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510(k) Data Aggregation
(92 days)
Traxcess .007" Mini Guidewire is indicated for general intravascular use, including the neuro and peripheral vasculature. The guidewire can be steered to facilitate the selective placement of diagnostic catheters. This device is not indicated for use in coronary arteries.
Traxcess .007" Mini Guidewire is a coiled wire that is designed to fit inside a percutaneous microcatheter for the purpose of directing the catheter through a blood vessel. It consists of a proximal coated Stainless Steel core wire, and a distal coated Nitinol core wire. The distal core wire is tapered at the distal tip and is contained within a Platinum/Nickel coil. The Platinum/Nickel coil is 6 cm in length. The distal 1.4 cm of the guidewire is shapeable by the physician. Traxcess .007" Mini Guidewire distal and proximal sections are coated with hydrophilic coating. The purpose of the hydrophilic coating is to provide lubricity when the MicroVention guidewire is passed through microcatheters. A shaping mandrel, insertion tool, and torque device are also included with the device
The provided document pertains to the 510(k) summary for the Traxcess .007" Mini Guidewire (K161803), which is a medical device. This document describes that the subject device is substantially equivalent to a predicate device, the Traxcess® 14 SELECT Guidewire (K153053). The core of the submission relies on demonstrating this substantial equivalence through various tests.
Here's an analysis of the acceptance criteria and the studies performed, based on the provided text, using the specified categories:
1. A table of acceptance criteria and the reported device performance
| Test | Acceptance Criteria | Reported Device Performance |
|---|---|---|
| Performance Bench Testing | ||
| Dimensional Inspection (Visual) | Test article should meet specified dimensional requirements for: OD (Distal and Proximal), Overall Length, Length of distal Pt/Ni coil section, Length of hydrophilic coated section. | Device met established dimensional specification. |
| Tip Shapeability | Test article should be greater than or equal to existing tip shapeability specification. | Device met established tip shapeability specification. |
| Durability/Lubricity of Hydrophilic Coating | Test article should meet existing durability/lubricity of hydrophilic coating specification. | Device met established durability/lubricity of hydrophilic coating specification. |
| Tensile Strength | Test article should be greater than or equal to existing tensile strength specification for distal tip and proximal joint section. | Device met established distal tip and proximal joint tensile strength specification. |
| Corrosion Resistance | Test article should be corrosion resistant. | Device met established corrosion resistance. |
| Surface Contamination and Defects | Test article when examined at magnification, should meet existing surface contamination and defects specification. | Device met established surface contamination and defects specification. |
| Torque Strength | Test article should be greater than or equal to existing torque strength specification. | Device met established torque strength specification. |
| Torqueability | Test article should be equal to, or better than predicate device. | Subject device torque response better than predicate device. |
| Fracture resistance | Test article should not show signs of fracture. There should be no coating flaking off the guidewire. | Device met established fracture resistance specification. |
| Flexing test | Test article should not show signs of defect, fracture or other damage. There should be no coating flaking off the guidewire. | Device met established flexing test specification. |
| Distal Tip flexibility | Test article should be less than existing distal tip specification to deflect the distal tip of guidewire. | Device met established distal tip flexibility specification. |
| Particle Testing | Test article should meet established particle testing specification. | Device met established particle test specification. |
| Radiopacity | Test article should be visible under fluoroscopy. | Device met established radiopacity specification. |
| In-Vitro Simulated Use Testing | Test article should meet rating of 3 or greater when tested with compatible microcatheters. | Device met established simulated use testing specification. |
| Animal Testing | ||
| Trackability, friction and handling | Equal to or better than the predicate device. | Both subject device and predicate device were able to reach desired location in the animal study with no issues. No friction during insertion. Subject device trackability, friction and handling equivalent to predicate device. |
| Radiopacity | Must be visible under fluoroscopy. | Both subject device and predicate device were visible under fluoroscopy. |
| Compatibility with Microcatheter | Must be compatible with microcatheters. | Both subject device and predicate device were compatible with microcatheters. |
| Overall Assessment | Equal to or better than the predicate device. | Performance of both subject device and predicate device was satisfactory. Subject device overall assessment is equivalent to predicate device. |
| Biocompatibility Testing (on Predicate Device) | ||
| Cytotoxicity - L929 MEM Elution Test | Test article meets the requirements of the test if it does not show greater than a mild reactivity (Grade 2). | Test article exhibited a biological reactivity grade of 0 (Non-cytotoxic). |
| Sensitization/Irritation - Kligman Maximization Test | Test article meets the requirements of the test if it does not show a positive response in at least 10% of the test animals. | Test article exhibited 0% sensitization (Non-sensitizer). |
| Sensitization/Irritation - Intracutaneous Injection Test | Test article meets the requirements of the test if it does not produce irritation after intracutaneous injection in New Zealand White rabbits. | Test article did not show a significantly greater biological reaction than sites injected with the control article. The difference of the overall mean score between the test article and the control article was 0.0 (Non-irritant). |
| Hemocompatibility - Hemolysis - Direct and Indirect | Test article meets the requirements of the test if the hemolytic index above the negative control article is <5%. | Hemolysis index was above the negative control of 0.77% via direct contact method and 0.23% via indirect contact method (Non-hemolytic). |
| Hemocompatibility - Unactivated Partial Thromboplastin Time (UPTT) Assay - Direct Contact | Test article meets the requirements of the test if no statistical decrease is found between UPTT of the plasma exposed to the test article and that of plasma exposed to negative control or untreated control. | No statistical decrease is found between UPTT of the plasma exposed to the test article and that of plasma exposed to negative control or untreated control (Not considered to have an effect on coagulation of human plasma). |
| Hemocompatibility - C3A and SC5B-9 Complement Activation Test - Direct Contact | Test article meets the requirements of the test if the concentration of C3A and SC5B-9 in plasma exposed to test article does not statistically increase than the plasma exposed to negative and untreated controls. | The concentration of C3A and SC5B-9 in plasma exposed to test articles were not statistically increased than the plasma exposed to negative and untreated controls (Not considered to activate the complement system in human plasma). |
| Hemocompatibility - In Vitro Hemocompatibility Test - Direct Contact | Test article meets the requirements of the test if no statistical decrease (or increase/decrease for hematocrit and Mean corpuscular values) is found between blood exposed to test article and blood exposed to negative control or untreated control. | Test article did not have an effect on the WBCs, Platelet concentration and other hematological parameters in comparison to negative control and untreated control (No effect on selected hematological parameters). |
| Hemocompatibility - Dog Thrombogenicity | Test article meets the requirements of the test if there is minimal thrombosis for test article (Grade 0-2). | Minimal thrombosis (Grade 0-1) for test article and control sites (No significant thrombosis). |
| Systemic toxicity - Systemic Injection Test | Test article meets the requirements of the test if it does not induce a significantly greater biological reaction than the animal treated with the control articles when injected into albino mice. | Test article did not induce a significantly greater biological reaction than the control extracts when injected into albino mice (No toxic effects). |
| Systemic toxicity - Rabbit Pyrogen Test | Test article meets the requirements of the test for the absence of pyrogens, if no rabbit shows an individual temperature rise of 0.5°C or more above the baseline temperature. | Temperature increases for the test animals were all 0.0°C from baseline (Non-pyrogenic). |
2. Sample sizes used for the test set and the data provenance (e.g., country of origin of the data, retrospective or prospective)
- Sample Sizes: The document does not explicitly state numerical sample sizes for most of the bench tests. It generally refers to "test article" or "test samples." For some tests, there are references to "number of turns to guidewire failure" or "animal study" but without specific numbers of devices or animals.
- Animal Testing: The document mentions "animal study" for trackability, friction and handling, radiopacity, compatibility, and overall assessment. For Biocompatibility, "at least 10% of the test animals" is mentioned for sensitization/irritation, "New Zealand White rabbits" for intracutaneous injection, "albino mice" for systemic injection, and "rabbit" for pyrogen test. Crucially, animal testing for performance was comparative with the predicate device, but specific numbers were not provided. "Dog Thrombogenicity" is mentioned.
- Data Provenance: The document does not specify the country of origin. The submission is from MicroVention, Inc. in Tustin, California, USA, implying the studies were likely conducted in the USA or by labs commissioned by them. The studies are prospective in the sense that they were conducted for this 510(k) submission to demonstrate equivalence.
3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts
This section is not applicable to this document. The submission is for a catheter guidewire, which relies on objective physical, chemical, and biological performance criteria, rather than subjective interpretation by human experts. The "ground truth" here is objective measurement against engineering specifications and biological safety standards, not expert consensus on qualitative data like medical images.
4. Adjudication method (e.g., 2+1, 3+1, none) for the test set
This section is not applicable. Adjudication methods like 2+1 or 3+1 are typically used in studies involving subjective interpretation, often with multiple readers, to resolve discrepancies. The tests described are objective, and the results are directly measured against predetermined criteria.
5. If a multi-reader multi-case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance
This section is not applicable. This document is for a physical medical device (guidewire) and does not involve AI or human "readers" or subjective interpretation of cases. Therefore, an MRMC study related to AI assistance is not relevant.
6. If a standalone (i.e., algorithm only without human-in-the-loop performance) was done
This section is not applicable. As mentioned above, this is for a physical medical device and does not involve algorithms or AI.
7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.)
The "ground truth" for the tests performed is primarily based on:
- Engineering Specifications: Predetermined dimensional requirements, tensile strength, torque strength, shapeability specifications, etc., set for the device's physical performance.
- Biological Safety Standards: Benchmarks derived from ISO standards (e.g., ISO 10993 series) for biocompatibility, such as acceptable levels of cytotoxicity, sensitization, hemolysis, pyrogenicity, etc.
- Comparative Performance: For some tests (e.g., torqueability, animal study trackability), the predicate device served as a direct comparison, where the subject device had to be "equal to or better than" the predicate.
8. The sample size for the training set
This section is not applicable. The device does not involve machine learning or AI, and therefore does not have a "training set" in that context. The "training" here would refer to the design and manufacturing process iteration, which is not quantified as a "sample size" in this context.
9. How the ground truth for the training set was established
This section is not applicable for the same reason as point 8.
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