Back to Explorer

Coronary, Peripheral, and Neurovascular Guidewires - Performance Tests and Recommended Labeling: Guidance for Industry and Food and Drug Administration Staff

FinalCenter for Devices and Radiological Health10/10/2019

Description

Thisguidance documentprovides recommendations for premarket notification (510(k)) submissions for guidewires intended for use in the coronary vasculature, peripheral vasculature, and neurovasculature.  The recommendations reflect current review practices and are intended to promote consistency and facilitate efficient review of these submissions. For the purposes of this guidance, the coronary vasculature includes blood vessels within the heart, including the ostium of the left main coronary artery; the neurovasculature includes blood vessels within the cranium, typically considered the vasculature distal to the cervical segment of the internal carotid artery; the peripheral vasculature includes all other cardiovascular vasculature. This document is intended to assist industry in designing and executing appropriate performance testing to support a 510(k) submission and provides recommendations for content and labeling to include in the submission.

Scope & Applicability

Product Classes

5
Coronary Guidewire

guidewires intended for use in the coronary vasculature; Devices intended to navigate the coronary vasculature

Significant risk devices

FDA believes guidewires addressed by this guidance are significant risk devices

Peripheral Guidewire

guidewires intended for use in the peripheral vasculature

Neurovascular Guidewire

guidewires intended for use in the neurovasculature; Devices intended to navigate the neurovasculature

Predicate device

legally marketed device used for comparison

Regulatory Context

Attributes

2
Shelf Life

Determined based on stability data; Established through stability testing; also called dating period.; Established through formal stability studies; Establishing the period during which a drug product is expected to remain within specifications; Period for drug products; The period during which a drug product is expected to remain within specifications; Duration product remains within acceptance criteria; Period during which product remains within specifications; Established for intermediates pu

Tortuosity

Anatomical model should represent challenging vasculature

Identified Hazards

Hazards

4
Pyrogenicity

Risk of febrile reaction

Vessel perforation

Inappropriately designed guidewire tips may result in vessel perforation

Tip Detachment

May result in distal embolization

Coating Separation

serious adverse events associated with hydrophilic and/or hydrophobic coatings separating; multifactorial cause of serious injuries

Related CFR Sections (4)

Related Warning Letters (10)

  • Clinical Investigator

    Shirish M. Gadgeel, M.D.

    2025-09-09
  • Clinical Investigator

    Mark J. Savant, M.D

    2025-07-15
  • Bioresearch Monitoring Program/Institutional Review Board (IRB)

    United Health Products, Inc.

    2025-05-20
  • Clinical Investigator

    Americo F. Padilla, M.D.

    2025-03-25
  • Institutional Review Board (IRB)

    Armstrong County Memorial Hospital

    2024-11-05
  • Clinical Investigator

    Namita A. Goyal, M.D.

    2024-10-22
  • Institutional Review Board (IRB)

    Louisiana State University Health Science Center IRB

    2024-10-08
  • Bioresearch Monitoring Program/IRB

    Massachusetts Institute of Technology MIT

    2024-07-16
  • Clinical Investigator (Sponsor)

    Angela D. Ritter, M.D.

    2024-06-18
  • Institutional Review Board (IRB)

    New York State Psychiatric Institute IRB

    2024-03-26

See Also (8)