The ACS ANCHOR™ Exchange Device is used within a guiding catheter to facilitate the exchange of an interventional device while maintaining the position of a guide wire within the vasculature.
Device Story
Device facilitates interventional device exchange while maintaining guide wire position in vasculature. Consists of proximal control handle, superelastic core wire, and 96 cm single lumen hypotube. Operated by physician in clinical setting (e.g., cath lab). Distal core wire wraps around guide wire to lock position, allowing withdrawal/advancement of interventional devices (e.g., PTCA catheters, stent delivery systems) over guide wire. Eliminates need for guide wire extensions or exchange-length wires. Benefits patient by maintaining access during device swaps.
Clinical Evidence
Bench and in vivo testing completed. Bench testing included tensile, torsional strength, locking force, and fatigue cycling. Biocompatibility testing performed per ISO 10993-1:1992(E). In vivo testing substantiated use with various interventional devices including PTCA dilatation catheters, atherectomy catheters, and stent delivery systems. No clinical trial data reported.
Technological Characteristics
Superelastic core wire; single lumen hypotube (approx. 96 cm); proximal control handle. Mechanical locking mechanism via distal wire wrapping. Sterilized to 10⁻⁶ sterility assurance level using methods validated for ACS guide wires. Compatible with 0.010"-0.018" non-hydrophilic guide wires.
Indications for Use
Indicated for use in patients undergoing interventional procedures requiring the exchange of interventional devices while maintaining guide wire position within the vasculature. Compatible with 0.010" through 0.018" diameter non-hydrophilic-coated guide wires and associated interventional devices, excluding the ROTOBLATOR® Rotational Angioplasty System, provided at least 0.015" free space exists within the guiding catheter.
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
The Magnet Exchange Device by Scimed Life Systems, Inc.
Related Devices
K981936 — ABD VARISOFT STEERABLE GUIDE WIRE AND ABD VARISOFT GUIDE WIRE EXTENSION · Advanced Biomedical Devices, Inc. · Feb 16, 2000
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GUIDANT
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This 510(k) summary of safety and effectiveness information is being submitted in accordance with the requirements of the Safe Medical Devices Act of 1990.
1. Trade Name: ACS ANCHOR™ Exchange Device
Common Name: Guide Wire Extension/Exchange Device
2. Device Classification: Class II
3. Performance Standards:
Performance standards have not been established under Section 514 of the Federal Food, Drug, and Cosmetic Act for guide wire extension/exchange devices.
4. Device Description:
ACS ANCHOR™ Exchange Device
The ACS ANCHOR™ Exchange Device is used within a guiding catheter to facilitate the exchange of an interventional device while maintaining the position of a guide wire within the vasculature. The ACS ANCHOR™ Exchange Device consists of a proximal control handle and a superelastic core wire within a single lumen hypotube approximately 96 cm. long. The control handle provides the user-interface to control the movement of the hypotube and the core wire. During an exchange procedure, the distal end of the core wire is wrapped around the guide wire to lock its position in the vasculature. The ACS ANCHOR™ Exchange Device is compatible with 0.010" through 0.018" diameter non-hydrophilic-coated guide wires and associated interventional devices (except the ROTOBLATOR® Rotational Angioplasty System) when at least 0.015" free space is available within the guiding catheter.
5. Summary of Substantial Equivalence:
Comparison of the new ANCHOR™ Exchange Device to the predicate device, The Magnet Exchange Device by Scimed Life Systems, Inc. indicates that the ANCHOR™ Exchange Device is substantially equivalent to the predicate exchange device. Like the Magnet Exchange Device, the ACS ANCHOR™ Exchange Device is used to facilitate the exchange of an interventional device without the use of a guide wire extension or exchange length wire. Both the ACS ANCHOR™ Exchange Device and the Magnet Exchange Device are designed to apply a holding force or "lock" on the guide wire to allow withdrawal or advancement of an interventional device over the guide wire while maintaining the guide wire position in the vasculature.
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Bench and in vivo testing have been completed to evaluate the performance of the ACS ANCHOR™ Exchange Device in combination with various interventional devices (e.g., PTCA dilatation catheters, atherectomy catheters, stent delivery systems).
## 6. Testing Data:
### Biocompatibility
Biocompatibility testing was performed on sterilized ACS ANCHOR™ Exchange Devices according to the International Standard - Biological Evaluation of Medical Devices (ISO 10993-1:1992(E)) and showed that the ACS ANCHOR™ Exchange Device is biocompatible and is acceptable for its intended application.
### Bench and In Vivo Testing
Bench testing of the ACS ANCHOR™ Exchange Device consisted of the following tests: tensile tests, torsional strength tests, locking force test, and fatigue (cycling) test. The results of the tests demonstrated that the ACS ANCHOR™ Exchange Device is acceptable for its intended use. Comparison of the holding force between the ACS ANCHOR™ Exchange Device and the predicate device, The Magnet Exchange Device showed that the ACS ANCHOR™ Exchange Device is substantially equivalent to this predicate device.
In vivo testing was conducted to substantiate the use of the ACS ANCHOR™ Exchange Device with different interventional devices.
## 7. Sterilization:
The ACS ANCHOR™ Exchange Device is sterilized by the same methods and following the same parameters as those used for currently marketed ACS guide wires and accessories. Sterilization validation of the device was performed and showed that the sterility assurance level (10⁻⁶) is achieved.
## 8. Conclusion:
Based on the intended use and results of the testing, the ACS ANCHOR™ Exchange Device is deemed substantially equivalent to the predicate device, The Magnet Exchange Device by Scimed Life Systems, Inc.
Signed:
Joy Tan, Regulatory Affairs Coordinator
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