(35 days)
The Edwards® GeoForm™ Annuloplasty Ring is indicated for the correction of mitral valve insufficiency where the lesions are not so severe as to require total valve replacement.
The decision to undertake valvuloplasty can be made only after visual analysis of the lesion present. The most favorable conditions for valvuloplasty using an annuloplasty ring are a combination of a distended natural valve ring associated with supple valve cusps and normal chordae tendineae.
The remodeling valvuloplasty technique with a prosthetic ring may be used in all acquired or congenital mitral insufficiencies with dilatation and deformation of the fibrous mitral annulus.
For Type I mitral insufficiencies with no subvalvular lesions and normal valvular movements, this ring technique used alone is sufficient. However, the ring technique must be associated with mitral valvuloplasty repair in Type II insufficiencies with a prolapsed valve due to elongation or rupture of the chordae tendineae and in Type III insufficiencies with limitation of valvular movements due to fusion of the commissures or chordae tendineae, or chordal hypertrophy.
The GeoForm Annuloplasty Ring, Model 4200, is constructed of titanium alloy and has a sewing ring margin that consists of a layer of silicone rubber, covered with polyester velour cloth sewn with a single seam.
The provided text is related to a 510(k) premarket notification for a medical device (GeoForm™ Annuloplasty Ring). It describes the device, its indications for use, and its substantial equivalence to predicate devices based on design, intended use, materials, and principle of operation.
However, the document does not contain any information about acceptance criteria, a study proving device performance against those criteria, or details regarding sample sizes, ground truth establishment, or expert-based reviews that would typically be associated with a study report or clinical trial. The "Functional/Safety Testing" section simply states that the device "successfully completed design verification testing," but provides no specifics on what that testing entailed, what acceptance criteria were used, or what the results were.
Therefore, I cannot fulfill your request to describe the acceptance criteria and the study that proves the device meets them based only on the provided text. The requested information is simply not present in this 510(k) summary and associated FDA letter. This type of document typically focuses on demonstrating substantial equivalence to a legally marketed predicate device rather than presenting detailed performance study results against specific acceptance criteria.
{0}------------------------------------------------
510(k) Summary
| Submitter: | Edwards Lifesciences LLC |
|---|---|
| Contact Person: | Susan Reynolds, Regulatory Affairs Associate |
| Date Prepared: | July 21, 2003 |
| Trade Name: | GeoForm™ Annulplasty Ring |
| Classification Name: | Class II, CFR 870.3800 Annuloplasty Ring, 74 KRH |
| Predicate Device(s): | Carpentier-Edwards™ Classic Annuloplasty Ring(K831949)Cosgrove Edwards™ Annuloplasty System(K923367)MC3 Annuloplasty System (K020864) |
| Device Description: | The GeoForm Annuloplasty Ring, Model 4200, isconstructed of titanium alloy and has a sewing ringmargin that consists of a layer of silicone rubber,covered with polyester velour cloth sewn with a singleseam. |
| Indications for Use: | The GeoForm Annuloplasty Ring, Model 4200 isintended for the correction of mitral valvularinsufficiency where the lesions are not so severe as torequire total valve replacement. |
| Comparative Analysis: | It has been demonstrated that the GeoFormAnnuloplasty Ring is comparable to the predicatedevice in design, intended use, materials, and principalof operation. |
| Functional/Safety Testing: | The GeoForm Annuloplasty Ring has successfullycompleted design verification testing. |
| Conclusion: | The GeoForm Annuloplasty Ring is substantiallyequivalent to the predicate device. |
{1}------------------------------------------------
Image /page/1/Picture/1 description: The image shows the seal of the Department of Health and Human Services (HHS). The seal is circular and contains the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is an abstract image of an eagle with its wings spread.
Public Health Service
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
AUG 2 6 2003
Edwards Lifesciences, LLC c/o Ms. Susan Reynolds Regulatory Affairs Associate One Edwards Way Irvine, CA 92614
Re: K032250
Trade Name: GeoForm™ Annuloplasty Ring, Mitral Model 4200 Regulation Number: 21 CFR 870.3800 Regulation Name: Annulplasty ring. Regulatory Class: Class II (two) Product Code: KRH Dated: July 21, 2003 Received: July 22, 2003
Dear Ms. Reynolds:
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
{2}------------------------------------------------
Page 2 - Ms. Susan Reynolds
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. 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) 594-4646. 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 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,
Bram D. Zuckerman, M.D. Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
{3}------------------------------------------------
July 21, 2003
Page
510(k) Number (if known): K032250
Device Name: GeoForm™ Annuloplasty Ring
Indications for Use:
The Edwards® GeoForm™ Annuloplasty Ring is indicated for the correction of mitral valve insufficiency where the lesions are not so severe as to require total valve replacement.
The decision to undertake valvuloplasty can be made only after visual analysis of the lesion present. The most favorable conditions for valvuloplasty using an annuloplasty ring are a combination of a distended natural valve ring associated with supple valve cusps and normal chordae tendineae.
The remodeling valvuloplasty technique with a prosthetic ring may be used in all acquired or congenital mitral insufficiencies with dilatation and deformation of the fibrous mitral annulus.
For Type I mitral insufficiencies with no subvalvular lesions and normal valvular movements, this ring technique used alone is sufficient. However, the ring technique must be associated with mitral valvuloplasty repair in Type II insufficiencies with a prolapsed valve due to elongation or rupture of the chordae tendineae and in Type III insufficiencies with limitation of valvular movements due to fusion of the commissures or chordae tendineae, or chordal hypertrophy.
(PLEASE DO NOT WRITE BELOW THIS LINE -- CONTINUE ON ANOTHER PAGE IF NEEDED)
Image /page/3/Figure/11 description: The image shows a document related to the Concurrence of CDRH, Office Of Device Evaluation (ODE). It indicates the Division of Cardiovascular, Respiratory, and Neurological Devices. The document includes a 51(k) Number, which is K032250. A checkmark indicates that it is for Prescription Use.
(Optional Format 1-2-96)
§ 870.3800 Annuloplasty ring.
(a)
Identification. An annuloplasty ring is a rigid or flexible ring implanted around the mitral or tricuspid heart valve for reconstructive treatment of valvular insufficiency.(b)
Classification. Class II (special controls). The special control for this device is the FDA guidance document entitled “Guidance for Annuloplasty Rings 510(k) Submissions.”