K Number
K241683
Device Name
Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031404020 ); Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031406020); Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031408020); Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031410020); Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031412020); Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031415020); Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H749390314
Date Cleared
2024-07-10

(29 days)

Product Code
Regulation Number
870.1250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Sterling Monorail PTA Balloon Dilatation Catheter is indicated for Percutaneous Transluminal Angioplasty in the peripheral vasculature, including iliac, femoral, popliteal, renal, and carotid arteries, and for the treatment of obstructive lesions of native or synthetic arteriovenous dialysis fistulae. This device is also indicated for post-dilatation of balloon expandable and selfexpanding stents in the peripheral vasculature.
Device Description
The Sterling Balloon Dilatation Catheter is a Monorail brand rapid exchange catheter with a semicompliant balloon fixed at the distal tip. The balloon catheter has a coaxial shaft design. The outer lumen is used for inflation of the balloon, and the wire lumen permits the use of guidewires 0.014 in / 0.018 in to facilitate advancement of the catheter to and through the stenosis to be dilated. The product's catheter includes a tapered tip to facilitate advancement of the catheter to and through the stenosis. Two radiopaque marker bands (one proximal and one distal), in conjunction with fluoroscopy, enable accurate positioning of the balloon. The effective length of the balloon catheter is 200 cm; catheter markers indicate the exit of the dilatation catheter tip out of the guiding catheter (one at 90 cm and two at 100 cm).
More Information

No
The description focuses on the mechanical components and function of a balloon catheter, with no mention of AI or ML capabilities. The performance studies are bench tests of physical properties.

Yes.
The device is used for Percutaneous Transluminal Angioplasty (PTA) in the peripheral vasculature to treat obstructive lesions and for post-dilatation of stents, which are therapeutic interventions.

No

This device is a therapeutic device (a balloon dilatation catheter) used for Percutaneous Transluminal Angioplasty, not for diagnosing conditions.

No

The device description clearly details a physical catheter with a balloon, guidewire lumen, and radiopaque markers, indicating it is a hardware device, not software-only.

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

Here's why:

  • Intended Use: The intended use clearly describes a procedure performed within the body (Percutaneous Transluminal Angioplasty) to treat physical conditions (obstructive lesions). IVDs are used to examine specimens outside the body to provide information about a person's health.
  • Device Description: The description details a physical catheter with a balloon designed for insertion into blood vessels. This is a therapeutic device, not a diagnostic one that analyzes biological samples.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), reagents, or any other components typically associated with in vitro diagnostics.

This device is a therapeutic medical device used for interventional procedures.

N/A

Intended Use / Indications for Use

The Sterling Monorail PTA Balloon Dilatation Catheter is indicated for Percutaneous Transluminal Angioplasty in the peripheral vasculature, including iliac, femoral, popliteal, renal, and carotid arteries, and for the treatment of obstructive lesions of native or synthetic arteriovenous dialysis fistulae. This device is also indicated for post-dilatation of balloon expandable and selfexpanding stents in the peripheral vasculature.

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

LIT

Device Description

The Sterling Balloon Dilatation Catheter is a Monorail brand rapid exchange catheter with a semicompliant balloon fixed at the distal tip. The balloon catheter has a coaxial shaft design. The outer lumen is used for inflation of the balloon, and the wire lumen permits the use of guidewires 0.014 in / 0.018 in to facilitate advancement of the catheter to and through the stenosis to be dilated. The product's catheter includes a tapered tip to facilitate advancement of the catheter to and through the stenosis. Two radiopaque marker bands (one proximal and one distal), in conjunction with fluoroscopy, enable accurate positioning of the balloon. The effective length of the balloon catheter is 200 cm; catheter markers indicate the exit of the dilatation catheter tip out of the guiding catheter (one at 90 cm and two at 100 cm).

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

iliac, femoral, popliteal, renal, and carotid arteries, and for the treatment of obstructive lesions of native or synthetic arteriovenous dialysis fistulae.

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 following performance data were provided in support of the substantial equivalence determination.
Sterilization Testing
Bench Testing:
-Dimensional Verification
-Simulated Use
-Balloon Inflation & Deflation Time
-Catheter Bond Strength
-Flexibility & Kink test
-Torque Strength
-Shaft & Bond Burst
-Catheter Extension & Deflation
-Packaging Testing
-Design Validation Testing
Non clinical performance evaluations support substantial equivalence of the Subject Device to the predicate Sterling MONORAIL PTA Balloon Dilatation Catheter (K162350).

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.

Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (K162350)

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.

Sterling™ OVER-THE-WIRE PTA Balloon Dilatation Catheter (K141112, K132430, K053116), Sterling™ SL OVER-THE-WIRE PTA Balloon Dilatation Catheter (K093720)

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

§ 870.1250 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).

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July 10, 2024

Boston Scientific Corporation Michael Mcdonagh Fellow Regulatory Specialist Two Scimed Place Maple Grove, Minnesota 55311

Re: K241683

Trade/Device Name: Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031404020, H74939031406020, H74939031408020, H74939031410020, H74939031412020, H74939031415020, H74939031420020, H74939031504020, H74939031506020, H74939031508020, H74939031510020, H74939031512020, H74939031515020, H74939031520020. H74939031604020. H74939031606020. H74939031608020. H74939031610020, H74939031612020, H74939031615020, H74939031620020, H74939031704020. H74939031706020. H74939031708020. H74939031710020. H74939031712020, H74939031715020, H74939031720020) Regulation Number: 21 CFR 870.1250 Regulation Name: Percutaneous Catheter Regulatory Class: Class II Product Code: LIT

Dated: June 11, 2024 Received: June 11, 2024

Dear Michael Mcdonagh:

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

1

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).

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 medical devices and radiation-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.

Ariel G. Ash- Digitally signed by Ariel
G. Ash-shakoor -S
shakoor -S
Date: 2024.07.10
16:56:10 -04'00'

2

For

Gregory O'Connell 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

3

Indications for Use

Submission Number (if known)

K241683

Device Name

Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031404020);
Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031406020);
Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031408020);
Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031410020);
Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031412020);
Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031415020);
Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031420020);
Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031504020);
Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031506020);
Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031508020);
Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031510020);
Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031512020);
Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031515020);
Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031520020);
Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031604020);
Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031606020);
Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031608020);
Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031610020);
Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031612020);
Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031615020);
Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031620020);
Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031704020);
Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031706020);
Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031708020);
Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031710020);
Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031712020);
Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031715020);
Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031720020)
Indications for Use (Describe)

Indications for Use (Describe)

The Sterling Monorail PTA

The Sterling Monorail PTA Balloon Dilatation Catheter is indicated for Percutaneous Transluminal Angioplasty in the peripheral vasculature, including iliac, femoral, popliteal, renal, and carotid arteries, and for the treatment of obstructive lesions of native or synthetic arteriovenous dialysis fistulae. This device is also indicated for post-dilatation of balloon expandable and selfexpanding stents in the peripheral 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)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

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510(k) Summarv

1. Submitter

Boston Scientific Corporation Two Scimed Place Maple Grove MN 55311 United States Contact Person: Michael McDonagh Michael.McDonagh@bsci.com +353 91 517044 Tel Ballybrit Business Park, Galway, Ireland Date Prepared: June 11, 2024

2. Device

Name of Device:

Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031404020 ); Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031406020); Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031408020); Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031410020); Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031412020); Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031415020); Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031420020); Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031504020); Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031506020); Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031508020); Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031510020); Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031512020); Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031515020); Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031520020); Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031604020); Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031606020); Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031608020);

6

Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031610020); Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031612020); Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031615020); Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031620020); Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031704020); Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031706020); Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031708020); Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031710020); Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031712020); Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031715020); Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (H74939031720020) Common or Usual Name: Percutaneous Catheter Classification Name: Catheter, Angioplasty, Peripheral, Transluminal Regulatory Class: II Product Code: LIT

3. Predicate Device

Predicate Device: Sterling™ MONORAIL™ PTA Balloon Dilatation Catheter (K162350) Reference Devices: Sterling™ OVER-THE-WIRE PTA Balloon Dilatation Catheter (K141112, K132430, K053116); Sterling™ SL OVER-THE-WIRE PTA Balloon Dilatation Catheter (K093720)

4. Device Description

The Sterling Balloon Dilatation Catheter is a Monorail brand rapid exchange catheter with a semicompliant balloon fixed at the distal tip. The balloon catheter has a coaxial shaft design. The outer lumen is used for inflation of the balloon, and the wire lumen permits the use of guidewires 0.014 in / 0.018 in to facilitate advancement of the catheter to and through the stenosis to be dilated. The product's catheter includes a tapered tip to facilitate advancement of the catheter to and through the stenosis. Two radiopaque marker bands (one proximal and one distal), in conjunction with fluoroscopy, enable accurate positioning of the balloon. The effective length of the balloon catheter is 200 cm; catheter markers indicate the exit of the dilatation catheter tip out of the guiding catheter (one at 90 cm and two at 100 cm).

5. Indications for Use

The Sterling Monorail PTA Balloon Dilatation Catheter is indicated for Percutaneous Transluminal Angioplasty in the peripheral vasculature, including iliac, femoral, popliteal, renal, and

7

carotid arteries, and for the treatment of obstructive lesions of native or synthetic arteriovenous dialysis fistulae. This device is also indicated for post-dilatation of balloon expandable and self-expanding stents in the peripheral vasculature.

6. Comparison of Technological Characteristics with the Predicate Device

The Sterling Monorail PTA Balloon Dilatation Catheter has the same intended use/ indication for use, principle of operation, sterilization method, as the predicate Sterling MONORAIL PTA Balloon Dilatation Catheter (K162350).

The following technological differences exist between the subject and predicate devices:

  • . Longer catheter length of 200cm
  • . Increase in catheter outer diameter and sheath compatibility

Differences in technological characteristics between the subject and predicate devices do not raise different questions of safety and effectiveness. The results of bench testing provide reasonable assurance of substantial equivalence to the predicate device.

7. Performance Data

The following performance data were provided in support of the substantial equivalence determination.

Sterilization

Sterilization Testing

Bench Testing

  • Dimensional Verification
  • Simulated Use
  • Balloon Inflation & Deflation Time
  • Catheter Bond Strength
  • Flexibility & Kink test
  • Torque Strength
  • Shaft & Bond Burst
  • Catheter Extension & Deflation
  • . Packaging Testing
  • . Design Validation Testing

8. Conclusions

The subject and predicate devices share the same indications for use and fundamental scientific technology, including principle of operation. Differences in technological characteristics between the subject and predicate devices do not raise different questions of safety and effectiveness. Non

8

clinical performance evaluations support substantial equivalence of the Subject Device to the predicate Sterling MONORAIL PTA Balloon Dilatation Catheter (K162350).