VOLCANO S5I INTRAVASCULAR ULTRACOUND IMAGING AND PRESSURE SYSTEM

{0}------------------------------------------------ K113486- ## 510(k) SUMMARY The 510(k) Summary is submitted as required by section 807.92(a) JAN 2 7 2012 | SPONSOR: | Volcano Corporation | |---------------------|---------------------------------------------------------------| | | 2870 Kilgore Road | | | Rancho Cordova, CA 95670 | | CONTACT/SUBMITTER: | Jwala Jawharkar | | | Regulatory Affairs Specialist | | | 2870 Kilgore Road | | | Rancho Cordova, CA 95670 | | | Tel. (916) 281-2925 | | | Fax: (916) 638-8112 | | DATE OF SUBMISSION: | November 22, 2011 | | DEVICE: | Volcano s5i™ Intravascular Ultrasound Imaging System | | Trade Name: | Volcano s5i™ Intravascular Ultrasound Imaging System | | Common Name: | Ultrasonic pulsed echo imaging system | | Classification: | 892.1560 Ultrasonic pulsed echo imaging system, II, IYO | | | 870.1110 Blood Pressure Computer, II, DSK | | | 870.2900 Patient Transducer and Electrical Cable, II, DSA | | PREDICATE DEVICE: | Volcano s5i™ Intravascular Ultrasound Imaging System(K111706) | ## DEVICE DESCRIPTON: The modified Volcano s5i™ Intravascular Ultrasound Imaging and Pressure System is an integrated model, with two (2) operating modes available. The Volcano s5i Imaging and Pressure system, is available in: (1) the Intravascular Ultrasound (IVUS) imaging mode and (2) the pressure mode. When operating the IVUS mode, the system console gathers and displays high-resolution intraluminal images that can be analyzed both quantitatively and qualitatively. When operating in pressure mode, the system acquires intraluminal data from a pressure guidewire while simultaneously taking aortic pressure data from the established ECG/EKG catheterization lab equipment. Catheters and guidewires are connected to the system via the Patient Interface Modules (PIMs). {1}------------------------------------------------ K 113486 ## INDICATIONS FOR USE: The Volcano s5i™ Series Intravascular Imaging and Pressure System is used for the qualitative and quantitative evaluation of vascular morphology in the coronary arteries and vessels of the peripheral vasculature. It is also indicated as an adjunct to conventional angiographic procedures to provide an image of vessel lumen and wall structures. ChromaFlo® is indicated for qualitative blood flow information from peripheral and coronary vasculature; flow information can be an adjunct to other methods of estimating blood flow and blood perfusion. VH® IVUS is intended to be used in conjunction with imaging catheters during diagnostic ultrasound imaging of the peripheral and coronary vasculature. The Volcano VH IVUS System is intended to semiautomatically visualize boundary features and perform spectral analysis of RF ultrasound signals of vascular features that the user may wish to examine more closely during routine diagnostic ultrasound imaging examinations. The pressure feature is intended for use in all blood vessels, including coronary and peripheral arteries, to measure intravascular blood pressure during diagnostic angiography and/or interventional procedures. Rotational 45MHz feature is intended for the qualitative and quantitative evaluation of vascular morphology in the coronary arteries and vasculature. As an adjunct to conventional angiographic procedures to provide an image of the vessel lumen and wall structures. The pullback feature of the PIM1 withdraws the imaging core within the protective sheath for a maximum of 15 cm. ## COMPARISON OF CHARACTERISTICS: The proposed device is identical to the currently marketed device except for the change to a new CPU motherboard, which is the subject of this submission. The new CPU motherboard is designed to maintain current functionality and enhance user efficiency. The motherboard is responsible for providing the host computer function and system device connectivity. They share intended use, same design characteristics, and the same fundamental scientific technology. ## PERFORMANCE DATA: Applicable testing was performed as required by the Quality System to evaluate the modifications to the Volcano s5i Intravascular Imaging and Pressure System. The following tests were conducted: - . Signal Processing - . Reliability HALT - . Electrical Safety - Electromagnetic Compatibility . - . Software tests The test results were found to be acceptable by the respective test plans and protocols. The changes to the device involve a CPU motherboard that does not come in contact with the patient or any fluid path, thus Biocompatibility testing was not required. {2}------------------------------------------------ # DEPARTMENT OF HEALTH & HUMAN SERVICES Image /page/2/Picture/1 description: The image shows the logo for the Department of Health & Human Services - USA. The logo is a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is a stylized image of an eagle. #### Public Health Service Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring, MD 20993-0002 JAN 2 7 2012 Volcano Corporation c/o: Mr. Jwala Jawharkar Regulatory Affairs Specialist 2870 Kilgore Road Rancho Cordova, CA 95670 ## Re: K113486 Trade Name: Volcano s5i™ Intravascular Ultrasound Imaging and Pressure System Regulation Number: 21 CFR 892.1560 Regulation Name: Ultrasonic pulsed echo imaging system. Regulatory Class: II Product Code: IYO (system, imaging, pulsed echo, ultrasonic). Dated: December 27, 2011 Received: December 28, 2011 ## Dear Mr. Jawharkar: 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 10 more 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 {3}------------------------------------------------ Page 2 - Mr. Jwala Jawharkar 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 limpited 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 go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. 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 Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm. Sincerely yours, Bram D. Zuckerman, M.D. Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health Enclosure {4}------------------------------------------------ K113486 ### Indications for Use Statement ## 510(k) Number (if known): Device Name: Volcano s5i™ Intravascular Ultrasound Imaging System ## Indications for Use: The Volcano s5i™ Series Intravascular Imaging and Pressure System is used for the qualitative and quantitative evaluation of vascular morphology in the coronary arteries and vessels of the peripheral vasculature. It is also indicated as an adjunct to conventional angiographic procedures to provide an image of vessel lumen and wall structures. ChromaFlo® is indicated for qualitative blood flow information from peripheral and coronary vasculature; flow information can be an adjunct to other methods of estimating blood flow and blood perfusion. VH® IVUS is intended to be used in conjunction with imaging catheters during diagnostic ultrasound imaging of the peripheral and coronary vasculature. The Volcano VH IVUS System is intended to semiautomatically visualize boundary features and perform spectral analysis of RF ultrasound signals of vascular features that the user may wish to examine more closely during routine diagnostic ultrasound imaging examinations. The pressure feature is intended for use in all blood vessels, including coronary and peripheral arteries, to measure intravascular blood pressure during diagnostic angiography and/or interventional procedures. Rotational 45MHz feature is intended for the qualitative and quantitative evaluation of vascular morphology in the coronary arteries and vasculature. As an adjunct to conventional angiographic procedures to provide an image of the vessel lumen and wall structures. The pullback feature of the PIMr withdraws the imaging core within the protective sheath for a maximum of 15 cm. Prescription Use __ X (Part 21 CFR 801 Subpart D) OR Over the Counter Use (Part 21 CFR 801 Subpart C) # PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED | Concurrence of CDRH, Office of Device Evaluation (ODE) | | |-----------------------------------------------------------|---------| | (Division Sign-Off)<br>Division of Cardiovascular Devices | | | 510(k) Number | K113486 | Page 1 of 1