LEMAITRE BALLOON CATHETER WITH IRRIGATION

K992940 · Vascutech, Inc. · DXE · Feb 22, 2000 · Cardiovascular

Device Facts

• Record ID: K992940
• Device Name: LEMAITRE BALLOON CATHETER WITH IRRIGATION
• Applicant: Vascutech, Inc.
• Product Code: DXE · Cardiovascular
• Decision Date: Feb 22, 2000
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 870.5150
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

The LeMaitre Balloon Catheter with Irrigation is indicated for the extraction of emboli and thrombi from the peripheral arterial system and also may be used for infusion of fluids.

Device Story

LeMaitre Balloon Catheter with Irrigation is a medical device used for the extraction of emboli and thrombi from the peripheral arterial system; also functions as a conduit for fluid infusion. Operated by clinicians in a surgical or interventional setting. Device facilitates mechanical removal of vascular obstructions and localized delivery of therapeutic fluids. Benefits include restoration of blood flow and targeted treatment of peripheral arterial conditions.

Clinical Evidence

No clinical data provided; substantial equivalence determination based on device description and intended use.

Technological Characteristics

Balloon catheter with integrated irrigation capability. Designed for peripheral arterial use. Technical specifications and materials not detailed in the provided documentation.

Indications for Use

Indicated for extraction of emboli and thrombi from the peripheral arterial system and infusion of fluids in patients requiring such procedures.

Regulatory Classification

Identification

An embolectomy catheter is a balloon-tipped catheter that is used to remove thromboemboli, i.e., blood clots which have migrated in blood vessels from one site in the vascular tree to another.

Submission Summary (Full Text)

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## Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

FEB 2 2 2000

Mr. Trent G. Kamke Vascutech, Inc. 164 Middlesex Turepike Burlington, MA 01803

K992940 Re: LeMaitre Balloon Catheter with Irrigation Requlatory Class: II (two) Product Code: DXE Dated: January 12, 2000 Received: January 18, 2000

Dear Mr. Kamke:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we 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). 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.

If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the Current Good Manufacturing Practice requirements, as set forth in the Quality System Requlation (QS) for Medical Devices: General requlation (21 CFR Part 820) and that, through periodic QS inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in requlatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

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## Page 2 - Mr. Trent G. Kamke

This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at [phone]. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at [phone]. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number [phone] or [phone], or at its internet address "http://www.fda.gov/cdrh/dsma/dsmamain.html".

Sincerely vours,

sincerely yours,

Chistyn M. Ahston

Celia M. Witten, Ph.D., M.D. Acting Director Division of Cardiovascular, Respiratory, and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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## STATEMENT OF INDICATIONS FOR USE

| Device Name | LeMaitre Balloon Catheter with Irrigation |
|---------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Indications for Use | The LeMaitre Balloon Catheter with Irrigation is indicated for the<br>extraction of emboli and thrombi from the peripheral arterial<br>system and also may be used for infusion of fluids. |

Chistopher M

(Division Sign-Off) Division of Cardiovascular, Respiratory, and Neurological Devic 510(k) Number J