K Number
K965140
Device Name
CARDIOMETRICS WAVEWIRE/WAVEMAP PRESSURE SYSTEM
Date Cleared
1997-08-18

(238 days)

Product Code
Regulation Number
870.1330
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Cardiometrics WaveWire/WaveMap Pressure System is intended for use in the coronary and peripheral arteries to measure blood pressure during diagnostic and/or interventional procedures. The WaveWire may be used to guide the positioning of balloon dilatation catheters, as well as other interventional devices such as atherectomy devices, lasers and stents. Blood pressure measurements are obtained to provide hemodynamic information for the diagnosis and treatment of coronary and/or peripheral artery disease.
Device Description
The Cardiometrics WaveWire Pressure Wire is a steerable guide wire designed to perform real-time invasive pressure measurements in the vasculature. The WaveWire has a nominal outer diameter of either .014" or .018" and is 175 cm in length. It has a 3 cm . shapeable radiopaque tip coil that is available in three different stiffnesses: floppy. flex and firm. The WaveWire XT Pressure Wire design provides increased column strength in the distal segment of the wire just proximal to the guide wire while retaining the floppy characteristics of the tip itself: the increased column strength supports certain interventional devices (Note: All other characteristics of the WaveWire XT Pressure Wire are the same as the non-XT WaveWire). A miniature pressure transducer is mounted at the junction of the radiopaque tip coil and the radiolucent proximal coil. The WaveWire Pressure Wire is connected to the WaveMap Pressure Instrument via a rotary connector cable and patient cable. Each rotary connector cable includes an identification memory chip containing the calibration constants for the pressure transducer. In addition, the WaveWire Pressure Guide Wire is designed to be compatible with the Cordis CINCH® extension system. The WaveMap Pressure Instrument is intended for use only with the WaveWire Pressure Wire. The WaveMap is a microcomputer controlled instrument which processes the information from the transducer mounted in the WaveWire to produce real-time blood pressure measurements. The WaveMap provides digital readouts of mean aortic pressure from a guide catheter, mean WaveWire pressure, and a calculated parameter, such as gradient or fractional flow reserve (FFR). The WaveMap also supplies an analog output of the WaveWire pressure for display on a conventional physiologic monitoring system or strip chart recorder.
More Information

No
The description focuses on hardware components (pressure wire, transducer, instrument) and basic signal processing ("microcomputer controlled instrument which processes the information"). There is no mention of AI, ML, or complex algorithms beyond calculating standard hemodynamic parameters like gradient or FFR.

Yes
The device is described as measuring blood pressure for diagnosis and treatment of vascular diseases and can guide interventional procedures, which are considered therapeutic uses.

Yes

The "Intended Use / Indications for Use" section explicitly states that the system is used to "measure blood pressure during diagnostic and/or interventional procedures" and provide "hemodynamic information for the diagnosis and treatment of coronary and/or peripheral artery disease."

No

The device description clearly details hardware components including a pressure wire with a transducer, a rotary connector cable, a patient cable, and a microcomputer-controlled instrument (WaveMap Pressure Instrument). While software is involved in processing the data, the device is fundamentally a system of hardware and 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.
  • Device Function: The Cardiometrics WaveWire/WaveMap Pressure System directly measures blood pressure within the coronary and peripheral arteries during diagnostic and interventional procedures. This is an in vivo measurement (within the living body), not an in vitro measurement (outside the living body).
  • Intended Use: The intended use clearly states the device is used to "measure blood pressure during diagnostic and/or interventional procedures" and to "provide hemodynamic information for the diagnosis and treatment of coronary and/or peripheral artery disease." This is a direct physiological measurement within the patient.

Therefore, the Cardiometrics WaveWire/WaveMap Pressure System is a medical device used for in vivo physiological measurement, not an IVD.

N/A

Intended Use / Indications for Use

The Cardiometrics WaveWire/WaveMap Pressure System is intended for use in the coronary and peripheral arteries to measure blood pressure during diagnostic and/or interventional procedures. The WaveWire may be used to guide the positioning of balloon dilatation catheters, as well as other interventional devices such as atherectomy devices, lasers and stents. Blood pressure measurements are obtained to provide hemodynamic information for the diagnosis and treatment of coronary and/or peripheral artery disease.

Product codes

DQX

Device Description

The Cardiometrics WaveWire Pressure Wire is a steerable guide wire designed to perform real-time invasive pressure measurements in the vasculature. The WaveWire has a nominal outer diameter of either .014" or .018" and is 175 cm in length. It has a 3 cm . shapeable radiopaque tip coil that is available in three different stiffnesses: floppy. flex and firm. The WaveWire XT Pressure Wire design provides increased column strength in the distal segment of the wire just proximal to the guide wire while retaining the floppy characteristics of the tip itself: the increased column strength supports certain interventional devices (Note: All other characteristics of the WaveWire XT Pressure Wire are the same as the non-XT WaveWire). A miniature pressure transducer is mounted at the junction of the radiopaque tip coil and the radiolucent proximal coil. The WaveWire Pressure Wire is connected to the WaveMap Pressure Instrument via a rotary connector cable and patient cable. Each rotary connector cable includes an identification memory chip containing the calibration constants for the pressure transducer. In addition, the WaveWire Pressure Guide Wire is designed to be compatible with the Cordis CINCH® extension system.

The WaveMap Pressure Instrument is intended for use only with the WaveWire Pressure Wire. The WaveMap is a microcomputer controlled instrument which processes the information from the transducer mounted in the WaveWire to produce real-time blood pressure measurements. The WaveMap provides digital readouts of mean aortic pressure from a guide catheter, mean WaveWire pressure, and a calculated parameter, such as gradient or fractional flow reserve (FFR). The WaveMap also supplies an analog output of the WaveWire pressure for display on a conventional physiologic monitoring system or strip chart recorder.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

coronary and peripheral arteries, vasculature

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)

Bench testing for the WaveWire Pressure Wire was conducted according to the FDA guidance document entitled, "Coronary and Cerebrovascular Guide Wire Guidance", dated January 1995. Evaluations completed were:
Screw Tip to Core Wire Joint Test Screw Tip to Tip Coil Tensile Strength Tip Coil to (Housing) Proximal Coil Tensile Strength Proximal Coil to Hypotube Tensile Strength Turns-to-Failure Torque Response Functional (Accuracy) Testing
Inadvertent disengagement (for the Cordis CINCH® Extension System), Coating and Particulate Testing, Radiopacity, Dome Integrity, Core Wire-to-Hypotube Joint Test, and Bending/Stiffness evaluations were not performed due to the similarity in design between the WaveWire Pressure Wire, the FloWire Doppler Guide Wire and AccuTrac Intravascular Guide Wire. The results from these tests equally apply to the WaveWire Pressure Wire.

Electrical safety testing was conducted to assure the WaveMap Pressure Instrument complies with the requirements of IEC-601-1, UL2601, CSA 22.2 and CSA601-1, Safety of Medical Electrical Equipment. Electromagnetic compatibility testing was conducted to assure the WaveMap Pressure Instrument complies with the requirements of IEC 601-1-2.

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

Not Found

Predicate Device(s)

FloWire®/FloMap® Doppler Ultrasound Instrument, K905411, AccuTrac™ Intravascular Guide Wire

Reference Device(s)

K912776, K921563, K932536, K941485, K943022, K955551, K952562, K961777, K862673, K823434

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.

0

K9605140

510(k) Premarket Notification Submission Cardiometrics WaveWire/WaveMap Pressure System

AUG 1 8 1997

SECTION 2.0

SUMMARY OF SAFETY AND EFFECTIVENESS

1

510(k) Summary of Safety and Effectiveness WaveWire™/WaveMap™ Pressure System

This 510(k) safety and effectiveness summary is being submitted in accordance with the requirements of Safe Medical Devices Act 1990 and 21 CFR §807.92.

General Information

| Manufacturer: | Cardiometrics, Inc.
645 Clyde Avenue
Mountain View, California 94043
(415) 961-6993 |
|-----------------|-----------------------------------------------------------------------------------------------|
| Contact Person: | Claire Andrews
Vice President, Regulatory, Quality and Clinical Affairs |
| Date Prepared: | May 31, 1997 |

Device Information

Classification:Class II
Trade Names:WaveWire/WaveMap Pressure System
WaveWire Pressure Wire
WaveWire XT Pressure Wire
WaveMap Pressure Instrument

Common/Classification Names:

| Common/Classification Names: | Guide, Wire, Catheter (870.1330)
Cardiovascular Blood Flow Meter (870.2100)
Catheter Tip Pressure Transducer (870.2870)
Vessel Occlusion Transducer (870.2890)
Patient Transducer and Electrical Cable (870.2900) |
|------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Predicate Devices: | FloWire®/FloMap® Doppler Ultrasound Instrument
AccuTrac™ Intravascular Guide Wire
Medtronic Floscan® Doppler Diagnostic Catheter
Millar Mikro-Tip® Catheter Pressure Transducer |

Intended Use

The Cardiometrics WaveWire/WaveMap Pressure System is intended for use in the coronary and peripheral arteries to measure blood pressure during diagnostic and/or interventional procedures. The WaveWire may be used to guide the positioning of balloon dilatation catheters, as well as other interventional devices such as atherectomy devices, lasers and stents. Blood pressure measurements are obtained to provide hemodynamic information for the diagnosis and treatment of coronary and/or peripheral artery disease.

2

Product Description

The Cardiometrics WaveWire Pressure Wire is a steerable guide wire designed to perform real-time invasive pressure measurements in the vasculature. The WaveWire has a nominal outer diameter of either .014" or .018" and is 175 cm in length. It has a 3 cm . shapeable radiopaque tip coil that is available in three different stiffnesses: floppy. flex and firm. The WaveWire XT Pressure Wire design provides increased column strength in the distal segment of the wire just proximal to the guide wire while retaining the floppy characteristics of the tip itself: the increased column strength supports certain interventional devices (Note: All other characteristics of the WaveWire XT Pressure Wire are the same as the non-XT WaveWire). A miniature pressure transducer is mounted at the junction of the radiopaque tip coil and the radiolucent proximal coil. The WaveWire Pressure Wire is connected to the WaveMap Pressure Instrument via a rotary connector cable and patient cable. Each rotary connector cable includes an identification memory chip containing the calibration constants for the pressure transducer. In addition, the WaveWire Pressure Guide Wire is designed to be compatible with the Cordis CINCH® extension system.

The WaveMap Pressure Instrument is intended for use only with the WaveWire Pressure Wire. The WaveMap is a microcomputer controlled instrument which processes the information from the transducer mounted in the WaveWire to produce real-time blood pressure measurements. The WaveMap provides digital readouts of mean aortic pressure from a guide catheter, mean WaveWire pressure, and a calculated parameter, such as gradient or fractional flow reserve (FFR). The WaveMap also supplies an analog output of the WaveWire pressure for display on a conventional physiologic monitoring system or strip chart recorder.

Substantial Equivalence

The WaveWire/WaveMap Pressure System is substantially equivalent in design to two currently marketed Cardiometrics products, the FloWire®/FloMap® Doppler Ultrasound Instrument, accession numbers K905411, K912776, K921563, K932536, K941485, K943022, and K955551 and the AccuTrac™ Intravascular Guide Wire, accession numbers K952562 and K961777. In addition, the WaveWire/WaveMap Pressure System's intended use, to measure and monitor intravascular blood pressure, is substantially equivalent to the Medtronic Floscan® Doppler Diagnostic Catheter, accession number K862673, and the Millar Mikro-Tip® Catheter Pressure Transducer, accession number K823434.

Biocompatibility Evaluations

The materials used in the WaveWire Pressure Wire are the same as those used in the FloWire Doppler Guide Wire and the AccuTrac Intravascular Guide Wire with the exception of two materials. The materials used in the FloWire and AccuTrac, along with the new materials, have been tested for biocompatibility and meet the requirements for "Externally Communicating Devices, Circulating Blood, Limited Contact" as described in the FDA BlueBook Memorandum #G95-1 entitled, "Use of International Standard ISO-10993".

3

Bench Testing

Bench testing for the WaveWire Pressure Wire was conducted according to the FDA guidance document entitled, "Coronary and Cerebrovascular Guide Wire Guidance", dated January 1995. Evaluations completed were:

Screw Tip to Core Wire Joint Test Screw Tip to Tip Coil Tensile Strength Tip Coil to (Housing) Proximal Coil Tensile Strength Proximal Coil to Hypotube Tensile Strength Turns-to-Failure Torque Response Functional (Accuracy) Testing

Inadvertent disengagement (for the Cordis CINCH® Extension System), Coating and Particulate Testing, Radiopacity, Dome Integrity, Core Wire-to-Hypotube Joint Test, and Bending/Stiffness evaluations were not performed due to the similarity in design between the WaveWire Pressure Wire, the FloWire Doppler Guide Wire and AccuTrac Intravascular Guide Wire. The results from these tests equally apply to the WaveWire Pressure Wire.

Electrical safety testing was conducted to assure the WaveMap Pressure Instrument complies with the requirements of IEC-601-1, UL2601, CSA 22.2 and CSA601-1, Safety of Medical Electrical Equipment. Electromagnetic compatibility testing was conducted to assure the WaveMap Pressure Instrument complies with the requirements of IEC 601-1-2.

Summary

Based upon the information described in this submission, the functional/mechanical evaluations, biocompatibility testing, electrical safety testing, and electromagnetic compatibility testing the Cardiometrics WaveMap Pressure System has been shown to be substantially equivalent to the FloWire/FloMap Doppler Ultrasound Instrument, the AccuTrac Intravascular Guide Wire, the Medtronic FloScan Doppler Diagnostic Catheter and the Millar Mikro-Tip Catheter Pressure Transducer.

Clavie Hindecuz

Claire Andrews Vice President, Regulatory, Quality and Clinical Affairs Cardiometrics, Inc. May 31, 1997

4

Image /page/4/Picture/2 description: The image is a black and white logo for the U.S. Department of Health and Human Services. The logo features a stylized depiction of an eagle or bird-like figure with flowing lines, representing the department's mission. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the bird-like figure.

AUG 1 8 1997

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20856

Ms. Claire L. Andrews Vice President, Requlatory, Quality and Clinical Affairs Cardiometrics, Inc. 645 Clyde Avenue Mountain View, California 94043

AUG 1 8 1997

Re: K965140 Cardiometrics WaveWire™/WaveMap™ Pressure System Requlatory Class: II (two) Product Code: DQX Dated: June 9, 1997 Received: June 9, 1997

Dear Ms. Andrews:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to 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, Druq, and Cosmetic Act (Act). You may, therefore, market the device, subject to the general controls provisions of the Act. 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.

If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Requlations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the Good Manufacturing Practice for Medical Devices: General (GMP) regulation (21 CFR Part 820) and that, through periodic GMP inspections, the Food and Drug Administration (FDA) will vecify such assumptions. Failure to comply with the GMP requlation may result in

5

requlatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

This letter will allow you to begin marketing your device as described in your. 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling requlation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4648. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 638-2041 or at (301) 443-6597.

Sincerely yours,

Thomas J. Callehan

Thomas J. Callahan, Ph.D. Director Division of Cardiovascular, Respiratory, and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

6

510(k) Number (if known):__ K965140

Device Name: Cardiometrics WaveWire/WaveMap Pressure System

Indications For Use:

The Cardiometrics WaveWire/WaveMap Pressure System is intended for use in coronary and peripheral blood vessels to measure blood pressure during diagnostic and/or interventional procedures. The WaveWire may be used to guide the positioning of balloon dilatation catheters, as well as other interventional devices such as atherectomy devices, lasers and stents. Blood pressure measurements are obtained to provide hemodynamic information for the diagnosis and treatment of coronary and/or peripheral artery disease.

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)
(Division Sign-Off) Division of Cardiovascular, Respiratory, and Neurological Devices
510(k) Number
Prescription Use
(Per 21 CFR 801.109)OROver-The-Counter Use

(Optional Format 1-2-96)