K Number
K234083
Manufacturer
Date Cleared
2024-07-02

(193 days)

Product Code
Regulation Number
870.1250
Reference & Predicate Devices
N/A
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

Next Generation Aspiration Catheter:

The Next Generation Aspiration Catheter with a compatible aspiration Tubing Set is indicated for use in the revascularization of patients with acute ischemic stroke secondary to intracranial large vessel occlusive disease (within the internal carotid, middle cerebral - M1 and M2 segments, basilar, and vertebral arteries) within 8 hours of symptom onset.

Patients who are ineligible for intravenous tissue plasminogen activator (IV-tPA) or who fail IV-tPA therapy are candidates for treatment.

Balt Aspiration Tubing Set:

The Balt Aspiration Tubing Set is intended to connect the Next Generation Catheter to the canister of a compatible aspiration pump and to allow the user to control the fluid flow.

Device Description

The Next Generation Aspiration Catheter is a single-lumen, coil reinforced, variable stiffness composite catheter that facilitates removal of thrombus from the neurovasculature when connected to a compatible aspiration pump and the Balt Aspiration Tubing Set. The Next Generation Aspiration Catheter is comprised of a hollow cylindrical tube which incorporates a standard luer fitting to allow attachment of ancillary devices for navigation, infusion of fluids, and aspiration through the catheter. The wall of the tube is constructed using a combination of metal coils and medical grade polymers. The distal portion of the Next Generation Aspiration Catheter has a hydrophilic coating which provides a lubricious surface during use to aid in tracking through the vasculature. The catheter includes a radiopaque marker providing the user with visual confirmation of the distal tip location under fluoroscopy. The Next Generation Aspiration Catheter is offered in various working lengths and nominal inner diameters and outer diameters.

An introducer sheath is provided in the package to support and facilitate the insertion of the Next Generation Aspiration Catheter's distal tip into an appropriate vascular sheath.

The catheter and introducer sheath are provided sterile, non-pyrogenic, and are intended for single use only.

The Balt Aspiration Tubing Set is comprised of a hollow cylindrical tube which is bonded to a standard luer fitting that connects to the Next Generation Catheter and a slip fit connector that connects to the canister on the aspiration pump. The Balt Aspiration Tubing Set is made of common medical grade polymers, is provided sterile, and is intended for single use only.

The Next Generation Aspiration Catheter and Balt Aspiration Tubing Set are intended to be used with:

  • Guidewires
  • Guide Sheaths
  • Aspiration Pump
AI/ML Overview

The provided text is a 510(k) Summary for a new medical device, the "Next Generation Aspiration Catheter" and "Balt Aspiration Tubing Set." It details the device description, indications for use, comparison to a predicate device, and various performance tests conducted.

However, the question asks about acceptance criteria and the study that proves the device meets the acceptance criteria in the context of AI software. The provided document does not describe an AI/software device or related performance studies. Instead, it outlines the regulatory submission for a physical medical device (catheter and tubing set) and its non-clinical (biocompatibility, bench, and animal) testing for substantial equivalence to a predicate device.

Therefore, I cannot extract the information requested regarding acceptance criteria and studies proving an AI device meets them from this document. The document simply doesn't contain that type of information.

To answer your question based only on the provided text, the answer is that the document does not contain information about an AI device, its acceptance criteria, or studies proving it meets those criteria.

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July 2, 2024

Balt USA, LLC Alicia Smith Senior Regulatory Affairs Specialist 29 Parker Irvine, California 92618

Re: K234083

Trade/Device Name: Next Generation Aspiration Catheter; Balt Aspiration Tubing Set Regulation Number: 21 CFR 870.1250 Regulation Name: Percutaneous Catheter Regulatory Class: Class II Product Code: NRY Dated: May 31, 2024 Received: June 3, 2024

Dear Alicia Smith:

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).

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Your device is also subject to, among other requirements, the Quality System (OS) 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

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Indications for Use

510(k) Number (if known) K234083

Device Name

Next Generation Aspiration Catheter; Balt Aspiration Tubing Set

Indications for Use (Describe)

Next Generation Aspiration Catheter:

The Next Generation Aspiration Catheter with a compatible aspiration Tubing Set is indicated for use in the revascularization of patients with acute ischemic stroke secondary to intracranial large vessel occlusive disease (within the internal carotid, middle cerebral - M1 and M2 segments, basilar, and vertebral arteries) within 8 hours of symptom onset.

Patients who are ineligible for intravenous tissue plasminogen activator (IV-tPA) or who fail IV-tPA therapy are candidates for treatment.

Balt Aspiration Tubing Set:

The Balt Aspiration Tubing Set is intended to connect the Next Generation Catheter to the canister of a compatible aspiration pump and to allow the user to control the fluid flow.

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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Image /page/3/Picture/0 description: The image shows the logo for Cobalt. The logo consists of a green circle with three smaller white circles inside of it. The circle is connected to the word "balt" in a green sans-serif font. The logo is simple and modern.

510(k) Summary: K234083

Applicant:Balt USA, LLC29 ParkerIrvine, CA 92618Registration No.: 3014162263
Contact Person:Alicia SmithSenior Specialist, Regulatory AffairsEmail: alicia.smith@baltgroup.com
Date Summary Prepared:June 28, 2024
Trade Name:Next Generation Aspiration Catheter; Balt Aspiration Tubing Set
Common Name:Catheter, Thrombus Retriever
Review Panel:Neurology
Product Code:NRY
Regulation Number:21 CFR 870.1250
Regulation Name:Percutaneous Catheter
Device Classification:Class II
Predicate Device:ZOOM 71 Reperfusion Catheter; ZOOM Aspiration Tubing510(k)#: K211476

Device Description:

The Next Generation Aspiration Catheter is a single-lumen, coil reinforced, variable stiffness composite catheter that facilitates removal of thrombus from the neurovasculature when connected to a compatible aspiration pump and the Balt Aspiration Tubing Set. The Next Generation Aspiration Catheter is comprised of a hollow cylindrical tube which incorporates a standard luer fitting to allow attachment of ancillary devices for navigation, infusion of fluids, and aspiration through the catheter. The wall of the tube is constructed using a combination of metal coils and medical grade polymers. The distal portion of the Next Generation Aspiration Catheter has a hydrophilic coating which provides a lubricious surface during use to aid in tracking through the vasculature. The catheter includes a radiopaque marker providing the user with visual confirmation of the distal tip location under fluoroscopy. The Next Generation Aspiration Catheter is offered in various working lengths and nominal inner diameters and outer diameters.

An introducer sheath is provided in the package to support and facilitate the insertion of the Next Generation Aspiration Catheter's distal tip into an appropriate vascular sheath.

The catheter and introducer sheath are provided sterile, non-pyrogenic, and are intended for single use only.

The Balt Aspiration Tubing Set is comprised of a hollow cylindrical tube which is bonded to a standard luer fitting that connects to the Next Generation Catheter and a slip fit connector that connects to the canister on the aspiration pump. The Balt Aspiration Tubing Set is made of common medical grade polymers, is provided sterile, and is intended for single use only.

The Next Generation Aspiration Catheter and Balt Aspiration Tubing Set are intended to be used with:

  • Guidewires ●

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Image /page/4/Picture/0 description: The image shows the logo for "balt". The logo consists of a green circle with a few smaller circles inside and on top of it. The circle is connected to the word "balt" in green font.

  • Guide Sheaths
  • Aspiration Pump ●

Indications for Use:

Next Generation Aspiration Catheter:

The Next Generation Aspiration Catheter with a compatible aspiration pump and Balt Aspiration Tubing Set is indicated for use in the revascularization of patients with acute ischemic stroke secondary to intracranial large vessel occlusive disease (within the internal carotid, middle cerebral - M1 and M2 segments, basilar, and vertebral arteries) within 8 hours of symptom onset.

Patients who are ineligible for intravenous tissue plasminogen activator (IV-tPA) or who fail IV-tPA therapy are candidates for treatment.

Balt Aspiration Tubing Set:

The Balt Aspiration Tubing Set is intended to connect the Next Generation Aspiration Catheter to the canister of a compatible aspiration pump and to allow the user to control the fluid flow.

Predicate DeviceSubject Device
ZOOM 71 Reperfusion Catheter;ZOOM Aspiration Tubing(K211476)Next Generation Aspiration Catheter;Balt Aspiration Tubing Set(K234083)
Indications for UseThe ZOOM Reperfusion Catheters,with the ZOOM Aspiration Tubingand ZOOM Aspiration Pump (orequivalent vacuum pump), areindicated for use in therevascularization of patients withacute ischemic stroke secondary tointracranial large vessel occlusivedisease (within the internal carotid,middle cerebral - M1 and M2segments, basilar, and vertebralarteries) within 8 hours of symptomonset. Patients who are ineligible forintravenous tissue plasminogenactivator (IV t-PA) or who fail IV t-PA therapy are candidates fortreatment.The ZOOM Aspiration Tubing isintended to connect the ZOOMReperfusion Catheter to the ZOOMCanister of the ZOOM AspirationPump and to allow the user tocontrol the fluid flow.Next Generation Aspiration Catheter:The Next Generation Aspiration Catheterwith a compatible aspiration pump and BaltAspiration Tubing Set is indicated for usein the revascularization of patients withacute ischemic stroke secondary tointracranial large vessel occlusive disease(within the internal carotid, middle cerebral- M1 and M2 segments, basilar, andvertebral arteries) within 8 hours ofsymptom onset.Patients who are ineligible for intravenoustissue plasminogen activator (IV-tPA) orwho fail IV-tPA therapy are candidates fortreatment.Balt Aspiration Tubing Set:The Balt Aspiration Tubing Set is intendedto connect the Next Generation AspirationCatheter to the canister of a compatibleaspiration pump and to allow the user tocontrol the fluid flow.
Predicate DeviceSubject Device
ZOOM 71 Reperfusion Catheter;ZOOM Aspiration Tubing(K211476)Next Generation Aspiration Catheter;Balt Aspiration Tubing Set(K234083)
DeviceClassification/Product CodeClass II / NRY(Percutaneous Catheter)Same as K211476
Intended UseRevascularization of patients withacute ischemic stroke.Same as K211476
DimensionalSpecificationsZOOM 71 Reperfusion CatheterNG 071 ASPNG 074 ASP
Inner Diameter0.071"Same as K2114760.074"
Outer DiameterProximal: 0.086"Distal: 0.085"Proximal: 0.083"Distal: 0.082"Proximal: 0.086"Distal: 0.085"
Effective Length137 cm128 cm, 132 cm120 cm, 132 cm
Device Attributes
MaterialsCommonly used medical gradeplastics & metals with hydrophiliccoating.Same as K211476
CoatingHydrophilicSame as K211476
PackagingConfigurationThe catheter is placed in a protectivepolyethylene tube and thenmounted, along with the accessories,onto a polyethylene packaging card.The packaging card is inserted into aTyvek® pouch which is then sealed.The sealed pouch and IFU areplaced in a carton box.Same as K211476
Shelf Life12 months12 months (Next Generation AspirationCatheter)6 months (Balt Aspiration Tubing Set)
Sterilization
Condition SuppliedSterile and Single UseSame as K211476
MethodEthylene Oxide (EO), SAL 10-6Same as K211476
Accessories
AccessoriesNoneIntroducer Sheath
Aspiration TubingZOOM Aspiration TubingBalt Aspiration Tubing Set
DimensionalLength: 104"Length: 114"
SpecificationsInner Diameter: 0.110" MinimumInner Diameter: 0.110" ± 0.003"
Condition SuppliedSterile and Single UseSame as K211476
Sterilization MethodEthylene Oxide (EO), SAL 10-6Same as K211476
Flow ControlMechanismFlow Control ClampFlow Control Valve
Aspiration Pump• Capable of achieving pressurebetween -20 inHg to -29.9 inHg• Airflow rating of 0 – 23 LPM• IEC 60601-1 Compliant• Capable of achieving pressurebetween -20 inHg and -25.6 inHg• Airflow rating ≥ 16 LPM

Comparison of Technological Characteristics:

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Image /page/5/Picture/0 description: The image shows the logo for Cobalt. The logo consists of a green circle with two smaller white circles inside. The circle is connected to the word "balt" in dark green font. The logo is simple and modern.

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Image /page/6/Picture/0 description: The image shows the logo for Cobalt. The logo consists of a green circle with white circles inside of it, connected to the word "balt" in a dark green sans-serif font. The circle is on the left side of the logo, and the word "balt" is on the right side.

Performance Testing Summary:

Biocompatibility:

The following biocompatibility testing was conducted for the Next Generation Aspiration Catheter:

TestTest Method SummaryConclusion
Cytotoxicity - MEM ElutionTested in accordance with ISO10993-5PassThe test article is considered non-cytotoxic.
Hemocompatibility -Hemolysis (Direct Contact& Extract Method)Tested in accordance with ISO10993-4PassThe test article is considered non-hemolytic.
Hemocompatibility -Complement ActivationSC5b-9 AssayTested in accordance with ISO10993-4PassRequirements have been met bythe test article.
Hemocompatibility - PartialThromboplastin Time (PTT)Tested in accordance with ASTMF2382-18PassRequirements have been met bythe test article.
Hemocompatibility – BloodPlatelet and LeukocyteCount (PLC)Tested in accordance with ASTMF2888-19PassRequirements have been met bythe test article.
Hemocompatibility -Comparative SurfaceAssessmentThe test article was visuallyinspected at more than 40xmagnification.PassRequirements have been met bythe test article.
Hemocompatibility -Thrombogenicity in aCanine ModelTested in accordance with ISO10993-4PassThe test article performedsimilarly to the comparator.
Pyrogenicity - Material-Mediated Rabbit PyrogenTested in accordance with USP<151>PassRequirements have been met bythe test article.
Sensitization - Guinea PigMaximization SensitizationTested in accordance with ISO10993-10PassThe test article did not elicit asensitization response.
Systemic Toxicity - AcuteSystemic InjectionTested in accordance with ISO10993-11PassRequirements have been met bythe test article.
Irritation - IntracutaneousReactivityTested in accordance with ISO10993-23PassRequirements have been met bythe test article.

The following biocompatibility testing was conducted for the Balt Aspiration Tubing Set:

TestTest Method SummaryConclusion
CytotoxicityTested in accordance with ISO10993-5PassThe test article is considered non-cytotoxic.

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Image /page/7/Picture/0 description: The image shows the logo for Cobalt. The logo consists of a green circle with two smaller white circles attached to it. The word "balt" is written in green lowercase letters to the right of the circle. The logo is simple and modern.

TestTest Method SummaryConclusion
SensitizationTested in accordance with ISO10993-10PassThe test article did not elicit asensitization response.
IrritationTested in accordance with ISO10993-23PassRequirements have been met bythe test article.

Performance Data – Bench:

The following performance bench testing was conducted for the Next Generation Aspiration Catheter:
TestTest Method SummaryResults
DimensionalVerificationThe catheter outer diameter, inner diameter, usable length, tiplength, and coating length were measured.Pass
SurfaceContaminationVisual inspection completed for surface defects.Pass
Tensile StrengthThe peak tensile force was evaluated per ISO 10555-1 afterpreconditioning in a simulated use model.Pass
Kink ResistanceKink resistance was evaluated after preconditioning in asimulated use model.Pass
Liquid LeakageThe device was exposed to a liquid pressure for 30 seconds. Thedevice was inspected for leakage per ISO 10555-1.Pass
Air LeakageThe device was tested for air leakage into the hub per ISO10555-1.Pass
Dynamic BurstTests to verify the device can withstand internal liquid pressureunder dynamic flow conditions with the distal end open.Pass
Torque StrengthThe device was evaluated for torque strength by measuring thenumber of catheter rotations until failure after preconditioning ina simulated use model and compared to the predicate.Pass
Hub ValidationTestingThe device shall meet the established acceptance criteria per ISO80369-7.Pass
ParticulateMatterThe catheter underwent simulated use testing and particulatetesting was conducted including a reference device forcomparison.Pass
Tip BucklingThe maximum force to cause catheter tip buckling whileconstrained at varying distances was measured.The tip stiffnesswas comparableto the predicateand other clearedaspirationcatheters.
CorrosionCorrosion tested per ISO 10555-1.No evidence ofcorrosion and metrequirements perISO 10555-1.
Static BurstThe distal tip of the catheter was blocked, and fluid was injectedinto the lumen at increasing pressure until the catheter burst perISO 10555-1 and the static burst pressure was compared with themaximum pressure generated with manual syringe injection.Pass

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Image /page/8/Picture/0 description: The image shows the logo for "balt". The logo consists of a green circle with three smaller white circles inside, connected to the word "balt" in a dark green sans-serif font. The circle is connected to the word by a thin, curved line.

TestTest Method SummaryResults
Coating IntegrityThe coating integrity was inspected before and after preconditioning through a simulated use model.No evidence of surface damage or coating defects.
Saline andContrastExposureAfter the device was used to deliver saline and contrast media, the device was inspected for damage, and dimensional attributes were measured.No visual evidence of damage or dimensional changes.
Radiopacity(Visibility)The device was tested to demonstrate acceptable radiopacity.Marker radiopacity is comparable to the predicate.
DesignValidation/UsabilityThe subject and predicate devices were prepared in accordance with their respective instructions for use and tested for device usability in a clinically relevant anatomical model.Device preparation, introduction, trackability, and retrieval were comparable to the predicate.
Lumen CollapseTested to verify that the catheter lumen does not collapse at maximum vacuum pressure for a duration of 6 minutes.Pass
Vacuum PressureTested to verify the vacuum pressure at the aspiration pump and distal tip of the catheter.Pass

The following performance bench testing was conducted for the Balt Aspiration Tubing Set:

TestTest Method SummaryResults
Dimensional VerificationThe total length, inner diameter, and outer diameter were measured.Pass
Surface ContaminationSurface contamination testing was performed in alignment with ISO 10555-1.Pass
Lumen CollapseTested to verify that the aspiration tubing lumen does not collapse at maximum vacuum pressure for a duration of 6 minutes.Pass
Tensile StrengthTesting was adopted from EN ISO 10555-1.Pass
Tubing to PumpThe tubing to pump pressure was measured.Pass
On/Off FunctionalityThe On/Off functionality of the tubing set was measured.Pass
Tubing Hub CompatibilityThe tubing hub compatibility was evaluated.Pass

Sterilization and Shelf Life:

The Next Generation Aspiration Catheter and Balt Aspiration Tubing Set are sterilized using an ethylene oxide sterilization cycle that was verified to a sterility assurance level of 1 x 10th in accordance with ISO 11135. Accelerated aging testing for the Next Generation Catheter and Balt Aspiration Tubing

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Image /page/9/Picture/0 description: The image shows the logo for Cobalt. The logo consists of a green circle with three smaller white circles inside, connected to the word "balt" in green lowercase letters. The circle and the word are connected by a green line that splits into two before connecting to the "b" in "balt."

Set based on ASTM F1980 have established that the subject device and packaging remain functional for the labeled expiration date. Aging studies for packaging integrity, seal strength, and device functionality were performed and met the acceptance criteria.

Performance Data - Animal:

The safety and performance of the Next Generation Catheter and Balt Aspiration Tubing Set were evaluated in a comparative animal study conducted under Good Laboratory Practices in a porcine model in the internal maxillary artery (IMAX), superficial cervical artery (SCA), renal artery, femoral artery, and lingual vessels against the control (ZOOM 71 Reperfusion Catheter and Tubing Set). Assessments included performance and handling, aspiration of experimental soft and firm clots, and application of maximum vacuum with the device in a wedged position against the vessel wall. Both the subject and the control devices were evaluated at subacute (3 days) and chronic (30 days) time points. Performance and handling, soft and firm clot aspiration, and wedge assessment results were comparable between the test and control devices. Angiographic and histological evaluations concluded the devices were comparable at all time points.

Performance Data - Clinical:

A determination of substantial equivalence is based upon successful completion of nonclinical bench and animal testing.

Conclusion:

The Next Generation Aspiration Catheter and Balt Aspiration Tubing Set have the same intended use as the predicate device. The differences in technological characteristics in comparison to the predicate device do not raise different or new questions of safety and effectiveness. The successful completion of nonclinical bench, biocompatibility, sterilization, shelf life, and animal testing supports that the subject device is substantially equivalent to the predicate device.

§ 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).