K Number
K041331
Device Name
BIOPSY SCIENCES, LLC, LUNG BIOPSY SITE MARKER
Date Cleared
2004-06-15

(27 days)

Product Code
Regulation Number
878.4750
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Biopsy Sciences, LLC., Lung Biopsy Site Marker is intended to provide accuracy in marking a biopsy location for visualization during surgical resection.
Device Description
Biopsy Sciences Lung Biopsy Site Markers are made of resorbable FocalSeal-L Surgical Sealant, an FDA approved hydrogel used on the surgical site during lung surgery. The FocalSeal-L hydrogel material degrades in a manner similar to absorbable sutures, via hydrolysis. The Site Markers mark the site of the biopsy tissue sample, which provides accurate visualization during surgical resection of the tumor. Lung biopsy procedures are performed by fine needle aspiration through a coaxial needle. When the fine needle aspiration device is removed, the delivery system is mated to the coaxial needle. The plunger of the delivery system is depressed, which accurately places the Site Marker in the biopsy tract.
More Information

Not Found

Not Found

No
The device description focuses on a physical marker made of resorbable hydrogel and its delivery system. There is no mention of software, algorithms, image processing, AI, or ML. The intended use is purely mechanical marking for visualization.

No
The device is described as a marker for biopsy locations to aid in surgical resection, not for treating a disease or condition.

No

The device is described as a "Site Marker" that "marks the site of the biopsy tissue sample, which provides accurate visualization during surgical resection of the tumor." Its purpose is to guide surgical resection, not to diagnose a medical condition.

No

The device description explicitly states the device is made of a physical material (resorbable hydrogel) and is delivered via a physical delivery system, indicating it is a hardware device, not software-only.

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

Here's why:

  • Intended Use: The intended use is to "provide accuracy in marking a biopsy location for visualization during surgical resection." This describes a device used in vivo (within the body) to physically mark a site for a surgical procedure.
  • Device Description: The description details a physical marker made of a resorbable hydrogel that is placed in the biopsy tract within the lung. This is a physical implant/marker, not a test performed on a sample outside the body.
  • Lack of IVD Characteristics: IVD devices are typically used to examine specimens (like blood, tissue, urine) in vitro to provide information about a patient's health status, diagnose conditions, or monitor treatment. This device does none of those things. It's a physical marker for surgical guidance.

Therefore, the Biopsy Sciences, LLC., Lung Biopsy Site Marker is a surgical accessory or implant, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The Biopsy Sciences Lung Biopsy Site Marker is intended to provide accuracy in marking a biopsy location for visualization during surgical resection.

Product codes

GDW

Device Description

Biopsy Sciences Lung Biopsy Site Markers are made of resorbable FocalSeal-L Surgical Sealant, an FDA approved hydrogel used on the surgical site during lung surgery. The FocalSeal-L hydrogel material degrades in a manner similar to absorbable sutures, via hydrolysis. The Site Markers mark the site of the biopsy tissue sample, which provides accurate visualization during surgical resection of the tumor. Lung biopsy procedures are performed by fine needle aspiration through a coaxial needle. When the fine needle aspiration device is removed, the delivery system is mated to the coaxial needle. The plunger of the delivery system is depressed, which accurately places the Site Marker in the biopsy tract.

The Biopsy Sciences Lung Biopsy Sit Markers are made of desiccated hydrogel, which immediately expands on contact with fluids to fill the biopsy tract and accurately confirm the site of biopsy during surgical resection. The markers are deployed using a hand held applicator that mates to the coaxial needle used for the biopsy procedure.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

lung

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)

Not Found

Reference Device(s)

Biopsy Sciences Bio-MARK Biopsy Site Marker, J&J Ethicon MicroMark, SenoRx Gel Mark Biopsy Site Marker, Artemis CoreMARK/MegaMARK Biopsy Site Identifier, Vivant Medical Biopsy Marker System, Medical Device Technologies Aspiration and Injection Needle

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc)

Not Found

§ 878.4750 Implantable staple.

(a)
Identification. An implantable staple is a staple-like device intended to connect internal tissues to aid healing. It is not absorbable.(b)
Classification. Class II.

0

K 041331 P/2

May, 2004

Biopsy Sciences, LLC Traditional 510(k) Lung Biopsy Site Marker

Trade Name:

JUN 1 5 2004

4

PREMARKET NOTIFICATION [510(K)] SUMMARY

Biopsy Sciences Lung Biopsy Site Marker

Common Name:Biopsy site marker
Classification Name:Instrument, biopsy (per 21 CFR section 878.4750)
Manufacturer's Name:Biopsy Sciences, LLC
3433 E. Fort Lowell Road
Suite 103
Tucson, AZ 85716
Corresponding Official:Sharon Rockwell
Vice-President RA/QA
5582 Chalon Road
Yorba Linda, CA 92886
Phone: (714) 695-9269
Fax: (714) 779-0406
Predicate Biopsy Site Markers:Biopsy Sciences Bio-MARK Biopsy Site Marker, J&J
Ethicon MicroMark, SenoRx Gel Mark Biopsy Site
Marker, and Artemis CoreMARK/MegaMARK Biopsy
Site Identifier.
Predicate Localization Devices:Vivant Medical Biopsy Marker System, and Medical
Device Technologies Aspiration and Injection Needle
Device Description:Biopsy Sciences Lung Biopsy Site Markers are made of
resorbable FocalSeal-L Surgical Sealant, an FDA
approved hydrogel used on the surgical site during lung
surgery. The FocalSeal-L hydrogel material degrades
in a manner similar to absorbable sutures, via
hydrolysis. The Site Markers mark the site of the
biopsy tissue sample, which provides accurate
visualization during surgical resection of the tumor.
Lung biopsy procedures are performed by fine needle
aspiration through a coaxial needle. When the fine
needle aspiration device is removed, the delivery
system is mated to the coaxial needle. The plunger of
the delivery system is depressed, which accurately

places the Site Marker in the biopsy tract.

1

K04/331 l/h
May, 2004

Biopsy Sciences, LLC Traditional 510(k) Lung Biopsy Site Marker

Intended Use:

The Biopsy Sciences Lung Biopsy Site Marker is intended to provide accuracy in marking a biopsy location for visualization during surgical resection.

Technological Characteristics:

The Biopsy Sciences Lung Biopsy Sit Markers are made of desiccated hydrogel, which immediately expands on contact with fluids to fill the biopsy tract and accurately confirm the site of biopsy during surgical resection. The markers are deployed using a hand held applicator that mates to the coaxial needle used for the biopsy procedure.

2

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is a stylized image of an eagle.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUN 1 5 2004

Biopsy Sciences, LLC c/o Ms. Sharon Rockwell Vice President RA/QA 5582 Chalon Road Yorba Linda, California 92886

Re: K041331

Trade/Device Name: Lung Biopsy Site Marker Regulation Number: 21 CFR 878.4750 Regulation Name: Implantable Staple Regulatory Class: II Product Code: GDW Dated: May 10, 2004 Received: May 19, 2004

Dear Ms. Rockwell:

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 or any I 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 Erth 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.

3

Page 2 - Ms. Sharon Rockwell

This letter will allow you to begin marketing your device as described in your Section 510(k) This letter will anow you to begin mails and of substantial equivalence of your device to a legally prematics notification: "The 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 If you desire specific acriously 31 (301) 594-4659. Also, please note the regulation entitled, Colliation of Orition of Compulation in (21CFR Part 807.97). You may obtain other general information on your responsibilities under the Act from the Division of Small biller general informational 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

4

K04/331

Indications for Use

510(k) Number (if known): K041331

Device Name: Lung Biopsy Site Marker

Indications For Use: The Biopsy Sciences, LLC., Lung Biopsy Site Marker is intended to provide accuracy in marking a biopsy location for visualization during surgical resection.

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)

iriam C. Provost

Division of General, Restorative, and Neurological Devices

Page 1 of ____________________________________________________________________________________________________________________________________________________________________

510(k) Number K64/33/