(233 days)
The Soules Intrauterine Insemination Catheter is used to access the uterine cavity for saline infusion sonohysterography or for the introduction of washed spermatozoa into the uterine cavity.
The Soules Intrauterine Insemination Catheter consists of a 5.3 French polyethylene catheter that is 25 cm in length with a polyethylene female luer adapter hub. The tip of the device features an oval side port located ~2.5 mm from the distal end of the catheter. A 3 mm movable silicone positioner is also present on the shaft of the catheter that can be adjusted to aid in positioning the device to the targeted depth within the uterine cavity during a procedure.
I am sorry, but the provided text does not contain information about the acceptance criteria and study proving device meets acceptance criteria for an AI/ML powered medical device. The document is a 510(k) summary for a Soules Intrauterine Insemination Catheter, which is a physical medical device, not an AI/ML device.
Therefore, I cannot provide a response based on the requested categories such as sample size for test set, data provenance, number of experts for ground truth, adjudication method, MRMC study, standalone performance, type of ground truth, sample size for training set, and how ground truth for training set was established. These categories are relevant to AI/ML device studies, not the type of device described in the document.
The document does mention some performance testing for the physical catheter, but it does not fit the format requested for an AI/ML device.
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Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002
July 14, 2017
Cook Incorporated Naomi N. Funkhouser Regulatory Affairs Specialist 750 Daniels Way Bloomington. Indiana 47404
Re: K163318
Trade/Device Name: Soules Intrauterine Insemination Catheter Regulation Number: 21 CFR 884.6110 Regulation Name: Assisted Reproduction Catheters Regulatory Class: Class II Product Code: MOF, LKF Dated: June 13, 2017 Received: June 13, 2017
Dear Naomi N. Funkhouser:
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 of medical device
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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 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.
Joyce M. Whang -S
for
Benjamin R. Fisher, Ph.D. Director Division of Reproductive, Gastro-Renal, and Urological Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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Indications for Use
510(k) Number (if known) K163318
Device Name
Soules Intrauterine Insemination Catheter
Indications for Use (Describe)
The Soules Intrauterine Insemination Catheter is used to access the infusion sonohysterography or for the introduction of washed spermatozoa into the uterine cavity.
| Type of Use (Select one or both, as applicable) | |
|---|---|
| ☑ Prescription Use (Part 21 CFR 801 Subpart D) | ☐ Over-The-Counter Use (21 CFR 801 Subpart C) |
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750 DANIELS WAY, P.O. P.O. P
K163318 Page 1 of 4
510(k) SUMMARY- K163318
Date Prepared: July 11, 2017
Submitted By:
| Applicant: | Cook Incorporated |
|---|---|
| Contact: | Naomi N. Funkhouser |
| Applicant Address: | Cook Incorporated |
| 750 Daniels Way | |
| Bloomington, IN 47404 | |
| Contact Phone Number: | (812) 335-3575 x10-4371 |
| Contact Fax Number: | (812) 332-0281 |
Device Information:
Trade Name: Common Name: Classification Name: Regulation Number: Product Code:
Product Class:
Soules Intrauterine Insemination Catheter Intrauterine insemination catheter Assisted Reproduction Catheters 21 CFR §884.6110 MQF (Catheter, Assisted Reproduction) LKF (Cannula, Manipulator/Injector, Uterine) II
Predicate Device:
K061679 – Wallace SIS/AI Catheter (Irvine Scientific Sales Co., Inc.). This device has not been subject to a design-related recall.
Device Description:
The Soules Intrauterine Insemination Catheter consists of a 5.3 French polyethylene catheter that is 25 cm in length with a polyethylene female luer adapter hub. The tip of the device features an oval side port located ~2.5 mm from the distal end of the catheter. A 3 mm movable silicone positioner is also present on the shaft of the catheter that can be adjusted to aid in positioning the device to the targeted depth within the uterine cavity during a procedure.
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Indication for Use:
The Soules Intrauterine Insemination Catheter is used to access the uterine cavity for saline infusion sonohysterography or for the introduction of washed spermatozoa into the uterine cavity.
| K163318- Subject Device | K061679 - Predicate Device | |
|---|---|---|
| Intended Use | ||
| Indication for Use | The Soules Intrauterine InseminationCatheter is used to access the uterinecavity for saline infusionsonohysterography or for theintroduction of washed spermatozoainto the uterine cavity. | The wallace SIS/AI catheter isintended to be used in artificalinsemination procedures intended forinsertion of the catheter andintroduction of washed spermatozoainto the uterine cavity. The wallacesis/ai catheter is also intended to beused in saline infusion sonography(SIS) also known as saline infusionsonohysterography (SIS) and salineultrasound infusion procedures in thedetection abnormalities within uterinecavities. |
| Technology | ||
| Tubing | Polyethylene | FEP, polyurethane, LDPE, and Nylon |
| Hub | Polyethylene | Polypropylene and Nylon |
| Tubing Length,Width | 25 cm, 5.3 Fr | 18 cm, 16 Gauge (5.0 Fr) – innercatheter. |
| Device Design | Single lumen catheter with a luer lock | Inner catheter and a detachable outersheath that attaches to the innercatheter by a luer lockWhen the outer sheath is attached tothe hub of the catheter, the innercatheter protrudes from the distal endof the outer sheath by 5 cm |
| Side port | Single oval side port 2-3 mm fromdistal tip | Dual oval Side ports on distal tip |
| Depth indicator | One adjustable 3 mm silicone bandinitially placed 7 cm from distal tip ofcatheter | Five - 1 cm graduations ink marks onouter catheter |
| Sterilization | EtO | EtO |
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The subject and predicate device have the same intended use - the delivery of washed spermatozoa to the uterine cavity and SIS. In addition, the subject and predicate devices are similar in some technological features, including design (e.g., tip and hub design), usability, hub adapter, and sterility procedure.
However, there are a number of differences between the subject and predicate device that are described below:
- . Device materials - Some of the device materials (e.g., tubing, hub, depth indicator) are not the same. Materials differences are common in ART devices and do not raise different questions of safety and effectiveness, and can be addressed through testing (e.g., biocompatibility, performance).
- Device dimensions - The subject device has differences in device dimensions (e.g., greater length). These differences do not raise different questions of safety or effectiveness.
- Device Design- The subject device has an adjustable silicone depth indicator ● whereas the predicate device has five graduation ink marks on the catheter. In addition, the subject device has a single side port whereas the predicate device a double side port. The subject device is a single catheter whereas the predicate device has an inner catheter with a detachable outer sheath that attaches to the inner catheter. The differences between the device designs do not raise different questions of safety and effectiveness (e.g., ability to access the uterine cavity, risk of perforation, etc.).
Performance Testing:
The following tests were performed to demonstrate that the proposed Soules Intrauterine Insemination Catheter met the applicable design and performance requirements and support a determination of substantial equivalence under the specified testing parameters. These tests include:
- Sterilization Validation per ISO 11135-1:2007 and ISO 10993-7: 2008. 1.
-
- Package integrity testing following real-time aging:
- Bubble leak test per ASTM F2096-04 .
- . Seal strength testing per ASTM F88-09
- Visual Inspection per ASTM F1886-09 ●
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-
- Human Sperm Survival Assay - Testing ensures manufacturing materials do not have an adverse effect upon the survival of Human Sperm. Test articles assessed provided acceptable results of ≥ 70% motility at 24 hours.
- Endotoxin Assay (AAMI ST72: 2011 and UPS/NF <85>) <20 4. EU/device less
- న్. Dimensional Analysis - Testing was performed with the requirement that specific product dimensions should be within set tolerances. The results showed that the predetermined acceptance criteria were met.
- Injection Leak Testing completed to ensure the device can withstand 6. pressure from injection.
- Air Aspiration Testing completed to ensure the device does not 7. leak during aspiration. The predetermined acceptance criterion was met.
-
- Tensile Test – Testing ensures the tensile strength of the hub to shaft bond.
-
- Biocompatibility - Biocompatibility testing was conducted according to ISO 10993-1-2009. Testing included cytotoxicity (ISO 10993-5:2009). intracutaneous reactivity (ISO 10993-10:2010), and sensitization (ISO 10993-10:2010). The test articles assessed provided acceptable results as no signs of cytotoxicity, sensitization or irritation reactions were noted in testing.
-
- Shelf-life testing was conducted to ensure that the following product specifications were met to support a three-year shelf-life:
- Tensile testing
- Injection leak testing ●
- Dimensional analysis
- HSSA testing ●
- Air Aspiration ●
Conclusion:
The results of the testing described above demonstrate that the Soules Intrauterine Insemination Catheter is as safe and effective as the predicate device and supports a determination of substantial equivalence.
§ 884.6110 Assisted reproduction catheters.
(a)
Identification. Assisted reproduction catheters are devices used in in vitro fertilization (IVF), gamete intrafallopian transfer (GIFT), or other assisted reproduction procedures to introduce or remove gametes, zygote(s), preembryo(s), and/or embryo(s) into or from the body. This generic type of device may include catheters, cannulae, introducers, dilators, sheaths, stylets, and component parts.(b)
Classification. Class II (special controls) (mouse embryo assay information, endotoxin testing, sterilization validation, design specifications, labeling requirements, biocompatibility testing, and clinical testing).