AXERA 2 ACCESS SYSTEM

K140201 · Arstasis, Inc. · DYB · Mar 28, 2014 · Cardiovascular

Device Facts

• Record ID: K140201
• Device Name: AXERA 2 ACCESS SYSTEM
• Applicant: Arstasis, Inc.
• Product Code: DYB · Cardiovascular
• Decision Date: Mar 28, 2014
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 870.1340
• Device Class: Class 2

Intended Use

The AXERA Access System is intended to provide access for the percutaneous introduction of devices into the peripheral vasculature and to promote hemostasis at the arteriotomy site as an adjunct to manual compression. AXERA is indicated for use in patients undergoing diagnostic femoral artery catheterization procedures using 5F or 6F introducer sheaths.

Device Story

AXERA 2 Access System facilitates percutaneous peripheral vascular access and promotes hemostasis at arteriotomy sites as adjunct to manual compression. Device components include Latchwire, anchor mechanism, shaft, and handle with control features. Operates by creating shallow access path through arterial wall for guidewire entry into vessel lumen. Used by physicians in clinical settings during diagnostic femoral artery catheterization. Output is physical access to arterial lumen; assists in device placement. Benefits include controlled access and hemostasis support.

Clinical Evidence

No new clinical data provided. Previous clinical performance established via prior clinical evaluations and cadaveric model simulated use testing. Safety and effectiveness supported by bench testing of device specifications related to IFU changes, including Latchwire attachment, tensile strength, and procedural sheath insertion.

Technological Characteristics

Catheter introducer system comprising Latchwire, anchor mechanism, shaft, and handle. Designed for shallow access path creation. Mechanical operation. No software or electronic components.

Indications for Use

Indicated for patients undergoing diagnostic femoral artery catheterization procedures requiring 5F or 6F introducer sheaths.

Regulatory Classification

Identification

A catheter introducer is a sheath used to facilitate placing a catheter through the skin into a vein or artery.

Predicate Devices

• AXERA 2 Access System (K132263)

Submission Summary (Full Text)

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## K140201 MAR 2 8 2014 p. 1 of 2 Arstasis

## SECTION 2. 510(k) SUMMARY

| Sponsor/Submitter: | Arstasis, Inc. |
|----------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| | 740 Bay Road |
| Contact Person: | Grace Li |
| | Director of Quality |
| | Direct: [phone] |
| | Email: [e-mail] |
| Date of Submission: | January 24, 2014 |
| Device Trade Name: | AXERA 2 Access System |
| Common Name: | Catheter Introducer |
| Device Classification: | Class II |
| Regulation Number: | 21 CFR 870.1340 |
| Classification Name: | Catheter Introducer |
| Product Code: | DYB |
| Predicate Device: | AXERA 2 Access System (K132263) |
| Device Description: | The AXERA 2 is a device that is comprised of a Latchwire, anchor<br>mechanism, shaft and handle with control features. |
| Indications for Use: | The AXERA Access System is intended to provide access for the<br>percutaneous introduction of devices into the peripheral vasculature<br>and to promote hemostasis at the arteriotomy site as an adjunct to<br>manual compression. AXERA is indicated for use in patients<br>undergoing diagnostic femoral artery catheterization procedures<br>using SF or 6F introducer sheaths. |
| Technological<br>Characteristics | The AXERA 2 Access Device is designed to create a shallow<br>access path through the arterial wall for the guidewire to enter the<br>vessel lumen. |
| Performance Data | The AXERA 2 Access System met all bench testing (i.e., Latchwire<br>attachment, tensile strength of Latchwire/anchor joint, and<br>procedural sheath insertion) acceptance criteria related to the<br>proposed changes to the Instructions for Use (IFU). Device is<br>unchanged for the predicate device. The predicate device met all |

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performance testing acceptance criteria.

There are no changes to the Indications for Use. A note in the IFU Summary of was updated to provide alternate instructions for discontinuing the Substantial AXERA Access procedure. Equivalence: Bench testing of the AXERA 2 Access System was performed for device specifications related to the proposed changes to the IFU, following sterilization of test units. The following tests were performed: Latchwire attachment, tensile strength of Latchwire/anchor joint, and procedural sheath insertion. There are no changes to the AXERA 2 Access System device. Bench Testing performed for the predicate device is applicable and was not repeated for the subject AXERA 2 device. All acceptance criteria for bench testing performed for the predicate device were met and test results demonstrated that the predicate device met performance requirements for its intended use. No new issues of safety or effectiveness have been raised when compared to the predicate device. Prior bench testing of the AXERA 2 device included device/accessory functionality, deployment forces (heel, needle, plunger), release forces (heel), corrosion resistance testing (Latchwire/guidewire), guidewire resistance to fracture, Latchwire/guidewire resistance to flexing, flex conditioning (Latchwire), tensile strength of multiple joints (Latchwire, guidewire, anchor, heel, plunger, plunger tube, access needle, dilator adapter), compressive strength (handle/anchor, plunger lockout), access needle integrity, torque loading (handle/anchor), biocompatibility testing, preliminary animal studies (non-GLP) and cadaver assessments, as well as clinical investigations. Prior simulated use testing was performed on a cadaveric model and multiple clinical evaluations were conducted. The short term safety and clinical performance of the device were established. The long term safety, as well as the ability to access and re-access, was retrospectively studied in a smaller cohort of patients. In summary, the data provided herein demonstrate that the AXERA 2 Access System is substantially equivalent to its predicate in providing access to the arterial lumen and facilitating the introduction and placement of devices into the peripheral vasculature and promoting hemostasis as an adjunct to manual compression.

¹ The preliminary Animal Studies and Cadaver Assessments were conducted using prototypes of a similar design and configuration.

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DEPARTMENT OF HEALTH & HUMAN SERVICES

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Public Health Service

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

March 28, 2014

Arstasis, Inc. Ms. Grace Li Director of Quality 740 Bay Road Redwood City, CA 94063

Re: K140201

Trade/Device Name: AXERA 2 Access System Regulation Number: 21 CFR 870.1340 Regulation Name: Catheter Introducer Regulatory Class: II Product Code: DYB Dated: January 24, 2014 Received: January 27, 2014

Dear Ms. Li:

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 or any I 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 - Ms. Grace Li

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 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/Resourcesfor You/Industry/default.htm.

Sincerely yours,

Image /page/3/Picture/7 description: The image shows the name "Kenneth J. Cavanaugh -S" in a bold, sans-serif font. The text is black against a white background. There is a logo in the background that is difficult to make out.

for

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

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Arsteris

## SECTION 1. INDICATIONS FOR USE STATEMENT

510(k) Number (if known): Trade Name: AXERA 2 Access System Catheter Introducer Common Name: Indications For Use: The AXERA Access System is intended to provide access for the percutaneous introduction of devices into the peripheral vasculature and to promote hemostasis at the arteriotomy site as an adjunct to manual compression. AXERA is indicated for use in patients undergoing diagnostic femoral artery catheterization procedures using 5F or 6F introducer sheaths.

Prescription Use X (Part 21 CFR 801 Subpart D)

AND/OR

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

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

Concurrence of Center for Devices and Radiological Health (CDRH)

Kenneth J. Cavanaugh -S

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