K Number
K984062
Device Name
SEAL-AWAY HEMOSTASIS ADAPTER, MODEL 406229
Manufacturer
Date Cleared
1999-03-24

(128 days)

Product Code
Regulation Number
870.1340
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Seal-Away™ Hemostasis Adapters are designed for the introduction of angiographic catheters, closed end catheters, balloon catheters and electrodes into a vessel where minimizing the blood loss is essential.
Device Description
The Daig Seal-Away™ Hemostasis Adapter is an Introducer Accessory designed to provide easy access to the vascular system while providing convenient temporary closure of a standard indwelling introducer access site during introduction of pacing leads, angiographic catheters, closed end catheters, balloon catheters and electrodes into a vessel.
More Information

Not Found

No
The summary describes a mechanical device for vascular access and does not mention any AI or ML components or functions.

No
The device is described as an "Introducer Accessory" designed to provide access to the vascular system and minimize blood loss during the introduction of other devices. It facilitates a medical procedure without directly treating or diagnosing a disease or condition itself.

No
The "Intended Use / Indications for Use" and "Device Description" sections describe the device as an introducer accessory for introducing catheters and electrodes into a vessel while minimizing blood loss, which is a therapeutic or procedural function, not a diagnostic one. There is no mention of it being used for diagnosis, disease detection, or monitoring.

No

The device description clearly states it is a physical "Introducer Accessory" designed to provide access to the vascular system, indicating it is a hardware device.

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

Here's why:

  • IVD devices are used to examine specimens derived from the human body (like blood, urine, or tissue) in vitro (outside the body) to provide information for diagnosis, monitoring, or screening.
  • The description of the Seal-Away™ Hemostasis Adapters clearly states their function is to facilitate the introduction of catheters and electrodes into a vessel (meaning in vivo, inside the body) while minimizing blood loss.
  • The intended use and device description focus on a procedural function within the vascular system, not on analyzing biological samples.

Therefore, the Seal-Away™ Hemostasis Adapters are a medical device used in vivo for a procedural purpose, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The Daig Seal-Away™ Hemostasis Adapter is designed to minimize the blood loss during the introduction of angiographic catheters, closed end catheters, balloon catheters and electrodes into a vessel. (same as predicate device)

The Seal-Away™ Hemostasis Adapters are designed for the introduction of angiographic catheters, closed end catheters, balloon catheters and electrodes into a vessel where minimizing the blood loss is essential.

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

DYB

Device Description

The Daig Seal-Away™ Hemostasis Adapter is an Introducer Accessory designed to provide easy access to the vascular system while providing convenient temporary closure of a standard indwelling introducer access site during introduction of pacing leads, angiographic catheters, closed end catheters, balloon catheters and electrodes into a vessel.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

vessel

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)

Not Found

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.

K894343

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

§ 870.1340 Catheter introducer.

(a)
Identification. A catheter introducer is a sheath used to facilitate placing a catheter through the skin into a vein or artery.(b)
Classification. Class II (performance standards).

0

3/24/99

984062

8.0 510(k) Summary

510(k) Summary (As required by 21 CFR 807.92)

Submitter Information A.

Submitter's Name:Daig Corporation, a St. Jude Medical Company
Address:14901 DeVeau Place
Minnetonka, Minnesota 55345-2126 U.S.A.
Telephone Number:(612) 933-4700
Contact Person:Todd J. Kornmann
Date Submission Prepared:November 13, 1998

B. Device Information

Common or Usual Name:Seal-Away™ Hemostasis Adapter
Classification Name:Introducer
Predicate Device:Removable Hemostasis Adapter with Sideport (K894343)
Device Description:The Daig Seal-Away™ Hemostasis Adapter is an Introducer Accessory designed to provide easy access to the vascular system while providing convenient temporary closure of a standard indwelling introducer access site during introduction of pacing leads, angiographic catheters, closed end catheters, balloon catheters and electrodes into a vessel.
Intended Use:The Daig Seal-Away™ Hemostasis Adapter is designed to minimize the blood loss during the introduction of angiographic catheters, closed end catheters, balloon catheters and electrodes into a vessel. (same as predicate device)

Comparison of Required Technological Characteristics C.

Seal-Away™ Hemostasis Adapter, 510(k) Submission Daig Corporation, November 1998

1

8.0 510(k) Summary

All technological characteristics of the Seal-Away™ Hemostasis Adapter are substantially equivalent to the predicate device (K894343) including product design, packaging, sterilization, and labeling.

2

8.0 510(k) Summary

Support of the Substantial Equivalence D.

Daig Corporation considers the Seal-Away™ Hemostasis Adapter to be substantially
equivalent to the following predicate device: the Removable Hemostasis Adapter with Sideport used with the Percutaneous Catheter Introducer which received marketing clearance on September 26, 1989 (K894343).

:

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Image /page/3/Picture/1 description: The image is a black and white logo for the U.S. Department of Health & Human Services. The logo features a stylized image of an eagle with three heads facing to the right. The eagle is surrounded by the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" in a circular pattern.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

MAR 2 4 1999

Mr. Todd Kornmann Senior Regulatory Affairs Specialist DAIG Corporation 14901 DeVeau Place Minnetonka, MN 55345-2126

K984062 Re: Seal-Away™ Hemostasis Adapter Trade Name: Requlatory Class: II Product Code: DYB Dated: February 18, 1999 Received: February 19, 1999

Dear Mr. Kornmann:

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, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special J 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 regulation may result in regulatory 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

4

Page 2 - Mr. Todd Kornmann

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) 594-4586. 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" (21CFR 807.97). Other qeneral 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. Callaha 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

K984062 510(k) Number (if known):

Device Name: Seal- Away™ Hemostasis Adapter

Indications for Use:

The Seal-Away™ Hemostasis Adapters are designed for the introduction of angiographic catheters, closed end catheters, balloon catheters and electrodes into a vessel where minimizing the blood loss is essential.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Christopher M. Fattic

Division of Cardiovascular, Respiratory, and Neurological Devices

510(k) Number Over-The-Counter Use OR (Optional Format 1-2-96)

1 Prescription Use (Per 21 CFR 801.109)