K Number
K212224
Device Name
TracStar LDP Large Distal Platform; Zoom 88 Large Distal Platform
Date Cleared
2021-09-20

(66 days)

Product Code
Regulation Number
870.1250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The TracStar LDP Large Distal Platform is indicated for the introduction of interventional devices into the peripheral, coronary, and neuro vasculature. The Zoom 88 Large Distal Platform is indicated for the introduction of interventional devices into the peripheral, coronary, and neuro vasculature.
Device Description
The Imperative Care Large Distal Platform (LDP) Catheters include the TracStar™ LDP Large Distal Platform and Zoom™ 88 Large Distal Platform. The LDP Catheters are 0.038" diameter or smaller guidewire compatible single lumen guide catheters that provide access to peripheral, coronary and neuro vasculature. The catheters are comprised of a hollow cylindrical tube bonded at the proximal end to a standard luer fitting. The wall of the tube is constructed using a combination of metal coils/braids and medical grade polymers. The distal section of each catheter has a hydrophilic coating to enhance tracking through tortuous vasculature. An angled distal soft tip facilitates smooth tracking past vessel branches. A radiopaque marker provides visual confirmation of the distal tip location under fluoroscopy. LDP Catheters have an inner diameter of 0.088" (6F compatible), and a maximum outer diameter of 0.110". The LDP guide catheters are packaged with a rotating hemostasis valve (RHV) that is attached to the proximal luer to help maintain hemostasis.
More Information

No
The device description and performance studies focus on the physical characteristics and mechanical performance of a guide catheter, with no mention of AI or ML capabilities.

No
The device is indicated for the "introduction of interventional devices" and provides "access to peripheral, coronary and neuro vasculature." This describes functionality as an access tool for delivering other devices, not a direct therapeutic action itself.

No

Explanation: The device is described as a "guide catheter" intended for the "introduction of interventional devices." Its primary function is to provide access for other devices, not to diagnose a condition itself.

No

The device description clearly details a physical catheter made of medical-grade polymers and metal, with a hydrophilic coating and radiopaque marker. It is a hardware device used for introducing other devices into the vasculature.

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, or tissue) to provide information about a person's health. This testing is done outside of the body.
  • Device Function: The description clearly states that the TracStar LDP and Zoom 88 LDP are guide catheters used for the introduction of interventional devices into the vasculature. This is a procedure performed inside the body.
  • No Specimen Analysis: The device description and intended use do not mention any analysis of biological specimens.
  • Imaging Modality: The input imaging modality is Fluoroscopy, which is used for real-time imaging within the body during procedures.

The device is an interventional medical device used to facilitate procedures within the circulatory system, not for diagnostic testing of samples outside the body.

N/A

Intended Use / Indications for Use

The TracStar LDP Large Distal Platform is indicated for the introduction of interventional devices into the peripheral, coronary, and neuro vasculature.

The Zoom 88 Large Distal Platform is indicated for the introduction of interventional devices into the peripheral, coronary, and neuro vasculature.

Product codes

QJP, DQY

Device Description

The Imperative Care Large Distal Platform (LDP) Catheters include the TracStar™ LDP Large Distal Platform and Zoom™ 88 Large Distal Platform. The LDP Catheters are 0.038" diameter or smaller guidewire compatible single lumen guide catheters that provide access to peripheral, coronary and neuro vasculature. The catheters are comprised of a hollow cylindrical tube bonded at the proximal end to a standard luer fitting. The wall of the tube is constructed using a combination of metal coils/braids and medical grade polymers. The distal section of each catheter has a hydrophilic coating to enhance tracking through tortuous vasculature. An angled distal soft tip facilitates smooth tracking past vessel branches. A radiopaque marker provides visual confirmation of the distal tip location under fluoroscopy. LDP Catheters have an inner diameter of 0.088" (6F compatible), and a maximum outer diameter of 0.110". The LDP guide catheters are packaged with a rotating hemostasis valve (RHV) that is attached to the proximal luer to help maintain hemostasis.

Accessory devices required, but not supplied include:

  • . Guidewires
  • . Support/diagnostic catheters
  • . Introducer sheaths

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

Bench and Laboratory (in-vitro) testing was completed to evaluate the differences between the subject LDP Catheters and predicate LDP Catheters.

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Bench and Laboratory (in-vitro) testing was completed to evaluate the differences between the subject LDP Catheters and predicate LDP Catheters. Performance specifications and test methods were based primarily on catheter performance standard ISO 10555-1. The test results were reviewed and found to demonstrate that the differences between the subject LDP Catheters and predicate LDP Catheters do not significantly impact any performance parameters that would negatively affect the safety or effectiveness of the subject LDP Catheters. All tests passed.

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

Not Found

Predicate Device(s)

K203764, K180169

Reference Device(s)

Not Found

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

§ 870.1250 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

September 20, 2021

Image /page/0/Picture/1 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

Imperative Care, Inc. Kristin Ellis Regulatory Affairs Manager 1359 Dell Avenue Campbell, California 95008

Re: K212224

Trade/Device Name: TracStar LDP Large Distal Platform; Zoom 88 Large Distal Platform Regulation Number: 21 CFR 870.1250 Regulation Name: Percutaneous Catheter Regulatory Class: Class II Product Code: QJP, DQY Dated: September 1, 2021 Received: September 2, 2021

Dear Kristin Ellis:

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

2

Indications for Use

510(k) Number (if known) K212224

Device Name TracStar LDP Large Distal Platform Zoom 88 Large Distal Platform

Indications for Use (Describe)

The TracStar LDP Large Distal Platform is indicated for the introduction of interventional devices into the peripheral, coronary, and neuro vasculature.

The Zoom 88 Large Distal Platform is indicated for the introduction of interventional devices into the peripheral, coronary, and neuro vasculature.

Type of Use (Select one or both, as applicable)
-------------------------------------------------

For activities that do NOT require State Plan Coverage
For activities that DO require State Plan Coverage
X 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

510(k) Summarv

A. Submitter Information

Submitter's Name: Address:

Contact Person: Telephone: Email: Date of Preparation:

B. Subject Device

Proprietary Names:

Common/Usual Name: Classification Name: Product Code:

Regulation:

C. Predicate Device(s)

Proprietary Name:

Common/Usual Name: Classification Name: Product Code: Regulation: Manufacturer: 510(k):

Proprietary Name:

Common/Usual Name: Classification Name: Product Code: Regulation: Manufacturer: 510(k):

Imperative Care, Inc. 1359 Dell Avenue Campbell, CA 95008 Kristin Ellis 408-857-0934 kellis@imperativecare.com September 1, 2021

TracStar™ LDP Large Distal Platform Zoom™ 88 Large Distal Platform Guide Catheter Catheter, Percutaneous, Neurovasculature OJP DOY 21 CFR 870.1250

TracStar™ Large Distal Platform ZOOM™ 88 Large Distal Platform ZOOM™ 88-T Large Distal Platform Guide Catheter Catheter, Percutaneous, Neurovasculature QJP, DQY 21 CFR. 870.1250 Imperative Care, Inc. K203764

EagleRay Long Sheath EagleRay Access Catheter Guide Catheter Catheter, Percutaneous DQY 21 CFR. 870.1250 Imperative Care Inc. K180169

D. Device Description:

The Imperative Care Large Distal Platform (LDP) Catheters include the TracStar™ LDP Large Distal Platform and Zoom™ 88 Large Distal Platform. The LDP Catheters are 0.038" diameter or smaller guidewire compatible single lumen guide catheters that provide

4

access to peripheral, coronary and neuro vasculature. The catheters are comprised of a hollow cylindrical tube bonded at the proximal end to a standard luer fitting. The wall of the tube is constructed using a combination of metal coils/braids and medical grade polymers. The distal section of each catheter has a hydrophilic coating to enhance tracking through tortuous vasculature. An angled distal soft tip facilitates smooth tracking past vessel branches. A radiopaque marker provides visual confirmation of the distal tip location under fluoroscopy. LDP Catheters have an inner diameter of 0.088" (6F compatible), and a maximum outer diameter of 0.110". The LDP guide catheters are packaged with a rotating hemostasis valve (RHV) that is attached to the proximal luer to help maintain hemostasis.

Accessory devices required, but not supplied include:

  • . Guidewires
  • . Support/diagnostic catheters
  • . Introducer sheaths

E. Indications for Use:

The TracStar LDP Large Distal Platform is indicated for the introduction of interventional devices into the peripheral, coronary, and neuro vasculature.

The Zoom 88 Large Distal Platform is indicated for the introduction of interventional devices into the peripheral, coronary, and neuro vasculature.

F. Principles of Operation:

The LDP Catheters may be used with support catheters to assist in accessing the target vasculature. During use, the male luer of the RHV is attached to the proximal luer of the LDP Catheter to create a continuous lumen through the catheter and to the RHV ports. The female luer is typically connected to a saline drip line while the LDP Catheter is advanced through the vasculature. Use of the LDP Catheter relies on standard percutaneous interventional techniques, including access site preparation, introducing the catheter portion of the device, advancing the catheter under fluoroscopy, withdrawing the catheter, and closing the access site.

G. Predicate Comparison:

The predicate devices are the Imperative Care LDP Catheters cleared under K203764 and K180169. The predicate and subject devices share intended use, basic technological characteristics, and the same performance characteristics, demonstrated through bench and

5

laboratory testing as shown in Table 1. Modifications include dimensional updates, additional axial and radial reinforcements, and manufacturing process improvements.

| Device

AttributeSubject devicePredicate devices
FDA Product
ClassificationClass II, QJP and
DQY, 21 CFR 870.1250Class II, QJP and DQY,
21 CFR 870.1250Class II, DQY, 21 CFR
870.1250
Product NameTracStar LDP Large Distal
Platform
Zoom 88 Large Distal
PlatformTracStar Large Distal
Platform
ZOOM 88 Large Distal
Platform
ZOOM 88-T Large
Distal PlatformEagleRay Long Sheath
EagleRay Access Catheter
510(k) NumberK212224K203764K180169
Indications for
UseThe TracStar LDP Large
Distal Platform is indicated
for the introduction of
interventional devices into
the peripheral, coronary, and
neuro vasculature.
The Zoom 88 Large Distal
Platform is indicated for the
introduction of
interventional devices into
the peripheral, coronary, and
neuro vasculature.The TracStar Large Distal
Platform is indicated for the
introduction of interventional
devices into the peripheral,
coronary, and neuro
vasculature.
The ZOOM 88 and ZOOM 88-
T Large Distal Platform are
indicated for the introduction
of interventional devices into
the peripheral, coronary, and
neuro vasculature.The EagleRay Long Sheath
and EagleRay Access
Catheter are indicated for
the introduction of
interventional devices into
the peripheral, coronary,
and neuro vasculature.
Condition
SuppliedSterile and Single UseSameSame
Sterilization
MethodEthylene Oxide (EtO), SAL
10-6SameSame
Inner Diameter
(Distal)0.088
Device
AttributeSubject devicePredicate device(s)
Effective Length80 - 110cmSameSame
Tip DesignBeveled distal edge, soft,
flexible, atraumatic tipSameSame
Distal Catheter
ShaftAdditional polymer
reinforcementReinforced with metals and
polymersReinforced with metals and
polymers
Proximal
Catheter ShaftAdditional radial
reinforcementReinforced with metals and
polymersReinforced with metals and
polymers
CoatingHydrophilic coatingSameSame
MaterialsCommonly used medical
grade plastics & metals with
hydrophilic coatingSameSame
Packaged
AccessoriesRotating Hemostasis Valve
(RHV)SameSame
Packaging
ConfigurationThe catheters are placed in a
protective polyethylene tube,
mounted with accessory
RHV onto a polyethylene
packaging card, placed into a
pouch, sealed and labeled.
The sealed pouch and IFU
are placed in a labeled shelf
carton box.SameSame

Table 1: Comparison of Subject and Predicate Devices

6

H. Performance Data Supporting Substantial Equivalence:

Bench and Laboratory (in-vitro) testing was completed to evaluate the differences between the subject LDP Catheters and predicate LDP Catheters. Performance specifications and test methods were based primarily on catheter performance standard ISO 10555-1 and a summary of the evaluated performance tests and specifications is presented in Table 2.

The test results were reviewed and found to demonstrate that the differences between the subject LDP Catheters and predicate LDP Catheters do not significantly impact any performance parameters that would negatively affect the safety or effectiveness of the subject LDP Catheters.

7

Test AttributeSpecificationResults
Delivery, Compatibility,
and Retraction
(Trackability)The catheter shall be able to be delivered,
deployed, and retracted per the IFU within a
simulated neurological model without
incurring any damage to the catheter.Pass
Flexibility and Kink
ResistanceThere shall be no kinking of shaft
(permanent deformation) after simulated
use.Pass
Compatibility with other
Devices (external)The catheters shall be able to be delivered
through the minimum introducer sheath or
guide catheter size indicated in the product
labeling.Pass
Guidewire
CompatibilityThe catheters shall be able to be delivered
over the maximum size guidewire indicated
in the product labeling.Pass
Interventional Device
Compatibility (internal)The catheters shall be able to accommodate
other interventional devices (e.g., support
catheter, diagnostic catheter) up to the
maximum size indicated in the product
labeling.Pass
Luer CompatibilityDevices and accessories shall be compatible
with standard syringe luer fittings per ISO
80369-7.Pass
Accessory CompatibilityDevices shall be compatible with an RHV.Pass
Catheter Bond StrengthThe catheter shall have sufficient bond
strengths to remain intact throughout a
procedure.Pass
Freedom from Leakage
– positive pressureNo liquid leakage from the hub or catheter
shaft at 46psi for 30 secondsPass
Freedom from Leakage
  • negative pressure | No air leakage into a 20cc syringe when
    vacuum pulled for 15 seconds. | Pass |
    | Dynamic Burst Pressure | Catheter does not burst under pressures that
    could be seen when performing contrast
    injections with a standard 10cc syringe. | Pass |
    | Static Burst Pressure | Catheter does not burst under pressures that
    could be seen when performing contrast
    injections with a standard 10cc syringe. | Pass |
    | Test Attribute | Specification | Results |
    | Catheter Torque
    Strength | With the catheter tip held in a static
    position, there shall be no separation of any
    portion of the catheter when rotated at the
    hub at least two (2) full rotations (720
    degrees). | Pass |
    | Kink Resistance | There shall be no kinking of the catheter
    shaft (permanent deformation) after
    wrapping around anatomically relevant
    bend radii. | Pass |
    | Pushability | The proximal shaft of the catheters shall
    have sufficient stiffness that the user can
    easily push the catheter to the target
    anatomy without buckling. | Pass |
    | Access Force | Catheters shall not require excessive force
    to safely navigate and track to the target
    anatomy. | Pass |

Table 2: Tests and Performance Specifications

8

Biocompatibility Testing: L

There are no changes to patient contacting materials compared to the predicate device. Therefore, the original testing on the predicate devices applies to the subject devices and additional biocompatibility testing was not required.

J. Sterilization:

The LDP Catheters are sterilized using a validated EtO process with a sterility assurance level of 1x10 validated per the overkill method in accordance with ISO 11135, "Sterilization Of Health-Care Products - Ethylene Oxide - Requirements For The Development, Validation And Routine Control Of A Sterilization Process For Medical Devices".

K. Shelf Life and Packaging:

Accelerated aging testing based on ASTM F1980 was conducted to verify packaged device performance. A real time aging equivalent of 13 months was used to support a 1-year shelf life claim. Device performance was verified by functional and performance testing.

There are no changes to packaging compared to the predicate device. Therefore, the original testing on the predicate devices applies to the subject devices and additional packaging validation testing was not required.

9

L. Conclusions:

Where differences were identified between the subject and predicate devices, a risk assessment was completed to determine if the difference would result in new safety or effectiveness concerns. As appropriate, previous bench and laboratory testing was evaluated for applicability and either the rationale for no impact was documented or verification and validation was repeated as required.

Based on the results of the risk assessments and associated bench and laboratory testing, the subject and predicate devices are substantially equivalent and there are no new safety or effectiveness concerns. The subject device and predicate devices share the same intended use, basic technological characteristics, and performance characteristics.