Bard Guide Wires Indication: Bard PTFE Coated Guide Wires are indicated for percutaneous entry of a guiding catheter into a vessel using standard percutaneous methods (Seldinger's Technique). Generally, Guide Wires which are 100cm or longer are indicated for use with vascular catheters and balloon dilatation catheters in angiographic or interventional procedures. The guide wire may be inserted through an [18g] needle, introducer, or catheter. A guide wire with an outer diameter of .018" or smaller may be used with open ended guide wires. Guide wires which are shorter than 100cm are generally indicated for non-vascular use. Guide wires with an outer diameter of .018" or smaller may be inserted into the target organ through a [22g] needle or an open-ended guide wire (60cm or shorter). Larger guide wires may be inserted through larger gauge needles or an introducer for placement of dilators and/or drainage catheters.
Device Story
Guide wire facilitates atraumatic insertion and advancement of catheters through veins, arteries, or other percutaneous access sites. Device consists of stainless steel core wire, safety wire, and wound spring, coated with PTFE (Teflon) or Benzalkonium Heparin (BH) over PTFE. Features include fixed or moveable core, straight or J-tip, and varying diameters/lengths. Used by physicians in clinical settings (angiographic/interventional procedures). Device acts as a track for catheter placement; benefits patient by enabling minimally invasive access to vasculature or target organs. Subject device represents a supplier process change regarding PFOA processing aid; no change to finished material, design, or operation.
Clinical Evidence
Bench testing only. Biocompatibility testing per ISO 10993 and FDA G95-1 (cytotoxicity, sensitization, reactivity, toxicity, hemocompatibility, pyrogenicity) confirmed non-toxic/biocompatible. Performance testing compared replacement coating to current coating: coefficient of friction (pre/post lubricity), coating durability (flex/fracture), and physiochemical/FTIR analysis showed no discernable differences. Endotoxin testing (Gel Clot) was acceptable.
Indicated for percutaneous entry of guiding catheters into vessels (Seldinger's Technique) and use with vascular/balloon dilatation catheters in angiographic or interventional procedures (≥100cm wires). Also indicated for non-vascular use (shorter than 100cm) for placement of dilators or drainage catheters. No contraindications.
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
Bard Preamendment Guide Wires
Bard (U.S.C.I.) TRC Stainless Steel Safety Spring Guides (K772021)
Bard (U.S.C.I.) TRC Teflon Coated Safety Spring Guides (K780438)
Submission Summary (Full Text)
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Image /page/0/Picture/1 description: The image shows the text "k082094" in a handwritten style on the top. Below that, the word "BARD" is written in a bold, block-letter font. The letters are outlined in black, giving them a distinct and prominent appearance.
# DEC 1 7 2008
# 5. 510(k) Summary or 510(k) Statement
## 510(k) SUMMARY
This 510(k) Summary is provided per the requirements of section 807.92(c).
| Owner Name: | Bard Electrophysiology Division of C.R. Bard, Inc. |
|---------------------|----------------------------------------------------|
| Address: | 55 Technology Drive |
| | Lowell, MA 01851 |
| Phone Number: | 978-323-2216 |
| Fax Number: | 978-323-2222 |
| Contact Person: | Deborah L. Herrington |
| | Manager, Regulatory Affairs |
| | Email address: deborah.herrington@crbard.com |
| Alternate Contact: | Julie Broderick |
| | Vice President, RA/CA |
| | PH: 978-323-2220 |
| | FX: 978-323-2222 |
| | Email address: julie.broderick@crbard.com |
| Date of Summary: | July 22, 2008 |
| Device Trade Name: | PTFE (Teflon®) Coated Guide Wires |
| Device Common Name: | Guide Wires |
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| Classification Name: | Class II, Catheter, Guide Wire (21 CFR 870.1330, |
|----------------------|---------------------------------------------------------------------|
| | Product Code DQX) |
| Predicate Device(s): | Bard Preamendment Guide Wires |
| | Bard (U.S.C.I.) TRC Stainless Steel Safety Spring Guides<br>K772021 |
| | Bard (U.S.C.I.) TRC Teflon Coated Safety Spring Guides<br>K780438 |
The Bard PTFE (Teflon®) Coated Guide Wires, covered under this 510(k) Premarket Notification are substantially equivalent, in terms of intended use, materials of construction, technological characteristics, and principles of operation, to the predicate devices for facilitating the delivery of other devices per the indications for use included in this 510(k).
Device Description: The Bard PTFE (Teflon®) coated guide wires, subject of this 510(k), like their predicate device counterparts, are manufactured from stainless steel wire, tin/silver solder, and PTFE (Teflon®) coating, or Benzalkonium Heparin (BH) coating applied over the PTFE (Teflon®) coating. The guide wire construction consists of a safety wire, a core wire, and a wound spring for flexibility. The features that distinguish individual wires consist of the core type (fixed or moveable), a straight or "J" tip configuration, diameters, lengths, and coating types. Each guide wire is subsequently packaged, labeled, and sterilized.
There is no change between the Bard PTFE (Teflon®) Coated Guide Wires, subject of this 510(k), and their predicate device counterparts with respect to: materials of construction, manufacturing, packaging, labeling, or sterilization. The only difference is the suppliers process change relating to environmental concerns to perfluorooctanoic acid (PFOA), a substance used as a processing aid in the manufacture of Teflon®. There is no change to the actual Teflon® material itself.
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K082094
Substantial Equivalence: The Bard PTFE (Teflon®) Coated Guide Wires, subject of this 510(k), are substantially equivalent to the predicate devices. - There is no change to the indications for use, no change to the principles of operation, no change to the materials of construction (only a reduction in residual PFOA and a change to the surfactant of the PTFE coating, both of which are both burned off during the furnace cure, and therefore, not part of the Bard finished guide wires), and technological characteristics of the guide wires support a determination of substantial equivalence.
Technological Characteristics: The Bard PTFE (Teflon®) coated guide wires, subject of this 510(k), are substantially equivalent to the Predicate Devices. The only difference is the supplier's process change relating to environmental concerns to perfluorooctanoic acid (PFOA), a substance used as a processing aid in the manufacture of Teflon® (consisting of a reduction in residual PFOA and a change to the surfactant, both of which are both burned off during the furnace cure, and therefore, not part of the Bard finished guide wires). As stated above, there is no change to the actual Teflon® material itself. Therefore, the technological characteristics of the guide wires subject of this 510(k), are the same as their predicate devices.
The Bard process for applying and curing the PTFE coating remains unchanged. The performance specifications for the Bard guide wires, subject of this 510(k), remain the same as their Predicate Device counterparts.
Intended Use of Device: See individual indications for use statements below.
Device Name: Bard PTFE (Teflon®) Coated Guide Wires
### Indications for Use:
Bard Guide Wires Indication: Bard PTFE Coated Guide Wires are indicated for percutaneous entry of a guiding catheter into a vessel using standard percutaneous methods (Seldinger's Technique). Generally, Guide Wires which are 100cm or longer are indicated for use with vascular catheters and balloon dilatation catheters in angiographic or interventional procedures. The guide wire may be inserted through an
{3}------------------------------------------------
[18g] needle, introducer, or catheter. A guide wire with an outer diameter of .018° or smaller may be used with open ended guide wires.
Guide wires which are shorter than 100cm are generally indicated for non-vascular use. Guide wires with an outer diameter of .018" or smaller may be inserted into the target organ through a [22g] needle or an open-ended guide wire (60cm or shorter), Larger guide wires may be inserted through larger gauge needles or an introducer for placement of dilators and/or drainage catheters.
Principles of Operation: A guide wire may be pre-loaded into a catheter to facilitate atraumatic insertion into and advancement through a vein or artery, or for other percutaneous access. A guide wire may also be used at the site of initial introduction into the vasculature through a needle.
Test Data: The Bard PTFE (Teflon®) Coated Guide Wires were subjected to the following testing:
- 1. Biocompatibility Testing The modified PTFE coating was anticipated to have no effect on the biocompatibility profile of the final guide wires. However, to ensure that these guide wires meet the current biocompatibility requirements, testing of the Bard PTFE (Teflon®) coated guide wires was performed according to the requirements of the International Standard ISO 10993, "Biological Evaluation of Medical Devices Part-1: Evaluation and Testing" and the FDAmodified testing matrix included in the ODE May 1, 1995 General Program Memorandum #G95-1. Testing categories included: cytotoxicity, sensitization, intracutaneous reactivity, acute systemic toxicity, hemocompatibility, and material mediated pyrogen testing. The biocompatibility testing demonstrated that the Bard guide wires with the modified PTFE (Teflon®) coating process are nontoxic and biocompatible.
- 2. Inhibition/Enhancement Testing and Product Endotoxin Testing per the Gel Clot Method was conducted on representative samples manufactured with the "new" (replacement Teflon® material) coating and were found to be acceptable.
- 3. The replacement Teflon® Primer was inspected to the raw material (RM) specification, it was used to mix the Primer Spray, the Primer Spray was applied to representative products to confirm acceptable processing over the applicable
{4}------------------------------------------------
K682094
range of processing conditions and product constructions, and inspection and testing was conducted to demonstrate the coated products are acceptable.
- 4. Testing was conducted with representative guide wire items to demonstrate that the replacement material works acceptably for its intended function over the range of applicable processing conditions and product constructions with respect to the coating application itself and the appearance of the coating. The parameters selected for bench testing where chosen based on their impact on the coating process. As the parameters within the coating process portion of the device manufacture did not change (i.e., oven cure time and temperature), guide wire stiffness, tensile and torque are not affected. Testing consisted of comparing samples manufactured from the replacement coating to samples manufactured with the current coating and performing coefficient of friction (COF) testing pre and post lubricity testing. Coating durability was confirmed via "flex" and "fracture" testing.
- 5. In addition to the inspections and testing outlined above, a USP Physiochemical analysis and a FTIR analysis was conducted to compare the current PTFE (Teflon®) coating (850-604) to the replacement PTFE (Teflon®) coating (850N-The replacement material meets the requirements of the USP 604). Physiochemical analysis testing and the FTIR analysis indicates no discernable difference in chemical identity of the proposed finished coating from the current finished coating.
Applicability of Performance Standards: Bard has determined that no mandatory performance standards have been established for the devices under Section 514 of the Medical Device Amendments to the Federal Food, Drug, and Cosmetic Act or by subsequent regulatory action. Bard has determined that there are no applicable voluntarv standards.
{5}------------------------------------------------
Conclusion: The results of the testing outlined above, consisting of biocompatibility, inhibition/enhancement, and LAL testing; demonstrates that the Bard PTFE (Teflon") Coated Guide Wires manufactured with the replacement Teflon® material are:
- biologically safe,
- non-pyrogenic,
- have no inhibition or enhancement effects upon the lysate reaction, and
- have no discernable difference in chemical identity "
Additionally, evaluation of the coating application; inspection of the coated product; bench testing; and physiochemical and FTIR analysis demonstrates that the Bard PTFE (Teflon®) Coated Guide Wires manufactured with the replacement Teflon® material:
- met the performance requirements with respect to the parameters that would be impacted by the coating consisting of coefficient of friction pre and post lubricity testing, and
- coating durability as demonstrated through "flex" and "fracture" testing. -
Therefore, the replacement Teflon® material used in the manufactured of the guide wires covered under this 510(k) is substantially equivalent to the Teflon® material used in the manufacture of the predicate devices. And, the Bard PTFE (Teflon®) Coated Guide Wires manufactured with the replacement Teflon® material, subject of this 510(k), are substantially equivalent to the predicate devices.
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DEPARTMENT OF HEALTH & HUMAN SERVICES. USA
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
Bard Electrophysiology c/o Ms. Deborah L. Herrington Manager, Regulatory Affairs 55 Technology Drive Lowell, MA 01851
DEC 1 7 2008
K082094 Re:
Trade/Device Name: Bard PTFE (Teflon®) Coated Guide Wires Common Name: Wire, Guide, Catheter Regulation Number: 21 CFR 870.1330 Regulatory Class: II Product Code: DQX Dated: December 4, 2008 Received: December 5, 2008
Dear Ms. Herrington:
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.
If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it If your de rio the excelled (porclass 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 r lease be having 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); good manufacturing practice requirements as set
{7}------------------------------------------------
Page 2 - Ms. Deborah L. Herrington
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. This letter will allow you to begin marketing your device as described in your Section 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to procced to the market.
If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Center for Devices and Radiological Health's (CDRH's) Office of Compliance at (240) 276-0120. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding postmarket surveillance, please contact CDRH's Office of Surveillance and Biometrics' (OSB's) Division of Postmarket Surveillance at 240-276-3474. For questions regarding the reporting of device adverse events (Medical Device Reporting (MDR)), please contact the Division of Surveillance Systems at 240-276-3464. You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (240) 276-3150 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.
Sincerely yours,
ch
Bram D. Zuckerman, M.D. Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
{8}------------------------------------------------
### 4. Indications for Use Statement
#### Indications for Use
#### 510(k) Number (if known):
#### Device Name: Bard PTFE (Teflon®) Coated Guide Wires
#### Indications for Use:
Bard Guide Wires Indication: Bard PTFE Coated Guide Wires are indicated for percutaneous entry of a guiding catheter into a vessel using standard percutaneous methods (Seldinger's Technique). Generally, Guide Wires which are 100cm or longer are indicated for use with vascular catheters and balloon dilatation catheters in angiographic or interventional procedures. The guide wire may be inserted through an [18g] needle, introducer, or catheter. A guide wire with an outer diameter of .018" or smaller may be used with open ended guide wires.
Guide wires which are shorter than 100cm are generally indicated for non-vascular use. Guide wires with an outer diameter of .018" or smaller may be inserted into the target organ through a [22g] needle or an open-ended guide wire (60cm or shorter). Larger guide wires may be inserted through larger gauge needles or an introducer for placement of dilators and/or drainage catheters.
#### Contraindications: None
Prescription Use X Over-The-Counter Use (Part 21 CFR 801 Subpart D) AND/OR (21 CFR 801 Subpart C) (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)
(Division Sign-Off)
Division of Cardiovascular Devices
510(k) Number Kor2094
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1. Search: exact and fuzzy
Type a phrase like "coronary artery calcification" into the search box. You get two kinds of results. Exact results match the literal phrase — prefix searches work ("coronary artery calcificati") but suffix searches do not. Fuzzy results match on the meaning and intent of your phrase rather than the exact words, and are sorted by relevance score. Hover over the Exact or Fuzzy badge on any row to see exactly why it matched.
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Exact matches on the literal phrase (prefix search works, suffix does not). Fuzzy matches on the meaning and intent of the phrase rather than the exact words. Hover over the badge on any row to see why it matched.
You search "coronary artery calcification" and want only software devices with AI. What two filters do you apply?
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Scroll right in the results table. The intended use is extracted for you — no need to open the PDF. The device story gives a high-level snapshot of what the device does and how it's used. The AI Performance sub-table shows each output name, acceptance criteria, observed values, and development/test dataset descriptions — the same format Innolitics uses for regulatory strategy outputs, and the fastest high-level fingerprint of an AI device. It is AI-generated but has been very reliable in practice.
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Scroll right in the search results table. The intended use column is extracted for you; no need to dig into the 510(k) summary PDF.
What does the AI Performance sub-table show, and why is it useful?
Output name, acceptance criteria, observed values, development dataset description, and test dataset description. It's the same format we use for regulatory strategy output and Fast 510(k) input, and the fastest high-level fingerprint of an AI device. AI-generated but reliable in practice.
3. Judging fuzzy relevance
Fuzzy results trail off in relevance as you scroll. Use three signals to decide how far down to go: the fuzzy badge explanations, the intended use column, and whether your target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, you're past the relevant zone. A top hit with a low score (~0.4) and a stretched explanation is a hint the closest predicates are far away — the project may be headed for De Novo. Note the fuzzy search is a pattern match: it doesn't handle negation ("not") well, and hardware devices can appear — filter by SaMD/AI ML to cut them.
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Use the relevancy signals: the fuzzy badge explanations, the intended use column, and whether the target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, results are trailing off in relevancy.
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Select multiple rows in the results table (aim for under ~10), then open the PDF Viewer tab. Ask one question — it goes to all selected devices in parallel, each with citations. This is the fastest way to compare and contrast devices: training data, PCCP scope, how they handled adding new scanners, and so on.
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Click Show Chart and segment by regulation number (or product code) to see which regulations dominate your result set. Clicking a regulation takes you into the regulations tree. Great for spotting that most matches are, say, hardware laparoscopic devices — a cue to go back and filter.
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Click "Show Chart" and segment by Regulation Number. Clicking a regulation takes you to the regulations tree.
9. The predicate graph
Open the Predicates tab for a family-tree view of predicate relationships. Click a node to trace its parents and children; selections from search carry over pre-selected. Commonly predicated devices are worth reading — a lot of people predicated them for a reason. The visual lineage is also handy on client calls, e.g. to show how a predicate family evolved and justify why your predicate still holds.
In the predicate graph, why are commonly predicated devices worth reading?
A lot of people predicated them for a reason. Clicking a node traces parents and children, and selections from search carry over pre-selected.
10. Embeddings: the galaxy map
The Embeddings tab plots every matching document in a 2-D "galaxy map" where semantically similar devices cluster together. Hover or click clusters to explore, and let AI label the clusters for you. Embeddings beat product codes for grouping: two devices can carry different product codes (LLZ vs. QIH) yet do the same thing — the embedding captures the meaning of the intended use and device story. This is also exactly how retrieval-augmented generation (RAG) works under the hood, and it makes a great visual on client calls.
Try it yourself
Head to the search page and work through a few of these AI/ML fuzzy searches to build intuition: perivascular fat on CT · aortic valve calcification opportunistic screening on noncontrast CT · breast cancer prediction on digital pathology slides · autism detection · gestational age prediction · a hearing aid that can also detect a pulse · foundation model based analysis of ECG · large language models · penetration test. Watch how the relevance scores, intended use, and AI Performance tables tell you when results stop being meaningful.