K Number
K991977
Device Name
TYSHAK, MODEL 102 AND Z-MED, MODEL 302
Manufacturer
Date Cleared
2000-09-27

(474 days)

Product Code
Regulation Number
870.1250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
This catheter is recommended for Percutaneous Transluminal Valvuloplasty (PTV) for pulmonary applications. - A patient with isolated stenosis. . - A patient with valvular stenosis with other minor congenital heart disease that does not require surgical intervention.
Device Description
The Tyshak™, and Z-MED™ PTV Catheters are coaxial over-the-wire catheters with a balloon near the distal tip. One lumen permits guidewire insertion to facilitate advancement of the catheter into the pulmonary valve while the other lumen is for balloon inflation and deflation. The balloon of the Tyshak™, and Z-MED ™ models are all made of a noncompliant polyethylene, however the Z-MED™ balloon is manufactured with an increased wall thickness. The increased wall thickness allows the balloon to achieve a higher pressure before rupture occurs. The balloons are designed to inflate to a specific diameter at a given pressure. The change in diameter is minimal over the range of inflation pressures. The catheter body ends proximally in a molded 'Y' connector with a guidewire port and a balloon extension. The balloon extension is marked with the product lot number and the balloon size. The outer body and inner body tubing is made of pebax. The area under the balloon is enhanced with either one or two radiopaque platinum image bands depending on the model. If marked with one image band, it is centered under the midpoint of the balloon. If it is marked with two image bands, they are located under the shoulders of the balloon.
More Information

931009

931009

No
The device description focuses on the mechanical components and materials of a balloon catheter for valvuloplasty. There is no mention of software, algorithms, or data processing that would indicate the use of AI/ML.

Yes.

This device, a catheter for Percutaneous Transluminal Valvuloplasty (PTV) used to treat pulmonary stenosis, directly addresses and provides treatment for a medical condition.

No

The device is a PTV catheter used for treatment (valvuloplasty), not for diagnosis. It is designed to inflate a balloon to treat stenosis, not to identify or monitor medical conditions.

No

The device description clearly details a physical catheter with a balloon, lumens, and radiopaque bands, indicating it is a hardware medical device.

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

Here's why:

  • IVD Definition: In Vitro Diagnostics are devices intended for use in the collection, preparation, and examination of specimens taken from the human body (such as blood, urine, or tissue) to provide information for the diagnosis, treatment, or prevention of disease.
  • Device Description: The description clearly states that this is a catheter with a balloon used for a medical procedure (Percutaneous Transluminal Valvuloplasty) performed within the patient's body. It is a therapeutic device, not a diagnostic one that analyzes samples outside the body.
  • Intended Use: The intended use is to treat a condition (pulmonary stenosis) by physically modifying the valve, not to diagnose or analyze a sample.

Therefore, this device falls under the category of a therapeutic medical device, not an In Vitro Diagnostic.

N/A

Intended Use / Indications for Use

This catheter is recommended for Percutaneous Transluminal Valvuloplasty (PTV) for pulmonary applications.

  • A patient with isolated stenosis. .
  • A patient with valvular stenosis with other minor congenital heart disease that does not require surgical intervention.

Product codes

LIT, 74MAD

Device Description

The Tyshak™, and Z-MED™ PTV Catheters are coaxial over-the-wire catheters with a balloon near the distal tip. One lumen permits guidewire insertion to facilitate advancement of the catheter into the pulmonary valve while the other lumen is for balloon inflation and deflation.
The balloon of the Tyshak™, and Z-MED ™ models are all made of a noncompliant polyethylene, however the Z-MED™ balloon is manufactured with an increased wall thickness. The increased wall thickness allows the balloon to achieve a higher pressure before rupture occurs. The balloons are designed to inflate to a specific diameter at a given pressure. The change in diameter is minimal over the range of inflation pressures.

The catheter body ends proximally in a molded 'Y' connector with a guidewire port and a balloon extension. The balloon extension is marked with the product lot number and the balloon size.

The outer body and inner body tubing is made of pebax. The area under the balloon is enhanced with either one or two radiopaque platinum image bands depending on the model. If marked with one image band, it is centered under the midpoint of the balloon. If it is marked with two image bands, they are located under the shoulders of the balloon.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

pulmonary valve

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)

510(K) 931009

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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).

0

SECTION SIX: 510(K) Summary

A. Trade Name:NuMED, Inc. Tyshak TM PTV Catheter Z-MED TM PTV Catheter
B. Common Name:PTV Catheter
C. Device Class:II, 74MAD; 21 CFR 870.1250
D. Predicate Devices:This catheter is the same as the approved NuMED Tyshak TM , and Z-MED TM PTA Catheters, 510(K) 931009.
  • E. Description - The Tyshak™, and Z-MED™ PTV Catheters are coaxial over-the-wire catheters with a balloon near the distal tip. One lumen permits guidewire insertion to facilitate advancement of the catheter into the pulmonary valve while the other lumen is for balloon inflation and deflation.
    The balloon of the Tyshak™, and Z-MED ™ models are all made of a noncompliant polyethylene, however the Z-MED™ balloon is manufactured with an increased wall thickness. The increased wall thickness allows the balloon to achieve a higher pressure before rupture occurs. The balloons are designed to inflate to a specific diameter at a given pressure. The change in diameter is minimal over the range of inflation pressures.

The catheter body ends proximally in a molded 'Y' connector with a guidewire port and a balloon extension. The balloon extension is marked with the product lot number and the balloon size.

The outer body and inner body tubing is made of pebax. The area under the balloon is enhanced with either one or two radiopaque platinum image bands depending on the model. If marked with one image band, it is centered under the midpoint of the balloon. If it is marked with two image bands, they are located under the shoulders of the balloon.

  • F. Indication - This catheter is recommended for Percutaneous Transluminal Valvuloplasty (PTV) for pulmonary applications.
    • A patient with isolated stenosis. .
    • A patient with valvular stenosis with other minor congenital heart disease that does not require surgical intervention.
  • G. Technological Characteristics - The technological characteristics for the PTV catheter are the same as the approved PTA catheter, because it is the same catheter with a different intended use.

1

Image /page/1/Picture/1 description: The image shows the words "Public Health Service" in bold, black font. The words are stacked on one line. The text appears to be extracted from a document or sign.

Image /page/1/Picture/2 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle-like symbol with three curved lines representing wings or feathers. The symbol is positioned to the right of the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA", which is arranged in a circular fashion around the symbol.

SEP 2 7 2000

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Ms. Nichelle LaFlesh Requlatory Affairs Manager NuMed, Inc. P.O. Box 129 Nicholville, NY 12965

K991977 Re: Tyshak™ PTV Catheter and Z-Med™ PTV Catheter Trade Name: Requlatory Class: II (two) Product Code: LIT Dated: June 28, 2000 Received: June 29, 2000

Dear Ms. LaFlesh:

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 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 Regulations, Title 21, Parts 800 A substantially equivalent determination assumes compliance to 895. 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 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.

2

Page 2 - Ms. Nichelle LaFlesh

This letter will allow you to begin marketing your device as described
ing the many in and ifination - The EDA finding of substantial This letter will allow you co begin mirket god finding of substantial
in your 510(k) premarket notification. www.based podicate device in your 510(K) premarket notification. I marketed predicate device equivalence of your device to a regarly mannual and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling If you desire specific advice for your additionally 809.10 for in vitro
regulation (21 CFR Part 801 and additionally 809 Compliance at regulation (21 Crk Part our and addressionaliance at (301)
diagnostic devices), please contact the Office promotion and devices), prease concessions on the promotion and 594-4586. 594-4586. Additionally, for quese contact the office of Compliance at
advertising of your device, please contact the officies on itled Also, please note the regulation entitled, (301) 594-4639. (301) 594-4639. "A1307 premarket notification" (21CFR 807.97).
"Misbranding by reference to premarket notifilities under the Art ma "Misbranding by reference to premarke nosibilities under the Act may Other general Information on your soul Manufacturers Assistance at its internet be obtained irom the bivision or binas in the bronnel its internet
toll-free number (800) 638-2041 or (301) 443-6597 htmll coll-free number (000)
address "http://www.fda.gov/cdrh/dsma/dsmamain.html".

Sincerely yours,

Les Qan Till
Lester F. Dillard III

Dillard III Director Division of Cardiovascular and Respiratory Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

3

INDICATIONS FOR USE

510(k) Number (if known):

NuMED, Inc. PTV Catheter Device Name:

Indications For Use:

Transluminal Percutaneous is recommended for catheter This Valvuloplasty (PTV) for pulmonary applications.

  • A patient with isolated stenosis. ●
  • A patient with valvular stenosis with other minor congenital heart disease that does not require surgical intervention.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)
(Division Sign-Off)
Division of Cardiovascular, Respiratory,
and Neurological Devices

510(k) NumberK991977
------------------------
Prescription Use(Per 21 CFR 801.109)OROver-The-Counter-Use
-----------------------------------------------------------------------------

(Optional Format 1-2-96)

F:\FDA Submissions\PTV\510(k)\Indications