(85 days)
The TRUFILL DCS ORBIT™ Detachable Coil is intended for embolizing certain 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, 1. inoperable, 2. and for embolizing other vascular malformations such as arteriovenous malformations and arteriovenous fistulae of the neurovasculature. The TRUFILL DCS ORBIT™ Detachable Coil is also intended for arterial and venous embolizations in the peripheral vasculature. The TRUFILL® DCS Syringe is indicated for use with the TRUFILL® family of Detachable Coils.
The TRUFILL DCS ORBIT™ Detachable Coil System is comprised of the TRUFILL DCS ORBIT™ Detachable Coil and TRUFILL® DCS Syringe.
- The TRUFILL DCS ORBIT™ Detachable Coil consists of a delivery system . (delivery tube and coil introducer) and an embolic coil. The delivery tube segment comprises the body of the device and has the combined functionality of a guidewire and a mini infusion catheter. The coil introducer is a tube designed to protect the detachable embolic coil in the packaging dispenser and provide support for introducing the embolic coil into the infusion catheter. The embolic coil is the implantable segment of the device.
- The TRUFILL® DCS Syringe is used to generate a controlled pressure for . preparation and detachment of the TRUFILL® family of Detachable Coils. The TRUFILL® DCS Syringe consists of a 25-cc barrel with a pressure gauge, a threaded plunger assembly with a locking wing mechanism, and a flexible high-pressure extension tube. The gauge faceplate is calibrated for three settings for use with the TRUFILL® family of Detachable Coils.
The provided text is a 510(k) summary for the TRUFILL DCS ORBIT™ Detachable Coil System. It details the device's intended use, comparison to a predicate device, and summaries of non-clinical performance data.
However, the document does not contain the specific information requested regarding acceptance criteria and a study proving the device meets those criteria in a format applicable to AI/ML device evaluations. The document describes a traditional medical device submission for substantial equivalence based on in-vitro and animal testing and comparison to a predicate device, not an AI/ML algorithm.
Therefore, I cannot populate the requested table and information points. The information about sample sizes, data provenance, expert ground truth establishment, adjudication methods, MRMC studies, or standalone algorithm performance is not present in this type of submission.
The document discusses "Performance Standards" but states "There are no performance standards applicable under Section 514 of the Food, Drug and Cosmetic Act for Artificial Embolization Devices." This further indicates that the requested type of acceptance criteria and performance study (as would be typical for AI/ML) is not a component of this submission.
In summary, this document is not a study proving an AI/ML device meets acceptance criteria, but rather a 510(k) summary for a physical medical device.
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JUN 2 0 2003
Image /page/0/Picture/1 description: The image shows a document identifier and page number. The identifier is "K030963", and the page number is "1/4". The text is written in black ink on a white background. The handwriting is cursive.
Section 4 – Summary of Safety and Effectivene8s 0 0 0 | 0
510(k) Summary of Safety and Effectiveness
| Trade Name | The trade name of this device is: TRUFILL DCS ORBIT™ Detachable Coil and TRUFILL®DCS Syringe, also known as the TRUFILL DCS ORBIT™ Detachable Coil System. |
|---|---|
| Common Name | The common name of the device is: Artificial Embolization Device. |
| Classification | These devices have been classified as Class III, per 21 CFR 882.5950 (84HCG), which havebeen classified within the Division of Cardiovascular, Respiratory, and Neurological Devices. |
| PerformanceStandards | There are no performance standards applicable under Section 514 of the Food, Drug andCosmetic Act for Artificial Embolization Devices. |
| Applicant'sName | Cordis Neurovascular, Inc.14000 NW 57 CourtMiami, Florida 33014 |
| Contact Person | Alina CaraballoRegulatory Affairs Manager(305) 786-313-6518(305) 786-313-6480 (Fax) |
| Summary Date | April 21, 2003 |
| Continued on next page |
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K030963 page 2/4
510(k) Summary of Safety and Effectiveness, Contineed 0000 | I
The TRUFILL DCS ORBIT™ Detachable Coil is intended for embolizing certain intracranial TRUFILL DCS aneurysms that - because of their morphology, their location, or the patient's general medical ORBIT™ condition - are considered by the treating neurosurgical team to be: Detachable Coil Intended Use very high risk for management by traditional operative techniques, or, 1. inoperable, 2. and for embolizing other vascular malformations such as arteriovenous malformations and arteriovenous fistulae of the neurovasculature.
The TRUFILL DCS ORBIT™ Detachable Coil is also intended for arterial and venous embolizations in the peripheral vasculature.
The TRUFILL® DCS Syringe is indicated for use with the TRUFILL® family of Detachable TRUFILL® DCS Syringe Intended Coils. Use
The table below compares the TRUFILL DCS ORBIT™ Detachable Coil System with the Comparative Characteristics currently marketed device TRUFILL® DCS Detachable Coil System.
| Characteristics | TRUFILL DCS ORBIT™ Detachable CoilSystem |
|---|---|
| Anatomical Sites | Same as predicate device |
| Intended Use | Same as predicate device |
| Method of Coil Attachment | Same as predicate device |
| Method of Coil Detachment | Same as predicate device |
| Detachment Feedback | Same as predicate device |
| Coil Shape Configurations | Same as predicate device (Added Mini ComplexConfiguration) |
| Coil Softness Configurations | Same as predicate device (Changed thenomenclature of the Basket Configuration toStandard) |
| Coil Wire Outer Diameter (in) | Same as predicate device |
| Primary Coil Diameter (in) | Same as predicate device |
| Secondary Coil Diameter (mm) | Same as predicate device |
| Coil Length (cm) | Same as predicate (Addition of 1.5 coil length) |
| Coil Material | Same as predicate device |
| Delivery System Usable Length (cm) | Same as predicate device |
| Delivery System Outer Diameter (in) | Downsized version of the predicate device |
| Delivery System Body Design | Same as predicate device |
| Radiopaque Marker Bands | Same as predicate device |
Continued on next page
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KO30963
510(k) Summary of Safety and Effectiveness, Contified 000 | 2
The predicate device is listed in the table below: Predicate Devices
| Device | Company | 510(k)Number /ConcurrenceDate | ProductCode | Predicate for: |
|---|---|---|---|---|
| TRUFILL® DCSDetachable CoilSystem | CordisNeurovascular,Inc. | K014041 /3/7/02 | HCG | Intended UseEmbolic CoilDelivery SystemDetachment MechanismManufacturingSterilization |
Device Description
The TRUFILL DCS ORBIT™ Detachable Coil System is comprised of the TRUFILL DCS ORBIT™ Detachable Coil and TRUFILL® DCS Syringe.
- The TRUFILL DCS ORBIT™ Detachable Coil consists of a delivery system . (delivery tube and coil introducer) and an embolic coil. The delivery tube segment comprises the body of the device and has the combined functionality of a guidewire and a mini infusion catheter. The coil introducer is a tube designed to protect the detachable embolic coil in the packaging dispenser and provide support for introducing the embolic coil into the infusion catheter. The embolic coil is the implantable segment of the device.
- The TRUFILL® DCS Syringe is used to generate a controlled pressure for . preparation and detachment of the TRUFILL® family of Detachable Coils. The TRUFILL® DCS Syringe consists of a 25-cc barrel with a pressure gauge, a threaded plunger assembly with a locking wing mechanism, and a flexible high-pressure extension tube. The gauge faceplate is calibrated for three settings for use with the TRUFILL® family of Detachable Coils.
Continued on next page
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K030963 page 4/4
510(k) Summary of Safety and Effectiveness, Continueθ - 0 0 0 0 1 3
Non-Clinical Performance Data
The following in-vitro testing was conducted to support substantial equivalence to the predicate device.
| Comparative Testing |
|---|
| Coil Softness / Stretch Resistance |
| Embolic Coil Placement Stability |
| Linear Stiffness Test |
| Distal Tip Angular Displacement |
| Flow Rate Test |
The following in-vitro and animal testing was conducted to demonstrate the safety and effectiveness of the device, and to demonstrate that the device performs as it is intended.
| Performance Testing |
|---|
| Embolic Coil Length Verification |
| Delivery System Outer Diameter Verification |
| Purge Reliability and Purge Confirmation |
| Delivery Tube / Introducer Zip / Unzip Verification |
| Embolic Attachment Strength Test |
| Distal Joint Pull Strength Test |
| Proximal (Transition) Joint Strength Test |
| Detachment Reliability Verification |
| Pushability Testing |
Biocompatibility All appropriate biocompatibility tests were successfully performed on the materials used to manufacture the TRUFILL DCS ORBIT™ Detachable Coil System.
Conclusion Results of the in-vitro and animal testing demonstrated that the TRUFILL DCS ORBIT™ Detachable Coil System is substantially equivalent to the predicate device, TRUFILL® DCS Detachable Coil System.
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DEPARTMENT OF HEALTH & HUMAN SERVICES
Image /page/4/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" around the perimeter. Inside the circle is an abstract symbol resembling a stylized caduceus or a bird in flight, composed of three curved lines.
Public Health Service
JUN 2 0 2003
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
Ms. Alina Caraballo Regulatory Affairs Manager Cordis Neurovascular, Inc. P.O. Box 025700 Miami, Florida 33102-2700
Re: K030963
Trade/Device Name: TRUFILL DCS ORBIT™ Detachable Coil System Regulation Number: 21 CFR 882.5950 Regulation Name: Artificial embolization device Regulatory Class: III Product Code: HCG Dated: March 26, 2003 Received: March 27, 2003
Dear Ms. Caraballo:
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.
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Page 2 - Ms. Alina Caraballo
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), 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) you may obtain. 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,
Miriam C. Provost
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
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KC30963
Page
510(k) Number (if known):
Device Name: I RUFILI. IX S ORBIT™ Detachable Coil System comprised of the TRUFILL DCS ORBIT™ Detachable Coil and TRUFILL® DCS Syringe
Indications for Use Statement
The TRUFILL DCS ORBIT™ Detachable Coil is intended for embolizing certain 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)
b) inoperable,
and for embolizing other vascular malformations such as arteriovenous malformations and arteriovenous fistulae of the neurovasculature.
The TRUFILL DCS ORBIT™ Detachable Coil is also intended for arterial and venous embolizations in the peripheral vasculature.
The TRUFILL® DCS Syringe is indicated for use with the TRUFILL® family of Detachable Coils.
(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Prescription Use
✓
OR
Over-The-Counter Use
Muriam C. Provost
Division of General. Restorative and Neurological Devices
510(k) Number K030963
§ 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).