K Number
K022420
Device Name
MICRUS STRETCH-RESISTANT MICROCOIL SYSTEM, MSR01
Manufacturer
Date Cleared
2002-10-22

(90 days)

Product Code
Regulation Number
882.5950
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Micrus Stretch-Resistant MicroCoil Delivery System is intended for endovascular embolization of intracranial aneurysms that – because of their morphology, their location or the patient's general medical condition -- are considered by the treating neurosurgical team to be a) very high risk for management by traditional operative techniques or b) inoperable.
Device Description
The Micrus Stretch Resistant MicroCoil System consists of a platinum embolic coil ("MicroCoil") attached to a Device Positioning Unit (DPU) (single use, sterile). The Micrus Stretch Resistant MicroCoil System connects to a Micrus Connecting Cable (single use, sterile) which traverses the sterile field to connect to a Micrus Detachment Control Box (DCB) (reusable, non-sterile). The Connecting Cable and Detachment Control Box are sold separately. The Micrus Stretch-Resistant MicroCoils are available in a 10-System size, compatible with 10 and 14 sized microcatheters. They are helically shaped and are available in various diameters/dimensions. Coil lengths range from 1 to 15 centimeters and diameters range from 2 to 10 millimeters. The Stretch Resistant MicroCoils are available in two levels of softness: 1. The Micrus Soft, Stretch-Resistant MicroCoil (catalog # FSR) corresponds to the 10-System GDC Ultra Soft Stretch Resistant Coil, using a primary wind of 0.0015" to create softness. 2. The Standard Micrus Stretch-Resistant MicroCoil (catalog # HSR) corresponds to the 10-System GDC Soft, Stretch Resistant coil, using a primary wind of 0.00175". Micrus Stretch Resistant MicroCoils are fabricated from a platinum alloy wire, which is first wound into a primary coil (containing a non absorbable polypropylene suture inside the wind) and then formed into a secondary helical shape. The Micrus Stretch-Resistant MicroCoil System is identical to the FDAcleared MicroCoil System with the 4 following exceptions: 1. The coil's primary wind wire diameter has been reduced from 0.00175" to 0.0015" to create softness in the Micrus Soft Stretch-Resistant MicroCoil. (The Standard Micrus Stretch-Resistant MicroCoil uses the same 0.00175" diameter primary wind as is used in the Micrus 10-System Helical MicroCoil.) 2. A non absorbable polypropylene suture has been inserted inside the primary wind coil to create stretch-resistance. 3. The polypropylene suture is connected to the distal coil end to make a non-traumatic distal ball tip. 4. A loop of polypropylene suture has been added to the socket/ring connection at the coil to Device Positioning Unit junction to secure the polypropylene suture to the Device Positioning Unit.
More Information

K9993415, K002056

Not Found

No
The device description focuses on the physical characteristics and materials of the microcoil system, and the performance studies are based on non-clinical tests comparing it to predicate devices. There is no mention of software, algorithms, or data processing that would suggest the use of AI/ML.

Yes

The device is intended for the endovascular embolization of intracranial aneurysms, which involves treating a medical condition to improve patient health.

No

The device is an embolic coil delivery system intended for the endovascular embolization of intracranial aneurysms, which is a therapeutic procedure, not a diagnostic one.

No

The device description clearly outlines multiple hardware components including a platinum embolic coil, a Device Positioning Unit, a Connecting Cable, and a Detachment Control Box.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is for the endovascular embolization of intracranial aneurysms. This is a therapeutic procedure performed in vivo (within the body) to treat a medical condition.
  • Device Description: The device is a physical implantable coil and its delivery system. It is designed to be placed inside the body to block blood flow to an aneurysm.
  • Lack of Diagnostic Function: There is no mention of the device being used to analyze samples (like blood, tissue, etc.) or to provide information for diagnosis. Its purpose is purely interventional/therapeutic.

IVD devices are used to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. This device does not fit that description.

N/A

Intended Use / Indications for Use

The Micrus Stretch-Resistant MicroCoil Delivery System is intended for endovascular embolization of intracranial aneurysms that - because of their morphology, their location or the patient's general medical condition -- are considered by the treating neurosurgical team to be a) very high risk for management by traditional operative techniques or b) inoperable.

Product codes

HCG

Device Description

The Micrus Stretch Resistant MicroCoil System consists of a platinum embolic coil ("MicroCoil") attached to a Device Positioning Unit (DPU) (single use, sterile). The Micrus Stretch Resistant MicroCoil System connects to a Micrus Connecting Cable (single use, sterile) which traverses the sterile field to connect to a Micrus Detachment Control Box (DCB) (reusable, non-sterile). The Connecting Cable and Detachment Control Box are sold separately. The Micrus Stretch-Resistant MicroCoils are available in a 10-System size, compatible with 10 and 14 sized microcatheters. They are helically shaped and are available in various diameters/dimensions. Coil lengths range from 1 to 15 centimeters and diameters range from 2 to 10 millimeters. The Stretch Resistant MicroCoils are available in two levels of softness:

  1. The Micrus Soft, Stretch-Resistant MicroCoil (catalog # FSR) corresponds to the 10-System GDC Ultra Soft Stretch Resistant Coil, using a primary wind of 0.0015" to create softness.
  2. The Standard Micrus Stretch-Resistant MicroCoil (catalog # HSR) corresponds to the 10-System GDC Soft, Stretch Resistant coil, using a primary wind of 0.00175".
    Micrus Stretch Resistant MicroCoils are fabricated from a platinum alloy wire, which is first wound into a primary coil (containing a non absorbable polypropylene suture inside the wind) and then formed into a secondary helical shape. The Micrus Stretch-Resistant MicroCoil System is identical to the FDAcleared MicroCoil System with the 4 following exceptions:
  3. The coil's primary wind wire diameter has been reduced from 0.00175" to 0.0015" to create softness in the Micrus Soft Stretch-Resistant MicroCoil. (The Standard Micrus Stretch-Resistant MicroCoil uses the same 0.00175" diameter primary wind as is used in the Micrus 10-System Helical MicroCoil.)
  4. A non absorbable polypropylene suture has been inserted inside the primary wind coil to create stretch-resistance.
  5. The polypropylene suture is connected to the distal coil end to make a non-traumatic distal ball tip.
  6. A loop of polypropylene suture has been added to the socket/ring connection at the coil to Device Positioning Unit junction to secure the polypropylene suture to the Device Positioning Unit. A diagram of the socket/ring connection is provided below.
    The Stretch-Resistant MicroCoils are provided attached to a Device Positioning Unit (DPU). The Device Positioning Unit is unchanged from the original FDA cleared Micrus product. The Device Positioning Unit is designed with variable stiffness: It is most stiff at the proximal end for pushability, transitions to increased flexibility in the mid-section, and becomes most flexible at the distal end for successfully navigating the tortuosity of the cerebral vasculature. The Device Positioning Unit is fabricated from various materials including stainless steel, nitinol, platinum and polymer sheathing. It contains 2 copper conductor wires down the center, which carry the electrical energy to a platinum resistive heating coil on the distal tip of the device. The Device Positioning Unit is self-grounded, requiring no external grounding through the patient, a grounding pad, etc.
    The Stretch-Resistant MicroCoil is detached from the Device Positioning Unit through a heat initiated shearing of a highly oriented, high tensile strength polyethylene (PE) fiber upon the clinician's command, once the coil is deployed into the aneurysm as desired. The Device Positioning Unit is then removed from the microcatheter and discarded. The detachment process and design is identical to the original FDA cleared Micrus products except the detachment time is reduced from 10 seconds to 5 seconds. The 5-second detachment time applies to all Micrus MicroCoil Systems.
    The Detachment Control Box (DCB) is a self-contained, battery-operated device, which provides the controlled electrical energy for detachment of the MicroCoil from the Device Positioning Unit. The Detachment Control Box is unchanged from the original FDA cleared device. During aneurysm embolization, the Detachment Control Box remains outside of the sterile field (as is the case with the predicate system). The Detachment Control Box has no user adjustments for output voltage, output current or detachment cycle time. It has an on/off button, and a detach cycle start button, as well as voltage and current displays and fault and low battery indicators. When the clinician depresses the detach button, the Detachment Control Box outputs a constant voltage of 6.5 VDC at a nominal current of 125mA for 5 seconds. The delivered electrical energy serves to heat a platinum resistive heating coil at the distal end of the DPU, thereby initiating a heat shearing of the PE fiber which holds the MicroCoil to the Device Positioning Unit. Once the fiber shears, the MicroCoil is free from the Device Positioning Unit ("detached"), and the Device Positioning Unit is withdrawn and discarded.
    The Connecting Cable (CCB) is used to connect the MicroCoil System to the Detachment Control Box. The Connecting Cable is unchanged from the original FDA cleared Micrus device. It utilizes proprietary connectors to prevent accidental or inappropriate connections to other devices. It traverses from the MicroCoil System (which is within the sterile field) to the Detachment Control Box (which is outside the sterile field). The Connecting Cable is provided sterile, and discarded after a single patient treatment.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Intracranial

Indicated Patient Age Range

Not Found

Intended User / Care Setting

treating neurosurgical team

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies

The non-clinical tests performed on the Coil System were based upon the intended use of the device, the performance of the predicate devices (GDC Soft and Ultra Soft Stretch-Resistant).

  • Aneurysm Packing Ability & Detachment Reliability:
    • Test result: No filling defects evident on angio. No premature detachment / auto-detach caused by exposure to blood, body fluids, body temperatures or repeated manipulation. 100% first detach-cycle detachment achieved.
    • Substantially equivalent to Micrus predicate device.
  • Coil Stability & Aneurysm Occlusion:
    • Test result: Positional stability and aneurysm occlusion maintained through 6 months of implant. No coil compaction present at 6-month angio.
    • Substantially equivalent to predicate devices.
  • GDC Bench Marking:
    • Test result: Showed substantial equivalence in delivery
      force, tensile, and stiffness.
    • Substantially equivalent to GDC Benchmark.
  • Coil Stiffness/Softness:
    • Test result: Finishing Stretch Resistant MicroCoil and Helical Stretch Resistant MicroCoil stiffness is within desired stiffness limit.
    • Substantially equivalent to predicate devices.
  • Friction in the Microcatheter (Delivery Force):
    • Test result: Finishing Stretch Resistant MicroCoil and Helical Stretch Resistant MicroCoil average push force exhibit comparable delivery forces.
    • Substantially equivalent to predicate devices.
  • MDR Database Review:
    • Test result: MSR01 risk assessment includes and addresses all risks encountered in review of predicate device MDR review.
    • Substantially equivalent to predicate devices.
  • Biocompatibility of Materials:
    • Test result: The only new material in the Micrus Stretch Resistant MicroCoil is polypropylene monofilament # 6523. It is identical to the pre-approved GDC stretch resistant suture.
    • Substantially equivalent to GDC predicate device.
  • Sterilization Validation:
    • Test result: Passed minimum sterility assurance level of 10-6.
    • Substantially equivalent to predicate devices.
  • Shelf Life Test:
    • Test result: Minimum tensile strength after 1 year accelerated aging shows no degradation.
    • Substantially equivalent to predicate devices.
  • Tensile Strength:
    • Test result: Tensile strength meets desired strength criteria.
    • Substantially equivalent to predicate devices.
  • Durability (Reliability after Fatigue):
    • Test result: No knotting, no breakage, no stretching occurred. Durability meets desired durability criteria.
    • Substantially equivalent to Micrus predicate device.
  • MRI Compatibility of Implant:
    • Test result: No change was made which would impact MRI compatibility.
    • Substantially equivalent to predicate devices.

Key Metrics

Not Found

Predicate Device(s)

K9993415, K002056

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 882.5950 Neurovascular embolization device.

(a)
Identification. A neurovascular embolization device is an intravascular implant intended to permanently occlude blood flow to cerebral aneurysms and cerebral ateriovenous malformations. This does not include cyanoacrylates and other embolic agents, which act by polymerization or precipitation. Embolization devices used in other vascular applications are also not included in this classification, see § 870.3300.(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 § 882.1(e).

0

KOZURO

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Safety and Effectiveness Summary 11.

A. Contact Information

Marqaret Webber Director, Regulatory and Clinical Affairs Micrus Corporation 495 Clyde Avenue Mountain View, CA 94043

B. Device Name

Micrus Stretch-Resistant MicroCoil System, MSR01

Device, Artificial Embolization

Regulation Number: 882.5950

Product Code: HCG

Device Class: III

C. Predicate Device(s)

| Number | Description | Clearance
Date |
|----------|-------------------------------------------------------------------------------------------------------------------------------|-------------------|
| K9993415 | GDC-10 and GDC-10 (2D) Stretch Resistant
Detachable Coils and GDC-18 and GDC-18
(2D) Stretch Resistant Detachable Coils | 01/21/2000 |
| K002056 | Micrus MicroCoil Delivery System | 01/11/2001 |

D. Device Description

The Micrus Stretch Resistant MicroCoil System consists of a platinum embolic coil ("MicroCoil") attached to a Device Positioning Unit (DPU) (single use, sterile),

The Micrus Stretch Resistant MicroCoil System connects to a Micrus Connecting Cable (single use, sterile) which traverses the sterile field to connect to a Micrus Detachment Control Box (DCB) (reusable, non-sterile). The Connecting Cable and Detachment Control Box are sold separately.

The Micrus Stretch-Resistant MicroCoils are available in a 10-System size, compatible with 10 and 14 sized microcatheters. They are helically shaped and are available in various diameters/dimensions. Coil lengths range from 1 to 15 centimeters and diameters range from 2 to 10 millimeters. The Stretch Resistant MicroCoils are available in two levels of softness:

    1. The Micrus Soft, Stretch-Resistant MicroCoil (catalog # FSR) corresponds to the 10-System GDC Ultra Soft Stretch Resistant Coil, using a primary wind of 0.0015" to create softness.
    1. The Standard Micrus Stretch-Resistant MicroCoil (catalog # HSR) corresponds to the 10-System GDC Soft, Stretch Resistant coil, using a primary wind of 0.00175".

Micrus Stretch Resistant MicroCoils are fabricated from a platinum allov wire. which is first wound into a primary coil (containing a non absorbable polypropylene suture inside the wind) and then formed into a secondary helical

1

Page 2 of 12
K022420

shape. The Micrus Stretch-Resistant MicroCoil System is identical to the FDAcleared MicroCoil System with the 4 following exceptions:

  • The coil's primary wind wire diameter has been reduced from 0.00175" to 1. 0.0015" to create softness in the Micrus Soft Stretch-Resistant MicroCoil. (The Standard Micrus Stretch-Resistant MicroCoil uses the same 0.00175" diameter primary wind as is used in the Micrus 10-System Helical MicroCoil.)
    1. A non absorbable polypropylene suture has been inserted inside the primary wind coil to create stretch-resistance.
  • The polypropylene suture is connected to the distal coil end to make a non-ന് traumatic distal ball tip.
    1. A loop of polypropylene suture has been added to the socket/ring connection at the coil to Device Positioning Unit junction to secure the polypropylene suture to the Device Positioning Unit. A diagram of the socket/ring connection is provided below.

Diagram of Predicate MicroCoil Socket/Ring Connection

Image /page/1/Figure/8 description: The image shows a diagram of two loops, one labeled "Loop from DPU" and the other labeled "Platinum loop from MicroCoil". The "Loop from DPU" is a circular loop, while the "Platinum loop from MicroCoil" is a more complex shape with a rectangular section. Arrows point from the labels to the corresponding loops in the diagram.

Diagram of Micrus Stretch Resistant MicroCoil Socket/Ring Connection

Image /page/1/Figure/10 description: The image shows a diagram of a loop from DPU, a polyethylene suture, and a platinum loop from MicroCoil. The loop from DPU is on the left side of the image, and the polyethylene suture is in the middle. The platinum loop from MicroCoil is on the right side of the image. The diagram is labeled with arrows pointing to each of the components.

2

  • KÜZZAZO

Pace 3 of 12

The Stretch-Resistant MicroCoils are provided attached to a Device Positioning Unit (DPU). The Device Positioning Unit is unchanged from the original FDA cleared Micrus product. The Device Positioning Unit is designed with variable stiffness: It is most stiff at the proximal end for pushability, transitions to increased flexibility in the mid-section, and becomes most flexible at the distal end for successfully navigating the tortuosity of the cerebral vasculature. The Device Positioning Unit is fabricated from various materials including stainless steel, nitinol, platinum and polymer sheathing. It contains 2 copper conductor wires down the center, which carry the electrical energy to a platinum resistive heating coil on the distal tip of the device. The Device Positioning Unit is selfarounded, requiring no external grounding through the patient, a grounding pad, etc.

The Stretch-Resistant MicroCoil is detached from the Device Positioning Unit through a heat initiated shearing of a highly oriented, high tensile strength polvethylene (PE) fiber upon the clinician's command, once the coil is deployed into the aneurysm as desired. The Device Positioning Unit is then removed from the microcatheter and discarded. The detachment process and design is identical to the original FDA cleared Micrus products except the detachment time is reduced from 10 seconds to 5 seconds. The 5-second detachment time applies to all Micrus MicroCoil Systems.

The Detachment Control Box (DCB) is a self-contained, battery-operated device, which provides the controlled electrical energy for detachment of the MicroCoil from the Device Positioning Unit. The Detachment Control Box is unchanged from the original FDA cleared device. During aneurysm embolization, the Detachment Control Box remains outside of the sterile field (as is the case with the predicate system). The Detachment Control Box has no user adjustments for output voltage, output current or detachment cvcle time. It has an on/off button, and a detach cycle start button, as well as voltage and current displays and fault and low battery indicators. When the clinician depresses the detach button, the Detachment Control Box outputs a constant voltage of 6.5 VDC at a nominal current of 125mA for 5 seconds. The delivered electrical energy serves to heat a platinum resistive heating coil at the distal end of the DPU, thereby initiating a heat shearing of the PE fiber which holds the MicroCoil to the Device Positioning Unit. Once the fiber shears, the MicroCoil is free from the Device Positioning Unit ("detached"), and the Device Positioning Unit is withdrawn and discarded.

The Connecting Cable (CCB) is used to connect the MicroCoil System to the Detachment Control Box. The Connecting Cable is unchanged from the original FDA cleared Micrus device. It utilizes proprietary connectors to prevent accidental or inappropriate connections to other devices. It traverses from the MicroCoil System (which is within the sterile field) to the Detachment Control Box (which is outside the sterile field). The Connecting Cable is provided sterile, and discarded after a single patient treatment.

E. Intended Use

The Micrus Stretch-Resistant MicroCoil Delivery System is intended for endovascular embolization of intracranial aneurysms that - because of their morphology, their location or the patient's general medical condition -- are considered by the treating neurosurgical team to be a) very high risk for management by traditional operative techniques or b) inoperable.

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3

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Page 4 of 12

Intended Use Predicate Devices F.

The predicate MicroCoil Delivery System is intended for endovascular embolization of intracranial aneurysms that - because of their morphology, their location or the patient's general medical condition - are considered by the treating neurosurgical team to be

  • very high risk for management by traditional operative techniques, or a)
  • inoperable. b)

0264 4 and

The predicate Guglielmi Detachable Coil is intended for embolization of those intracranial aneurysms that - because of their morphology, their location, or the patient's general medical condition – are considered by the treating neurosurgical team to be

a) very high risk for management by traditional operative techniques, or b) inoperable,

and for embolizing other vascular malformations such as arteriovenous malformations and arteriovenous fistulae of the neuro vasculature. The GDC is also intended for arterial and venous embolizations in the peripheral vasculature.

4

Technological Comparison

MicroCoil System G.

Microsystem

CharacteristicMicrus MicroCoil PredicateGDC Stretch Resistant PredicateMicrus Stretch Resistant
How SuppliedSterile, Single UseSterile, Single UseSame as predicates
MicroCoil attached to DPU.Coil attached to pusher wire.Same as Micrus predicate
Polyethylene introducer over coil.Polyethylene introducer over coil.Same as predicates
In plastic packaging hoop.In plastic packaging hoop.Same as predicates

mplantable Embolic Coi

CharacteristicMicrus MicroCoil PredicateGDC Stretch Resistant PredicateMicrus Stretch Resistant
Materials of
ConstructionPlatinum/Tungsten alloy wire &
Au/Sn solder.Platinum/Tungsten alloy wire &
Au/Sn solder.Same as predicates
Polypropylene suture.Same as GDC predicate
Shape2 mm – 30 mm2 mm – 30 mm1 mm – 15 mm
DimensionsVarious diameters and lengths to
treat a variety of aneurysm sizes.Various diameters and lengths
to treat a variety of aneurysm
sizes.Same as predicates
RadiopacityRadiopaque from Pt alloy wire.Radiopaque from Pt alloy wire.Same as predicates
MRI CompatibilityYesYesSame as predicates
Method of Attachment
to Device Positioning
UnitHigh tensile strength, highly
oriented polyethylene fiber.Welded or soldered to wire.Same as Micrus predicate
Method of
Detachment from
DPUShear polyethylene fiber with a
loop of resistively heated coil.Electrolytic corrosion of
positioning wire near junction of
implantable coil.Same as Micrus predicate
Provided:Sterile, single useSterile, single useSame as predicates

K022420
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5

Uni
Positioning
ice
Dev

| Device Positioning Unit

CharacteristicMicrus MicroCoil PredicateGDC Stretch Resistant PredicateMicrus Stretch Resistant
PhysicalVariable stiffness.
Composite introducer.
Most flexible distally, medium
flexibility in mid-section and
stiffest proximally to allow
pushing of the embolic coil
through the tortuous cerebral
vasculature.Variable stiffness.
Guide wire introducer.
Most flexible distally, medium
flexibility in mid-section and
stiffest proximally to allow
pushing of the embolic coil
through the tortuous cerebral
vasculature.Same as predicates
ConstructionStainless steel hypotube
(proximal), stainless steel braid
(mid) and polymer (distal)
sheathing for 2 conduction wires
and distal RH coil.Variably ground stainless steel
wire, with polymer coverings in
the distal section to facilitate
electrochemical corrosion of wire
to release coil.Same as Micrus predicate
Working Length175 cm175 cmSame as predicates
Package
ConfigurationIn plastic packaging hoop.
Introducer in place (for
introduction of MicroCoil into the
microcatheter).In plastic packaging hoop.
Introducer in place (for
introduction of coil into the
microcatheter).Same as predicates
Compatible with:Microcatheters with minimum
0.14" i.d. ("10" sized systems), or
0.16" i.d. ("18" sized systems).

2 radiopaque tip markers 3 cm
apart (examples: Tracker 10,
Tracker 18, Excel 14, Prowler
10, Prowler 14). | Microcatheters with minimum
0.14" i.d. ("10" sized systems), or
0.16" i.d. ("18" sized systems).

2 radiopaque tip markers 3 cm
apart (examples: Tracker 10,
Tracker 18, Excel 14, Prowler
10, Prowler 14). | Same as predicates "10"
sized systems |

10022420 6 of 12 Page

6

CharacteristicMicrus MicroCoil PredicateGDC Stretch Resistant PredicateMicrus Stretch Resistant
How suppliedSterile, single useSterile, single useSame as predicates
PhysicalSingle cable with proprietary connectors to fit only the Micrus Detachment Control Box and the Micrus MicroCoil SystemTwo separate cables with proprietary connectors at one end to fit the GDC Power Supply, "Test Lead Clip" type connector to grasp pusher wire and patient grounding electrodeSame as Micrus predicate
Length262 cm.152 and 274 cm.Same as Micrus predicate

Connecting Cables (Unchanged for Micrus Stretch Resistant MicroCol

d for Micrus Stretch Resistant MicroCoil) rol Roy //Incha Date

Detachment Control Box (Unchanged for Micrus Stretch Resistant MicroCoil)
CharacteristicMicrus MicroCoil PredicateGDC Stretch Resistant PredicateMicrus Stretch Resistant
How suppliedNon-Sterile, reusable.Non-Sterile, reusable.Same as predicates
Used outside the sterile field.Used outside the sterile field.Same as predicates
Power SourceAlkaline batteries.Alkaline batteries.Same as predicates
DisplaysVoltage, Current, Low Battery,
Fault, Detach CycleVoltage, Current, Low Battery,
Fault (Check), Detach TimeSame as Micrus predicate
Detachment Cycle Duration5 secondsVariable (could be more than 60 minutes)Same as Micrus predicate
Output Voltage6.5 VDCVariable (up to 7.4 VDC) to
achieve 1 mA current through
device and patient groundSame as Micrus predicate
Output Current125 mA nominal, 200 mA max.Variable: Attempts to achieve 1
mA through device and patient
ground.Same as Micrus predicate
CharacteristicMicrus MicroCoil PredicateGDC Stretch Resistant PredicateMicrus Stretch Resistant
"Detach" feedback"Detach Cycle" light goes from
illuminated to off. Also, a beep
sounds once a second for 5
seconds to provide an audible
countdown of the 5 second
detachment time. Clinician
verifies detachment
fluoroscopically per device
labeling.Tone sounds and "Detach" light
goes on. Based upon voltages
seen during detachment cycle,
clinician may re-initiate
detachment cycle, or verifies
detachment fluoroscopically per
device labeling.Same as Micrus predicate
Method to attach
Connecting Cable to
Detachment BoxProprietary connector; fits only
one-way to assure proper polarity.Banana plugs, one male, one
female to assure proper polarity.Same as Micrus predicate
Flow of CurrentFrom positive terminal, through
positive lead in connecting cable,
through positive conductor of
DPU, through resistance heating
coil, through negative conductor
of DPU, through negative lead in
connecting cable, back to
negative terminal of detachment
control box.From positive terminal, through
positive connecting cable lead,
through stainless steel pusher
wire, through patient's circulatory
system to needle placed in
patient's blood vessel or a
grounding pad, through negative
connecting cable lead, back to
negative terminal of GDC Power
Supply box.Same as Micrus predicate

K022420
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റ്റ

7

: ۱۱ Recistant Micro 1 nt Co Detach

K022420
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8

Micrus Corporatio

Accessories
CharacteristicMicrus MicroCoil PredicateGDC Stretch Resistant PredicateMicrus Stretch Resistant Predicate
Accessory Products
Required to Perform
Procedure.Micrus Sterile Connecting CableSterile Connecting Cables for GDCSame as Micrus predicate
Micrus Detachment Control BoxGDC Power SupplySame as Micrus predicate
5-7F Guide Catheter5-7F Guide Catheter*Same as predicates
Not provided as part
of the system, chosen
upon physician
experience and
preference.Microcatheter (see above)*Microcatheter (see above)*Same as predicates
Guide wire compatible with
microcatheter*Guide wire compatible with
microcatheter*Same as predicates
Continuous saline/heparin saline
flush*Continuous saline/heparin saline
flush*Same as predicates
Rotating haemostatic valves*Rotating haemostatic valves*Same as predicates
3-Way stopcock*3-Way stopcock*Same as predicates
1-Way valve*1-Way valve*Same as predicates
IV pole*IV pole*Same as predicates
Femoral Sheath*Femoral Sheath*Same as predicates
Alkaline Batteries*Alkaline Batteries*Same as predicates

This technological comparison de substanially equivalent technologies used in the Micros Stretch-Resistant MicroCol
Delivery System as compared with the 2 predicate devices:

KU22420
Page 9 of 12

9

icrus Corporatio

i :

scussion of Non-Clinical Tests and Conclusion ਮ

2.77

he no-clinical tests performed on the Coil System were based upon the intended use of the device, the perform
ne predicate devices (GDC Soft and Ultra Soft Stretch-Resistant

e following table outlines the important device characteristics and the non-clinical test data generati

| | Test | MicroCoil Stretch-Resistant Delivery System (MSR01)
Test Result | Substantial Equivalence
of MSR01 |
|--------------------|----------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------|
| V0284-A | 1. Aneurysm Packing Ability
2. Detachment Reliability | Characteristic: (1) Complete occlusion aneurysms.
(2) Detachment Reliability.

Test data (1): No filling defects evident on angio.

Test data (2): No premature detachment / auto-detach
caused by exposure to blood, body fluids, body
temperatures or repeated manipulation. 100% first detach-
cycle detachment achieved. | Substantially equivalent
to Micrus predicate
device. |
| V0284-B
V0284-C | Coil Stability
Aneurysm Occlusion | Characteristic: Positional stability and aneurysm occlusion.

Test data: Positional stability and aneurysm occlusion
maintained through 6 months of implant. No coil compaction
present at 6-month angio. | Substantially equivalent
to predicate devices. |
| V0288 | GDC Bench Marking | Characteristic: Established specifications for delivery force,
tensile strength, and stiffness. The Micrus Stretch Resistant
MicroCoil must be substantially equivalent to predicates.

Test data: Showed substantial equivalence in delivery
force, tensile, and stiffness. | Substantially equivalent
to GDC Benchmark. |

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Page

10

Micrus Corporation

| | Coil Stiffness/Softness | | Friction in the Microcatheter
(Delivery Force) | | MDR Database Review | | Biocompatibility of Materials | | Sterilization Validation |
|-------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------|----------------------------------------------------------------------------------------------------------------------------|
| V0289 | Characteristic: Stiffness limit desired for Finishing Stretch
Resistant MicroCoil.
Test data: Finishing Stretch Resistant MicroCoil and Helical
Stretch Resistant MicroCoil stiffness is within desired
stiffness limit. | V0290-A
V0290-B | Characteristic: Average push force must be substantially
equivalent to predicates.
Test data: Finishing Stretch Resistant MicroCoil and Helical
Stretch Resistant MicroCoil average push force exhibit
comparable delivery forces. | V0295 | Characteristic: MDR review for clinical risks.
Test data: MSR01 risk assessment includes and addresses
all risks encountered in review of predicate device MDR
review. | V0298 | Characteristics: Meets the requirements of ISO 10993.
Test data: The only new material in the Micrus Stretch
Resistant MicroCoil is polypropylene monofilament # 6523.
It is identical to the pre-approved GDC stretch resistant
suture. | V0301 | Characteristic: Minimum Sterility Assurance Level of 10-6.
Test data: Passed minimum sterility assurance level of 10-6. |
| | Substantially equivalent
to predicate devices. | | Substantially equivalent
to predicate devices. | | Substantially equivalent
to predicate devices. | | Substantially equivalent
to GDC predicate device. | | Substantially equivalent
to predicate devices. |

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| V0302 | Shelf Life Test | Characteristic: No performance degradation after 1 year of
shelf life aging.
Test data: Minimum tensile strength after 1 year
accelerated aging shows no degradation. | Substantially equivalent
to predicate devices. |
|-------|-------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------|
| V0304 | Tensile Strength | Characteristic: Tensile strength of suture ball tip and
MicroCoil to DPU must be substantially equivalent to
predicates.
Test data: Tensile strength meets desired strength criteria. | Substantially equivalent
to predicate devices. |
| V0305 | Durability (Reliability after
Fatigue) | Characteristic: Withstand deployment and retraction 6
times in a tortuous anatomy.
Test data: No knotting, no breakage, no stretching occurred.
Durability meets desired durability criteria. | Substantially equivalent
to Micrus predicate
device. |
| V0026 | MRI Compatibility of
Implant | No change was made which would impact MRI
compatibility. | Substantially equivalent
to predicate devices. |

(1) (1) (1) (1) (1) (1) (1) (1) (1) (1) Sustantaly equivalent performance of the MicroCoil Streth-Resistant MicroOol

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Image /page/12/Picture/0 description: The image shows the logo for the Department of Health & Human Services USA. The logo features a stylized eagle with three stripes forming its body and wings. The eagle faces to the right. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" is arranged in a circular pattern around the eagle.

DEPARTMENT OF HEALTH & HUMAN SERVICES

00 Corporate Boulevard Rockville MD 20850

Ms. Margaret Webber Director, Regulatory & Clinical Affairs Micrus Corporation 495 Clyde Avenue Mountain View. California 94043

OCT 22 2002

Re: K022420

Trade/Device Name: Micrus Stretch-Resistant MicroCoil System Regulation Number: 21 CFR 882.5950 Regulation Name: Artificial Embolization Device Regulatory Class: Class III Product Code: HCG Dated: July 16, 2002 Received: July 24, 2002

Dear Ms. Weber:

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.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to such 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); 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.

13

Page 2 - Ms. Margaret Webber

This letter will allow you to begin marketing your device as described in your Section 510(k). premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 21 CFR Part 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4659. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97), Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html

Sincerely yours.

Mark M. Millenson

Celia M. Witten, Ph.D., M.D. Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

14

Micrus Corporation

K028420

Device Name: Micrus Stretch-Resistant MicroCoil System

510(k) Number (if known):

Indications for Use:

Stretch-Resistant MicroCoil System is intended for Micrus The endovascular embolization of intracranial aneurysms that – because of their morphology, their location or the patient's general medical condition are considered by the treating neurosurgical team to be a) very high risk for management by traditional operative techniques or b) inoperable.

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)

CONCURRENCE OF CDRH, OFFICE OF DEVICE EVALUATION (ODE)

Over the Counter Use: or Prescription Use: \ (Per 21 CFR 801.109)

for Mark N. Milliken
(Division Sign-Off)

Division of General, Restorative and Neurological Devices

510(k) Number K0224