K Number
K033101
Device Name
G-PGD
Date Cleared
2004-05-07

(221 days)

Product Code
Regulation Number
884.6180
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Medium for embryo biopsy
Device Description
Medium for In Vitro Fertilization Procedures
More Information

Not Found

No
The summary describes a medium for embryo biopsy, a chemical substance used in IVF procedures, with no mention of AI, ML, image processing, or any computational analysis.

No
The device is described as a "medium for embryo biopsy" and "medium for In Vitro Fertilization Procedures," which are tools used in a medical process but do not directly treat a disease or medical condition in a patient.

No
Explanation: The device is described as a "Medium for In Vitro Fertilization Procedures" and "Medium for embryo biopsy," which indicates it is a reagent or substance used in a procedure, not a device that diagnoses a condition.

No

The device description clearly states it is a "Medium for In Vitro Fertilization Procedures," which is a physical substance, not software.

Based on the provided information, this device is likely an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use/Indications for Use: "Medium for embryo biopsy" and "Medium for In Vitro Fertilization Procedures" clearly indicate that this product is used in vitro (outside the body) to facilitate a diagnostic or therapeutic procedure (embryo biopsy and IVF).
  • Device Description: "Medium for In Vitro Fertilization Procedures" reinforces the in vitro nature of the device.
  • Predicate Device: The mention of a predicate device, "K021358 Embryo Biopsy Medium," which is also a medium used in a laboratory setting for a procedure related to diagnosis or treatment (embryo biopsy), further supports the classification as an IVD.

IVDs are defined as reagents, instruments, and systems intended for use in the diagnosis of disease or other conditions, including a determination of the state of health, in order to cure, mitigate, treat, or prevent disease or its sequelae. While this medium isn't directly diagnosing a disease, it is a critical component used in procedures (embryo biopsy and IVF) that are part of the diagnostic and therapeutic process related to fertility and genetic health.

Therefore, the intended use and the nature of the product strongly suggest it falls under the category of an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

Medium for In Vitro Fertilization Procedures
Medium for embryo biopsy

Product codes

85 MQL

Device Description

Calcium and Magnesium free MOPS buffered medium. For use after the addition of G-MM™ or HSA-solution™ and temperature equilibration at +37°C and ambient atmosphere.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

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 (study type, sample size, AUC, MRMC, standalone performance, key results)

Not Found

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K021358

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 884.6180 Reproductive media and supplements.

(a)
Identification. Reproductive media and supplement are products that are used for assisted reproduction procedures. Media include liquid and powder versions of various substances that come in direct physical contact with human gametes or embryos (including water, acid solutions used to treat gametes or embryos, rinsing solutions, sperm separation media, supplements, or oil used to cover the media) for the purposes of preparation, maintenance, transfer or storage. Supplements are specific reagents added to media to enhance specific properties of the media (e.g., proteins, sera, antibiotics, etc.).(b)
Classification. Class II (special controls) (mouse embryo assay information, endotoxin testing, sterilization validation, design specifications, labeling requirements, biocompatibility testing, and clinical testing). The device, when it is phosphate-buffered saline used for washing, and short-term handling and manipulation of gametes and embryos; culture oil used as an overlay for culture media containing gametes and embryos; and water for assisted reproduction applications, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 884.9.

0

K033101

X. PREMARKET NOTIFICATION SUMMARY

Submitted by:Vitrolife Sweden AB
Faktorvägen 13
SE-434 37 Kungsbacka
SWEDEN

Contact Person:

Ms. Nina Arvidsson Vitrolife Sweden AB Faktorvägen 13 SE-434 37 Kungsbacka SWEDEN

September 25, 2003

G-PGD™

Mr. Gary L. Yingling Kirkpatrick & Lockhart, LLP 1800 Massachusetts Avenue, NW Washington, DC 20036-1800

Assisted Reproduction Media

(21 CF.R. § 884.6180)

Reproductive Media and Supplements

Embryo Biopsy Medium (K021358)

+37°C and ambient atmosphere.

based on the medium G-MOPS.

safety or effectiveness.

Medium for embryo biopsy

Calcium and Magnesium free MOPS buffered medium. For use after the addition of G-MM™ or HSA-solution™ and temperature equilibration at

Medium for In Vitro Fertilization Procedures

essentially similar to those of the predicate device. Formulation changes where made as G-PGD is

None of these changes raise new questions of

Date Prepared:

Trade Name:

Common Name:

Classification Name:

Predicate Device:

Description of the Device:

Intended Use:

Indications for Use:

Technological Characteristics: The technological characteristics of G-PGD are

15

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Image /page/1/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle head facing left, with three horizontal bars above it, representing the department's mission to promote health and well-being. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" is arranged around the logo.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

MAY - 7 2004

Vitrolife Sweden AB % Gary L. Yingling, Esq. Consultant Kirkpatrick & Lockhart, L.L.P. 1800 Massachusetts Avenue, NW WASHINGTON DC 20036-1800 Re: K033101 Trade/Device Name: G-PGD™ - Assisted Reproductive Media Regulation Number: 21 CFR 884.6180 Regulation Name: Reproductive media and supplements Regulatory Class: II Product Code: 85 MQL Dated: February 19, 2004 Received: February 23, 2004

Dear Mr. Yingling:

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

2

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 one of the following numbers, based on the regulation number at the top of the letter:

8xx.1xxx(301) 594-4591
876.2xxx, 3xxx, 4xxx, 5xxx(301) 594-4616
884.2xxx, 3xxx, 4xxx, 5xxx, 6xxx(301) 594-4616
892.2xxx, 3xxx, 4xxx, 5xxx(301) 594-4654
Other(301) 594-4692

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,

Nancy C. Brogdon

Nancv C. Brogdon Director, Division of Reproductive, Abdominal and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known): K033101

Device Name: G-PGD™ Assisted Reproduction Media

Indications For Use: Medium for embryo biopsy

Prescription Use x (Part 21 CFR 801 Subpart D) AND/OR

Over-The-Counter Use _ (21 CFR 807 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Daniel le Sutyman

(Division Sign-Off) Division of Reproductive, Abdominal, and Radiological Devic 510(k) Number

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