Intra-Operative Positioning System (IOPS®) (Fiducial Tracking Pad); Intra-Operative Positioning System (IOPS®) (Guidewire Handle)

K242133 · Centerline Biomedical, Inc. · DQK · Oct 11, 2024 · Cardiovascular

Device Facts

• Record ID: K242133
• Device Name: Intra-Operative Positioning System (IOPS®) (Fiducial Tracking Pad); Intra-Operative Positioning System (IOPS®) (Guidewire Handle)
• Applicant: Centerline Biomedical, Inc.
• Product Code: DQK · Cardiovascular
• Decision Date: Oct 11, 2024
• Decision: SESE
• Submission Type: Special
• Regulation: 21 CFR 870.1425
• Device Class: Class 2

Intended Use

The IOPS (Intra-Operative Positioning System) is intended for the evaluation of vascular anatomy as captured via 3D modeling from previously acquired scan data. It is intended for real time tip positioning and navigation using sensor-equipped compatible catheters and quidewires used in endovascular interventions in the descending aorta. The system is indicated for use as an adjunct to fluoroscopy. The IOPS does not make a diagnosis.

Device Story

IOPS system provides real-time visualization of sensor-equipped catheters and guidewires during endovascular interventions. Input data includes 3D vascular models from pre-acquired scan data and real-time tracking signals from EM sensors. The Fiducial Tracking Pad, placed on the patient, uses radiopaque beads and an EM sensor to register patient position and track gross motion. The Guidewire Handle connects to a sensorized guidewire to enable tip position tracking. Used in clinical settings by physicians, the system overlays tracked device positions onto 3D vascular renderings, serving as an adjunct to fluoroscopy. This visualization assists clinicians in navigating the descending aorta, potentially reducing radiation exposure and improving procedural accuracy.

Clinical Evidence

Bench testing only. Testing included dimensional analysis, device functionality, tensile testing, radiopacity, accuracy testing per ASTM F2554, IEC 60601 electrical safety, biocompatibility per ISO 10993, sterilization validation per ISO 14937/TIR56, EO/ECH residuals per ISO 10993-7, and packaging integrity per ISO 11607.

Technological Characteristics

Sterile, single-use tracking pad and guidewire handle. Tracking pad includes EM sensor and radiopaque beads. Guidewire handle includes PCB and signal cable. Sterilized via ethylene oxide gas (Category B). Connectivity via signal cables to IOPS system. Complies with ASTM F2554 for accuracy, ISO 10993 for biocompatibility, and IEC 60601 for electrical safety.

Indications for Use

Indicated for patients undergoing endovascular interventions in the descending aorta requiring real-time tip positioning and navigation of sensor-equipped catheters and guidewires as an adjunct to fluoroscopy.

Regulatory Classification

Identification

A programmable diagnostic computer is a device that can be programmed to compute various physiologic or blood flow parameters based on the output from one or more electrodes, transducers, or measuring devices; this device includes any associated commercially supplied programs.

Predicate Devices

• Intra-Operative Positioning System (IOPS): Tracking Pad; Guide (K190106)
• IOPS Tracking Pad (TP-1); IOPS Guidewire Handle (SSH-1) (K230309)

Submission Summary (Full Text)

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October 11, 2024

Centerline Biomedical, Inc. Amanda Shade Sr. Regulatory Affairs Manager 10000 Cedar Ave Cleveland, Ohio 44106

Re: K242133

Trade/Device Name: Intra-Operative Positioning System (IOPS®) (Fiducial Tracking Pad); Intra-Operative Positioning System (IOPS®) (Guidewire Handle) Regulation Number: 21 CFR 870.1425 Regulation Name: Programmable Diagnostic Computer Regulatory Class: Class II Product Code: DQK Dated: July 19, 2024 Received: July 22, 2024

Dear Amanda Shade:

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.

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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 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-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 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-device-advicecomprehensive-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-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-regulatory

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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,

# Aneesh S. Deoras -S

Aneesh Deoras Assistant Director 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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### Indications for Use

Submission Number (if known)

K242133

Device Name

Intra-Operative Positioning System (IOPS®) (Fiducial Tracking Pad);

Intra-Operative Positioning System (IOPS®) (Guidewire Handle)

#### Indications for Use (Describe)

The IOPS (Intra-Operative Positioning System) is intended for the evaluation of vascular anatomy as captured via 3D modeling from previously acquired scan data. It is intended for real time tip positioning and navigation using sensor-equipped compatible catheters and quidewires used in endovascular interventions in the descending aorta. The system is indicated for use as an adjunct to fluoroscopy. The IOPS does not make a diagnosis.

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)

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| 510(k) #: | K242133 | 510(k) Summary | Prepared on: 2024-09-11 |
|-----------|---------|----------------|-------------------------|
|-----------|---------|----------------|-------------------------|

Contact Details

| Applicant Name | Centerline Biomedical, Inc. |
|-----------------------------|--------------------------------------------------|
| Applicant Address | 10000 Cedar Ave Cleveland OH 44106 United States |
| Applicant Contact Telephone | 216-206-7364 |
| Applicant Contact | Amanda Shade |
| Applicant Contact Email | [e-mail] |

Device Name
21 CFR 807.92(a)(2)

| Device Trade Name | Intra-Operative Positioning System (IOPS®) (Fiducial Tracking Pad);<br>Intra-Operative Positioning System (IOPS®) (Guidewire Handle) |
|---------------------|--------------------------------------------------------------------------------------------------------------------------------------|
| Common Name | Programmable diagnostic computer |
| Classification Name | Computer, Diagnostic, Programmable |
| Regulation Number | 870.1425 |
| Product Code(s) | DQK |

Legally Marketed Predicate Devices
21 CFR 807.92(a)(3)

| Predicate # | Predicate Trade Name (Primary Predicate is listed first) | Product Code |
|-------------|----------------------------------------------------------------|--------------|
| K190106 | Intra-Operative Positioning System (IOPS): Tracking Pad; Guide | DQK |
| K230309 | IOPS Tracking Pad (TP-1); IOPS Guidewire Handle (SSH-1) | DQK |

Device Description Summary
21 CFR 807.92(a)(4)IOPS Fiducial Tracking Pad is a sterile, single use tracking pad intended for use with the Intra-Operative Positioning System (IOPS), manufactured by Centerline Biomedical. It is equipped with a single tracking sensor allowing IOPS to track gross patient motion to allow maintenance of patient registration during a procedure. It will not track minor patient motion such as breathing or cardiac movement. The tracking pad is equipped with radiopaque beads which allow registration of a conebeam CT scan of the patient in their current position to a previously acquired CT scan.

IOPS Guidewire Handle is a sterile, single use, non-sensorized device intended for use with the Intra-Operative Positioning System (OPS) and its sensorized 0.035″ guidewire, manufactured by Centerline Biomedical. It is meant to be connected to an IOPS sensorized guidewire to allow detection and visualization of the guidewire tip position, in real time, on a 3D rendering of the patient's vascular map.

### Intended Use/Indications for Use

The IOPS (Intra-Operative Positioning System) is intended for the evaluation of vascular anatomy as captured via 3D modeling from previously acquired scan data. It is intented for real time tip position using sensor-equipped compatible catheters and guidewires used in endovascular interventions in the system is indicated for use as an adjunct to fluoroscopy. The IOPS does not make a diagnosis.

### Indications for Use Comparison

21 CFR 807.92(a)(5)

21 CFR 807.92(a)(5)

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The indications for use of IOPS Fiducial Tracking Pad and IOPS Guidewire Handle have not changed from the predicate devices.

## Technological Comparison

### 21 CFR 807.92(a)(6)

The subject and predicate devices are intended for use with the Intra-Operative Positioning System. The principles of operation of IOPS Fiducial Tracking Pad and IOPS Guidewire Handle remain unchanged from the predicate devices have a longer shelf life and a different packaging system than the predicate device. Both the subject and predicate devices are sterilized by ethylene oxide gas but the sterilization method was changed from established category A to established category B.

The following technological differences apply to the IOPS Fiducial Tracking Pad and its predicate:

- The subject device is smaller in size than the predicate device.
- The subject device utilizes a different EM sensor than the predicate device.
- The subject device has less quantity of EM sensors and fiducials than the predicate device.
- The subject device contains a printed circuit board and a longer signal cable than the predicate device.

- Some materials used in the construction of the subject device are different from the predicate device.

The following technological differences apply to the IOPS Guidewire Handle and its predicate:

- The subject device is smaller in size than the predicate device.
- The subject device does not have a metal shielding while the predicate does.
- The subject device contains a printed circuit board and a longer signal cable than the predicate device.
- Some materials used in the construction of the subject device are different from the predicate device.

#### Non-Clinical and/or Clinical Tests Summary & Conclusions 21 CFR 807.92(b)

#### Non-Clinical Testing:

The following tests were conducted on the IOPS Fiducial Tracking Pad and IOPS Guidewire Handle to establish equivalency to the predicate device in safety and effectiveness:

- Dimensional Analysis
- · Device Functionality and Essential Performance
- Tensile
- Radiopacity
- · Accuracy Testing with IOPS per ASTM F2554
- · IEC 60601 and Applied Part Testing
- · Biocompatibility per ISO 10993
- · Sterilization per ISO 14937 and TIR56
- EO/ECH Residuals per ISO 10993-7
- · Packaging Integrity per ISO 11607
- Design Validation

Conclusion:

The subject devices have similar technological characteristics and the same indications/intended use as the predicate device. The differences in technological characteristics do not raise new or different questions of safety or effectiveness. The successful completion of non-clinical testing demonstrates that the IOPS Fiducial Tracking Pad and IOPS Guidewire Handle perform as intended and are substantially equivalent to the predicate.