K Number
K241540
Device Name
NUVISION™ Ultrasound Catheter; NUVISION™ NAV Ultrasound Catheter
Date Cleared
2024-06-28

(28 days)

Product Code
Regulation Number
870.1200
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The NUVISION™ Ultrasound Catheter is indicated for intracardiac and intra-luminal visualization of cardiac and great vessel anatomy and physiology as well as visualization of other devices in the heart of adult and pediatric patients. The catheter is intended for imaging guidance only, not treatment delivery, during cardiac interventional percutaneous procedures. The NUVISION™ NA V Utrasound Catheter and related accessory devices are indicated for intra-cardiac and intraluminal visualization of cardiac and great vessel anatomy and physiology as well as visualization of other devices in the heart. When used with the compatible CARTO™ 3 EP Navigation System, the catheter provides location information. The catheter is intended for imaging guidance only, not treatment delivery, during cardiac interventional percutaneous procedures.
Device Description
The NUVISION™ Catheters are sterile, single use ultrasound catheters. They intended for intra-cardiac and intra-luminal visualization of cardiac and great vessel anatomy and physiology as well as visualization of other devices in the heart of patients. The catheters are intended for imaging guidance only, not treatment or therapy delivery, during cardiac interventional percutaneous procedures. The NUVISION Ultrasound Catheter and NUVISION NAV Ultrasound Catheter are sterile, single-use, disposable intracardiac echo (ICE) ultrasound imaging catheters. The distal end of the catheter has an ultrasound transducer with 2D acoustic element array on ASIC enabling real time 2D, 3D, and multiplane imaging. NUVISION Ultrasound Catheter is compatible with GE Vivid™ S70N and GE E95 Ultrasound System to enable 4D intra-cardiac imaging. While the NUVISION NAV Ultrasound Catheter's grid transducer combines the processing power of the GE Vivid™ S70N Ultrasound System to enable 4D intra-cardiac imaging and when coupled with a 3D location sensor enables location mapping in a compatible CARTO 3 System. The transducer array can be rotated independently of the deflection plane of the catheter shaft. The NUVISION NAV Ultrasound Catheter adds integration into the CARTO environment.
More Information

Not Found

No
The document describes a standard ultrasound catheter for imaging and navigation, with no mention of AI or ML in the intended use, device description, or performance studies.

No.
The device's intended use is explicitly stated as "imaging guidance only, not treatment delivery, during cardiac interventional percutaneous procedures." It is designed for visualization, not for providing therapy or treatment.

Yes

The device is intended for "intracardiac and intra-luminal visualization of cardiac and great vessel anatomy and physiology" and to "provide location information," which are all diagnostic purposes. While it is stated that it is "for imaging guidance only, not treatment delivery," imaging for visualization and location information falls under diagnostic use.

No

The device description clearly states it is a sterile, single-use ultrasound catheter with a physical transducer and other hardware components. It is not solely software.

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

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections. They are used to provide information for diagnosis, monitoring, or screening.
  • Device Function: The NUVISION™ Ultrasound Catheter is an imaging device used for intracardiac and intra-luminal visualization. It provides real-time images of the heart and great vessels during procedures.
  • Method of Use: The device is inserted directly into the body (intracardiac and intraluminal) to acquire images. It does not analyze samples taken from the body.
  • Intended Use: The stated intended use is for "imaging guidance only, not treatment delivery." This reinforces its role as a visualization tool, not a diagnostic test performed on a sample.

Therefore, the NUVISION™ Ultrasound Catheter falls under the category of a medical imaging device, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The NUVISION™ Ultrasound Catheter is indicated for intracardiac and intra-luminal visualization of cardiac and great vessel anatomy and physiology as well as visualization of other devices in the heart of adult and pediatric patients. The catheter is intended for imaging guidance only, not treatment delivery, during cardiac interventional percutaneous procedures.

The NUVISION™ NA V Utrasound Catheter and related accessory devices are indicated for intra-cardiac and intraluminal visualization of cardiac and great vessel anatomy and physiology as well as visualization of other devices in the heart. When used with the compatible CARTO™ 3 EP Navigation System, the catheter provides location information. The catheter is intended for imaging guidance only, not treatment delivery, during cardiac interventional percutaneous procedures.

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

OBJ

Device Description

The NUVISION™ Catheters are sterile, single use ultrasound catheters. They intended for intra-cardiac and intra-luminal visualization of cardiac and great vessel anatomy and physiology as well as visualization of other devices in the heart of patients. The catheters are intended for imaging guidance only, not treatment or therapy delivery, during cardiac interventional percutaneous procedures.

The NUVISION Ultrasound Catheter and NUVISION NAV Ultrasound Catheter are sterile, single-use, disposable intracardiac echo (ICE) ultrasound imaging catheters. The distal end of the catheter has an ultrasound transducer with 2D acoustic element array on ASIC enabling real time 2D, 3D, and multiplane imaging. NUVISION Ultrasound Catheter is compatible with GE Vivid™ S70N and GE E95 Ultrasound System to enable 4D intra-cardiac imaging. While the NUVISION NAV Ultrasound Catheter's grid transducer combines the processing power of the GE Vivid™ S70N Ultrasound System to enable 4D intra-cardiac imaging and when coupled with a 3D location sensor enables location mapping in a compatible CARTO 3 System. The transducer array can be rotated independently of the deflection plane of the catheter shaft. The NUVISION NAV Ultrasound Catheter adds integration into the CARTO environment.

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Ultrasound

Anatomical Site

cardiac and great vessel

Indicated Patient Age Range

adult and pediatric patients

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 NUVISION Ultrasound Catheter and NUVISION NAV Ultrasound Catheter are substantially equivalent to its currently cleared predicate devices based on the successful completion of nonclinical bench testing, as well as the technological comparison exhibiting similar principles of design, operation, and indications for use.

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.

K201775, K223766

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.

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

§ 870.1200 Diagnostic intravascular catheter.

(a)
Identification. An intravascular diagnostic catheter is a device used to record intracardiac pressures, to sample blood, and to introduce substances into the heart and vessels. Included in this generic device are right-heart catheters, left-heart catheters, and angiographic catheters, among others.(b)
Classification. Class II (performance standards).

0

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 & Human Services logo on the left and the FDA text logo on the right. The text logo has the FDA acronym in a blue square, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue.

June 28, 2024

Biosense Webster, Inc. Sheba Chacko Senior Regulatory Affairs Program Lead 31 Technology Drive, Suite 200 Irvine, California 92618

Re: K241540

Trade/Device Name: NUVISION™ Utrasound Catheter; NUVISION™ NAV Ultrasound Catheter Regulation Number: 21 CFR 870.1200 Regulation Name: Diagnostic intravascular catheter Regulatory Class: Class II Product Code: OBJ Dated: May 30, 2024 Received: May 31, 2024

Dear Sheba Chacko:

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.

1

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).

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 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,

Aneesh S. Deoras -S

Aneesh Deoras Assistant Director Division of Cardiac Electrophysiology, Diagnostics and Monitoring Devices

2

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

Enclosure

3

Indications for Use

510(k) Number (if known) K241540

Device Name NUVISION™ Ultrasound Catheter NUVISION™ NAV Ultrasound Catheter

Indications for Use (Describe)

The NUVISION™ Ultrasound Catheter is indicated for intracardiac and intra-luminal visualization of cardiac and great vessel anatomy and physiology as well as visualization of other devices in the heart of adult and pediatric patients. The catheter is intended for imaging guidance only, not treatment delivery, during cardiac interventional percutaneous procedures.

The NUVISION™ NA V Utrasound Catheter and related accessory devices are indicated for intra-cardiac and intraluminal visualization of cardiac and great vessel anatomy and physiology as well as visualization of other devices in the heart. When used with the compatible CARTO™ 3 EP Navigation System, the catheter provides location information. The catheter is intended for imaging guidance only, not treatment delivery, during cardiac interventional percutaneous procedures.

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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4

510(k) Summary

This 510(k) Summary is being submitted in accordance with the requirements of SMDA 1990 and 21 CFR 807.92

Date Summary PreparedMay 30, 2024
ApplicantBiosense Webster, Inc.
31 Technology Drive, Suite 200
Irvine, CA 92618
Establishment Registration Number: 9044811
Official CorrespondentSheba Chacko
Senior Regulatory Affairs Program Lead
Telephone: (949) 450-6058
Fax: (949) 450-6886
Trade NameNUVISION™ Ultrasound Catheter
NUVISION™ NAV Ultrasound Catheter
Common NameIntracardiac Echocardiography Catheter
Classification NameDiagnostic Intravascular Catheters
Device ClassificationClass II, 21 CFR 870.1200
FDA Product CodeOBJ
Predicate device(s)NuVision ICE Catheter [K201775]
NUVISION™ NAV Ultrasound Catheter [K2237661]

1.1 Submitter | 21 CFR 807.92(a) (1)| and Device Information [21 CFR 807.92 (a) (2)|

1.2 Predicate Device Information [21 CFR 807.92(a) (3)|

Predicate Device Information
Predicate Device NameManufacturer510(k) #Decision Date
NuVision ICE CatheterBiosense Webster, IncK20177505 Mar 2021
NUVISION™ NAV
Ultrasound CatheterBiosense Webster, IncK22376616 Feb 2023

1.3 Description of the Device Subject to Premarket Notification [21 CFR 807.92(a) (4)]

The NUVISION™ Catheters are sterile, single use ultrasound catheters. They intended for intra-cardiac and intra-luminal visualization of cardiac and great vessel anatomy and physiology as well as visualization of other devices in the heart of patients. The catheters are intended for imaging guidance only, not treatment or therapy delivery, during cardiac interventional percutaneous procedures.

5

Intended Use [21 CFR 807.92(a) (5)] 1.4

Intended Use for NUVISION Ultrasound Catheter: The NUVISION™ Ultrasound Catheter is intended for intra-cardiac and intra luminal visualization of cardiac and great vessel anatomy and physiology as well as visualization of other devices in the heart.

Indications for Use for NUVISION™ Ultrasound Catheter: The NUVISION™ Ultrasound Catheter is indicated for intracardiac and intra-luminal visualization of cardiac and great vessel anatomy and physiology as well as visualization of other devices in the heart of adult and pediatric patients. The catheter is intended for imaging guidance only, not treatment delivery, during cardiac interventional percutaneous procedures.

Intended Use for NUVISION NAV Ultrasound Catheter: The NUVISION™ NAV Ultrasound Catheter is intended for intra-cardiac and intra-luminal visualization of cardiac and great vessel anatomy and physiology as well as visualization of other devices in the heart.

Indications for Use for NUVISION™ NAV Ultrasound Catheter: The NUVISION™ NAV Ultrasound Catheter and related accessory devices are indicated for intra-cardiac and intra-luminal visualization of cardiac and great vessel anatomy and physiology as well as visualization of other devices in the heart. When used with the compatible CARTO™ 3 EP Navigation System, the catheter provides location information. The catheter is intended for imaging guidance only, not treatment delivery, during cardiac interventional percutaneous procedures.

Summary of Substantial Equivalence [21 CFR 807.92 (a) (6)] 1.5

| Element of Comparison | Proposed/Subject Device | Predicate Device
[K201775] |
|-----------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Device Name | NUVISION™ Ultrasound
Catheter | NuVision ICE Catheter |
| 510(k) | Subject Device | K201775 |
| Manufacturer | Biosense Webster, Inc. | Biosense Webster, Inc. |
| Regulation | 21 CFR 870.1200 | 21 CFR 870.1200 |
| Classification | Class II | Class II |
| Product code | OBJ | OBJ |
| Indications for Use | The NUVISION™ Ultrasound
Catheter is indicated for
intracardiac and intra-luminal
visualization of cardiac and great
vessel anatomy and physiology as
well as visualization of other
devices in the heart of adult and
pediatric patients. The catheter is
intended for imaging guidance
only, not treatment delivery,
during cardiac interventional
percutaneous procedures. | The NUVISION™ Ultrasound
Catheter is indicated for
intracardiac and intra-luminal
visualization of cardiac and great
vessel anatomy and physiology as
well as visualization of other
devices in the heart of adult and
pediatric patients. The catheter is
intended for imaging guidance
only, not treatment delivery,
during cardiac interventional
percutaneous procedures. |

NUVISION™ Ultrasound Catheter:

6

NUVISION™ Ultrasound Catheter NUVISION™ NAV Ultrasound Catheter

Patient PopulationAdult and PediatricAdult and Pediatric
Outside Diameter10F10 F
Imaging ModesB-Mode (2D and 3D)B-Mode (2D and 3D)
M-ModeM-Mode
Doppler Pulsed Wave DopplerDoppler Pulsed Wave Doppler
Continuous Wave DopplerContinuous Wave Doppler
Color Doppler (2D and 3D)Color Doppler (2D and 3D)
Power DopplerPower Doppler
Acoustic ArrayMulti-element 2D phased array-
on-ASIC ultrasound transducer aton-ASIC ultrasound transducer at
distal tipdistal tip
Sterilization MethodEtOEtO

NUVISION NAV Ultrasound Catheter:

Element of ComparisonProposed/Subject DevicePredicate Device [K223766]
Device NameNUVISION™ NAV Ultrasound CatheterNUVISION™ NAV Ultrasound Catheter
510(k)Subject DeviceK223766
ManufacturerBiosense Webster, Inc.Biosense Webster, Inc.
Regulation21 CFR 870.120021 CFR 870.1200
ClassificationClass IIClass II
Product codeOBJOBJ
Indications for UseThe NUVISION™ NAV Ultrasound Catheter and related accessory devices are indicated for intra-cardiac and intra-luminal visualization of cardiac and great vessel anatomy and physiology as well as visualization of other devices in the heart. When used with the compatible CARTO™ 3 EP Navigation System, the catheter provides location information. The catheter is intended for imaging guidance only, not treatment delivery, during cardiac interventional percutaneous procedures.The NUVISION™ NAV Ultrasound Catheter and related accessory devices are indicated for intra-cardiac and intraluminal visualization of cardiac and great vessel anatomy and physiology as well as visualization of other devices in the heart. When used with the compatible CARTO™ 3 EP Navigation System, the catheter provides location information. The catheter is intended for imaging guidance only, not treatment delivery, during cardiac interventional percutaneous procedures
Patient PopulationAdultAdult
Outside Diameter10.5 F10 F
Imaging ModesB-Mode (2D and 3D)
M-Mode
Doppler Pulsed Wave Doppler
Continuous Wave Doppler
Color Doppler (2D and 3D)
Power DopplerB-Mode (2D and 3D)
M-Mode
Doppler Pulsed Wave Doppler
Continuous Wave Doppler
Color Doppler (2D and 3D)
Power Doppler
Acoustic ArrayMulti-element 2D phased array-on-ASIC ultrasound transducer at distal tipMulti-element 2D phased array-on-ASIC ultrasound transducer at distal tip
Sterilization MethodEtOEtO

7

NUVISION™ Ultrasound Catheter NUVISION™ NAV Ultrasound Catheter

1.6 Performance Testing: [21 CFR 807.92(b)(1)]

The NUVISION Ultrasound Catheter and NUVISION NAV Ultrasound Catheter are sterile, single-use, disposable intracardiac echo (ICE) ultrasound imaging catheters. The distal end of the catheter has an ultrasound transducer with 2D acoustic element array on ASIC enabling real time 2D, 3D, and multiplane imaging. NUVISION Ultrasound Catheter is compatible with GE Vivid™ S70N and GE E95 Ultrasound System to enable 4D intra-cardiac imaging. While the NUVISION NAV Ultrasound Catheter's grid transducer combines the processing power of the GE Vivid™ S70N Ultrasound System to enable 4D intra-cardiac imaging and when coupled with a 3D location sensor enables location mapping in a compatible CARTO 3 System. The transducer array can be rotated independently of the deflection plane of the catheter shaft. The NUVISION NAV Ultrasound Catheter adds integration into the CARTO environment. Both catheters met all acceptance criteria in accordance with appropriate test criteria and standards.

1.7 Conclusion on Safety and Effectiveness [21 CFR 807.92(b) (3)|

The NUVISION Ultrasound Catheter and NUVISION NAV Ultrasound Catheter are substantially equivalent to its currently cleared predicate devices based on the successful completion of nonclinical bench testing, as well as the technological comparison exhibiting similar principles of design, operation, and indications for use.