AngioVac Cannula

K142593 · AngioDynamics, Inc. · DWF · Nov 12, 2014 · Cardiovascular

Device Facts

• Record ID: K142593
• Device Name: AngioVac Cannula
• Applicant: AngioDynamics, Inc.
• Product Code: DWF · Cardiovascular
• Decision Date: Nov 12, 2014
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 870.4210
• Device Class: Class 2
• Attributes: Therapeutic

Indications for Use

The AngioVac Cannula is indicated for use as a venous drainage cannula and for removal of fresh, soft thrombi or emboli during extracorporeal bypass for up to 6 hours.

Device Story

AngioVac Cannula is a venovenous cannula featuring a balloon-actuated, expandable, funnel-shaped distal tip. Advanced percutaneously or via surgical cut-down through a 26 Fr sheath over a guidewire. Connected to an extracorporeal circuit comprising an AngioVac Circuit, centrifugal pump, and bubble trap. A separate reinfusion cannula is placed for venous return. Upon pump activation, suction removes blood and debris from the cannula tip; blood circulates through a filter and returns to the patient. Used in clinical settings for thrombus/embolus extraction from vessels like the iliofemoral vein, IVC, SVC, and Right Atrium. Minimizes blood loss via recirculation. Benefits include effective removal of soft thrombi/emboli during extracorporeal bypass.

Clinical Evidence

No clinical data. Evidence consists of comprehensive bench testing (integrity, functional performance, particulate evaluation) and biocompatibility testing (cytotoxicity, sensitization, irritation, systemic toxicity, hemocompatibility) per ISO 10993. Animal testing (21 CFR Part 58) demonstrated no hemodynamic compromise, no vessel injury, and no abnormal histological findings.

Technological Characteristics

Venovenous cannula with balloon-actuated, expandable, funnel-shaped distal tip. Available in straight and 20° angled configurations. Features radiopaque markers, hydrophilic coating on obturator, and female quick disconnect. Materials are consistent with predicate (K133445). Biocompatibility per ISO 10993. Non-electronic, mechanical device.

Indications for Use

Indicated for use as a venous drainage cannula and for removal of fresh, soft thrombi or emboli during extracorporeal bypass for up to 6 hours. Target vessels include iliofemoral vein, Inferior Vena Cava (IVC), Superior Vena Cava (SVC), and Right Atrium (RA).

Regulatory Classification

Identification

A cardiopulmonary bypass vascular catheter, cannula, or tubing is a device used in cardiopulmonary surgery to cannulate the vessels, perfuse the coronary arteries, and to interconnect the catheters and cannulas with an oxygenator. The device includes accessory bypass equipment.

Predicate Devices

• AngioVac Cannula (K133445)

Submission Summary (Full Text)

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Public Health Service

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

November 12, 2014

AngioDynamics, Inc. % Wanda Carpinella Director, Regulatory Affairs 26 Forest Street Marlborough, Massachusetts 01752

K142593 Re:

Trade/Device Name: Angiovac Cannula Regulation Number: 21 CFR 870.4210 Regulation Name: Cardiopulmonary Bypass Vascular Catheter, Cannula, Or Tubing Regulatory Class: Class II Product Code: DWF Dated: September 11, 2014 Received: September 15, 2014

Dear Wanda Carpinella,

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

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Part 807); labeling (21 CFR Part 801); medical device reporting of medical devicerelated 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 contact the Division of Industry and Consumer Education at its toll-free 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" (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 Industry and Consumer Education at its toll-free number [phone] or [phone] or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours,

M.A. Hillebrand

for 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. INDICATIONS FOR USE STATEMENT

| DEPARTMENT OF HEALTH AND HUMAN SERVICES<br>Food and Drug Administration | | Form Approved: OMB No. 0910-0120<br>Expiration Date: January 31, 2017<br>See PRA Statement below. |
|-------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------|
| <b>Indications for Use</b> | | |
| 510(k) Number (if known) | | |
| Device Name | AngioVac Cannula | |
| Indications for Use (Describe) | The AngioVac Cannula is indicated for use as a venous drainage cannula and for removal of fresh, soft thrombi or emboli during extracorporeal bypass for up to 6 hours. | |
| Type of Use (Select one or both, as applicable) | | |
| | <span style="text-align:left;">Prescription Use (Part 21 CFR 801 Subpart D)</span> | Over-The-Counter Use (21 CFR 801 Subpart C) |
| | PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON A SEPARATE PAGE IF NEEDED. | |
| | FOR FDA USE ONLY | |
| | Concurrence of Center for Devices and Radiological Health (CDRH) (Signature) | |
| | This section applies only to requirements of the Paperwork Reduction Act of 1995. | |
| | *DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.* | |
| | The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to: | |
| | Department of Health and Human Services<br>Food and Drug Administration<br>Office of Chief Information Officer<br>Paperwork Reduction Act (PRA) Staff<br>[e-mail] | |
| | "An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number." | |
| FORM FDA 3881 (1/14) | Page 1 of 1 | |

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## SECTION 5. 510(K) SUMMARY

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## 510(k) SUMMARY (page 1 of 2)

### Device Name: AngioVac Cannula

Date Prepared: September 5, 2013

## A. Submitter/Sponsor

AngioDynamics Inc. 26 Forest Street Marlborough, MA 01752 Telephone Number/Fax: [phone] Contact Person: Wanda Carpinella

## B. Device Name

| Trade Name: | AngioVac Cannula |
|-----------------------|---------------------------------------------------------------------------------------------------|
| Common/Usual names: | Cardiopulmonary Bypass Venous Cannula<br>Extraction Catheter |
| Classification Names: | Catheter, cannula and tubing, vascular,<br>cardiopulmonary bypass<br>21 CFR§870.4210, ProCode DWF |
| Classification: | Class II |

## C. Predicate Device(s)

| Trade Name | 510(k) | Company |
|------------------|---------|------------------------------------------------------------|
| AngioVac Cannula | K133445 | Vortex Medical Inc.<br>(acquired by<br>AngioDynamics Inc.) |

## D. Device Description

The AngioVac device is a venovenous cannula with a balloon-actuated, expandable, funnel shaped distal tip that can be advanced through a 26 Fr sheath over a guidewire into the venous system percutaneously or via a surgical cut-down. During use, the cannula is connected to an extracorporeal circuit including an AngioVac Circuit, a commercially available centrifugal pump and bubble trap. A commercially available reinfusion cannula is placed for venous return (typically within internal jugular or one of the common femoral veins) and connected to the extracorporeal circuit. When the pump is started, suction is created, removing blood and debris from around the tip of the AngioVac

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Cannula, circulating the blood through the filter, returning the blood to the patient via the venous return cannula. A benefit of the AngioVac Cannula is that it allows for removal of thrombus/embolic material, while minimizing blood loss via recirculation of blood through a standard extracorporeal (venovenous) bypass circuit. Target vessels for thrombus/embolus extraction include, but are not limited to, the iliofemoral vein, Inferior Vena Cava (IVC), Superior Vena Cava (SVC) and Right Atrium (RA). The device is provided in a straight and an angled (20°) configuration.

### E. Indication For Use

The AngioVac Cannula is indicated for use as a venous drainage cannula and for removal of fresh, soft thrombi or emboli during extracorporeal bypass for up to 6 hours.

## F. Technology Characteristics

Within this current premarket notification, AngioDynamics is proposing to implement design modifications to the subject cannula to expand the product offering and/or to improve ease of use. Modifications include: Addition of an angled tip (20 degrees) cannula configuration; inclusion of radiopaque markers on the panels of the distal tip funnel to aid visualization; inclusion of stopcock on proximal end of the balloon inflation line; increased wall thickness of the balloon inflation line between cannula shaft and stopcock; modifications to the inner balloon; addition of a female quick disconnect to allow for an easier connection to the AngioVac Circuit; addition of hydrophilic coating on outside of obturator to facilitate obturator placement/removal from the cannula; and enhanced packaging configuration for improved presentation of product to sterile field (i.e., product packaged in tray instead of pouch).

With the exception of the hydrophilic coating on the obturator and inclusion of the radiopaque markers on the cannula distal tip, the proposed AngioVac Cannula is manufactured of the same materials used in the manufacture of the currently marketed predicate AngioVac Cannula. Additionally, there have been no changes to the shaft size or profile.

The proposed device has similar indications for use, materials, design, components and technological characteristics as the currently marketed AngioVac Cannula (K133445).

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### G. Performance Data

Comprehensive bench testing (integrity, functional performance and particulate evaluation) was performed to support substantial equivalence of the AngioVac Cannula. The AngioVac Cannula met all specified design and performance requirements. Additionally, the AngioVac Cannula has fulfilled the biocompatibility testing requirements identified in ISO 10993: Biological evaluation of medical devices Part 1: Evaluation and testing in the risk management process for an externally communicating device with circulating blood of a limited duration. Specifically the following tests were performed with acceptable results: cytotoxicity, sensitization, irritation, systemic toxicity and hemocompatibility.

Animal testing was also performed in accordance with 21 CFR Part 58. The results of the animal testing performed with the modified AngioVac Cannula have demonstrated the following:

- . No evidence of hemodynamic compromise during use of the modified AngioVac Cannula
- No evidence of vessel injury noted on the final angiograms attributable to the . placement and use of the AngioVac Cannula
- No abnormal gross or histological findings were noted in test vessel segments ● attributable to the placement and use of the AngioVac Cannula.
- No significant vascular response in these experimental conditions associated ● with the application of the modified AngioVac Cannula.

### H. Clinical Testing

Not applicable

### I. Conclusion

Based on responses to questions posed in the FDA's Decision Making Flow Chart, the proposed device is substantially equivalent to the predicate device.