K Number
K061059
Device Name
MODIFIED MERCI RETRIEVER, MODEL 90092
Date Cleared
2006-05-25

(38 days)

Product Code
Regulation Number
870.1250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Modified Merci® Retriever is intended to restore blood flow in the neurovasculature by removing thrombus in patients experiencing ischemic stroke. Patients who are ineligible for intravenous tissue plasminogen activator (IV t-PA) or who fail IV t-PA therapy are candidates for treatment. The Modified Merci® Retriever is also indicated for use in the retrieval of foreign bodies misplaced during interventional radiological procedures in the neuro, peripheral and coronary vasculature.
Device Description
Like the predicate device, the Modified Merci Retriever consists of a flexible, Nitinol core wire with shaped loops at the distal end. A radiopaque coil covers the tip allowing visualization under fluoroscopy. Both the predicate Retriever and the Modified Merci Retriever are placed distal to the thrombus or foreign body using a microcatheter which is retracted to deploy the loops of the Retriever. The Retriever and microcatheter are pulled back into the thrombus or foreign body, engaging it in the loops of the Retriever. The Retriever, the thrombus or foreign body, and the microcather are then removed from the body.
More Information

Merci® Retriever X6

No
The summary describes a mechanical device for thrombus retrieval and does not mention any software, algorithms, or data processing that would indicate the use of AI/ML.

Yes
The intended use explicitly states its purpose is to restore blood flow in patients experiencing ischemic stroke and for the retrieval of foreign bodies, both of which are therapeutic interventions.

No

The device is an interventional tool designed to remove thrombus or foreign bodies, which is a treatment, not a diagnostic, function.

No

The device description clearly states it is a physical device made of Nitinol with shaped loops and a radiopaque coil, intended for mechanical removal of thrombus or foreign bodies.

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

Here's why:

  • Intended Use: The intended use is to "restore blood flow in the neurovasculature by removing thrombus in patients experiencing ischemic stroke" and "retrieval of foreign bodies misplaced during interventional radiological procedures." This describes a therapeutic intervention performed directly on the patient's body.
  • Device Description: The description details a physical device (flexible wire with loops) used to physically interact with and remove material from within the body.
  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body (like blood, urine, tissue) to provide information about a person's health. They are used to diagnose, monitor, or screen for diseases or conditions.

This device is clearly designed for a therapeutic procedure performed in vivo (within the living body), not for testing samples in vitro (outside the living body).

N/A

Intended Use / Indications for Use

The Modified Merci Retriever is intended to restore blood flow in the neurovasculature by removing thrombus in patients experiencing ischemic stroke. Patients who are ineligible for intravenous tissue plasminogen activator (IV t-PA) or who fail IV t-PA therapy are candidates for treatment. The Modified Merci Retriever is also indicated for use in the retrieval of foreign bodies misplaced during interventional radiological procedures in the neuro, peripheral and coronary vasculature.

Product codes

NRY

Device Description

Like the predicate device, the Modified Merci Retriever consists of a flexible, Nitinol core wire with shaped loops at the distal end. A radiopaque coil covers the tip allowing visualization under fluoroscopy.

Both the predicate Retriever and the Modified Merci Retriever are placed distal to the thrombus or foreign body using a microcatheter which is retracted to deploy the loops of the Retriever. The Retriever and microcatheter are pulled back into the thrombus or foreign body, engaging it in the loops of the Retriever. The Retriever, the thrombus or foreign body, and the microcather are then removed from the body.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

fluoroscopy

Anatomical Site

neurovasculature, neuro, peripheral and coronary vasculature

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

The Modified Merci Retriever was tested in the same manner as the predicate Merci Retriever X6. All devices met the required specifications for the completed tests. The Modified Merci Retriever was designed under the Concentric Quality System in compliance with 21CFR 8820.30.

Key Metrics

Not Found

Predicate Device(s)

Merci® Retriever X6

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 870.1250 Percutaneous catheter.

(a)
Identification. A percutaneous catheter is a device that is introduced into a vein or artery through the skin using a dilator and a sheath (introducer) or guide wire.(b)
Classification. Class II (performance standards).

0

Concentric Medical, Inc. Modified Merci Retriever

MAY 2 5 2006

Attachment D

510(k) SUMMARY

General Information

Trade NameMerci® Retriever
Common NameEndovascular Retriever
ClassificationClass II, Catheter, thrombus retriever per 21 CFR § 870.1250
SubmitterConcentric Medical, Inc.
1380 Shorebird Way
Mountain View, CA 94043
Tel 650-938-2100
Fax 650-938-2700
ContactKirsten Valley
Senior Vice President, Operations and Regulatory Affairs
DateApril 14, 2006

Intended Use

The Modified Merci Retriever is intended to restore blood flow in the neurovasculature by removing thrombus in patients experiencing ischemic stroke. Patients who are ineligible for intravenous tissue plasminogen activator (IV t-PA) or who fail IV t-PA therapy are candidates for treatment. The Modified Merci Retriever is also indicated for use in the retrieval of foreign bodies misplaced during interventional radiological procedures in the neuro, peripheral and coronary vasculature.

Predicate Device

Merci® Retriever X6

Device Description

Like the predicate device, the Modified Merci Retriever consists of a flexible, Nitinol core wire with shaped loops at the distal end. A radiopaque coil covers the tip allowing visualization under fluoroscopy.

Both the predicate Retriever and the Modified Merci Retriever are placed distal to the thrombus or foreign body using a microcatheter which is retracted to deploy the loops of the Retriever. The Retriever and microcatheter are pulled back into the thrombus or foreign body, engaging it in the loops of the Retriever. The Retriever, the thrombus or foreign body, and the microcather are then removed from the body.

Materials

All materials used in the manufacture of the Modified Merci Retriever are suitable for the intended use of the device and have been used in numerous previously cleared products.

Confidential

1

Testing Summary

The Modified Merci Retriever was tested in the same manner as the predicate Merci Retriever X6. All devices met the required specifications for the completed tests. The Modified Merci Retriever was designed under the Concentric Quality System in compliance with 21CFR 8820.30.

Summary of Substantial Equivalence

The Modified Merci Retriever is equivalent to the predicate device, Merci® Retriever X6. The indications for use, function, and materials used are substantially equivalent.

2

Public Health Service

Image /page/2/Picture/2 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a stylized caduceus, which is a symbol of medicine, with three figures intertwined. The text "DEPARTMENT OF HEALTH AND HUMAN SERVICES - USA" is arranged in a circular fashion around the caduceus. The logo is black and white.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

MAY 2 5 2006

Concentric Medical, Inc. % Ms. Kirsten Valley Senior VP, Operations and Regulatory Affairs 1380 Shorebird Way Mountain View, California 94043

Re: K061059

Trade/Device Name: Modified Merci® Retriever Regulation Number: 21 CFR 870.1250 Regulation Name: Percutaneous catheter Regulatory Class: II Product Code: NRY Dated: April 26, 2006 Received: April 28, 2006

Dear Ms. Valley:

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. Kirsten Valley

This letter will allow you to begin marketing your device as described in your Section 510(k) Fins letter with and my Jorne 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 (240) 276-0115. 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,

emelli.

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

Enclosure

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Concentric Medical, Inc. Modified Merci Retriever

K06 1059

PREMARKET NOTIFICATION

INDICATIONS FOR USE

510(k) Number (if known):This application
Device Name:Modified Merci® Retriever
Indications for Use:The Modified Merci® Retriever is intended to restore blood flow
in the neurovasculature by removing thrombus in patients
experiencing ischemic stroke. Patients who are ineligible for
intravenous tissue plasminogen activator (IV t-PA) or who fail
IV t-PA therapy are candidates for treatment. The Modified
Merci® Retriever is also indicated for use in the retrieval of
foreign bodies misplaced during interventional radiological
procedures in the neuro, peripheral and coronary vasculature.

Prescription Use _X (Per 21 CFR 801.109)

AND/OR

Over-The-Counter Use (Optional Format 1-2-96)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

ellmelli

(Division Sign-Off) Division of General, Restorative, and Neurological Devices

KOS 1059 510(k) Number_

Confidential