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510(k) Data Aggregation

    K Number
    K201792
    Date Cleared
    2020-07-28

    (28 days)

    Product Code
    Regulation Number
    870.1210
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The TRUSELECTM Microcatheters are intended for peripheral vascular use. The microcatheter can be used for selective infusion of diagnostic, embolic, or therapeutic materials into the vessel.

    Device Description

    The TRUSELECT™ Microcatheter is a low profile 2.0F microcatheter intended for use in the peripheral vasculature. The microcatheter can be coaxially tracked over a steerable guidewire in order to access distal, tortuous vasculature. Once the sub-selective region has been accessed, the microcatheter can be used for the controlled and selective infusion of diagnostic, embolic, or therapeutic materials into vessels.

    Diagnostic, therapeutic and embolic agents such as heparinized saline, contrast media, chemotherapy agents such as doxorubicin and irinotecan, polyvinyl alcohol (PVA) flakes and polymer and hydrogel spherical embolics (microspheres) can be delivered to targeted vessels. The microcatheter maintains chemotherapy chemical compatibility.

    It has a straight internal diameter design (021" ID, (0.53 mm)) with a 2.0F OD tapered tip. The microcatheter includes eight UPNs, covering a range of lengths (105, 130, 155 and 175cm) and tip shapes (straight or bern), and is compatible with 0.040" ID guide catheters and 0.014" & 0.016" quidewires. It is compatible with embolic particles of up to 700 microns and 0.018" (0.46 mm) embolic coils.

    The TRUSELECT™ Microcatheters are provided sterile, using 100% ethylene oxide (EO) gas sterilization, and are intended for hospital and single use only. These devices utilize HydroPass Hydrophillic Coating for the reduction of surface friction during placement.

    AI/ML Overview

    Here's a breakdown of the acceptance criteria and the study information based on the provided document:

    1. Table of Acceptance Criteria and Reported Device Performance

    The document does not explicitly state quantitative "acceptance criteria" for the TRUSELECT™ Microcatheter in the form of thresholds or target values. Instead, it details a comprehensive list of non-clinical (bench) tests and biocompatibility tests that were performed to demonstrate conformance to requirements for its intended use and substantial equivalence to the predicate device (Direxion™ Microcatheter, K163701).

    The "reported device performance" is summarized by the statement: "The results of these tests provide reasonable assurance that the proposed device has been designed and tested to assure conformance to the requirements for its intended use. No new safety or performance issues were raised during the testing." This implies that the device met the internal design and performance specifications that correspond to each test.

    Here's a table based on the tests conducted:

    Test CategorySpecific Test NameAcceptance Criteria (Implied)Reported Device Performance
    BiocompatibilityCytotoxicity (ISO 10993-5)No significant cytotoxic effects beyond acceptable limitsMet acceptable limits
    Sensitization (ISO 10993-10)No significant sensitization potentialMet acceptable limits
    Irritation (ISO 10993-10)No significant irritationMet acceptable limits
    Material Mediated Pyrogenicity (ISO 10993-11)No significant pyrogenicityMet acceptable limits
    Acute Systemic Toxicity (ISO 10993-11)No significant acute systemic toxicityMet acceptable limits
    Hemocompatibility (ISO 10993-4)Acceptable blood compatibility (e.g., no excessive hemolysis)Met acceptable limits
    Genotoxicity (ISO 10993-3)No significant genotoxic effectsMet acceptable limits
    In-Vitro PerformanceManifold ConnectionSecure connection, no leaksConformed to requirements
    Guidewire CompatibilityCompatible with specified guidewire sizesAchieved compatibility
    Guide Catheter CompatibilityCompatible with specified guide catheter sizesAchieved compatibility
    Proximal OD/Outside DiameterMet specified dimensionsConformed to requirements
    Catheter IDMet specified dimensionsConformed to requirements
    Microcatheter Coating Lubricity & DurabilityMaintained lubricity and durability for intended useConformed to requirements
    Microcatheter Coating LengthMet specified lengthConformed to requirements
    Distal End Flexibility (Distal 5cm)Met specified flexibility requirementsConformed to requirements
    Proximal End StiffnessMet specified stiffness requirementsConformed to requirements
    Proximal Shaft KinkResisted kinking under defined conditionsConformed to requirements
    Distal Shaft KinkResisted kinking under defined conditionsConformed to requirements
    Effective LengthMet specified effective lengthConformed to requirements
    Tip ODMet specified dimensionsConformed to requirements
    Steam Shaping Mandrel CompatibilityCompatible with steam shaping mandrelsAchieved compatibility
    ShapabilityMaintained desired shape after manipulationConformed to requirements
    Infusion StabilityMaintained stable infusion characteristicsConformed to requirements
    Marker Band Location/Tip LengthMet specified location and lengthConformed to requirements
    Microcatheter to Microspheres CompatibilityCompatible with microspheres up to 700 micronsAchieved compatibility
    Microcatheter to PVA particle CompatibilityCompatible with PVA particlesAchieved compatibility
    Microcatheter to Gelfoam CompatibilityCompatible with GelfoamAchieved compatibility
    Microcatheter to 0.018 Embolic Coil CompatibilityCompatible with 0.018" embolic coilsAchieved compatibility
    Dead Space VolumeMet specified volumeConformed to requirements
    Max Infusion Pressure (Dynamic Burst)Withstood specified dynamic burst pressureConformed to requirements
    Static BurstWithstood specified static burst pressureConformed to requirements
    Chemical CompatibilityCompatible with specified diagnostic/embolic/therapeutic agentsAchieved compatibility
    Flow RateMet specified flow rate performanceConformed to requirements
    Marker Band TensileMaintained integrity under specified tensile forcesConformed to requirements
    Full Catheter TensileMaintained integrity under specified tensile forcesConformed to requirements
    Tip TensileMaintained integrity under specified tensile forcesConformed to requirements
    Tip ShapeMet specified tip shapes (straight or bern)Conformed to requirements
    Particulate MatterMet acceptable particle limitsMet acceptable limits
    Corrosion ResistanceExhibited resistance to corrosion in simulated physiological environmentConformed to requirements

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

    • Sample Size: The document does not specify the exact sample size for each individual test. It mentions "bench testing and biocompatibility testing were performed," implying that appropriate sample sizes were used for each test according to relevant standards (e.g., ISO, ASTM, or internal test protocols).
    • Data Provenance: This was a non-clinical study (bench and biocompatibility testing). Therefore, there is no "country of origin of the data" in the sense of patient data. The tests were conducted in a lab setting, presumably by Boston Scientific or a contracted lab. The data is prospective in the sense that the tests were specifically conducted for this 510(k) submission.

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

    N/A. This was a non-clinical (bench) study, not a clinical study involving experts establishing ground truth from patient data. The "ground truth" for these tests would be the established scientific and engineering principles, material specifications, and regulatory standards (e.g., ISO 10993 series) against which the device's performance was measured.

    4. Adjudication Method for the Test Set

    N/A. Adjudication methods like 2+1 or 3+1 are typically used in clinical studies involving multiple human readers or observers. This document describes non-clinical testing where objective measurements and observations are made against predetermined specifications.

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

    No. An MRMC comparative effectiveness study was not done. This document focuses solely on non-clinical (bench) testing and biocompatibility.

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

    N/A. This device is a physical medical device (microcatheter), not a software algorithm. Therefore, the concept of "standalone algorithm performance" is not applicable.

    7. The Type of Ground Truth Used

    For the biocompatibility tests, the ground truth is based on the requirements and methodologies outlined in the ISO 10993 series of standards. For the in-vitro performance tests, the ground truth would be the engineering specifications, design requirements, and relevant industry standards for microcatheters, ensuring the device performs as intended for its specified uses. It's essentially "conformance to specifications."

    8. The Sample Size for the Training Set

    N/A. This is not a study involving machine learning or AI where a "training set" would be used. The document describes a physical medical device submission based on non-clinical testing.

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

    N/A. As there is no training set for an AI/ML algorithm involved, this question is not applicable.

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