K Number
K993646
Device Name
S.M.A.R.T. .018 NITINOL STENT TRANSHEPATIC BILIARY SYSTEM
Manufacturer
Date Cleared
1999-11-28

(30 days)

Product Code
Regulation Number
876.5010
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Cordis S.M.A.R.T. ™ .018" Nitinol Stent Transhepatic Biliary System is intended for use in the palliation of malignant neoplasms in the biliary tree.
Device Description
The Cordis S.M.A.R.T. ™ .018" Nitinol Stent Transhepatic Biliary System is a system consisting of a self-expanding, open mesh, nitinol stent preloaded onto a sheathed delivery catheter. The delivery system is designed to deliver the stent to the stricture site via transhepatic access. Once positioned at the stricture site, the sheath is withdrawn and the stent is released. Upon release, the stent expands and conforms to the inner lumen of the biliary duct.
More Information

Not Found

Not Found

No
The 510(k) summary describes a mechanical stent and delivery system with no mention of AI or ML capabilities.

Yes
The device is a stent intended for palliation of malignant neoplasms in the biliary tree, which is a therapeutic intervention.

No
The device is described as a stent system intended for the palliation of malignant neoplasms in the biliary tree, which is a therapeutic rather than diagnostic function. It is designed to expand and conform to the biliary duct to alleviate a condition, not to diagnose one.

No

The device description clearly states it is a "system consisting of a self-expanding, open mesh, nitinol stent preloaded onto a sheathed delivery catheter," which are physical hardware components.

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

Here's why:

  • Intended Use: The intended use is "palliation of malignant neoplasms in the biliary tree." This describes a therapeutic intervention performed within the body (in vivo) to treat a condition.
  • Device Description: The device is a stent and delivery system designed to be implanted in the biliary duct. This is a medical device used for treatment, not for testing samples outside the body (in vitro).
  • Lack of IVD Characteristics: The description does not mention any components or processes related to analyzing biological samples (blood, urine, tissue, etc.) to diagnose, monitor, or screen for diseases or conditions.

IVD devices are specifically designed to be used in vitro to examine specimens derived from the human body. This device is clearly designed for in vivo use.

N/A

Intended Use / Indications for Use

The Cordis S.M.A.R.T. ™ .018" Nitinol Stent Transhepatic Biliary System is intended for use in the palliation of malignant neoplasms in the biliary tree.

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

78 FGE

Device Description

The Cordis S.M.A.R.T. ™ .018" Nitinol Stent Transhepatic Biliary System is a system consisting of a self-expanding, open mesh, nitinol stent preloaded onto a sheathed delivery catheter. The delivery system is designed to deliver the stent to the stricture site via transhepatic access. Once positioned at the stricture site, the sheath is withdrawn and the stent is released. Upon release, the stent expands and conforms to the inner lumen of the biliary duct.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

biliary tree / biliary duct

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.

Cordis S.M.A.R.T. TM Nitinol Stent Transhepatic Biliary System

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

§ 876.5010 Biliary catheter and accessories.

(a)
Identification. A biliary catheter and accessories is a tubular flexible device used for temporary or prolonged drainage of the biliary tract, for splinting of the bile duct during healing, or for preventing stricture of the bile duct. This generic type of device may include a bile collecting bag that is attached to the biliary catheter by a connector and fastened to the patient with a strap.(b)
Classification. Class II (special controls). The device, when it is a bile collecting bag or a surgical biliary catheter that does not include a balloon component, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 876.9.

0

K993646

Attachment 4

Summary of Safety and Effectiveness

| General

ProvisionsThe name of the device is:
Proprietary NameCommon or Usual Name
Cordis S.M.A.R.T. TM .018" Nitinol Stent
Transhepatic Biliary SystemBiliary Stent
Name of
Predicate
DevicesThe device is substantially equivalent to:
• Cordis S.M.A.R.T. TM Nitinol Stent Transhepatic Biliary System
ClassificationClass II.
Performance
StandardsPerformance standards have not been established by the FDA under section
514 of the Food, Drug and Cosmetic Act.
Indications for
UseThe Cordis S.M.A.R.T. TM .018" Nitinol Stent Transhepatic Biliary
System is intended for use in the palliation of malignant neoplasms in the
biliary tree.
Device
DescriptionThe Cordis S.M.A.R.T. TM .018" Nitinol Stent Transhepatic Biliary
System is a system consisting of a self-expanding, open mesh, nitinol stent
preloaded onto a sheathed delivery catheter. The delivery system is designed
to deliver the stent to the stricture site via transhepatic access. Once
positioned at the stricture site, the sheath is withdrawn and the stent is
released. Upon release, the stent expands and conforms to the inner lumen of
the biliary duct.
BiocompatibilityAll materials used in the Cordis S.M.A.R.T. TM .018" Nitinol Stent
Transhepatic Biliary System are biocompatible.

Continued on next page

Cordis S.M.A.R.T.™ .018" Nitinol Stent Transhepatic Biliary System Special 510(k) October, 1999

1

. -

Summary of Substantial Equivalence

The Cordis S.M.A.R.T.™ .018" Nitinol Stent Transhepatic Biliary System is substantially equivalent to the predicate device. The equivalence was confirmed through pre-clinical testing.

Cordis S.M.A.R.T.™ .018" Nitinol Stent Transhepatic Biliary System Special 510(k) October, 1999

2

Image /page/2/Picture/1 description: The image is a circular logo for the U.S. Department of Health and Human Services. The logo features a stylized eagle with outstretched wings, symbolizing the department's mission to protect the health of all Americans. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES-USA" are arranged in a circular pattern around the eagle. The logo is simple, clean, and easily recognizable.

NOV 28 1999

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Ms. Elena S. Jugo, R.A.C. Manager, Regulatory Affairs Cordis Corporation P.O. Box 025700 Miami, FL 33102-5700

Re: K993646

Cordis S.M.A.R.T.™ .018" Nitinol Stent Transhepatic Biliary System Regulatory Class: II 21 CFR 876.5010 Product Code: 78 FGE Dated: October 28, 1999 Received: October 29, 1999

Dear Ms. Jugo:

We have reviewed your Section 510(k) notification of intent to market the device referenced we have roviewed your becally be is substantially equivalent (for the indications for use above into we nave acterine as a 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 Costisions of the Act and the limitations described below. The general controls provisions of the provisions of the requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

The Office of Device Evaluation has determined that there is a reasonable likelihood that this device will be used for an intended use not identified in the proposed labeling and that such use could cause harm. Therefore, in accordance with Section 513(i)(1)(E) of the Act, the following limitation must appear in the Warnings section of the device's labeling:

The safety and effectiveness of this device for use in the vascular system have not been established.

Furthermore, the indication for biliary use must be prominently displayed in all labeling, including pouch, box, and carton labels, instructions for use, and other promotional materials, in close proximity to the trade name, of a similar point size, and in bold print.

3

Page 2 - Ms. Elema S. Jugo

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 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 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.

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

Please note that the above labeling limitations are required by Section 513(i)(1)(E) of the Act. Therefore, a new 510(k) is required before these limitations are modified in any way or removed from the device's labeling.

If you desire specific information about the application of other labeling requirements to your device (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4616. 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 (301) 443-6597 or at its Internet address "http://www.fda.gov/cdrh/dsma/dsmamain.html".

Sincerely yours,

Daniel W. Frye

David W. Feigal Ar., M.D. Acting Director Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Page 1 of 1

510(k) Number (if known): K993646

Device Name: Cordis S.M.A.R.T.™ .018" Nitinol Stent Transhepatic Biliary System

FDA's Statement of the Indications For Use for device:

The Cordis S.M.A.R.T.™ .018" Nitinol Stent Transhepatic Biliary System is intended for use in the palliation of malignant neoplasms in the biliary tree.

David A. Segner

(Division Sign-Off) Division of Reproductive, Abdominal, B and Radiological Devi 510(k) Number

Prescription Use OR
(Per 21 CFR 801.109)

Over-The-Counter Use