K Number
K211807
Device Name
Sapphire NC 24
Date Cleared
2021-10-14

(125 days)

Product Code
Regulation Number
870.5100
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Sapphire NC 24 Coronary Dilatation Catheter is indicated for: - · balloon dilatation of the stenotic portion of a coronary artery or bypass graft stenosis in patients evidencing coronary ischemia for the purpose of improving myocardial perfusion - · balloon dilatation of a coronary artery occlusion for the treatment of acute myocardial infarction - · in-stent restenosis - · post-delivery expansion of balloon expandable coronary stents
Device Description
The Sapphire NC 24 Coronary Dilatation Catheter is designed to allow easy exchange of the catheter using a standard length 0.014 inch guidewire. Balloon diameters range from 1.5mm to 5.0mm. The balloon material is made of a minimally compliant material, 1.5mm to 3.5mm balloons have a rated burst pressure of 24 atmospheres, 3.75mm to 4.0mm balloons have a rated burst pressure of 22 atmospheres and 4.5mm to 5.0mm balloons have a rated burst pressure of 20 atmospheres. The minimally compliant balloon material allows high pressure dilatation while maintaining precise control of the balloon diameter and length. The proximal shaft of the catheter is composed of a female luer connector bonded to a PTFE coated stainless steel tube. The proximal shaft allows for superior pushability and trackability with a smooth transition to a distal shaft. Two radiopaque platinum/iridium marker bands are located within the balloon segment with the exception of 1.5mm balloon diameter which incorporate a centrally positioned single marker band. The guidewire enters the catheter tip and advances coaxially out the distal Rx port, thereby allowing both coaxial guidance and rapid exchange of catheter with a single standard length guidewire. Two marker sections of 5mm length each located on the proximal shaft indicate catheter position relative to the tip of either a brachial or femoral guiding catheter.
More Information

No
The device description focuses on the physical characteristics and mechanical function of a balloon catheter. There is no mention of AI, ML, image processing, or any software-driven analytical capabilities.

Yes.
The device is used for "balloon dilatation of the stenotic portion of a coronary artery or bypass graft stenosis...for the purpose of improving myocardial perfusion," which is a direct treatment to improve a medical condition.

No
The device, a coronary dilatation catheter, is used for therapeutic purposes (balloon dilatation of stenotic portions or occlusions of coronary arteries) to improve myocardial perfusion, not for diagnosing conditions.

No

The device description clearly details physical components like a catheter, balloon, guidewire, and marker bands, 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 Diagnostic devices are 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.
  • Device Description and Intended Use: The description and intended use of the Sapphire NC 24 Coronary Dilatation Catheter clearly indicate that it is a device used inside the body for a therapeutic procedure (balloon dilatation of coronary arteries). It is a surgical/interventional tool, not a diagnostic test performed on a sample.

The information provided describes a medical device used for treatment, not for diagnosing a condition by testing samples.

N/A

Intended Use / Indications for Use

The Sapphire NC 24 Coronary Dilatation Catheter is indicated for:

  • · balloon dilatation of the stenotic portion of a coronary artery or bypass graft stenosis in patients evidencing coronary ischemia for the purpose of improving myocardial perfusion
  • · balloon dilatation of a coronary artery occlusion for the treatment of acute myocardial infarction
  • · in-stent restenosis
  • · post-delivery expansion of balloon expandable coronary stents

Product codes (comma separated list FDA assigned to the subject device)

LOX

Device Description

The Sapphire NC 24 Coronary Dilatation Catheter is designed to allow easy exchange of the catheter using a standard length 0.014 inch guidewire. Balloon diameters range from 1.5mm to 5.0mm. The balloon material is made of a minimally compliant material, 1.5mm to 3.5mm balloons have a rated burst pressure of 24 atmospheres, 3.75mm to 4.0mm balloons have a rated burst pressure of 22 atmospheres and 4.5mm to 5.0mm balloons have a rated burst pressure of 20 atmospheres. The minimally compliant balloon material allows high pressure dilatation while maintaining precise control of the balloon diameter and length. The proximal shaft of the catheter is composed of a female luer connector bonded to a PTFE coated stainless steel tube. The proximal shaft allows for superior pushability and trackability with a smooth transition to a distal shaft. Two radiopaque platinum/iridium marker bands are located within the balloon segment with the exception of 1.5mm balloon diameter which incorporate a centrally positioned single marker band. The guidewire enters the catheter tip and advances coaxially out the distal Rx port, thereby allowing both coaxial guidance and rapid exchange of catheter with a single standard length guidewire. Two marker sections of 5mm length each located on the proximal shaft indicate catheter position relative to the tip of either a brachial or femoral guiding catheter.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

coronary artery or bypass graft

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Prescription Use

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)

A In vitro performance tests were conducted on subject device in accordance with FDA guidance "Class II Special Controls Guidance Document for Certain Percutaneous Transluminal Coronary Angioplasty (PTCA) Catheters" issued on September 8, 2010, including:

  • Visual Inspection
  • Dimensional Verification
  • Balloon Preparation, Deployment, and Retraction
  • Balloon Rated Burst Pressure
  • Balloon Fatigue
  • Balloon Compliance
  • Balloon Inflation and Deflation Time
  • Catheter Bond Strength
  • Tip Pull Strength
  • Flexibility and Kink
  • Torque Strength
  • Marker Band Radiopacity
  • Coating Integrity
  • Particulate Evaluation
  • Balloon Rated Burst Pressure (in-stent)
  • Balloon Fatigue (in-stent)
  • Biocompatibility testing, conducted in accordance with the FDA guidance "Use of International Standard ISO 10993-1, "Biological evaluation of medical devices -Part 1: Evaluation and testing within a Risk Management Process" issued on June 16, 2016, and International Standard ISO 10993-1 "Biological Evaluation of Medical Devices - Part 1: Evaluation and Testing Within a Risk Management Process," as recognized by FDA, included:
    • Cytotoxicity
    • Sensitization
    • Intracutaneous reactivity
    • Acute systemic toxicity
    • Hemocompatibility
      • Hemolysis
      • Partial thromboplastin time
      • Platelet and leukocyte counts
      • Complement activation
      • In vivo thromboresistance
    • Pyrogenicity
    • Genotoxicity
      • bacterial mutagenicity test
      • in vitro mouse lymphoma Assay
  • Packaging and sterilization validation
  • Shelf Life

The test results met all acceptance criteria, which are same or similar to the predicate device and reference device. It ensures that the design and construction of Sapphire NC 24 Coronary Dilatation Catheter are suitable for its intended use.

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

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K162209, K192344

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

K163114, K173680

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 870.5100 Percutaneous Transluminal Coronary Angioplasty (PTCA) Catheter.

(a)
Standard PTCA Catheter —(1)Identification. A PTCA catheter is a device that operates on the principle of hydraulic pressurization applied through an inflatable balloon attached to the distal end. A PTCA balloon catheter has a single or double lumen shaft. The catheter features a balloon of appropriate compliance for the clinical application, constructed from a polymer. The balloon is designed to uniformly expand to a specified diameter and length at a specific pressure as labeled, with well characterized rates of inflation and deflation and a defined burst pressure. The device generally features a type of radiographic marker to facilitate fluoroscopic visualization of the balloon during use. A PTCA catheter is intended for balloon dilatation of a hemodynamically significant coronary artery or bypass graft stenosis in patients evidencing coronary ischemia for the purpose of improving myocardial perfusion. A PTCA catheter may also be intended for the treatment of acute myocardial infarction; treatment of in-stent restenosis (ISR) and/or post-deployment stent expansion.(2)
Classification. Class II (special controls). The special control for this device is “Class II Special Controls Guidance Document for Certain Percutaneous Transluminal Coronary Angioplasty (PTCA) Catheters.” See § 870.1(e) for the availability of this guidance document.(b)
Cutting/scoring PTCA Catheter —(1)Identification. A cutting/scoring PTCA catheter is a balloon-tipped catheter with cutting/scoring elements attached, which is used in those circumstances where a high pressure balloon resistant lesion is encountered. A cutting/scoring PTCA catheter is intended for the treatment of hemodynamically significant coronary artery stenosis for the purpose of improving myocardial perfusion. A cutting/scoring PTCA catheter may also be indicated for use in complex type C lesions or for the treatment of in-stent restenosis.(2)
Classification. Class III (premarket approval). As of May 28, 1976, an approval under section 515 of the act is required before this device may be commercially distributed. See § 870.3.

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Image /page/0/Picture/0 description: The image shows the logos of the Department of Health & Human Services and the Food and Drug Administration (FDA). The Department of Health & Human Services logo is on the left, and the FDA logo is on the right. The FDA logo includes the letters "FDA" in a blue square, followed by the words "U.S. Food & Drug Administration" in blue text. The logos are simple and professional in appearance.

October 14, 2021

OrbusNeich Medical (Shenzhen) Co., Ltd. Daniel Zhang Director of Regulatory Affairs and Quality No.1 Jinkui Road, Futian Free Trade Zone Shenzhen, Guangdong 518038 China

Re: K211807

Trade/Device Name: Sapphire NC 24 Coronary Dilatation Catheter Regulation Number: 21 CFR 870.5100 Regulation Name: Percutaneous Transluminal Coronary Angioplasty (PTCA) Catheter Regulatory Class: Class II Product Code: LOX

Dear Daniel Zhang:

The Food and Drug Administration (FDA) is sending this letter to notify you of an administrative change related to your previous substantial equivalence (SE) determination letter dated October 14, 2021. Specifically, FDA is updating this SE Letter due to a missing digital signature as an administrative correction.

Please note that the 510(k) submission was not re-reviewed. For questions regarding this letter please contact Gregory O'Connell, OHT2: Office of Cardiovascular Devices, 301-796-6075, Gregorv.oconnell@fda.hhs.gov.

Sincerely,

Digitally signed by Gregory W. Gregory W. O'connell -S ○'connell -S Date: 2021.10.14
09:09:58 -04'00'

Gregory O'Connell Assistant Director DHT2C: Division of Coronary and Peripheral Intervention Devices OHT2: Office of Cardiovascular Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

1

Image /page/1/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: on the left, there is a symbol representing the Department of Health & Human Services-USA, and on the right, there is the text "FDA U.S. FOOD & DRUG ADMINISTRATION" in blue. The text is arranged in a way that "FDA" is on top, followed by "U.S. FOOD & DRUG", and then "ADMINISTRATION" at the bottom.

October 14, 2021

OrbusNeich Medical (Shenzhen) Co., Ltd. Daniel Zhang Director of Regulatory Affairs and Quality No.1 Jinkui Road, Futian Free Trade Zone Shenzhen, Guangdong 518038 China

Re: K211807

Trade/Device Name: Sapphire NC 24 Coronary Dilatation Catheter Regulation Number: 21 CFR 870.5100 Regulation Name: Percutaneous Transluminal Coronary Angioplasty (PTCA) Catheter Regulatory Class: Class II Product Code: LOX Dated: September 9, 2021 Received: September 15, 2021

Dear Daniel 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

2

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,

Gregory O'Connell Assistant Director DHT2C: Division of Coronary and Peripheral Intervention Devices OHT2: Office of Cardiovascular Devices Office of Product Evaluation and Ouality Center for Devices and Radiological Health

Enclosure

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DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

510(k) Number (if known) K211807

Device Name

Sapphire NC 24 Coronary Dilatation Catheter

Indications for Use (Describe)

The Sapphire NC 24 Coronary Dilatation Catheter is indicated for:

  • · balloon dilatation of the stenotic portion of a coronary artery or bypass graft stenosis in patients evidencing coronary ischemia for the purpose of improving myocardial perfusion
  • · balloon dilatation of a coronary artery occlusion for the treatment of acute myocardial infarction
  • · in-stent restenosis
  • · post-delivery expansion of balloon expandable coronary stents

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)

Form Approved: OMB No. 0910-0120

Expiration Date: 06/30/2023

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K211807

510(k) Summary

This 510(k) summary is submitted in accordance with 21 CFR 807.92.

Submitter Information:

| 510(k) Submitter: | OrbusNeich Medical (Shenzhen) Co., Ltd
No.1 Jinkui Road, Futian Free Trade Zone
Shenzhen, Guangdong, 518038, China
Phone: +86-755-83580181
Fax: +86-755-83580169 |
|-------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Contact person: | Daniel Zhang
Phone: +86-755-83580181-8302
Fax: +86-755-83580169 |
| Submission date: | May 30, 2021 |

Subject Device Information:

Device name:Sapphire NC 24 Coronary Dilatation Catheter
Regulation namePercutaneous Transluminal Coronary Angioplasty (PTCA) Catheter
Trade or propriety nameSapphire NC 24
Regulation Number:21 CFR 870.5100(a)
Panel Code:Cardiovascular
Classification:Class II
Product Code:LOX
Predicate Device:Sapphire NC Plus Coronary Dilatation Catheter
(K162209; cleared October 6, 2016)
(K192344; cleared September 19, 2019)
Reference Device:Sapphire II Pro Coronary Dilatation Catheter
(K163114; cleared January 05, 2017)
(K173680; cleared March 1, 2018)

Device Description:

The Sapphire NC 24 Coronary Dilatation Catheter is designed to allow easy exchange of the catheter using a standard length 0.014 inch guidewire. Balloon diameters range from 1.5mm to 5.0mm. The balloon material is made of a minimally compliant material, 1.5mm to 3.5mm balloons have a rated burst pressure of 24 atmospheres, 3.75mm to 4.0mm balloons have a rated burst pressure of 22 atmospheres and 4.5mm to 5.0mm balloons have a rated burst pressure of 20 atmospheres. The minimally compliant balloon material allows high pressure dilatation while maintaining precise control of the balloon diameter and length. The proximal shaft of the catheter is composed of a female luer connector bonded to a PTFE coated stainless steel tube. The proximal shaft allows for superior pushability and trackability with a smooth transition to a distal shaft.

5

Two radiopaque platinum/iridium marker bands are located within the balloon segment with the exception of 1.5mm balloon diameter which incorporate a centrally positioned single marker band. The guidewire enters the catheter tip and advances coaxially out the distal Rx port, thereby allowing both coaxial guidance and rapid exchange of catheter with a single standard length guidewire. Two marker sections of 5mm length each located on the proximal shaft indicate catheter position relative to the tip of either a brachial or femoral guiding catheter.

Indication for Use:

The indication for use for Sapphire NC 24 Coronary Dilatation Catheter remains the same as the predicate device (Sapphire NC plus):

The Sapphire NC 24 Coronary Dilatation Catheter is indicated for:

  • balloon dilatation of the stenotic portion of a coronary artery or bypass graft . stenosis in patients evidencing coronary ischemia for the purpose of improving myocardial perfusion
  • balloon dilatation of a coronary artery occlusion for the treatment of acute . myocardial infarction
  • in-stent restenosis .
  • post-delivery expansion of balloon expandable coronary stents .

Technological Characteristics:

The subject device has the following similarities to the predicate device and reference device:

  • Same indications for use ●
  • Same catheter design ●
  • Similar materials of construction ●
  • Same hydrophilic coating ●
  • Same silicone coating .
  • Same method of sterilization (EtO) ●

Performance Test Summary:

The following performance data were provided in support of the substantial equivalence determination.

  • A In vitro performance tests were conducted on subject device in accordance with FDA guidance "Class II Special Controls Guidance Document for Certain Percutaneous Transluminal Coronary Angioplasty (PTCA) Catheters" issued on September 8, 2010, including:
    • Visual Inspection .
    • Dimensional Verification ●
    • Balloon Preparation, Deployment, and Retraction ●
    • Balloon Rated Burst Pressure
    • Balloon Fatigue ●
    • Balloon Compliance .
    • Balloon Inflation and Deflation Time .

6

  • Catheter Bond Strength ●
  • Tip Pull Strength ●
  • Flexibility and Kink ●
  • Torque Strength ●
  • Marker Band Radiopacity ●
  • Coating Integrity
  • Particulate Evaluation .
  • Balloon Rated Burst Pressure (in-stent) ●
  • Balloon Fatigue (in-stent) ●
  • Biocompatibility testing, conducted in accordance with the FDA guidance "Use of > International Standard ISO 10993-1, "Biological evaluation of medical devices -Part 1: Evaluation and testing within a Risk Management Process" issued on June 16, 2016, and International Standard ISO 10993-1 "Biological Evaluation of Medical Devices - Part 1: Evaluation and Testing Within a Risk Management Process," as recognized by FDA, included:
    • Cytotoxicity
    • Sensitization .
    • Intracutaneous reactivity ●
    • Acute systemic toxicity ●
    • Hemocompatibility .
      • Hemolysis
      • . Partial thromboplastin time
      • Platelet and leukocyte counts ●
      • . Complement activation
      • In vivo thromboresistance .
    • Pyrogenicity ●
    • Genotoxicity ●
      • bacterial mutagenicity test ●
      • . in vitro mouse lymphoma Assay
  • Packaging and sterilization validation >
  • Shelf Life >

The test results met all acceptance criteria, which are same or similar to the predicate device and reference device. It ensures that the design and construction of Sapphire NC 24 Coronary Dilatation Catheter are suitable for its intended use.

Conclusions

This information supports a determination of substantial equivalence between the Sapphire NC 24 Coronary Dilatation Catheter and the predicate device/reference device listed above.