GUIDANT VASOVIEW 6 HARVESTING CANNULA, MODEL VH-2000; GUIDANT VASOVIEW 6 ACCESSORY PACK, MODEL VH-2004

K041981 · Guidant Corporation · GEI · Aug 20, 2004 · General, Plastic Surgery

Device Facts

• Record ID: K041981
• Device Name: GUIDANT VASOVIEW 6 HARVESTING CANNULA, MODEL VH-2000; GUIDANT VASOVIEW 6 ACCESSORY PACK, MODEL VH-2004
• Applicant: Guidant Corporation
• Product Code: GEI · General, Plastic Surgery
• Decision Date: Aug 20, 2004
• Decision: SESE
• Submission Type: Special
• Regulation: 21 CFR 878.4400
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

The VasoView® 6 System is indicated for use in minimally invasive surgery allowing access for vessel harvesting, and is primarily indicated for patients undergoing endoscopic surgery for arterial bypass. It is indicated for cutting tissue and controlling bleeding through coagulation, and for patients requiring blunt dissection of tissue including dissection of blood vessels, dissection of blood vessels of the extremities, dissection of ducts and other structures in the extraperitoneal or subcutaneous extremity and thoracic space. Extremity procedures include tissue dissection/vessel harvesting along the saphenous vein for use in coronary artery bypass grafting and peripheral artery bypass or radial artery for use in coronary artery bypass grafting. Thoracoscopic procedures include exposure and dissection of structures external to the parietal pleura, including nerves, blood vessels and other tissues of the chest wall.

Device Story

VasoView 6 Harvesting Cannula is a surgical instrument used in minimally invasive endoscopic procedures. It houses a 7 mm endoscope, C-Ring wire, endoscope washer, and Bipolar Bisector. The device is operated by a surgeon in an OR setting. The surgeon uses the C-Ring slider for vessel retraction and tip cleaning, and the Bisector carriage for extending, rotating, and retracting the bipolar electrode. Electrosurgical energy provides coagulation for hemostasis, while a mechanical toggle on the carriage enables tissue cutting. Visualization is provided by the endoscope. The device facilitates vessel harvesting and tissue dissection, reducing the need for open surgical access and potentially improving patient recovery outcomes.

Clinical Evidence

Bench testing only. Verification testing demonstrated that the device meets established acceptance criteria and performs in a manner equivalent to the predicate devices.

Technological Characteristics

The device is a multi-lumen cannula housing a 7 mm endoscope, C-Ring wire, washer tube, and Bipolar Bisector. It utilizes bipolar electrosurgical energy for coagulation and mechanical cutting via a toggle mechanism. The device is designed for endoscopic visualization and minimally invasive access.

Indications for Use

Indicated for patients undergoing minimally invasive endoscopic surgery for arterial bypass, including coronary artery bypass grafting (CABG) and peripheral artery bypass. Used for blunt dissection of blood vessels, ducts, and tissues in extraperitoneal, subcutaneous, extremity, and thoracic spaces (e.g., saphenous vein, radial artery, chest wall structures).

Regulatory Classification

Identification

An electrosurgical cutting and coagulation device and accessories is a device intended to remove tissue and control bleeding by use of high-frequency electrical current.

Predicate Devices

• VV4 (K030512)
• VV5 (K020143)
• VV6 (K022718)

Submission Summary (Full Text)

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## AUG 2 0 2004

## Appendix A – 510(k) Summary

| Submitter | Guidant Corporation, Cardiac Surgery |
|------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Submitter's Address | 3200 Lakeside Drive Santa Clara, CA 95054 |
| Telephone | [phone] |
| Fax | [phone] |
| Contact Person | M. Laurie Wong |
| Date Prepared | July 22, 2004 |
| Device Trade Name | Guidant VasoView ® 6 Harvesting Cannula |
| Device Common Name | Electrosurgical cutting and coagulation device and accessories |
| Device Classification Name | Electrosurgical cutting and coagulation device and accessories |
| Device Classification | Class II |
| Summary of substantial equivalence | The design, materials, method of delivery, and intended use features of the Guidant VasoView 6 Harvesting Cannula are substantially equivalent with regard to these features in the predicate devices: the VV4 (K030512, May 14, 2003), VV5 (K020143, February 20, 2002), and VV6 (K022718, August 28, 2002). |

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| Device<br>description | The Guidant VasoView® 6 Harvesting Cannula is designed for use in<br>conjunction with the 7 mm Endoscope. The Harvesting Cannula has four<br>lumens which house the Endoscope, C-Ring wire, endoscope washer tube and<br>Bipolar Bisector for ligation and division of vessel branches. The<br>C-Ring/endoscope washer is independently controlled by a C-Ring Slider on<br>the handle of the device for retraction of the vessel as well as washing of the<br>distal tip of the Endoscope. The Bipolar Bisector can be<br>extended/retracted/rotated with the Bisector Carriage, and mechanical cutting<br>is achieved with the toggle located on the Bisector Carriage. Bipolar<br>coagulation is achieved using electrosurgical energy. Positioning of the<br>device, coagulation, and mechanical cutting are performed under endoscopic<br>visualization. This device is intended for use with the bipolar outputs of<br>compatible generators. |
|----------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Indications for<br>Use | The VasoView® 6 System is indicated for use in minimally invasive surgery<br>allowing access for vessel harvesting, and is primarily indicated for patients<br>undergoing endoscopic surgery for arterial bypass. It is indicated for cutting<br>tissue and controlling bleeding through coagulation, and for patients requiring<br>blunt dissection of tissue including dissection of blood vessels, dissection of<br>blood vessels of the extremities, dissection of ducts and other structures in the<br>extraperitoneal or subcutaneous extremity and thoracic space. Extremity<br>procedures include tissue dissection/vessel harvesting along the saphenous<br>vein for use in coronary artery bypass grafting and peripheral artery bypass or<br>radial artery for use in coronary artery bypass grafting. Thoracoscopic<br>procedures include exposure and dissection of structures external to the<br>parietal pleura, including nerves, blood vessels and other tissues of the chest<br>wall. |
| Technological<br>characteristics | Guidant VasoView 6 Harvesting Cannula incorporates the same fundamental<br>scientific technology as the predicate devices. |
| Performance<br>data | The results of the verification testing demonstrate that the Guidant VasoView<br>6 Harvesting Cannula meet the established acceptance criteria and performs<br>in a manner equivalent to the predicate devices. No new safety or<br>effectiveness issues were raised during the testing program. |

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Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" arranged around the perimeter. Inside the circle is an abstract symbol that resembles a stylized caduceus, which is a traditional symbol of medicine and healthcare. The symbol features a central staff with three wavy lines extending from it.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

AUG 2 0 2004

Ms. M. Lautic Berg Sr. Regulatory Affairs Specialist Guidant Corporation Cardiac Surgery 3200 Lakeside Drive Santa Clara, California 95054

Rc: K041981

K041981
Trade/Device Name: Guidant VasoView® 6 Harvesting Cannula , Model VH-2000: Guidant
Trade/Device Name: Guidant Vasoview® -VasoView® 6 Regulation Number: 21 CFR 878.4400 Regulation Name: 21 CFR 878. 1100
Regulation Name: Electrosurgical cutting and coagulation device and accessories Regulatory Class: II Product Code: GEI Dated: July 22, 2004 Received: July 23, 2004

Dear Ms. Wong:

We have reviewed your Section 510(k) premarket notification of intent to market the device We have reviewed your Section 310(x) premained in substantially equivalent (for the indications for use stated in the enclosure) the assets of casted predicate devices marketed in interstate for use stated in the enclosure) to regally manced promotical Device Amendments, or to
commerce prior to May 28, 1976, the enactment date of the Federal Food Drug commerce provide way 28, 1776, the enacertance with the provisions of the Federal Food. Drug.
devices that have been reclassified in accordance with the provisions of the hav devices that have been recuasince with association while approval application (PMA).
and Cosmetic Act (Act) that do not require approval of a premarket approval application o and Cosment Act (Act) that do not require approvide controls provisions of the Act. The
You may, therefore, market the device, subject to the general controls provisions of You may, therefore, market the device, economic for annual registration, listing of general controls provisions of the rist 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 If your device is classined (see above) mo entier on major regulations allecting your device can be may be subject to such additional controlls. Title 21. Parts 800 to 898. In addition. FDA may be found in the Code of Peacharding your device in the Federal Register.

Please be advised that FDA`s issuance of a substantial equivalence determination docs not mean Please be advised that FDA s issualled of a substantial explice with other requirements of the Act that FDA has made a deletimmation administered by other Federal agencies. You must
or any Federal statutes and regulations administered by other Federal agencies. You mis or any rederal statutes and regulations daminobers. but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set and CrK Part 607), natemig (21 CFR Part 820); government (21 CFR Part 820); and if applicable, the electronic forth in the quality systems (Sections (Sections 531-542 of the Act): 21 CFR 1000-1050.

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Page 2 - Ms. M. Laurie Wong

This letter will allow you to begin marketing your device as described in your Section 510(k) I his letter will anow you to tegil maketing your antial equivalence of your device to a legally premarket notheation: The PPA Tinang of the new cour device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please If you desire specific advice for your de rice of the Also, please note the regulation entitled, contact the Office of Compliance at (301) 377-777 Part 807.97). You may obtain Misbranding by reference to premance no itrease - expend the Act from the Division of Small other gelleral miormation on your responser Assistance at its toll-free number [phone] or [phone] or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html

Sincerely yours,

Sincerely yours,

Mark A. Millhouser

Celia M. Witten, Ph.D., M.D. Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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## Indications for Use

510(k) Number (if known):__K041981

510(in Number (in Known): 115-------------------------------------------------------------------------------------------------------------------------------------------------VasoView® 6

Indications For Use:

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including through coasies, dissection of blood vessels of the extraperity bleeting through in the extrapertioner in thiod vossels of the many of the more of the more of the more of the more of the more of Including dissocion of the extrapentioned on substantoned on and other only of the studio of the studio and dissection of cases in the secures include tissue artery bypass grating and
extremity and the saphenous vin for use in coronary artery bypass grafting. externity and and the saphenous vein for use in coronary artery bypass grafting.
harvesting along the saphenous venture and dissection of structures external navesting along the st (
peripleral attery bypass or radial artery bruse in ortonaly and the many of the many of the comment of the chest wall. periprietal arough of the many of the many of structures with the chest wall.
parietal pleura, including nerves, blood vessels and other tissues of the chest wall.

Mark D. Millham

ral, Restorative, Division of Neurological Devices

510(k) Number_

Prescription Use _ (Part 21 CFR 801 Subpart D) AND/OR

Over-The-Counter Use (21 CFR 807 Subpart C)

X04198

No