Impulse Angiographic Catheter, Expo Angiographic Catheter

K152605 · Boston Scientific Corporation · DQO · Oct 29, 2015 · Cardiovascular

Device Facts

• Record ID: K152605
• Device Name: Impulse Angiographic Catheter, Expo Angiographic Catheter
• Applicant: Boston Scientific Corporation
• Product Code: DQO · Cardiovascular
• Decision Date: Oct 29, 2015
• Decision: SESE
• Submission Type: Special
• Regulation: 21 CFR 870.1200
• Device Class: Class 2

Intended Use

The Impulse™ and Expo™ Angiographic Catheters are intended for use in general intravascular applications to provide a pathway through which contrast media may be introduced.

Device Story

Impulse™ and Expo™ Angiographic Catheters are single-lumen diagnostic intravascular catheters used to deliver contrast media to vascular sites. The device consists of a multi-layer polymer shaft with an embedded stainless steel braid and an atraumatic, non-braided tip. Available in various distal curve shapes (Selective, Pigtail, Multi-Purpose) and outer diameters (5F, 6F, 7F). The proximal end features an insert-molded polymer hub and strain relief. Used by physicians in clinical settings during angiographic procedures to facilitate imaging. The device provides a pathway for contrast media, enabling visualization of the vascular system to assist in clinical decision-making and diagnosis.

Clinical Evidence

No clinical data required. Evidence consists of non-clinical design verification testing, including shaft integrity (burst pressure), hub leakage, tensile testing, gauging, liquid/air leakage, unscrewing torque, ease of assembly, and stress cracking. Biocompatibility testing included cytotoxicity, hemolysis, ICP-MS, FTIR, and nonvolatile residue (NVR) analysis.

Technological Characteristics

Single-lumen diagnostic intravascular catheter. Materials: multi-layer polymer shaft with embedded stainless steel braid; atraumatic tip. Dimensions: 5F, 6F, 7F outer diameters. Configurations: Selective, Pigtail, Multi-Purpose distal curves. Proximal end: insert-molded polymer hub and strain relief. Sterilization: not specified.

Indications for Use

Indicated for use in general intravascular applications to provide a pathway for delivering contrast media to selected sites in the vascular system during angiographic procedures.

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

• Impulse (K120495)
• Expo (K120495)

Submission Summary (Full Text)

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Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002

October 29, 2015

Boston Scientific Corporation Mac McKeen Fellow, Regulatory Affairs One Scimed Place Maple Grove, MN 55311

Re: K152605

Trade/Device Name: Impulse™ and Expo™ Angiographic Guide Catheters Regulation Number: 21 CFR 870.1200 Regulation Name: Diagnostic intravascular catheter Regulatory Class: Class II Dated: October 12, 2015 Received: October 13, 2015

Dear Mr. Mac McKeen:

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. 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 801); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Division of Industry and Consumer Education at its toll-free number [phone] or [phone] or at its Internet address

http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm_ Also, please note the regulation entitled. "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

You may obtain other general information on your responsibilities under the Act from the Division of Industry and Consumer Education at its toll-free number [phone] or [phone] or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours,

M.A. Willemen

for

Bram Zuckerman, M.D. Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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# Indications for Use Form

510(k) Number (if known): K152605

## Device Name: Impulse™ and Expo™ Angiographic Catheter

### Indications for Use:

The Impulse™ and Expo™ Anqiographic Catheters are designed to provide a pathway to be used for delivering contrast media to selected sites in the vascular system during an angiographic procedure.

Prescription Use __ × (Part 21 CFR 801 Subpart D) AND/OR

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

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE OF NEEDED)

Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

Division Sign-Off Office of In Vitro Diagnostic Device Evaluation and Safety

510(k)

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### 510(k) Summary

per 21 CFR \$807.92

| Sponsor: | Boston Scientific Corporation<br>300 Boston Scientific Way<br>Marlborough, MA 01752 USA |
|-------------------|-----------------------------------------------------------------------------------------|
| Contact Person: | Mac McKeen, [e-mail] |
| Phone Number: | 763-494-1409 Fax: [phone] |
| Prepared: | 10 September 2015 |
| Trade Name: | Impulse™ and Expo™ Angiographic Catheter |
| Common Name: | Diagnostic Intravascular Guide Catheter |
| Classification: | II |
| Product Code: | DQO, 21 CFR 870.1200 |
| Predicate Device: | Impulse: K120495 (21 May 2012) Expo: K120495 (21 May 2012) |

#### Device Description:

The Impulse™ and Expo™ Angiographic Catheters are single Jumen catheters offered in three distal curve shapes: Selective, Pigtail and Multi-Purpose. The Expo Catheter is offered in 5F, 6F, and 7F outer diameter, and the Impulse Catheter is offered in 5F and 6F outer diameter. The device shafts have multiple polymer layers with a stainless steel braid embedded between the layers, and an atraumatic tip that does not contain a braid. The proximal end consists of an insert molded polymer hub on all models, and a strain relief on all models except the 7F Expo.

#### Intended Use

The Impulse™ and Expo™ Angiographic Catheters are intended for use in general intravascular applications to provide a pathway through which contrast media may be introduced.

#### Substantial Equivalence

Modified Impulse™ and Expo™ Angiographic Catheter designs, materials, manufacturing processes and intended use are substantially equivalent to the predicate Impulse™ and Expo™ Angiographic Catheters.

#### Summary of Non-Clinical Testing

Design verification testing, including mechanical bench testing was performed to verify that the performance of the proposed Impulse™ and Expo™ Angiographic Catheters remain substantially equivalent to the predicate devices. Biocompatibility, and packaging testing were also performed to verify the overall safety and efficacv of the device.

Specifically the following design verification was performed:

- . Shaft Integrity: Burst Pressure
- Hub Leakage
- Tensile Test .
- Gauging Test ●
- Liquid Leakage
- Air Leakage ●
- Unscrewing Torque .
- Ease of Assembly .
- Stress Cracking .

#### Summary of Clinical Testing

Clinical Evaluation was not required for these devices.

- Biocompatibility Testing
- A Cytotoxicity
- A Hemolysis
- > Inductively Coupled Plasma - Mass Spectrometry (ICP-MS)
- A FTIR
- > Nonvolatile Residue (NVR)