(60 days)
The Cosine-10 Diagnostic Catheter is indicated for electrophysiological mapping (stimulation and recording) of cardiac structures, including in the coronary sinus.
The Cosine-10 Diagnostic Catheter is a sterile, single-use, steerable decapolar mapping catheter with a bidirectional deflecting tip intended for electrophysiological mapping of cardiac structures (i.e., stimulation and recording). The catheter contains 10 electrodes spaced in 5 pairs, including a distal dome electrode. Two electrode spacing configurations are available: 2-8-2 (AFR-00017) or 2-5-2 (AFR-00018). All catheter electrodes may be used for recording or stimulation. The catheter can be used with a compatible introducer sheath (7.5Fr minimum).
The provided text is a 510(k) Premarket Notification from the FDA for a medical device called the Cosine-10TM Diagnostic Catheter. This document primarily focuses on establishing substantial equivalence to a predicate device and does not contain the detailed acceptance criteria or the specific study results related to AI/algorithm performance that your request asks for.
Therefore, I cannot provide the requested information, which includes:
- A table of acceptance criteria and the reported device performance: This document does not specify quantitative acceptance criteria or detailed performance metrics from a study related to an algorithm's diagnostic accuracy (e.g., sensitivity, specificity, AUC). It only states that "all acceptance criteria were met" for various engineering and biological tests (sterilization, biocompatibility, design verification, etc.).
- Sample size used for the test set and the data provenance: Not mentioned.
- Number of experts used to establish the ground truth for the test set and the qualifications of those experts: Not mentioned.
- Adjudication method for the test set: Not mentioned.
- If a multi-reader multi-case (MRMC) comparative effectiveness study was done, and the effect size: Not mentioned, as this device is a physical catheter, not an AI/software.
- If a standalone (i.e. algorithm only without human-in-the-loop performance) was done: Not applicable, as this is a physical diagnostic catheter.
- The type of ground truth used: Not applicable in the context of an AI study. The document mentions "electrophysiological mapping" and "stimulation and recording" as the device's function.
- The sample size for the training set: Not applicable, as this is not an AI/ML device.
- How the ground truth for the training set was established: Not applicable.
The document describes the device, its intended use, and its similarities and differences to a predicate device (DECANAV Mapping Catheter K231312). It states that "Safety and performance testing applicable to the subject device was completed to ensure it performs as intended per product specifications and requirements/user needs." The list of completed testing includes:
- Sterilization validation and adoption
- Biocompatibility
- Design verification
- Packaging validation
- Design validation
- Pre-clinical animal testing
These are standard engineering and biological tests for a physical medical device, not studies of an AI's diagnostic performance. The document concludes that "No questions of safety or effectiveness are raised as a result of the testing. The subject device is as safe and effective as the predicate device and the subject device is considered substantially equivalent to the predicate device."
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December 2, 2023
Medtronic, Inc. Karine Lortie Sr Principal Regulatory Affairs Specialist 8200 Coreal Sea Street NE, MVS3 Mounds View, Minnesota 55112
Re: K233397
Trade/Device Name: Cosine-10TM Diagnostic Catheter Regulation Number: 21 CFR 870.1220 Regulation Name: Electrode Recording Catheter Or Electrode Recording Probe Regulatory Class: Class II Product Code: DRF Dated: October 2, 2023 Received: October 3, 2023
Dear Karine Lortie:
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"
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(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).
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 OS 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.
Aneesh S. Deoras -S
Aneesh Deoras Assistant Director Division of Cardiac Electrophysiology, Diagnostics and Monitoring Devices Office of Cardiovascular Devices
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Office of Product Evaluation and Quality Center for Devices and Radiological Health
Enclosure
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Indications for Use
Submission Number (if known)
Device Name
Cosine-10TM Diagnostic Catheter
Indications for Use (Describe)
The Cosine-10 Diagnostic Catheter is indicated for electrophysiological mapping (stimulation and recording) of cardiac structures, including in the coronary sinus.
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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15.0 510(k) Summary
| Date Summary Prepared: | October 02, 2023 |
|---|---|
| Applicant: | Medtronic, Inc.8200 Coral Sea Street NEMounds View, MN U.S.A. 551121.800.328.2518Establishment Registration No. 3001504994 |
| Official Correspondent: | Karine LortieSenior Principal Regulatory Affairs Specialist514.242.5882karine.lortie@medtronic.com |
| Device Trade Name andModel: | Cosine-10TM Diagnostic Catheter |
| Common Name: | Electrophysiology Catheter |
| Classification Name: | Electrode Recording Catheter |
| Classification & Panel: | Class II, 21 CFR 870.1220, Cardiovascular |
| Product Code: | DRF |
| Predicate Device: | DECANAV Mapping Catheter (K231312) |
| Device Description: | The Cosine-10 Diagnostic Catheter is a sterile, single-use,steerable decapolar mapping catheter with a bidirectionaldeflecting tip intended for electrophysiological mapping ofcardiac structures (i.e., stimulation and recording). Thecatheter contains 10 electrodes spaced in 5 pairs, including adistal dome electrode. Two electrode spacing configurationsare available: 2-8-2 (AFR-00017) or 2-5-2 (AFR-00018). Allcatheter electrodes may be used for recording or stimulation.The catheter can be used with a compatible introducer sheath(7.5Fr minimum). |
| Intended Use: | The Cosine-10 Diagnostic Catheter is intended forelectrophysiological mapping of cardiac structures |
| Indications for Use: | The Cosine-10 Diagnostic Catheter is indicated forelectrophysiological mapping (stimulation and recording) ofcardiac structures, including in the coronary sinus |
| Comparison ofTechnologicalCharacteristics: | There are no significant differences in the fundamentalscientific technology between the predicate and subjectdevices for the proposed intended use and indications foruse. The subject and predicate devices have the same orsimilar underlying technological characteristics. Bothdevices are deflectable decapolar diagnostic catheters thatutilize electrodes along a deflectable shaft section forintracardiac mapping and stimulation. |
| The Cosine-10 catheter features the following similaritieswith the predicate device: Same intended use Same fundamental scientific technology (deflectable decapolar mapping catheter) Same catheter outer diameter Similar catheter effective length | |
| The differences in technological characteristics involve thefollowing: Presence of magnetic sensor(s) in the predicate device for compatibility with 3D mapping and navigation system Deflection type (predicate is unidirectional and subject device is bidirectional) Additional electrode spacing pattern configuration available with the subject device | |
| Differences in technological characteristics between thesubject and predicate device do not raise different questionsof safety and effectiveness. The absence of magneticsensor(s) in the subject device has no impact on safety andeffectiveness of the device for its proposed intended use andindications for use (electrophysiological mapping of cardiacstructures, i.e., stimulation and recording). | |
| Safety and PerformanceData: | Safety and performance testing applicable to the subjectdevice was completed to ensure it performs as intended perproduct specifications and requirements/user needs. Thefollowing testing has been completed in support of theCosine-10 Diagnostic Catheter, and all acceptance criteriawere met in accordance with appropriate standards: Sterilization validation and adoption Biocompatibility Design verification Packaging validation Design validation |
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K233397
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K233397
- Pre-clinical animal testing
No questions of safety or effectiveness are raised as a result of the testing. The subject device is as safe and effective as the predicate device and the subject device is considered substantially equivalent to the predicate device.
The subject and predicate devices share the same intended Conclusion: use and have the same or similar underlying technological characteristics. Both devices are deflectable decapolar diagnostic catheters that utilize electrodes along a deflectable shaft section for intracardiac mapping and stimulation. Differences between the subject and predicate devices do not raise different questions of safety and effectiveness and safety and performance testing supports that the subject device is as safe and effective as the predicate. The subject device is considered substantially equivalent to the predicate device.
§ 870.1220 Electrode recording catheter or electrode recording probe.
(a)
Identification. An electrode recording catheter or an electrode recording probe is a device used to detect an intracardiac electrocardiogram, or to detect cardiac output or left-to-right heart shunts. The device may be unipolar or multipolar for electrocardiogram detection, or may be a platinum-tipped catheter which senses the presence of a special indicator for cardiac output or left-to-right heart shunt determinations.(b)
Classification. Class II (performance standards).