K Number
K980128
Device Name
BALADI INVERTER WITH COAXIAL AORTIC PUNCH
Date Cleared
1998-07-24

(191 days)

Product Code
Regulation Number
870.4450
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Baladi Inverter™ with Coaxial Aortic Punch is intended for use by cardiac surgeons during Coronary Artery Bypass Grafting procedures to maintain hemostasis and punch a hole in the aorta to facilitate the completion of the proximal anastomosis.
Device Description
The Baladi Inverter™ with Coaxial Aortic Punch is used to create hemostasis and punch a hole in the aorta to facilitate the anastomosis during coronary arterial bypass grafting (CABG) procedures.
More Information

No
The summary describes a mechanical surgical tool and does not mention any software, algorithms, or data processing that would indicate the use of AI or ML.

Yes
The device is described as being used during Coronary Artery Bypass Grafting procedures to maintain hemostasis and punch a hole in the aorta, directly affecting body structure and function for a medical purpose, which aligns with the definition of a therapeutic device.

No.
The device's intended use and description clearly state its purpose is to create hemostasis and punch a hole in the aorta during CABG procedures, which are interventional and surgical functions, not diagnostic ones.

No

The device description explicitly mentions a "Baladi Inverter™ with Coaxial Aortic Punch," which are physical instruments used during surgery. The performance studies also describe the use of this physical device in animal, cadaver, and human studies. There is no mention of software as the primary or sole component of the device.

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

Here's why:

  • Intended Use: The intended use is for a surgical procedure (Coronary Artery Bypass Grafting) performed on a patient to facilitate a physical connection (anastomosis). IVDs are used to examine specimens from the body (like blood, urine, tissue) to provide information about a patient's health status.
  • Device Description: The description clearly states the device is used to "create hemostasis and punch a hole in the aorta," which are physical actions performed during surgery.
  • Lack of Diagnostic Function: There is no mention of the device analyzing biological samples or providing diagnostic information.

This device is a surgical instrument used directly on the patient during a procedure, not a diagnostic tool used to test samples.

N/A

Intended Use / Indications for Use

The Baladi Inverter™ with Coaxial Aortic Punch is intended for use by cardiac surgeons during Coronary Artery Bypass Grafting procedures to maintain hemostasis and punch a hole in the aorta to facilitate the completion of the proximal anastomosis.

Product codes

DXC

Device Description

The Baladi Inverter™ with Coaxial Aortic Punch is used to create hemostasis and punch a hole in the aorta to facilitate the anastomosis during coronary arterial bypass grafting (CABG) procedures.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

aorta

Indicated Patient Age Range

Not Found

Intended User / Care Setting

cardiac surgeons

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 Baladi Inverter™ with Coaxial Aortic Punch has undergone all of the following tests: Sterilization Qualification Biocompatibility Design Verification
An Animal Clinical Study of device effectiveness concluded that the device had no adverse effects. The Baladi inverter™ successfully maintained hemostasis and successfully punched the aorta facilitating the anastomosis and completion of the CABG procedure. Histopathology results revealed no device-related issues.
A Cadaver Study was performed and the study supports the conclusion that the Baladi Inverter™ with Coaxial Aortic Punch does not represent any new issues of Safety or Efficacy.
Human Clinical Studies were performed and the device performed clinically as expected. There were no complications or adverse events reported. The device is considered safe and effective when used according to the device labeling.

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

Not Found

Predicate Device(s)

Medtronic Punch, Hancock Aortic Punch (K800122), Davis + Geck CardioPunch

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 870.4450 Vascular clamp.

(a)
Identification. A vascular clamp is a surgical instrument used to occlude a blood vessel temporarily.(b)
Classification. Class II (performance standards).

0

Cardio Medical Solutions, Inc. Baladi Inverter™ with Coaxial Aortic Punch 510(k) Notification K980128

Jul 24 1998

510(k) SUMMARY

A. Name and Address

Cardio Medical Solutions, Inc. 17080 Newhope Street Fountain Valley, CA. 92708

B. Telephone and Fax Number of Contact

(714) 427 - 6350 Phone: (714) 427 - 6354 Fax:

C. Contact Person

Anthony Nobles Chief Scientific Officer & Vice President, R&D

D. Date of Summary Preparation

January 9, 1998

E. Name of the Device

    1. Trade or Proprietary
      Baladi Inverter™ with Coaxial Aortic Punch
    1. Common or Usual
      Vascular Clamp and Aortic Punch
    1. Classification Name
      Vascular Clamp and Aortic Punch

Description of the Device F.

The Baladi Inverter™ with Coaxial Aortic Punch is used to create hemostasis and punch a hole in the aorta to facilitate the anastomosis during coronary arterial bypass grafting (CABG) procedures.

G. Summary of Substantial Equivalence

The predicate devices are standard:

Vascular clamps for total and partial occlusion. These devices are distributed by various manufacturers in various sizes and configurations.

Aortic punches for punching holes in the aorta facilitating the completion of the anastomosis during CABG procedures. These devices are distributed by Medtronic, Davis + Geck, and various other manufacturers in various sizes.

CARDIO MEDICAL SOLUTIONS, INC. CONFIDENTIAL

1

The Baladi Inverter™ with Coaxial Aortic Punch provides partial occlusion and punches a hole in the aorta facilitating the completion of the anastomosis during CABG procedures.

H. Predicate Devices

Debakey Vascular Clamp Coolev Vascular Clamp Medtronic Punch Hancock Aortic Punch (K800122) Davis + Geck CardioPunch

Summary of Non-Clinical Testing I.

The Baladi Inverter™ with Coaxial Aortic Punch has undergone all of the following tests:

Sterilization Qualification Biocompatibility Design Verification

J. Summary of Clinical Testing

The Baladi Inverter™ with Coaxial Aortic Punch has undergone the following studies:

An Animal Clinical Study of device effectiveness concluded that the device had no adverse effects. The Baladi inverter™ successfully maintained hemostasis and successfully punched the aorta facilitating the anastomosis and completion of the CABG procedure. Histopathology results revealed no device-related issues.

A Cadaver Study was performed and the study supports the conclusion that the Baladi Inverter™ with Coaxial Aortic Punch does not represent any new issues of Safety or Efficacy.

Human Clinical Studies were performed and the device performed clinically as expected. There were no complications or adverse events reported. The device is considered safe and effective when used according to the device labeling.

K. HAZARD ANALYSIS

The data supports the conclusion that the Baladi Inverter™ with Coaxial Aortic Punch has a Very Low (VL) rating and presents no new issues of safety during the CABG procedure.

L. CONCLUSION

The sponsor believes that the data submitted for the Baladi Inverter™ with Coaxial Aortic Punch constitutes valid scientific evidence. The expected results with respect to procedural success and complications are well defined.

The sponsor believes that the Baladi Inverter™ is safe and effective when used for CABG procedures according to the device labeling.

The sponsor believes that the Baladi Inverter™ with Coaxial Aortic Punch presents no new issues of safety or efficacy during the CABG procedure.

2

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized image of an eagle or bird with three lines forming its body and head. The logo is surrounded by a circular border with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" written around it.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUL 24 1998

Mr. Thomas P. Schroeder VP, Regulatory Affairs & Quality Assurance Cardio Medical Solutions, Inc. 17080 Newhope Street Fountain Valley, CA 92708

Re : K980128 Baladi Inverter™ with Attached Aortic Punch Trade Name: Requlatory Class: II Product Code: DXC Dated: July 17, 1998 Received: July 20, 1998

Dear Mr. Schroeder:

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 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 (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, labelinq, 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 Current Good Manufacturing Practice requirements, as set forth in the Quality System Regulation (QS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic QS inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP requlation may result in 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

3

Page 2 - Mr. Thomas P. Schroeder

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 requlations.

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 regulation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4618. 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 requlation entitled, "Misbranding by reference to premarket notification" (21CFR 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 (301) 443-6597 or at its internet address "http://www.fda.gov/cdrh/dsma/dsmamain.html".

Sincerely yours,

Thomas J. Callahan

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

Enclosure

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Page __ 1 __ of ______________________________________________________________________________________________________________________________________________________________

510(k) Number (if known): K980128

Device Name: Baladi Inverter™ with Attached Aortic Punch

Indications For Use:

The Baladi Inverter™ with Coaxial Aortic Punch is intended for use by cardiac surgeons during Coronary Artery Bypass Grafting procedures to maintain hemostasis and punch a hole in the aorta to facilitate the completion of the proximal anastomosis.

Tant

(Division Sign Off)

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ological i

510(k) Number

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use (Per 21 CFR 801.109)

OR

Over-The Counter _____________________________________________________________________________________________________________________________________________________________

(Optional Format 1-2-96)