VOLCANO S5/S5I INTRAVASCULAR IMAGING AND PRESSURE SYSTEM

K071554 · Volcano Corporation · OBJ · Jan 4, 2008 · Cardiovascular

Device Facts

Record IDK071554
Device NameVOLCANO S5/S5I INTRAVASCULAR IMAGING AND PRESSURE SYSTEM
ApplicantVolcano Corporation
Product CodeOBJ · Cardiovascular
Decision DateJan 4, 2008
DecisionSESE
Submission TypeSpecial
Regulation21 CFR 870.1200
Device ClassClass 2

Intended Use

The Volcano s5/s5i Series Intravascular Imaging and Pressure System is used for the qualitative and quantitative evaluation of vascular morphology in the coronary arteries and vessels of the peripheral vasculature. It is also indicated as an adjunct to conventional angiographic procedures to provide an image of vessel lumen and wall structures. ChromaFlo® is indicated for qualitative blood flow information from peripheral and coronary vasculature; flow information can be an adjunct to other methods of estimating blood flow and blood perfusion. VH IVUS is intended to be used in conjunction with imaging catheters during diagnostic ultrasound imaging of the peripheral and coronary vasculature. The Volcano VH IVUS System is intended to semi-automatically visualize boundary features and perform spectral analysis of RF ultrasound signals of vascular features that the user may wish to examine more closely during routine diagnostic ultrasound imaging examinations. The pressure feature is intended for use in all blood vessels, including coronary and peripheral arteries, to measure intravascular blood pressure during diagnostic angiography and/or interventional procedures. Rotational 45MHz feature is intended for the qualitative and quantitative evaluation of vascular morphology in the coronary arteries and vasculature. As an adjunct to conventional angiographic procedures to provide an image of the vessel lumen and wall structures. The pullback feature of the PIMr withdraws the imaging core within the protective sheath for a maximum of 15 cm.

Device Story

System provides intravascular ultrasound (IVUS) imaging and pressure measurement for coronary and peripheral vasculature. Inputs: ultrasound signals from compatible catheters; pressure data from guidewires (SmartWire II/ComboWire); aortic pressure from lab equipment. Operation: console processes signals to display high-resolution intraluminal images; calculates fractional flow reserve (FFR) using distal and aortic pressure. Features: ChromaFlo (color-coded blood velocity overlay); In-Line Digital (longitudinal vessel view); VH IVUS (spectral analysis of RF ultrasound signals for boundary visualization). Used in cath labs by physicians/technicians as adjunct to angiography/angioplasty. Output: real-time images and pressure metrics on console display. Benefits: assists in vessel morphology evaluation and interventional therapy guidance.

Clinical Evidence

Bench testing only. Risk analysis performed per ISO 14971 and IEC 60601-1-4. Performance testing conducted to evaluate system modifications and ensure compliance with quality system regulations. No clinical trial data presented.

Technological Characteristics

System includes console (tower or portable), imaging catheters (e.g., Eagle Eye Gold, Revolution 45 MHz), and pressure guidewires. Sensing: ultrasonic pulsed echo and pressure transducers. Connectivity: integrated or standalone configurations. Software: performs image reconstruction, spectral analysis (VH IVUS), and pressure calculations. Sterilization: catheters provided sterile.

Indications for Use

Indicated for patients undergoing diagnostic angiography or interventional procedures in coronary and peripheral vasculature. Used for qualitative/quantitative evaluation of vascular morphology, blood flow assessment, and intravascular pressure measurement.

Regulatory Classification

Identification

An intravascular diagnostic catheter is a device used to record intracardiac pressures, to sample blood, and to introduce substances into the heart and vessels. Included in this generic device are right-heart catheters, left-heart catheters, and angiographic catheters, among others.

Predicate Devices

Reference Devices

Related Devices

Submission Summary (Full Text)

{0}------------------------------------------------ Submitter: Volcano Corporation ### 510(k) SUMMARY The 510(k) Summary is submitted as required by Section 807.92(a) | Submitter Name: | Volcano Corporation | |-----------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------| | Contact Person: | Lorry W. Huffman, RAC, MT(ASCP), CLS(NCA)<br>Sr. Director Regulatory Affairs | | Address: | 2870 Kilgore Road<br>Rancho Cordova, CA 95670 | | Phone Number: | 916-281-4503 | | Fax Number: | 916-638-2647 | | Date Prepared: | June 4, 2007 | | Device Trade Name: | Volcano s5/s5i Series Intravascular Imaging and Pressure<br>Systems | | Device Common Name: | Ultrasonic imaging system | | Classification Name,<br>Number, Product Code: | 892.1560 Ultrasonic pulsed echo imaging system, II, IYO<br>870.1110 Blood Pressure Computer, II, DSK<br>870.2900 Patient Transducer and Electrical Cable, II, DSA | KOJ1554 {1}------------------------------------------------ Special 510(k) Premarket Notification # Predicate Device Table | Predicate<br>System<br>Name | Predicate<br>System 510(k)<br>Clearance | Current Catalog<br>Numbers | Predicate<br>Catheters/Wires<br>510(k)<br>Clearance | Current Catalog<br>Numbers | |------------------------------------------------|-----------------------------------------|------------------------------------------------------|-----------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------| | Volcano s5i<br>Family of<br>Imaging<br>Systems | K061215 | s5/806300-001<br>s5/806300-003 | K051337<br>K000820<br>K944004<br>K902329 | 85900 Eagle Eye Gold<br>85700 Avanar FX 2.9F<br>86700 PV 0.018<br>88900 PV8.2 | | Volcano s5<br>Imaging<br>System | K051920 | s5/804200-001 | K051337<br>K000820<br>K944004<br>K902329 | 85900 Eagle Eye Gold<br>85700 Avanar FX 2.9F<br>86700 PV 0.018<br>88900 PV8.2 | | ComboMap®<br>Pressure<br>and Flow<br>System | K041134 | 6800 | K021219<br>K070487<br>K042996 | SmartWire II/BrightWire II<br>6600, 6600J, 6603,<br>6603J, 6613, 6613J<br>(7600, 7600J, 7603,<br>7603J)<br>FloWire<br>1400, 1400J, 1401,<br>1401J, 1403, 1403J,<br>1404, 1404J, 1413,<br>1413J<br>ComboWire II<br>9603, 9610 | | VH IVUS®<br>System | K051337 | 804906-001<br>804907-001<br>804908-001<br>804911-001 | K051337 | 85900 Eagle Eye Gold | | In-Vision<br>Gold with<br>SpinVision | K052348 | 804906-001<br>804907-001<br>804908-001<br>804911-001 | K050995<br>K051337<br>K000820<br>K944004<br>K902329 | 89000 Revolution<br>85900 Eagle Eye Gold<br>85700 Avanar FX 2.9F<br>86700 PV 0.018<br>88900 PV8.2 | #### Other prior predicates: WaveMap cleared under K965140; SmartMap cleared under K021219; ColorFloo Option for the Oracle In Vision Intravascular Ultrasound Imaging System cleared under K963290 on August 6, 1997; the Resolve Option for the Oracle InVision Intravascular Ultrasound Imaging System cleared under K965223 on June 29, 1998, the InVision Imaging System cleared under K031148 on May 28, 2003. NOTE: Volcano Therapeutics, Inc. (now Volcano Corporation) purchased the assets of JOMED Inc. on July 21, 2003. JOMED Inc. purchased Endosonics Corporation. {2}------------------------------------------------ Special 510(k) Premarket Notification ## Device Description: #### General Operation Overview When operating in IVUS mode, the system console gathers and displays high-resolution intraluminal images that can be analyzed both qualitatively and quantitatively. In addition to supplying diagnostic information, the Volcano s5/s5i system is an adjunct to interventional therapies, such as balloon angioplasty. With ChromoFlo® (not available with Revolution catheter), a two-dimensional color map of relative blood velocities is overlaid on the grayscale image, providing additional information for vessel analysis. The In-Line Digital feature displays a two-dimensional, longitudinal view of the vessel. The angle of the longitudinal cut can be varied around the full 360 degrees. When operating in pressure mode, the system acquires intraluminal data from the pressure guidewire (SmartWire II/ComboWire) while simultaneously taking aortic pressure data from the established ECG/EKG catheterization lab equipment. In conjunction with the procedure, the system measures pressure and calculates pressure differences between the aoritic pressure and the SmartWire/ComboWire pressure transducer typically located distal to the vascular lesion and calculates the fractional flow reserve (FFR). ### Volcano s5/s5i Series Intravascular System (Subject Device) | s5 tower or portable configuration | Model 807300-xxx | |----------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------| | s5i integrated configuration | Model 807400-xxx | | s5i integrated configuration with 3rd party connectivity | Model Multiple, TBD | | Accessories and Option kits | | | s5-rev Option Kit | part number 806071-008 | | s5i-rev Option Kit | part number 806071-009 | | s5-ffr Option Kit | part number 807342-001 | | s5i-ffr Option Kit | part number 807343-001 | | S5i PIMr rail Hanger Option Kit | part number 807334-001 | | s5 PC Chassis Upgrade Kit | part number 807301-004 | | Multiple peripheral components | part number(s) Multiple, refer to Marketing brochure in Attachment 4 for a current listing | | Catheters | 85900 Eagle Eye Gold<br>85700 Avanar FX 2.9F<br>86700 PV 0.018<br>88900 PV8.2<br>89000 Revolution 45 MHz Rotational | | Wires | SmartWire II 6600 6600J<br>6603 6603J<br>6613 6613J<br>BrightWire II 7600 7600J<br>7606 7603J<br>ComboWire II 9603 9610<br>(operates the pressure transducer only) | {3}------------------------------------------------ : 14 #### Intended Use: The Volcano s5/s5i Series Intravascular Imaging and Pressure System is used for the qualitative and quantitative evaluation of vascular morphology in the coronary arteries and vessels of the peripheral vasculature. It is also indicated as an adjunct to conventional angiographic procedures to provide an image of vessel lumen and wall structures. ChromaFlo® is indicated for qualitative blood flow information from peripheral and coronary vasculature; flow information can be an adjunct to other methods of estimating blood flow and blood perfusion. VH IVUS is intended to be used in conjunction with imaging catheters during diagnostic ultrasound imaging of the peripheral and coronary vasculature. The Volcano VH IVUS System is intended to semi-automatically visualize boundary features and perform spectral analysis of RF ultrasound signals of vascular features that the user may wish to examine more closely during routine diagnostic ultrasound imaging examinations. The pressure feature is intended for use in all blood vessels, including coronary and peripheral arteries, to measure intravascular blood pressure during diagnostic angiography and/or interventional procedures. Rotational 45MHz feature is intended for the qualitative and quantitative evaluation of vascular morphology in the coronary arteries and vasculature. As an adjunct to conventional angiographic procedures to provide an image of the vessel lumen and wall structures. The pullback feature of the PIMr withdraws the imaging core within the protective sheath for a maximum of 15 cm. #### Performance Data: A risk analysis was conducted according to 803475-001 Risk Management which was written to comply with ISO 14971 and IEC 60601-1-4 as specific risk management standards. Also taken into consideration in this procedure are 21 CFR 820.30 and the Medical Device Directive of the European Union (93/46/EEC). Applicable testing was performed as required by the Quality System to evaluate the modifications to the Volcano s5/s5i Intravascular Imaging and Pressure System. The test results were found to be acceptable as required by the respective test plans and protocols. #### Conclusion: The discussion and data presented in this 510(k) and conformance with Design Controls and the Quality System Regulations establishes the Volcano s5/s5i Series Intravascular Imaging and Pressure System to be substantially equivalent for its intended use to the predicate devices listed in this submission. {4}------------------------------------------------ Public Health Service Image /page/4/Picture/2 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular border with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" arranged around the perimeter. Inside the circle is an abstract symbol that resembles a stylized eagle or bird in flight, composed of three curved lines that suggest the head, body, and tail feathers. JAN - 4 2008 Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850 Volcano Corporation c/o Lorry Huffman, RAC Sr. Director, Regulatory Affairs 2870 Kilgore Road Rancho Cordova, CA 95670 Re: K071554 Trade Name: Volcano s5/s5i Intravascular Imaging and Pressure System Regulation Number: 21 CFR 870.1200 Regulation Name: Intravascular Ultrasound Catheter Regulatory Class: Class II (two) Product Code: OBJ, IYO Dated: December 3, 2007 Received: December 5, 2007 #### Dear Ms. Huffman: 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 (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. 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 such 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. {5}------------------------------------------------ Page 2 – Ms. Lorry Huffman, RAC 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 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. 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 (21 CFR Part 801), please contact the Office of Compliance at (240) 276-0120. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR 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 (800) 638-2041 or (240) 276-3150 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html. Sincerely yours, Blummore fr Bram D. Zuckerman, M.D. Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health Enclosure {6}------------------------------------------------ # Statement of Indications for Use 510(k) Number (if known): Device Name: Volcano s5/s5i Series Intravascular Imaging and Pressure System #### Indications for Use: The Volcano s5/s5i Series Intravascular Imaging and Pressure System is used for the qualitative and quantitative evaluation of vascular morphology in the coronary arteries and vessels of the peripheral vasculature. It is also indicated as an adjunct to conventional angiographic procedures to provide an image of vessel lumen and wall structures. ChromaFlo® is indicated for qualitative blood flow information from peripheral and coronary vasculature; flow information can be an adjunct to other methods of estimating blood flow and blood perfusion. VH IVUS is intended to be used in conjunction with imaging catheters during diagnostic ultrasound imaging of the peripheral and coronary vasculature. The Volcano VH IVUS System is intended to semi-automatically visualize boundary features and perform spectral analysis of RF ultrasound signals of vascular features that the user may wish to examine more closely during routine diagnostic ultrasound imaging examinations. The pressure feature is intended for use in all blood vessels, including coronary and peripheral arteries, to measure intravascular blood pressure during diagnostic angiography and/or interventional procedures. Rotational 45MHz feature is intended for the qualitative and quantitative evaluation of vascular morphology in the coronary arteries and vasculature. As an adjunct to conventional angiographic procedures to provide an image of the vessel lumen and wall structures. The pullback feature of the PIMr withdraws the imaging core within the protective sheath for a maximum of 15 cm. Prescription Use X Over-The-Counter Use AND/OR (Part 21 CFR 801 Subpart D) (21 CFR 807 Subpart C) (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE OF NEEDED) Concurrence of CDRH, Office of Device Evaluation (ODE) Bhumma (Posted November 13, 2003) Slan-Off ision of Cardlovascular Devices STÜRK Number Ka
Innolitics
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