Peregrine System Infusion Catheter 4-7 mm, Peregrine System Infusion Catheter 3-4 mm

K231279 · Ablative Solutions, Inc. · KRA · Jul 5, 2023 · Cardiovascular

Device Facts

• Record ID: K231279
• Device Name: Peregrine System Infusion Catheter 4-7 mm, Peregrine System Infusion Catheter 3-4 mm
• Applicant: Ablative Solutions, Inc.
• Product Code: KRA · Cardiovascular
• Decision Date: Jul 5, 2023
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 870.1210
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

The Peregrine System™ Infusion Catheter is intended for the infusion of diagnostic and therapeutic agents into the perivascular area of the peripheral vasculature.

Device Story

Peregrine System Infusion Catheter is a continuous flush catheter for delivering agents through vessel walls into perivascular space. Device features three distal micro-needles and guide tubes deployed via a control handle. Operator actuates handle to stabilize catheter in vessel, deploy needles to pre-specified depth, and deliver infusate in a circumferential pattern via single injection. Radiopaque needles and guide tubes allow fluoroscopic visualization. Used in peripheral vessels (3-7 mm diameter) by clinicians; compatible with 7F guide catheters. Device is sterile, single-use. Modifications from predicate include guide tube length/angle and handle deployment travel length to accommodate smaller vessel diameters.

Clinical Evidence

No human clinical data provided. Evidence consists of non-clinical bench testing (visual inspection, dimensional testing, tensile, leak, kink radius, deployment force, stiffness, torque) and a pre-clinical animal safety study. Testing confirms device functions as intended for 3-7 mm vessels.

Technological Characteristics

Continuous flush catheter with three circumferentially spaced micro-needles and guide tubes. Mechanically deployed via handle. Radiopaque components for fluoroscopic visibility. Compatible with 7F guide catheters. Designed for 3-7 mm vessel diameters. Provided sterile for single-patient use.

Indications for Use

Indicated for infusion of diagnostic and therapeutic agents into the perivascular space of peripheral vasculature in vessels 3-7 mm in diameter.

Regulatory Classification

Identification

A continuous flush catheter is an attachment to a catheter-transducer system that permits continuous intravascular flushing at a slow infusion rate for the purpose of eliminating clotting, back-leakage, and waveform damping.

Predicate Devices

• Peregrine System™ Infusion Catheter (K140637)

Submission Summary (Full Text)

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July 5, 2023

Ablative Solutions, Inc. Kristine Canavan VP, Regulatory & Quality 301 Edgewater Place Suite 100 Wakefield, Massachusetts 01880

Re: K231279

Trade/Device Name: Peregrine System™ Infusion Catheter Regulation Number: 21 CFR 870.1210 Regulation Name: Continuous Flush Catheter Regulatory Class: Class II Product Code: KRA Dated: May 2, 2023 Received: May 3, 2023

Dear Kristine Canavan:

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. 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 located 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.

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

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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 803) for devices or postmarketing safety reporting (21 CFR 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 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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 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-regulatoryassistance/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,

Digitally signed by Ariel G. Ash-Digitally signed by Ash-shakoor -S Date: 2023.07.05 shakoor -S 15:55:58 -04'00'

For

Gregory O'Connell Assistant Director DHT2C: Division of Coronary and Peripheral Intervention Devices OHT2: Office of Cardiovascular Devices Office of Product Evaluation and Ouality Center for Devices and Radiological Health

Enclosure

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# Indications for Use

510(k) Number (if known) K231279

Device Name Peregrine System™ Infusion Catheter

Indications for Use (Describe)

The Peregrine System™ Infusion Catheter is intended for the infusion of diagnostic and therapeutic agents into the perivascular area of the peripheral vasculature.

| Type of Use (Select one or both, as applicable) | |
|---------------------------------------------------------------|--------------------------------------------------------------|
| <div> </div> | |
| <div> </div> | |
| <div> Prescription Use (Part 21 CFR 801 Subpart D) </div> | <div> Over-The-Counter Use (21 CFR 801 Subpart C) </div> |

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Image /page/3/Picture/2 description: The image shows the logo for Ablative Solutions. The text "ABLATIVE" is stacked on top of the text "SOLUTIONS". Above the letter "I" in "ABLATIVE" is a blue water droplet. The text is black and the background is white.

# 510(K) SUMMARY (21 CFR 807.92)

# ABLATIVE SOLUTIONS, INC. PEREGRINE SYSTEM™ INFUSION CATHETER

| 510(k) Owner: | Ablative Solutions, Inc. |
|---------------|---------------------------------|
| | 301 Edgewater Place • Suite 100 |
| | Wakefield, MA 01880 |
| | United States |

- Contact Person: Kristine Canavan Vice President, Regulatory & Quality Phone: [phone] Email: [e-mail]
Date Prepared: July 5, 2023

| Device Information | |
|----------------------|-----------------------------------------------|
| Trade Name: | Peregrine System™ Infusion Catheter |
| Common Name: | Continuous Flush Catheter |
| Classification Name: | Continuous Flush Catheter |
| Product Code: | KRA |
| Regulation Number: | 21 CFR 870.1210 |
| Predicate Device: | Peregrine System™ Infusion Catheter (K140637) |

Device Description:

The Peregrine System Infusion Catheter is a continuous flush catheter designed to deliver diagnostic and therapeutic agents through a vessel wall and into the perivascular space. The catheter contains three distal needles which are deployed using the control handle. Fluids are administered through the proximal injection lumen in the handle, which delivers the fluid through the needles at the distal end of the device. The micro-needles and the guide tubes are radiopaque for fluoroscopic visibility. The device is intended for vessels 3-7 mm in diameter and is compatible with guide catheters of at least 7F.

#### Indications for Use:

The Peregrine System™ Infusion Catheter is intended for the infusion of diagnostic and therapeutic agents into the perivascular area of the peripheral vasculature

The indication for use is identical to the indication for use of the predicate device, Peregrine System Infusion Catheter. Both catheters are indicated for use in peripheral vessels for infusion of diagnostic and therapeutic agent into the perivascular space.

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## Technological Characteristics:

The Peregrine System Infusion Catheter continues to have three equally circumferentially spaced micro-needles set inside guide tubes. The guide tubes stabilize the catheter within the vessel prior to deploying the micro-needles through the vessel wall. The micro-needles penetrate into the perivascular space at a pre-specified depth. Both the guide tubes and the micro-needles are mechanically deployed by actuating the handle prior to delivering the infusate is delivered into the perivascular area in a circumferential pattern with a single injection. The catheter is provided sterile and is intended for single patient use.

The technological characteristics of the Peregrine Catheter remain similar to that of the predicate device, except for use in vessels having an inner diameter of 3-7 mm. The design modifications to permit use of the Peregrine Catheter in vessels having an inner diameter of 3-7 mm are limited to the design of the guide tube (length, angle) and the travel length of the deployment feature within the handle. The technological characteristics of the subject Peregrine System Infusion Catheter can be validated with non-clinical testing. There are no technological differences which could raise new questions of safety or efficacy.

### Non-Clinical Performance Data:

There were no changes to materials and design for the Peregrine Catheter for use in vessels having an inner diameter 4-7 mm. Changes to the Peregrine Catheter for use in vessels having an inner diameter 3-4 mm were limited to the smaller guide tube open diameter, including the guide tube length, guide tube angle, and the travel length of the deployment feature within the handle. These modified design features were incorporated to preserve the same safety, performance and functionality as that present in the Peregrine Catheter predicate device.

Design testing for the Peregrine Catheter included: Visual Inspection Dimensional Testing (length, diameter) Performance (tensile, leak) Functional (kink radius, deployment force, simulated use, stiffness, torque, leak) Pre-Clinical Animal Safety Study

Materials testing, packaging testing, and sterilization testing were not impacted by the design modifications for use of the Peregrine Catheter in vessels having an inner diameter 3-7 mm.

### Conclusions:

The non-clinical bench testing, simulated-use testing and pre-clinical animal safety testing demonstrate that the Peregrine System Infusion Catheter functions as intended and is suitable for use in vessels having an inner diameter of 3-7 mm while being substantially equivalent to the predicate device.