Wire Regulatory Class: Class II Product Code: DOX, DXO Dated: January 13, 2021 Received: January 21, 2021

Dear Lizhe Zhang:

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

1

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 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,

LT Stephen Browning Assistant Director Division of Cardiac Electrophysiology, Diagnostics and Monitoring Devices 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) K201720

Device Name

LiPPSTM Intravascular Pressure Sensing System

Indications for Use (Describe)

LiPPS™ Intravascular Pressure Sensing System is intended to be used in an environment like cathlab and for use in blood vessels, including coronary and peripheral vessels, to measure intravascular pressure during angiography and/or interventional procedures. Pressurements are obtained to provide hemodynamic information, such as fractional flow reserve, for the diagnosis and treatment of blood vessel diseases.

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)

X Prescription Use (Part 21 CFR 801 Subpart D)

he-Counter Use (21 CFR 801 Subpart C)

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Section 5: 510(K) Summary

This summary of 510(K) safety and effectiveness information is submitted in accordance with the requirements of SMDA 1900 and 21 CFR 807.92.

The assigned 510(K) Number: K201720

ડ. 510(K) Summary

5.1. Date of Preparation: 22nd, May, 2020

5.2. Sponsor

Beijing Bywave Sensing Medical Technology Co., Ltd. Room 501, Building 22, No. 12, Juyuan Middle Road, Mapo Town, Shunyi District Beijing, P. R. China Tel: (86)10-82890879 Fax: (86)10-82890879

Contact Person: Lizhe Zhang Position: General Manager Email: zhanglizhe@bws-tech.com

5.3. Subject Device Identification

Subject Device Name: LiPPSTM Intravascular Pressure Sensing System Common name: Intravascular Pressure Sensing System Classification Name(s): Catheter Tip Pressure Transducer/ Catheter Guide Wire Product Code: DXO, DQX Regulation Number: 21 CFR 870.2870/ 21 CFR 870.1330 Review Panel: Cardiovascular Classification: II

5.4. Predicate Device

510(k) Number: K142598 Device Name: OptoWire and OptoMonitor System Manufacturer: Opsens, Inc. 510(k) Number: K111395 Device Name: PrimeWire PRESTIGE® Plus Pressure Guide Wire Manufacturer: Volcano Corporation

5.5. Indications for use:

LiPPS™ Intravascular Pressure Sensing System is intended to be used in an environment like cathlab and for use in blood vessels, including coronary and peripheral vessels, to measure intravascular pressure during angiography and/or interventional procedures. Pressure measurements are obtained

4

to provide hemodynamic information, such as fractional flow reserve, for the diagnosis and treatment of blood vessel diseases.

5.6. Device Description

The subject device LiPPSTM Intravascular Pressure Sensing System contains H2000 LiPPS™ Analyzer and LiPPS™ Wire Pressure Guide Wire.

The LiPPS™ Wire Pressure Guide Wire is used together with the H2000 LiPPS™ Analyzer in order to measure intravascular pressure. The LiPPS™ Wire contains an optical sensor and an optical fiber to induce the blood pressure and transmit signal. The LiPPS™ Wire can be connected to the analyzer through the companied handle (with an optical cable and an optical connector). The LiPPS™ Analyzer is an electronic signal processing and display units which can process signals received from the LiPPSTM Wire to display intravascular blood pressure and fractional flow reserve (FFR) values, and various connection cables. LiPPS™ Wire and companied handle (with an optical cable and an optical connector) are sterile, single-use devices. The LiPPS™ Analyzer and its accessories are reusable.

5

K201720

ItemSubject DevicePredicate Device 1Predicate Device 2Remark
LiPPSTM Intravascular
Pressure Sensing SystemOptoWire and
OptoMonitor System
(K142598 Opsens, Inc.)PrimeWire PRESTIGE®
Plus Pressure Guide Wire
(K111395 Volcano Corp.)
Device
Common/Usual
NameLiPPSTM Intravascular Pressure
Sensing SystemIntravascular Pressure
Monitoring SystemPrimeWire PRESTIGE® Plus
Pressure Guide Wire/
Device ClassClass IIClass IIClass IISE
Product Code/
Regulation NumberDXO, DQX
21 CFR 870.2870/ 21 CFR
870.1330DXO, DQX
21 CFR 870.2870/ 21 CFR
870.1330DXO, DQX
21 CFR 870.2870/ 21 CFR
870.1330SE
Classification
Name(s)Catheter Tip Pressure Transducer
Catheter Guide WireCatheter Tip Pressure Transducer
Catheter Guide WireCatheter Tip Pressure Transducer
Catheter Guide WireSE
Indications for useLiPPSTM Intravascular Pressure
Sensing System is intended to be
used in an environment like cathlab
and for use in blood vessels,
including coronary and peripheral
vessels, to measure intravascular
pressure during angiography and/or
interventional procedures. Pressure
measurements are obtained to
provide hemodynamic information,
such as fractional flow reserve, for
the diagnosis and treatment of
blood vessel diseases.To measure pressure in blood
vessels including both coronary
and peripheral vessels, during
diagnostic angiography and/or
other any interventional
procedures. Blood pressure
measurements provide
hemodynamic information, such
as fractional flow reserve, for the
diagnosis and treatment of blood
vessel disease.The Prime Wire PRESTIGE® Plus
Pressure Guide Wire Device is
indicated for use to measure
pressure in blood vessels including
both coronary and peripheral
vessels, during diagnostic
angiography and/or any
interventional procedures. Blood
pressure measurements provide
hemodynamic information for the
diagnosis and treatment of blood
vessel disease.No substantial
difference
Intended useto measure intravascular pressureTo measure pressure ... duringto measure pressure ... duringThough expressed
ItemSubject Device
LiPPSTM Intravascular
Pressure Sensing SystemPredicate Device 1
OptoWire and
OptoMonitor System
(K142598 Opsens, Inc.)Predicate Device 2
PrimeWire PRESTIGE®/
Plus Pressure Guide Wire
(K111395 Volcano Corp.)Remark
during angiography and/or
interventional proceduresdiagnostic angiography and/or
other any interventional
procedures.diagnostic angiography and/or any
interventional procedurein different
wording, the
subject device has
same intended
purpose with
predicate devices.
SE
System ComponentsSterile, disposable guidewire
Reusable signal processor /
monitor
Embedded software
Connecting cablesSterile, disposable guidewire
Reusable signal processor /
monitor
Embedded software
Connecting cablesSterile, disposable guidewireSE with predicate
device K142598.
Predicate device
K111395 is only a
pressure guide
wire.
System CapabilitiesMeasurement of intravascular
blood pressure including FFR.Measurement of intravascular
blood pressure including FFR.Measurement of intravascular
blood pressure and flow including
FFR (when used with
pressure/flow system)SE
Prescription UseRx OnlyRx OnlyRx OnlySE
Pressure Sensing &
Signal Transmission
TechnologyFiberoptic sensor & fiber bundle
embedded in guidewireFiberoptic sensor & fiber bundle
embedded in guidewireHard wired strain gauge
embedded in guidewireNo substantial
difference
Sterile, Single Use
Patient
Contact
Component?Yes –LiPPSTM Wire Pressure
Guide WireYes - OptoWireYes - PrimeWire Prestige PlusSE
ItemSubject DevicePredicate Device 1Predicate Device 2Remark
LiPPSTM Intravascular
Pressure Sensing SystemOptoWire and
OptoMonitor System
(K142598 Opsens, Inc.)PrimeWire PRESTIGE®
Plus Pressure Guide Wire
(K111395 Volcano Corp.)
FFR Capability?YesYesYesSE
FFR ViewingYesYesN/ASE with predicate
device K142598
Predicate device
K111395 is only a
pressure guide
wire.
Basis for FFR
DeterminationSimultaneous acquisition of 2
pressure values: distal pressure
from sensor embedded in LiPPSTM
Wire Pressure Guide Wire; aortic
pressure from external pressure
transducerSimultaneous acquisition of 2
pressure values: distal pressure
from sensor embedded in
OptoWire; aortic pressure from
external pressure transducerSimultaneous acquisition of 2
pressure values: distal pressure
from sensor embedded in
PrimeWire; aortic pressure from
external pressure transducerSE
Pressure range
(analyzer)-30 to 300mmHg-30 to 300mmHgN/ASE with predicate
device K142598
Predicate device
K111395 is only a
pressure guide
wire.
Pressure range
(guide wire)-300 to 300mmHg-300 to 300mmHgUnknownSE
Accuracy$\pm$ 1mmHg plus $\pm$ 1% of reading
(over the range -30 to 50mmHg) or
$\pm$ 1mmHg plus $\pm$ 3% of reading
(over the range 50 to 300 mmHg)$\pm$ 1 mmHg plus $\pm$ 1% of
reading (pressure range -30 to 50
mmHg)
or $\pm$ 3% of reading (pressureUnknownSE with predicate
device K142598.
ItemSubject Device
LiPPSTM Intravascular
Pressure Sensing SystemPredicate Device 1
OptoWire and
OptoMonitor System
(K142598 Opsens, Inc.)
range 50 to 300 mmHg)Predicate Device 2
PrimeWire PRESTIGE®
Plus Pressure Guide Wire
(K111395 Volcano Corp.)Remark
Zero thermal effect
ASTM Hemolysis Study Direct Contact and
Indirect ContactISO 10993-4
ASTM F756
Partial Thromboplastin Time StudyASTM F2382
In Vivo Thromboresistance Study in the Dog
NAVI ModeISO 10993-4
ASTM F2382
Complement ActivationISO 10993-4
Platelet Leukocyte Count StudyASTM F2888

Part 2: Pressure Guide Wire (LiPPS Wire, in vitro part)

TestStandard
Cytotoxicity Study using MTT MethodISO 10993-5
ISO Guinea Pig Maximization SensitizationISO 10993-10
Test
ISO Intracutaneous Study in RabbitsISO 10993-10

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5.9. Substantially Equivalent Conclusion

The subject device, LiPPS™ Intravascular Pressure Sensing System, is determined to be Substantially Equivalent (SE) to the predicate device, in respect of safety and effectiveness.