PRONTO V4 EXTRACTION CATHETER 5.5F; PRONTO V4 EXTRACTION CATHETER 6F; PRONTO V4 EXTRACTION 7F; PRONTO V4 EXTRACTION CATH

K103405 · Vascular Solutions, Inc. · QEZ · Dec 22, 2010 · Cardiovascular

Device Facts

• Record ID: K103405
• Device Name: PRONTO V4 EXTRACTION CATHETER 5.5F; PRONTO V4 EXTRACTION CATHETER 6F; PRONTO V4 EXTRACTION 7F; PRONTO V4 EXTRACTION CATH
• Applicant: Vascular Solutions, Inc.
• Product Code: QEZ · Cardiovascular
• Decision Date: Dec 22, 2010
• Decision: SESE
• Submission Type: Special
• Regulation: 21 CFR 870.5150
• Device Class: Class 2
• Attributes: Therapeutic

Indications for Use

The Pronto catheter is indicated for the removal of fresh, soft emboli and thrombi from vessels in the coronary and peripheral vasculature.

Device Story

Pronto V4 is a dual-lumen rapid exchange extraction catheter; used for removing fresh, soft emboli and thrombi from coronary and peripheral vessels. Device features stiff proximal region, flexible distal region, rounded distal tip with sloped extraction opening, and radiopaque marker band. Distal 18 cm has hydrophilic coating for deliverability. Operated by physicians in clinical settings; utilizes 30 mL syringes attached via extension line and stopcock to create aspiration for thrombus removal. Includes filter basket for collecting thrombus for lab analysis. Guidewire compatible (≤0.014 inches).

Clinical Evidence

Bench testing only. Verification testing included simulated anatomy/concomitant device use, hydrophilic coating integrity, thrombus aspiration, kink resistance, air aspiration, tensile, torque, and dimensional verifications. Biocompatibility and hemocompatibility assessments included cytotoxicity, sensitization, irritation, acute systemic toxicity, material-mediated pyrogens, hemolysis, coagulation, prothrombin time, hematological parameters, complement activation, and thrombogenicity. All results met acceptance criteria.

Technological Characteristics

Dual-lumen rapid exchange catheter; thermoplastics construction; hydrophilic coating; radiopaque marker band; ISO 594-1/594-2 compliant luer fittings; ethylene oxide sterilization. Available in 5.5F, 7F, and 8F sizes.

Indications for Use

Indicated for removal of fresh, soft emboli and thrombi from coronary and 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.

Predicate Devices

• Pronto V3 extraction catheter (K083784)

Submission Summary (Full Text)

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May 20, 2021

Vascular Solutions, Inc. Matt Nienstedt Regulatory Affairs Associate 6464 Sycamore Court North Minneapolis, Minnesota 55369

Re: K103405

Trade/Device Name: Pronto V4 extraction catheter Regulation Number: 21 CFR 870.5150 Regulation Name: Embolectomy catheter Regulatory Class: Class II Product Code: OEZ

Dear Matt Nienstedt:

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 December 22, 2010. Specifically, FDA is updating this SE Letter 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 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 -S O'connell -S 09:47:10-04'00'

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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Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring, MD 20993-0002

Vascular Solutions, Inc. c/o Mr. Matt Nienstedt 6464 Sycamore Court Minneapolis, MN 55369 DEC 2 2 2010

Re: K103405

Trade/Device Name: Pronto® V4 Extraction Catheter Common Name: Catheter, Embolectomy Regulation Number: 21 CFR 870.5150 Regulatory Class: II Product Code: DXE Dated: December 14, 2010 Received: December 15, 2010

Dear Mr. Nienstedt:

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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

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.

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Page 2 - Mr. Matt Nienstedt

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); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); 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.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRHOffices/ucm115809.htm1 for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportalProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

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/MedicalDevices/Resourcesfor You/Industry/default.htm.

Sincerely yours,

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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## DEC 2 2 2010

# Indications for Use

# 510(k) Number (if known): K103405

Device Name: Pronto V4 extraction catheter

## Indications for Use:

The Pronto catheter is indicated for the removal of fresh, soft emboli and thrombi from vessels in the coronary and peripheral vasculature.

Prescription Use __ X (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use _________________________________________________________________________________________________________________________________________________________ (21 CFR 801 Subpart C)

The Brand Company of Child Call And Concessions and Charles Commenders and Market Children

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE OF NEEDED)

| Concurrence of CDRH, Office of Device Evaluation (ODE) |
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| Division of Cardiovascular Devices |

510(k) Number_________________________________________________________________________________________________________________________________________________________________

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## 2 510(k) Summary

[As required by 21 CFR 807.92] 510(k) Number: K103405

## Date Prepared: December 20, 2010

## Submitter's Information / Contact Person

Manufacturer

Vascular Solutions, Inc. 6464 Sycamore Court Minneapolis, MN 55369 USA Establishment Registration # 2134812

#### Contact Person

Matt Nienstedt Regulatory Affairs Associate Tel: [phone] (direct) Fax: [phone] Email: [e-mail] Alternate Contact Person Stacy Ouellette Senior Regulatory Affairs Operations Associate Tel: [phone] (direct) Fax: [phone] Email: [e-mail]

#### General Information

| Trade Name | Pronto® V4 extraction catheter |
|---------------------|--------------------------------------------------------------------|
| Common / Usual Name | Extraction catheter |
| Classification Name | 21 CFR 870.5150, Embolectomy Catheter |
| Predicate Device | Pronto V3 extraction catheter (K083784 - Vascular Solutions, Inc.) |

#### Device Description

The Pronto V4 extraction catheter (Pronto) is a dual lumen rapid exchange catheter that has a working length of approximately 138 cm and is packaged with related accessories. The smaller wire lumen of the catheter is able to accommodate guidewires ≤0.014 inches in diameter. The larger extraction lumen allows for the removal of thrombus by use of the included 30 mL syringes through the extension line and stopcock. The catheter has a stiff proximal region and a flexible distal region. The catheter has a rounded distal tip with a protected, sloped opening of the extraction lumen to facilitate advancement of the catheter into the blood vessel and maximize extraction of thrombus

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through the extraction lumen. The catheter contains a radiopaque marker band located approximately 2 mm from the distal tip. The distal 18 cm of the catheter has a hydrophilic coating to enhance deliverability to the target vasculature. The device has positioning marks located at 95 cm and 105 cm from the distal tip, respectively. The proximal end of the catheter incorporates a standard luer adapter to facilitate the attachment of catheter to the included extension line, stopcock, and 30 mL syringes. A filter basket is included for assistance in filtering the blood removed during the procedure for laboratory analysis of any thrombus.

## Intended Use / Indications

The Pronto catheter is indicated for the removal of fresh, soft emboli and thrombi from vessels in the coronary and peripheral vasculature.

## Technological Characteristics

The Pronto V4 and predicate Pronto V3 devices have the following characteristics in common:

- . Compatibility with 0.014 inch guidewires
- . Shaft construction - several thermoplastics reflowed together.
- Silva tip with radiopaque marker band .
- . Positioning marks
- . Hydrophilic coating
- Hub configuration Both the predicate and subject device have hubs that are compatible . with ISO 594-1 and ISO 594-2 compliant luer fittings
- Sterilized by ethylene oxide .
- Provided with identical accessories .
- Packaged in identical sterile pouch and retail box .

The Pronto V4 and predicate Pronto V3 devices differ in the following:

- Hub and shaft materials and construction .
- The Pronto V4 extraction catheter is offered in additional sizes (5.5F, 7F, and 8F) .

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## Substantial Equivalence and Summary of Studies

The Pronto V4 extraction catheters are substantially equivalent to the specified predicate device based on comparisons of the device functionality, technological characteristics, and indications for use. The device design was qualified through the following tests:

- . Simulated anatomy/concomitant device use
- . Hydrophilic coating integrity and particulates
- Thrombus aspiration .
- Kink resistance .
- . Air aspiration
- . Tensile
- Torque .

.

- Dimensional verifications .
- Radiopacity .
- Biocompatibility
- o Cytotoxicity
- Sensitization o
- Irritation/intracutaneous reactivity o
- Acute systemic toxicity o
- o Material mediated pyrogens
- Hemocompatibility o
- . Hemolysis
- 트 Coagulation
- 페 Prothrombin time
- Hemotological parameters n
- T Complement activation
- 트 Thrombogenicity

Results of the verification testing and biomaterial assessments met the specified acceptance criteria and did not raise new safety or performance questions.