K Number
K233824
Device Name
Swan-Ganz catheter
Date Cleared
2024-06-06

(188 days)

Product Code
Regulation Number
870.1240
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Swan-Ganz catheters are diagnostic and monitoring tools used for hemodynamic monitoring of adult critically ill patients including but not limited to post major surgical recovery, trauma, sepsis, burns, pulmonary disease, pulmonary failure, cardiac disease including heart failure.
Device Description
The Swan-Ganz catheters are flow-directed pulmonary artery catheters used to monitor hemodynamic pressures. The Swan-Ganz thermodilution catheters provide diagnostic information to rapidly determine hemodynamic pressures and cardiac output when used with a compatible cardiac output computer.
More Information

No
The summary describes a physical catheter for hemodynamic monitoring and does not mention any software, algorithms, or data processing that would indicate the use of AI or ML.

No
The device is described as diagnostic and monitoring tools used for hemodynamic monitoring, providing diagnostic information and measuring pressures, not for treating or preventing a disease.

Yes
The "Intended Use / Indications for Use" section explicitly states that "The Swan-Ganz catheters are diagnostic and monitoring tools," and the "Device Description" section reiterates that they "provide diagnostic information."

No

The device description explicitly states it is a "Swan-Ganz catheter," which is a physical, hardware-based medical device. There is no mention of software being 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 describes the device as a "diagnostic and monitoring tool used for hemodynamic monitoring of adult critically ill patients". This involves measuring physiological parameters within the patient's body (hemodynamic pressures, cardiac output).
  • Device Description: The description reinforces this by stating they are "flow-directed pulmonary artery catheters used to monitor hemodynamic pressures". This is an invasive procedure performed directly on the patient.
  • Lack of IVD Characteristics: IVD devices are used to examine specimens derived from the human body (like blood, urine, tissue) in vitro (outside the body) to provide information about a physiological state, health, or disease. The provided information does not mention the analysis of any such specimens.

Therefore, the Swan-Ganz catheter, as described, is a medical device used for in vivo monitoring and diagnosis, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The Swan-Ganz catheters are diagnostic and monitoring tools used for hemodynamic monitoring of adult critically ill patients including but not limited to post major surgical recovery, trauma, sepsis, burns, pulmonary disease, pulmonary failure, cardiac disease including heart failure.

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

DYG, DQE, DQO, KRA

Device Description

The Swan-Ganz catheters are flow-directed pulmonary artery catheters used to monitor hemodynamic pressures. The Swan-Ganz thermodilution catheters provide diagnostic information to rapidly determine hemodynamic pressures and cardiac output when used with a compatible cardiac output computer.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Adult

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)

Not Found

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.

K160084, K222117

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.

K231248

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

§ 870.1240 Flow-directed catheter.

(a)
Identification. A flow-directed catheter is a device that incorporates a gas-filled balloon to help direct the catheter to the desired position.(b)
Classification. Class II (performance standards).

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Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food & Drug Administration (FDA). On the left 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.

June 6, 2024

Edwards Lifesciences LLC Bedalin Lugo Rodriguez Regulatory Affairs Manager One Edwards Way Irvine, California 92614

Re: K233824

Trade/Device Name: Swan-Ganz catheter Regulation Number: 21 CFR 870.1240 Regulation Name: Flow-Directed Catheter Regulatory Class: Class II Product Code: DYG, DQE, DQO, KRA Dated: November 30, 2023 Received: December 1, 2023

Dear Bedalin Lugo Rodriguez:

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.

Robert T. Kazmierski -S

for

LCDR Stephen Browning Assistant Director Division of Cardiac Electrophysiology, Diagnostics, and Monitoring Devices Office of Cardiovascular Devices Office of Product Evaluation and Quality

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Enclosure

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510(k) - Edwards Lifesciences LLC - Swan-Ganz catheter

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

Form Approved: OMB No. 0910-0120 Expiration Date: 07/31/2026 See PRA Statement below.

Submission Number (if known)

K233824

Device Name

Swan-Ganz catheter

Indications for Use (Describe)

The Swan-Ganz catheters are diagnostic and monitoring tools used for hemodynamic monitoring of adult critically ill patients including but not limited to post major surgical recovery, trauma, sepsis, burns, pulmonary disease, pulmonary failure, cardiac disease including heart failure.

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)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

This section applies only to requirements of the Paperwork Reduction Act of 1995.

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

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510(k) SUMMARY

Swan-Ganz Base and Advanced catheters
510(k) SubmitterEdwards Lifesciences LLC
One Edwards Way
Irvine, CA 92614
(949) 250-111
Contact PersonBedalin Lugo
Manager, Regulatory Affairs
Edwards Lifesciences
One Edwards Way
Irvine, CA 92614
Telephone: (787) 229-5433
Fax: (949) 809 - 2954
Email:
Bedalin_lugo@edwards.comAditi Iyengar
Sr. Manager, Regulatory Affairs
Edwards Lifesciences
One Edwards Way
Irvine, CA 92614
Telephone: (949) 250-3478
Fax: (949) 809 - 2954
Email:
Aditi_Iyengar@edwards.com
Date PreparedNovember 30, 2023
Trade NameSwan-Ganz catheters
Regulation Number/
Regulation Name21 CFR §870.1240 - Catheter, Flow Directed
21 CFR §870.1230 - Catheter, Oximeter, Fiberoptic
21 CFR §870.1200 - Catheter, Intravascular, Diagnostic
21 CFR §870.1210 – Catheter, Continuous Flush
Product CodeDYG, DQE, DQO and KRA
Regulation ClassClass II
Predicate DeviceK160084, K222117
Reference DeviceK231248
Device DescriptionThe Swan-Ganz catheters are flow-directed pulmonary artery catheters
used to monitor hemodynamic pressures. The Swan-Ganz
thermodilution catheters provide diagnostic information to rapidly
determine hemodynamic pressures and cardiac output when used with
a compatible cardiac output computer.
Indications for UseSwan-Ganz catheters are diagnostic and monitoring tools used for
hemodynamic monitoring of adult critically ill patients including but
not limited to post major surgical recovery, trauma, sepsis, burns,
pulmonary disease, pulmonary failure, cardiac disease including heart
failure.
Swan-Ganz Base and Advanced catheters
The subject Swan-Ganz Base and Advanced catheters are identical to
the predicate devices cleared in K160084 and K222117 in terms of
design, performance specifications, and technological characteristics
with the exception of the indications for use statement and other
portions of the labeling.
Comparative
AnalysisThe are no changes to the design, technology, performance, materials,
or specifications of the devices in this 510(k). The modifications to the
subject devices are limited to labeling changes. The indications for use
and labeling differences were updated to be in compliance with the
European Union Medical Device Regulations (EU MDR), ISO
20147:2021, ISO 15223-1:2021, and in better alignment with 21 CFR
841.20 requirements. These labeling changes provide additional
clarifying details and did not raise any new concerns of safety and
effectiveness or introduce any new clinical uses for the subject devices.
ConclusionThe Swan-Ganz catheters remain safe, effective, and substantially
equivalent to the predicate devices.

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