SPEEDLYSER INFUSION CATHETER KIT

K033443 · AngioDynamics, Inc. · QEY · Nov 19, 2003 · Cardiovascular

Device Facts

• Record ID: K033443
• Device Name: SPEEDLYSER INFUSION CATHETER KIT
• Applicant: AngioDynamics, Inc.
• Product Code: QEY · Cardiovascular
• Decision Date: Nov 19, 2003
• Decision: SEKD
• Submission Type: Special
• Regulation: 21 CFR 870.5150
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

The ANGIODYNAMICS SpeedLyser Infusion Catheter and its related components are intended for the administration of fluids, including thrombolytic agents and contrast media, into the peripheral vasculature.

Device Story

SpeedLyser Infusion Catheter Kit is a medical device kit used for fluid delivery into peripheral vasculature. It facilitates the administration of thrombolytic agents and contrast media. The kit includes a catheter and related components, including lidocaine (regulated as a drug). It is intended for use by healthcare professionals in clinical settings. The device functions as a conduit for fluid infusion to support therapeutic or diagnostic procedures. It does not involve complex electronic processing or software.

Clinical Evidence

No clinical data provided; the document is an administrative 510(k) clearance and subsequent administrative correction letter.

Technological Characteristics

The device is an infusion catheter kit. It is classified as a continuous flush catheter (21 CFR 870.1210) and embolectomy catheter (21 CFR 870.5150). It contains a drug component (lidocaine). No specific materials, energy sources, or software algorithms are described.

Indications for Use

Indicated for the administration of fluids, including thrombolytic agents and contrast media, into the peripheral vasculature.

Regulatory Classification

Identification

An embolectomy catheter is a balloon-tipped catheter that is used to remove thromboemboli, i.e., blood clots which have migrated in blood vessels from one site in the vascular tree to another.

Submission Summary (Full Text)

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November 22, 2021

Angiodynamics, Inc. Teri Juckett Regulatory Affairs Manager 603 Queensbury Ave. Queensbury, New York 12804

Re: K033443

Trade/Device Name: SpeedLyser Infusion Catheter Kit Regulation Number: 21 CFR 870.5150 Regulation Name: Embolectomy catheter Regulatory Class: Class II Product Code: QEY, KRA

Dear Teri Juckett:

The Food and Drug Administration (FDA) is sending this letter to notify you of an administrative change related to your previous substantial equivalence (SE) determination letter dated November 19, 2003. Specifically, FDA is updating this SE Letter as an administrative correction because FDA has created a new product code to better categorize your device technology.

Please note that the 510(k) submission was not re-reviewed. For questions regarding this letter please contact Gregory O'Connell, OHT2: Office of Cardiovascular Devices, [phone], Gregory.Oconnell(@FDA.HHS.gov.

Sincerely,

Digitally signed by Gregory W. Gregory W. O'connell 5 O'connell -S Date: 2021.11.22 13:32:44 -05'00'

Gregory O'Connell Assistant Director DHT2C: Division of Coronary and Peripheral Intervention Devices OHT2: Office of Cardiovascular Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

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## Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

NOV 1 9 2003

Ms. Teri Juckett Regulatory Affairs Manager c/o AngioDynamics, Incorporated 603 Queensbury Avenue Queensbury, NY 12804

Re: K033443

> SpeedLyser Infusion Catheter Kit Regulation Number: 21 CFR 870.1210 Regulation Name: Continuous Flush Catheter Regulatory Class: Class II Product Code: KRA Dated: October 28, 2003 Received: October 29, 2003

Dear Ms. Juckett:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and 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 (the Act). You may, therefore, market the device, subject to the general controls provisions of Act. However, you are responsible to determine that the medical devices you use as components in the kit have either been determined as substantially equivalent under the premarket notification process (Section 510(k) of the act), or were on the market prior to May 28, 1976, the enactment date of the Medical Device Amendments. Please note: If you purchase your device components in bulk (i.e., unfinished) and further process (e.g., sterilize) you must submit a new 510(k) before including these components in your kit/tray. 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.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device 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 device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must

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Page 2 - Ms. Teri Juckett

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.

In addition, we have determined that your device kit contains lidocaine which is subject to regulation as a drug.

Our substantially equivalent determination does not apply to the drug component of your device. We recommend you first contact the Center for Drug Evaluation and Research before marketing your device with the drug component. For information on applicable Agency requirements for marketing this drug, we suggest you contact:

Director, Division of Drug Labeling Compliance (HFD-310) Center for Drug Evaluation and Research Food and Drug Administration 5600 Fishers Lane Rockville, Maryland 20857 [phone]

This letter will allow you to begin marketing your device as described in your Section 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, 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). You may obtain other general information on your responsibilities under the Act 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/dsma/dsmamain.html

Sincerely yours,

Ashley B. Boan

for

Bram D. Zuckerman, M.D. Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Confidential

1633443

Namm.

## INDICATIONS FOR USE

510(k) Application: Special 510(k) Device modification

SpeedLyser Infusion Catheter Kit Device Name:

Indications for Use: The ANGIODYNAMICS SpeedLyser Infusion Catheter and its related components are intended for the administration of fluids, including thrombolytic agents and contrast media, into the peripheral vasculature.

Please do not write below this line - continue on another page if needed

Concurrence of CDRH, Office of Device Evaluation (ODE)

**Prescription Use**
**(Per 21 CFR 801.109)**

OR

Over-the-Counter Use

Ashley B. Baan

(Division Sign-Off)
Division of Cardiovascular Devices

**510(k) Number** /2033443

AngioDynamics SpeedLyser Infusion Catheter Kit 510(k) Design History File 510

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