📋 FDA Reference

Sheath-In-Sheath Catheter 18Fr Model S00018 Sheath-In-Sheath Catheter 6 Fr Model S00019

Facile Medical

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Summary: The sheath-in-sheath catheter by Facile Medical is a device used primarily in interventional radiology for procedures like embolization. It is typically used by specialists in vascular and interventional radiology.

FDA Clearance Information

Pathway ? 510(k)
Number ? K042308 ↗
Decision Date ? February 17, 2005
Product Code ? DYB
Device Class ? Class 2
Evidence ? 0 studies

This device was cleared through the FDA 510(k) pathway on February 17, 2005. Manufactured by Facile Medical, it is classified as a Class 2 device under product code DYB.

What It Is

The sheath-in-sheath catheter is a specialized medical device designed for use in vascular procedures. It consists of two concentric sheaths, allowing for enhanced maneuverability and stability during catheter-based interventions. This design is particularly useful in procedures requiring precise placement and control, such as embolization.

FDA-Cleared Indications

  • For use in procedures requiring the delivery of embolization coils.
  • For vascular catheter-based interventions in which coaxial sheath access and controlled device delivery are needed.

Clinical Applications

  • Delivery of embolization coils during vascular embolization procedures.
  • Catheter-based treatment of selected aneurysms or pseudoaneurysms when coil occlusion is indicated.
  • Coil embolization of selected arteriovenous malformations or other abnormal vascular connections.
  • Vascular occlusion procedures performed in an interventional radiology or catheterization laboratory.

Reported off-label uses

  • Use as a coaxial access platform for delivery of embolic agents other than coils may occur in clinical practice, but this should not be assumed to be within the device labeling.
  • Use in neurointerventional procedures may be considered by specialists when the anatomy, device compatibility, and applicable labeling support it.

Off-label use: these uses are reported in practice or the literature but are not part of the FDA-cleared indications. Physicians may use a cleared device off-label based on their medical judgment; the manufacturer may not promote off-label uses.

Practical Considerations

  • The listed system includes an 18 Fr sheath-in-sheath catheter and a 6 Fr sheath-in-sheath catheter; clinicians should confirm the exact model and working dimensions before use.
  • Confirm compatibility with the selected guidewire, microcatheter, embolization coil, contrast injector, and other procedural equipment.
  • Insertion and manipulation should be performed under appropriate fluoroscopic or other imaging guidance by trained clinicians using sterile technique.
  • The FDA record provided does not establish MRI safety; MRI use should be based on the current manufacturer labeling and device-specific MR conditions.
  • Potential contraindications and complications depend on the access site, vascular anatomy, indication, and associated devices; review the current instructions for use before the procedure.

Procedures that use this device

Frequently Asked Questions

What is the sheath-in-sheath catheter used for?

It is used for delivering embolization coils during vascular procedures, particularly in interventional radiology.

What specialties typically use this device?

Interventional radiologists and vascular surgeons commonly use this device in hospital catheterization labs.

What are the FDA-cleared indications?

The device is indicated for use in procedures involving the delivery of embolization coils for vascular occlusion.

Disclaimer: This page compiles publicly available regulatory and published clinical evidence for educational reference. It does not constitute medical advice, product endorsement, or a recommendation for clinical use. Always consult manufacturer documentation and clinical judgment for patient care decisions.

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