K Number
K213834
Device Name
Cardio Flow Peripheral Guide Wire
Manufacturer
Date Cleared
2022-03-18

(99 days)

Product Code
Regulation Number
870.1330
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Cardio Flow Peripheral Guide Wire is intended for temporary placement in peripheral vasculature the placement and exchange of diagnostic and therapeutic devices during percutaneous intravascular procedures. This guidewire device is intended for peripheral vascular use only.
Device Description
The Cardio Flow Peripheral Guide Wire (Guidewire), Model GW1001 is a 304V stainless steel mandrel guidewire with a fixed distal spring coil. The distal coil is radiopaque to fluoroscopy. The coil is medium-stiffness in load-force and the distal end is coated in hydrophobic silicone to facilitate tracking. The Guidewire has a maximum outer diameter of 0.36 mm (0.014-inch). The GW1001 Guidewire has overall nominal length of 325 cm.
More Information

Not Found

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

No.
The device is a guidewire intended to facilitate the placement and exchange of diagnostic and therapeutic devices, but it is not itself performing a therapeutic function.

No

Explanation: The "Intended Use / Indications for Use" section states that the device is intended for the "placement and exchange of diagnostic and therapeutic devices," meaning it facilitates diagnostic procedures but is not diagnostic itself.

No

The device description clearly states it is a physical guidewire made of stainless steel with a spring coil and coating, 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 perform tests on samples taken from the human body (like blood, urine, or tissue) to provide information about a person's health. These tests are performed outside of the body.
  • Device Function: The Cardio Flow Peripheral Guide Wire is a device intended for temporary placement within the peripheral vasculature to facilitate the placement and exchange of other devices during procedures. It is a tool used in vivo (within the living body).
  • Intended Use: The intended use clearly states it's for "temporary placement in peripheral vasculature the placement and exchange of diagnostic and therapeutic devices during percutaneous intravascular procedures." This describes a procedural tool, not a diagnostic test performed on a sample.

The information provided about the device's description, performance studies (bench testing), and predicate devices further supports that it is a procedural device used within the body, not an IVD.

N/A

Intended Use / Indications for Use

The Cardio Flow Peripheral Guide Wire is intended for temporary placement in peripheral vasculature to facilitate the placement and exchange of diagnostic and therapeutic devices during percutaneous intravascular procedures. This guidewire device is intended for peripheral vascular use only.

Product codes

DQX

Device Description

The Cardio Flow Peripheral Guide Wire (Guidewire), Model GW1001 is a 304V stainless steel mandrel guidewire with a fixed distal spring coil. The distal coil is radiopaque to fluoroscopy. The coil is medium-stiffness in load-force and the distal end is coated in hydrophobic silicone to facilitate tracking. The Guidewire has a maximum outer diameter of 0.36 mm (0.014-inch). The GW1001 Guidewire has overall nominal length of 325 cm.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

peripheral 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 evaluations were conducted to confirm compliance with performance requirements. Tests performed include: Corrosion Resistance, Dimensional Verification, Kink Resistance, Lubricity, Particulate Evaluation, Radiopacity, Silicone Coating Integrity, Simulated Use (Compatibility), Tensile Strength, Tip Flexibility, Tip Pull, Torque Strength, Torqueability (Torque Response), Flex Resistance, Fracture Resistance, Tip Load, Sterility, Sterile barrier integrity, Biocompatibility, and Shelf life two (2) years. All tests passed. Animal and Clinical data are not needed to support substantial equivalence.

Key Metrics

Not Found

Predicate Device(s)

K103057

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 870.1330 Catheter guide wire.

(a)
Identification. A catheter guide wire is a coiled wire that is designed to fit inside a percutaneous catheter for the purpose of directing the catheter through a blood vessel.(b)
Classification. Class II (special controls). The device, when it is a torque device that is manually operated, non-patient contacting, and intended to manipulate non-cerebral vascular guide wires, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 870.9.

0

Image /page/0/Picture/0 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 a blue square with the letters "FDA" in white, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in a smaller font.

March 18, 2022

Cardio Flow, Inc. Michael Kallok Chief Executive Officer Quality & Regulatory Associates, LLC 888 East Evenuse, Mahtomedi, MN 55115 USA

Re: K213834

Trade/Device Name: Cardio Flow Peripheral Guide Wire Regulation Number: 21 CFR 870.1330 Regulation Name: Catheter Guide Wire Regulatory Class: Class II Product Code: DQX Dated: February 15, 2022 Received: February 17, 2022

Dear Michael Kallok:

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/cfpmp/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 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

1

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,

Lydia Glaw 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

Enclosure

2

Indications for Use

510(k) Number (if known) K213834

Device Name Cardio Flow Peripheral Guidewire

Indications for Use (Describe)

The Cardio Flow Peripheral Guide Wire is intended for temporary placement in peripheral vasculature the placement and exchange of diagnostic and therapeutic devices during percutaneous intravascular procedures. This guidewire device is intended for peripheral vascular use only.

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

510(k) Summary

This 510(k) summary was prepared to provide an understanding of the basis for the determination of substantial equivalence in accordance with the requirements 21 CFR 807.92.

| Submitters Name: | Cardio Flow, Inc.
888 East Avenue
Mahtomedi, MN 55115 |
|------------------------|-----------------------------------------------------------------------------------------------|
| Contact Person: | Michael J. Kallok, Ph.D., FACC, FAHA; Chief Executive Officer,
Director, Cardio Flow, Inc. |
| Contact Phone: | (800) 294-5517 |
| Date Summary Prepared: | December 8, 2021 |
| Device Trade Name: | Cardio Flow Peripheral Guide Wire |
| Common Name: | Peripheral Guide Wire |
| Classification Name: | 21 CFR 870.1330, Catheter Guide Wire, Class II
Product Code: DQX |
| Predicate Device: | K103057, Asahi Astato XS 20 Guide Wire
Asahi Intecc, Co. Ltd |

Device Description

The Cardio Flow Peripheral Guide Wire (Guidewire), Model GW1001 is a 304V stainless steel mandrel guidewire with a fixed distal spring coil. The distal coil is radiopaque to fluoroscopy. The coil is medium-stiffness in load-force and the distal end is coated in hydrophobic silicone to facilitate tracking. The Guidewire has a maximum outer diameter of 0.36 mm (0.014-inch). The GW1001 Guidewire has overall nominal length of 325 cm.

Intended Use of the Device

The Cardio Flow Peripheral Guide Wire is intended for temporary placement in peripheral vasculature to facilitate the placement and exchange of diagnostic and therapeutic devices during percutaneous intravascular procedures. This guidewire device is intended for peripheral vascular use only.

Summary of Technological Characteristics

The following table provides a side-by-side comparison of the Guidewire to the predicate device applied to support this pre-market notification.

Substantial Equivalence Technical Characteristics
FeatureCardio Flow Peripheral Guide
Wire
(Under Review)Asahi Astato XS 20 Guide
Wire
(Predicate: K10357)Equivalence
Comments
Product Code,
ClassificationDQX,
21 CFR 870.1330, Catheter Guide
Wire, Class IIDQX,
21 CFR 870.1330, Catheter Guide
Wire, Class IIIdentical to predicate.
Substantial Equivalence Technical Characteristics
FeatureCardio Flow Peripheral Guide Wire
(Under Review)Asahi Astato XS 40 Guide
Wire
(Predicate: K153443K)Equivalence
Comments
Intended UseGuidewire supporting guiding
diagnostic and interventional devices
through peripheral vasculature.Guidewire supporting guiding
diagnostic and interventional devices
through peripheral vasculature.Same
Indications for
UseThe Cardio Flow peripheral guidewire
is intended for temporary placement in
peripheral vasculature to facilitate the
placement and exchange of diagnostic
and therapeutic devices during
percutaneous intravascular procedures.
This guidewire device is intended for
peripheral vascular use only.The ASAHI Astato XS 20 Peripheral
Guide Wire is intended to facilitate
the placement and exchange of
diagnostic and therapeutic devices
during intravascular procedures.
This device is intended for peripheral
vascular use only.Same
Prescription Use
OnlyYesYesSame
Single use,
disposableYesYesSame
Provided sterileYesYesSame
Sterilization
methodEthylene OxideEthylene OxideSame
Sterility
Assurance Level$\leq$ 10-6$\leq$ 10-6Same
Sterile barrier
packageTyvek Flexible PouchTyvek Flexible BarrierSimilar
Blood
contacting
materialsPt-Ni, 304V Stainless Steel
Au-Sn (Solder)
SiliconePt-Ni, 304 Stainless Steel
Au-Sn and Ag-Sn (Solder)
PTFE
Hydrophilic coating on coil tipSimilar
Biocompatibility
evaluationsCytotoxicity ISO L929 MEM Elution,
Cytotoxicity Neutral Red Uptake,
ASTM Hemolysis Assay,
Complement Activation Assay SC5b-9,
Intracutaneous Reactivity,
Sensitization Test ISO Guinea Pig
Maximization,
Material Mediated-Pyrogenicity,
Acute Systemic Toxicity Test: Acute
Systemic Injection Assay,
Hemocompatibility: Heparinized
Platelet and Leukocyte Count Assay,
Standard In Vivo Thrombogenicity in
CanineCytotoxicity Study,
In Vitro Hemolysis Study,
C3a Complement Activation Study,
SC5b-9 Complement Activation
Study,
Intracutaneous Study,
Sensitization Study,
Pyrogen Study,
Systemic Toxicity Study,
Plasma Recalcification Time
Coagulation Study,
In Vivo Thromboresistance StudySimilar
Outer Diameter0.36 mm (0.014 inches)
Maximum Outer Diameter0.36 mm (0.014 inches)
Maximum Outer DiameterSimilar
Overall Length325 cm180 to 300 cmSimilar
Tip Length35 mm17 cmSimilar
Tip Flexibility
(Tip Load)10 to 25 gf
(13 gf average)20 gfSimilar
Shelf life2 Years3 YearsSimilar

4

5

Non-clinical Performance Tests to Demonstrate Substantial Equivalency

To establish the technical equivalency of the Guidewire, bench evaluations were conducted to confirm compliance with performance requirements.

TestTest Method SummaryResult
Corrosion ResistanceFDA Guidance: Coronary, Peripheral, and NeurovascularPass
Dimensional VerificationGuidewires - Performance Tests and Recommended Labeling,
(October 10, 2019)Pass
Kink ResistancePass
LubricityPass
Particulate EvaluationPass
RadiopacityPass
Silicone Coating IntegrityPass
Simulated Use (Compatibility)Pass
Tensile StrengthPass
Tip FlexibilityPass
Tip PullPass
Torque StrengthPass
Torqueability (Torque Response)Pass
Flex ResistanceThe guidewire will be resistant to damage by flexing in accordance
to ISO 11070:2014 Annex G criterion, between two cylindrical
mandrels with diameters equal to 20 times the guide wire diameter.Pass
Fracture ResistanceThe guide wire shall not fracture or fail when tested in accordance
to ISO 11070:2014 Annex F criterion, test article wrapped around a
mandrel with a diameter 10 times larger than the guidewire outside
diameter.Pass
Tip LoadGuidewire tip load buckling force inducing buckling deformation
with a 20 mm gauge length from the distal tip is documented.Pass
SterilitySterilization of the subject device was validated according to
ANSI/AAMI/ISO 11135:2014, Sterilization of healthcare products
  • Ethylene oxide - Requirements for development, validation and
    routine control of a sterilization process for medical devices, with a
    minimum sterility assumed level (SAL) of 10-6. | Pass |
    | Sterile barrier integrity | The sterile barrier package is a flexible pouch. The methods applied
    to evaluate the sterile barrier package integrity included post
    terminal sterilization simulated distribution, seal peel and bubble
    emission testing. | Pass |
    | Biocompatibility | ISO 10993-4, -5, -10, -11 appliable standard applied for:
    Cytotoxicity, Complement Activation, Intracutaneous Reactivity,
    Sensitization, Material Mediated-Pyrogenicity, Acute Systemic
    Toxicity, and Standard in Vivo Thrombogenicity in Canine. ASTM
    F756 applied for Hemolysis. ASTM F2888 applied for Heparinized
    Platelet and Leukocyte Count. | Pass |
    | Shelf life two (2) years | Confirmation of device functional performance and sterile barrier
    pouch integrity (seal peel per ASTM F88 and bubble leak per
    ASTM F2096) with accelerated aging and simulated distribution
    per ASTM 4169-16 and bubble leak (ASTM F2096). | Pass |

Animal and Clinical data are not needed to support substantial equivalence.

Conclusion

The Guidewire meets performance requirements equivalent to the predicate device. The intended use and technology of the Guidewire is the same as the predicate device.