K Number
K230726
Device Name
CEREGLIDE 92 Intermediate Catheter
Manufacturer
Date Cleared
2023-11-29

(258 days)

Product Code
Regulation Number
870.1250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The CEREGLIDE 92 Intermediate Catheter is indicated for use in facilitating the insertion and guidance of appropriately sized interventional devices into a selected blood vessel in the neurovascular system.
Device Description
The CEREGLIDE™ 92 Intermediate Catheter is a single lumen, variable stiffness catheter designed to be introduced over a steerable guidewire along with a microcatheter and/or compatible support device into the neuro vasculature. The catheter consists of a lubricious PTFE lined inner lumen to facilitate movement of the guidewires and other devices, variable pitch stainless steel and tungsten braid, and various durometer polymer jackets. These jackets provide distal flexibility and gradually transition to a stiffer proximal shaft to facilitate the advancement of the catheter in the anatomy. The outer surface of the catheter is hydrophilic coated in order to reduce friction during manipulation in the vessel. A radiopaque marker at the distal end of the catheter provides fluoroscopic visualization of the catheter tip. The proximal end of the catheter incorporates a standard Luer adapter to facilitate the attachment of accessories, a hub, and an ID band. The CEREGLIDE™ 92 Intermediate Catheter is packaged with a Tuohy Borst hemostasis valve (RHV) with a side port and two slit introducer accessories. The RHV with side port is used for flushing and insertion of catheters. The slit introducers are designed to introduce the CEREGLIDE™ 92 Intermediate Catheter into the base catheter and protect the distal tip of the CEREGLIDE™ 92 Intermediate Catheter during insertion into the hemostasis valve of the base catheter.
More Information

No
The device description focuses on the physical properties and mechanical function of a catheter, with no mention of software, algorithms, or data processing that would indicate AI/ML. The performance studies are bench tests of physical characteristics.

No
The device is an intermediate catheter used to facilitate the insertion and guidance of other interventional devices, not to provide a therapeutic effect itself.

No

The device is an intermediate catheter used for facilitating the insertion and guidance of interventional devices, not for diagnosis.

No

The device description clearly outlines a physical catheter with various material components, a lumen, coatings, and accessories, 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 states the device is used to "facilitate the insertion and guidance of appropriately sized interventional devices into a selected blood vessel in the neurovascular system." This describes a device used within the body for a procedural purpose, not for testing samples outside the body to diagnose a condition.
  • Device Description: The description details a catheter designed for insertion into blood vessels, with features like a lubricious inner lumen, variable stiffness, and a hydrophilic coating for manipulation within the vessel. This aligns with an interventional device, not a diagnostic test.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, tissue, etc.), detecting analytes, or providing diagnostic information based on laboratory testing.

IVD devices are specifically designed to perform tests on samples taken from the human body to provide information for the diagnosis, monitoring, or treatment of diseases or conditions. This device's function is purely procedural and interventional.

N/A

Intended Use / Indications for Use

The CEREGLIDE 92 Intermediate Catheter is indicated for use in facilitating the insertion and guidance of appropriately sized interventional devices into a selected blood vessel in the neurovascular system.

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

QJP

Device Description

The CEREGLIDE™ 92 Intermediate Catheter is a single lumen, variable stiffness catheter designed to be introduced over a steerable guidewire along with a microcatheter and/or compatible support device into the neuro vasculature. The catheter consists of a lubricious PTFE lined inner lumen to facilitate movement of the guidewires and other devices, variable pitch stainless steel and tungsten braid, and various durometer polymer jackets. These jackets provide distal flexibility and gradually transition to a stiffer proximal shaft to facilitate the advancement of the catheter in the anatomy. The outer surface of the catheter is hydrophilic coated in order to reduce friction during manipulation in the vessel. A radiopaque marker at the distal end of the catheter provides fluoroscopic visualization of the catheter tip. The proximal end of the catheter incorporates a standard Luer adapter to facilitate the attachment of accessories, a hub, and an ID band.
The CEREGLIDE™ 92 Intermediate Catheter is packaged with a Tuohy Borst hemostasis valve (RHV) with a side port and two slit introducer accessories. The RHV with side port is used for flushing and insertion of catheters. The slit introducers are designed to introduce the CEREGLIDE™ 92 Intermediate Catheter into the base catheter and protect the distal tip of the CEREGLIDE™ 92 Intermediate Catheter during insertion into the hemostasis valve of the base catheter.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

neurovascular system, 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 Testing - Bench: Appropriate testing was identified based on design, risk analyses and the intended use of the CEREGLIDE™ 92 Intermediate Catheter to demonstrate that it is substantially equivalent to the legally marketed predicate device. The following performance data are being provided in support of the substantial equivalence determination. All testing was conducted using sampling methods as required by internal design control procedures. The bench testing included visual inspection, catheter ID and OD, catheter working length and tip length, hub luer taper, system air and liquid leakage, burst pressure, hub pull testing, shaft tensile strength, particulate count, coating lubricity and durability, coating length, kink resistance (distal & proximal), delamination of PTFE liner, tip movement, tip linear stiffness, trackability, torque strength, introducer working length, introducer separation force. All samples met the established acceptance criteria.
In Vitro Usability Studies: The in vitro studies were conducted to evaluate usability parameters such as trackability, tip stability, durability, and (ancillary) device compatibility with tracking of the CEREGLIDE 92 Intermediate Catheter to target sites and delivery of a worst-case interventional device in the neurovascular model. Samples met the established acceptance criteria.
Performance Testing - Animal: No animal studies were required as appropriate verification and validation of the subject device design were achieved based on the similarities of the proposed device and the predicate device, and from results of bench testing.
Performance Testing - Clinical: Clinical studies were not required as appropriate verification and validation of the subject device design were achieved based on the similarities of the proposed device and the predicate device, and from results of bench testing.
Sterilization: The CEREGLIDE™ 92 Intermediate Catheter, as packaged with included accessories, is sterilized using a validated 100% Ethylene Oxide sterilization process to ensure sterility assurance level (SAL) of 10-6 in accordance with ISO 11135. The CEREGLIDE™ 92 Intermediate Catheter and all accessories meet EO residuals per EN ISO 10993-7 for a limited contact delivery system - externally communicating. The CEREGLIDE™ 92 Intermediate Catheter and all accessories are for single use only.
Shelf-Life: The CEREGLIDE™ 92 Intermediate Catheter will have a shelf life of 6 months based on the successful completion of stability testing. Shelf-life testing was performed using standard test methods and acceptance criteria. Prior to aging, all samples were exposed to standard transportation conditioning. Results of testing on the subject device all met established acceptance criteria.
Biocompatibility Testing: The CEREGLIDE™ 92 Intermediate Catheter was assessed for biocompatibility in accordance with International Standard ISO 10993-1 and FDA Guidance for Industry and FDA Staff, "Use of International Standard ISO-10993-1". The subject device is considered an externally communicating medical device with circulating blood contact for less than 24 hours. The following biocompatibility testing was completed: Cytotoxicity, Sensitization - Guinea Pig Maximization, Irritation - Rabbit Intracutaneous Reactivity, Acute Systemic Toxicity in Mice, Pyrogenicity - Materials Mediated Rabbit Pyrogen, ASTM Hemolysis Study - Direct and Extraction Methods, SC5b-9 Complement Activation Assay, ASTM Partial Thromboplastin Time (PTT), ASTM Heparinized Platelet and Leukocyte Count, Comparative Surface Assessment. All tests passed the acceptance criteria.

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.

K212224

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.

K191237, K192804

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).

0

November 29, 2023

Image /page/0/Picture/1 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). On the left, there is the Department of Health & Human Services logo. To the right of that is the FDA logo, which 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.

Cerenovus, Inc. Ariell Joiner, Ph.D. Manager, Regulatory Affairs 6303 Waterford District Drive, Suites 215 & 315 Miami, Florida 33126

Re: K230726

Trade/Device Name: CEREGLIDE 92 Intermediate Catheter Regulation Number: 21 CFR 870.1250 Regulation Name: Percutaneous Catheter Regulatory Class: Class II Product Code: QJP Dated: October 30, 2023 Received: October 31, 2023

Dear Ariell Joiner:

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 (the 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 available 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.

Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device" (https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software Change to an Existing Device" (https://www.fda.gov/media/99785/download).

1

Your device is also subject to, among other requirements, the Quality System (QS) regulation (21 CFR Part 820), which includes, but is not limited to, 21 CFR 820.30, Design controls; 21 CFR 820.90, Nonconforming product; and 21 CFR 820.100, Corrective and preventive action. Please note that regardless of whether a change requires premarket review, the QS regulation requires device manufacturers to review and approve changes to device design and production (21 CFR 820.30 and 21 CFR 820.70) and document changes and approvals in the device master record (21 CFR 820.181).

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 Part 803) for devices or postmarketing safety reporting (21 CFR Part 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 Part 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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

2

Indications for Use

510(k) Number (if known) K230726

Device Name CEREGLIDE 92 Intermediate Catheter

Indications for Use (Describe)

The CEREGLIDE 92 Intermediate Catheter is indicated for use in facilitating the insertion and guidance of appropriately sized interventional devices into a selected blood vessel in the neurovascular system.

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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3

Device Information

510(k) Summary K230726

Regulatory Classification

| I. Submitter | Cerenovus, Inc.
6303 Waterford District Drive
Suites 215 & 315
Miami, FL 33126 USA

Contact Person: Ariell Joiner
Tel: (908) 726-9577
Email: ajoiner@its.jnj.com | | | | | | |
|----------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--|--|--|--|--|--|
| II. Date
Prepared | November 27, 2023 | | | | | | |
| III. Device
Information | Table 1. Device Information Device Proprietary Name CEREGLIDE 92 Intermediate Catheter Common or Usual name Catheter, Percutaneous, Neurovasculature Classification Name 21 CFR 870.1250 - Percutaneous Catheter | | | | | | |

II

FDA Product CodeQJP
IV. Predicate
and ReferenceThe predicate device is listed below in Table 2 and the reference devices are listed in
Table 3 .
Table 2. Predicate Device
510(k) NumberDate ClearedNameManufacturer
K212224September 20, 2021Zoom 88 Large Distal
PlatformImperative Care, Inc.
Table 3. Reference Devices
510(k) NumberDate ClearedNameManufacturer
K191237November 8, 2019CERENOVUS Large Bore
CatheterMedos International
SARL*
K192804February 27, 2020CEREBASE DA Guide SheathMedos International
SARL

The CEREGLIDE™ 92 Intermediate Catheter is a single lumen, variable stiffness V. Device Description catheter designed to be introduced over a steerable guidewire along with a microcatheter and/or compatible support device into the neuro vasculature. The catheter consists of a lubricious PTFE lined inner lumen to facilitate movement of the guidewires and other devices, variable pitch stainless steel and tungsten braid, and various durometer polymer jackets. These jackets provide distal flexibility and gradually transition to a stiffer proximal shaft to facilitate the advancement of the catheter in the anatomy. The outer surface of the catheter is hydrophilic coated in order to reduce friction during manipulation in the vessel. A radiopaque marker at the distal end of the catheter provides fluoroscopic visualization of the catheter tip. The proximal end of the catheter incorporates a standard Luer adapter to facilitate the attachment of accessories, a hub, and an ID band.

4

| V. Device
Description
(continued) | The CEREGLIDE™ 92 Intermediate Catheter is packaged with a Tuohy Borst
hemostasis valve (RHV) with a side port and two slit introducer accessories. The RHV
with side port is used for flushing and insertion of catheters. The slit introducers are
designed to introduce the CEREGLIDE™ 92 Intermediate Catheter into the base
catheter and protect the distal tip of the CEREGLIDE™ 92 Intermediate Catheter
during insertion into the hemostasis valve of the base catheter. |
|-----------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| VI. Indications
for Use | The CEREGLIDE 92 Intermediate Catheter is indicated for use in facilitating the
insertion and guidance of appropriately sized interventional devices into a selected
blood vessel in the neurovascular system. |
| VII. Predicate
Comparison | A comparison of indications for use and technological characteristics between the
CEREGLIDE™ 92 Intermediate Catheter and the predicate device is presented in
Table 4. |

Table 4. Subject and Predicate Device Comparison Summary
DescriptionSubject Device:
CEREGLIDE™ 92 Intermediate CatheterPredicate Device:
Zoom 88 Large Distal Platform (K212224)
Product CodeQJPQJP, DQY
Regulatory NamePercutaneous CatheterSame
ClassificationClass II - 21 CFR 870.1250Same
Basic DesignVariable stiffness, single lumen catheterSame
Indications For
UseThe CEREGLIDE 92 Intermediate Catheter is indicated for
use in facilitating the insertion and guidance of
appropriately sized interventional devices into a selected
blood vessel in the neurovascular system.The Zoom 88 Large Distal Platform is indicated for the
introduction of interventional devices into the peripheral,
coronary, and neuro vasculature.
Dimensions:
Length114 - 135 cm80 - 110 cm
ID0.092" (2.34 mm)0.088"
Distal OD0.102" (2.59 mm)0.106"
Proximal OD0.108" (2.74 mm)0.110"
Catheter CoatingHydrophilicSame
MaterialsCommonly used medical grade plastics & metals with
hydrophilic coatingSame
Accessories Included:
Hemostasis ValveIncluded: Tuohy Borst Hemostasis Valve with Side Port
Extension TubingRotating Hemostasis Valve (RHV)
Introducer SheathSlit Introducer (2)None
Sterilization
MethodEthylene OxideSame
Sterility Assurance
Level (SAL)10-6Same
PackagingPolyethylene Hoop and Mounting Card, Tyvek® Pouch,
CartonThe catheters are placed in a protective polyethylene tube,
mounted with accessory RHV onto a polyethylene
packaging card, placed into a pouch, sealed and labeled.
The sealed pouch and IFU are placed in a labeled shelf
carton box.
Shelf Life6 months1 year

5

VIII. Non-Clinical Performance Testing

Performance Testing - Bench

Appropriate testing was identified based on design, risk analyses and the intended use of the CEREGLIDE™ 92 Intermediate Catheter to demonstrate that it is substantially equivalent to the legally marketed predicate device. The following performance data are being provided in support of the substantial equivalence determination. All testing was conducted using sampling methods as required by internal design control procedures. The bench testing included the following tests:

Table 5. Performance Testing Summary
TestTest SummaryResult
Design Verification
Visual
InspectionConfirm that the CEREGLIDE 92 Intermediate Catheter meets
the visual requirement described in ISO 10555-1 Section 4.4.PASS:
Samples met the established
acceptance criteria
Catheter IDVerify that the CEREGLIDE 92 Intermediate Catheter internal
diameters meet the requirements.PASS:
Samples met the established
acceptance criteria
Catheter ODVerify that the CEREGLIDE 92 Intermediate Catheter outer
diameters meet the requirements.PASS:
Samples met the established
acceptance criteria
Catheter
Working
LengthConfirm the working length of the CEREGLIDE 92
Intermediate Catheter as defined in ISO 10555-1 Section 3.6.PASS:
Samples met the established
acceptance criteria
Catheter Tip
LengthVerify the tip length of the CEREGLIDE 92 Intermediate
Catheter.PASS:
Samples met the established
acceptance criteria
Hub Luer TaperVerify that the catheter hub Luer taper fit standard Luer fittings
using taper device.PASS:
Samples met the established
acceptance criteria
System Air
LeakageVerify that there is no air leak into the hub subassembly.PASS:
Samples met the established
acceptance criteria
System Liquid
LeakageVerify that the CEREGLIDE 92 Intermediate Catheter joint
strength meets the freedom from leakage (liquid during
pressurization) requirements of ISO 10555-1:2013, section 4.7.PASS:
Samples met the established
acceptance criteria
Burst PressureConfirm the maximum hydrostatic pressure the CEREGLIDE
92 Intermediate Catheter can withstand using a Crescent
Hydraulic Burst-leak Tester.PASS:
Samples met the established
acceptance criteria
Hub Pull
TestingTo verify the CEREGLIDE 92 Intermediate Catheter hub to
joint strength meets acceptance criteria.PASS:
Samples met the established
acceptance criteria
Shaft Tensile
StrengthVerify that the CEREGLIDE 92 Intermediate Catheter joint
strength meets the acceptance criteria.PASS:
Samples met the established
acceptance criteria
Particulate
CountVerify the particulate size and counts of the CEREGLIDE 92
Intermediate Catheter under simulated use conditions with
comparison to the predicate and reference devices.PASS:
Samples met the established
acceptance criteria
Coating
Lubricity and
DurabilityVerify the lubriciousness and durability of the CEREGLIDE 92
Intermediate Catheter's hydrophilic coating.PASS:
Samples met the established
acceptance criteria
Coating LengthVerify that the CEREGLIDE 92 Intermediate Catheter
hydrophilic coating length meets the design requirements.PASS:
Samples met the established
acceptance criteria
Kink Resistance
(Distal &
Proximal)Confirm that the CEREGLIDE 92 Intermediate Catheter meets
the requirement for the catheter to remain stable and not kink
during use.PASS:
Samples met the established
acceptance criteria
Delamination of
PTFE LinerVerify that the PTFE has appropriately adhered to the inner
lumen of the CEREGLIDE 92 Intermediate Catheter with braid
reinforcement.PASS:
Samples met the established
acceptance criteria

6

VIII. Non-
Clinical
Performance
Testing
(continued)
Table 5. Performance Testing Summary (continued)
TestTest SummaryResult
Design Verification (continued)
Tip MovementConfirm that the CEREGLIDE 92 Intermediate Catheter
meets the tip column stiffness requirement.PASS:
Samples met the established
acceptance criteria
Tip Linear StiffnessTest the tip flexibility of the CEREGLIDE 92 Intermediate
Catheter, relative to other devices of similar intended use
and design.PASS:
Samples met the established
acceptance criteria
TrackabilityConfirm that the CEREGLIDE 92 Intermediate Catheter
meets the trackability requirement.PASS:
Samples met the established
acceptance criteria
Torque StrengthConfirm that the CEREGLIDE 92 Intermediate Catheter
meets the torque strength requirement.PASS:
Samples met the established
acceptance criteria
Introducer Working
LengthConfirm the working length of the introducer.PASS:
Samples met the established
acceptance criteria
Introducer
Separation ForceConfirm the force required to separate the introducer.PASS:
Samples met the established
acceptance criteria
Design Validation
In Vitro Usability
StudiesThe in vitro studies were conducted to evaluate usability
parameters such as trackability, tip stability, durability, and
(ancillary) device compatibility with tracking of the
CEREGLIDE 92 Intermediate Catheter to target sites and
delivery of a worst-case interventional device in the
neurovascular model.PASS:
Samples met the established
acceptance criteria

Performance Testing - Animal

No animal studies were required as appropriate verification and validation of the subject device design were achieved based on the similarities of the proposed device and the predicate device, and from results of bench testing.

Performance Testing - Clinical

Clinical studies were not required as appropriate verification and validation of the subject device design were achieved based on the similarities of the proposed device and the predicate device, and from results of bench testing.

Sterilization

The CEREGLIDE™ 92 Intermediate Catheter, as packaged with included accessories, is sterilized using a validated 100% Ethylene Oxide sterilization process to ensure sterility assurance level (SAL) of 10° in accordance with ISO 11135. The CEREGLIDE™ 92 Intermediate Catheter and all accessories meet EO residuals per EN ISO 10993-7 for a limited contact delivery system - externally communicating. The CEREGLIDE™ 92 Intermediate Catheter and all accessories are for single use only.

Shelf-Life

The CEREGLIDE™ 92 Intermediate Catheter will have a shelf life of 6 months based on the successful completion of stability testing. Shelf-life testing was performed using standard test methods and acceptance criteria. Prior to aging, all samples were exposed to standard transportation conditioning. Results of testing on the subject device all met established acceptance criteria.

7

VIII. Non-Clinical Performance Testing (continued)

Biocompatibility Testing

The CEREGLIDE™ 92 Intermediate Catheter was assessed for biocompatibility in accordance with International Standard ISO 10993-1 "Biological Evaluation of Medical Devices - Part 1: Evaluation and Testing within a Risk Management Process," and FDA Guidance for Industry and FDA Staff, "Use of International Standard ISO-10993-1, "Biological Evaluation of Medical Devices - Part 1: Evaluation and Testing within a Risk Management Process"," (Issued September 4, 2020). The subject device is considered an externally communicating medical device with circulating blood contact for less than 24 hours. The following biocompatibility testing was completed as part of this evaluation:

| Table 6. Biocompatibility Test Summary for CEREGLIDE™ 92 Intermediate

Catheter and Introducer
Test MethodAcceptance CriteriaResult
CytotoxicityGrade ≤ 2PASS
Sensitization - Guinea Pig
MaximizationGrade 50% of the negative controlPASS
ASTM Heparinized Platelet
and Leukocyte Count% platelet and leukocyte comparison to
control articlePASS
Comparative Surface
Assessment150x microscopic comparative evaluation of
the surface and geometric features between
the subject device and reference device as
part of the thrombogenicity assessment.PASS

Based upon the intended use, design, materials, function, biocompatibility testing, and IX. Conclusion side-by-side in-vitro testing, it is concluded that the subject CEREGLIDE™ 92 Intermediate Catheter is substantially equivalent to the predicate Zoom 88 Large Distal Platform (K212224). The differences in materials and design do not raise any new questions regarding the safety and effectiveness of the device. The subject device, as designed, manufactured, packaged, and sterilized, is substantially equivalent to the predicate device currently marketed under the Federal Food, Drug and Cosmetic Act.