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510(k) Data Aggregation

    K Number
    K172297
    Manufacturer
    Date Cleared
    2017-10-18

    (79 days)

    Product Code
    Regulation Number
    870.1250
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    NovaCross Microcatheter

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The NovaCross™ Microcatheter is intended to be used in conjunction with a steerable guidewire to access discrete regions of the coronary and peripheral vasculature and for guidewire exchange.

    Device Description

    The NovaCross™ Microcatheter is a sterile, single-use, single lumen, over-the-wire, disposable percutaneous support catheter designed for use in conjunction with a steerable guidewire to access discrete regions of the coronary and peripheral vasculature for guidewire exchange.

    The NovaCross™ Microcatheter consists of telescopic shaft, over tube, and a proximal handle that allows for manual device manipulation and a means for flushing the catheter lumen. A key element of the device is a temporarily deployable and retractable distal Nitinol Scaffold, which is visible through fluoroscopy when deployed by the user, and expands to the width of the artery to provide an anchoring to aid the user in establishing greater support near the treatment site.

    AI/ML Overview

    The provided text is a 510(k) summary for the NovaCross™ Microcatheter, focusing on demonstrating substantial equivalence to a predicate device. It explicitly states that the submission is a "Special 510(k) submission" to implement modifications to an already cleared device. This type of submission relies on performance testing to assure that the modified device remains as safe and effective as the predicate.

    Here's an analysis of the acceptance criteria and study described:

    1. Table of Acceptance Criteria and Reported Device Performance

    The document does not provide a formal table of explicit acceptance criteria with numerical targets. Instead, it describes various performance tests conducted to ensure the modified device functions similarly to the predicate. The "reported device performance" is generally stated as the tests being successfully completed and demonstrating similarity to the predicate.

    Test PerformedAcceptance Criteria (Implied)Reported Device Performance
    Simulated Use TestingDevice performs as intended during simulated use, effectively guiding, tracking, and exchanging guidewires."successfully completed" (implied, as it supports substantial equivalence)
    BiocompatibilityMeets ISO 10993 standards for contact with blood and tissue (cytotoxicity, hemolysis, etc.).Passed based on biological risk assessment, cytotoxicity, and hemolysis testing.
    Mechanical Tests:
    - Bond StrengthSufficient bond strength to ensure device integrity during use."successfully completed" (implied)
    - Visibility TestRadiopaque markers/features provide adequate visibility under fluoroscopy."successfully completed" (implied)
    - Radial Force TestScaffold provides appropriate radial force for anchoring without causing damage."successfully completed" (implied)
    - Axial Force TestDevice maintains structural integrity and pushability/trackability."successfully completed" (implied)
    GLP Animal StudyDevice functions safely and effectively, demonstrating adequate scaffold deployment, anchoring, and maneuverability without adverse tissue reaction."successfully completed" (implied, to assess new scaffold and device characteristics)

    2. Sample Size Used for the Test Set and the Data Provenance

    The document does not specify the sample sizes used for any of the individual tests (simulated use, mechanical, biocompatibility, or the GLP animal study).

    The data provenance is within the manufacturer's testing facilities or accredited labs, as it pertains to engineering and preclinical testing of a medical device intended for regulatory submission. There is no mention of country of origin for the data or whether it's retrospective or prospective in the context of human clinical data, as this is a device modification submission based on non-clinical performance.

    3. Number of Experts Used to Establish the Ground Truth for the Test Set and the Qualifications of Those Experts

    For this type of device modification submission, which relies on engineering and preclinical testing, the concept of "ground truth" established by human experts in a clinical context is not directly applicable. The "ground truth" for these tests is defined by engineering specifications, recognized standards (like ISO for biocompatibility), and animal model observation by veterinary and scientific staff.

    Therefore, the document does not mention a number of experts or their qualifications for establishing ground truth in the way it would for an AI-based diagnostic device. The expertise would be in the form of engineers, toxicologists, veterinarians, and study directors overseeing the performance and animal studies.

    4. Adjudication Method for the Test Set

    Adjudication methods (like 2+1, 3+1) are typically used in clinical studies where multiple human readers or evaluators assess patient data (e.g., medical images) to establish a consensus ground truth. This is not applicable to the engineering and preclinical tests described for the NovaCross™ Microcatheter. The test results are objective measurements or observations defined by the test protocols.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done

    No, an MRMC comparative effectiveness study was not done. This type of study assesses human reader performance, often with and without AI assistance, and is relevant for AI-powered diagnostic devices. The NovaCross™ Microcatheter is a physical interventional medical device, not a diagnostic imaging or AI tool.

    6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) Was Done

    No, a standalone algorithm-only performance study was not done. This is relevant for AI algorithms. The NovaCross™ Microcatheter is a physical device that functions in conjunction with a steerable guidewire and is manipulated by a human operator (physician).

    7. The Type of Ground Truth Used

    The "ground truth" for the various performance tests is based on:

    • Engineering Specifications: For mechanical tests, the ground truth is adherence to design specifications and established performance parameters.
    • Industry Standards: For biocompatibility, the ground truth is compliance with recognized standards such as ISO 10993.
    • Physiological Response/Observation: For the GLP animal study, the ground truth is the objective observation of device performance in a living system and the histological assessment of tissue reaction.
    • Intended Use Definition: For simulated use, the ground truth is the successful demonstration of the device's ability to achieve its intended function (e.g., guidewire exchange, access discrete regions).

    8. The Sample Size for the Training Set

    Not applicable. The NovaCross™ Microcatheter is a physical medical device, not an AI or machine learning algorithm. Therefore, there is no "training set" in the context of AI model development.

    9. How the Ground Truth for the Training Set Was Established

    Not applicable, as there is no training set for this device.

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    K Number
    K160389
    Manufacturer
    Date Cleared
    2016-03-11

    (29 days)

    Product Code
    Regulation Number
    870.1250
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    NovaCross Microcatheter

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The NovaCross™ Microcatheter is intended to be used in conjunction with a steerable guidewire to access discrete regions of the coronary and peripheral vasculature and for guidewire exchange.

    Device Description

    The NovaCross™ Microcatheter is a sterile, single-use, single lumen, over-the-wire, disposable percutaneous support catheter designed for use in conjunction with a steerable guidewire to access discrete regions of the coronary and peripheral vasculature for guidewire exchange.

    The NovaCross™ Microcatheter consists of telescopic shaft, over tube, and a proximal handle that allows for manual device manipulation and a means for flushing the catheter lumen. A key element of the device is a temporarily deployable and retractable distal Nitinol Scaffold, which is visible through fluoroscopy when deployed by the user, and expands to the width of the artery to provide anchoring to aid the user in establishing greater support near the treatment site.

    AI/ML Overview

    This document is a 510(k) summary for the Nitiloop NovaCross™ Microcatheter, indicating it is a modified version of a previously cleared device (K143608). As such, the focus is on demonstrating substantial equivalence to the predicate device rather than presenting a comprehensive study proving novel acceptance criteria.

    The acceptance criteria are implicitly defined by maintaining key performance characteristics to be "as safe and effective" as the predicate device, despite minor modifications. The study performed is a series of engineering tests designed to ensure these characteristics are maintained.

    Here's a breakdown of the requested information based on the provided document:

    1. Table of Acceptance Criteria and Reported Device Performance

    Given that this is a special 510(k) for a modified device, the "acceptance criteria" are implied to be maintaining the performance of the predicate device. The reported device performance is that it met these implied criteria.

    Acceptance Criteria (Implied: Performance equivalent to predicate device K143608)Reported Device Performance (NovaCross™ Microcatheter K160389)
    Simulated Use: Maintain performance after assembly, sterilization, transportation, and accelerated aging.Test performed at baseline, Time 0 (after sterilization/transportation), and Time 1 (after 1 year accelerated aging/transportation). The document states performance data demonstrates the modified device is "as safe and effective as the predicate."
    Tensile Strength: Maintain strength after assembly, sterilization, transportation, and accelerated aging.Test performed at baseline, Time 0, and Time 1. The document states performance data demonstrates the modified device is "as safe and effective as the predicate."
    Kink Resistance: Maintain resistance to kinking after assembly, sterilization, transportation, and accelerated aging.Test performed at baseline, Time 0, and Time 1. The document states performance data demonstrates the modified device is "as safe and effective as the predicate."
    Tip Flexibility: Maintain flexibility after assembly, sterilization, transportation, and accelerated aging.Test performed at baseline, Time 0, and Time 1. The document states performance data demonstrates the modified device is "as safe and effective as the predicate."

    Note: The document explicitly states, "The following tests are the same as those submitted in the original submission," implying that the methods and success criteria for these tests were already established and met by the predicate device. The current submission confirms these tests were repeated and the modified device performed equivalently.


    2. Sample Size Used for the Test Set and the Data Provenance

    • Sample Size for Test Set: The document does not specify the exact sample sizes (N values) for each of the mechanical performance tests (Simulated use, Tensile Strength, Kink Resistance, Tip Flexibility). It only states that the tests were performed.
    • Data Provenance: The tests would have been performed by Nitiloop Ltd. or a contracted testing facility. The data provenance is retrospective in the sense that it's comparing a modified device's performance to an already-cleared predicate, but the specific testing conducted for the K160389 submission is prospective with respect to that submission. The country of origin of the data is implied to be Israel, given the submitter's address, or wherever the contract testing was conducted.

    3. Number of Experts Used to Establish the Ground Truth for the Test Set and the Qualifications of Those Experts

    This type of information is not applicable to this submission. This is a submission for a physical medical device (microcatheter) and the "tests" refer to engineering and mechanical performance assessments, not clinical studies or AI algorithm validation that would require expert-established ground truth. The "ground truth" here is the physical performance measurement itself, compared against pre-defined engineering specifications.


    4. Adjudication Method for the Test Set

    Not applicable. As noted above, these are objective engineering tests, not clinical assessments requiring adjudication. The results are quantitative measurements against established specifications.


    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was Done

    No. This is a clearance for a physical medical device, not an AI algorithm, and therefore an MRMC study is not relevant or included in this document.


    6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) was Done

    Not Applicable. This device is a microcatheter, a physical instrument. There is no AI algorithm involved in the function or clearance of this device.


    7. The Type of Ground Truth Used

    For the engineering tests (Simulated use, Tensile Strength, Kink Resistance, Tip Flexibility), the "ground truth" is based on pre-defined engineering specifications and performance characteristics established for the predicate device. The modified device's performance is measured and compared to confirm it meets these specifications, ensuring it is "as safe and effective" as the predicate. This is based on objective measurement data rather than expert consensus, pathology, or outcomes data, which are more relevant for diagnostic or therapeutic efficacy claims.


    8. The Sample Size for the Training Set

    Not applicable. This device is a physical microcatheter, not an AI model requiring a training set.


    9. How the Ground Truth for the Training Set was Established

    Not applicable. As there is no AI model or training set, this question is irrelevant.

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    K Number
    K143608
    Manufacturer
    Date Cleared
    2015-05-04

    (136 days)

    Product Code
    Regulation Number
    870.1250
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    NovaCross Microcatheter

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The NovaCross Microcatheter is intended to be used in conjunction with a steerable guidewire to access discrete regions of the coronary and peripheral vasculature and for guidewire exchange.

    Device Description

    The NovaCross™ Microcatheter is a sterile, single-use, single lumen, over-the-wire, disposable percutaneous support catheter designed for use in conjunction with a steerable guidewire to access discrete regions of the coronary and peripheral vasculature for guidewire exchange.

    The NovaCross™ Microcatheter consists of telescopic shaft. Over Tube, and a proximal Handle Body that allows for manual device manipulation and a means for flushing the catheter lumen. A key element of the device is a temporarily deployable and retractable distal Nitinol Scaffold, which is visible through fluoroscopy when deployed by the user, and expands to the width of the artery to provide an anchoring to aid the user in establishing greater support near the treatment site.

    Subsequent to conventional guidewire placement, therapeutic devices such as atherectomy devices, PTCA catheters, and/or stents may be used to provide therapeutic benefit. The NovaCross™ Microcatheter by itself does not provide therapeutic benefit beyond simple facilitation of guidewire support. The NovaCross™ Microcatheter is similar in its design and it achieves its intended use by means of the same mechanisms as the predicate devices.

    AI/ML Overview

    Here's a breakdown of the acceptance criteria and study information for the NovaCross Microcatheter:

    1. Table of Acceptance Criteria and Reported Device Performance

    The provided text does not contain a specific table detailing acceptance criteria alongside exact numerical performance metrics for each criterion. Instead, it states that "All [mechanical] tests met the predefined acceptance criteria" and "The Test Item successfully achieved all performance criteria defined in the study protocol" for the animal study.

    Here's an inferred table based on the information provided:

    Acceptance Criteria CategoryReported Device Performance
    BiocompatibilityComplied with ISO 10993-1. All tests (cytotoxicity, irritation, acute systemic toxicity, sensitization, hemocompatibility) were successfully completed.
    Sterilization, Packaging, Shelf LifeSterilization validation (ISO 11135-1) successfully completed. Shelf life and packaging testing successfully completed to support labeled shelf life.
    Mechanical Bench TestingAll tests (Dimensional, Simulated use, Tip flexibility, Tip and shaft durability, Torque response, Torque strength, Tensile strength, Hydrophilic coating integrity, Corrosion, Fluid leak, Air leakage, Pushability and retractability, Scaffold durability, Radial force) met the predefined acceptance criteria. (Specific numerical criteria not provided).
    GLP Animal StudyThe device could be used safely and effectively as a tool to provide support to the guidewire. No discernible pathological adverse effects were detected (local and systemic effects) in terms of treated vessel integrity, gross pathology, and histopathology 1 and 14 days post-procedure. Successfully achieved all performance criteria defined in the study protocol.

    2. Sample Size Used for the Test Set and Data Provenance

    • Test Set Sample Size:

      • Animal Study: 6 pigs.
      • Mechanical Testing: Not specified, but implied to be sufficient for each distinct test.
      • Biocompatibility / Sterilization / Packaging / Shelf Life: Not specified, but implied to be sufficient for each distinct test.
    • Data Provenance: Not explicitly stated (e.g., country of origin, retrospective/prospective). However, the animal study is described as a "GLP animal study," indicating it was a prospective, controlled study conducted under Good Laboratory Practice regulations, typically for regulatory submission.

    3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications of those Experts

    • Animal Study: The study involved evaluation of gross pathology and histopathology. While not explicitly stated how many experts or their specific qualifications (e.g., "veterinary pathologist with X years experience") were involved, the execution of a "GLP animal study" strongly implies that qualified veterinary professionals, including veterinarians, surgeons, and pathologists specialized in animal models, were involved in the assessment and establishment of ground truth for the animal tissue analysis.

    • Other Testing (Mechanical, Biocompatibility, etc.): Ground truth for these tests is typically established by engineering specifications, international standards (e.g., ISO), and defined acceptance limits rather than expert consensus on individual cases.

    4. Adjudication Method for the Test Set

    • Animal Study: The text mentions "Pathology and histopathology analyses confirmed the results of the study." This suggests a formal pathological review process. However, the exact adjudication method (e.g., blinded review, multiple pathologists, consensus meeting) is not detailed.
    • Other Testing: Adjudication methods are not applicable in the same way as clinical or image-based studies. Tests are pass/fail based on predefined criteria.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was done

    No, an MRMC comparative effectiveness study was not done. This type of study is typically used for diagnostic or screening devices to assess human reader performance with and without AI. The NovaCross Microcatheter is a medical device (microcatheter) used in interventional procedures, not an AI-powered diagnostic tool.

    6. If a Standalone (i.e. algorithm only without human-in-the loop performance) was done

    No, a standalone algorithm performance study was not done. The device described is a physical medical instrument, not a software algorithm.

    7. The Type of Ground Truth Used

    • Biocompatibility: Established by standardized biological assays and compliance with ISO 10993-1.
    • Sterilization, Packaging, Shelf Life: Established by adherence to ISO 11135-1 and company-defined stability/integrity protocols.
    • Mechanical Testing: Established by engineering specifications and predefined acceptance criteria, often derived from industry standards or predicate device performance.
    • Animal Study: "No discernible pathological adverse effects were detected, in terms of local and systemic effects" and "Pathology and histopathology analyses confirmed the results of the study." This indicates that pathology and histopathology (tissue analysis) served as the ground truth for safety and effectiveness in the animal model.

    8. The Sample Size for the Training Set

    Not applicable. This device is a physical medical device, not an AI or machine learning algorithm that requires a "training set" in the computational sense.

    9. How the Ground Truth for the Training Set Was Established

    Not applicable for the reason stated above.

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