K Number
K053518
Device Name
INTERV BRAND V-MARK BREAST BIOPSY SITE MARKER WITH TITANIUM ANCHOR
Date Cleared
2006-01-26

(38 days)

Product Code
Regulation Number
878.4300
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The InterV brand V-Mark Breast Biopsy Site Marker with Titanium Anchor is intended to mark tissue during a percutaneous breast biopsy procedure, be visible under MRI and ultrasound for at least 6 weeks, and be permanently visible by fluoroscopy.
Device Description
The V-Mark Breast Biopsy Site Marker is made of a resorbable copolymer, a polyester derivative of lactic and glycolic acids. Polylactic/polyglycolic acid copolymers degrade and resorb in vivo by hydrolysis into lactic and glycolic acids, which are then metabolized by the body. The site markers are deployed through an applicator that fits in commercially available biopsy probes. The V-Mark Breast Biopsy Site Marker marks the site of biopsy tissue sample, and is visible for up to 6 weeks by x-ray, ultrasound and MRI. The body then metabolizes the marker over time. The V-Mark contains a titanium component for permanent radiographic visibility. The V-Mark Breast Biopsy Site Marker has been modified to remove the contrast agent that was incorporated into the polymer to provide radiopacity. The titanium component of the device provides for permanent radiographic visibility, eliminating the need for contrast agent in the resorbable polymer. V-Mark Breast Biopsy Site Markers are made of 75/25% poly(D,L-lactide-co-glycolide) copolymer. No other changes have been made to the formulation other than the elimination of the contrast agent. The site markers are deployed into the biopsy needle tract using a hand held applicator with a two finger-push control rod that delivers a single marker. The site markers are deployed through an applicator that fits commercially available biopsy probes or coaxial needles including the J&J Ethicon Mammotome biopsy probe, the Pro-Mag Coaxial Introducer with Blunt Obturator, the Bio-Pince Co-axial Introducer with Blunt Obturator, the Medical Device Technologies V-Core Co-axial Introducer, and the Suros Vacuum Assisted Biopsy System. For physicians who desire to perform biopsy under ultrasound guidance, a delivery system cannula with an echogenic tip is also available for multiple coaxial applications.
More Information

Removed.

No
The device description and performance studies focus on the material properties and mechanical deployment of a physical marker, with no mention of software, algorithms, or data processing that would indicate AI/ML.

No
The device is intended to mark tissue post-biopsy for visibility, not to treat or therapeutically benefit the patient.

No

The device is a site marker used to mark tissue during and after a breast biopsy procedure, not to diagnose a condition. Its purpose is to physically mark a location for later visibility.

No

The device is a physical implantable marker made of resorbable polymer and titanium, deployed via a hand-held applicator. It is a hardware device, not software.

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

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections. They are used to provide information for diagnosis, monitoring, or screening.
  • Device Function: The V-Mark Breast Biopsy Site Marker is a physical implantable device used to mark the location of a biopsy site within the body. It is deployed during a procedure and remains in the tissue.
  • Intended Use: The intended use is to mark tissue during a percutaneous breast biopsy procedure and provide visibility under various imaging modalities. It does not analyze a sample taken from the body.

The device is a surgical/implantable device used in a diagnostic procedure (biopsy), but it is not an in vitro diagnostic test itself.

N/A

Intended Use / Indications for Use

The InterV brand V-Mark Breast Biopsy Site Marker with Titanium Anchor is intended to mark tissue during a percutaneous breast biopsy procedure, be visible under MRI and ultrasound for at least 6 weeks, and be permanently visible by fluoroscopy.

Product codes

NEU

Device Description

The V-Mark Breast Biopsy Site Marker is made of a resorbable copolymer, a polyester derivative of lactic and glycolic acids. Polylactic/polyglycolic acid copolymers degrade and resorb in vivo by hydrolysis into lactic and glycolic acids, which are then metabolized by the body. The site markers are deployed through an applicator that fits in commercially available biopsy probes. The V-Mark Breast Biopsy Site Marker marks the site of biopsy tissue sample, and is visible for up to 6 weeks by x-ray, ultrasound and MRI. The body then metabolizes the marker over time. The V-Mark contains a titanium component for permanent radiographic visibility.

The V-Mark Breast Biopsy Site Marker has been modified to remove the contrast agent that was incorporated into the polymer to provide radiopacity. The titanium component of the device provides for permanent radiographic visibility, eliminating the need for contrast agent in the resorbable polymer. V-Mark Breast Biopsy Site Markers are made of 75/25% poly(D,L-lactide-co-glycolide) copolymer. No other changes have been made to the formulation other than the elimination of the contrast agent.

The site markers are deployed into the biopsy needle tract using a hand held applicator with a two finger-push control rod that delivers a single marker. The site markers are deployed through an applicator that fits commercially available biopsy probes or coaxial needles including the J&J Ethicon Mammotome biopsy probe, the Pro-Mag Coaxial Introducer with Blunt Obturator, the Bio-Pince Co-axial Introducer with Blunt Obturator, the Medical Device Technologies V-Core Co-axial Introducer, and the Suros Vacuum Assisted Biopsy System. For physicians who desire to perform biopsy under ultrasound guidance, a delivery system cannula with an echogenic tip is also available for multiple coaxial applications.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

x-ray, ultrasound, MRI, fluoroscopy

Anatomical Site

Breast

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)

Removal of contrast agent from the polymer did not affect device performance. Wire retention in the polymer without contrast was equivalent to retention in polymer with contrast. Finished product testing of the device without contrast, including deployment through the delivery system, met the original design specifications. All testing was performed post sterilization. The results support a determination that the modified device is substantially equivalent to the original product.

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

Not Found

Predicate Device(s)

K051421

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 878.4300 Implantable clip.

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

0

Medical Device Technologies, Inc. Special 510(k) V-Mark Breast Biopsy Site Marker

JAN 26 2006

jC053518

December, 2005

Page 1 of 2

TAB 4

PREMARKET NOTIFICATION [510(K)] SUMMARY

| Trade Name: | InterV brand V-Mark® Breast Biopsy Site Marker with
Titanium Anchor |
|--------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Common Name: | Biopsy Site Marker |
| Classification Name: | Implantable staple (per 21 CFR section 878.4750) |
| 510(k) Owner's and
Manufacturer's Name: | Medical Device Technologies
3600 SW 47th Avenue
Gainesville, FL 32608
Tel: 352-338-0440
Fax: 352-338-0662 |
| Corresponding Official: | Kristine Liberacki
Manager Regulatory Affairs and Quality Assurance
3600 SW 47th Avenue
Gainesville, FL 32608
(800) 338-0440 ext 350
Fax: 352-338-0662 |
| Predicate Device(s): | Medical Device Technologies, Inc. InterV brand V-Mark
Breast Biopsy Site Marker, K051421. |
| Device Description: | The V-Mark Breast Biopsy Site Marker is made of a
resorbable copolymer, a polyester derivative of lactic and
glycolic acids. Polylactic/polyglycolic acid copolymers
degrade and resorb in vivo by hydrolysis into lactic and
glycolic acids, which are then metabolized by the body. The
site markers are deployed through an applicator that fits in
commercially available biopsy probes. The V-Mark Breast
Biopsy Site Marker marks the site of biopsy tissue sample,
and is visible for up to 6 weeks by x-ray, ultrasound and
MRI. The body then metabolizes the marker over time. The
V-Mark contains a titanium component for permanent
radiographic visibility |
| Intended Use: | The intended use is identical to the predicate device. The
InterV brand V-Mark Breast Biopsy Site Marker with
Titanium Anchor is intended to mark tissue during a
percutaneous breast biopsy procedure, be visible under MRI |

4- l

CONFIDENTIAL

This document and the information contained herein may not be reproduced, used or disclosed without written permission from Medical Device Technologies, Inc.

1

Medical Device Technologies, Inc. Special 510(k) V-Mark Breast Biopsy Site Marker

Technological

Non-Clinical

Kos 35/8

December, 2005

Page 2 of 2

and ultrasound for at least 6 weeks, and be permanently visible by fluoroscopy

Characteristics: The V-Mark Breast Biopsy Site Marker has been modified to remove the contrast agent that was incorporated into the polymer to provide radiopacity. The titanium component of the device provides for permanent radiographic visibility, eliminating the need for contrast agent in the resorbable polymer. V-Mark Breast Biopsy Site Markers are made of 75/25% poly(D,L-lactide-co-glycolide) copolymer. No other changes have been made to the formulation other than the elimination of the contrast agent

The site markers are deployed into the biopsy needle tract using a hand held applicator with a two finger-push control rod that delivers a single marker. The site markers are deployed through an applicator that fits commercially available biopsy probes or coaxial needles including the J&J Ethicon Mammotome biopsy probe, the Pro-Mag Coaxial Introducer with Blunt Obturator, the Bio-Pince Co-axial Introducer with Blunt Obturator, the Medical Device Technologies V-Core Co-axial Introducer, and the Suros Vacuum Assisted Biopsy System. For physicians who desire to perform biopsy under ultrasound guidance, a delivery system cannula with an echogenic tip is also available for multiple coaxial applications.

Performance Data: Removal of contrast agent from the polymer did not affect device performance. Wire retention in the polymer without contrast was equivalent to retention in polymer with contrast. Finished product testing of the device without contrast, including deployment through the delivery system, met the original design specifications. All testing was performed post sterilization. The results support a determination that the modified device is substantially equivalent to the original product.

Conclusions: The V-Mark Breast Biopsy Site Marker, modified to eliminate the contrast agent from the original formulation, is substantially equivalent to the original product and meets the same finished product specifications for performance.

CONFIDENTIAL This document and the information contained herein may not be reproduced, used or disclosed without written permission from Medical Device Technologies, Inc.

2

Image /page/2/Picture/1 description: The image shows the seal of the Department of Health and Human Services (HHS). The seal features a stylized caduceus, a symbol often associated with medicine and healthcare, with three intertwined snakes around a staff. The text "DEPARTMENT OF HEALTH AND HUMAN SERVICES USA" is arranged in a circular pattern around the caduceus.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JAN 2 6 2006

Ms. Kristine Liberacki Manager, Regulatory Affairs and Quality Assurance Medical Device Technologies, Inc. 3600 Southwest 47th Avenue Gainesville, Florida 32608

Re: K053518

Trade/Device Name: InterV® brand V-Mark™ Breast Biopsy Site Marker with Titanium

Anchor Regulation Number: 21 CFR 878.4300 Regulation Name: Implantable Clip Regulatory Class: II Product Code: NEU Dated: January 17, 2006 Received: January 20, 2006

Dear Ms. Liberacki:

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.

3

Page 2 - Ms. Liberacki

This letter will allow you to begin marketing your device as described in your Section 510(k) premarket notification. The FDA finding of substantial cquivalence 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 (240) 276-0115. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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/industry/support/index.html.

Sincerely yours,
Barbara Buchner
tos

Mark N. Melkerson Acting Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

Medical Device Technologies, Inc. Special 510(k) V-Mark Breast Biopsy Site Marker

Kos 3518

December, 2005

TAB 3

INDICATIONS FOR USE

510(k) Number: -

Device Name: InterV® brand V-Mark™ Breast Biopsy Site Marker with Titanium Anchor

Indications for Use.

The InterV brand V-Mark Breast Biopsy Site Marker with Titanium Anchor is intended to mark tissue during a percutaneous breast biopsy procedure, be visible under MRI and ultrasound for at least 6 weeks, and be permanently visible by fluoroscopy.

Prescription Use (per 21 CFR 801 Subpart D)

Over-The-Counter Use (21 CFR 801 Subpart C)

(PLEASE DO NOT WRITE BELOW THIS LINE)

Jarbare Buctup formon
(Division Sign-Off)

Division of General, Restoratives CDRH, Office of Device Evaluation (ODE) and Neurological Devices

510(k) Number K053518

3-1 CONFIDENTIAL This document and the information contained herein may not be reproduced, used or disclosed without written permission from Medical Device Technologies, Inc.