This Hi-Torque Guide Wire is intended to facilitate the placement of balloon dilatation catheters during percutaneous transluminal angioplasty (PTA), in arteries such as the femoral, poplited and infra-poplited arteries. This guide wire may also be used with compatible stent devices during therapeutic procedures. The guide wire may also be used to reach and cross a target lesion, provide a pathway within the vessel structure, facilitate the substitution of one diagnostic or interventional device for another, and to distinguish the vasculature.
Device Story
Guide wire facilitates placement of balloon dilatation catheters and stents during PTA procedures in peripheral arteries; used by physicians to navigate vasculature, cross lesions, and exchange interventional devices. Device consists of 304V stainless steel proximal core and nitinol distal core joined by resistance weld; distal portion features polyurethane jacket with hydrophilic coating; proximal section features PTFE and silicone-based hydrophobic coating. Supplied with torque device and introducer as physician aids. Operates as mechanical pathway for interventional tools; provides steerability and tip flexibility for navigation through vessel structures. Benefits patient by enabling minimally invasive access to target lesions for therapeutic intervention.
Clinical Evidence
Bench testing only. In vitro functional testing included catheter compatibility, radiopacity, tensile/torsional/rotary bend/weld strength, tip load, rotational accuracy, coating integrity, and friction. Biocompatibility testing included cytotoxicity, sensitization, acute systemic toxicity, material-mediated pyrogen, hemolysis, coagulation, and complement activation.
Technological Characteristics
Materials: 304V stainless steel (proximal core), nitinol (distal core), polyurethane jacket, PTFE, silicone-based hydrophobic coating. Design: 0.0180'' diameter, 210 cm/300 cm lengths, straight shapeable tip. Mechanical sensing/actuation. Sterilization method not specified. No software or electronic components.
Indications for Use
Indicated for patients undergoing percutaneous transluminal angioplasty (PTA) in femoral, popliteal, and infra-popliteal arteries; facilitates placement of balloon dilatation catheters and compatible stent devices; used to reach/cross target lesions, provide vessel pathway, and facilitate device substitution.
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.
K963702 — ACS HI-TORQUE IRON MAN GUIDE WIRE · Advanced Cardiovascular Systems, Inc. · Jan 22, 1997
Submission Summary (Full Text)
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Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002
September 21, 2015
Abbott Vascular Shu Chi Hsu, Ph.D. Project Manager, Regulatory Affairs 3200 Lakeside Drive Santa Clara, CA 95054
Re: K152404
Trade/Device Name: Hi-Torque Command 18 Guide Wire Regulation Number: 21 CFR 870.1330 Regulation Name: Catheter guide wire Regulatory Class: Class II Product Code: DQX Dated: August 24, 2015 Received: August 25, 2015
Dear Dr. Hsu:
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 Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 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" (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 Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address
http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.
Sincerely yours,
Kenneth J. Cavanaugh -S
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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# Indications for Use
510(k) Number (if known)
#### Device Name Hi-Torque Command 18 Guide Wire
#### Indications for Use (Describe)
This Hi-Torque Guide Wire is intended to facilitate the placement of balloon dilatation catheters during percutaneous transluminal angioplasty (PTA), in arteries such as the femoral, poplited and infra-poplited arteries. This guide wire may also be used with compatible stent devices during therapeutic procedures. The guide wire may also be used to reach and cross a target lesion, provide a pathway within the vessel structure, facilitate the substitution of one diagnostic or interventional device for another, and to distinguish the vasculature.
| Type of Use (Select one or both, as applicable) | |
|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| <span style="display:inline-block; margin-right: 5px;"> <img alt="Checked" src="checkbox_checked.png" style="width:12px;height:12px;vertical-align:middle;"/> </span> Prescription Use (Part 21 CFR 801 Subpart D) | <span style="display:inline-block; margin-right: 5px;"> <img alt="Unchecked" src="checkbox_unchecked.png" style="width:12px;height:12px;vertical-align:middle;"/> </span> Over-The-Counter Use (21 CFR 801 Subpart C) |
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# 510(k) Summary
The 510(k) Summary is submitted in accordance with 21 CFR §807.92 and the requirements of the Safe Medical Device Act (SMDA) of 1990.
| 1. | Submitter's Name | Abbott Vascular |
|-----|----------------------------|--------------------------------------------------------------------------------|
| 2. | Submitter's Address | 3200 Lakeside Dr. Santa Clara, CA 95054 |
| 3. | Telephone | (408) 845-1256 |
| 4. | Fax | (408) 845-3743 |
| 5. | Contact Person | Shu Chi Hsu |
| 6. | Date Prepared | August 24, 2015 |
| 7. | Device Trade Name | Hi-Torque Command 18 Guide Wire |
| 8. | Device Common Name | Guide Wire |
| 9. | Device Classification Name | Catheter Guide Wire (DQX) |
| 10. | Predicate Device Name | Hi-Torque Command Guide Wire Family<br>(K122573, cleared on November 20, 2012) |
### 11. Device Description
The Abbott Vascular Hi-Torque (HT) Command 18 Guide Wire with hydrophilic coating is a guide wire with a maximum diameter of 0.0180'' and is provided in 210 cm and 300 cm lengths.
The Abbott Vascular HT Command 18 Guide Wire consists of a 304V stainless steel proximal core and a nitinol distal core. The distal core is attached to the stainless steel proximal core using a dissimilar metal solid-state resistance weld. The core wire at the tip is processed to optimize flexibility, steering, and tip shaping. There are four nitinol lengths of the HT Command 18 family, each having multiple tip load options. HT Command 18 has a straight (shapeable) tip.
The distal portion of the wire is coated with a polyurethane jacket and a hydrophilic coating. The proximal section of the wire is coated with polytetrafluoroethylene (PTFE) and a single coat of a silicone-based hydrophobic coating. Brachial and femoral markers are located on the proximal segment of the 210 cm and 300 cm guide wires.
A Torque Device and Guide Wire Introducer are supplied with the wire to facilitate the procedures as physician's aids, if desired.
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## 12. Indications for Use
This Hi-Torque Guide Wire is intended to facilitate the placement of balloon dilatation catheters during percutaneous transluminal angioplasty (PTA) in arteries such as the femoral, popliteal, and infra-popliteal arteries. This guide wire may also be used with compatible stent devices during therapeutic procedures.
The guide wire may also be used to reach and cross a target lesion, provide a pathway within the vessel structure, facilitate the substitution of one diagnostic or interventional device for another, and to distinguish the vasculature.
# 13. Technological Characteristics
Comparison of the new device and predicate device demonstrate that the technological characteristics such as product performance, design (with minor modifications) and indications for use are substantially equivalent to the current marketed predicate device.
## 14. Performance Data
Performance testing was successfully completed on the Hi-Torque Command 18 Guide Wire. In vitro functional bench testing conducted on the subject device included:
- Catheter compatibility, ●
- Radiopacity. ●
- Tip tensile strength, ●
- Torsional wire strength,
- . Dissimilar metal weld strength,
- . Rotary bend strength,
- Tip load, ●
- Rotational accuracy, ●
- Coating adherence and integrity (particulate testing), and ●
- Friction testing ●
Biocompatibility testing included cytotoxicity, sensitization, acute systemic toxicity. material-mediated pyrogen. hemolysis. coagulation and complement activation.
# 15. Conclusions
Test results from the non-clinical in vitro bench testing conducted on the Hi-Torque Command 18 Guide Wire family met all acceptance criteria and show that it performed similarly to the predicate devices. There were no new safety or effectiveness issues raised during the testing program.
The Hi-Torque Command 18 Guide Wire is substantially equivalent to the predicate device in regards to the indications for use, materials, fundamental technology, design, performance, biocompatibility, sterilization, and packaging.
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