K Number
K212402
Device Name
MIVI Q Distal Access Catheter
Date Cleared
2021-12-16

(136 days)

Product Code
Regulation Number
870.1250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The MIVI Q Distal Access Catheter is indicated for use with compatible guide catheters in facilitating the insertion and guidance of microcatheters into a selected blood vessel in the peripheral, coronary and neuro vascular systems.
Device Description
The MIVI Q Distal Access Catheter (Q Catheter) is a single-lumen, variable stiffness catheter with radiopaque markers on the distal and proximal end of the catheter portion for angiographic visualization. The catheter shaft has a hydrophilic coating to reduce friction during use. The proximal portion of the catheter is a stainless-steel control (push) wire. The Q Catheter may be introduced via an 8F guide catheter/6F guide sheath and over a guidewire/microcatheter into the arterial vasculature until the desired vessel is reached. The Q Docking Station may be used to facilitate insertion and extraction of the Q Catheter through a hemostasis valve attached to the 8F guide catheter/6F guide sheath. The pin vise may be used to advance the catheter.
More Information

Not Found

No
The document describes a physical catheter and associated tools for facilitating insertion and guidance. There is no mention of software, algorithms, or data processing that would indicate the use of AI/ML.

No
The device is a distal access catheter used to facilitate the insertion and guidance of microcatheters. It does not actively treat or diagnose a disease itself, but rather assists in procedures.

No

The device is a catheter used for facilitating the insertion and guidance of microcatheters. Its function is to provide access to blood vessels, not to diagnose medical conditions by identifying diseases or injuries. While it uses "angiographic visualization," this is for guiding the catheter, not for diagnosis by the catheter itself.

No

The device description clearly outlines physical components like a catheter, radiopaque markers, hydrophilic coating, stainless-steel control wire, docking station, and pin vise. The performance studies also focus on bench testing of these physical attributes.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use clearly describes a device used in vivo (within the body) to facilitate the insertion and guidance of other catheters into blood vessels. This is a surgical/interventional device, not a diagnostic test performed on samples in vitro (outside the body).
  • Device Description: The description details a physical catheter designed for insertion into the vascular system, not a reagent, instrument, or kit used to analyze biological samples.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), detecting specific analytes, or providing diagnostic information based on laboratory testing.

Therefore, this device falls under the category of a medical device used for interventional procedures, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The MIVI Q Distal Access Catheter is indicated for use with compatible guide catheters in facilitating the insertion and guidance of microcatheters into a selected blood vessel in the peripheral, coronary and neuro vascular systems.

Product codes

QJP, DQY

Device Description

The MIVI Q Distal Access Catheter (Q Catheter) is a single-lumen, variable stiffness catheter with radiopaque markers on the distal and proximal end of the catheter portion for angiographic visualization. The catheter shaft has a hydrophilic coating to reduce friction during use. The proximal portion of the catheter is a stainless-steel control (push) wire. The Q Catheter may be introduced via an 8F guide catheter/6F guide sheath and over a guidewire/microcatheter into the arterial vasculature until the desired vessel is reached. The Q Docking Station may be used to facilitate insertion and extraction of the Q Catheter through a hemostasis valve attached to the 8F guide catheter/6F guide sheath. The pin vise may be used to advance the catheter.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Fluoroscopy

Anatomical Site

Peripheral, coronary and neuro vascular systems (selected blood vessel in)

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 (study type, sample size, AUC, MRMC, standalone performance, key results)

Non-Clinical Performance Testing:
Bench Testing:

  • Dimensional Verification: The device must meet dimensional specifications. Result: Pass.
  • System Introduction (Simulated Use): The device must function as intended. Result: Pass.
  • Liquid Leakage under Pressure: The device must hold a hydrostatic pressure. Result: Pass.
  • Tensile Strength: Tensile strength pull force minimum must be met. Result: Pass.

Biocompatibility:

  • Cytotoxicity: Extracted with MEM with 10% FBS at 37 °C for 24 hours and administered on mouse fibroblast L929 cells. Result: PASS.
  • Irritation or Intracutaneous Reactivity: Extracted with 0.9% NaCl and cottonseed oil (CSO) at 37 °C for 72 hours and intracutaneously injected in rabbits. Result: PASS.
  • Sensitization: Extracts: 0.9% NaCl, CSO for 72 hours at 37 °C. Result: PASS.
  • Acute Systemic Toxicity: Extracted with 0.9% NaCl and CSO at 37 °C for 72 hours and injected in mice. Result: PASS.
  • Pyrogenicity (Material-mediated): Extracted with 0.9% NaCl at 37 °C for 72 hours and injected intravenously in rabbits. Result: PASS.
  • Hemolysis: Extracted from PBS at 37 °C for 24 hours, administered on rabbit blood; or directly contacting rabbit blood in vitro. Result: PASS.
  • Unactivated Partial Thromboplastin Time: Human plasma was exposed to the test article at a ratio of 6 cm2/ml for 15 minutes at 37 °C. Result: PASS.
  • Complement Activation: Human plasma was exposed to the test article at a ratio of 6 cm2/mL for 90 mins at 37 °C, in triplicate. Result: PASS.

Sterilization: Confirmatory testing on the final packaging configuration was completed and met specification.

Shelf Life and Expiration Dating: The bench testing described above was performed to support the shelflife of the modified device.

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

Not Found

Predicate Device(s)

K192558

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).

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Image /page/0/Picture/0 description: The image shows the date December 16, 2021. The month is spelled out, followed by the day and year. The text is in a simple, sans-serif font and is left-aligned.

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MIVI Neuroscience, Inc. Janel Hurtado Director of Regulatory 6545 City West Parkway Eden Prairie, Minnesota 55344

Re: K212402

Trade/Device Name: MIVI Q Distal Access Catheter Regulation Number: 21 CFR 870.1250 Regulation Name: Percutaneous Catheter Regulatory Class: Class II Product Code: QJP, DQY Dated: November 11, 2021 Received: November 17, 2021

Dear Janel Hurtado:

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,

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) K212402

Device Name MIVI Q Distal Access Catheter

Indications for Use (Describe)

The MIVI Q Distal Access Catheter is indicated for use with compatible guide catheters in facilitating the insertion and guidance of microcatheters into a selected blood vessel in the peripheral, coronary and neuro vascular systems.

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

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 K212402

[as required by 21 CFR $807.92(c)]

Date Prepared: December 14, 2021

510(k) SubmitterContact
MIVI Neuroscience, Inc.
6545 City West Parkway
Eden Prairie, MN 55344
(952) 944-3834Janel Hurtado
Regulatory Affairs Director
Email: jhurtado@mivineuro.com
(952) 944-3834
General Information
Trade NameMIVI Q Distal Access Catheter
Common NameDistal access catheter
Classification
InformationDevice Classification: Class II
Common Name: Percutaneous catheter
Regulation Number: 21 CFR 870.1250
Product Code: QJP; Panel: Neurology
Product Code: DQY; Panel: Cardiovascular
Predicate DeviceMIVI Q Distal Access Catheter (K192558; April 6, 2020)

Device Description

The MIVI Q Distal Access Catheter (Q Catheter) is a single-lumen, variable stiffness catheter with radiopaque markers on the distal and proximal end of the catheter portion for angiographic visualization. The catheter shaft has a hydrophilic coating to reduce friction during use. The proximal portion of the catheter is a stainless-steel control (push) wire. The Q Catheter may be introduced via an 8F guide catheter/6F guide sheath and over a guidewire/microcatheter into the arterial vasculature until the desired vessel is reached. The Q Docking Station may be used to facilitate insertion and extraction of the Q Catheter through a hemostasis valve attached to the 8F guide catheter/6F guide sheath. The pin vise may be used to advance the catheter.

Intended Use / Indications for Use

The MIVI Q Distal Access Catheter is indicated for use with compatible guide catheters in facilitating the insertion and guidance of microcatheters into a selected blood vessel in the peripheral, coronary and neuro vascular systems.

Substantial Equivalence Comparison

The MIVI Q Distal Access Catheter (pre-loaded with Docking Station) has identical indications, principle of operation, and similar design as the currently marketed predicate catheters.

Table 1: Comparison with Currently Marketed Predicate
FeatureSubject Device
MIVI Q Distal Access CatheterPredicate Device
MIVI Q Distal Access Catheter
510(k) Holder &
ManufacturerMIVI Neuroscience, Inc.MIVI Neuroscience, Inc.
510(k)#K212402K192558
Table 1: Comparison with Currently Marketed Predicate
FeatureSubject Device
MIVI Q Distal Access CatheterPredicate Device
MIVI Q Distal Access Catheter
Classification
InformationPercutaneous catheter
21 CFR 870.1250 (Class II)
ProCode: QJP, DQY
Indications / Intended Use / Principle of Operation
Indications for UseThe MIVI Q Distal Access
Catheter is indicated for use with
compatible guide catheters in
facilitating the insertion and
guidance of microcatheters into a
selected blood vessel in the
peripheral, coronary and neuro
vascular systems.The Q Catheter is indicated for use
with compatible guide catheters in
facilitating the insertion and
guidance of microcatheters into a
selected blood vessel in the
peripheral, coronary and neuro
vascular systems.
Principle of
OperationUsed to endovascularly insert and guide microcatheters under fluoroscopy
during diagnostic and/or therapeutic procedures for patients with arterial
disease or damage.
Design Information
ConfigurationDistalSingle-lumen, variable stiffness, braided (5F & 6F) / coiled (3F & 4F)
ProximalControl (push) wire through a
Docking Station assembly
TipStraight
Radiopaque
MarkersTwo (2) - Distal and Proximal
Catheter
CoatingHydrophilic
Catheter Sizes3F, 4F, 5F, 6F
3F154148
4F141135
Total Length
(cm)5F136130
6F136130
Extensible Length
3F40-42
4F27-29
Extensible length (cm) with:
90 cm Guide5F22-24
6F22-24
3F35-37
4F22-24
95 cm Guide5F17-19
6F17-19
Control Wire
Length108104
Table 1: Comparison with Currently Marketed Predicate
FeatureSubject Device
MIVI Q Distal Access CatheterPredicate Device
MIVI Q Distal Access Catheter
Pin Vise ShapeLooped shape (Pin Vise not removable)
Guidewire
Compatibility
(cm)3F0.018"
4F0.035"
5F
6F
Catheter
BiomaterialsPatient contacting materials are identical between the subject and currently
marketed predicate and accessories.
Accessories / Packaging / Sterilization / Shelf Life
Provided Accessories9F Rotating Hemostasis Valve Y-ConnectorNone
Required Accessories
(not provided)8F guide catheter / 6F guide sheath 90-95 cm in length
Package
ConfigurationCatheter inserted in a plastic tube, mounted on an insert card, and sealed in
a pouch. Sealed pouch packaged in carton along with Instructions for Use.
Sterile & Non-
pyrogenicYes
Sterilization MethodEthylene Oxide (EO)
Shelf Life3 years

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The technological differences between the modified MIVI Q Distal Access Catheter and the currently marketed predicate do not raise new questions of safety and effectiveness.

Non-Clinical Performance Testing

Bench Testing

Bench testing was completed to assess the performance of the subject device, as shown in the following table.

TestTest SummaryResult
Dimensional
VerificationThe device must meet dimensional specifications.Pass
System Introduction (Simulated
Use)The device must function as intended.Pass
Liquid Leakage under PressureThe device must hold a hydrostatic pressure.Pass
Tensile StrengthTensile strength pull force minimum must be met.Pass

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Biocompatibility

Biocompatibility testing was completed to assess the subject device, as shown in the following table.

TestTest SummaryResult
CytotoxicityExtracted with MEM with 10% FBS at 37 °C for 24
hours and administered on mouse fibroblast L929 cells.PASS
Irritation or Intracutaneous
ReactivityExtracted with 0.9% NaCl and cottonseed oil (CSO) at
37 °C for 72 hours and intracutaneously injected in
rabbits.PASS
SensitizationExtracts: 0.9% NaCl, CSO for 72 hours at 37 °C.PASS
Acute Systemic ToxicityExtracted with 0.9% NaCl and CSO at 37 °C for 72
hours and injected in mice.PASS
Pyrogenicity (Material-
mediated)Extracted with 0.9% NaCl at 37 °C for 72 hours and
injected intravenously in rabbits.PASS
HemolysisExtracted from PBS at 37 °C for 24 hours, administered
on rabbit blood; or directly contacting rabbit blood in
vitro.PASS
Unactivated Partial
Thromboplastin TimeHuman plasma was exposed to the test article at a ratio of
6 cm2/ml for 15 minutes at 37 °C.PASS
Complement ActivationHuman plasma was exposed to the test article at a
ratio of 6 cm2/mL for 90 mins at 37 °C, in triplicate.PASS

Sterilization

The sterilization method is unchanged. Confirmatory testing on the final packaging configuration was completed and met specification.

Shelf Life and Expiration Dating

The labeled shelf life of the modified device is the same as that of the predicate, 3 years from the date of sterilization. The bench testing described above was performed to support the shelflife of the modified device.

Conclusion

The modified MIVI Q Distal Access Catheter has identical indications, principle of operation, and similar design as the currently marketed MIVI Q Catheter predicate device. The technological differences between the modified Q Catheter and the currently marketed predicate do not raise new questions of safety and effectiveness. Based on the predicate comparison, risk assessment, and device testing results, the modified MIVI Q Distal Access Catheter has been shown to be appropriate for its intended use and is considered substantially equivalent to the predicate device.