K Number
K994252
Device Name
INTRODUCER SHEATHS, VESSEL DILATOR, GUIDEWIRE
Date Cleared
2000-01-04

(18 days)

Product Code
Regulation Number
870.1340
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Boston Scientific/EP Technologies intracardiac introducing sheaths and accessories are designed to facilitate the intracardiac placement of interventional devices.
Device Description
The intracardiac introducing sheath and accessories consists of: (1) a disposable introducer sheath, (2) a vessel dilator and (3) guidewire. The intracardiac introducing sheath consists of a braided shaft, a soft distal tip, and marker band. The sheath comes with either a Hemostasis valve or a luer fitting. The introducer sheaths are constructed in a range of curve reach configurations, diameters and lengths to respond to physician preferences. The introducer sheath configurations covered under the subject 510(k) Premarket Notification include 8.5F and 9.5F diameter, angles ranging form 0° - 180
More Information

NOT FOUND

Not Found

No
The device description and performance studies focus on the physical characteristics and mechanical performance of a traditional medical device (sheath, dilator, guidewire). There is no mention of software, algorithms, or data processing that would indicate the use of AI/ML.

No
The device is an "intracardiac introducing sheath and accessories" designed to facilitate the placement of interventional devices, rather than directly treating a condition itself.

No

The device is described as an "intracardiac introducing sheath and accessories" designed "to facilitate the intracardiac placement of interventional devices." This indicates it's a tool for delivering other devices, not for diagnosing a condition.

No

The device description explicitly lists physical components like a disposable introducer sheath, vessel dilator, and guidewire, indicating it is a hardware-based medical device.

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

Here's why:

  • Intended Use: The intended use is "to facilitate the intracardiac placement of interventional devices." This describes a device used within the body for a procedural purpose, not for testing samples outside the body to diagnose a condition.
  • Device Description: The description details a physical device (sheath, dilator, guidewire) used for accessing and navigating within the heart. This is consistent with an interventional medical device.
  • Anatomical Site: The anatomical site is "intracardiac," meaning within the heart. IVDs typically analyze samples like blood, urine, or tissue, not directly interact with internal organs in this manner.
  • Performance Studies: The performance studies described are related to the physical properties and functionality of the device (biocompatibility, sterilization, tensile strength, etc.) and its ability to perform its intended function of facilitating device placement. These are not studies related to diagnostic accuracy or the analysis of biological samples.

IVD devices are specifically designed to examine specimens derived from the human body to provide information for the diagnosis, prevention, monitoring, treatment, or alleviation of disease. This device does not fit that description.

N/A

Intended Use / Indications for Use

The Boston Scientific/EP Technologies intracardiac introducing sheaths and accessories are designed to facilitate the intracardiac placement of interventional devices.

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

DYB

Device Description

The intracardiac introducing sheath and accessories consists of: (1) a disposable introducer sheath, (2) a vessel dilator and (3) guidewire.
The intracardiac introducing sheath consists of a braided shaft, a soft distal tip, and marker band. The sheath comes with either a Hemostasis valve or a luer fitting. The introducer sheaths are constructed in a range of curve reach configurations, diameters and lengths to respond to physician preferences. The introducer sheath configurations covered under the subject 510(k) Premarket Notification include 8.5F and 9.5F diameter, angles ranging form 0° - 180

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

intracardiac

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)

In vitro testing qualified the equivalence between the subject device and the predicate devices for the intracardiac deployment of devices and verified that no new safety or effectiveness issues. The type of testing is summarized below:

  1. Biocompatibility testing on manufactured sheaths and dilators;
  2. Sterilization validation of packaged units per ISO 11135 guidelines;
  3. Reliability testing such as shipping, and accelerated aging of packaged units;
  4. Tensile testing of the critical bond joints;
  5. Rotational testing on the sheath to luer bond;
  6. Leak, friction forces and insertions tests of the subject device in an in vitro setup;
    The results of the performance tests indicate that the intracardiac Conclusions: introducing sheath and accessories perform as well as the predicate devices. Any differences in testing outcome are not significant.

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.

Intracardiac Sheath

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

510(k) Summary [as required by 21 CFR 807.87(h)]

Date Prepared:December 15, 1999
Sponsor:Boston Scientific Corporation
2710 Orchard Parkway
San Jose, CA 95134
Telephone:(408) 895-3625
Contact:Andrea Boumis
Title:Regulatory Affairs Associate
Trade Name:n/a
Common Name:Intracardiac Introducing Sheath and Accessories
Classification Name:Catheter, Introducer
Classification:Class II-21 CFR 870.1340
Predicate Devices:Intracardiac Sheath
Device Description:The intracardiac introducing sheath and accessories consists of: (1) a
disposable introducer sheath, (2) a vessel dilator and (3) guidewire.
The intracardiac introducing sheath consists of a braided shaft, a soft
distal tip, and marker band. The sheath comes with either a Hemostasis
valve or a luer fitting. The introducer sheaths are constructed in a range
of curve reach configurations, diameters and lengths to respond to
physician preferences. The introducer sheath configurations covered
under the subject 510(k) Premarket Notification include 8.5F and 9.5F
diameter, angles ranging form 0° - 180
Intended Use:The Boston Scientific/EP Technologies intracardiac introducing sheaths
and accessories are designed to facilitate the intracardiac placement of
interventional devices.
Technical Features:The intracardiac introducer sheath combines design features of
marketed predicate devices. The design features of the subject device
fall within ranges specified by the predicate devices. All the devices are
open lumen through which other medical devices can be passed.
Further, all predicate devices allow for sideports through which air can
be aspirated, fluids can be infused, blood can be sampled, etc.
Performance Data:In vitro testing qualified the equivalence between the subject device and
the predicate devices for the intracardiac deployment of devices and
verified that no new safety or effectiveness issues. The type of testing
is summarized below:
1. Biocompatibility testing on manufactured sheaths and dilators;
  1. Sterilization validation of packaged units per ISO 11135 guidelines; |

1

  1. Reliability testing such as shipping, and accelerated aging of packaged units;

  2. Tensile testing of the critical bond joints;

  3. Rotational testing on the sheath to luer bond;

  4. Leak, friction forces and insertions tests of the subject device in an in vitro setup;

The results of the performance tests indicate that the intracardiac Conclusions: introducing sheath and accessories perform as well as the predicate devices. Any differences in testing outcome are not significant. Therefore, Boston Scientific Corporation/ EP Technologies concludes that the intracardiac introducing sheath and accessories is substantially equivalent to the predicate devices.

2

Image /page/2/Picture/1 description: The image is a black and white logo for the Department of Health & Human Services - USA. The logo consists of a circular border with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" written around it. Inside the circle is a stylized symbol that resembles a person with outstretched arms.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JAN - 4 2000

Ms. Andrea Boumis Requlatory Affairs Associate Boston Scientific Corporation 2710 Orchard Parkway San Jose. CA 95134

Re: K994252 Trade Name: Soft Tip Sheath Intracardiac Introducer with Accessories Requlatory Class: II Product Code: DYB December 13, 1999 Dated: Received: December 17, 1999

Dear Ms. Boumis:

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, qood 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 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

3

Page 2 - Dr. Petermann

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 regulation (21 CFR Part 801 and additionally 809.10 for in vitro diaqnostic devices), please contact the Office of Compliance at (301) 594-4692. 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/dsmamain.html".

Sincerely yours,

Timothy A. Ulatowski

Director Division of Dental, Infection Control and General Hospital Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure