ChoICE Guide Wire, Mailman Guide Wire, Luge Guide Wire, ChoICE PT Guide Wire, PT Graphix Wire

K143587 · Boston Scientific Corporation · DQX · Jan 15, 2015 · Cardiovascular

Device Facts

• Record ID: K143587
• Device Name: ChoICE Guide Wire, Mailman Guide Wire, Luge Guide Wire, ChoICE PT Guide Wire, PT Graphix Wire
• Applicant: Boston Scientific Corporation
• Product Code: DQX · Cardiovascular
• Decision Date: Jan 15, 2015
• Decision: SESE
• Submission Type: Special
• Regulation: 21 CFR 870.1330
• Device Class: Class 2

Intended Use

Boston Scientific ChoICE™ PT, PT Graphix™, ChoICE, Luge, and Mailman Guidewires with ICE Hydrophilic Coating are intended to facilitate the placement of balloon dilatation catheters or other therapeutic devices during PTCA or other intravascular interventional procedures. They are not intended for use in the cerebral vasculature. Boston Scientific CholCE™ PT Magnet, PT Graphix™ Magnet, CholCE Magnet, Luge Magnet, and Mailman Magnet Guidewires with ICE Hydrophilic Coating are intended to facilitate the placement of balloon dilatation catheters or other therapeutic devices during PTCA or other intravantional procedures. They are not intended for use in the cerebral vasculature.

Device Story

Guide wires facilitate placement of balloon dilatation catheters/therapeutic devices during PTCA or intravascular interventional procedures; excluding cerebral vasculature. Device consists of 304 stainless steel core wire; proximal section PTFE-coated; distal end flattened for shaping; available with straight or preformed 'J' tip. Varying distal tapers and tip materials (spring coil or polymer) provide specific rail support and tip flexibility. 182 cm models include extension section for exchange via MAGNET Exchange Device or AddWire™ Extension Wire; 300 cm models allow exchange without extension. Used by physicians in clinical settings. Provides mechanical guidance for catheter navigation; benefits patient by enabling precise delivery of therapeutic devices to target vascular sites.

Clinical Evidence

No clinical data. Bench testing only. Design verification included torqueability, exchange system coupling strength, and connectability. Biocompatibility testing included cytotoxicity, USP physiochemical tests, and latex testing.

Technological Characteristics

304 stainless steel core wire; PTFE proximal coating; ICE® hydrophilic distal coating. 0.014 in diameter; 182 cm or 300 cm lengths. Distal tip options: spring coil or polymer; straight or 'J' shape. Mechanical guidance principle. Sterilization method not specified.

Indications for Use

Indicated for patients undergoing PTCA or other intravascular interventional procedures requiring placement of balloon dilatation catheters or therapeutic devices. Not indicated for use in cerebral vasculature.

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

• PT2 Guide Wire and AddWire™ Extension Wire (K030617)

Reference Devices

• Luge Guide Wires (K973945)
• Mailman (CholCE Family Super Support/Super Support II) Guide Wires (K964551)
• CholCE Plus, CholCE PT Plus, CholCE PT Graphix (K965023)
• ChoICE Family of Guide Wires (K970244)
• ChoICE PT Graphix (K962572)

Submission Summary (Full Text)

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Image /page/0/Picture/1 description: The image shows the seal of the U.S. Department of Health and Human Services. The seal features a stylized caduceus-like symbol with three intertwined figures representing human profiles. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the symbol.

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

January 15, 2015

Boston Scientific Corporation Nikki M. Wahlberg Regulatory Affairs Specialist One Scimed Place Maple Grove, MN 55311-1566

Re: K143587

Trade/Device Name: ChoICE, Mailman, Luge, ChoICE PT, ChoICE PT Graphix Guide Wires ChoICE Magnet, Mailman Magnet, Luge Magnet, ChoICE PT Magnet, PT Graphix Magnet Guide Wires Regulation Number: 21 CFR 870.1330 Regulation Name: Catheter guide wire Regulatory Class: Class II Dated: December 17, 2014 Received: December 18, 2014

Dear Ms. Wahlberg:

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

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Page 2 - Ms. Wahlberg

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.

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.

# Melissa A. Torres -S

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

Enclosure

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# Indications for Use

510(k) Number (if known) K143587

#### Device Name

ChoICE™, Mailman™, Luge™, ChoICE™ PT, and PT Graphix™ Guide Wires

CholCE™ Magnet, Mailman™ Magnet, Luge™ Magnet, CholCE™ PT Magnet, and PT Graphix™M Magnet Guide Wires

#### Indications for Use (Describe)

Boston Scientific ChoICE™ PT, PT Graphix™, ChoICE, Luge, and Mailman Guidewires with ICE Hydrophilic Coating are intended to facilitate the placement of balloon dilatation catheters or other therapeutic devices during PTCA or other intravascular interventional procedures. They are not intended for use in the cerebral vasculature.

Boston Scientific CholCE™ PT Magnet, PT Graphix™ Magnet, CholCE Magnet, Luge Magnet, and Mailman Magnet Guidewires with ICE Hydrophilic Coating are intended to facilitate the placement of balloon dilatation catheters or other therapeutic devices during PTCA or other intravascular interventional procedures. They are in the cerebral vasculature.

X Prescription Use (Part 21 CFR 801 Subpart D)

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

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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 |
|---------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Contact Person: | Nikki M Wahlberg |
| Phone Number: | 763-494-2381 |
| Fax Number: | 763-494-2981 |
| Prepared: | December 17, 2014 |
| Trade Name: | CholCE ™, Mailman™, Luge™, CholCE™ PT, and CholCE™ PT Graphix Guide<br>Wires<br>CholCE™ Magnet, Mailman™ Magnet, Luge™ Magnet, CholCE™ PT Magnet,<br>and PT Graphix™ Magnet Guide Wires |
| Common Name: | Catheter Guide Wire |
| Classification: | II |
| Product Code: | DQX per CFR Part 870.1330 |
| Primary Predicate Device: | |

PT2 Guide Wire and AddWire™ Extension Wire (K030617, 21 May 2003)

## Reference Predicate Device:

Luge Guide Wires (K973945, 12 January 1998)

Mailman (CholCE Family Super Support/Super Support II) Guide Wires (K964551, 21 May 1997)

CholCE Plus, CholCE PT Plus, CholCE PT Graphix (K965023, 3 April 1997)

ChoICE Family of Guide Wires (K970244, 28 March 1997)

ChoICE PT Graphix (K962572, 17 December 1996)

## Device Description:

The Boston Scientific CholCE™, Mailman™, Luge™, CholCE™ PT, and CholCE™ PT Graphix Guide Wires with ICE® Hydrophilic Coating are available with a nominal diameter of 0.014 in (0.37 mm) and in nominal lengths of 182 cm or 300 cm. These guide wires contain a 304 stainless steel core wire. The proximal section of the core wire of all models is coated with polytetrafluoroethylene (PTFE) for lubricity. The distal end of the core wire is formed (flattened) to allow for shaping. All models are available with a shapeable Straight Tip or a preformed "J" Tip to address user preference. Varying tapers along the distal core wire and differing tip materials (spring coil or polymer) provide combinations of rail support and tip flexibility to address user requirements. The 182 cm guide wires are designed with an extension section for exchange of Over-the-Wire systems by using either the MAGNET Exchange Device or the AddWire™ Extension Wire. The 300 cm guide wires allow exchange of therapeutic devices without the use of an extension wire or exchange system.

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#### Indications for Use / Intended Use:

Boston Scientific CholCE™ PT. PT Graphix™, CholCE, Luge, and Mailman Guidewires with ICE Hydrophilic Coating are intended to facilitate the placement of balloon dilatation catheters or other therapeutic devices during PTCA or other intravascular interventional procedures. They are not intended for use in the cerebral vasculature.

Boston Scientific CholCE™ PT Magnet, PT Graphix™ Magnet, CholCE Maqnet, Luge Magnet, and Mailman Magnet Guidewires with ICE Hydrophilic Coating are intended to facilitate the placement of balloon dilatation catheters or other therapeutic devices during PTCA or other intravantional procedures. They are not intended for use in the cerebral vasculature.

#### Substantial Equivalence:

The CholCE™, Mailman™, Luge™, CholCE™ PT, and CholCE™ PT Graphix Guide Wires incorporate substantially equivalent designs, device materials, manufacturing processes, fundamental technology, sterilization process, and intended use as those in the predicate devices. The 182 cm guide wires are designed with an extension section for exchange of Over-the-Wire systems by using either the AddWire™ Extension Wire similar to the design of the predicate device PT2 Guide Wire (K030617) or the MAGNET Exchange Device similar to the design of the reference predicates.

#### Summary of Non-Clinical Testing:

Design verification testing was performed to verify that the performance of the CholCE. Mailman, Luge, ChoICE PT, and ChoICE PT Graphix Guide Wires remains substantially equivalent to the predicate device.

Specifically, the following design verification and validation testing was performed:

- � Torqueability
- Exchange System Coupling Strength �
- � Exchange System Connectability

## Biocompatibility Testing:

The CholCE, Mailman, Luge, CholCE PT, and CholCE PT Graphix Guide Wires were compared to the predicate devices. Based on similarities of the materials used in the subject devices compared with the predicates, the following biocompatibility testing was conducted:

- � Cytotoxicity
- USP Physiochemical Test �
- � Latex

## Summary of Clinical Testing:

Clinical Evaluation was not required for these devices.

## Conclusion:

The ChoICE™, Mailman™, Luge™, ChoICE™ PT, and ChoICE™ PT Graphix Guide Wires have the same intended use and technological characteristics such as components, materials, sterilization method, shelf life and operating principle as the predicate devices. Performance data demonstrates that the device functions as intended, and is as safe and effective as the predicate devices.