TR BAND Radial Compression Device

K213531 · Terumo Medical Corporation · DXC · Dec 20, 2021 · Cardiovascular

Device Facts

• Record ID: K213531
• Device Name: TR BAND Radial Compression Device
• Applicant: Terumo Medical Corporation
• Product Code: DXC · Cardiovascular
• Decision Date: Dec 20, 2021
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 870.4450
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

The TR Band® is a compression device indicated to apply compression in order to achieve hemostasis while allowing the user to maintain patency of the radial artery after a transradial procedure (patent hemostasis).

Device Story

TR Band is a tourniquet-style radial compression device; consists of plastic belt with hook-and-loop fastener, two compression balloons, and air injection port. Used post-transradial catheterization; placed around patient's wrist. Physician inflates balloons using dedicated 20mL TR Band Inflator syringe; air pressure applies compression to access site. Clear plastic construction allows visual monitoring of site. Valve on injection port maintains balloon pressure; pressure adjustable via inflator. Device is single-use, disposable, and sterilized by ethylene oxide. Facilitates patent hemostasis; benefits patient by reducing risk of radial artery occlusion.

Clinical Evidence

No clinical data included. Substantial equivalence supported by bench testing, including tensile, torque, shear strength, and pressure/leak tests, alongside packaging and shelf-life validation per ASTM standards.

Technological Characteristics

Pneumatic compression device; materials include PVC (belt, balloons, tube), Nylon (fastener), Polycarbonate (support plate), and MABS (valve connector). Sterilized via ethylene oxide (ISO 11135-1). Manual operation via 20mL syringe inflator. Dimensions: 24cm or 29cm belt length. Standalone device.

Indications for Use

Indicated for patients undergoing transradial procedures requiring compression to achieve hemostasis while maintaining radial artery patency.

Regulatory Classification

Identification

A vascular clamp is a surgical instrument used to occlude a blood vessel temporarily.

Predicate Devices

• TR BAND® Radial Compression Device (K152525)

Reference Devices

• ARC Adjustable Radial Cuff Compression Device (K173563)

Submission Summary (Full Text)

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Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health & Human Services logo on the left and the FDA acronym along with the full name of the agency on the right. The FDA part of the logo is in blue, with the acronym in a square and the full name, "U.S. Food & Drug Administration," written out next to it.

December 20, 2021

Terumo Medical Corporation Liang Lu Senior Regulatory Affairs Specialist 950 Elkton Blvd Elkton, Maryland 21921

Re: K213531

Trade/Device Name: TR BAND Radial Compression Device Regulation Number: 21 CFR 870.4450 Regulation Name: Vascular clamp Regulatory Class: Class II Product Code: DXC Dated: November 4, 2021 Received: November 5, 2021

Dear Mr. Lu:

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

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requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 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 (OS) 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 mediation-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 ([e-mail]) or phone [phone] or 301-796-7100).

Sincerely,

Rachel Neubrander Assistant Director DHT2B: Division of Circulatory Support, Structural and Vascular Devices OHT2: Office of Cardiovascular Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

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# Indications for Use

510(k) Number (if known) K213531

#### Device Name

TR Band® Radial Compression Device

#### Indications for Use (Describe)

The TR Band® is a compression device indicated to apply compression in order to achieve hemostasis while allowing the user to maintain patency of the radial artery after a transradial procedure (patent hemostasis).

Type of Use (Select one or both, as applicable)X Prescription Use (Part 21 CFR 801 Subpart D)

| Over-The-Counter Use (21 CFR 801 Subpart C)

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Image /page/3/Picture/0 description: The image shows the Terumo company logo. The logo consists of a red swoosh above the word "TERUMO" in green. The swoosh is curved and points to the right, and the word "TERUMO" is in a bold, sans-serif font.

# 510(K) SUMMARY

A summary of 510(k) safety and effectiveness information in accordance with the requirements of 21 CFR 807.92.

# Section Contents

| A. SUBMITTER INFORMATION (807.92(a)(1)) | |
|------------------------------------------------------|--|
| B. DEVICE NAME (807.92(a)(2)) | |
| C. PREDICATE DEVICE (807.92(a)(3)) | |
| D. REASON FOR 510(k) SUBMISSION | |
| E. DEVICE DESCRIPTION (807.92(a)(4)) | |
| F. INDICATIONS FOR USE (807.92(a)(5)) | |
| G. SUBSTANTIAL EQUIVALENCE COMPARISON (807.92(a)(6)) | |
| H. NON-CLINICAL TESTS (807.92(b)(1)) | |
| I. CLINICAL TESTS (807.92(b)(2)) | |
| J. CONCLUSION (807.92(b)(3)) | |

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Image /page/4/Picture/0 description: The image shows the Terumo logo. The logo consists of a red arc above the word "TERUMO" in green, block letters. The arc is positioned above and slightly to the left of the word.

# 510(K) SUMMARY

#### A. SUBMITTER INFORMATION (807.92(a)(1))

#### Prepared by:

Liang Lu Senior Regulatory Affairs Specialist Terumo Medical Corporation Tel. [phone] Fax [phone]

#### Prepared for: Owner/Operator

Terumo Medical Corporation 265 Davidson Avenue, Suite 320 Somerset, NJ 08873, USA Registration Number: 2243441

#### Manufacturer (510(k) Applicant)

Terumo Medical Corporation 950 Elkton Boulevard, Elkton, MD 21921 Registration Number: 1118880

Sterilization Facility Steris Isomedix Services Inc. 3459 South Clinton Ave South Plainfield, NJ 07080 Registration Number: 2246552

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Image /page/5/Picture/0 description: The image shows the Terumo logo. The logo consists of the word "TERUMO" in green, with a red swoosh above the word. The swoosh starts thin on the left and gets thicker as it moves to the right.

## Contact Person: Liang Lu

Senior Regulatory Affairs Specialist Terumo Medical Corporation 950 Elkton Boulevard Elkton, MD 21921 Tel. [phone] Fax [phone] E-mail: [e-mail]

Date prepared: November 29, 2021

## B. DEVICE NAME (807.92(a)(2))

| Proprietary Name: | TR BAND® Radial Compression Device |
|-----------------------|------------------------------------|
| Common Name: | Radial compression device |
| Classification Name: | Vascular clamp |
| Classification Panel: | Cardiovascular |
| Regulation: | 21 CFR 870.4450 |
| Product Code: | DXC |
| Classification: | Class II |

# C. PREDICATE DEVICE (807.92(a)(3))

The legally marketed device(s) to which substantial equivalence is claimed is:

- Predicate Device: K152525 TR BAND® Radial Compression Device, . manufactured by Terumo Medical Corporation, USA.
- Reference Device: K173563 ARC Adjustable Radial Cuff Compression Device, . manufactured by TZ Medical Inc.

## D. REASON FOR 510(k) SUBMISSION

The subject 510(k) pertains to modifications to the Indications for Use and minor changes to the design.

## E. DEVICE DESCRIPTION (807.92(a)(4))

The TR BAND® Radial Compression Device is a tourniquet style device consisting of a plastic belt with hook and loop adjustable fastener on each end, two compression balloons, and an injection port. The device also contains a TR Band Inflator.

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Image /page/6/Picture/1 description: The image shows the Terumo logo. The logo consists of a red arc above the word "TERUMO" in green. The arc is curved and positioned above the left side of the word. The word "TERUMO" is written in a bold, sans-serif font.

After a transradial catheterization procedure, the TR Band is placed around the patient's wrist and the hook and loop strap is connected. Once the introducer sheath is removed from the patient's wrist, pressure is applied to the patient's access site by inflating the compression balloons of the TR Band. Both compression balloons are filled at the same time while air is being introduced through the air injection port.

The balloons are inflated when air is injected into the air injection port by the TR Band Inflator. The TR Band inflator is a specially designed syringe for use only with the TR Band. A valve on the air injection port assures that the air remains within the compression balloons. The volume of air can be reduced or increased by use of the TR Band Inflator (20ml syringe). This allows the physician to make fine adjustments to the pressure in the TR Band.

With the two compression balloons (large and small) the pressure is applied for efficient compression for hemostasis. The belt also has a support plate over the two compression balloons to assure that the balloons and belt conform to the contour of the wrist. The belt and compression balloons are made of clear plastic which allows the physician to view the access site during the hemostasis process.

The TR Band is a disposable device intended for single use only. This device is individually packaged and sterilized by ethylene oxide gas.

# F. INDICATIONS FOR USE (807.92(a)(5))

The TR Band® is a compression device indicated to apply compression in order to achieve hemostasis while allowing the user to maintain patency of the radial artery after a transradial procedure (patent hemostasis). A comparison of the Intended Use between the subject, predicate, and reference device is provided below.

| Device | Subject Device: | Predicate Device: | Reference Device: |
|--------------|---------------------------------------|----------------------------------------------------|---------------------------------------------------------------|
| | TR BAND® Radial Compression<br>Device | TR BAND® Radial Compression<br>Device<br>(K152525) | ARC Adjustable Radial Cuff<br>Compression Device<br>(K173563) |
| Manufacturer | Terumo Medical Corporation | Terumo Medical Corporation | TZ Medical Inc |

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Image /page/7/Picture/1 description: The image shows the Terumo company logo. The logo features a red swoosh above the company name, which is written in green, block letters. The font is sans-serif and appears to be bolded.

| Intended Use /<br>Indications<br>for Use | The TR Band® is a compression | The TR BAND® Radial<br>Compression Device is a | When applied by a trained health |
|------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| | device indicated to apply<br>compression in order to achieve<br>hemostasis while allowing the user<br>to maintain patency of the radial<br>artery after a transradial procedure<br>(patent hemostasis). | compression device to assist<br>hemostasis of the radial artery<br>after a transradial procedure. | care professional, the TZ Medical<br>ARC™ device is indicated to<br>assist in controlled compression<br>hemostasis of the radial artery<br>after a transradial procedure; the<br>device is indicated to compress the<br>radial artery access puncture site<br>in order to achieve hemostasis and<br>maintain patency of the radial<br>artery (patent hemostasis). |

Although the wording of the Indications for Use statements differ between the subject and predicate devices, the intended use and primary function of both the devices are the same. Both devices are intended to assist hemostasis of the radial artery after a transradial procedure. Furthermore, the ARC Adjustable Radial Cuff Compression Device manufactured by TZ Medical Inc (reference device: K173563) has the similar indications for use with regard to patent hemostasis.

# G. SUBSTANTIAL EQUIVALENCE COMPARISON (807.92(a)(6))

The TR BAND® Radial Compression Device, subject of this 510(k), is substantially equivalent in its intended use/indications for use, technology/principal of operation, materials, and performance to the TR Band, manufactured by Terumo Medical Corporation.

A comparison of the technological characteristics is summarized on the table below.

| Device Characteristic | Subject Device:<br>TR BAND® Radial Compression Device | Predicate Device:<br>TR BAND® Radial Compression Device<br>(K152525) |
|---------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Manufacturer | Terumo Medical Corporation | Terumo Medical Corporation |
| Intended Use /<br>Indications for Use | The TR Band® is a compression device<br>indicated to apply compression in order to<br>achieve hemostasis while allowing the user to<br>maintain patency of the radial artery after a<br>transradial procedure (patent hemostasis). | The TR BAND® Radial Compression Device is<br>a compression device to assist hemostasis of<br>the radial artery after a transradial procedure. |
| Operation Principle | Same | Operated manually or by a manual process;<br>Pneumatic compression balloons are filled to<br>apply pressure to the access site |
| Design / Construction | Same | A plastic belt with hook and loop adjustable fastener on each end, two compression balloons, and an injection port. The device also contains a TR Band Inflator. |
| Materials | TR Band - Band (Belt) | TR Band - Band (Belt) |
| | • Belt | • Belt |
| | - Same | - Polyvinyl chloride |
| | • Compression balloon (large) | • Compression balloon (large) |
| | - Same | - Polyvinyl chloride |
| | • Compression balloon (small) | • Compression balloon (small) |
| | - Same | - Polyvinyl chloride |
| | • Green dot on Compression balloon (large) | • Green dot on Compression balloon (small) |
| | - Printing ink (green) | - Printing ink (green) |
| | • Tube | • Tube |
| | - Same | - Polyvinyl chloride |
| | • Adjustable fastener | • Adjustable fastener |
| | - Same | - Nylon |
| | Support plate | Support plate |
| | - Same | - Polycarbonate |
| | Valve Connector | Pressure Confirmation Balloon |
| | - Methylmethacrylate Acrylonitrile<br>Butadiene Styrene (MABS) | - Polyvinyl chloride |
| | - Green Ink (Green air direction symbol) | - Printing Ink (Green air direction symbol) |
| | Air Injection Port with Valve | Air Injection Port with Valve |
| | - Same | • Valve |
| | | o Valve overcoat |
| | | - ABS resin<br>- Colorant |
| | | o Rubber valve |
| | | - EPDM |
| | | o Spring |
| | | - Stainless steel |
| | TR Band - Inflator | TR Band - Inflator |
| | - Same | • 20mL syringe |
| | | - Polypropylene (PP), etc. |
| | | • Hub (Inflator tip/Syringe tip) |
| | | - Polypropylene<br>- Colorant |
| | | • Label |
| | | - Polyethylene<br>- Colorant |
| | Individual Package (Unit Pouch) | Individual Package (Unit Pouch) |
| | - Same | • Printed Top Web<br>- 1059B Tyvek coated with CR27 coating<br>• Bottom Web |
| Package | Same | Lidded tray<br>Shelf Box<br>Shipping Carton |
| Specifications | Same | Length of band (belt):<br>Large TR Band is 24 cm<br>Large TR Band is 29cm |
| Sterilization | Same | Ethylene Oxide (validated in accordance with<br>ANSI / AAMI / ISO 11135-1 to achieve SAL<br>10-6) |
| Shelf life | Same | 30 months |
| Disposable Single Use | Same | Yes |

Table 5.1: Summary of Substantial Equivalence

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Image /page/8/Picture/0 description: The image shows the logo for Terumo. The logo consists of the word "TERUMO" in green, with a red swoosh above the letters "TE". The font is sans-serif and bold. The logo is simple and modern.

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Image /page/9/Picture/0 description: The image shows the Terumo company logo. The logo consists of a red swoosh above the company name, which is written in green, block letters. The font is sans-serif and appears to be bolded.

The high-level overall design and construction of the subject TR BAND® Radial Compression Device are the same as those of the predicate device (K152525) with the exception of the minor design differences to the following components:

#### TR Band – Band:

- > Compression Balloons
- > Inflation Port
- > Adjustable Fastener
- > Belt
- > Support Plate
- > Green Marker (Green Dot)

#### TR Band – Inflator:

- > Inflator Tip (also called Inflator Hub or Syringe Tip)
# H. NON-CLINICAL TESTS (807.92(b)(1))

#### Performance

Performance testing was conducted to ensure the safety and effectiveness of the subject TR BAND® Radial Compression Device throughout the shelf life, verify conformity to the applicable external and internal standards, and demonstrate substantial equivalence to the predicate device. No issues of safety and effectiveness were raised with the testing performed. Tables 5.2 below provide a list of the performance tests that were performed on the TR BAND® Radial Compression Device.

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Image /page/10/Picture/0 description: The image shows the logo for Terumo. The logo consists of a red arc above the word "TERUMO" in green, block letters. The arc is positioned above and slightly to the left of the word.

| Standard Designation | Standard Name |
|-------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------|
| ASTM F1980-16 | Standard Guide for Accelerated Aging of Sterile Barrier<br>Systems for Medical Devices. |
| ASTM D4169-14 | Standard Practice for Performance Testing of Shipping<br>Containers and Systems |
| ASTM F88/F88M-15 | Standard Test Method for Seal Strength of Flexible Barrier<br>Materials |
| ASTM F2825-18 | Standard Practice for Climatic Stressing of Packaging<br>Systems for Single Parcel Delivery |
| ISO 14971:2007 /(R)2010 | Medical devices - Application of risk management to medical<br>devices |
| Internal Standards | - Visual/Appearance<br>- Dimensional<br>- Functional performance<br>o Tensile tests<br>o Torque tests<br>o Shear Strength tests<br>o Pressure and Leak tests |

#### Table 5.2: Summary of Performance Testing

The TR BAND® Radial Compression Device tested met the predetermined acceptance criteria. Based on the results of the performance testing, the subject TR BAND® is safe and effective for its intended use. There are no new issues of safety and effectiveness in the performance of the device.

## Risk Analysis

A Product Risk Analysis was conducted in accordance with ISO 14971, and it was determined that any new risks were adequately captured and mitigated, and there were no new issues of safety or effectiveness.

## I. CLINICAL TESTS (807.92(b)(2))

This 510(k) does not include data from clinical tests.

# J. CONCLUSION (807.92(b)(3))

In summary, the TR BAND® Radial Compression Device, subject of this 510(k), is substantially equivalent in its intended use, technology/principal of operation, materials, and performance to the predicate device(s):

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Image /page/11/Picture/1 description: The image shows the logo for Terumo. The logo consists of a red swoosh above the word "TERUMO" in green, block letters. The logo is simple and modern, and the colors are eye-catching.

- Predicate Device: K152525 TR BAND® Radial Compression Device, . manufactured by Terumo Medical Corporation, USA.
- Reference Device: K173563 ARC Adjustable Radial Cuff Compression Device, . manufactured by TZ Medical Inc.

There is no significant difference that raises any new issues of safety and effectiveness.