K Number
K150964
Manufacturer
Date Cleared
2015-12-18

(252 days)

Product Code
Regulation Number
870.3300
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

MReye Flipper Detachable Embolization Coils are intended for arterial and venous embolization in the peripheral vasculature.

Device Description

The MReye® Flipper® Detachable Embolization Coil and Delivery System consists of a fibered detachable embolization coil and a delivery system. The MReye Flipper Detachable Embolization Coils are constructed from coiled Inconel (nickel chromium alloy) wire and synthetic fibers. The wire forms primary coil diameters from 0.035 inch. Upon exiting from the catheter, the embolization coil forms a secondary curl in vasculature, ranging from 3 to 8 mm.

AI/ML Overview

The provided document is a 510(k) premarket notification for the Cook Incorporated MReye Flipper Detachable Embolization Coil and Delivery System. This type of submission focuses on demonstrating substantial equivalence to a predicate device, rather than proving the device meets specific performance criteria through extensive clinical studies as might be seen for novel technologies or PMAs.

Therefore, the document does not contain the information requested in points 1-9 regarding specific acceptance criteria, detailed study designs, sample sizes, ground truth establishment, or multi-reader multi-case studies for demonstrating clinical performance.

Instead, the document highlights the following:

1. Comparison to Predicate Device:
The submission asserts that the MReye® Flipper® Detachable Embolization Coil and Delivery System is "substantially equivalent" to its predicate device, the Flipper® Detachable Embolization Coil (K063619). The key argument for equivalence is that the new device is "identical to the predicate device in terms of intended use, principle of operation, materials of construction, and basic technological characteristics." The primary modification mentioned is related to MRI compatibility.

2. Performance Data (Limited):
The only performance testing mentioned is "MRI Testing."

  • Acceptance Criteria (Implied): To verify that the implant can be labeled as "MR Conditional."
  • Reported Device Performance: The MRI testing verifies that the implant "will be labeled as MR Conditional 0 with the applicable parameters described in the Instructions for Use."

This indicates that the focus of this particular submission was to ensure the device's compatibility with Magnetic Resonance Imaging, rather than re-proving its embolization efficacy, which is inferred to be equivalent to the predicate device.

In summary, none of the specific items requested in points 1-9 can be extracted from this document, as it pertains to a 510(k) submission based on substantial equivalence, with a primary focus on MRI compatibility for the modification.

{0}------------------------------------------------

Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized image of three human profiles facing to the right, with a flowing design element below them.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002

December 18, 2015

Cook Incorporated Nozomi Yagi Regulatory Affairs Specialist 750 Daniels Way Bloomington, Indiana 47404

Re: K150964

Trade/Device Name: MReye Flipper Detachable Embolization Coil and Delivery System Regulation Number: 21 CFR 870.3300 Regulation Name: Vascular Embolization Device Regulatory Class: Class II Product Code: KRD Dated: October 19, 2015 Received: October 20, 2015

Dear Nozomi Yagi:

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 CFR Part 807); labeling (21 CFR Part 801); medical device reporting (reporting of medical devicerelated 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.

{1}------------------------------------------------

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Division of Industry and Consumer Education 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. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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 Industry and Consumer Education 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,

Kenneth J. Cavanaugh -S

for

Bram D. Zuckerman, M.D. Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

{2}------------------------------------------------

Indications for Use

510(k) Number (if known) K150964

Device Name

MReye® Flipper® Detachable Embolization Coil and Delivery System

Indications for Use (Describe)

MReye Flipper Detachable Embolization Coils are intended for arterial and venous embolization in the peripheral vasculature.

Type of Use (Select one or both, as applicable)

X 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."

{3}------------------------------------------------

Image /page/3/Picture/0 description: The image shows the logo for Cook Medical. The logo is white text on a red background. The word "COOK" is in large, bold letters, and the word "MEDICAL" is in smaller letters below it. There is a registered trademark symbol next to the word COOK.

510(k) SUMMARY

K150964

As required by 21 CFR §807.92 Date Prepared: October 19, 2015

I. SUBMITTER

Applicant:Cook Incorporated
Contact:David Lehr, RAC
Applicant Address:Cook Incorporated750 Daniels WayBloomington, IN 47404
Contact Phone Number:(812) 335-3575 x102309
Contact Fax Number:(812) 332-0281

II. DEVICE

Trade Name:

Common Name: Classification Name: Panel: Regulation: Product Code

MReye® Flipper® Detachable Embolization Coil and Delivery System Embolization coil Vascular embolization device Cardiovascular 21 CFR §870.3300 KRD

III. PREDICATE DEVICE

The device subject of this submission is believed to warrant a determination of substantial equivalence to the predicate device, the Flipper® Detachable Embolization Coil (K063619).

IV.DEVICE DESCRIPTION

The MReye® Flipper® Detachable Embolization Coil and Delivery System consists of a fibered detachable embolization coil and a delivery system. The MReye Flipper Detachable Embolization Coils are constructed from coiled Inconel (nickel chromium alloy) wire and synthetic fibers. The wire forms primary coil diameters from 0.035 inch. Upon exiting from the catheter, the embolization coil forms a secondary curl in vasculature, ranging from 3 to 8 mm.

V. INDICATIONS FOR USE

MReye Flipper Detachable Embolization Coils are used for arterial and venous embolization in the peripheral vasculature. The indication for use is identical to the predicate device.

{4}------------------------------------------------

VI. COMPARISON OF TECHNOLOGICAL CHARACTERISTICS WITH THE PREDICATE DEVICE

The modification included in this submission does not include any new technological characteristics. The MReye® Flipper® Detachable Embolization Coil and Delivery System is comparable to the predicate device. Specifically, the MReye® Flipper® Detachable Embolization Coil and Delivery System is identical to the predicate device in terms of intended use, principle of operation, materials of construction, and basic technological characteristics.

VII. PERFORMANCE DATA

The following test was performed to determine the appropriate Magnetic Resonance Imaging information for the proposed device:

  • MRI Testing MRI testing verifies that the implant will be labeled as MR Conditional 0 with the applicable parameters described in the Instructions for Use.

VIII. CONCLUSIONS

The result of the testing provides reasonable assurance that the proposed device has been designed and tested to assure conformance to the requirements of its intended use. The proposed device also does not raise new questions of safety or effectiveness as compared to the predicate device and thus is substantially equivalent to the predicate device.

§ 870.3300 Vascular embolization device.

(a)
Identification. A vascular embolization device is an intravascular implant intended to control hemorrhaging due to aneurysms, certain types of tumors (e.g., nephroma, hepatoma, uterine fibroids), and arteriovenous malformations. This does not include cyanoacrylates and other embolic agents, which act by polymerization or precipitation. Embolization devices used in neurovascular applications are also not included in this classification, see § 882.5950 of this chapter.(b)
Classification. Class II (special controls.) The special control for this device is the FDA guidance document entitled “Class II Special Controls Guidance Document: Vascular and Neurovascular Embolization Devices.” For availability of this guidance document, see § 870.1(e).