HOPER PTCA BALLOON CATHETER

K123473 · Lepu Medical Technology (Beijing) Co., Ltd. · LOX · Aug 13, 2013 · Cardiovascular

Device Facts

• Record ID: K123473
• Device Name: HOPER PTCA BALLOON CATHETER
• Applicant: Lepu Medical Technology (Beijing) Co., Ltd.
• Product Code: LOX · Cardiovascular
• Decision Date: Aug 13, 2013
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 870.5100
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

The balloon dilatation catheter is indicated for balloon dilatation of the stenotic portion of a coronary artery or bypass graft stenosis for the purpose of improving myocardial perfusion. This balloon dilatation catheter is not intended for the expansion or delivery of a stent.

Device Story

Hoper PTCA Balloon Dilatation Catheter is a rapid exchange system for percutaneous transluminal coronary angioplasty. Device consists of a polymer-coated stainless steel proximal shaft and a highly trackable distal shaft with a semi-compliant balloon. Two radiopaque platinum marker bands facilitate positioning under fluoroscopy. Compatible with 5F guiding catheters and 0.014-inch guide wires. Operated by trained physicians in hospital settings. During procedure, catheter is advanced to the stenotic site; balloon is inflated to dilate the vessel, improving myocardial perfusion. Device does not support distal dye injection or pressure measurement. Benefits include precise control of balloon diameter and length during dilatation. Single-use device.

Clinical Evidence

Bench testing only. No clinical data provided. In vitro performance testing included dimensional verification, balloon preparation/deployment/retraction, rated burst pressure, fatigue, compliance, inflation/deflation time, bond strength, tip pull strength, flexibility, kink, torque, radiopacity, coating integrity, and particulate evaluation. Biocompatibility testing included cytotoxicity, sensitization, intracutaneous, systemic toxicity, hemolysis, thromboresistance, PTT, pyrogen, and complement activation assays.

Technological Characteristics

Materials: stainless steel, semi-compliant balloon, platinum marker bands. Design: Rapid exchange, 0.014-inch guide wire compatible, 5F guiding catheter compatible. Energy: Hydraulic (inflation medium). Connectivity: None. Sterilization: Sterile/non-pyrogenic. Software: None.

Indications for Use

Indicated for balloon dilatation of stenotic coronary arteries or bypass grafts to improve myocardial perfusion. Contraindicated in patients with unprotected left main coronary artery, coronary artery spasm without significant stenosis, or inability to receive anticoagulation therapy.

Regulatory Classification

Identification

Standard PTCA Catheter: A PTCA catheter is a device that operates on the principle of hydraulic pressurization applied through an inflatable balloon attached to the distal end. A PTCA balloon catheter has a single or double lumen shaft. The catheter features a balloon of appropriate compliance for the clinical application, constructed from a polymer. The balloon is designed to uniformly expand to a specified diameter and length at a specific pressure as labeled, with well characterized rates of inflation and deflation and a defined burst pressure. The device generally features a type of radiographic marker to facilitate fluoroscopic visualization of the balloon during use. A PTCA catheter is intended for balloon dilatation of a hemodynamically significant coronary artery or bypass graft stenosis in patients evidencing coronary ischemia for the purpose of improving myocardial perfusion. A PTCA catheter may also be intended for the treatment of acute myocardial infarction; treatment of in-stent restenosis (ISR) and/or post-deployment stent expansion. Cutting/scoring PTCA Catheter: A cutting/scoring PTCA catheter is a balloon-tipped catheter with cutting/scoring elements attached, which is used in those circumstances where a high pressure balloon resistant lesion is encountered. A cutting/scoring PTCA catheter is intended for the treatment of hemodynamically significant coronary artery stenosis for the purpose of improving myocardial perfusion. A cutting/scoring PTCA catheter may also be indicated for use in complex type C lesions or for the treatment of in-stent restenosis.

Special Controls

*Classification.* Class II (special controls). The special control for this device is “Class II Special Controls Guidance Document for Certain Percutaneous Transluminal Coronary Angioplasty (PTCA) Catheters.” See § 870.1(e) for the availability of this guidance document.(b) *Cutting/scoring PTCA Catheter* —(1)*Identification.* A cutting/scoring PTCA catheter is a balloon-tipped catheter with cutting/scoring elements attached, which is used in those circumstances where a high pressure balloon resistant lesion is encountered. A cutting/scoring PTCA catheter is intended for the treatment of hemodynamically significant coronary artery stenosis for the purpose of improving myocardial perfusion. A cutting/scoring PTCA catheter may also be indicated for use in complex type C lesions or for the treatment of in-stent restenosis.(2) *Classification.* Class III (premarket approval). As of May 28, 1976, an approval under section 515 of the act is required before this device may be commercially distributed. See § 870.3.

Predicate Devices

• EmpiraTM Rx PTCA Dilatation Catheter (K110133)
• FireStar® PTCA Dilatation Catheter (P880003)
• FX miniRAILTM RX PTCA Catheter (P020037)

Submission Summary (Full Text)

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## Section 5: 510k) Summary

| Applicant | Lepu Medical Technology (Beijing) Co., Ltd.<br>No. 37 Chaoqian Road<br>Changping District, Beijing 102200<br>P.R. China |
|-------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Telephone | [phone] |
| Contact: | Arthur Goddard<br>216-233-5722<br>[e-mail] |
| Date | November 6, 2012 |
| Name | HoperTM PTCA Balloon Dilatation Catheter |
| Common Name: | PTCA Catheter |
| Classification Name: | Catheters, Transluminal Coronary Angioplasty, Percutaneous |
| Classification | 21 CFR 870.5100 |
| Product Code: | LOX |
| Predicate: | EmpiraTM Rx PTCA Dilatation Catheter, Creganna Tactx Medical, Inc.<br>(K110133), FireStar® PTCA Dilatation Catheter, Cordis - Johnson &<br>Johnson, (P880003), and FX miniRAILTM RX PTCA Catheter<br>(P020037). |
| Description: | Hoper Rapid Exchange (LPRX) Balloon Dilatation Catheter is a<br>Percutaneous Transluminal Coronary Angioplasty (PTCA) Rapid<br>Exchange System. The proximal shaft is a polymer coated stainless<br>steel tube. The steel construction is designed to optimize proximal<br>pushability with a smooth transition to a distal shaft specifically<br>designed to be highly trackable. The semi-compliant balloon material<br>allows dilatation with precise control of balloon diameter and length.<br>Two radiopaque platinum marker bands are located within the balloon<br>segment. The catheter is compatible with 5F or larger guiding catheters.<br>The internal lumen of the catheter accepts a standard 0.014 inch PTCA<br>guide wire. The proximal part of the guide wire enters the catheter's tip<br>and advances coaxially out the catheter's proximal port, thereby<br>allowing both coaxial guidance and rapid exchange of catheters with a<br>single standard length guide wire.<br><br>Two marked sections are located on the hypo tube shaft to indicate<br>catheter position relative to the tip of either a brachial or femoral<br>guiding catheter.<br><br>The design of this dilatation catheter does not incorporate a lumen for<br>distal dye injections or distal pressure measurements.<br><br>The product can be used to expand stenotic coronary vessel, and<br>improve myocardial bleeding. This kind of balloon catheter possesses<br>such merits as moderate compliance, high pressure resistance, minor<br>diameter, etc. |
| Specification | |
| Balloon Diameter: | 1.5mm, 1.75mm, 2.0mm, 2.5mm, 2.75mm, 3.0mm, 3.5mm, and 4.0mm |
| Balloon Length: | 9mm, 12mm, 14mm, 16mm, 18mm, 20mm, 24mm, 26mm, and 30mm |
| Intended Use | The balloon dilatation catheter is indicated for balloon dilatation of the<br>stenotic portion of a coronary artery or bypass graft stenosis for the<br>purpose of improving myocardial perfusion.<br><br>This balloon dilatation catheter is not intended for the expansion or<br>delivery of a stent. |
| Contraindication: | • Unprotected left main coronary artery.<br>• Coronary artery spasm in the absence of significant stenosis.<br>• In patients who are unable to receive anticoagulation therapy. |
| Warning | • For single patient use only. Do not re-sterilize as this can potentially<br>result in compromised device performance, lead to device failure,<br>increase risk of cross contamination, patient injury, illness and/ or<br>death.<br>• The product is sterile and non-pyrogenic. Do not use the catheter if its<br>package has been opened or damaged.<br>• To reduce the potential for vessel damage, the inflated diameter of the<br>balloon should approximate the diameter of the vessel just proximal<br>and distal to the stenosis.<br>• Do not subject catheter to more than four (4) rotation turns as this can<br>potentially result in the catheter kinking and affect catheter<br>performance.<br>• To prevent possible damage to the balloon, do not remove the balloon<br>protective jacket until ready to insert balloon catheter into the guiding<br>catheter.<br>• Purge the air and liquid in the balloon before operation.<br>• Use only the recommended balloon inflation medium. To prevent the<br>possibility of an air embolus, never use air or any gaseous medium to<br>inflate the balloon.<br>• PTCA in patients who are not acceptable candidates for coronary artery<br>bypass graft surgery requires careful consideration, including possible<br>hemodynamic support during PTCA, as treatment of this patient<br>population carries special risk.<br>• When the catheter is exposed to the vascular system, it should be<br>manipulated while under high-quality fluoroscopic observation.<br>• Do not advance or retract the catheter unless the balloon is fully<br>deflated under vacuum as this can potentially result in damage to the<br>vessel wall.<br>• If resistance is met during manipulation, determine the cause of the<br>resistance before proceeding.<br>• Balloon pressure should not exceed the rated burst pressure indicated<br>on the package label for each balloon model. The rated burst pressure<br>is based on the results of in vitro testing. Use of a manual pressure<br>monitoring device is recommended to prevent over pressurization.<br>• After surgery, the balloon should be deflated before removing out from |
| Warning continued | • PTCA should only be performed at hospitals where emergency<br>coronary artery bypass graft surgery can be quickly performed in the<br>event of a potentially injurious or life-threatening complication.<br>• The product should be used only by physicians who have taken the<br>training of percutaneous transluminal coronary angioplasty. |
| Caution: | • Federal (USA) law restricts this device to sale by or on the order of a<br>physician.<br>• Read the Instructions for Use to understand the using method and<br>performance of the product detailed before use, and ensure the<br>effectiveness and safety.<br>• Use the catheter prior to the “Use By” date (Expiration Date) specified<br>on the package.<br>• Prior to angioplasty, the catheter should be examined to verify<br>functionality and ensure that its size and shape are suitable for the<br>procedure for which it is to be used.<br>• The hydrophilic coating needs to be pre-wet to “activate” the coating<br>for enhanced lubricity prior to use.<br>• During the procedure, appropriate anticoagulant and coronary<br>vasodilator therapy must be provided to the patient as needed. After<br>the procedure, anticoagulant therapy should be continued for a period<br>of time as determined by the physician.<br>• When using two guide wires, care should be taken when introducing,<br>torqueing and removing one or both guide wires to avoid entanglement.<br>It is recommended that one guide wire be completely withdrawn from<br>the patient before removing any additional equipment.<br>• Treat all disposable devices according to the local requirements for<br>medical device waste disposal. |
| Adverse Effects: | Potential complications and adverse effects due to the use of this product<br>include, but are not limited to, the following:<br>• Death<br>• Acute myocardial infraction<br>• Total occlusion of the coronary artery or bypass graft coronary<br>vessel dissection, perforation, rupture or injury<br>• Restenosis of the dilated vessel<br>• Hemorrhage or hematoma<br>• Unstable angina<br>• Arrhythmias, including ventricular fibrillation<br>• Drug reactions, allergic reaction to contrast medium<br>• Hypo/hypertension<br>• Infection<br>• Coronary artery spasm<br>• Arteriovenous fistula<br>• Embolism<br>• Stroke<br>• Cardiovascular accident<br>• Transient ischemic attack<br>• Myocardial ischemia<br>• Pseudo aneurysm (at site of catheter insertion) |
| Adverse Effects continue: | • Cardiac tamponade / pericardial effusion Renal failure<br>• Coronary aneurysm<br>• Vessel trauma requiring surgical repair or intervention<br>• Cardiogenic shock<br>• Coronary artery bypass graft surgery |
| Substantial<br>Equivalency<br>Information | Comparisons of the Hoper Balloon Dilatation Catheter and predicate<br>devices demonstrated that the technological characteristics such as<br>product performance, design, and intended use are substantially<br>equivalent to the currently marketed predicate devices. |
| Performance<br>Testing | The following <i>in vitro</i> performance tests were performed:<br>• Dimensional verification<br>• Balloon preparation, deployment,<br>and retraction<br>• Balloon rated burst pressure<br>• Balloon fatigue<br>• Balloon compliance (diameter vs. pressure)<br>• Balloon inflation and deflation<br>time<br>• Catheter bond strength<br>• Tip pull strength<br>• Flexibility and kink<br>• Torque strength<br>• Radiopacity<br>• Coating integrity<br>• Particulate evaluation |
| | The following Biocompatibility tests were performed:<br>• Cytotoxicity Study - ISO Elution Method<br>• ISO Guinea Pig Maximum<br>Sensitization Test<br>• ISO Intracutaneous Study<br>• ISO Systemic Toxicity Study<br>• ASTM Hemolysis Study<br>• <i>In vivo</i> Thromboresistance Study<br>in the Dog, Jugular Vein<br>• ASTM Partial Thromboplastin Time<br>• USP Pyrogen Study - Material<br>Mediated<br>• C3a Complement Activation Assay<br>• SC5b-9 Complement Activation<br>Assay<br>• Radiopacity<br>• Coating integrity<br>• Particulate evaluation<br>The test results met all acceptance criterions, were similar to predicate<br>devices, and ensured that the HoperTM PTCA Balloon Dilatation Catheter<br>design and construction are suitable for its intended use as recommended |
| | by the Class II Special Controls Guidance Document for Certain<br>Percutaneous Transluminal Coronary Angioplasty (PTCA) Catheters<br>(FDA, September 8, 2010). |
| Conclusion | The information supports a determination of substantial equivalence<br>between the HoperTM PTCA Balloon Dilatation Catheter and the<br>predicate devices described above |

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Image /page/4/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a stylized human figure with outstretched arms, representing care and protection. The figure is surrounded by a circular border with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" in capital letters.

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

August 13. 2013

Lepu Medical Technology (Beijing) Co., Ltd % Arthur Goddard FDA Regulatory and Quality Systems Consultant 1531 Felton Road South Euclid, OH 44121-2722

Re: K123473

> Trade/Device Name: Hoper™ PTCA Balloon Dilatation Catheter Regulation Number: 21 CFR 870.5100 Regulation Name: Percutaneous Transluminal Coronary Angioplasty Catheter Regulatory Class: Class II Product Code: LOX Dated: June 17, 2013 Received: June 20, 2013

Dear Mr. Goddard:

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.

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

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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 contact the Division of Small Manufacturers, International and Consumer Assistance at its tollfree number [phone] or [phone] or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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 vours

Sincerely yours,

MDA

M L Hilleman

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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| Section 4: Indication for Use Summary | |
|---------------------------------------|------------------------------------------------------|
| 510(k) Number (if known): | K123473 |
| Device Name: | Hoper ^TM PTCA Balloon Dilatation Catheter |
| Indications For Use: | |

The balloon dilatation catheter is indicated for balloon dilatation of the stenotic portion of a coronary artery or bypass graft stenosis for the purpose of improving myocardial perfusion.

This balloon dilatation catheter is not intended for the expansion or delivery of a stent.

Prescription Use _ X (Per 21 CFR 801.109)

OR

Over-The-Counter-Use _________________________________________________________________________________________________________________________________________________________

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

M.A. Lillehemann

(Division Sign-Off) Division of Cardiovascular Devices

510(k) Number_________________________________________________________________________________________________________________________________________________________________