K Number
K230609
Device Name
NG Delivery Catheter
Manufacturer
Date Cleared
2023-09-13

(191 days)

Product Code
Regulation Number
870.1250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The NG Delivery Catheter is intended for general intravascular use, including the peripheral, coronary and neuro vasculature for the infusion of diagnostic agents, such as contrast media, and to assist in the delivery of interventional devices, such as distal access catheters, in the neurovasculature.
Device Description
The NG Delivery Catheter is a single lumen, variable stiffness, composite catheter. The design facilitates the advancement of the catheter and is intended to assist the delivery of interventional devices in the peripheral and neurovasculature. The outer surface of the NG Delivery Catheter is coated with a hydrophilic coating to increase lubricity. The proximal end of the NG Delivery Catheter incorporates a luer fitting for the attachment of accessories. Two radiopaque markers at the distal end help to facilitate fluoroscopic visualization. A Steam Shaping Mandrel and Peel-away Introducer Tube are included within the tray. The NG Delivery Catheter is provided sterile, non-pyrogenic, and is intended for single use only.
More Information

No
The description focuses on the physical characteristics and mechanical performance of a delivery catheter, with no mention of AI or ML capabilities.

No

Explanation: The device is described as assisting in the delivery of interventional devices and the infusion of diagnostic agents. It does not exert a therapeutic effect itself.

No

The device is a delivery catheter intended for the infusion of diagnostic agents and to assist in the delivery of interventional devices, not to perform a diagnosis itself.

No

The device description clearly describes a physical catheter with various material and design features, including a luer fitting, radiopaque markers, and a hydrophilic coating. The performance studies also focus on physical characteristics and bench testing of a tangible device.

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

Here's why:

  • Intended Use: The intended use clearly states the device is for "general intravascular use" for "infusion of diagnostic agents, such as contrast media, and to assist in the delivery of interventional devices." This describes a device used within the body for diagnostic imaging and procedural assistance, not for testing samples outside the body.
  • Device Description: The description details a catheter designed for insertion into blood vessels, with features like a lumen for infusion, a hydrophilic coating for lubricity, and radiopaque markers for visualization during procedures. This aligns with an in-vivo medical device, not an in-vitro diagnostic.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.) or performing tests on these samples outside the body. The device's function is entirely focused on interacting with the patient's vasculature.

In summary, the NG Delivery Catheter is an in-vivo medical device used for procedures within the body, not an in-vitro diagnostic device used for testing samples outside the body.

N/A

Intended Use / Indications for Use

The NG Delivery Catheter is intended for general intravascular use, including the peripheral, coronary and neuro vasculature for the infusion of diagnostic agents, such as contrast media, and to assist in the delivery of interventional devices, such as distal access catheters, in the neurovasculature.

Product codes (comma separated list FDA assigned to the subject device)

QJP, DQY

Device Description

The NG Delivery Catheter is a single lumen, variable stiffness, composite catheter. The design facilitates the advancement of the catheter and is intended to assist the delivery of interventional devices in the peripheral and neurovasculature. The outer surface of the NG Delivery Catheter is coated with a hydrophilic coating to increase lubricity. The proximal end of the NG Delivery Catheter incorporates a luer fitting for the attachment of accessories. Two radiopaque markers at the distal end help to facilitate fluoroscopic visualization.

A Steam Shaping Mandrel and Peel-away Introducer Tube are included within the tray. The NG Delivery Catheter is provided sterile, non-pyrogenic, and is intended for single use only.

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

Not Found

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

Performance Data - Bench:
The following non-clinical bench testing was conducted to assess the performance of the subject device, NG Delivery Catheter:

  • Physical and Dimensional: All samples passed the acceptance criteria.
  • Tensile Strength: All samples passed the acceptance criteria.
  • Kink Resistance: All samples passed the acceptance criteria.
  • Liquid-Leakage: All samples passed the acceptance criteria.
  • Air Leakage: All samples passed the acceptance criteria.
  • Static Burst: All samples passed the acceptance criteria.
  • Torque Strength: All samples passed the acceptance criteria.
  • Catheter Tip Shapeability: All samples passed the acceptance criteria.
  • Hub Validation Testing: All samples passed the acceptance criteria.
  • Coating Adherence: All samples passed the acceptance criteria.
  • Particulate Matter: All samples passed the acceptance criteria.
  • Tip Stiffness: The tip stiffness was comparable.
  • Flow Rate: Characterization only
  • Saline and Contrast Exposure: All samples passed the acceptance criteria.
  • Lubricity (Friction Force): Characterization only
  • Radiopacity (Visibility): Acceptable
  • Physician Usability: All samples passed the acceptance criteria.

Performance Data - Animal:
Balt USA, LLC did not conduct non-clinical animal testing. The differences in technological characteristics do not raise new questions of safety and effectiveness.

Performance Data - Clinical:
Balt USA, LLC did not conduct clinical testing. The differences in technological characteristics do not raise new questions of safety and effectiveness.

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

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K172014

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

K163259

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).

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September 13, 2023

Balt USA, LLC Catherine Chiou Specialist. Regulatory Affairs 29 Parker Irvine, California 92618

Re: K230609

Trade/Device Name: NG Delivery Catheter Regulation Number: 21 CFR 870.1250 Regulation Name: Percutaneous Catheter Regulatory Class: Class II Product Code: QJP, DQY Dated: August 17, 2023 Received: August 17, 2023

Dear Catherine Chiou:

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

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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

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Indications for Use

510(k) Number (if known) K230609

Device Name NG Delivery Catheter

Indications for Use (Describe)

The NG Delivery Catheter is intended for general intravascular use, including the peripheral, coronary and neuro vasculature for the infusion of diagnostic agents, such as contrast media, and to assist in the delivery of interventional devices, such as distal access catheters, in the neurovasculature.

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: K230609

| Applicant: | Balt USA, LLC
29 Parker
Irvine, CA 92618
Registration No.: 3014162263 |
|-----------------|-------------------------------------------------------------------------------------------|
| Contact Person: | Catherine Chiou
Specialist, Regulatory Affairs
Email: Catherine.chiou@baltgroup.com |

| Date Summary

Prepared:September 13, 2023
Trade Name:NG Delivery Catheter
Common Name:Catheter, Percutaneous
Review Panel:Neurology
Product Code:QJP, DQY
Regulation Number:21 CFR 870.1250
Device Classification:Class II
Predicate Device:Wedge Microcatheter
510(k) #: K172014
Reference Device:AXS Offset Delivery Assist Catheter
510(k) #: K163259

Device Description:

The NG Delivery Catheter is a single lumen, variable stiffness, composite catheter. The design facilitates the advancement of the catheter and is intended to assist the delivery of interventional devices in the peripheral and neurovasculature. The outer surface of the NG Delivery Catheter is coated with a hydrophilic coating to increase lubricity. The proximal end of the NG Delivery Catheter incorporates a luer fitting for the attachment of accessories. Two radiopaque markers at the distal end help to facilitate fluoroscopic visualization.

A Steam Shaping Mandrel and Peel-away Introducer Tube are included within the tray. The NG Delivery Catheter is provided sterile, non-pyrogenic, and is intended for single use only.

Indications for Use:

The NG Delivery Catheter is intended for general intravascular use, including the peripheral, coronary and neuro vasculature for the infusion of diagnostic agents, such as contrast media, and to assist in the delivery of interventional devices, such as distal access catheters, in the neurovasculature.

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Device Comparison:

Predicate Device:Reference Device:Subject Device:
Wedge Microcatheter
(K172014)AXS Offset Delivery Assist
Catheter (K163259)NG Delivery Catheter
(K230609)
Device
Classification /
Product CodeClass II/DQY
(Percutaneous Catheters)Same as K172014Class II/QJP, DQY
(Percutaneous Catheters)
Indications for
UseThe Wedge Microcatheter
is intended for general
intravascular use, including
the peripheral, coronary and
neuro vasculature for the
infusion of diagnostic agents,
such as contrast media, and to
assist in the delivery of
interventional devices, such as
the SOFIA 6F Catheter, in the
neurovasculature.The AXS Offset Delivery
Assist Catheter is intended to
assist in the delivery of
interventional devices, such as
distal access catheters, in the
neurovasculature.The NG Delivery Catheter
is intended for general
intravascular use, including
the peripheral, coronary and
neuro vasculature for the
infusion of diagnostic
agents, such as contrast
media, and to assist in the
delivery of interventional
devices, such as distal
access catheters, in the
neurovasculature.
Catheter OD,
Max1.73 mm (0.068")3.8F (1.27 mm; 0.05")4.5F (1.50 mm; 0.059")

5.3F (1.75 mm; 0.069") |
| Catheter ID | 0.53 mm (0.021") | 0.53 mm (0.021") | Same as K172014 |
| Effective
Length | 158 cm – 160 cm | 150 cm | 152 cm |
| Coating Length | 110 cm – 115 cm | 80 cm | 60 cm |
| Packaging Configuration | Microcatheter is placed in a
dispenser hoop and accessories
on a mounting card that is then
inserted into the pouch. The
pouch is then placed inside a
carton box. | Catheter is placed in a
dispenser coil, then inserted
into a pouch and placed
inside a carton box. | Same as K172014 |
| Sterilization | | | |
| Method | Ethylene Oxide | Same as K172014 | Same as K172014 |
| How Supplied | Sterile, Single Use | Same as K172014 | Same as K172014 |

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Biocompatibility:
The following biocompatibility testing was conducted for the subject device, NG Delivery Catheter:

TestResultsConclusions
Cytotoxicity (ISO MEM
Elution Test)The test article scored a ' 1' and is
considered non-cytotoxic under the
conditions of the test.The test article is
considered non-cytotoxic.
Sensitization (ISO Guinea Pig
Maximization Test)None of the test animals challenged with
the test article extracts were observed
with a sensitization response greater than
'O'.The test article did not
elicit a sensitization
response.
Intracutaneous ReactivityThe differences in the mean test and
control scores of the extract dermal
observations were 1.0 or less.Requirements have been
met by the test article.
Acute Systemic ToxicityNone of the animals in the study were
observed with abnormal clinical signs
indicative of toxicity during the 72-hour
test period. All were alive at the end of
the 72-hour test duration and body
weight changes were within acceptable
parameters over the course of the study.Requirements have been
met by the test article.
Material-Mediated Pyrogenicity
(ISO Materials Mediated Rabbit
Pyrogen)None of the rabbits administered with
the test article extract had a temperature
rise ≥ 0.5℃ at the required observation
time points.The test article is
considered non-pyrogenic.
Hemocompatibility -
HemolysisThe test article, in both extract and direct
method, met the criteria for assay
validity and displayed an Average Blank
Corrected Hemolytic Index above the
Negative Control below 2.0%.The test article is
considered non-hemolytic.
Hemocompatibility -
Complement ActivationThe test article result was statistically
significantly lower (p