K Number
K233646
Device Name
Intri24 Introducer Sheath (52-101)
Date Cleared
2023-12-12

(28 days)

Product Code
Regulation Number
870.1340
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Intri24 Introducer Sheath is indicated to provide a conduit for the insertion of endovascular devices into the vasculature while minimizing blood loss associated with such insertions.
Device Description
The Intri24 Introducer Sheath is a single-use over-the-wire system intended for use in vessels > 9 mm and is a conduit for the insertion of diagnostic or endovascular devices into the peripheral vasculature. The Intri24 Introducer Sheath consists of a Sheath and Dilator. The Sheath is comprised of a single lumen catheter with a hydrophilic coating, a proximal hemostasis valve, and stopcock with flush port. A radiopaque marker is positioned near the distal tip of the sheath to aid with fluoroscopic visualization. The Dilator is 0.035" guidewire compatible and attaches to the hemostasis valve on the Sheath. The Dilator has a tapered edge to aid in the dilation of the target vessel for insertion and positioning of the Sheath.
More Information

Not Found

No
The device description and performance studies focus on the physical characteristics and mechanical performance of an introducer sheath, with no mention of AI or ML capabilities.

No.
The device functions as a conduit for other endovascular devices, rather than directly treating a medical condition itself.

No
The device is described as a conduit for the insertion of diagnostic or endovascular devices, implying it is not in itself a diagnostic device, but rather a tool to facilitate the use of other devices, some of which may be diagnostic. Its function is to provide a pathway for other devices into the vasculature.

No

The device description clearly outlines physical components (Sheath, Dilator, catheter, valve, stopcock, flush port, radiopaque marker) and the performance studies focus on physical properties and functionality of these hardware components. There is no mention of software as the primary or sole component.

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

Here's why:

  • Intended Use: The intended use is to provide a conduit for inserting endovascular devices into the vasculature. This is a procedural device used in vivo (within the body) during a medical procedure.
  • Device Description: The description details a physical device (sheath and dilator) used to access blood vessels. It does not describe a test or reagent used to examine specimens in vitro (outside the body) to provide information about a physiological state, health, or disease.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), reagents, assays, or any other components typically associated with IVD devices.

IVD devices are used to perform tests on samples taken from the body to diagnose, monitor, or screen for diseases or conditions. This device is a tool used to facilitate a medical procedure within the body.

N/A

Intended Use / Indications for Use

The Intri24 Introducer Sheath is indicated to provide a conduit for the insertion of endovascular devices into the vasculature while minimizing blood loss associated with such insertions.

Product codes

DYB

Device Description

The Intri24 Introducer Sheath is a single-use over-the-wire system intended for use in vessels > 9 mm and is a conduit for the insertion of diagnostic or endovascular devices into the peripheral vasculature. The Intri24 Introducer Sheath consists of a Sheath and Dilator. The Sheath is comprised of a single lumen catheter with a hydrophilic coating, a proximal hemostasis valve, and stopcock with flush port. A radiopaque marker is positioned near the distal tip of the sheath to aid with fluoroscopic visualization. The Dilator is 0.035" guidewire compatible and attaches to the hemostasis valve on the Sheath. The Dilator has a tapered edge to aid in the dilation of the target vessel for insertion and positioning of the Sheath.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

vessels > 9 mm (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:
In accordance with the design failure modes and effects analysis, design verification testing was conducted to verify that the modified device continues to meet the design requirements of the product specifications.

The following tests were performed on the modified device:

  • Sheath Visual Inspection
  • Sheath Dimensional Inspection
  • Sheath/Dilator Kink Radius
  • Simulated Use, Track, and Rotation
  • Simulated Use, Track, and Triever24
  • Simulated Use, Track, and FlowTriever Catheter XL Disks
  • Tensile Testing - Sheath Distal Tip Fuse to Shaft
  • Tensile Testing Sheath Hemostasis Valve to Proximal Shaft
  • Placement Resistance Testing, Sheath Hub
  • Fluid Leak and Fluid Vacuum Test
  • Locking Cap Force and Unlocking Cap Torque
  • Low Pressure Fluid Leakage Testing, Sheath
  • High Pressure Fluid Leakage Testing, Sheath with Blood Analog
  • Air Leakage Testing, Dilator Removal
  • Air Leakage Testing, Syringe Pullback
  • Vacuum Testing
  • Sheath Burst

Key results: The passing results for biocompatibility demonstrate that the subject device meets the biological safety requirements per ISO 10993-1. Neither animal testing nor clinical testing were required for the determination of substantial equivalence.

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

Not Found

Predicate Device(s)

Inari Medical, Intri24 Introducer Sheath (K212392)

Reference Device(s)

Not Found

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

§ 870.1340 Catheter introducer.

(a)
Identification. A catheter introducer is a sheath used to facilitate placing a catheter through the skin into a vein or artery.(b)
Classification. Class II (performance standards).

0

Image /page/0/Picture/1 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services-USA seal. To the right of the seal is the FDA logo, which includes the letters "FDA" in a blue square, followed by the words "U.S. FOOD & DRUG" in blue, and "ADMINISTRATION" in a smaller font size below.

December 12, 2023

Kaitlyn Weinkauf Sr. Regulatory Affairs Specialist 6001 Oak Canyon, Suite 100 Irvine, California 92618

Re: K233646

Trade/Device Name: Intri24 Introducer Sheath (52-101) Regulation Number: 21 CFR 870.1340 Regulation Name: Catheter Introducer Regulatory Class: Class II Product Code: DYB Dated: November 13, 2023 Received: November 14, 2023

Dear Kaitlyn Weinkauf:

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"

1

(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).

Digitally signed by Sincerely. Finn F Finn E. Donaldson -S Donaldson -S Date: 2023.12.12 11:02:47 -05'00' For Misti Malone Assistant Director DHT2C: Division of Coronary and Peripheral Intervention Devices OHT2: Office of Cardiovascular Devices

2

Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

3

Indications for Use

510(k) Number (if known) K233646

Device Name Intri24 Introducer Sheath (52-101)

Indications for Use (Describe)

The Intri24 Introducer Sheath is indicated to provide a conduit for the insertion of endovascular devices into the vasculature while minimizing blood loss associated with such insertions.

Type of Use (Select one or both, as applicable)
---------------------------------------------------

X Prescription Use (Part 21 CFR 801 Subpart D)

| Over-The-Counter Use (21 CFR 801 Subpart C)

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4

510(K) SUMMARY

Date preparedNovember 13, 2023
NameInari Medical, Inc.
6001 Oak Canyon, Suite 100
Irvine, CA 92618
949.600.8433
Contact personKaitlyn Weinkauf
Sr. Regulatory Affairs Specialist
Name of DeviceIntri24 Introducer Sheath (52-101)
Common nameCatheter Introducer
Regulation nameCatheter Introducer
Classification number21 CFR 870.1340
Product codeDYB
Regulatory classII
Predicate deviceInari Medical, Intri24 Introducer Sheath (K212392)
DescriptionThe Intri24 Introducer Sheath is a single-use over-the-wire system intended for use
in vessels > 9 mm and is a conduit for the insertion of diagnostic or endovascular
devices into the peripheral vasculature. The Intri24 Introducer Sheath consists of a
Sheath and Dilator. The Sheath is comprised of a single lumen catheter with a
hydrophilic coating, a proximal hemostasis valve, and stopcock with flush port. A
radiopaque marker is positioned near the distal tip of the sheath to aid with
fluoroscopic visualization. The Dilator is 0.035" guidewire compatible and
attaches to the hemostasis valve on the Sheath. The Dilator has a tapered edge to
aid in the dilation of the target vessel for insertion and positioning of the Sheath.
Indications for UseThe Intri24 Introducer Sheath is indicated to provide a conduit for the insertion of
endovascular devices into the vasculature while minimizing blood loss associated
with such insertions.
Device ModificationsChanges were made to the sheath to 1) extend the PTFE liner, 2) make minor
dimensional and design changes to the valve and, 3) add suppliers of the PTFE
liner.
Comparison of
Technological
Characteristics with
the Predicate DeviceThere is no change to the intended use, indications for use, technological
characteristics, principles of operation, or fundamental scientific technology
between the proposed Intri24 Introducer Sheath and the predicate device.
Summary of
substantial equivalenceThere is no change to the intended use, technological characteristics, principles of
operation, or fundamental scientific technology between the proposed Intri24
Introducer Sheath and the predicate device. The Intri24 Introducer Sheath has the
same indications for use as the predicate device, K212392.

5

Biocompatibility

The following biocompatibility tests were completed to satisfy ISO 10993-1 requirements for the subject device:

  • Cytotoxicity
  • Intracutaneous Reactivity
  • Material-Mediated . Pyrogenicity
  • Sensitization
  • Acute Systemic Toxicity
  • Hemocompatibility ● (Hemolysis)

The passing results demonstrate that the subject device meets the biological safety requirements per ISO 10993-1.

Sterilization

The subject device is sterilized using EtO to achieve a sterility assurance level (SAL) of 10° 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

In accordance with the design failure modes and effects analysis, design verification testing was conducted to verify that the modified device continues to meet the design requirements of the product specifications.

The following tests were performed on the modified device:

  • . Sheath Visual Inspection
  • Sheath Dimensional Inspection
  • Sheath/Dilator Kink Radius ●
  • Simulated Use, Track, and Rotation
  • Simulated Use, Track, and Triever24 ●
  • Simulated Use, Track, and FlowTriever Catheter XL Disks ●
  • Tensile Testing - Sheath Distal Tip Fuse to Shaft
  • Tensile Testing Sheath Hemostasis Valve to Proximal Shaft ●
  • Placement Resistance Testing, Sheath Hub
  • Fluid Leak and Fluid Vacuum Test
  • Locking Cap Force and Unlocking Cap Torque ●
  • Low Pressure Fluid Leakage Testing, Sheath ●
  • High Pressure Fluid Leakage Testing, Sheath with Blood Analog
  • Air Leakage Testing, Dilator Removal ●
  • Air Leakage Testing, Syringe Pullback
  • Vacuum Testing
  • Sheath Burst

Neither animal testing nor clinical testing were required for the determination of substantial equivalence.

6

Conclusion
The Intri24 Introducer Sheath has the same intended use/indications for use and
principles of operation as the predicate. The testing provided supports the Intri24
Introducer Sheath's substantial equivalence to the predicate device.