K Number
K230912
Device Name
Artix BG
Manufacturer
Date Cleared
2023-05-02

(32 days)

Product Code
Regulation Number
870.5150
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Artix BG balloon thrombectomy sheath is indicated for: - · The non-surgical aspiration of emboli and thrombi from blood vessels. - · Injection, infusion, and/or aspiration of contrast media and other fluids into or from a blood vessel. - · Use as a conduit for retrieval devices. - · Use in facilitating the insertion and quidance of an intravascular catheter into a selected blood vessel. The balloon provides temporary vascular occlusion during these and other angiographic procedures. The Artix BG balloon thrombectomy sheath is intended for use in the peripheral vasculature.
Device Description
The Artix BG is a single-use, over-the-wire system designed to aspirate thrombi and emboli from the peripheral vasculature, facilitate the insertion and guidance of an intravascular catheter into selected peripheral blood vessels, and act as a conduit for retrieval devices. A compliant balloon mounted at the sheath's distal tip provides temporary vascular occlusion during angiographic and interventional procedures. The Artix BG is also capable of infusion/aspiration of fluids into or from a selected vessel. The Artix BG is packaged with the following components: Artix BG balloon thrombectomy sheath (8 Fr, 65 cm or 105 cm) 8 Fr Introducer Dilator (0.014" and 0.035" guidewire compatibility) Balloon Inflation Syringe, 1 mL Large Bore Syringe, 30 mL 3-way Stopcock
More Information

No
The document describes a mechanical device (balloon thrombectomy sheath) and does not mention any software, algorithms, or data processing that would indicate the use of AI or ML.

Yes
The device is intended for the non-surgical aspiration of emboli and thrombi from blood vessels, which is a therapeutic intervention for conditions like thrombosis or embolism.

No

The device is described as a thrombectomy sheath used for aspiration, infusion, and guiding catheters, which are therapeutic and interventional procedures, not diagnostic ones.

No

The device description clearly outlines physical components such as a sheath, balloon, syringes, and a stopcock, indicating it is a hardware-based medical device.

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

Here's why:

  • IVD Definition: In Vitro Diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections. They are used outside of the body.
  • Device Description and Intended Use: The Artix BG balloon thrombectomy sheath is a device used within the body (in the peripheral vasculature) for procedures like aspiration of thrombi, infusion/aspiration of fluids, and guiding catheters. It is a surgical/interventional device, not a diagnostic test performed on a sample.

The description clearly indicates it's a tool used directly in the patient's blood vessels for therapeutic and procedural purposes.

N/A

Intended Use / Indications for Use

The Artix BG balloon thrombectomy sheath is indicated for:

  • · The non-surgical aspiration of emboli and thrombi from blood vessels.
  • · Injection, infusion, and/or aspiration of contrast media and other fluids into or from a blood vessel.
  • · Use as a conduit for retrieval devices.
  • · Use in facilitating the insertion and quidance of an intravascular catheter into a selected blood vessel. The balloon provides temporary vascular occlusion during these and other angiographic procedures.

The Artix BG balloon thrombectomy sheath is intended for use in the peripheral vasculature.

Product codes

QEW, DQY

Device Description

The Artix BG is a single-use, over-the-wire system designed to aspirate thrombi and emboli from the peripheral vasculature, facilitate the insertion and guidance of an intravascular catheter into selected peripheral blood vessels, and act as a conduit for retrieval devices. A compliant balloon mounted at the sheath's distal tip provides temporary vascular occlusion during angiographic and interventional procedures. The Artix BG is also capable of infusion/aspiration of fluids into or from a selected vessel. The Artix BG is packaged with the following components: Artix BG balloon thrombectomy sheath (8 Fr, 65 cm or 105 cm) 8 Fr Introducer Dilator (0.014" and 0.035" guidewire compatibility) Balloon Inflation Syringe, 1 mL Large Bore Syringe, 30 mL 3-way Stopcock

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

peripheral vasculature

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

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

Non-Clinical Testing: As there were no proposed design changes, previous performance test results that demonstrated that all acceptance criteria were met continue to apply; therefore, the device conforms to established product specifications.

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

Not Found

Predicate Device(s)

K223000

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 870.5150 Embolectomy catheter.

(a)
Identification. An embolectomy catheter is a balloon-tipped catheter that is used to remove thromboemboli, i.e., blood clots which have migrated in blood vessels from one site in the vascular tree to another.(b)
Classification. Class II (performance standards).

0

Image /page/0/Picture/0 description: The image contains the logos of the Department of Health and Human Services and the Food and Drug Administration (FDA). The Department of Health and Human Services logo is on the left, and the FDA logo is on the right. The FDA logo includes the letters "FDA" in a blue square, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue text.

May 2, 2023

Inari Medical Ellen Nguyen Regulatory Affairs Specialist 6001 Oak Canyon Suite 100 Irvine, California 92618

Re: K230912

Trade/Device Name: Artix BG Regulation Number: 21 CFR 870.5150 Regulation Name: Embolectomy Catheter Regulatory Class: Class II Product Code: QEW, DQY Dated: March 31, 2023 Received: March 31, 2023

Dear Ellen Nguyen:

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,

Gregory W. Digitally signed by
Gregory W. Gregory W. O'connell -S O'connell -S 08:47:10 -04'00'

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

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Indications for Use

Submission Number (if known)

K230912

Device Name

Artix BG

Indications for Use (Describe)

The Artix BG balloon thrombectomy sheath is indicated for:

  • · The non-surgical aspiration of emboli and thrombi from blood vessels.
  • · Injection, infusion, and/or aspiration of contrast media and other fluids into or from a blood vessel.
  • · Use as a conduit for retrieval devices.
  • · Use in facilitating the insertion and quidance of an intravascular catheter into a selected blood vessel. The balloon provides temporary vascular occlusion during these and other angiographic procedures.

The Artix BG balloon thrombectomy sheath is intended for use in the peripheral 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)

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K230912

PAGE 1 OF 2

510(K) SUMMARY

Date preparedMarch 31, 2023
NameInari Medical, Inc.
6001 Oak Canyon, Suite 100
Irvine, CA 92618
949.600.8433
Contact personEllen Nguyen
Regulatory Affairs Specialist
Name of DeviceArtix BG
Common nameEmbolectomy catheter
Regulation nameEmbolectomy catheter
Classification number21 CFR 870.5150
Product codeQEW
Secondary product codeDQY
Regulatory classII
Predicate deviceInari Medical, Artix BG (K223000)
This device has not been subject to a design-related recall.
DescriptionThe Artix BG is a single-use, over-the-wire system designed to aspirate thrombi
and emboli from the peripheral vasculature, facilitate the insertion and guidance of
an intravascular catheter into selected peripheral blood vessels, and act as a conduit
for retrieval devices. A compliant balloon mounted at the sheath's distal tip
provides temporary vascular occlusion during angiographic and interventional
procedures. The Artix BG is also capable of infusion/aspiration of fluids into or
from a selected vessel. The Artix BG is packaged with the following components:
Artix BG balloon thrombectomy sheath (8 Fr, 65 cm or 105 cm) 8 Fr Introducer Dilator (0.014" and 0.035" guidewire compatibility) Balloon Inflation Syringe, 1 mL Large Bore Syringe, 30 mL 3-way Stopcock
Indications for UseThe Artix BG balloon thrombectomy sheath is indicated for:
The non-surgical aspiration of emboli and thrombi from blood vessels. Injection, infusion, and/or aspiration of contrast media and other fluids into or from a blood vessel. Use as a conduit for retrieval devices. Use in facilitating the insertion and guidance of an intravascular catheter into a selected blood vessel. The balloon provides temporary vascular occlusion during these and other angiographic procedures. The Artix BG balloon thrombectomy sheath is intended for use in the peripheral
vasculature.
Device ModificationsThe proposed modification to the Artix BG is the addition of two alternate suppliers
for the device's PTFE liner.
Comparison of
Technological
Characteristics with
the Predicate DeviceThe proposed device and predicate device have the same design and materials of
construction. The modification does not change the basic design, the indications for
use, or the principles of operation from the predicate device.
Summary of
substantial equivalenceThere is no change of intended use, design, fundamental scientific technology, or
principles of operation between the proposed device and predicate device. The
Artix BG has the same indication for use as the predicate device, K223000.
Biocompatibility
The following biocompatibility tests were completed for the subject device:
Cytotoxicity ●Sensitization ●
Intracutaneous Reactivity ●Acute Systemic Toxicity ●
Material-Mediated ●
PyrogenicityHemocompatibility ●
(Hemolysis)
The passing results demonstrate that the subject device and accessories meet
biological safety requirements per ISO 10993-1.
Sterilization
The subject device, including its accessories, is sterilized using EtO to achieve a
sterility assurance level (SAL) of 10-6 using a validated sterilization process in
accordance with the principles of ISO 11135:2014/Amd 1:2018 and AAMI TIR
28:2016.
Non-Clinical Testing
As there were no proposed design changes, previous performance test results that
demonstrated that all acceptance criteria were met continue to apply; therefore, the
device conforms to established product specifications.
Neither animal testing nor clinical testing were required for the determination of
substantial equivalence.
Conclusion
The Artix BG has the same intended use/indications for use and principles of
operation as the predicate. The testing provided supports the Artix BG's substantial
equivalence to the predicate device.

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