0.014” Willow Guidewire

K243756 · Arbor Endovascular, LLC · MOF · Jul 17, 2025 · Cardiovascular

Device Facts

• Record ID: K243756
• Device Name: 0.014” Willow Guidewire
• Applicant: Arbor Endovascular, LLC
• Product Code: MOF · Cardiovascular
• Decision Date: Jul 17, 2025
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 870.1330
• Device Class: Class 2

Indications for Use

The 0.014” Willow Guidewire is intended for general intravascular use, including neurovascular and peripheral vasculatures. It can be used to selectively introduce and position catheters and other interventional devices within the peripheral and neuro vasculature. This device should be used only by physicians trained in percutaneous, intravascular techniques and procedures.

Device Story

The 0.014" Willow Guidewire is a single-use, shapeable-tip guidewire used to gain intravascular access in small-diameter, tortuous vessels. It facilitates the positioning and exchange of interventional devices during neuro and peripheral diagnostic/interventional procedures. The device is operated by physicians trained in percutaneous techniques. The operator manually torques the proximal end of the wire to navigate through the vasculature. The device features a cobalt-chromium core, laser-cut nitinol tip, and platinum-tungsten radiopaque coil, allowing for visualization under fluoroscopy. It is provided with an introducer, torque device, and shaping mandrel. By providing a steerable path, the device enables precise placement of therapeutic catheters, potentially improving procedural outcomes in complex vascular anatomy.

Clinical Evidence

No clinical or animal studies were conducted. Substantial equivalence was established through non-clinical bench performance testing, including coating lubricity/durability, corrosion resistance, flex fatigue, fracture, kink resistance, particulate characterization, radiopacity, simulated use, tensile strength, tip flexibility, shapeability, and torque performance. Biocompatibility testing per ISO 10993-1 was performed, confirming safety for short-term (<24 hours) blood contact.

Technological Characteristics

Cobalt-chromium core wire with PTFE coating; laser-cut nitinol distal tip; platinum-tungsten radiopaque coil; UV-curable adhesive; hydrophilic coating. Sterilized via 100% Ethylene Oxide (ISO 11135:2014). Dimensions: 215 cm access length, 315 cm exchange length. Manual operation; no software or electronic components.

Indications for Use

Indicated for patients undergoing endovascular treatment in neurovascular and peripheral vasculatures requiring selective introduction and positioning of catheters and interventional devices.

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.

Predicate Devices

• Synchro SELECT Guidewire (K202522)

Reference Devices

• Guidewire Introducer (K760389)

Submission Summary (Full Text)

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FDA U.S. FOOD &amp; DRUG ADMINISTRATION

July 17, 2025

Arbor Endovascular, LLC
% Sara Toyloy
President and Principal Consultant
Fabrica Consulting, LLC
73 Lincoln Drive
Sausalito, California 94965

Re: K243756
Trade/Device Name: 0.014" Willow Guidewire
Regulation Number: 21 CFR 870.1330
Regulation Name: Catheter Guide Wire
Regulatory Class: Class II
Product Code: MOF, DQX
Dated: June 13, 2025
Received: June 13, 2025

Dear Sara Toyloy:

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 (the 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 available 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.

U.S. Food &amp; Drug Administration
10903 New Hampshire Avenue
Silver Spring, MD 20993
www.fda.gov

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K243756 - Sara Toyloy
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Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device" (https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software Change to an Existing Device" (https://www.fda.gov/media/99785/download).

Your device is also subject to, among other requirements, the Quality System (QS) regulation (21 CFR Part 820), which includes, but is not limited to, 21 CFR 820.30, Design controls; 21 CFR 820.90, Nonconforming product; and 21 CFR 820.100, Corrective and preventive action. Please note that regardless of whether a change requires premarket review, the QS regulation requires device manufacturers to review and approve changes to device design and production (21 CFR 820.30 and 21 CFR 820.70) and document changes and approvals in the device master record (21 CFR 820.181).

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 Part 803) for devices or postmarketing safety reporting (21 CFR Part 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reporting-combination-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 Part 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050.

All medical devices, including Class I and unclassified devices and combination product device constituent parts are required to be in compliance with the final Unique Device Identification System rule ("UDI Rule"). The UDI Rule requires, among other things, that a device bear a unique device identifier (UDI) on its label and package (21 CFR 801.20(a)) unless an exception or alternative applies (21 CFR 801.20(b)) and that the dates on the device label be formatted in accordance with 21 CFR 801.18. The UDI Rule (21 CFR 830.300(a) and 830.320(b)) also requires that certain information be submitted to the Global Unique Device Identification Database (GUDID) (21 CFR Part 830 Subpart E). For additional information on these requirements, please see the UDI System webpage at https://www.fda.gov/medical-devices/device-advice-comprehensive-regulatory-assistance/unique-device-identification-system-udi-system.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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-devices/medical-device-safety/medical-device-reporting-mdr-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/medical-devices/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-devices/device-advice-comprehensive-regulatory-

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K243756 - Sara Toyloy
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assistance/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,

Naira Muradyan -S

Naira Muradyan, Ph.D.
Assistant Director
DHT5A: Division of Neurosurgical,
Neurointerventional, and
Neurodiagnostic Devices
OHT5: Office of Neurological and
Physical Medicine Devices
Office of Product Evaluation and Quality
Center for Devices and Radiological Health

Enclosure

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FORM FDA 3881 (8/23)
Page 1 of 1
PSC Publishing Services [phone]
EF

| DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration Indications for Use | Form Approved: OMB No. 0910-0120 Expiration Date: 07/31/2026 See PRA Statement below. |
| --- | --- |
| 510(k) Number (if known) K243756 | |
| Device Name 0.014" Willow Guidewire | |
| Indications for Use (Describe) The 0.014” Willow Guidewire is intended for general intravascular use, including neurovascular and peripheral vasculatures. It can be used to selectively introduce and position catheters and other interventional devices within the peripheral and neuro vasculature. This device should be used only by physicians trained in percutaneous, intravascular techniques and procedures. | |
| Type of Use (Select one or both, as applicable) ☑ Prescription Use (Part 21 CFR 801 Subpart D) ☐ Over-The-Counter Use (21 CFR 801 Subpart C) | |
| CONTINUE ON A SEPARATE PAGE IF NEEDED. | |
| 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 Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff [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." | |

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Arbor Endovascular, LLC
Premarket Notification, Traditional 510(k)
0.014” Willow™ Guidewire

# 510(k) Summary K243756

## Submitter Name, Address and Contact:

**Submitter:** Arbor Endovascular, LLC
2345 Bering Drive
San Jose, CA 95131

**Sponsor Contact:** Kim Otto
Vice President, Operations
Phone: [phone]
Email: [e-mail]

**Correspondent:** Sara Toyloy
Fabrica Consulting, LLC
Email: [e-mail]
Phone: [phone]

**Date Prepared:** July 8, 2025

## Device Name and Classification:

**Trade/Proprietary Name:** 0.014” Willow™ Guidewire

**Common Name:** Wire, Guide, Catheter

**Classification Name:** Wire, Guide, Catheter, 21 CFR 870.1330 – Class II

**Product Code:** MOF, DQX

**Legally Marketed Predicate Device:** Synchro SELECT Guidewire (K202522)

## Device Description:

Like the predicate device, the 0.014” Willow Guidewire is a single-use product with a shapeable tip available in straight and pre-shaped configurations, used to gain intravascular access to facilitate the positioning and exchange of interventional devices in small diameter, tortuous vasculature for neuro and peripheral diagnostic and interventional procedures. The wire can be torqued to facilitate navigation through the vasculature. The 0.014” Willow Guidewire comes in three stiffness profiles: Soft, Standard and Support.

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Arbor Endovascular, LLC

Premarket Notification, Traditional
510(k)

0.014” Willow™ Guidewire

# Accessories:

The 0.014” Willow Guidewire is provided with three (3) accessories, an Introducer, a Torque Device and a Shaping Mandrel.

# Indications for Use:

The Indications for Use for the 0.014” Willow Guidewire are the same as the predicate Synchro SELECT Guidewire and are as follows:

The 0.014” Willow Guidewire is intended for general intravascular use, including neurovascular and peripheral vasculatures. It can be used to selectively introduce and position catheters and other interventional devices within the peripheral and neuro vasculature. This device should be used only by physicians trained in percutaneous, intravascular techniques and procedures.

# Technological Characteristics and Product Feature Comparison:

The 0.014” Willow Guidewire is substantially equivalent to the predicate device, the Synchro SELECT Guidewire (K202522), based on the following:

- Same indications for use
- Similar fundamental materials and manufacturing process
- Same fundamental design and technology
- Same operating principles
- Similar materials and processes for packaging
- Similar sterilization method and process for devices

A comparison of the subject device with the predicate device is summarized in Table 1 below.

Table 1. Comparison of the 0.014” Willow Guidewire and the Synchro SELECT Guidewire

| Characteristic | Predicate Device Synchro SELECT™ Guidewire (K202522) | Subject Device 0.014” Willow Guidewire (K243756) |
| --- | --- | --- |
| Classification Name | Wire, Guide, Catheter, 21 CFR 870.1330, Class II | Same |
| Product Code | MOF, DQX | Same |
| Review Panel | Neurology | Same |
| 510(k) Submitter | Stryker Neurovascular 47900 Bayside Pkwy Fremont, CA 94538-6515 (USA) | Arbor Endovascular, LLC 2345 Bering Drive San Jose, CA 95131 |

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Arbor Endovascular, LLC

Premarket Notification, Traditional 510(k)

0.014” Willow™ Guidewire

| Characteristic | Predicate Device
Synchro SELECT™ Guidewire
(K202522) | Subject Device
0.014” Willow Guidewire
(K243756) |
| --- | --- | --- |
| Indications for Use | The Synchro SELECT Guidewire series is intended for general intravascular use, including neurovascular and peripheral vasculatures. It can be used to selectively introduce and position catheters and other interventional devices within the peripheral and neurovasculature. This device should be used only by physicians trained in percutaneous, intravascular techniques and procedures. | The 0.014” Willow Guidewire is intended for general intravascular use, including neurovascular and peripheral vasculatures. It can be used to selectively introduce and position catheters and other interventional devices within the peripheral and neurovasculature. This device should be used only by physicians trained in percutaneous, intravascular techniques and procedures. |
| Device Description/ Principle of Operation | The Synchro SELECT Guidewire is a single-use product with a shapeable tip available in straight and pre-shaped configurations, used to gain intravascular access to facilitate the positioning and exchange of interventional devices in small diameter, tortuous vasculature for neuro and peripheral diagnostic and interventional procedures. The wire can be torqued to facilitate navigation through the vasculature. | Same |
| Target Population | The Synchro SELECT Guidewire is used in patients undergoing endovascular treatment including neuro and peripheral vasculatures. | Same |
| Accessories | Guidewire Introducer and Torque Device | Guidewire Introducer, Torque Device, and Shaping Mandrel |
| Core Wire | 304 Stainless Steel with PTFE coating on the proximal section | Cobalt chromium alloy with PTFE coating on the proximal section |
| Core Wire Length | 215 cm Access Length
300 cm Exchange Length | 215 cm Access Length
315 cm Exchange Length |
| Guidewire Tip (slotted tube) | Nickel-Titanium
Micro-Machined Nitinol | Nickel-Titanium
Laser Cut Nitinol |
| Radiopaque Coil | Platinum | Platinum-Tungsten Alloy |
| Core Wire Length | 215 cm Access Length
300 cm Exchange Length | 215 cm Access Length
315 cm Exchange Length |
| Radiopaque Coil Shapes and Lengths | Standard and Soft: Platinum, 10 cm
Pre-shaped Support: Platinum, 7 cm
Straight Support: Platinum, 6 cm | Standard and Soft Straight and Pre-Shaped: Platinum/Tungsten, 10 cm
Support Straight and Standard: Platinum/Tungsten, 3 cm |
| Adhesive | UV Curable Adhesive | Same |
| Primer | Parylene Dimer | Same |
| Hydrophilic Coating | Proprietary Hydrophilic Topcoat and Basecoat | Proprietary Hydrophilic Coating |
| Guidewire Introducer | Commercially available per K760389, B. Braun | Guidewire Introducer |
| Shaping Mandrel | N/A | Shaping Mandrel |

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Arbor Endovascular, LLC

Premarket Notification, Traditional
510(k)

0.014” Willow™ Guidewire

The differences between the devices do not raise new questions of safety and effectiveness.

# Risk Assessment:

Risk assessment of the 0.014” Willow Guidewire has been conducted in accordance with ISO 14971:2019 to show that no new risks were identified compared to the well-established commercially available predicate device. Results of non-clinical testing have demonstrated the subject device is substantially equivalent to the predicate device.

# Bench Performance Testing:

The results of the bench testing conducted on the subject device demonstrate that it performs as intended and meets design specifications. Bench performance testing included the following:

Table 2: Bench Testing Summary

| Test | Test Method Summary | Conclusions |
| --- | --- | --- |
| Coating Lubricity | Hydrophilic coating lubricity was assessed after multiple pull cycles through silicone pads. | Acceptance criteria were met. |
| Coating Durability | Coating durability was assessed after repeating multiple pull cycles through silicone pads. | Acceptance criteria were met. |
| Coating Integrity | Testing completed per FDA guidance document “Coronary, Peripheral, and Neurovascular Guidewires – Performance Tests and Recommended Labeling” (2019). Coating integrity inspected pre- and post-simulated use tracking with comparison to predicate. | Coating integrity was reported and considered acceptable. |

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Arbor Endovascular, LLC

Premarket Notification, Traditional 510(k)

0.014” Willow™ Guidewire

| Test | Test Method Summary | Conclusions |
| --- | --- | --- |
| Corrosion Resistance | Testing completed per FDA guidance document “Coronary, Peripheral, and Neurovascular Guidewires – Performance Tests and Recommended Labeling” (2019). | Acceptance criteria were met. |
| Dimensional and Visual Inspection | Testing completed per FDA guidance document “Coronary, Peripheral, and Neurovascular Guidewires – Performance Tests and Recommended Labeling” (2019). Verified key dimensions of the guidewire. | Acceptance criteria were met. |
| Flex Fatigue | Subjected the guidewire to multiple flexure cycles around cylindrical pins. | Acceptance criteria were met. |
| Fracture | Subjected the guidewire to multiple wrappings around cylinder and visually inspected for signs of fracture. | Acceptance criteria were met. |
| Kink Resistance | Testing completed per FDA guidance document “Coronary, Peripheral, and Neurovascular Guidewires – Performance Tests and Recommended Labeling” (2019). Wrapped the guidewire around test fixture with clinically relevant radii. | Acceptance criteria were met. |
| Particulate Characterization | Testing completed per FDA guidance document “Coronary, Peripheral, and Neurovascular Guidewires – Performance Tests and Recommended Labeling” (2019). Counted particulates of various size ranges after tracking through a tortuous simulated use model, with comparison to the predicate device. | Particulate counts were reported and considered acceptable. |
| Radiopacity | Testing completed per FDA guidance document “Coronary, Peripheral, and Neurovascular Guidewires – Performance Tests and Recommended Labeling” (2019). Subject and predicate guidewires were evaluated under fluoroscopy. | All Willow Guidewires demonstrated acceptable radiopacity. The radiopacity of the subject device was comparable to that of the predicate device. |
| Simulated Use | Testing completed per FDA guidance document “Coronary, Peripheral, and Neurovascular Guidewires – Performance Tests and Recommended Labeling” (2019). Guidewires were tested for use with a microcatheter, the guidewire introducer, and torque device while navigating to target locations in a tortuous simulated use model. | Acceptance criteria were met. |
| Tensile Strength | Testing completed per FDA guidance document “Coronary, Peripheral, and Neurovascular Guidewires – Performance Tests and Recommended Labeling” (2019). Measured the force required to break at each bond, including distal tip. | Acceptance criteria were met. |

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Arbor Endovascular, LLC

Premarket Notification, Traditional
510(k)

0.014” Willow™ Guidewire

| Test | Test Method Summary | Conclusions |
| --- | --- | --- |
| Tip Flexibility | Testing completed per FDA guidance document “Coronary, Peripheral, and Neurovascular Guidewires – Performance Tests and Recommended Labeling” (2019). Measured the force required to deflect the guidewire tip when held at 5 mm, 10 mm and 20 mm gauge lengths. Forces were compared to the predicate device. | Acceptance criteria were met. |
| Tip Shapeability | Shaped the guidewire tip for a total of three (3) times per labeling. | Acceptance criteria were met. |
| Tip Shape Retention | Measured the tip shape retention after tracking the guidewire through a tortuous simulated use model. | Acceptance criteria were met. |
| Torqueability | Testing completed per FDA guidance document “Coronary, Peripheral, and Neurovascular Guidewires – Performance Tests and Recommended Labeling” (2019). Tracked the guidewire through a tortuous simulated use model and evaluated the steerability and torque response. | Acceptance criteria were met. |
| Torque Strength | Testing completed per FDA guidance document “Coronary, Peripheral, and Neurovascular Guidewires – Performance Tests and Recommended Labeling” (2019). Recorded the number of times the proximal end of the wire can be rotated until it exceeds its maximum rotations and fails. | Acceptance criteria were met. |

## Sterilization and Shelf-Life Testing:

The device and its accessories are sterilized by 100% Ethylene Oxide and have been adopted into a validated sterilization process in accordance with the principles of ISO 11135:2014 (“Sterilization of health-care products - Ethylene oxide - Requirements for the development, validation and routine control of a sterilization process for medical devices”). A sterility assurance level (SAL) of 10⁻⁶ has been demonstrated. The performance testing completed supports a 1-year shelf-life.

## Performance Data – Animal, Clinical:

No animal or clinical studies were conducted as the indications for use and the fundamental scientific technology are the same as that of the predicate. Substantial equivalence of the subject device has been established to the predicate device through the results of non-clinical performance testing.

## Biocompatibility Testing:

Biocompatibility testing was conducted on the 0.014” Willow Guidewire in accordance with FDA guidance document, “Use of International Standard ISO 10993-1, "Biological evaluation of medical devices - Part 1: Evaluation and testing within a risk management process”, and

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Arbor Endovascular, LLC

Premarket Notification, Traditional 510(k)

0.014” Willow™ Guidewire

demonstrates that the guidewire and accessories meet biological safety requirements for externally communicating medical devices with circulating blood contact for less than 24 hours.

This statement is supported by the standards assessment and the testing conducted by Arbor Endovascular.

Table 3: Summary of Biocompatibility Testing

| Test | Test Method Summary | Conclusion |
| --- | --- | --- |
| Acute Systemic Toxicity | Per ISO 10993-11 | Pass: No evidence of acute systemic toxicity. |
| Compliment Activation | Per ISO 10993-4 | Pass: Non-activator |
| Cytotoxicity – MEM Elution | Per ISO 10993-5 | Pass: Non-cytotoxic |
| Hemolysis | Per ISO 10993-4 | Pass: Non-hemolytic |
| Intracutaneous Reactivity | Per ISO 10993-10 | Pass: Non-reactive |
| In Vivo Thrombogenicity | Per ISO 10993-4 | Pass: Non-Thrombogenic |
| Pyrogenicity | Per ISO 10993-11 | Pass: Non-pyrogenic |
| Sensitization | Per ISO 10993-10 | Pass: Non-sensitizing |

Conclusion:
The subject device is substantially equivalent to the predicate device with regards to device design, materials, intended use, and patient population. The conclusions drawn from the risk assessments and non-clinical testing conducted demonstrate that the subject device performs as intended and is substantially equivalent to the predicate device.

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