K Number
K211594
Device Name
Trevo Trak 21 Microcatheter
Date Cleared
2021-11-26

(186 days)

Product Code
Regulation Number
870.1250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Microcatheter is indicated for use in the selective placement of devices and/or fluids, such as contrast media, into the peripheral, coronary, and neuro vasculature during diagnostic and/or therapeutic procedures.
Device Description
The Trevo Trak 21 Microcatheter is a single-lumen, braided shaft, variable stiffness catheter with radiopaque marker(s) on the distal end and a Luer hub on the proximal end. The catheter shaft has a hydrophilic coating to reduce friction during use. The radiopaque shaft and distal marker(s) facilitate fluoroscopic visualization.
More Information

Not Found

No
The summary describes a physical microcatheter and its performance characteristics, with no mention of AI/ML in the device description, intended use, or performance studies.

Yes
The device is indicated for use in "therapeutic procedures," meaning it is used to treat a condition.

Yes

The "Intended Use / Indications for Use" section states: "The Microcatheter is indicated for use in the selective placement of devices and/or fluids, such as contrast media, into the peripheral, coronary, and neuro vasculature during diagnostic and/or therapeutic procedures." The mention of "diagnostic . . . procedures" directly indicates its use in diagnostics.

No

The device description clearly describes a physical catheter with a braided shaft, radiopaque markers, and a Luer hub, indicating it is a hardware device, not software-only.

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

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to examine specimens taken from the human body (like blood, urine, tissue) to provide information about a person's health. This testing is done outside of the body (in vitro).
  • Device Function: The description clearly states the Microcatheter is used for the "selective placement of devices and/or fluids... into the peripheral, coronary, and neuro vasculature." This is an invasive procedure performed inside the body.
  • Lack of Specimen Analysis: There is no mention of the device being used to analyze any biological specimens. Its purpose is to deliver or place other items within the body's vascular system.

Therefore, based on the provided information, the Trevo Trak 21 Microcatheter is a medical device used for interventional procedures within the body, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The Microcatheter is indicated for use in the selective placement of devices and/or fluids, such as contrast media, into the peripheral, coronary, and neuro vasculature during diagnostic and/or therapeutic procedures.

Product codes

QJP, DQY, DQO

Device Description

The Trevo Trak 21 Microcatheter is a single-lumen, braided shaft, variable stiffness catheter with radiopaque marker(s) on the distal end and a Luer hub on the proximal end. The catheter shaft has a hydrophilic coating to reduce friction during use. The radiopaque shaft and distal marker(s) facilitate fluoroscopic visualization.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

peripheral, coronary, and neuro vasculature

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

Bench testing was performed:

  • Simulated Use/Compatibility: User will assess Trevo Trak 21 Microcatheter with a worst case compatible guide catheter in the in vitro simulated use model. Conclusions: Simulated Use testing met acceptance criteria.
  • Particulate Characterization: Use light obscuration particle counting to measure the total number of particulates generated during simulated use. Conclusions: Particulate generation was acceptable and comparable to the predicate device.
  • Coating Integrity: Use visual inspection to identify the location, size, and number of occurrences of anomalies on the coated surface of the Trevo Trak 21 Microcatheter before and after simulated use. Conclusions: Coating integrity was acceptable both before and after simulated use.
  • Track Force Testing: Use a Track Tester Model to measure the Trevo Trak 21 Microcatheter track force through a guide catheter during simulated use. Conclusions: Track Testing results met acceptance criteria.

No animal study or clinical study was conducted.

Key Metrics

Not Found

Predicate Device(s)

K192122

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 870.1250 Percutaneous catheter.

(a)
Identification. A percutaneous catheter is a device that is introduced into a vein or artery through the skin using a dilator and a sheath (introducer) or guide wire.(b)
Classification. Class II (performance standards).

0

November 26, 2021

Image /page/0/Picture/1 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".

Stryker Neurovascular Shivani H. Patel Senior Staff Regulatory Affairs Specialist 47900 Bayside Parkway Fremont, California 94538

Re: K211594

Trade/Device Name: Trevo Trak 21 Microcatheter Regulation Number: 21 CFR 870.1250 Regulation Name: Percutaneous Catheter Regulatory Class: Class II Product Code: QJP, DQY, DQO Dated: November 9, 2021 Received: November 10, 2021

Dear Shivani H. Patel:

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

1

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 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,

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) K211594

Device Name Trevo Trak™ 21 Microcatheter

Indications for Use (Describe)

The Microcatheter is indicated for use in the selective placement of devices and/or fluids, such as contrast media, into the peripheral, coronary, and neuro vasculature during diagnostic and/or therapeutic procedures.

X Prescription Use (Part 21 CFR 801 Subpart D)

Over-The-Counter Use (21 CFR 801 Subpart C)

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510(k) Summary K211594

Trade/Proprietary Name:Trevo Trak™ 21 Microcatheter
Common Name:Catheter, Percutaneous, Neurovasculature
Regulation Name:Percutaneous Catheter, 21 CFR 870.1250 - Class II
Product Code:QJP
Trade/Proprietary Name:Trevo Trak™ 21 Microcatheter
Common Name:Catheter, Intravascular, Diagnostic
Regulation Name:Catheter, Intravascular, Diagnostic, 21 CFR 870.1200 - Class II
Product Code:DQO
Trade/Proprietary Name:Trevo Trak™ 21 Microcatheter
Common Name:Percutaneous Catheter
Regulation Name:Percutaneous Catheter, 21 CFR 870.1250 - Class II
Product Code:DQY
Submitter:Stryker Neurovascular
47900 Bayside Parkway
Fremont, CA 94538-6515
(FDA Registration Number: 3008853977)
Contact:Shivani H. Patel
Senior Staff Regulatory Affairs Specialist
Phone: 341-465-2199
Fax: 510-413-2724
Email: Shivani.Pate12@stryker.com
Date Prepared:November 18, 2021

Legally Marketed Predicate Devices

| Name of Predicate Device | Name of
Manufacturer | 510(k)
Number |
|---------------------------------|--------------------------|------------------|
| Trevo Trak™ 21
Microcatheter | Stryker
Neurovascular | K192122 |

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Device Description

The Trevo Trak 21 Microcatheter is a single-lumen, braided shaft, variable stiffness catheter with radiopaque marker(s) on the distal end and a Luer hub on the proximal end. The catheter shaft has a hydrophilic coating to reduce friction during use. The radiopaque shaft and distal marker(s) facilitate fluoroscopic visualization.

Indications for Use

The Microcatheter is indicated for use in the selective placement of devices and/or fluids, such as contrast media, into the peripheral, coronary, and neuro vasculature during diagnostic and/or therapeutic procedures.

Technological Characteristics and Product Feature Comnarison

Stryker Neurovascular has demonstrated the Trevo Trak™ 21 Microcatheter is substantially equivalent to the Predicate device, Trevo Trak 21 Microcatheter (K192122), based on the same materials, same design, and the same fundamental operating principles. A comparison of the Subject device with the Predicate device is summarized in Table 1 below.

DetailSubject DevicePredicate Device (K192122)
ManufacturerStryker NeurovascularSame
510(k) NumberK211594K192122
Device Trade NameTrevo Trak™ 21
MicrocatheterSame
Regulation Number21 CFR 870.1250
21 CFR 870.1200Same
Regulation NamePercutaneous CatheterSame
ClassificationIISame
Product CodeQJP, DQO, DQYDQO, DQY
Indication for UseThe Microcatheter is indicated for
use in the selective placement of
devices and/or fluids, such as
contrast media, into theSame
DetailSubject DevicePredicate Device (K192122)
peripheral, coronary, and neuro
vasculature during diagnostic
and/or therapeutic procedures.
Device DescriptionThe Microcatheter is a single-
lumen, braided shaft, variable
stiffness catheter with radiopaque
marker(s) on the distal end and a
Luer hub on the proximal end.
The catheter shaft has a
hydrophilic coating to reduce
friction during use. The
radiopaque shaft and distal
marker(s) facilitate fluoroscopic
Same
Accessory Devices
Provided (not in
direct contact with
patient)Rotating Hemostasis Valve
(RHV) packaged within deviceSame
Outer JacketPolymeric microcatheterSame
Shaft BraidStainless SteelSame
Strain ReliefPolyolefinSame
Inner LayerPTFESame
Catheter HubPolyurethaneSame
Marker BandPlatinum/IridiumSame
AdhesiveAcrylic (Acrylated Urethane)Same
Outer Jacket CoatingHydrophilic CoatingSame
DetailSubject DevicePredicate Device (K192122)
Labeled Shaft Outer
Diameter2.4F/2.0FSame
Labeled Shaft Inner
Diameter.021"Same
Effective Length162 cmSame
Packaging Materials
and ConfigurationHDPE Packaging Hoop,
Tyvek/Film Pouch, SBS CartonSame
Sterilization MethodEO SterilizationSame
How SuppliedSingle Use/SterileSame
Shelf-Life6 months2 years
Principles of
OperationThe device is advanced into the
vasculature over an appropriately
sized guide wire. Once the
microcatheter is inserted, the
catheter can be advanced through
the vasculature to the desired
location.Same
Recommended
minimum
inner
diameter of guide
catheter0.046 inch inner diameter0.058 inch inner diameter

Table 1. Product Feature Comparison of Subject Device to Predicate Device

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6

The differences between the devices do not raise new questions of safety and effectiveness.

Risk Assessment

A risk assessment of the Trevo Trak 21 Microcatheter has been conducted in accordance with EN ISO 14971. Stryker Neurovascular has determined that the labeling changes to the Trevo Trak 21 Microcatheter raise no new questions of safety and effectiveness. The results of testing demonstrate that the Trevo Trak 21 Microcatheter with the modified labeling is substantially equivalent to the legally marketed Predicate device.

Testing Summary

Performance Data – Bench Testing

Stryker Neurovascular performed the following non-clinical bench testing to assess the compatibility of the Trevo Trak 21 Microcatheter with 0.046 inch inner diameter (ID) guide catheters. The bench testing is summarized in Table 2 below.

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TestTest Method SummaryConclusions
Simulated
Use/CompatibilityUser will assess Trevo Trak™ 21 Microcatheter
with a worst case compatible guide catheter in the
in vitro simulated use model.Simulated Use
testing met
acceptance criteria.
Particulate
CharacterizationUse light obscuration particle counting to
measure the total number of particulates
generated during simulated use.Particulate
generation was
acceptable and
comparable to
the predicate
device.
Coating IntegrityUse visual inspection to identify the location,
size, and number of occurrences of anomalies on
the coated surface of the Trevo Trak™ 21
Microcatheter before
and after simulated use.Coating integrity
was acceptable both
before and after
simulated use.
Track Force TestingUse a Track Tester Model to measure the Trevo
Trak™ 21 Microcatheter track force through a
guide catheter during simulated use.Track Testing
results met
acceptance criteria.

Table 2. Performance Data - Bench Testing

Performance Data – Animal Study. Clinical Study

No animal study or clinical study was conducted as bench testing was determined sufficient for verification and validation purposes.

Shelf Life Testing

The labeled shelf life for the Trevo Trak 21 Microcatheter is six-months. Product shelf-life testing was performed on the Subject device and the results met established criteria. The packaging shelf-life and Distribution Shipping Challenge Conditioning and testing was performed on the Predicate device and test results were reviewed and cleared in K192122.

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Sterilization

The sterilization evaluation previously conducted for the Trevo Trak 21 Microcatheter was used to support the subject device and can be found in K192122. The Trevo Trak 21 Microcatheter is sterilized with 100% Ethylene Oxide. The Trevo Trak 21 Microcatheter and accessory are provided sterile. A sterility assurance level (SAL) of 106 has been demonstrated. The Trevo Trak 21 Microcatheter and accessory meet EO residuals per EN ISO 10993-7 for a limited contact delivery system – externally communicating. The Trevo Trak 21 Microcatheter and accessory are for single use only.

Biocompatibility

The biocompatibility testing previously conducted for the Trevo Trak 21 Microcatheter was used to support the subject device and can be found in K192122. The results of biocompatibility testing and biological safety evaluation of the Trevo Trak 21 Microcatheter demonstrate that the device meets the biological safety requirements per EN ISO 10993-1, "Biological evaluation of Medical Devices – Part 1: Evaluation and Testing within a Risk Management Process" for an externally communicating medical device with circulating blood contact for less than 24 hours. Therefore, the Trevo Trak 21 Microcatheter, accessory, and primary packaging are considered biocompatible for their intended use.

Conclusion

Stryker Neurovascular has demonstrated the Trevo Trak 21 Microcatheter is substantially equivalent to the Predicate device (K192122) based on same intended use / indications for use, same materials, same fundamental design, and the same operating principles. The conclusions drawn from the risk assessment and the bench testing results summarized above demonstrate that the benefits of the device outweigh any residual risks when used in accordance with the device Instructions for Use. Stryker Neurovascular has demonstrated that the Trevo Trak 21 Microcatheter is substantially equivalent to the legally marketed Predicate device.