INTRASTENT LD (LARGE DIAMETER) STENT

K020528 · Sulzer Intratherapeutics, Inc. · FGE · Apr 16, 2002 · Gastroenterology, Urology

Device Facts

• Record ID: K020528
• Device Name: INTRASTENT LD (LARGE DIAMETER) STENT
• Applicant: Sulzer Intratherapeutics, Inc.
• Product Code: FGE · Gastroenterology, Urology
• Decision Date: Apr 16, 2002
• Decision: SESU
• Submission Type: Special
• Regulation: 21 CFR 876.5010
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

The IntraStent® Mega™ LD (Large Diameter) Stent - Biliary Indication and the IntraStent® Max™ LD (Large Diameter) Stent - Biliary Indication are intended as a palliative treatment of malignant neoplasms in the biliary tree.

Device Story

IntraStent Mega and Max LD are balloon-expandable biliary stents; fabricated from 316L stainless steel hypotubes via laser cutting; open lattice design. Provided unmounted; physician manually crimps stent onto a noncompliant PTA balloon catheter. Upon inflation, stent expands to conform to duct inner luminal surface; retains expanded state upon deflation. Used in clinical settings for palliative treatment of malignant biliary strictures. Output is a physical scaffold maintaining duct patency. Benefits patient by relieving biliary obstruction caused by neoplasms.

Clinical Evidence

Bench testing only. No clinical data provided.

Technological Characteristics

316L stainless steel; laser-cut open lattice design; balloon-expandable; 9-12mm and 12mm diameters; ethylene oxide sterilized; provided unmounted; manual crimping required.

Indications for Use

Indicated for palliative treatment of malignant neoplasms in the biliary tree.

Regulatory Classification

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.

Special Controls

*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.

Predicate Devices

• IntraStent™ Stent (K991929)
• IntraStent DoubleStrut LD (K993904)

Submission Summary (Full Text)

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IntraStent Mega and Max Special 510(k): Device Modification

## Premarket Notification (510(k)) Summary

510(k) Number: ***_***__

Product Name: IntraStent® Mega™ LD (Large Diameter) Stent (Biliary
Indication)
IntraStent® Max™ LD (Large Diameter) Stent (Biliary Indication)

Common Name: biliary stent

Class: Class II, 21 CFR 876.5010

| <strong>Labels</strong> | <strong>Values</strong> |
|-------------------------------|--------------------------------------------|
| Submitter's Name: | Official Contact: |
| Sulzer IntraTherapeutics Inc. | Glen D. Smythe |
| 651 Campus Drive | Sterilization/Regulatory Affairs Associate |
| St. Paul, MN 55112 | Telephone: [phone] |
| | Fax: [phone] |

Summary Preparation Date: 15 February 2002

This summary is provided in compliance with section 513(I)(3)(A) of the Act and

summarizes the safety and effectiveness information contained in this premarket notification submission for a modification to the IntraStent® Stent.

The IntraStent Mega and Max LD stent are intended as a palliative treatment of malignant neoplasms in the biliary tree.

The IntraStent Mega and Max LD Stents are balloon expandable stainless steel stents with an open lattice design. The device is provided unmounted, to be manually crimped onto a noncompliant PTA balloon catheter for biliary stent expansion of choice by the physician. Upon balloon inflation the crimped stent expands to conform to the duct inner luminal surface and retains the expanded state upon balloon deflation.

Summary of technological characteristics: The IntraStent Mega and Max LD stents provide a larger version the IntraStent™ Stent (K991929), allowing expanded diameters of 9-12mm and 12mm. The IntraStent devices are balloon expandable stents fabricated by cutting an engineered series of slots/apertures into a 316L stainless steel hypotube. The cuts are made with a laser. The IntraStent devices are cleaned, electro-polished, packaged in a double sterile barrier and sterilized. The IntraStent devices are ethylene oxide sterilized and are provided unmounted.

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KOZOSZ8

IntraStent Mega and Max LD Special 510(k): Device Modification

## 510K Summary (continued)

The IntraStent devices incorporate the use of manual compression using one's thumbs and forefingers to compress the stent onto the delivery balloon catheter.

Bench tests were performed to verify that the IntraStent Mega and Max LD stents met the same performance characteristics as the predicate IntraStent™ Stent (K991929).

The IntraStent is substantially equivalent* to the currently marketed IntraStent stent (K991929) and the IntraStent DoubleStrut LD (K993904) as a palliative treatment for malignant strictures of the biliary tree. As demonstrated, the modified IntraStent stent is identical in materials, indication for use, and technological characteristics. Performance testing (bench) further supports a substantial equivalence claim. The collective evidence therefore provides assurance that the IntraStent® Mega™ LD and IntraStent® Max™ LD meet the requirements that are considered acceptable for the intended use.

*This document uses the term "substantial equivalence" as intended in 21 CFR 807.87, and not as defined in Title 36 of the US Code.

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Image /page/2/Picture/1 description: The image shows the logo for the Department of Health & Human Services - USA. The logo is a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is an abstract image of an eagle.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

APR 1 6 2002

Mr. Glen D. Smythe Sterilization/Regulatory Affairs Associate Sulzer IntraTherapeutics 651 Campus Drive ST. PAUL MN 55112

Re: K020528

Trade/Device Name: IntraStent® Mega™ LD (Large Diameter) Stent - Biliary Indication IntraStent® Max™ LD (Large Diameter) Stent - Biliary Indication Regulation Number: 21 CFR 876.5010 Regulation Name: Biliary catheter and accessories Regulatory Class: II Product Code: 78 FGE Dated: March 21, 2002 Received: March 22, 2002

Dear Mr. Smythe:

We have reviewed your Section 510(k) notification of intent to market the devices referenced above and we have determined the devices are 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 devices, subject to the general controls provisions of the Act and the limitations described below. The general controls provisions of the Act include 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 these devices 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 devices' 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.

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## Page 2 - Mr. Glen D. Smythe

If your devices are classified (see above) into either class II (Special Controls) or class III (PMA). they may be subject to additional controls. Existing major regulations affecting your devices can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your devices in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your devices comply with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

The FDA finding of substantial equivalence of your devices to a legally marketed predicate device results in a classification for your devices and permits your devices to proceed to the market. This letter will allow you to begin marketing your devices as described in your Section 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 devices' labeling.

If you desire specific information about the application of other labeling requirements to your devices (21 CFR Part 801 and additionally Part 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at [phone]. Additionally, for questions on the promotion and advertising of your devices, please contact the Office of Compliance at [phone]. Also, please note the regulation entitled, "Misbranding by reference to premarket notification"(21 CFR Part 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number [phone] or [phone] or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html.

Sincerely yours

Bernard E. Statland, M.D., Ph.D.

tatland, M.D., Ph.D. Director Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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510(k) Number (if known): K020528

Device Name: IntraStent® Mega™ LD (Large Diameter) Stent - Biliary Indication, and IntraStent® Max™ LD (Large Diameter) Stent - Biliary Indication

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

The IntraStent® Mega™ LD (Large Diameter) Stent - Biliary Indication and the IntraStent® Max™ LD (Large Diameter) Stent - Biliary Indication are intended as a palliative treatment of malignant neoplasms in the biliary tree.

Prescription Use
(Per 21 CFR 801.109) OR Over-The-Counter Use

(Division Sign-Off)
Division of Repreductive, Abdominal,