PRELUDEEASE HYDROPHILIC SHEATH INTRODUCER

K140543 · Merit Medical Systems, Inc. · DYB · Oct 16, 2014 · Cardiovascular

Device Facts

• Record ID: K140543
• Device Name: PRELUDEEASE HYDROPHILIC SHEATH INTRODUCER
• Applicant: Merit Medical Systems, Inc.
• Product Code: DYB · Cardiovascular
• Decision Date: Oct 16, 2014
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 870.1340
• Device Class: Class 2

Intended Use

The Merit PreludeEASE™ Hydrophilic Sheath Introducer is intended to provide access and facilitate the percutaneous introduction of various devices into veins and/or arteries, including but not limited to the radial artery, while maintaining hemostasis for a variety of diagnostic or therapeutic procedures. The access needle with inner metal needle and outer plastic cannula is used to gain access to the vein or artery for placement of guide wires.

Device Story

Sheath introducer system facilitates percutaneous vascular access; provides conduit for diagnostic/therapeutic devices into veins/arteries (e.g., radial artery). Components include sheath with hydrophilic coating, vessel dilator, sidearm with 3-way stopcock, integral hemostasis valve, and suture ring. Accessory access needle (inner metal needle/outer plastic cannula) used for initial vessel entry and guide wire placement. Kit may include guide wire, syringe, scalpel, and BowTie™ insertion device. Used in clinical settings by medical professionals. Device maintains hemostasis during procedure; hydrophilic coating reduces friction during insertion. Benefits include reliable vascular access and simplified device introduction.

Clinical Evidence

Bench testing only. No clinical data. Performance testing conducted per ISO 11070:1998 and other standards, including mechanical testing (leak, pull force, kink resistance, lubricity, particulate evaluation) and biocompatibility (cytotoxicity, sensitization, systemic toxicity, genotoxicity, hemolysis, pyrogenicity).

Technological Characteristics

Hydrophilic-coated sheath introducer with vessel dilator. Features integral hemostasis valve, sidearm with 3-way stopcock, and suture ring. Materials evaluated per ISO 10993 series. Sterilized via ethylene oxide (ISO 11135-1). Packaging validated per ISO 11607-1 and ASTM D4169-09. Mechanical testing per ISO 11070:1998.

Indications for Use

Indicated for patients requiring percutaneous vascular access (veins/arteries, including radial artery) for diagnostic or therapeutic procedures.

Regulatory Classification

Identification

A catheter introducer is a sheath used to facilitate placing a catheter through the skin into a vein or artery.

Predicate Devices

• Prelude® PSI Sheath Introducer (K070159)
• Glidesheath (K102008)

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 16, 2014

Merit Medical Systems, Inc. Ms. Michaela Rivkowich Principal Regulatory Affairs Specialist 1600 West Merit Pkwv. South Jordan, Utah 84095

Re: K140543

> Trade/Device Name: PreludeEase Hydrophilic Sheath Introducer Regulation Number: 21 CFR 870.1340 Regulation Name: Catheter Introducer Regulatory Class: Class II Product Code: DYB Dated: September 3, 2014 Received: September 4, 2014

Dear Ms. Rivkowich,

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 devicerelated adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in

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the quality systems (OS) 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/ResourcesforYou/Industry/default.htm. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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

For Bram D. 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

510(k) Number (if known) K140543

Device Name PreludeEASE Hydrophilic Sheath Introducer

Indications for Use (Describe)

The Merit PreludeEASE Hydrophilic Sheath Introducer is intended to provide access and facilitate the percutaneous introduction of various devices into veins and/or arteries. including but not limited to the radial artery, while maintaining hemostasis for a variety of diagnostic and therapeutic procedures.

The access needle with inner metal needle and outer plastic cannula is used to gain access to the vein or artery for placement of guide wires.

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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FOR FDA USE ONLY

Concurrence of Center for Devices and Radiological Health (CDRH) (Signature)

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# 510(k) Summary

| General<br>Provisions | Submitter Name:<br>Address:<br>Telephone Number:<br>Fax Number:<br>Contact Person:<br>Date of Preparation:<br>Registration Number: | Merit Medical Systems, Inc.<br>1600 West Merit Parkway<br>South Jordan, UT 84095<br>[phone]<br>[phone]<br>Michaela Rivkowich<br>October 16, 2014<br>1721504 |
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| Subject<br>Device | Trade Name:<br>Common/Usual Name:<br>Classification Name: | PreludeEASE™ Hydrophilic Sheath Introducer<br>Sheath Introducer<br>Catheter Introducer |
| Predicate<br>Device | Trade Name:<br>Classification Name:<br>Premarket Notification:<br>Manufacturer: | Prelude® PSI Sheath Introducer<br>Vessel Dilator for Percutaneous<br>Catheterization<br>K070159<br>Merit Medical Systems, Inc. |
| Predicate<br>Device | Trade Name:<br>Classification Name:<br>Premarket Notification:<br>Manufacturer: | Glidesheath<br>Catheter Introducer<br>K102008<br>Terumo Medical Corporation |
| Classification | Class II<br>21 CFR § 870.1340<br>FDA Product Code: DYB<br>Review Panel: Cardiovascular | |
| Intended Use | The Merit PreludeEASE™ Hydrophilic Sheath Introducer is intended to<br>provide access and facilitate the percutaneous introduction of various<br>devices into veins and/or arteries, including but not limited to the radial<br>artery, while maintaining hemostasis for a variety of diagnostic or<br>therapeutic procedures.<br>The access needle with inner metal needle and outer plastic cannula is<br>used to gain access to the vein or artery for placement of guide wires. | |
| Device<br>Description | The PreludeEASE™ Hydrophilic Sheath Introducer consists of a sheath<br>introducer with compatible vessel dilator that snaps securely into the<br>sheath introducer hub. The sheath is coated with a hydrophilic coating<br>and is equipped with a sidearm terminating in a 3-way stopcock. The<br>sheath hub contains an integral hemostasis valve and suture ring. The<br>access needle with inner metal needle and outer plastic cannula is an<br>accessory device which is used to gain access to the vein or artery for<br>placement of guide wires. | |
| | The PreludeEASE Hydrophilic Sheath Introducer is marketed with any<br>of the following components, depending on the product configuration:<br>guide wire, metal access needle, access needle with inner metal needle<br>and outer plastic cannula, syringe, scalpel and BowTie™ guide wire<br>insertion device. | |
| Comparison<br>to Predicate<br>Device | The technological characteristics of the subject PreludeEASE<br>Hydrophilic Sheath Introducer are substantially equivalent to those of<br>the predicate devices. The subject device has the same basic design<br>as the predicate devices in that it consists of a sheath tubing, hub,<br>sidearm and stopcock and is provided with a vessel dilator. The main<br>difference is in the device materials. Just as the predicate devices, the<br>PreludeEASE is provided with kit components typically used to obtain<br>vascular access. | |
| Safety &<br>Performance<br>Tests | No performance standards have been established under Section 514 of<br>the Food, Drug and Cosmetic Act for these devices. Performance<br>testing of the subject PreludeEASE Hydrophilic Sheath Introducer was<br>conducted based on the risk analysis and based on the requirements of<br>the following international standard:<br>ISO 11070:1998, Sterile, single-use intravascular catheter<br>introducers ISO 11135-1:2007, Sterilization of health care products – Ethylene<br>oxide - Part 1: Requirements for development, validation and<br>routine control of a sterilization process for medical devices ISO 11607-1:2010, Packaging for terminally sterilized medical<br>devices Part 1: Requirements for materials, sterile barrier systems<br>and packaging systems ASTM D4169-09, Standard Practice for performance Testing of<br>Shipping Containers and Systems ISO 2233:2000, Packaging – Complete, filled transport packages<br>and unit loads – Conditioning for testing ISO 10993-1:2009, Biological Evaluation of Medical Devices Part<br>1: Evaluation and Testing within a risk management process, and<br>FDA guidance Required Biocompatibility Training and Toxicology<br>Profiles for Evaluation of Medical Devices, May 1, 1995 ANSI/AAMI/ISO 10993-3:2003, Biological Evaluation of Medical<br>Devices – Part 3: Tests for Genotoxicity, Carcinogenicity and<br>Reproductive Toxicity ISO 10993-4:2002 (Amd.1:2006), Biological evaluation of medical<br>devices - Part 4: Selection of tests for interactions with blood ISO 10993-5:2009, Biological evaluation of medical devices – Part<br>5: Tests for in vitro cytotoxicity ISO 10993-7:2008, Biological evaluation of medical devices – Part<br>7: Ethylene oxide sterilization residuals ISO 10993-10:2010, Biological evaluation of medical devices –<br>Part 10: Tests for irritation and skin sensitization ISO 10993-11:2006, Biological evaluation of medical devices –<br>Part 11: Tests for systemic toxicity ASTM F756-08, Standard practice for assessment of hemolytic<br>properties of materials United States Pharmacopeia 35, National Formulary 30, 2012<br><151> Pyrogen Test | |

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### Performance Testing-Bench

- Surface
- Radiodetectability ●
- Size Designation ●
- Sheath Introducer Assembly Leak ●
- Sheath Introducer Hemostasis Valve 5.8 psi Leak ●
- Sheath Introducer Tubing Pull (Force at Break) ●
- Sheath Introducer Hub to Tubing Pull (Force at Break) ●
- Dilator Hub to Tubing Pull (Force at Break)
- Sheath / Dilator Tip Peel Back
- Hemostasis Valve Dislodgement
- Hemostasis Valve Vacuum
- Hemostasis Valve Low Pressure with Dilator Dwell ●
- Sidearm to Sheath Hub Pull (Force at Break)
- Sheath Hub to Cap Pull (Force at Break) ●
- Sheath Introducer Stiffness and Flex Modulus ●
- Sheath Introducer Kink Resistance
- Suture Ring Pull Test
- Dilator Stiffness and Flex Modulus
- Hydrophilic Coating Lubricity
- Hydrophilic Coating Coverage/Adherence and Length
- Two-Part Access Needle Metal Cannula to Hub Pull ●
- Two-Part Access Needle Plastic Cannula to Hub Pull
- Two-Part Access Needle Insertion and Withdrawal Test
- Particulate Evaluation ●
- . Kink Resistance
- Torque Strength .
- Packaging Testing ●
- Scalpel Flex Test ●

## Biocompatibility

- Cytotoxicity ●
- Sensitization ●
- Intracutaneous Injection ●
- Acute Systemic Toxicity
- Pyrogenicity ●
- Genotoxicity ●
- Hemolysis ●
- Thrombogenicity ●
- Complement Activation ●
- Chemical Characterization ●

## Safety & Performance Tests cont.

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| Summary of<br>Substantial<br>Equivalence | Based on the indications for use, design, safety and performance<br>testing. the subject PreludeEASE Hydrophilic Sheath Introducer meets<br>the requirements that are considered essential for its intended use and<br>is substantially equivalent to the predicate devices, the Prelude PSI<br>Sheath Introducer, K070159 and the Glidesheath, K102008. |
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