K240957 · Contract Medical International, GmbH · DYB · Aug 14, 2024 · Cardiovascular
Device Facts
Record ID
K240957
Device Name
Catapult Guide Sheath
Applicant
Contract Medical International, GmbH
Product Code
DYB · Cardiovascular
Decision Date
Aug 14, 2024
Decision
SESE
Submission Type
Special
Regulation
21 CFR 870.1340
Device Class
Class 2
Indications for Use
The Catapult TM Guide Sheath is indicated to be used for introduction of interventional and diagnostic devices into the peripheral (and coronary) vasculature.
Device Story
Catapult Guide Sheath is a coil-reinforced introducer sheath system used to facilitate access to peripheral and coronary vasculature. The system comprises an introducer sheath with a hemostasis valve and side port, a 3-way stopcock for flushing, and a tapered-tip dilator. The sheath features a radiopaque marker for distal visualization and a hydrophilic coating on the distal 20cm to reduce friction. During clinical use, the physician inserts the sheath into the vascular system using the dilator; the hemostasis valve seals around inserted guide wires or catheters to minimize blood loss. This 510(k) submission introduces a 130 cm length variant in 4F, 5F, and 6F sizes, expanding upon the previously cleared 15 cm, 60 cm, and 90 cm lengths. The device is intended for use by clinicians in interventional settings.
Clinical Evidence
Bench testing only. Performance data included visual/dimensional evaluation, sheath/dilator fit, pull-out force, coating integrity, liquid leakage, kink resistance, force/creep to break, hub bond strength, stiffness, and simulated use usability testing. Biocompatibility was verified per ISO 10993 standards. Accelerated aging and packaging integrity were confirmed. No clinical data was required.
Technological Characteristics
Coil-reinforced introducer sheath with hemostasis valve and dilator. Materials: RILSAMID (shaft Luer hub and dilator). Features: Radiopaque marker, hydrophilic coating (distal 20cm). Standards: ISO 10555-1, ISO 11070, ISO 80369, ASTM F640-20, ASTM F1980-16, ISO 10993 series. Sterilization: Existing validated cycle.
Indications for Use
Indicated for patients requiring introduction of interventional and diagnostic devices into peripheral and coronary vasculature.
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
Catapult Guide Sheath Introducer Sheath System (K221914)
Submission Summary (Full Text)
{0}------------------------------------------------
Image /page/0/Picture/0 description: The image shows the logos of the Department of Health & Human Services and the Food and Drug Administration (FDA). The Department of Health & Human Services logo is on the left, and the FDA logo is on the right. The FDA logo is a blue square with the letters "FDA" in white, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue.
August 14, 2024
Contract Medical International GmbH Jan Kubicek Regulatory Affairs Manager Lauensteiner Strasse 37 Dresden, Saxony 01277 Germany
Re: K240957
Trade/Device Name: Catapult Guide Sheath Regulation Number: 21 CFR 870.1340 Regulation Name: Catheter introducer Regulatory Class: Class II Product Code: DYB, DRE Dated: April 8, 2024 Received: July 17, 2024
## Dear Jan Kubicek:
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 (the 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 available 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.
Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device" (https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software Change to an Existing Device" (https://www.fda.gov/media/99785/download).
{1}------------------------------------------------
Your device is also subject to, among other requirements, the Quality System (QS) regulation (21 CFR Part 820), which includes, but is not limited to, 21 CFR 820.30, Design controls; 21 CFR 820.90, Nonconforming product; and 21 CFR 820.100, Corrective and preventive action. Please note that regardless of whether a change requires premarket review. the OS regulation requires device manufacturers to review and approve changes to device design and production (21 CFR 820.30 and 21 CFR 820.70) and document changes and approvals in the device master record (21 CFR 820.181).
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 of medical device-related adverse events) (21 CFR Part 803) for devices or postmarketing safety reporting (21 CFR Part 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 Part 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050.
Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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 (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).
Sincerely,
Digitally signed by Finn E. Finn E. Donaldson -S Donaldson -S Date: 2024.08.14
10:25:20 -04'00'
For Misti Malone Assistant Director DHT2C: Division of Coronary and Peripheral Intervention Devices OHT2: Office of Cardiovascular Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health
{2}------------------------------------------------
# Enclosure
{3}------------------------------------------------
# Indications for Use
510(k) Number (if known) K240957
Device Name Catapult Guide Sheath
Indications for Use (Describe)
The Catapult TM Guide Sheath is indicated to be used for introduction of interventional and diagnostic devices into the peripheral (and coronary) vasculature.
> Prescription Use (Part 21 CFR 801 Subpart D)
| Over-The-Counter Use (21 CFR 801 Subpart C)
### CONTINUE ON A SEPARATE PAGE IF NEEDED.
This section applies only to requirements of the Paperwork Reduction Act of 1995.
### *DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.*
The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:
> Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff(@fda.hhs.gov
"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."
{4}------------------------------------------------
# 510(k) SUMMARY
#### Submitter 1.1
| Submitter: | Contract Medical GmbH |
|------------------------|-----------------------------------|
| | Lauensteiner Strasse 37 |
| | 01277 Dresden |
| | Germany |
| Contact Person: | Juliana Vaz Nuernberger, |
| Position: | Global Head of Regulatory Affairs |
| Phone: | +49 351 210 747-19 |
| Email: | juliana.nuernberger@heraeus.com |
| Date Summary Prepared: | 8th April 2024 |
## 1.2 Device
Catapult ™ Guide Sheath Device Trade Name: Introducer Sheath Device Common Name: Introducer Catheter, and Classification Name: Dilator, Vessel, For Percutaneous Catheterization Device Class: = Product Code: DYB, DRE
#### 1.3 Predicate Device
The predicate device is the Catapult ™ Guide Sheath Introducer Sheath System (K221914).
#### 1.4 Device Description
The Catapult ™ Guide Sheath consists of a coil reinforced introducer sheath with hemostasis valve and side port, as well as a dilator with a tapered tip and luer lock at the proximal end. The main introducer sheath tubing is connected at the proximal end to a hemostasis valve with side port tubing that is connected to a plastic color coded 3-way stopcock valve. The side port is used for flushing the introducer sheath. The sheath is introduced into the vascular system with the aid of the dilator. The hemostasis valve at the proximal end of the introducer sheath conforms and seals around guide wires and catheters to reduce blood leakage from the introducer sheath. A radiopaque marker helps identify the distal end of the introducer sheath. The introducer sheath has a lubricious hydrophilic coating on the outer surface of its distal 20cm.
The Catapult ™ Guide Sheath was previously cleared under K221914 in 4 French, 5 French, 7 French and 8 French sizes, each with effective lengths of 15 cm, 60 cm or 90 cm. This 510(k) adds a 130 cm length which is available in 4 French, 5 French and 6 French sizes.
#### Indications for Use 1.5
The Catapult ™ Guide Sheath is indicated to be used for introduction of interventional and diagnostic devices into the peripheral (and coronary) vasculature.
{5}------------------------------------------------
### K240957 Page 2 of 3
#### Comparison of Technological Characteristics with the Predicate Device 1.6
The differences in technological characteristics between the subject device and the predicate are the following:
- . The maximum usable length was extended with the new version to 130 cm.
- . Shaft Luer hub and Dilator resin material changed from PEBAX to RILSAMID.
#### 1.7 Performance Data
Performance data were used to demonstrate that the new 130cm version of Catapult ™ Guide Sheath is substantially equivalent to the predicate:
- . Mechanical testing, including tests required under relevant international standards, and usability test performed to verify and validate the design.
- . Biocompatibility Risk Assessment (BRA) and performed biocompatibility device testing to demonstrate biocompatibility.
- Sterilization information to support adoption of the device into the existing sterilization cycle.
- . Accelerated aging testing to confirm product performance at the end of the shelf life.
The list of tests performed in support of determination of substantial equivalence is provided in Table 1.
| No. | Verification / Validation Activity | Test Type | Applicable Standard(s) |
|-----|---------------------------------------------------------------------|-------------------|--------------------------------------------------------------------------------------|
| 1 | Visual and Dimensional<br>Evaluation | Visual | Internal requirement |
| 2 | Sheath/dilator fit test | Mechanical/Visual | Internal requirement |
| 3 | Sheath pull out test | Mechanical/Visual | ISO 10555-1:2013/AMD1:2017<br>IEC 62366-1:2020<br>Internal requirement |
| 4 | Coating integrity | Mechanical/Visual | Internal requirement |
| 5 | Sheath Liquid Leakage<br>Liquid leakage through<br>hemostasis valve | Mechanical/Visual | ISO 11070:2014<br>ISO 10555-1:2013/AMD1:2017<br>ISO 80369-1:2018<br>ISO 80369-7:2021 |
| 6 | Coating integrity - Particle<br>evaluation test | Mechanical/Visual | AAMI TIR42<br>ISO 8536-4 USP <788> |
## Table 1 - Performance Testing Oerview
{6}------------------------------------------------
| 7 | Sheath kink resistance test | Mechanical | EN 13868:2002<br>Internal requirement |
|----|---------------------------------------------------------------------------------------|--------------------------------------------------------|---------------------------------------------------------------------------------------------------------|
| 8 | Sheath force at break test<br>Sheath creep to break test<br>Dilator hub bond strength | Mechanical | ISO 10555-1:2013/AMD1:2017<br>ISO 11070:2014<br>Internal requirement |
| 9 | Sheath Stiffness test | Mechanical | Internal requirement |
| 10 | Usability evaluation<br>Simulated use test | Usability Study | IEC 62366-1:2020Internal<br>requirement |
| 11 | Accelerated Age Study | Mechanical/ External<br>Laboratory | ASTM F1980-16<br>Various per performed tests |
| 12 | Biocompatibility testing<br>Cytotoxicity test<br>Biological Risk Assessment | External Laboratory<br>Documented assessment | ISO 10993-1:2018<br>ISO 10993-4:2017<br>ISO 10993-5:2009<br>ISO 14971:2019 |
| 13 | Sterilization adoption | Documented assessment /<br>External laboratory testing | ISO 10993-7:2008<br>ISO 11737-1:2018/AMD1:2021<br>ISO 11135:2014<br>ISO 10993-1:2018 AAMI<br>TIR28:2009 |
| 14 | Visibility of the sheath under X-<br>ray | Documented assessment | ASTM F640-20<br>ISO 11070:2014 |
| 15 | Packaging integrity assessment | External laboratory testing | EN 868-5:2018<br>ASTM F88/F88M-21<br>ISO 11607-1 Second edition<br>2019-02 |
# 1.8 Conclusions
The results of performed testing demonstrated that the new 130cm version of Catapult ™ Guide Sheath has substantially equivalent performance to the predicate. The new Catapult ™ Guide Sheath is substantially equivalent to the predicate device in terms of intended use, design and materials, technological characteristics, and principle of operation.
Predicate graph will load when search results are available.
Embedding visualization will load when search results are available.
PDF viewer will load when search results are available.
Loading panels...
Select an item from Submissions
Click any panel, subpart, regulation, product code, or device to see details here.
Section Matches
Results will appear here.
Product Code Matches
Results will appear here.
Special Control Matches
Results will appear here.
Loading collections...
Loading
My Alerts
You will receive email notifications based on the filters and frequency you set for each alert.
Sort by:
Create Alert
Search Filters
Agent Token
Create a read-only bearer token for Claude, ChatGPT, or other agents that can call HTTP APIs.
Copy this now. It will not be shown again.
Connected apps
Apps you authorized through browser sign-in. Disconnecting revokes their access immediately.
Learn the FDA Browser
Two short videos show you everything — or skip straight to the written tutorial if you'd rather read. You can reopen this any time from the Tutorial button in the top bar.
Part 1 — Search, results, and everyday workflows 16 min
Part 2 — Embeddings: the galaxy map 3 min
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.
Use the checkboxes above the results to narrow: SaMD keeps only software-only devices, AI / ML keeps only devices with AI.
Exact vs. fuzzy search: what's the difference?
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?
Narrow by SaMD (software-only devices), then narrow by AI/ML (devices with AI).
2. The results table
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.
Where do you find a device's intended use without opening the PDF?
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.
How do you judge how far down fuzzy search results to go?
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.
4. Device detail page: chat and citations
Click a device name to open its detail page: device facts on the left, a chat window on the right. Ask something like "Describe the training data". The answer carries little citation bubbles — click one to jump to the highlighted passage in the source PDF, so you can verify every AI answer against the document. There's also a Download PDF button for sharing.
How do you verify an AI chat answer on the device detail page?
Click the citation bubbles to jump to the relevant highlight in the source document.
Reading rule for every project: how many summaries do you read in full?
At least the three most relevant 510(k) or De Novo summaries, in full. After that, use targeted chat questions to confirm your memory quickly. The tool supports this professional habit — it doesn't replace it.
5. Side-by-side comparison
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.
What does the side-by-side PDF viewer mode do?
Select multiple devices, open the PDF viewer tab, and ask one question (e.g., "Describe the training data"). It queries all selected devices simultaneously with citations, so you can compare and contrast quickly.
6. Collections
With rows selected, go to the Collections tab and create a labeled collection (e.g., "Cobb Angle Project"). Reload that selection any time — before a client call, pull up the collection and ask questions across all of its devices at once.
How do you save a set of selected devices for later use?
Select the rows, go to the Collections tab, and create a labeled collection (e.g., "Cobb Angle Project"). You can reload the selection anytime and carry it into the PDF viewer and other tabs that support selections.
7. Product codes and the regulations tree
Click a product code in the results to jump to it in the regulations tree — identification text, sibling product codes, and devices you can open in a PDF viewer on the right. Click a regulation number to see its identification, special controls, and related product codes. You can also search by product code or regulation number at the top of the tree. Always read the special controls if any exist for your device — it broadens your search and sharpens pre-kickoff research.
What can you do from the regulations tree view?
Browse product codes and regulation numbers, read the identification text and special controls, browse sibling product codes, open device PDFs on the right, and search by product code or regulation number at the top of the tree.
8. Chart view
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.
How do you see which regulations dominate a search result set?
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.