K Number
K222538
Device Name
NC ROCKSTAR Non-Compliant PTCA Balloon Dilatation Catheter
Date Cleared
2022-12-21

(121 days)

Product Code
Regulation Number
870.5100
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The NC ROCKSTAR™ Non-Compliant PTCA Balloon Dilatation Catheter is indicated for the balloon catheter dilatation of the stenotic portion of a native coronary artery or bypass graft stenosis for the purpose of improving myocardial perfusion in patients with atherosclerosis. The NC ROCKSTAR™ Non-Compliant PTCA Balloon Dilatation Catheter is also indicated for the postdelivery expansion of balloon expandable stents (bare metal and drug-eluting).
Device Description
The NC ROCKSTAR Non-Compliant PTCA Balloon Dilatation Catheter is a rapid exchange catheter, including a low compliance balloon close to the distal tip. The catheter's distal portion is dual lumen and coaxial. The dual lumen includes an outer lumen for balloon inflation, and an inner lumen to allow a ≤0.014 in (0.36 mm) guidewire to facilitate catheter advancement to and through the stenosis or stent that is to be dilated. The proximal portion of the catheter is a sinqle-lumen, stainless steel hypotube that includes a sinqle luer hub for balloon inflation/deflation. The balloon design provides for an inflatable segment of both known diameter and length at recommended pressures. A balloon protective sheath placed over the balloon maintains a low profile. A mandrel is positioned inside the inner lumen to protect catheter patency. The catheter's tapered tip is aids advancement to and through the stenosis or stent. The effective length of the catheter is 145 cm. Radiopaque marker bands, in conjunction with fluoroscopy, are aids for the placement of the catheter's balloon. The entire balloon has a hydrophobic coating. The shaft has a hydrophilic coating from the guidewire port to just proximal of the balloon.
More Information

No
The device description and performance studies focus on the mechanical aspects of a balloon catheter and do not mention any AI or ML components or functionalities.

Yes.
The device is indicated for "balloon catheter dilatation of the stenotic portion of a native coronary artery or bypass graft stenosis for the purpose of improving myocardial perfusion," which is a therapeutic intervention.

No

The device is a therapeutic balloon dilatation catheter designed to improve myocardial perfusion by dilating stenotic portions of coronary arteries or bypass grafts, not to diagnose medical conditions.

No

The device description clearly details a physical catheter with a balloon, lumens, hypotube, luer hub, and coatings, indicating it is a hardware medical device.

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 for a therapeutic procedure (balloon dilatation of coronary arteries and bypass grafts, and post-delivery expansion of stents) performed directly on the patient's body.
  • Device Description: The description details a catheter with a balloon designed for mechanical intervention within the circulatory system.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens derived from the human body (like blood, urine, tissue, etc.) to provide information for diagnosis, monitoring, or screening.

IVD devices are used in vitro (outside the body) to analyze biological samples. This device is used in vivo (inside the body) for a therapeutic purpose.

N/A

Intended Use / Indications for Use

The NC ROCKSTAR™ Non-Compliant PTCA Balloon Dilatation Catheter is indicated for the balloon catheter dilatation of the stenotic portion of a native coronary artery or bypass graft stenosis for the purpose of improving myocardial perfusion in patients with atherosclerosis. The NC ROCKSTAR™ Non-Compliant PTCA Balloon Dilatation Catheter is also indicated for the postdelivery expansion of balloon expandable stents (bare metal and drug-eluting).

Product codes

LOX

Device Description

The NC ROCKSTAR Non-Compliant PTCA Balloon Dilatation Catheter is a rapid exchange catheter, including a low compliance balloon close to the distal tip. The catheter's distal portion is dual lumen and coaxial. The dual lumen includes an outer lumen for balloon inflation, and an inner lumen to allow a ≤0.014 in (0.36 mm) guidewire to facilitate catheter advancement to and through the stenosis or stent that is to be dilated. The proximal portion of the catheter is a sinqle-lumen, stainless steel hypotube that includes a sinqle luer hub for balloon inflation/deflation. The balloon design provides for an inflatable segment of both known diameter and length at recommended pressures. A balloon protective sheath placed over the balloon maintains a low profile. A mandrel is positioned inside the inner lumen to protect catheter patency. The catheter's tapered tip is aids advancement to and through the stenosis or stent. The effective length of the catheter is 145 cm. Radiopaque marker bands, in conjunction with fluoroscopy, are aids for the placement of the catheter's balloon. The entire balloon has a hydrophobic coating. The shaft has a hydrophilic coating from the guidewire port to just proximal of the balloon.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Fluoroscopy

Anatomical Site

Native coronary artery or bypass graft stenosis

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 laboratory testing was performed on the NC ROCKSTAR Non-Compliant PTCA Balloon Dilatation Catheter to determine substantial equivalence. The following testing/assessments were performed:

  • Dimensional Verification
  • Stimulated Use
  • In-Stent Rated Burst Pressure
  • In-Stent Balloon Fatigue
  • Balloon Inflation and Deflation Time
  • Flexibility and Kink
  • Radiopacity
  • Particulate
  • Component Dimensional
  • Compatibility
  • Rated Burst Pressure
  • Balloon Fatique
  • Compliance
  • Bond Strength (including Tip Pull)
  • Torque
  • Coating Integrity
    The in vitro bench tests demonstrated that the NC ROCKSTAR Non-Compliant PTCA Balloon Dilatation Catheter met all acceptance criteria and performed similarly to the predicate device. Performance data demonstrated that the device functions as intended and has a safety and effectiveness profile that is substantially equivalent to the predicate device.

Biocompatibility testing was also performed:

  • Cytotoxicity
  • Intracutaneous Reactivity
  • Complement Activation (SC5b-9)
  • Material Mediated Pyrogenicity
  • Partial Thromboplastin Time
  • Sensitization
  • Hemolysis (Direct and Extract)
  • Thrombogenicity
  • Acute Systemic Toxicity
  • Heparinized Blood Platelet and
  • Leukocyte Count Assay
    The results from the testing performed showed the NC ROCKSTAR Non-Compliant PTCA Balloon Dilatation Catheter to be biocompatible.

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

Not Found

Predicate Device(s)

K141236

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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.

0

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December 21, 2022

Sino Medical Sciences Technology Inc. % Semih Oktay President and CEO CardioMed Device Consultants LLC 1783 Forest Drive, #254 Annapolis, Maryland 21401

Re: K222538

Trade/Device Name: NC ROCKSTARTM Non-Compliant PTCA Balloon Dilatation Catheter Regulation Number: 21 CFR 870.5100 Regulation Name: Percutaneous Transluminal Coronary Angioplasty (Ptca) Catheter Regulatory Class: Class II Product Code: LOX Dated: August 19, 2022 Received: August 22, 2022

Dear Semih Oktay:

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.

1

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 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 W. Digitally signed by
Gregory W. Gregory W. O'connell -S ○'connell -S Date: 2022.12.21
0':connell -S 10:07:37 -05'00'

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

Enclosure

2

Indications for Use

510(k) Number (if known) K222538

Device Name

NC ROCKSTAR™ Non-Compliant PTCA Balloon Dilatation Catheter

Indications for Use (Describe)

The NC ROCKSTAR Non-Compliant PTCA Balloon Dilatation Catheter is indicated for the balloon catheter dilatation of the stenotic portion of a native coronary artery or bypass graft stenosis for the purpose of improving myocardial perfusion in patients with atherosclerosis. The NC ROCKSTAR Non-Compliant PTCA Balloon Dilatation Catheter is also indicated for the post-delivery expansion of balloon expandable stents (bare metal and drug-eluting).

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)

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510(k) Summary

(as required by 21 CFR 807.92)

Non-Compliant PTCA Balloon Dilatation Catheter

510(k) K222538

Date Prepared:August 19, 2022
Applicant:SINO Medical Sciences Technology Inc.
Contact Name:H. Semih Oktay, Ph.D.
Title:President, CardioMed Device Consultants
Email:soktay@cardiomedllc.com
Telephone:(410) 271-2088
Fax:(410) 674-2133
Trade Name:NC ROCKSTAR™ Non-Compliant PTCA Dilatation
Catheter
Device Classification:Class II per 21 CFR §870.5100
Classification Name:Catheters, Transluminal Coronary Angioplasty,
Percutaneous
Product Code:LOX
Predicate Devices:NC Emerge™ Monorail™ PTCA Dilatation Catheter

INTENDED USE/INDICATIONS FOR USE:

The NC ROCKSTAR™ Non-Compliant PTCA Balloon Dilatation Catheter is indicated for the balloon catheter dilatation of the stenotic portion of a native coronary artery or bypass graft stenosis for the purpose of improving myocardial perfusion in patients with atherosclerosis. The NC ROCKSTAR™ Non-Compliant PTCA Balloon Dilatation Catheter is also indicated for the postdelivery expansion of balloon expandable stents (bare metal and drug-eluting).

DEVICE DESCRIPTION:

The NC ROCKSTAR Non-Compliant PTCA Balloon Dilatation Catheter is a rapid exchange catheter, including a low compliance balloon close to the distal tip. The catheter's distal portion is dual lumen and coaxial. The dual lumen includes an outer lumen for balloon inflation, and an inner lumen to allow a ≤0.014 in (0.36 mm) guidewire to facilitate catheter advancement to and through the stenosis or stent that is to be dilated. The proximal portion of the catheter is a sinqle-lumen, stainless steel hypotube that includes a sinqle luer hub for balloon inflation/deflation. The balloon design provides for an inflatable

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segment of both known diameter and length at recommended pressures. A balloon protective sheath placed over the balloon maintains a low profile. A mandrel is positioned inside the inner lumen to protect catheter patency. The catheter's tapered tip is aids advancement to and through the stenosis or stent. The effective length of the catheter is 145 cm. Radiopaque marker bands, in conjunction with fluoroscopy, are aids for the placement of the catheter's balloon. The entire balloon has a hydrophobic coating. The shaft has a hydrophilic coating from the guidewire port to just proximal of the balloon.

COMPARISON WITH PREDICATE DEVICES:

Comparison of the NC ROCKSTAR Non-Compliant PTCA Balloon Dilatation Catheter and predicate device show that the technological characteristics of the subject device such as the components, design, materials, sterilization method, shelf life and operating principle are similar to the currently marketed predicate device. The intended use of the subject device and the predicate are the same.

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Table 5-1: Comparison of NC ROCKSTAR Non-Compliant PTCA Balloon Dilatation Catheter and Predicate Device

SubjectPredicate
Name of DeviceNC ROCKSTAR™
Non- Compliant PTCA Balloon
Dilatation CatheterNC Emerge™ Monorail™ PTCA
Dilatation Catheter
ManufacturerSINO Medical Sciences
Technology Inc.Boston Scientific Corporation
510(k)TBDK141236
Indications for UseThe NC ROCKSTAR Non-
Compliant PTCA Balloon Dilatation
Catheter is indicated for the balloon
catheter dilatation of the stenotic
portion of a native coronary artery
or bypass graft stenosis for the
purpose of improving myocardial
perfusion in patients with
atherosclerosis.The NC Emerge OTW and NC
Emerge MR PTCA Dilatation
Catheters are indicated for the
balloon catheter dilatation of the
stenotic portion of a native
coronary artery or bypass graft
stenosis for the purpose of
improving myocardial perfusion in
patients with atherosclerosis.
The NC ROCKSTAR Non-
Compliant PTCA Balloon Dilatation
Catheter is also indicated for the
post-delivery expansion of balloon
expandable stents (bare metal and
drug-eluting).The NC Emerge OTW and NC
Emerge MR PTCA Dilatation
Catheters (balloon models
2.00mm-5.00mm) are also
indicated for the post-delivery
expansion of balloon expandable
stents (bare metal and drug-
eluting).
Catheter Shaft
CharacteristicsDevice
DesignRapid Exchange PTCA CatheterRapid Exchange PTCA Catheter
Radiopaque
Marker(s)2 Platinum/Iridium2 Platinum/Iridium
Useable
Length145cm143cm
Balloon
CharacteristicsBalloon
Diameters2.00,2.25,2.50,2.75,3.00,3.25,
3.50,3.75,4.00,4.50, and 5.00mm2.00,2.25,2.50,2.75,3.00,3.25,
3.50,3.75,4.00,4.50,5.00,5.50, and
6.00mm
Balloon
Lengths8, 12, 15, and 20mm6, 8, 12, 15, 20, and 30mm
Rated Burst
PressureDiameter 2.00-4.00mm,
RBP is 22atm;
Diameter 4.50-5.00mm,
RBP is 20atm;Diameter 2.00-4.00mm,
RBP is 20atm;
Diameter 4.50-6.00mm,
RBP is 18atm;
Hydrophilic coatingYesYes
Hydrophobic coatingYesYes
Guide catheter
compatibilityDiameter 2.00-4.00mm:
0.056in (1.42mm);
Diameter 4.50-5.00mm:
0.066in (1.68mm)Diameter 2.00-4.00mm:
0.056in (1.42mm);
Diameter 4.50-6.00mm:
0.066in (1.68mm)
Guidewire compatibility≤0.36mm (0.014 inches)≤0.36mm (0.014 inches)
Sterilization MethodEO SterilizationEO Sterilization

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Image /page/6/Picture/1 description: The image shows the Sinomed logo in blue, with the tagline "Innovation for health" underneath. To the right of the logo, there is the text "K222538" and "Page 4 of 5". The logo and text are positioned at the top of the image.

NON-CLINICAL TESTING/PERFORMANCE DATA:

Non-clinical laboratory testing was performed on the NC ROCKSTAR Non-Compliant PTCA Balloon Dilatation Catheter to determine substantial equivalence. The following testing/assessments were performed:

  • Dimensional Verification ●
  • Stimulated Use ●
  • In-Stent Rated Burst Pressure ●
  • In-Stent Balloon Fatigue ●
  • Balloon Inflation and Deflation Time ●
  • Flexibility and Kink ●
  • Radiopacity ●
  • Particulate ●
  • Component Dimensional ● Compatibility
  • Rated Burst Pressure ●
  • Balloon Fatique ●
  • Compliance ●
  • Bond Strength (including Tip Pull) ●
  • Torque ●
  • Coating Integrity

The in vitro bench tests demonstrated that the NC ROCKSTAR Non-Compliant PTCA Balloon Dilatation Catheter met all acceptance criteria and performed similarly to the predicate device. Performance data demonstrated that the device functions as intended and has a safety and effectiveness profile that is substantially equivalent to the predicate device.

BIOCOMPATIBILITY:

Testing was performed to assess biocompatibility of the NC ROCKSTAR Non-Compliant PTCA Balloon Dilatation Catheter. The following tests were performed:

  • Cytotoxicity ●
  • Intracutaneous Reactivity ●
  • Complement Activation (SC5b-9) ●
  • Material Mediated Pyrogenicity
  • Partial Thromboplastin Time ●
  • Sensitization ●
  • Hemolysis (Direct and Extract) ●
  • Thrombogenicity ●
  • Acute Systemic Toxicity
  • Heparinized Blood Platelet and ● Leukocyte Count Assay

The results from the testing performed showed the NC ROCKSTAR Non-Compliant PTCA Balloon Dilatation Catheter to be biocompatible.

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CONCLUSION:

The NC ROCKSTAR Non-Compliant PTCA Balloon Dilatation Catheter has the same intended use and similar technological characteristics such as components, design, materials, and operating principles as the predicate device. Performance data demonstrates that the device functions as intended. The conclusions drawn from the nonclinical tests demonstrate that the NC ROCKSTAR Non-Compliant PTCA Balloon Dilatation Catheter has substantially equivalent safety, effectiveness, and performance outcomes as the legally marketed predicate device.

Therefore, the NC ROCKSTAR Non-Compliant PTCA Balloon Dilatation Catheter is substantially equivalent to the predicate device.