VISIONS PV .035 DITITAL IVUS CATHETER

K121273 · Volcano Corporation · OBJ · Sep 10, 2012 · Cardiovascular

Device Facts

• Record ID: K121273
• Device Name: VISIONS PV .035 DITITAL IVUS CATHETER
• Applicant: Volcano Corporation
• Product Code: OBJ · Cardiovascular
• Decision Date: Sep 10, 2012
• Decision: SESE
• Submission Type: Abbreviated
• Regulation: 21 CFR 870.1200
• Device Class: Class 2

Intended Use

The Visions PV .035 catheters are designed for use in the evaluation of vascular morphology in blood vessels of the peripheral vasculature by providing a cross-sectional image of such vessels. The Visions PV .035 ultrasound imaging catheters are designed for use as an adjunct to conventional angiographic procedures to provide an image of the vessel lumen and wall structures and dimensional measurements from the image.

Device Story

Visions PV .035 is an over-the-wire intravascular imaging catheter featuring a distal 64-element cylindrical digital ultrasound transducer. Device tracks over 0.035"-0.038" guidewires; introduced percutaneously or via surgical cutdown. Transducer radiates acoustic energy into peripheral vessel tissue; detects echoes to generate real-time cross-sectional images. Operates exclusively with Volcano s5 or s5i imaging systems (or later). Catheter includes radiopaque and inked markers for positioning. Used by clinicians as an adjunct to angiography to visualize vessel lumen/wall structures and perform dimensional measurements. Benefits include improved assessment of vascular morphology during peripheral procedures.

Clinical Evidence

Bench testing only. No clinical data provided. Verification testing included biocompatibility, shelf life, sterilization, packaging integrity, and design verification to demonstrate safety and performance equivalence to the predicate.

Technological Characteristics

Over-the-wire intravascular imaging catheter; 64-element cylindrical digital ultrasound transducer; 9.0 MHz center frequency. Materials: Pebax (shaft/tip), HDPE (inner lumen). Features: GlyDx hydrophilic coating, 25 radiopaque markers, inked markers. Connectivity: Proprietary interface for Volcano s5/s5i imaging systems. Sterilization: Ethylene Oxide (EO).

Indications for Use

Indicated for evaluation of vascular morphology in peripheral vasculature blood vessels. Used as an adjunct to conventional angiographic procedures to provide images of vessel lumen and wall structures and dimensional measurements. Intended for prescription use.

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

• Volcano Visions PV 8.2 PV IVUS Imaging Catheter (K071660)

Submission Summary (Full Text)

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Volcano Corporation April 26, 2012

Visions® PV .035 Digital IVUS Catheter Abbreviated 510(k)

## Section 2: 510(k) Summary

| Submitter Name: | Volcano Corporation |
|----------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Address: | 3661 Valley Centre Dr.<br>San Diego, CA 92130 |
| Contact: | Marilyn Pourazar<br>Senior Director of Regulatory Affairs |
| Phone: | [phone] |
| Fax:<br>E-mail: | [phone]<br>[e-mail] |
| Date Prepared: | April 26, 2012 |
| Device Trade Name: | Vision® PV .035 Digital IVUS Catheter |
| Device Common Name: | Ultrasonic Imaging Catheter |
| Classification Name: | Diagnostic Intravascular Catheter, 870.1200 - Class II<br>Diagnostic Ultrasound Transducer, 892.1570 - Class II |
| Classification Code: | IYN: Ultrasonic Imaging Catheter, Intravascular Ultrasonic<br>Imaging System<br>ITX: Transducer, Ultrasonic, Diagnostic, Intravascular Ultrasonic<br>Imaging System |
| Predicate Devices: | Volcano Visions PV 8.2 PV IVUS Imaging Catheter,<br>510(k) Number K071660 Classification Code: OBI, ITX |

#### Device Description :

The Visions PV .035 Catheter is an over-the-wire intravascular imaging catheter with a digital ultrasound transducer at the distal end. The transducer utilizes a 64-element cylindrical array that radiates acoustic energy into the surrounding tissue and detects the subsequent echoes. The information from the echoes is used to generate real-time images of the peripheral vessels.

The Visions PV .035 Catheter is introduced percutaneously or via surgical cutdown into the vascular system, and is designed to track over 0.035"-0.038" (0.89-0.97mm) guide wires.

The catheter body has markers 1 cm apart along the working length. There are 25 radiopaque (RO) markers on the distal end of the catheter, starting 1 cm from the imaging plane, with the 25th RO marker overlapping the distal-most wide inked markers (non-radiopaque)

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Volcano Corporation April 26, 2012

continue along the shaft, spaced 1 cm apart, middle, with wider marks indicating 5 cm intervals.

A lubricious GlyDx® hydrophilic coating is applied externally to a distal portion of the catheter. The Visions® PV .035 Catheter, catalog number 88901, catheters may only be used with the In-Vision Imaging System, Volcano s5™ or Volcano s5i™ imaging systems, or later systems. This catheter will not operate if connected to any other imaging system.

#### Intended Use:

The Visions PV .035 catheters are designed for use in the evaluation of vascular morphology in blood vessels of the peripheral vasculature by providing a cross-sectional image of such vessels.

The Visions PV .035 ultrasound imaging catheters are designed for use as an adjunct to conventional angiographic procedures to provide an image of the vessel lumen and wall structures and dimensional measurements from the image.

#### Device Design Requirements:

Biocompatibility, shelf life, sterilization, packaging integrity, safety, and design verification testing have been/will be performed to prove that the materials and manufacturing processes selected for the catheter shaft and body of the Visions® PV .035 Catheter do not pose a significant safety risk to the patient.

#### Substantial Equivalence Discussion:

The Visions® PV .035 Digital IVUS Catheter is substantially equivalent to the predicate device in intended use and principles of operation. Predicate device information is below:

| Predicate Device<br>Name | Model Number<br>(s) | 510(k) Number | Clearance Date |
|-------------------------------------------------------|---------------------|---------------|----------------|
| Volcano Visions PV<br>8.2 PV IVUS Imaging<br>Catheter | 88900 | K07166 | 8/31/2007 |

The Visions® PV .035 Catheter uses the same fundamental scientific technologies and has the same intended use as that of the predicate device, the Volcano Visions PV 8.2 PV IVUS Imaging Catheter. It is an Over-the-Wire catheter design as is the Volcano Visions PV 8.2 PV IVUS Imaging Catheter Model 88900.

The Visions® PV .035 Digital IVUS Catheter is a redesign of the catheter body elements of the Volcano Visions PV 8.2 PV IVUS Imaging Catheter. The significant design changes are:

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Volcano Corporation April 26, 2012

| Predicate Device (PV 8.2) | Subject Device (PV.035) | Comparison |
|------------------------------------------|-----------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Proximal Shaft (0.092" to<br>0.108" OD) | Proximal Shaft (0.092" to 0.108"<br>OD) | PV.035 is a 72D Pebax<br>based single lumen design<br>with the same OD. PV 8.2<br>is a multi-lumen HDPE<br>design that incorporates<br>the inner lumen. |
| Inner Lumen (0.043" ID) | Inner Lumen (0.043" x 0.048") | PV.035 and PV8.2 have<br>the same ID and HDPE<br>interface. PV.035 utilizes<br>an independent inner<br>lumen with a pebax outer<br>layer, where PV8.2 is a<br>multi-lumen shaft design. |
| Connector Assembly | Connector Assembly | PV.035 is identical in<br>design except that it adds<br>an extra 20cm to the<br>connector length utilizing<br>excess microcable<br>currently in the design. |
| Tip | Tip | PV.035 tip is slightly<br>smaller OD and changes<br>materials to a flexible 63D<br>and 55D Pebax. PV 8.2<br>uses an HDPE blend. The<br>inner lumen is unchanged. |
| ESL tubing over proximal<br>scanner seal | Adhesive over proximal scanner<br>seal | PV035 uses the same<br>material for the proximal<br>seal as used on the distal<br>seal, PV8.2 uses an<br>expanded and shrunk PE<br>material instead of<br>adhesive. |
| RO Marker | Inked and RO markers | PV 8.2 uses a PT/IR<br>marker on the tip but has<br>no other marks on the<br>catheter. PV.035 adds 25<br>RO markers on the distal<br>inner member and then<br>inked markers along the<br>remaining inner lumen up<br>to the y-arm. The<br>proximal shaft is clear so<br>the inked markers can be<br>visualized. |

Packaging materials and methods for the Visions® PV .035 Catheter will remain unchanged from that of the predicate device at the time of release pending 510(k) approval. Sterility, EO residuals, Bioburden, LAL, and package integrity testing will be completed to ensure that the

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Volcano Corporation April 26, 2012

Visions® PV .035 Digital IVUS Catheter Abbreviated 510(k)

changes to the catheter body shape and materials do not have a negative impact on the packaged device. The shelf life of the Visions® PV 8.2 PV IVUS Imaging Catheter will be based upon the data available at the time of product release. The shelf life test plan has been written to include time points up to two years.

The Predicate Device Comparison Tables are contained in the Substantial Equivalence Discussion in Section 9 of this filing. The predicate comparison table and the supporting information provided in this 510(k) are sufficient to demonstrate that the Visions® PV .035 Digital IVUS Catheter is as safe and effective as the legally marked predicate device.

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## Report No. 744 18 of 50

# Acoustic Output Reporting Table for Track 3

Transducer Model:

PV .035 IVUS catheter

Operating Mode:

B-Mode

| Index Label | MI | Scan | TIS | | TIB | TIC | |
|----------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------|---------|-------------------------|-------------------------|----------|-----|---|
| | | | Non-scan<br>Aaprt≤1 cm2 | Non-scan<br>Aaprt>1 cm2 | Non-scan | | |
| Maximum index value | 0.0162 | 6.18E-5 | - | - | - | # | |
| pr.3 (MPa) | 0.0482 | | - | - | - | # | |
| W0 (mW) | | 2.89E-3 | - | - | - | # | |
| min of [W.3(z1), ITA,3(z1)] (mW) | | | - | - | - | | |
| Associated<br>acoustic<br>parameter | z1 (cm) | | | - | - | - | |
| | zbp (cm) | | | - | - | - | |
| | zsp (cm) | 0.0850 | | - | - | - | |
| | deq(zsp) (cm) | | | - | - | - | |
| | fc (MHz) | 9.00 | 9.00 | - | - | - | # |
| | Dim of Aaprt X (cm) | | 0.0160 | - | - | - | # |
| | Y (cm) | | 0.150 | - | - | - | # |
| | PD (µsec) | 0.333 | | - | - | - | |
| Other<br>Information | PRF (Hz) | | 2.09E+4 | - | - | - | |
| | pr@ PIImax (MPa) | 0.0495 | | - | - | - | |
| | deq @ PIImax (cm) | | | - | - | - | |
| | Focal<br>Length FLx (cm) | | N/A* | - | - | - | |
| | FLy (cm) | | N/A* | - | - | - | |
| | IPA.3 @ MImax (W/cm²) | 0.0680 | | - | - | - | |
| | Image Rate: 11.673 Hz<br>Transmits/sector: 1792<br>Angle: 360 degrees<br>Sector offset: 1.27 mm<br>W01 Factor: 0.5 | | | | | | |
| Note 1: Information need not be provided for any formulation of <i>TIS</i> not yielding the maximum value of <i>TIS</i> for that mode. | | | | | | | |
| Note 2: Information need not be provided regarding <i>TIC</i> for any TRANSDUCER ASSEMBLY not intended for transcranial or neonatal cephalic uses. | | | | | | | |
| Note 3: Information on MI and TI need not be provided if the equipment meets both the exemption clauses given in 51.2 aa) and 51.2 dd). | | | | | | | |
| (a) Intended use does not include cephalic so TIC is not computed | | | | | | | |
| # No data reported. | | | | | | | |
| * Device is not focused | | | | | | | |

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Image /page/5/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle with its wings spread, and three wavy lines below it. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" is arranged in a circular fashion around the eagle.

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

SEP 10 2012

Volcano Corporation c/o Ms. Marilyn Pourazar Sr. Director, Regulatory Affairs 3661 Valley Centre Drive Suite 200 San Diego, CA 92130

#### Re: K121273

Trade Name: Visions PV .035 Digital IVUS Catheter Regulation Number: 21 CFR 870.1200 Regulation Name: Diagnostic intravascular catheter Regulatory Class: Class II (two) Product Codes: OBJ Dated: August 28, 2012 Received: August 29, 2012

Dear Ms. Pourazar:

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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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 (OS) 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/CDRH/CDRHOffices/ucm115809.htm 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/ReportaProblem/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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## 510(k) Number (if known):

Visions® PV .035 Digital IVUS Catheter Device Name:

#### Indications for Use:

The Visions PV .035 catheters are designed for use in the evaluation of vascular morphology in blood vessels of the peripheral vasculature by providing a crosssectional image of such vessels.

The Visions PV .035 ultrasound imaging catheters are designed for use as an adjunct to conventional angiographic procedures to provide an image of the vessel lumen and wall structures and dimensional measurements from the image.

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

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

(Please Do not WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IFNEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

(Division Sign-Off)
Division of Cardiovascular Devices
510(k) Number K121273 Page 1 of 1