ROADRUNNER UNIGLIDE HYDROPHILIC WIRE GUIDE

K130766 · Cook, Inc. · DQX · Jul 17, 2013 · Cardiovascular

Device Facts

• Record ID: K130766
• Device Name: ROADRUNNER UNIGLIDE HYDROPHILIC WIRE GUIDE
• Applicant: Cook, Inc.
• Product Code: DQX · Cardiovascular
• Decision Date: Jul 17, 2013
• Decision: SESE
• Submission Type: Special
• Regulation: 21 CFR 870.1330
• Device Class: Class 2

Intended Use

For use in facilitating delivery of percutaneous catheters into the peripheral vasculature.

Device Story

Roadrunner® UniGlide™ Hydrophilic Wire Guide facilitates percutaneous catheter delivery into peripheral vasculature. Device consists of nitinol core wire with polyurethane jacket and hydrophilic coating. Available in diameters 0.018-0.038 in. and lengths 80-320 cm; includes standard and stiff shaft versions. Supplied with torque device for control during complex diagnostic and interventional procedures. Used by physicians in clinical settings to navigate peripheral vessels. Modification adds 260 cm and 320 cm lengths to existing product line.

Clinical Evidence

Bench testing only. Hydrated lubricity testing performed on 260 cm and 320 cm wire guides to ensure performance equivalence to predicate devices.

Technological Characteristics

Nitinol core wire with polyurethane jacket; hydrophilic coating. Diameters 0.018-0.038 in.; lengths 80-320 cm. Includes torque device. Standard and stiff shaft configurations.

Indications for Use

Indicated for patients requiring percutaneous catheter delivery into the peripheral vasculature.

Regulatory Classification

Identification

A catheter guide wire is a coiled wire that is designed to fit inside a percutaneous catheter for the purpose of directing the catheter through a blood vessel.

Special Controls

*Classification.* Class II (special controls). The device, when it is a torque device that is manually operated, non-patient contacting, and intended to manipulate non-cerebral vascular guide wires, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 870.9.

Predicate Devices

• Roadrunner® UniGlide™ Hydrophilic Wire Guide (K110009)

Submission Summary (Full Text)

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Image /page/0/Picture/0 description: The image shows the logo for Cook Medical. The logo consists of the word "COOK" in large, bold, white letters, with a small registered trademark symbol next to it. Below the word "COOK" is the word "MEDICAL" in smaller, white letters. The background of the logo is black.

### JUL 1 7 2013

#### 510(k) Summary Date prepared: June 14, 2013

| Submitted By: | David Lehr, RAC, Regulatory Affairs Specialist |
|---------------|--------------------------------------------------|
| | Cook Incorporated |
| | 750 Daniels Way, P.O. Box 489 |
| | Bloomington, IN 47402 |
| | Phone: [phone] Ex. 2309 Fax: [phone] |

#### Device:

| Trade Name: | Roadrunner® UniGlide™ Hydrophilic Wire Guide |
|--------------------------|----------------------------------------------|
| Common Name: | Guide Wire, Catheter |
| Proposed Classification: | DQX (21 C.F.R. § 870.1330) |

#### Indications for Use:

For use in facilitating delivery of percutaneous catheters into the peripheral vasculature.

#### Predicate Device:

Roadrunner® UniGlide™ Hydrophilic Wire Guide, K110009, February 2, 2011

#### Device Description:

The Roadrunner® UniGlide™ Hydrophilic Wire Guide is a hydrophilically coated device constructed of a nitinol core wire with a polyurethane jacket. It is available in diameters ranging from 0.018 in. to 0.038 in. and lengths from 80 cm to 320 cm. The Roadrunner® UniGlide Hydrophilic Wire Guide is manufactured in both a standard shaft and a stiff shaft version. A torque device is supplied with the Roadrunner® UniGlide™ Hydrophilic Wire Guide. The torque device is designed for torque control and is intended for use in complex diagnostic and interventional procedures.

#### Substantial Equivalence:

The Roadrunner® UniGlide™ Hydrophilic Wire Guide proposed in this submission is substantially equivalent to the Roadrunner® UniGlide™ Hydrophilic Wire Guide (K110009), which is currently marketed by Cook Incorporated. The proposed Roadrunner® UniGlide Hydrophilic Wire Guide has indications for use, materials of construction, and technological characteristics identical to those of the predicate Roadrunner® UniGlide™ Hydrophilic Wire Guide.

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Image /page/1/Picture/0 description: The image shows the logo for Cook Medical. The word "COOK" is in large, bold, white letters on a black background. Below "COOK" is the word "MEDICAL" in smaller, white letters. The logo is simple and professional.

COOK INCORPORATED

750 DANIELS WAY, P.O. BOX 48"

BLOOMINGTON, IN 47402-0439 U.S.A
ONE 812.339.2235 101FORE: 800.457.4501

WWW.COOKMEDICAL.COM

K130766 p. 2 of 2

#### Comparison to Predicate Device:

The Roadrunner® UniGlide™ Hydrophilic Wire Guide has been modified from the predicate Roadrunner® UniGlide " Hydrophilic Wire Guide to include additional device lengths of 260 and 320 cm. The proposed Roadrunner® UniGlide™ Hydrophilic Wire Guide is comparable to the predicate device in design, intended use, materials, and technology.

#### Test Data:

The Roadrunner® UniGlide™ Hydrophilic Wire Guide was subjected to the following test to assure device performance and to assure that the design modification of the device is reliable under the specified testing parameters.

Hydrated Lubricity Test: This testing confirmed that the hydrated lubricity for the modified 260 cm and 320 cm wire guides is equivalent to the hydrated lubricity demonstrated by the predicate wire guides.

In conclusion, the results of testing provide reasonable assurance that the device is as safe and as effective as the predicate device, and support a determination of substantial equivalence.

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/2/Picture/1 description: The image is a black and white seal for the Department of Health & Human Services - USA. The seal is circular and contains an eagle with its wings spread. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" are written around the edge of the circle.

July 17, 2013

Public Health Service

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

Cook, Inc. c/o Mr. David Lehr, RAC Regulatory Affairs Specialist 750 Daniels Way Bloomington, Indiana 47404

Re: K130766

Trade/Device Name: Roadrunner® UniGlide™ Hydrophilic Wire Guide Regulation Number: 21 CFR 870.1330 Regulation Name: Catheter guide wire Regulatory Class: II Product Code: DQX Dated: June 14, 2013 Received: June 18, 2013

Dear Mr. Lehr:

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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Page 2 - Mr. David Lehr, RAC

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/ResourcesforYou/Industry/default.htm. 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/ResourcesforYou/Industry/default.htm.

Sincerely yours,

## Bram D. Zuckerman -S

Bram D. Zuckerman, M.D. Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health

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Special 510(k) Premarket Notification
Roadrunner® UniGlide™ Hydrophilic Wire Guide Cook Incorporated June 14, 2013

510(k) Number (if known):

Device Name: Roadrunner® UniGlide™ Hydrophilic Wire Guide

Indications for Use:

For use in facilitating delivery of percutaneous catheters into the peripheral vasculature.

Prescription Use X (Per 21 CFR 801 Subpart D) OR

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

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

# Bram D. Zuckerman -S 2013.07.17 21:16:02 -04'00'