K Number
K223560
Date Cleared
2023-08-21

(266 days)

Product Code
Regulation Number
870.1250
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Plato 17 Microcatheter is intended for the introduction of therapeutic devices, infusion of diagnostic agents, such as contrast media, and delivery of embolization materials to the peripheral and neuro vasculature systems. The Plato 17 Microcatheter is not intended for use in the coronary vasculature.

Device Description

Scientia Vascular's Plato® 17 Microcatheter is a single lumen, open-ended catheter designed to be flexible and axially stable, to aid the physician in the accessing of the distal neuro and peripheral vasculature. The Plato® 17 Microcatheter is supplied sterile and is for single use only. The Plato® 17 Microcatheter is supplied in various tip configurations, including straight and pre-shaped (45° and 90°). The microcatheter shaft design includes nitinol, polymers of varying durometer, and an internal liner providing lubricity for therapeutic device, diagnostic agent, and embolization material delivery. The distal exterior section of the catheter shaft is hydrophilic coated to reduce friction during manipulation in vessels. The microcatheter includes two radiopaque tip markers to facilitate fluoroscopic visualization and a clear hub with luer lock and a strain relief.

The microcatheter is provided with a steam shaping mandrel, peel-away introducer, and a ruler. The shaping mandrel, peel-away introducer, and ruler are accessories included to facilitate use of the microcatheter and are not intended to contact the patient's body.

AI/ML Overview

The provided document is a 510(k) summary for the Scientia Vascular, Inc. Plato® 17 Microcatheter. It does not contain information about studies related to AI/ML device performance, human reader improvement with AI assistance, or standalone algorithm performance. The device described is a microcatheter, a physical medical device, not a diagnostic imaging or AI-powered solution.

Therefore, I cannot populate the table or provide information for points 2 through 9 as they are specific to AI/ML device evaluations.

Here is the acceptance criteria and the (non-AI/ML related) study details as provided in the document:

1. A table of acceptance criteria and the reported device performance

Test NameAttribute and Acceptance CriteriaReported Device Performance
Biocompatibility
Cytotoxicity: MEM ElutionCell culture was observed for cytotoxic reactivity.Non-cytotoxic.
Direct Contact and Extract method Hemolysis TestThe difference between the hemolytic indexes of the subject device and the negative control was evaluated.Non-hemolytic.
Partial Thromboplastin Time (PTT) TestThe clotting time was observed for both the subject device and the predicate.Non-activator.
Platelet Leukocyte CountsThe concentration of platelets and leukocytes were determined on an automated hematology analyzer.Non-activator.
Functional Testing
Accessory VerificationThe Peel-Away Introducer must facilitate introduction of catheter into a guide catheter.PASS
Therapeutic Device Compatibility and Simulated UseThe Plato® 17 Microcatheter can successfully deliver representative therapeutic devices, including stent, in a tortuous neurovascular model. The Plato® 17 Microcatheter was evaluated for delivery to target location and functionality post therapeutic device delivery.PASS
Embolization Material CompatibilityVisual inspection, lumen check, liquid leakage, static burst, tensile and force to withdraw testing was conducted for the Plato® 17 Microcatheter using representative embolization materials in a tortuous neurovascular model.PASS

Since the provided document is for a physical medical device (microcatheter) and not an AI/ML-powered device, the following points are not applicable and cannot be answered from the given text:

  1. Sample size used for the test set and the data provenance: Not applicable for a physical medical device.
  2. Number of experts used to establish the ground truth for the test set and the qualifications of those experts: Not applicable for a physical medical device.
  3. Adjudication method (e.g. 2+1, 3+1, none) for the test set: Not applicable for a physical medical device.
  4. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance: Not applicable as this is not an AI-assisted device.
  5. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done: Not applicable as this is not an AI-powered algorithm.
  6. The type of ground truth used (expert consensus, pathology, outcomes data, etc.): Not applicable for a physical medical device; ground truth refers to labels/diagnoses in AI/ML performance evaluation. For this device, "ground truth" would relate to confirming physical properties and functional performance against standards.
  7. The sample size for the training set: Not applicable as this is not an AI/ML device that requires a training set.
  8. How the ground truth for the training set was established: Not applicable as this is not an AI/ML device that requires a training set.

{0}------------------------------------------------

August 21, 2023

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 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.

Scientia Vascular, Inc. Max Alfonso Regulatory Affairs Specialist 3487 West 2100 South Suite 100 West Valley City, Utah 84119

Re: K223560

Trade/Device Name: Plato 17 Microcatheter Regulation Number: 21 CFR 870.1250 Regulation Name: Percutaneous Catheter Regulatory Class: Class II Product Code: QJP, DQY Dated: July 20, 2023 Received: July 21, 2023

Dear Max Alfonso:

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 -S

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) K223560

Device Name Plato® 17 Microcatheter

Indications for Use (Describe)

The Plato 17 Microcatheter is intended for the introduction of therapeutic devices, infusion of diagnostic agents, such as contrast media, and delivery of embolization materials to the peripheral and neuro vasculature systems. The Plato 17 Microcatheter is not intended for use in the coronary vasculature.

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}------------------------------------------------

Scientia Vascular, Inc. Traditional 510(k) Plato® 17 Microcatheter

Image /page/3/Picture/1 description: The image shows the logo for Scientia. The logo consists of a stylized, teal-colored symbol resembling an abstract letter 'S' or a curved, interconnected chain. Below the symbol, the word "SCIENTIA" is written in a modern, sans-serif font with a gray color scheme. The font appears to be slightly stylized, with rounded edges and a futuristic aesthetic.

510(K) SUMMARY K223560

(Per 21 CFR 807.92)

SCIENTIA VASCULAR, INC. Plato® 17 Microcatheter

Submitter Name and Address: Scientia Vascular, Inc. 3487 West 2100 South Suite 100 West Valley City, UT 84119

Contact Person:Max Alfonso
Regulatory Affairs Specialist
Phone: 1 (888) 385-9016
Email: regulatory@scientiavascular.com

Date Prepared: 18 August 2023

Trade Name:Plato® 17 Microcatheter
Common Name:Microcatheter
Classification Name:Catheter, Percutaneous
Primary Product Code:QJP
Secondary Product Code:DQY
Review Panel:Neurology
Device Class:Class II device per 21 CFR 870.1250
Predicate Device:Plato® 17 Microcatheter (K210601, cleared 04/28/2021)

{4}------------------------------------------------

Scientia Vascular, Inc. Traditional 510(k) Plato® 17 Microcatheter

DEVICE DESCRIPTION

Scientia Vascular's Plato® 17 Microcatheter is a single lumen, open-ended catheter designed to be flexible and axially stable, to aid the physician in the accessing of the distal neuro and peripheral vasculature. The Plato® 17 Microcatheter is supplied sterile and is for single use only. The Plato® 17 Microcatheter is supplied in various tip configurations, including straight and pre-shaped (45° and 90°). The microcatheter shaft design includes nitinol, polymers of varying durometer, and an internal liner providing lubricity for therapeutic device, diagnostic agent, and embolization material delivery. The distal exterior section of the catheter shaft is hydrophilic coated to reduce friction during manipulation in vessels. The microcatheter includes two radiopaque tip markers to facilitate fluoroscopic visualization and a clear hub with luer lock and a strain relief.

The microcatheter is provided with a steam shaping mandrel, peel-away introducer, and a ruler. The shaping mandrel, peel-away introducer, and ruler are accessories included to facilitate use of the microcatheter and are not intended to contact the patient's body.

The Plato® 17 Microcatheter is substantially equivalent with respect to intended use, technological characteristics, design, and materials to Scientia Vascular's currently marketed Plato® 17 Microcatheter cleared under K210601.

INTENDED USE

To assist in delivery of therapeutic devices and embolization materials and infusion of diagnostic agents to the neuro and peripheral vasculature during interventional or diagnostic procedures.

INDICATIONS FOR USE

The Plato 17 Microcatheter is intended for the introduction of therapeutic devices, infusion of diagnostic agents, such as contrast media, and delivery of embolization materials to the peripheral and neuro vasculature systems. The Plato 17 Microcatheter is not intended for use in the coronary vasculature.

TECHNOLOGICAL CHARACTERISTICS

The Plato® 17 Microcatheter is equivalent or similar to the predicate device in the following ways:

  • Functionality ●
  • Intended use ●
  • Materials ●
  • Design ●
  • . Biological safety

Shown in the table below is the comparison of technological characteristics for the Plato® 17 Microcatheter to those of the predicate device, the Plato® 17 Microcatheter (K210601).

{5}------------------------------------------------

Table 1: Comparison between Subject & Predicate Device Technological Characteristics:
-----------------------------------------------------------------------------------------
Note: Differences are bolded .
CharacteristicSubject DevicePlato® 17 Microcatheter (K223560)Predicate DevicePlato® 17 Microcatheter (K210601)ComparisonAnalysis
AnatomicalLocationNeuro and peripheral vasculatureNeuro and peripheral vasculatureSame
Indications for UseThe Plato 17 Microcatheter isintended for the introduction oftherapeutic devices , infusion ofdiagnostic agents, such as contrastmedia, and delivery ofembolization materials to theperipheral and neuro vasculaturesystems. The Plato 17 Microcatheteris not intended for use in thecoronary vasculature.The Plato 17 Microcatheter isintended for the introduction ofembolic coils and infusion ofdiagnostic agents, such as contrastmedia, to the peripheral and neurovasculature systems. The Plato 17Microcatheter is not intended foruse in the coronary vasculature.Similar
MaterialsHub:Clear polymerHub:Clear polymerSame
Strain Relief:Thermoplastic ElastomerStrain Relief:Thermoplastic ElastomerSame
Catheter Shaft:Polyamide, Nitinol, Stainless Steel,and PTFECatheter Shaft:Polyamide, Nitinol, Stainless Steel,and PTFESame
Radiopaque Marker Bands:Platinum IridiumRadiopaque Marker Bands:Platinum IridiumSame
Proximal ID0.017" (0.43mm)0.017" (0.43mm)Same
Proximal OD2.1F (0.70mm)2.1F (0.70mm)Same
Distal ID0.017" (0.43mm)0.017" (0.43mm)Same
Distal OD1.7F (0.60mm)1.7F (0.60mm)Same
Effective Length160cm160cmSame
Tip DesignStraight and pre-shaped tipsStraight and pre-shaped tipsSame
Steam-ShapeabletipYesYesSame

{6}------------------------------------------------

Table 1: Comparison between Subject & Predicate Device Technological Characteristics:
Note: Differences are bolded.
CharacteristicSubject DevicePlato® 17 Microcatheter (K223560)Predicate DevicePlato® 17 Microcatheter (K210601)ComparisonAnalysis
Distal CoatingHydrophilic coatingHydrophilic coatingSame
Coated Length90cm90cmSame
RadiopaqueMarkers2 radiopaque markers located atdistal tip of the microcatheter2 radiopaque markers located atdistal tip of the microcatheterSame
SterilizationMethod100% Ethylene Oxide (EO)100% Ethylene Oxide (EO)Same
GuidewireCompatibility0.014"0.014"Same
Accessories:IntroducerIncluded (ID: 0.060")Included (ID: 0.045")Different
Accessories:Tip ShapingMandrel0.015" diameter stainless steel tipshaping mandrel included0.015" diameter stainless steel tipshaping mandrel includedSame
Accessories:RulerIncludedIncludedSame

|Table 1: Comparison between Subject & Predicate Device Technological Characteristics:

The subject device, Plato® 17 Microcatheter, has similar intended use and the same fundamental technological characteristics (design, materials, and device features) when compared to the predicate device. The subject device completed and passed required nonclinical testing to support the expanded indications for use. The difference in technological characteristics and intended use do not raise new or different questions of safety and effectiveness for the subject device.

NON-CLINICAL PERFORMANCE TESTS

Results of tests performed on the subject Plato® 17 Microcatheter demonstrates it met the testing acceptance criteria, performs as well as the predicate device, and/or meets requirements of relevant standards and FDA guidance documents.

Biocompatibility

The biocompatibility evaluation for the subject device, Plato® 17 Microcatheter, was performed in accordance with ISO 10993-1: 2018. The previously conducted testing from the predicate device submission, K210601, was used to support the biocompatibility of the subject device and the following

{7}------------------------------------------------

Scientia Vascular, Inc. Traditional 510(k) Plato® 17 Microcatheter

additional testing was also conducted:

Table 2: Summary of Subject Device Biocompatibility Testing Performed.
Name of TestTest SummaryConclusion of Testing
Cytotoxicity: MEMElutionCell culture was observed forcytotoxic reactivity.Non-cytotoxic.
Direct Contact andExtract methodHemolysis TestThe difference between thehemolytic indexes of the subjectdevice and the negative control wasevaluated.Non-hemolytic.
PartialThromboplastinTime (PTT) TestThe clotting time was observed forboth the subject device and thepredicate.Non-activator.
Platelet Leukocyte CountsThe concentration of platelets andleukocytes were determined on anautomated hematology analyzer.Non-activator.

Functional Testing

Functional testing was performed in accordance with the following standards:

  • ISO 80369-7:2021 - Small bore connectors for liquids and gases in healthcare applications -Connectors for intravascular or hypodermic applications,
  • . ISO 80369-20:2015 - Small bore connectors for liquids and gases in healthcare applications -Common test methods,
  • . ISO 10555-1:2013 (corrected 2014) - Intravascular catheters - Sterile and single-use catheters -Part 1: General requirements,

as well as the FDA Guidance Documents:

  • Premarket Notifications [510(k)] Submissions for Short-Term and Long-Term Intravascular ● Catheters (March 1995),
  • . Non-Clinical Engineering Tests and Recommended Labeling for Intravascular Stents and Associated Delivery Systems (April 2010),
  • Coronary, Peripheral, and Neurovascular Guidewires - Performance Tests and Recommended Labeling (October 2019),
  • Intravascular Catheters, Wires, and Delivery Systems with Lubricious Coatings Labeling . Considerations (October 2019).

The design of the subject device is unchanged when compared to the predicate device, K210601. Therefore, the functional testing from K210601 for the predicate device is utilized and adopted for the subject device. Table 3 Summarizes the additional functional verification testing performed as part of this submission.

{8}------------------------------------------------

TestAttribute and Acceptance CriteriaResults
AccessoryVerificationThe Peel-Away Introducer must facilitate introduction ofcatheter into a guide catheter.PASS
Therapeutic DeviceCompatibility andSimulated UseThe Plato® 17 Microcatheter can successfully deliverrepresentative therapeutic devices, including stent, in atortuous neurovascular model.The Plato® 17 Microcatheter was evaluated for delivery totarget location and functionality post therapeutic devicedelivery.PASS
EmbolizationMaterialCompatibilityVisual inspection, lumen check, liquid leakage, static burst,tensile and force to withdraw testing was conducted for thePlato® 17 Microcatheter using representative embolizationmaterials in a tortuous neurovascular model.PASS

Table 3: Summary of Subject Device Functional Testing.

Additionally, the sterilization process of the subject device is identical to the predicate device K210601. The shelf-life testing, packaging integrity, and sterilization including EO, ECH residuals and bacterial endotoxin levels for the subject device are supported by the testing conducted for the predicate device.

CONCLUSION

The Plato® 17 Microcatheter has similar intended use and technological characteristics when compared to the predicate device. The identified differences in the indications for use statement and accessory introducer diameter do not raise new questions of safety or effectiveness. Risk evaluation along with testing, functional and biological, was completed for the subject device. The testing and risk evaluation demonstrate that the subject device is substantially equivalent to the predicate. The subject device and the predicate device have similar intended use, the same fundamental technological characteristics, and similar functional performance, as demonstrated through testing.

§ 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).