K Number
K202366
Manufacturer
Date Cleared
2021-01-29

(163 days)

Product Code
Regulation Number
870.1210
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The MAGIC Infusion Catheter is intended for regional infusion of contrast materials into selected vessels in the neurovasculature. The MAGIC Infusion Catheter may be used for controlled, regional infusion into selected vessels and is not intended for use in the coronary vasculature.

Device Description

The MAGIC Infusion Catheters are microcatheters designed with progressive suppleness and a rigid proximal shaft to allow control and navigability in the vascular system. By their diameter and progressive suppleness features, these catheters are specifically designed for catheterization of small diameter, sinuous distal vessels. The catheter body and its distal tip (ring) are radiopaque to provide visibility under fluoroscopy. The MAGIC Infusion Catheter has an external hydrophilic coating which provides a lubricious surface during use. A PTFE coated mandrel is included inside the MAGIC Infusion Catheter to provide support during product preparation and insertion through the guide catheter. The MAGIC Infusion Catheters and accompanying support mandrels are provided sterile, non-pyrogenic, and intended for single use only.

AI/ML Overview

The provided document describes the MAGIC Infusion Catheter and its 510(k) summary. The study is a bench and biocompatibility testing designed to demonstrate substantial equivalence to a predicate device.

Here's the breakdown of the requested information:

1. Table of Acceptance Criteria and Reported Device Performance

Bench TestAcceptance CriteriaResults
Dimensional and Physical AttributesShall meet the required dimensional measurements and physical attributes per established specifications.PASS
Visual InspectionShall meet the established acceptance criteria for surface defects and contamination.PASS
Torque Strength TestCatheters shall withstand the established acceptance criteria for torque strength without breaking.PASS (Device integrity suitable for intended clinical use)
Catheter Tensile TestShall meet ISO 105551-1, Annex BPASS
Corrosion ResistanceShall meet ISO 105551-1, Annex APASS
Flow RateReference DataN/A (Note: Not an acceptance criterion for passing/failing)
Dynamic PressureCatheters shall withstand the maximum infusion pressure (as indicated on the product labeling) under dynamic conditions. (Adopted from ISO 105551-1)PASS (Device met maximum labeled infusion pressure)
Static Burst PressureCatheters shall withstand the maximum infusion pressure (as indicated on the product labeling) under static conditions. (Adopted from ISO 105551-1)PASS (Device integrity suitable for intended clinical use)
Pressure and Hub Test (Fluid Leakage)Catheters shall not leak when injected with water at the maximum infusion pressure (as indicated on the product labeling) for a 30 second duration.PASS (Device integrity suitable for intended clinical use)
Simulated Use / Coating Lubricity and DurabilityCatheters shall be tracked using a benchtop model under simulated use conditions per product IFU, and meet established acceptance criteria for product performance, trackability, coating lubricity and durability.PASS (Results comparable to predicate device)
Kink ResistanceCatheter body shall be wrapped around different pin gauges at various locations and meet the expected acceptance criteria for kink resistance. No kinks shall be noted during Simulated Use.PASS (Results comparable to predicate device)
RadiopacityMarker band shall be detectable under radiographic techniques. (Per ASTM F640-12)PASS
ParticulatesShall meet USP <788> criteria. No particulates shall be noted pre and post Simulated Use.PASS (Results comparable to predicate device)
Biocompatibility: Cytotoxicity – MEM Elution TestISO 10993-5 (implicitly: PASSED)PASSED
Biocompatibility: Cytotoxicity – Agar Overlay AssayISO 10993-5 (implicitly: PASSED)PASSED
Biocompatibility: Sensitization – Guinea Pig Maximization TestISO 10993-10 (implicitly: PASSED)PASSED
Biocompatibility: Irritation – Intracutaneous ReactivityISO 10993-10 (implicitly: PASSED)PASSED
Biocompatibility: Acute Systemic Toxicity – Systemic Injection TestISO 10993-11 (implicitly: PASSED)PASSED
Biocompatibility: Systemic Toxicity – Rabbit Pyrogen TestISO 10993-11 (implicitly: PASSED)PASSED
Biocompatibility: Hemocompatibility – HemolysisISO 10993-4 / ASTM F756 (implicitly: PASSED)PASSED
Biocompatibility: Hemocompatibility – Complement ActivationISO 10993-4 (implicitly: PASSED)PASSED
Biocompatibility: Hemocompatibility – Thrombogenicity: Canine ModelISO 10993-4 (implicitly: PASSED)PASSED
Biocompatibility: Hemocompatibility – Thrombogenicity: Partial Thromboplastin Time AssayISO 10993-4 / ASTM F2382-18 (implicitly: PASSED)PASSED
Biocompatibility: Hemocompatibility – Thrombogenicity: Platelet/Leukocyte Count AssayISO 10993-4 / ASTM F2888-19 (implicitly: PASSED)PASSED

2. Sample Size Used for the Test Set and Data Provenance

The document does not explicitly state the numerical sample sizes for each specific bench test. It generally refers to "the 1.2F MAGIC Infusion Catheter (subject device)" as being tested. For biocompatibility, it states "The 1.2F MAGIC Infusion Catheter was assessed for biocompatibility."

The provenance of the data is retrospective, as it refers to testing conducted on the subject device to demonstrate substantial equivalence to a previously cleared predicate device. The document does not specify the country of origin of the data beyond the applicant "Balt USA, LLC" being located in Irvine, CA, USA.

3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications of Those Experts

This information is not applicable to this type of device submission. The study describes physical and biological bench testing of a medical device, not a diagnostic or AI-powered device that requires expert-established ground truth from a test set of clinical images or data. The "ground truth" for these tests is defined by established engineering standards and biological testing protocols (e.g., ISO standards, ASTM standards, USP criteria).

4. Adjudication Method for the Test Set

This information is not applicable. Adjudication methods like 2+1 or 3+1 are used in studies involving expert readers for diagnostic accuracy. This submission relies on objective physical and biological measurements against predefined acceptance criteria.

5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done, and the Effect Size of How Much Human Readers Improve with AI vs. Without AI Assistance

This information is not applicable. This submission is for a physical medical device (infusion catheter) and does not involve AI or human readers for diagnostic interpretation.

6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) Was Done

This information is not applicable. This is not an AI-powered device.

7. The Type of Ground Truth Used

The ground truth for the bench tests is based on established engineering specifications, international standards (ISO 105551-1, ASTM F640-12, USP <788>), and biological testing protocols (ISO 10993-series, ASTM F756, ASTM F2382-18, ASTM F2888-19). These standards define the acceptable performance characteristics and biological response for such medical devices.

8. The Sample Size for the Training Set

This information is not applicable. This is not an AI/machine learning device, so there is no "training set."

9. How the Ground Truth for the Training Set Was Established

This information is not applicable as there is no training set for this type of device.

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Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health & Human Services logo on the left and the FDA logo on the right. The FDA logo is in blue and includes the letters "FDA" followed by the words "U.S. Food & Drug Administration".

January 29, 2021

Balt USA, LLC Corina Pierson Director of Regulatory Affairs 29 Parker Irvine, California 92618

Re: K202366

Trade/Device Name: MAGIC Infusion Catheter Regulation Number: 21 CFR 870.1210 Regulation Name: Continuous Flush Catheter Regulatory Class: Class II Product Code: KRA Dated: December 16, 2020 Received: December 21, 2020

Dear Corina Pierson:

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

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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 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) K202366

Device Name MAGIC Infusion Catheter

Indications for Use (Describe)

The MAGIC Infusion Catheter is intended for regional infusion of contrast materials into selected vessels in the neurovasculature. The MAGIC Infusion Catheter may be used for controlled, regional infusion into selected vessels and is not intended for use in the coronary vasculature.

Type of Use (Select one or both, as applicable)
☑ Prescription Use (Part 21 CFR 801 Subpart D)☐ Over-The-Counter Use (21 CFR 801 Subpart C)

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MAGIC INFUSION CATHETER 510(K) SUMMARY

This 510(k) summary for the MAGIC Infusion Catheter is submitted in accordance with the requirements of 21 CFR 807.87(h) and 807.92.

DATE PREPARED:December 11, 20201.5F MAGIC Infusion Catheter (K023351)(Predicate Device)1.2F MAGIC InfusionCatheter(Subject Device)
APPLICANT:Balt USA, LLC29 ParkerIrvine, CA, 92618 USAIndications for UseThe MAGIC Infusion Catheter is intended forregional infusion of contrast materials intoselected vessels in the neurovasculature. TheMAGIC Infusion Catheter may be used forcontrolled, regional infusion into selectedvessels and is not intended for use in thecoronary vasculature.Same
CONTACT PERSON:Corina Pierson, Director of Regulatory Affairscorina.pierson@baltgroup.com+1.949.788.1443Catheter BodyPVC, Polyamide, Bismuth CarbonateSame
TRADE NAME:MAGIC Infusion CatheterMandrelStainless Steel / Polystyene / Polyamide / PTFESame
COMMON NAME:Continuous flush catheterHydrophilicCoatingPolyurethane / Polymer / AlcoholPolyurethane / Polymer /Alcohol (minormodification to polymer +alcohol %)
CLASSIFICATIONNAME:Catheter, Continuous FlushStrain ReliefGrilamidSame
DEVICECLASSIFICATION:Class II, 21 CFR 870.1210HubGrilamidSame
PRODUCT CODE:KRAShaft length155 cm, 165cm155cm, 165cm, 180cm
PREDICATEDEVICE:MAGIC Infusion Catheter (K023351)Sizes1.5F and 1.8F1.2F, 1.5F and 1.8F
INDICATIONS FORUSE:The MAGIC Infusion Catheter is intended for regional infusion ofcontrast materials into selected vessels in the neurovasculature. TheMAGIC Infusion Catheter may be used for controlled, regionalinfusion into selected vessels and is not intended for use in thecoronary vasculature.Tip Marker BandPlatinum / iridiumPlatinum / iridium
DEVICEDESCRIPTION:The MAGIC Infusion Catheters are microcatheters designed withprogressive suppleness and a rigid proximal shaft to allow controland navigability in the vascular system. By their diameter andprogressive suppleness features, these catheters are specificallydesigned for catheterization of small diameter, sinuous distalvessels. The catheter body and its distal tip (ring) are radiopaque toprovide visibility under fluoroscopy. The MAGIC InfusionCatheter has an external hydrophilic coating which provides alubricious surface during use. A PTFE coated mandrel is includedinside the MAGIC Infusion Catheter to provide support duringproduct preparation and insertion through the guide catheter. TheMAGIC Infusion Catheters and accompanying support mandrelsCartonMultilayered, natural fiber compositesSame
PouchTyvek®Same
Shelf Life5 YearsSame
SterilizationEthylene Oxide (EO)Same
UseSingle UseSame

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are provided sterile, non-pyrogenic, and intended for single use only.

TECHNOLOGICAL CHARACTERISTICS:

The 1.2F MAGIC Infusion Catheter (subject device) is substantially equivalent to the predicate with respect to similar materials of construction, indications for use (intended use) and technological characteristics. A comparison of the Subject device with the Predicate is summarized in the table below.

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PERFORMANCE DATA [807.92(b)]

Bench testing was conducted to evaluate the performance of the 1.2F MAGIC Infusion Catheter (subject device). The successful test results establish device integrity suitable for its intended clinical use and support substantial equivalence to the 1.5F MAGIC Infusion Catheter (predicate device). See table below for the bench test summary results.

Bench TestAcceptance CriteriaResults
Dimensional andPhysical AttributesShall meet the required dimensional measurementsand physical attributes per establishedspecifications.PASS
Visual InspectionShall meet the established acceptance criteria forsurface defects and contamination.PASS
Torque Strength TestCatheters shall withstand the establishedacceptance criteria for torque strength withoutbreaking.PASSDevice integritysuitable for intendedclinical use
Catheter Tensile TestShall meet ISO 105551-1, Annex BPASS
Corrosion ResistanceShall meet ISO 105551-1, Annex APASS
Flow RateReference DataN/A
Dynamic PressureCatheters shall withstand the maximum infusionpressure (as indicated on the product labeling)under dynamic conditions.(Adopted from ISO 105551-1)PASSDevice metmaximum labeledinfusion pressure
Static Burst PressureCatheters shall withstand the maximum infusionpressure (as indicated on the product labeling)under static conditions.(Adopted from ISO 105551-1)PASSDevice integritysuitable for intendedclinical use
Pressure and Hub Test(Fluid Leakage)Catheters shall not leak when injected with waterat the maximum infusion pressure (as indicated onthe product labeling) for a 30 second duration.PASSDevice integritysuitable for intendedclinical use
Simulated Use /Coating Lubricity andDurabilityCatheters shall be tracked using a benchtop modelunder simulated use conditions per product IFU,and meet established acceptance criteria forproduct performance, trackability, coating lubricityand durability.PASSResults comparableto predicate device
Kink ResistanceCatheter body shall be wrapped around differentpin gauges at various locations and meet theexpected acceptance criteria for kink resistance.No kinks shall be noted during Simulated Use.PASSResults comparableto predicate device
Bench TestAcceptance CriteriaResults
RadiopacityMarker band shall be detectable underradiographic techniques.(Per ASTM F640-12)PASS
ParticulatesShall meet USP <788> criteriaNo particulates shall be noted pre and postSimulated Use.PASSResults comparableto predicate device

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Summary of Biocompatibility Testing

The 1.2F MAGIC Infusion Catheter was assessed for biocompatibility in accordance with ISO 10993-1 "Biological Evaluation of Medical Devices – Part 1: Evaluation of Testing within a Risk Management Process." The catheter is considered an externally communicating medical device with circulating blood contact for less than 24 hours. See table below for tests performed and results.

Biocompatibility TestTest MethodResults
Cytotoxicity– MEM Elution TestISO 10993-5PASSED
Cytotoxicity– Agar Overlay AssayISO 10993-5PASSED
Sensitization– Guinea Pig Maximization TestISO 10993-10PASSED
Irritation– Intracutaneous ReactivityISO 10993-10PASSED
Acute Systemic Toxicity– Systemic Injection TestISO 10993-11PASSED
Systemic Toxicity– Rabbit Pyrogen TestISO 10993-11PASSED
Hemocompatibility– HemolysisISO 10993-4 /ASTM F756PASSED
Hemocompatibility– Complement ActivationISO 10993-4PASSED
Hemocompatibility– Thrombogenicity: Canine ModelISO 10993-4PASSED
Hemocompatibility– Thrombogenicity: PartialThromboplastin Time AssayISO 10993-4 /ASTM F2382-18PASSED

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Biocompatibility TestTest MethodResults
Hemocompatibility- Thrombogenicity: Platelet/Leukocyte Count AssayISO 10993-4 /ASTM F2888-19PASSED

BASIS FOR DETERMINATION OF SUBSTANTIAL EQUIVALENCE

The data presented demonstrates that the technological characteristics of the subject device (1.2F MAGIC Infusion Catheter) are substantially equivalent to the technological characteristics of the previously cleared 1.5F MAGIC Infusion Catheter (K023351). Substantial equivalence is determined based on the following similarities:

  • Same intended use/indications for use; ●
  • Same principles of operation; ●
  • Same fundamental scientific technology; ●
  • Incorporates similar basic infusion catheter design; ●
  • Incorporates similar materials of construction.

CONCLUSION

Upon review of the performance data, intended use, design, materials of construction, principles of operation and fundamental scientific technologies, the 1.2F MAGIC Infusion Catheter (Subject device) is determined to be substantially equivalent to the 1.5F MAGIC Infusion Catheter (Predicate device) previously cleared under K023351. The information and data provided identify no new safety or effectiveness concerns. BALT USA believes that substantial equivalence has been demonstrated.

§ 870.1210 Continuous flush catheter.

(a)
Identification. A continuous flush catheter is an attachment to a catheter-transducer system that permits continuous intravascular flushing at a slow infusion rate for the purpose of eliminating clotting, back-leakage, and waveform damping.(b)
Classification. Class II (performance standards).