K Number
K240997
Device Name
Hi-Torque Command 14 ST Guide Wire and Hi-Torque Command 14 MT Guide Wire
Manufacturer
Date Cleared
2024-11-06

(209 days)

Product Code
Regulation Number
870.1330
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Hi-Torque Command 14 ST Guide Wire and Hi-Torque Command 14 MT Guide Wire are intended to facilitate the placement of balloon dilatation catheters during percutaneous transluminal angioplasty (PTA), in arteries such as the femoral, popliteal and infra-popliteal arteries. The guide wires may also be used with compatible stent devices during therapeutic procedures. The guide wires may also be used to reach and cross a target lesion, provide a pathway within the vessel structure, facilitate the substitution of one diagnostic or interventional device for another, and to distinguish the vasculature.
Device Description
The Hi-Torque Command™ 14 ST Guide Wire (guide wire with short taper) and Hi-Torque Command™ 14 MT Guide Wire (guide wire with medium taper) have a maximum diameter of 0.0144" (0.366 mm) and are provided in 210 cm and 300 cm lengths. The distal tip of the guide wire is available as a straight tip or an angled tip, both of which are shapeable.
More Information

No
The summary describes a physical guide wire used for medical procedures and does not mention any software, algorithms, or data processing that would indicate the use of AI/ML.

No.
The device facilitates the placement of other therapeutic devices (balloon dilatation catheters, stent devices) but does not directly provide therapy itself.

No

The device is a guide wire intended to facilitate the placement of other devices (balloon dilatation catheters, stent devices) and provide a pathway, rather than providing a medical diagnosis. While it can "distinguish the vasculature," this is for facilitating therapeutic procedures, not for diagnostic purposes.

No

The device description and performance studies clearly indicate this is a physical guide wire, not a software-only device.

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

Here's why:

  • Intended Use: The intended use clearly describes the device as being used within the body to facilitate procedures like angioplasty and stent placement. This is an in vivo application.
  • Device Description: The description details a physical guide wire designed to be inserted into blood vessels.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens (like blood, urine, or tissue) outside of the body to provide information about a physiological state, health, or disease.

IVD devices are used to perform tests on samples taken from the body, while this device is used directly within the body for therapeutic and procedural purposes.

N/A

Intended Use / Indications for Use

The Hi-Torque Command 14 ST Guide Wire and Hi-Torque Command 14 MT Guide Wire are intended to facilitate the placement of balloon dilatation catheters during percutaneous transluminal angioplasty (PTA), in arteries such as the femoral, popliteal and infra-popliteal arteries. The guide wires may also be used with compatible stent devices during therapeutic procedures. The guide wires may also be used to reach and cross a target lesion, provide a pathway within the vessel structure, facilitate the substitution of one diagnostic or interventional device for another, and to distinguish the vasculature.

Product codes

DQX

Device Description

The Hi-Torque Command™ 14 ST Guide Wire (guide wire with short taper) and Hi-Torque Command™ 14 MT Guide Wire (guide wire with medium taper) have a maximum diameter of 0.0144" (0.366 mm) and are provided in 210 cm and 300 cm lengths. The distal tip of the guide wire is available as a straight tip or an angled tip, both of which are shapeable.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

femoral, popliteal and infra-popliteal arteries

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)

The Hi-Torque Command™ 14 ST and Hi-Torque Command™ 14 MT Guide Wires were evaluated through performance testing which included non-clinical bench testing and simulated use testing. The test results demonstrate the Hi-Torque Command™ 14 ST and Hi-Torque Command™ 14 MT Guide Wires meets functional, dimensional, and simulated use testing acceptance criteria. The following biocompatibility tests were conducted per ISO 10993 series of standards for an external communicating device with limited contact with circulating blood: Cytotoxicity; Sensitization; Irritation/intracutaneous reactivity; Acute systemic toxicity; Material-mediated pyrogenicity; Complement activation (SC5b-9 pathway); ASTM Partial Thromboplastin Time and Platelet & Leukocyte Count Assay; and Direct and indirect hemolysis. The following verification and validation testing were completed: Tip Appearance, Polyurethane Covering Appearance, Proximal Coatings, Polyurethane Covering Length (Coating Length), Overall Length, Outside Diameter, Surface Appearance, Pre-Shaped Tip Appearance, Distal Solder Length, Proximal Solder Length, Distal Tip Coil Length (radiopaque tip length), Distal Tip Grind Outer Diameter, Tip Tensile Strength, Torsional Wire Strength (Torque Strength), Dissimilar Metal Weld Strength, Rotary Bend Strength, Friction Test (Lubricity), GW Particulates, particulates (≥70 μm), Large Particulates (≥200 μm and ≥300 μm), Corrosion Resistance, Coating Integrity, Bending Durability (Flexing), Fracture, Simulated Use. Clinical studies were not needed to support substantial equivalence between subject and predicate devices.

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

Not Found

Predicate Device(s)

Hi-Torque Command Guide Wire Family (K122573)

Reference Device(s)

Hi-Torque Proceed Guide Wire Family (K201834)

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 870.1330 Catheter guide wire.

(a)
Identification. A catheter guide wire is a coiled wire that is designed to fit inside a percutaneous catheter for the purpose of directing the catheter through a blood vessel.(b)
Classification. Class II (special controls). The device, when it is a torque device that is manually operated, non-patient contacting, and intended to manipulate non-cerebral vascular guide wires, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 870.9.

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

November 6, 2024

Abbott Medical Angeline Chooi Principal Regulatory Affairs Specialist 3200 Lakeside Drive Santa Clara, California 95054

Re: K240997

Trade/Device Name: Hi-Torque Command 14 ST Guide Wire and Hi-Torque Command 14 MT Guide Wire Regulation Number: 21 CFR 870.1330

Regulation Name: Catheter Guide Wire Regulatory Class: Class II Product Code: DQX Dated: October 7, 2024 Received: October 7, 2024

Dear Angeline Chooi:

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.

All medical devices, including Class I and unclassified devices and combination product device constituent parts are required to be in compliance with the final Unique Device Identification System rule ("UDI Rue"). The UDI Rule requires, among other things, that a device bear a unique device identifier (UDI) on its label and package (21 CFR 801.20(a)) unless an exception or alternative applies (21 CFR 801.20(b)) and that the dates on the device label be formatted in accordance with 21 CFR 801.18. The UDI Rule (21 CFR 830.300(a) and 830.320(b)) also requires that certain information be submitted to the Global Unique Device Identification Database (GUDID) (21 CFR Part 830 Subpart E). For additional information on these requirements, please see the UDI System webpage at https://www.fda.gov/medical-devices/device-advicecomprehensive-regulatory-assistance/unique-device-identification-system-udi-system.

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).

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Sincerely,

Lydia S. Glaw -S

Digitally signed by Lydia S. Glaw -S Date: 2024.11.06 19:18:55 -05'00'

Lydia Glaw 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

510(k) Number (if known) K240997

Device Name

Hi-Torque Command 14 ST Guide Wire Hi-Torque Command 14 MT Guide Wire

Indications for Use (Describe)

The Hi-Torque Command 14 ST Guide Wire and Hi-Torque Command 14 MT Guide Wire are intended to facilitate the placement of balloon dilatation catheters during percutaneous transluminal angioplasty (PTA), in arteries such as the femoral, popliteal and infra-popliteal arteries. The guide wires may also be used with compatible stent devices during therapeutic procedures.

The guide wires may also be used to reach and cross a target lesion, provide a pathway within the vessel structure, facilitate the substitution of one diagnostic or interventional device for another, and to distinguish the 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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510(k) Summary Per 21 CFR §807.92

510(k) NumberK240997
Date PreparedApril 9, 2024
Submitter Name & AddressAbbott Medical
3200 Lakeside Drive
Santa Clara, CA 95054
Contact PersonAngeline Chooi
408-845-0652
Proprietary / Trade NameHi-Torque Command™ 14 ST Guide Wire and Hi-Torque Command™ 14 MT Guide Wire
Common / Usual NameWire, Guide, Catheter
Product ClassificationClass II
Product CodeDQX
Product Regulation Number21 CFR 870.1330
Predicate DeviceHi-Torque Command Guide Wire Family (K122573)
Device DescriptionThe following reference device is used in this submission:
Hi-Torque Proceed Guide Wire Family (K201834)
The Hi-Torque Command™ 14 ST Guide Wire (guide wire with short
taper) and Hi-Torque Command™ 14 MT Guide Wire (guide wire with
medium taper) have a maximum diameter of 0.0144" (0.366 mm) and are
provided in 210 cm and 300 cm lengths. The distal tip of the guide wire is
available as a straight tip or an angled tip, both of which are shapeable.
Indications for UseThe Hi-Torque Command™ 14 ST Guide Wire and Hi-Torque
Command™ 14 MT Guide Wire are indicated to facilitate the placement of
balloon dilatation catheters during percutaneous transluminal angioplasty
(PTA), in arteries such as the femoral, popliteal and infra-popliteal arteries.
The guide wires may also be used with compatible stent devices during
therapeutic procedures.

The guide wires may also be used to reach and cross a target lesion,
provide a pathway within the vessel structure, facilitate the substitution of
one diagnostic or interventional device for another, and to distinguish the
vasculature. |
| Comparison of Subject
to Predicate Device | The Indications for Use for the subject device, Hi-Torque Command 14 ST
Guide Wire and Hi-Torque Command 14 MT Guide Wires, is identical to
the predicate device, Hi-Torque Command Guide Wire Family. They have
similar functional specifications, materials and design (with minor
differences) |
| Summary of Non-
Clinical Testing | The Hi-Torque Command™ 14 ST and Hi-Torque Command™ 14 MT Guide Wires were evaluated through performance testing which included non-clinical bench testing and simulated use testing. The test results demonstrate the Hi-Torque Command™ 14 ST and Hi-Torque Command™ 14 MT Guide Wires meets functional, dimensional, and simulated use testing acceptance criteria.

The following biocompatibility tests were conducted per ISO 10993 series of standards for an external communicating device with limited contact with circulating blood:
Cytotoxicity; Sensitization; Irritation/intracutaneous reactivity; Acute systemic toxicity; Material-mediated pyrogenicity; Complement activation (SC5b-9 pathway); ASTM Partial Thromboplastin Time and Platelet & Leukocyte Count Assay; and Direct and indirect hemolysis The following verification and validation testing were completed: Tip Appearance Polyurethane Covering Appearance Proximal Coatings Polyurethane Covering Length (Coating Length) Overall Length Outside Diameter Surface Appearance Pre-Shaped Tip Appearance Distal Solder Length Proximal Solder Length Distal Tip Coil Length (radiopaque tip length) Distal Tip Grind Outer Diameter Tip Tensile Strength Torsional Wire Strength (Torque Strength) Dissimilar Metal Weld Strength Rotary Bend Strength Friction Test (Lubricity) GW Particulates Kink Resistance Tip Load (Tip Flexibility) |
| • | Particulates (≥70 μm) |
| • | Large Particulates (≥200 μm and ≥300 μm) |
| • | Corrosion Resistance |
| • | Coating Integrity |
| • | Bending Durability (Flexing) |
| • | Fracture |
| • | Simulated Use |
| Summary of Clinical
Testing | Clinical studies were not needed to support substantial equivalence
between subject and predicate devices. |
| Statement of
Equivalence | The Indications for Use for the subject device, Hi-Torque Command 14 ST
Guide Wire and Hi-Torque Command 14 MT Guide Wires, is identical to
the predicate device, Hi-Torque Command Guide Wire Family. Subject
and predicate devices have similar specifications, materials and design.
The results demonstrated that the Hi-Torque Command 14 ST Guide Wire
and Hi-Torque Command 14 MT Guide Wires met all acceptance criteria.
Non-clinical testing has been completed to demonstrate substantial
equivalence between subject and predicate devices. |

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