K Number
K203793
Date Cleared
2022-02-14

(413 days)

Product Code
Regulation Number
870.1220
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The RithmID-SD Steerable Diagnostic Electrophysiology Catheter can be used in the evaluation of a variety of cardiac arrhythmias from endocardial and intravascular sites.

Device Description

The RithmID-SD Steerable Diagnostic Electrophysiology Catheter are biocompatible, flexible, radiopaque electrophysiology catheters that are available in a variety of diameters, lengths, curve shapes, and electrode number and spacing configurations, with a high-torque shaft with an array of platinum iridium alloy electrodes at the distal tip that can be used for recording electrical signals. The catheter is designed to facilitate the electrophysiological mapping of the heart.

The RithmID-SD Steerable Diagnostic Electrophysiology Catheter consist of a handle, a shaft and a steerable diagnostic tip. The catheter is introduced through the sheath and into the femoral vein, from the inferior vena cava into the heart and coronary sinus. The RithmID-SD Steerable Diagnostic Electrophysiology Catheter are available in 6F in various curves, including B, D, Y, and R curves.

AI/ML Overview

The provided text is a 510(k) summary for a medical device called the "RithmID-SD Steerable Diagnostic Electrophysiology Catheter". This document focuses on demonstrating substantial equivalence to predicate devices, primarily through bench testing, biocompatibility testing, and comparisons of technical characteristics.

Here's an analysis of the acceptance criteria and the study that proves the device meets them, based on the provided text:

1. Table of Acceptance Criteria and Reported Device Performance

The document does not explicitly list acceptance criteria for each test in a separate column. Instead, for most tests, it states "All test samples met the acceptance criteria," indicating that the criteria were satisfied. The performance results are qualitative; for a few tests, comparative statements are made relative to the reference device.

Here's a compilation of the tests and their reported performance:

TestAcceptance Criteria (Implied)Reported Device Performance
Corrosion ResistanceNot explicitly stated, implied "met criteria"All test samples met the acceptance criteria.
Particulate Matter EvaluationNot explicitly stated, implied "met criteria"All test samples met the acceptance criteria and is equivalent to the Reference Device.
Radiopacity DetectabilityNot explicitly stated, implied "met criteria"All test samples met the acceptance criteria.
Signal AcquisitionNot explicitly stated, implied "met criteria"All test samples met the acceptance criteria.
UsabilityNot explicitly stated, implied "met criteria"All test samples met the acceptance criteria. The performance of the Subject Device is better or equivalent to the Reference Device.
Electrical SafetyNot explicitly stated, implied "met criteria"All test samples met the acceptance criteria.
Visual Inspection (Bench Testing)Not explicitly stated, implied "met criteria"All test samples met the acceptance criteria.
Dimensional VerificationNot explicitly stated, implied "met criteria"All test samples met the acceptance criteria.
Simulated UseNot explicitly stated, implied "met criteria"All test samples met the acceptance criteria.
Connection Plug ForceNot explicitly stated, implied "met criteria"All test samples met the acceptance criteria.
Tip Fatigue ToleranceNot explicitly stated, implied "met criteria"All test samples met the acceptance criteria.
Shaft Fatigue ToleranceNot explicitly stated, implied "met criteria"All test samples met the acceptance criteria.
Flexural Fatigue ToleranceNot explicitly stated, implied "met criteria"All test samples met the acceptance criteria.
Torsional ForceNot explicitly stated, implied "met criteria"All test samples met the acceptance criteria.
Electrode Conductor ResistanceNot explicitly stated, implied "met criteria"All test samples met the acceptance criteria.
Buckling ForceNot explicitly stated, implied "met criteria"All test samples met the acceptance criteria. The buckling force of the Subject Device is less than or equal to the Reference Device.
Peak Tensile ForceNot explicitly stated, implied "met criteria"All test samples met the acceptance criteria. The peak tensile force of the Subject Device was compared to the Reference Device.
Torque StrengthData comparison, not a pass/fail criterionThe average number of 360° rotations when permanent mechanical deformation occurs was recorded for the Subject Device and Reference Device. The torque strength of the Subject device is compared to the Reference Device for reference only.
Packaging Integrity (Distribution Sim.)ASTM D4169-16All test samples met the acceptance criteria per ASTM D4169-16.
Packaging Integrity (Visual Insp.)ASTM F1886/F1886M-16All test samples met the acceptance criteria per ASTM F1886/F1886M-16.
Packaging Integrity (Bubble Leak)ASTM F2096-11All test samples met the acceptance criteria per ASTM F2096-11.
Packaging Integrity (Tray Seal Strength)F88/F88M-15All test samples met the acceptance criteria per F88/F88M-15.
CytotoxicityNon-cytotoxic (ISO 10993-5)Non-cytotoxic
SensitizationNon-sensitizer (ISO 10993-10)Non-sensitizer
Intracutaneous ReactivityNon-irritant (ISO 10993-10)Non-irritant
Acute Systemic ToxicityNon-Toxic (ISO 10993-11)Non-Toxic
Systemic Toxicity (Pyrogenicity)Non-Pyrogenic (ISO 10993-11)Non-Pyrogenic
Hemocompatibility (Hemolysis)Non-Hemolytic (ISO 10993-4)Non-Hemolytic
Hemocompatibility (Thrombogenicity)Passed (ISO 10993-4)Passed
Hemocompatibility (Complement Act.)Non-Activator (ISO 10993-4)Non-Activator
Hemocompatibility (PTT)Passed (ISO 10993-4)Passed
Shelf Life (Accelerated Aging)Meets design specification at 1 yearAll acceptance criteria met; device performs as intended to Design Specification.
Sterilization (SAL)SAL of 10^-6Achieved a SAL of 10^-6.
EO and ECH ResidualsBelow limits specified in ISO 10993-7Below the limits specified in ISO 10993-7.
Bacterial Endotoxin Levels<20.0 EU/Device<20.0 EU/Device

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

The document consistently states "All test samples met the acceptance criteria" for various bench tests and indicates "All test samples" for packaging and sterilization validations. However, it does not specify the exact numerical sample size (e.g., "n=5" or "n=10") for any of these tests.

Regarding data provenance:

  • Country of Origin: Not specified in the provided text.
  • Retrospective or Prospective: The studies are described as "Performance Bench Testing and Animal Testing," "Biocompatibility Testing," "Accelerated Shelf-Life Testing," "Packaging validation," and "Sterilization validation." These are all standard types of prospective pre-market validation studies conducted specifically for regulatory submission, rather than retrospective data analysis.

3. Number of Experts Used to Establish Ground Truth and Qualifications

  • Not applicable for this device. This document describes the 510(k) submission for an electrophysiology catheter, not an AI/ML-driven diagnostic device. The performance data presented are primarily from physical, chemical, and biological bench tests and animal studies, not clinical studies involving human observers or interpretative tasks where "ground truth" would be established by experts like radiologists.

4. Adjudication Method for the Test Set

  • Not applicable. As stated above, this is not a study involving human interpretation or subjective assessments that would require adjudication.

5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

  • No, an MRMC study was not done. MRMC studies are typically conducted for imaging devices or AI algorithms where human readers' performance (with or without AI assistance) is evaluated. The RithmID-SD is a physical diagnostic catheter. The "Usability" test mentioned is likely a bench test or simulated use to assess the device's functional handling, not a human reader study.

6. Standalone (Algorithm Only) Performance

  • Not applicable. This device is a physical catheter, not an algorithm.

7. Type of Ground Truth Used

The "ground truth" for the device's performance is established by:

  • Engineering specifications and standards: For most bench tests (e.g., dimensional verification, electrical safety, fatigue tolerance, tensile force, buckling force), the "acceptance criteria" are derived from the device's design specifications and often relevant international standards for medical devices (though the specific standards beyond ISO 10993 for biocompatibility and ASTM for packaging aren't explicitly listed for every bench test).
  • Biocompatibility standards: ISO 10993 series for the biocompatibility tests.
  • Sterilization standards: For bacterial endotoxin levels and residuals (ISO 10993-7).
  • Animal testing: The document mentions "Animal Testing" and specifically for hemocompatibility, "Thrombogenicity in Canine (GLP)" was performed. This forms part of the "ground truth" for biocompatibility.
  • Physical measurements and objective criteria: For tests like torque strength, specific physical properties are measured.

8. Sample Size for the Training Set

  • Not applicable. This is a physical device, not an AI/ML algorithm that requires a "training set."

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

  • Not applicable. No training set was used.

{0}------------------------------------------------

Image /page/0/Picture/0 description: The image contains 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" stacked on top of each other.

February 14, 2022

Synaptic Medical Corporation Charles Yang Vice President of Quality and Regulatory Affairs 1817 Aston Ave, Suite 101 Carlsbad, California 92008

Re: K203793

Trade/Device Name: RithmID-SD Steerable Diagnostic Electrophysiology Catheter Regulation Number: 21 CFR 870.1220 Regulation Name: Electrode Recording Catheter Or Electrode Recording Probe Regulatory Class: Class II Product Code: DRF Dated: December 21, 2020 Received: December 28, 2020

Dear Charles Yang:

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,

Aneesh Deoras 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) K203793

Device Name

RithmID-SD Steerable Diagnostic Electrophysiology Catheter

Indications for Use (Describe)

The RithmID-SD Steerable Diagnostic Electrophysiology Catheter can be used in the evaluation of a variety of cardiac arrhythmias from endocardial and intravascular sites.

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)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

This section applies only to requirements of the Paperwork Reduction Act of 1995.

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

{3}------------------------------------------------

RithmID-SD Steerable Diagnostic Electrophysiology Catheter 510(k) Summary

This 510(k) Summary for the RithmID-SD Electrophysiology Catheter is submitted in accordance with the requirements of 21 CFR 807.87(h) and 807.92 and following the recommendation outlined in FDA Guidance, The 510(k) Program: Evaluating Substantial Equivalence in Premarket Notification [510(k)], dated 28 July, 2014.

SUBMITTER [807.92(a)(1)]

Synaptic Medical Corporation 1817 Aston Ave Suite 101 Carlsbad CA 92008

Contact Person:Charles Yang
Telephone:760-608-8388
E-mail:Charles.yang@synapticmed.com
Date prepared:January 2, 2022

DEVICE [807.92(a)(2)]

Trade/Device Name:RithmID-SD Steerable Diagnostic Electrophysiology Catheter
Common/Generic Name:Diagnostic Electrophysiology Catheter
Regulation Name:Electrode Recording Catheter
Product Code:DRF
Regulatory Class:Class II
Submission Type:Traditional 510(k)
Regulation Number:21 C.F.R. 870.1220
Reviewing Product Branch:Division of Cardiovascular DevicesOffice of Device Evaluation, CDRH

PREDICATE DEVICE [807.92(a)(3)]

Map-ItTM Diagnostic Mapping Catheters (K160390)

REFERENCE DEVICE

InquiryTM Steerable Diagnostic Catheter (K961924)

{4}------------------------------------------------

DEVICE DESCRIPTION [807.92(a)(4)]

The RithmID-SD Steerable Diagnostic Electrophysiology Catheter are intended to be used in the evaluation of a variety of cardiac arrhythmias from endocardial and intravascular sites. The RithmID-SD Steerable Diagnostic Electrophysiology Catheter are biocompatible, flexible, radiopaque electrophysiology catheters that are available in a variety of diameters, lengths, curve shapes, and electrode number and spacing configurations, with a high-torque shaft with an array of platinum iridium alloy electrodes at the distal tip that can be used for recording electrical signals. The catheter is designed to facilitate the electrophysiological mapping of the heart.

The RithmID-SD Steerable Diagnostic Electrophysiology Catheter consist of a handle, a shaft and a steerable diagnostic tip. The catheter is introduced through the sheath and into the femoral vein, from the inferior vena cava into the heart and coronary sinus. The RithmID-SD Steerable Diagnostic Electrophysiology Catheter are available in 6F in various curves, including B, D, Y, and R curves.

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

The RithmID-SD Steerable Diagnostic Electrophysiology Catheter can be used in the evaluation of a variety of cardiac arrhythmias from endocardial and intravascular sites.

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

The technological characteristics of the RithmID-SD Steerable Diagnostic Electrophysiology Catheter is highly analogous to the technological characteristics of the Map-It™ Diagnostic Mapping Catheters (Predicate Device, K160390) and Inquiry™ Steerable Diagnostic Catheter (Reference Device, K961924). Substantial equivalence is determined based on the following similarities:

  • . Same intended use/indications for use
  • Same principle of operation ●
  • Same fundamental scientific technology .
  • Incorporate similar catheter construction material ●
  • Incorporate similar basic catheter design .

Table 1 comprises the comparison among RithmID-SD Steerable Diagnostic Electrophysiology Catheter (Subject Device), Map-It™ Diagnostic Mapping Catheters (Predicate Device, K160390), and Inquiry™ Steerable Diagnostic Catheter (Reference Device, K961924)

{5}------------------------------------------------

Table 1: Predicate Device, Reference Device vs. Subject Device Comparison

Feature[Predicate Device]Map-It™ Diagnostic MappingCathetersK160390[Reference Device]Inquiry™ Steerable DiagnosticCatheterK961924[Subject Device]RithmID-SD Steerable DiagnosticElectrophysiology Catheter
Product CodeDRFDRFSame as Predicate Device and ReferenceDevice
Regulatory ClassIIIISame as Predicate Device and ReferenceDevice
RegulationNumber21 CFR 870.122021 CFR 870.1220Same as Predicate Device and ReferenceDevice
Regulation NameElectrode Recording CatheterElectrode Recording CatheterSame as Predicate Device and ReferenceDevice
Generic NameDiagnostic Electrophysiology CatheterDiagnostic Electrophysiology CatheterSame as Predicate Device and ReferenceDevice
Indications for UseStatementThe APT Map-It™ diagnostic MappingCatheters can be used in the evaluationof a variety of cardiac arrhythmiasfrom endocardial and intravascularsites.The Inquiry fixed curve and steerableelectrophysiology catheters are used forelectrogram recording and cardiacstimulation during diagnosticelectrophysiology studies. The cathetersare commonly placed at the high rightatrium, right ventricular apex, and HISbundle.The RithmID-SD Steerable DiagnosticElectrophysiology Catheter can be used inthe evaluation of a variety of cardiacarrhythmias from endocardial andintravascular sites.
Intended UseIntended to facilitate theelectrophysiological mapping of theheart.Intended to facilitate theelectrophysiological mapping of theheart.Same as Predicate Device and ReferenceDevice
Feature[Predicate Device]Map-It™ Diagnostic MappingCathetersK160390[Reference Device]Inquiry™ Steerable DiagnosticCatheterK961924[Subject Device]RithmID-SD Steerable DiagnosticElectrophysiology Catheter
ComponentHandle Shaft Steerable diagnostic tipNot ListedHandle Shaft Steerable diagnostic tip
Effective Length1100 mmNot Listed1050 mm
Number ofElectrodes4/5/10/20Not Listed4/6/10
French Size4F/5F/6F/7FBetween 5F and 8F6F
Outer Diameter4F, 5F, 6F, 7FFixed Catheters: 4/3.3F, 4F, 5F, and6F sizes with a 0.026" guidewire tipconfigurationNot Listed6F
Tip FormElectrode tip on all models except theguidewire tip and PV loopconfigurationNot ListedElectrode Tip
Ring ElectrodeWidth0.6mm/1mm/2mmNot Listed1.25 mm
Feature[Predicate Device]Map-It™ Diagnostic MappingCathetersK160390[Reference Device]Inquiry™ Steerable DiagnosticCatheterK961924[Subject Device]RithmID-SD Steerable DiagnosticElectrophysiology Catheter
ConfigurationCable connector and handle Pt-Ir Electrodes (4-20), various widths Shaft 4F to 7F Thermoplastic elastomer Strain reinforcement shrink tubing Various CurvesNot ListedCable connector and handle Pt-Ir Electrodes (4 to 10) Shaft 6F Thermoplastic elastomer Strain reinforcement shrink tubing Various Curves
MaterialPEBAX catheter shaft,Platinum-iridium electrodes andelectrical connectorsNot ListedShaft (main tube): PEBAX 7033 Tip Tubing: PEBAX 5533, PEBAX6333, or PEBAX 4033 Electrodes (Ring & Tip): Pt/Ir alloy Adhesive: Loctite 4311
SterilizationEthylene OxideEthylene OxideSame as Predicate Device and ReferenceDevice
Method of SupplySterile and Single UseSterile and Single UseSame as Predicate Device and ReferenceDevice

{6}------------------------------------------------

{7}------------------------------------------------

{8}------------------------------------------------

PERFORMANCE DATA [807.92(b)]

Performance Bench Testing and Animal Testing: Results of the performance bench testing (Table 2) indicate that RithmID-SD Steerable Diagnostic Electrophysiology Catheter meets established performance requirements and is substantially equivalent for its intended use.

Performance Bench Testing
TestsResults
CorrosionResistanceAll test samples met the acceptance criteria.
ParticulateMatterEvaluationAll test samples met the acceptance criteriaand is equivalent to the Reference Device.
RadiopacityDetectabilityAll test samples met the acceptance criteria.
SignalAcquisitionAll test samples met the acceptance criteria.
UsabilityAll test samples met the acceptance criteria.The performance of the Subject Device isbetter or equivalent to the Reference Device.
Electrical SafetyAll test samples met the acceptance criteria.
Visual InspectionAll test samples met the acceptance criteria.
DimensionalVerificationAll test samples met the acceptance criteria.
Simulated UseAll test samples met the acceptance criteria.
Connection PlugForceAll test samples met the acceptance criteria.
Tip FatigueToleranceAll test samples met the acceptance criteria.
Shaft FatigueToleranceAll test samples met the acceptance criteria.
Flexural FatigueToleranceAll test samples met the acceptance criteria.
Torsional ForceAll test samples met the acceptance criteria.
ElectrodeConductorResistanceAll test samples met the acceptance criteria.
Buckling ForceAll test samples met the acceptance criteria.The buckling force of the Subject Device isless than or equal to the Reference Device.
Peak TensileForceAll test samples met the acceptance criteria.The peak tensile force of the Subject Devicewas compared to the Reference Device.
Torque StrengthThe average number of 360° rotations whenpermanent mechanical deformation occurswas recorded for the Subject Device andReference Device.The torque strength of the Subject device iscompared to the Reference Device forreference only.
Packaging Integrity
DistributionSimulationAll test samples met the acceptance criteriaper ASTM D4169-16.
Visual InspectionAll test samples met the acceptance criteriaper ASTM F1886/F1886M-16
Bubble Leak TestAll test samples met the acceptance criteriaper ASTM F2096-11.
Tray SealStrengthAll test samples met the acceptance criteriaper F88/F88M-15.

Table 2: Performance Bench Testing Summary

{9}------------------------------------------------

{10}------------------------------------------------

Biocompatibility: Results of the biocompatibility testing (Table 3) indicate that RithmID-SD Steerable Diagnostic Electrophysiology Catheter is biocompatible and is substantially equivalent for its intended use.

TestConclusion
Cytotoxicity – MEM ElutionAssayISO 10993-5Non-cytotoxic
Sensitization - ISO Guinea PigMaximization (2 Extracts)ISO 10993-10Non-sensitizer
Intracutaneous Reactivity – ISOIntracutaneous Study in Rabbits(2 Extracts)ISO 10993-10Non-irritant
Acute Systemic Toxicity – ISOAcute Systemic Toxicity Study inMice (2 Extracts)ISO 10993-11Non-Toxic
Systemic Toxicity – ISO MaterialsMediated Pyrogenicity in RabbitsISO 10993-11Non-Pyrogenic
Hemocompatibility – HemolysisAssay (Direct and Indirect)ISO 10993-4Non-Hemolytic
Hemocompatibility – ISOThrombogenicity in Canine(GLP)Passed
ISO 10993-4
Hemocompatibility –Complement Activation SC5b-9AssayISO 10993-4Non-Activator
Hemocompatibility – ISO PartialThromboplastin Time (PTT)AssayISO 10993-4Passed

Table 3: Biocompatibility Test Summary

{11}------------------------------------------------

Shelf life: The accelerated shelf-life testing for RithmID-SD Steerable Diagnostic Electrophysiology Catheter has been conducted (t=1 year accelerated aging) with test results confirmed that all acceptance criteria were met. No new questions of safety or effectiveness were raised. Based on the results, we can conclude that RithmID-SD Steerable Diagnostic Electrophysiology Catheter will perform as intended to the Design Specification. RithmID-SD Steerable Diagnostic Electrophysiology Catheter is labeled for 1-year shelf life.

Packaging: The packaging validation, t=1 year accelerated aging was performed on the RithmID-SD Steerable Diagnostic Electrophysiology Catheter. The results from packaging testing conducted on RithmID-SD Steerable Diagnostic Electrophysiology Catheter showed that the acceptance criteria were met. Therefore, we can conclude the RithmID-SD Steerable Diagnostic Electrophysiology Catheter packaging will provide the adequate and effective protection and sterile barrier requirements.

Sterilization: RithmID-SD Steerable Diagnostic Electrophysiology Catheter is sterilized using 100% Ethylene Oxide (EO) gas in the same manner as FDA cleared Predicate Device, Map-It™ Diagnostic Mapping Catheters (K160390) and Reference Device, Inquiry™ Steerable Diagnostic Catheter (K961924). RithmID-SD Steerable Diagnostic Electrophysiology Catheter is sold sterile, for single use, and single patient only. The sterilization results showed that the stylization dose and routine sterilization process was validated to achieve a SAL of 106 for the RithmID-SD Steerable Diagnostic Electrophysiology Catheter.

{12}------------------------------------------------

Test DescriptionResults
Original SterilizationValidation and AdoptionThe validation study demonstrated that the sterilizationprocess and equipment are capable of reliably andconsistently sterilizing the device to a minimum SAL of 10-6.
The sterilization adoption study demonstrated theappropriateness of the ethylene oxide sterilization process forthe subject device family. The subject device family wasadopted to the original validated sterilization cycleparameters and chambers.
EO and ECH ResidualsThe residual traces of EO and ECH for the subject device arebelow the limits specified in ISO 10993-7.
Bacterial Endotoxin Levels<20.0 EU/Device

CONCLUSIONS

RithmID-SD Steerable Diagnostic Electrophysiology Catheter met all specified criteria. We conclude that the Subject Device, RithmID-SD Steerable Diagnostic Electrophysiology Catheter, is substantially equivalent in its intended use, design, material, performance, and the underlying fundamental scientific technology used, to the Predicate Device, Map-It™ Diagnostic Mapping Catheters (K160390) and the Reference Device, Inquiry™ Steerable Diagnostic Catheter (K961924).

§ 870.1220 Electrode recording catheter or electrode recording probe.

(a)
Identification. An electrode recording catheter or an electrode recording probe is a device used to detect an intracardiac electrocardiogram, or to detect cardiac output or left-to-right heart shunts. The device may be unipolar or multipolar for electrocardiogram detection, or may be a platinum-tipped catheter which senses the presence of a special indicator for cardiac output or left-to-right heart shunt determinations.(b)
Classification. Class II (performance standards).