FLASH MINI OSTIAL SYSTEM - 3.0MM X 135CM, FLASH MINI OSTIAL SYSTEM - 3.5MM X 8MM X 135CM, FLASH MINI OSTIAL SYSTEM - 4.0
Applicant
Ostial Corporation
Product Code
LOX · Cardiovascular
Decision Date
Aug 6, 2013
Decision
SESE
Submission Type
Special
Regulation
21 CFR 870.5100
Device Class
Class 2
Attributes
Therapeutic
Indications for Use
The FLASH Mini Ostial System is indicated for balloon dilatation of the stenotic portion of a coronary artery or bypass graft for the purpose of improving myocardial perfusion. The FLASH Mini Ostial System is also indicated for the post delivery expansion of balloon expandable stents within the coronary vasculature.
Device Story
The FLASH Mini Ostial System is a .014" guidewire-compatible, rapid exchange (RX) angioplasty balloon catheter (135cm length). It features a dual-balloon design: a compliant anchoring balloon to prevent distal migration and a semicompliant higher-pressure balloon for luminal dilatation and stent expansion. Used in clinical settings by physicians, the device is inserted into the coronary vasculature. The physician monitors placement and inflation via standard imaging. The anchoring balloon stabilizes the catheter, allowing the second balloon to dilate lesions or expand stents. This improves myocardial perfusion and ensures proper stent apposition, benefiting patients with coronary artery disease.
Clinical Evidence
No clinical data. Evidence consists of biocompatibility testing (ISO 10993) and extensive in-vitro bench performance testing, including balloon crossing profile, burst pressure, fatigue testing, and simulated use, confirming the device meets all design verification and validation criteria.
Technological Characteristics
Rapid exchange (RX) angioplasty balloon catheter; .014" guidewire compatible; 135cm working length; dual-balloon design (compliant anchoring balloon, semicompliant dilatation balloon). Materials are non-toxic and non-sensitizing per ISO 10993. 6F guide catheter compatible. Mechanical performance verified via bench testing (burst pressure, fatigue, bond strength, torque, flexibility).
Indications for Use
Indicated for patients requiring balloon dilatation of stenotic coronary arteries or bypass grafts to improve myocardial perfusion, and for post-delivery expansion of balloon-expandable stents in the coronary vasculature.
Regulatory Classification
Identification
Standard PTCA Catheter: A PTCA catheter is a device that operates on the principle of hydraulic pressurization applied through an inflatable balloon attached to the distal end. A PTCA balloon catheter has a single or double lumen shaft. The catheter features a balloon of appropriate compliance for the clinical application, constructed from a polymer. The balloon is designed to uniformly expand to a specified diameter and length at a specific pressure as labeled, with well characterized rates of inflation and deflation and a defined burst pressure. The device generally features a type of radiographic marker to facilitate fluoroscopic visualization of the balloon during use. A PTCA catheter is intended for balloon dilatation of a hemodynamically significant coronary artery or bypass graft stenosis in patients evidencing coronary ischemia for the purpose of improving myocardial perfusion. A PTCA catheter may also be intended for the treatment of acute myocardial infarction; treatment of in-stent restenosis (ISR) and/or post-deployment stent expansion. Cutting/scoring PTCA Catheter: A cutting/scoring PTCA catheter is a balloon-tipped catheter with cutting/scoring elements attached, which is used in those circumstances where a high pressure balloon resistant lesion is encountered. A cutting/scoring PTCA catheter is intended for the treatment of hemodynamically significant coronary artery stenosis for the purpose of improving myocardial perfusion. A cutting/scoring PTCA catheter may also be indicated for use in complex type C lesions or for the treatment of in-stent restenosis.
Special Controls
*Classification.* Class II (special controls). The special control for this device is “Class II Special Controls Guidance Document for Certain Percutaneous Transluminal Coronary Angioplasty (PTCA) Catheters.” See § 870.1(e) for the availability of this guidance document.(b)
*Cutting/scoring PTCA Catheter* —(1)*Identification.* A cutting/scoring PTCA catheter is a balloon-tipped catheter with cutting/scoring elements attached, which is used in those circumstances where a high pressure balloon resistant lesion is encountered. A cutting/scoring PTCA catheter is intended for the treatment of hemodynamically significant coronary artery stenosis for the purpose of improving myocardial perfusion. A cutting/scoring PTCA catheter may also be indicated for use in complex type C lesions or for the treatment of in-stent restenosis.(2)
*Classification.* Class III (premarket approval). As of May 28, 1976, an approval under section 515 of the act is required before this device may be commercially distributed. See § 870.3.
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Ostial Corporation 510 Clyde Avenue Mountain View, CA 94043 t. 650-903-9100 f. 650-903-9119
# 510(k) Summary FLASH Mini Ostial System
#### A. Submitter Information
Submitter's Name: Address:
- Telephone: Fax: Email: Contact Person: Date of Preparation:
Ostial Corporation 510 Clyde Avenue Mountain View, CA 94043 650-903-9100 650-903-9119 jwolenberg@ostialcorp.com Jake Wolenberg May 17, 2013
AUG 0 6 2013
B. Subject Device Proprietary Name:
Common/Usual Name: Classification Name:
Product Code:
### C. Predicate Device Name
Proprietary Name:
510(k) #'s: Common/Usual Name: Classification Name:
Product Code:
FLASH Mini Ostial System PTCA Catheter Catheters, Transluminal Coronary Angioplasty, Percutaneous LOX per 21 C.F.R. 870.5100
FLASH Ostial System (a.k.a. Flash-C PTCA Balloon Dilatation Catheter; Flash Ostial Balloon PTCA) K111284. K113775 and K122178 PTCA Catheter Catheters, Transluminal Coronary Angioplasty, Percutaneous LOX per 21 C.F.R. 870.5100
# D. Device Description:
The FLASH Mini Ostial System is a .014" guidewire-compatible, rapid exchange (RX) angioplasty balloon catheter with proximal anchoring and a working length of 135cm. The FLASH Mini Ostial System uses a dual balloon design that features a compliant anchoring balloon, which prevents distal migration of the balloon during angioplasty. The second semicompliant higher-pressure balloon allows for luminal dilatation of de novo lesions and post deployment stent expansion.
# E. Intended Use:
The FLASH Mini Ostial System is indicated for balloon dilatation of the stenotic portion of a coronary artery or bypass graft for the purpose of improving myocardial perfusion. The FLASH Mini Ostial System is also indicated for the post delivery expansion of balloon expandable stents within the coronary vasculature.
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Ostial Corporation 510 Clyde Avenue Mountain View, CA 94043 t. 650-903-9100 f. 650-903-9119
#### F. Summary of Similarities and Differences in Technological Characteristics, Performance and Intended Use:
The FLASH Mini Ostial System that is the subject of this 510(k) is an extension of the FLASH Ostial System product line. The previously cleared device sizes included balloons ranging in diameter from 4.0-6.0mm with working lengths of either 12mm or 17mm. These sizes have a catheter working length of 135cm and are either 6F or 7F compatible. Minor design and process changes have been made to allow for smaller diameter balloons with shorter working length. This submission introduces devices with balloon diameters ranging from 3.0 to 4.5mm and working lengths of 8mm. These new sizes have a catheter length of 135cm and are compatible with 6 French guide catheters.
The only difference between the cleared 6F compatible device sizes and the new device sizes subject to this Special 510(k) are the balloon lengths and diameters. All other aspects of the catheter design and the Indications for Use are the same.
Note: The proprietary name for the previous 510(k)'s filed for this product line was "Flash-C Balloon Dilatation Catheter". Following clearance of the 510(k)'s, the proprietary name was modified for better market positioning. The device is currently marketed under the proprietary name "FLASH Ostial System". The line extension device sizes are intended to be marketed under the proprietary name "FLASH Mini Ostial System".
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Ostial Corporation 510 Clyde Avenue Mountain View, CA 94043 t. 650-903-9100 f. 650-903-9119
#### G. Performance Data:
Biocompatibility testing has previously been completed on product equivalent to the FLASH Mini Ostial System. Requirements for biological evaluation of the proposed device were based on the Blue Book Memorandum issued on May 1, 1995, Use of International Standard ISO-10993, "Biological Evaluation of Medical Devices, Part 1: Evaluation and Testing," The biocompatibility test results show that the materials used in the design and manufacture of the components of the proposed device are non-toxic and non-sensitizing to biological tissues consistent with its intended use. The following biocompatibility tests were completed:
- . ISO MEM Elution Assay
- . ASTM Hemolysis Assay
- Complement Activation C3a and SC5b-9 Assay .
- . Thromboresistance Evaluation
- Materials Mediated Rabbit Pyrogen ●
- ISO Guinea Pig Maximization Sensitization .
- ISO Acute Systemic Injection Test .
- ISO Intracutaneous Reactivity Test .
- Pyrogen (LAL) Chromogenic
The FLASH Mini Ostial System or product equivalent was evaluated using the following in-vitro performance bench testing to confirm the performance characteristics as compared to the product performance requirements:
- Balloon Crossing Profile .
- Catheter Shaft Diameter .
- . Catheter Working Length
- Catheter Inner Diameter .
- Angioplasty Balloon Rated Burst Pressure �
- Anchoring Balloon Burst Volume .
- Angioplasty Balloon Compliance .
- Balloon Inflation Time .
- . Balloon Deflation Time
- Angioplasty Balloon Rated Burst Pressure (in . Stent)
- Anchoring Balloon Burst Volume (in Stent) ●
- Angioplasty Balloon Fatigue .
- . Anchoring Balloon Fatigue
- Catheter Bond Strength .
- Catheter Tip Pull Strength .
- Catheter Torque Strength .
- Simulated Use .
- Flexibility and Kink Resistance .
- . Radiopacity
- Angioplasty Balloon Fatigue (in Stent)
- Anchoring Balloon Fatigue (in Stent)
All test results demonstrate that the FLASH Mini Ostial System meets the established product specifications.
#### H. Conclusions:
All test results demonstrated that the FLASH Mini Ostial System meets all predetermined design verification and validation acceptance criteria necessary to verify safe and consistent performance of the device for its Indications for Use in "balloon dilatation of the stenotic portion of a coronary artery or bypass graft for the purpose of improving myocardial perfusion" and "post delivery expansion of balloon expandable stents within the coronary vasculature." As such, Ostial Corporation is requesting clearance for the FLASH Mini Ostial System product line extension to the FLASH Ostial System product family, which was most recently cleared via Premarket Notification 510(k) # K122178 on October 11, 2012.
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DEPARTMENT OF HEALTH & HUMAN SERVICES
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August 6, 2013
Public Health Service
Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-002
Ostial Corporation Jake Wolenberg 510 Clyde Avenue Mountain View, CA 94043 US
Re: K131450
> Trade/Device Name: FLASH Mini Ostial System Regulation Number: 21 CFR 870.5100 Regulation Name: Catheters, Transluminal Coronary Angioplasty, Percutaneous Regulatory Class: Class II Product Code: LOX Dated: July 5, 2013 Received: July 8, 2013
Dear Mr. Jake Wolenberg:
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
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#### Page 2 - Jake Wolenberg
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.goy/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/ResourcesforYou/Industry/default.htm.
Sincerely yours,
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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Ostial Corporation 510(k) Notification: FLASH Mini Ostial System
### SECTION 4: INDICATIONS FOR USE STATEMENT
| 510(k) Number: | K131450 |
|----------------|--------------------------|
| Device Name: | FLASH Mini Ostial System |
The FLASH Mini Ostial System is indicated for balloon dilatation of the Indication For Use: stenotic portion of a coronary artery or bypass graft for the purpose of improving myocardial perfusion. The FLASH Mini Ostial System is also indicated for the post delivery expansion of balloon expandable stents within the coronary vasculature.
Prescription Use X (Part 21 CFR 801 Subpart D)
AND/OR
Over-The-Counter Use (21 CFR 807 Subpart C)
(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
M.A. Hillerman
Confidential
Page 7 of 77
05/17/2013
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