Reprocessed ViewFlex Xtra ICE Catheter
K190478 · Sterilmed, Inc. · OWQ · Nov 14, 2019 · Cardiovascular
Device Facts
| Record ID | K190478 |
| Device Name | Reprocessed ViewFlex Xtra ICE Catheter |
| Applicant | Sterilmed, Inc. |
| Product Code | OWQ · Cardiovascular |
| Decision Date | Nov 14, 2019 |
| Decision | SESE |
| Submission Type | Traditional |
| Regulation | 21 CFR 870.1200 |
| Device Class | Class 2 |
| Attributes | Pediatric |
Intended Use
The reprocessed ViewFlex™ Xtra ICE catheter is in adult and adolescent pediatric patients to visualize cardiac structures, blood flow and other devices within the heart.
Device Story
Temporary intracardiac ultrasound catheter; 9F shaft; 90 cm length; 4-directional tip deflection (min 120 degrees). Input: ultrasound signals from heart structures. Operation: inserted via femoral or jugular vein; connected to compatible ultrasound console via Catheter Interface Module (CIM). Output: real-time ultrasound images on console display. Used by clinicians in clinical settings for visualization of cardiac anatomy and interventional devices (e.g., septal occluders, catheters). Benefits: enables visualization during cardiac procedures; limited to visualization only, no direct diagnostic use. Reprocessed device; single-use limit.
Clinical Evidence
Bench testing only. Testing included cleaning validation, sterilization verification, ethylene oxide residuals (ISO 10993-7), packaging (ASTM D4169, F88, F2096), shelf-life (ASTM 1980-07), and biocompatibility (ISO 10993-1). Functional performance validated via simulated use, visual inspection, fatigue testing, electrical leakage, torsional strength, tip buckling, transducer sensitivity, acoustic output, and thermistor functionality.
Technological Characteristics
9F diameter, 90 cm length, 4-directional deflection catheter. Ultrasound transducer tip. Compatible with ViewMate II, ViewMate Z, and Philips CX50 consoles via specific interface modules. Biocompatibility per ISO 10993-1 for short-term (<24h) blood contact. Sterilization via ethylene oxide. Reprocessed single-use device.
Indications for Use
Indicated for adult and adolescent pediatric patients to visualize cardiac structures, blood flow, and other devices within the heart.
Regulatory Classification
Identification
An intravascular diagnostic catheter is a device used to record intracardiac pressures, to sample blood, and to introduce substances into the heart and vessels. Included in this generic device are right-heart catheters, left-heart catheters, and angiographic catheters, among others.
Predicate Devices
- ViewFlex™ Xtra ICE Catheter (K133853)
Related Devices
- K202042 — Reprocessed ViewFlex Xtra Ice Diagnostic Ultrasound Catheter · Innovative Health, LLC · Nov 20, 2020
- K230934 — ViewFlex Eco Reprocessed ICE Catheter · ABBOTT MEDICAL · May 3, 2023
- K231588 — ViewFlex Eco Reprocessed ICE Catheter · ABBOTT MEDICAL · Jun 30, 2023
- K223077 — ViewFlex Xtra ICE Catheter · Irvine Biomedical, A St. Jude Medical Company · Dec 7, 2022
- K222217 — ViewFlex Xtra Reprocessed ICE Catheter · ABBOTT MEDICAL · Dec 19, 2022
Submission Summary (Full Text)
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November 14, 2019
Sterilmed, Inc. Jan Flegeau Associate Director, Regulatory Affairs 5010 Cheshire Pkwy N. Suite 2 Plymouth, Minnesota 55446
Re: K190478
Trade/Device Name: Reprocessed ViewFlex™ Xtra ICE Catheter Regulation Number: 21 CFR 870.1200 Regulation Name: Diagnostic Intravascular Catheter Regulatory Class: Class II Product Code: OWQ Dated: October 9, 2019 Received: October 10, 2019
Dear Jan Flegeau:
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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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
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801); medical device reporting of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4. Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.
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 https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.
For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).
Sincerely,
Nicole Gillette Assistant Director (Acting) Division of Cardiac Electrophysiology, Diagnostics and Monitoring Devices Office of Cardiovascular Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health
Enclosure
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The following device model is included in the scope of this 510(k) submission:
| Model Number | Description | Useable Length | French Size |
|--------------|-----------------------------------------------|----------------|-------------|
| D087031 | Reprocessed<br>ViewFlex™ Xtra ICE<br>Catheter | 90 cm | 9F |
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# Indications for Use
510(k) Number (if known) K190478
Device Name Reprocessed ViewFlex™ Xtra ICE catheter
#### Indications for Use (Describe)
The reprocessed ViewFlex™ Xtra ICE catheter is in adult and adolescent pediatric patients to visualize cardiac structures, blood flow and other devices within the heart.
Type of Use (Select one or both, as applicable)
| <span style="font-size:16px">☑</span> Prescription Use (Part 21 CFR 801 Subpart D) |
|------------------------------------------------------------------------------------|
| <span style="font-size:16px">☐</span> Over-The-Counter Use (21 CFR 801 Subpart C) |
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# 510(K) SUMMARY
This 510(k) summary is being submitted in accordance with the requirements of 21 CFR 807.92.
| Date Prepared: | November 14, 2019 |
|------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Submitter and<br>Manufacturer: | Sterilmed, Inc.<br>5010 Cheshire Parkway N, Suite 2<br>Plymouth, MN 55446<br>www.sterilmed.com |
| Manufacturing<br>Facility Address: | 11400 73rd Avenue<br>North Maple Grove<br>MN 55369 |
| Official<br>Correspondent: | Jan Flégeau<br>Associate Director, Regulatory Affairs<br>Sterilmed, Inc.<br>Tel: 786-575-5903<br>Email: jflegeau@its.jnj.com |
| Trade Name: | Reprocessed ViewFlex™ Xtra ICE catheter |
| Regulation Name: | Diagnostic Intravascular Catheter |
| Device Classification: | Class II |
| Product Code | OWQ |
| Predicate Device: | ViewFlex™ Xtra ICE Catheter (K133853) |
| Device Description: | The Reprocessed ViewFlex™ Xtra ICE catheter is a temporary<br>intracardiac ultrasound catheter intended for use in patients to<br>accurately visualize cardiac structures, blood flow and other<br>devices within the heart when connected to a compatible<br>intracardiac ultrasound console via the compatible ViewFlex™<br>Catheter Interface Module. Examples of the types of other<br>devices that can be visualized include, and are not limited to,<br>intracardiac catheters, septal occluders, delivery wires,<br>delivery sheaths, sizing balloons and transseptal needles. The<br>use of these images is limited to visualization with no direct or<br>indirect diagnostic use.<br>The Reprocessed ViewFlex™ Xtra ICE catheter has a useable<br>length of 90 cm, with a 9 French (F) shaft with an ultrasound<br>transducer. A10F introducer is recommended for use with this<br>catheter for insertion into the femoral or jugular veins. The<br>catheter tip has four-directional deflection allowing for Left-<br>Right and Posterior-Anterior deflection, with an angle of at<br>least 120 degrees in each direction. |
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| The reprocessed ViewFlex™ Xtra ICE catheter is compatible<br>with the ultrasound consoles listed in the table below. See table<br>below for specifics on each ultrasound console. | | | |
|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------|--------------------|
| Compatible Ultrasound<br>Console* | ViewMate™ II | ViewMate™ Z<br>or ViewMate™ | Philips<br>CX50a |
| Compatible ViewFlex™<br>Catheter Interface Module | 100038191 | H701374<br>100043720 | H701375<br>H700296 |
| Maximum Viewing Depth<br>*All consoles are not available in all countries. | 18 cm | 18 cm | 18 cm |
| Model Number | RD087031 | | |
| Indications For Use: | The Reprocessed ViewFlex™ Xtra ICE catheter is indicated for<br>use in adult and adolescent pediatric patients to visualize<br>cardiac structures, blood flow and other devices within the<br>heart. | | |
| Technological<br>Characteristics: | The Reprocessed ViewFlex™ Xtra ICE catheter has the same<br>technological and performance characteristics as the predicate<br>device (K133853). The catheter is connected to a compatible<br>ultrasound console via the appropriate Catheter Interface<br>Module (CIM). Clinically, these devices are most often inserted<br>into a vein and advanced into the heart. A small incision is<br>made in the skin, usually in the groin or neck area, then a needle<br>and introducer sheath are used to puncture the vein. The<br>catheter is inserted and manipulated through the sheath into the<br>vein until appropriately positioned. The ultrasound transducer<br>on the tip of the catheter is then used to visualize cardiac<br>structures, blood flow and other devices within the heart. | | |
| Functional and Safety<br>Testing: | Representative samples of reprocessed devices were tested to<br>demonstrate appropriate functional characteristics. Process<br>validation testing was performed to validate the cleaning and<br>sterilization procedures as well as device packaging. In<br>addition, the manufacturing process includes visual and<br>validated functional testing of all products produced. The<br>reprocessed ViewFlex™ Xtra ICE catheter is marked and<br>tracked through the reprocessing cycle. After the device has<br>been reprocessed one (1) time, it is rejected from further<br>reprocessing. | | |
| Summary of<br>Non-Clinical Tests<br>Conducted: | Specific non-clinical tests performed included: cleaning<br>validation, sterilization verification, ethylene oxide residual<br>testing (ISO 10993-7), packaging validation (ASTM D4169,<br>ASTM F88, ASTM F2096), and shelf-life validation (ASTM<br>1980-07). In addition, validation of functional performance<br>(bench testing) was performed through simulated use, visual<br>inspection, and fatigue testing. | | |
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| | Testing performed:<br>• Electrical Leakage<br>• Torsional Strength<br>• Flexation Fatigue<br>• Fluid Integrity<br>• Joint Bond Strength<br>• Deflection Fatigue<br>• Stiffness<br>• Tip Buckling<br>• Transducer Sensitivity<br>• Ultrasound console compatibility<br>• Acoustic Output<br>• Thermistor Functionality<br><br>Performance testing shows the reprocessed ViewFlex™ Xtra ICE catheter to perform as originally intended.<br><br>In addition, the device was tested for biocompatibility per ISO 10993-1 for external communicating device, short duration contact with circulating blood (<24 hours).<br>Biocompatibility testing included:<br>• Cytotoxicity<br>• Sensitization<br>• Irritation/Intracutaneous Reactivity<br>• Acute Systemic Toxicity<br>• Pyrogenicity<br>• Hemocompatibility<br>• Thrombogenicity<br> |
|-------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Conclusion: | Sterilmed conducted performance testing (described above) for the Reprocessed ViewFlex™ Xtra ICE catheter against the OEM predicate device, ViewFlex™ Xtra ICE catheter (K133853). Results demonstrated substantial equivalence to the predicate devices and does not raise different questions in safety or effectiveness.<br>Sterilmed therefore concludes that the Reprocessed ViewFlex™ Xtra ICE catheter is substantially equivalent to the predicate device, ViewFlex™ Xtra ICE catheter. |
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The following device is included in the 510(K) submission:
| Device Name | OEM Model<br>Number | Sterilmed Catalog<br>Number | System Compatibility |
|-----------------------------------------------|---------------------|-----------------------------|----------------------|
| Reprocessed<br>ViewFlex™ Xtra<br>ICE Catheter | D087031 | RD087031 | ViewMate™ II |
| Reprocessed<br>ViewFlex™ Xtra<br>ICE Catheter | D087031 | RD087031 | ViewMate™ Z |
| Reprocessed<br>ViewFlex™ Xtra<br>ICE Catheter | D087031 | RD087031 | ViewMate™ |
| Reprocessed<br>ViewFlex™ Xtra<br>ICE Catheter | D087031 | RD087031 | Philips CX50 |