K Number
K062036
Device Name
MICRUS MICROCOIL SYSTEM PRESIDIO-18, MODEL PC4
Date Cleared
2006-08-25

(37 days)

Product Code
Regulation Number
882.5950
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Micrus MicroCoil Delivery System is intended for endovascular embolization of intracranial aneurysms.
Device Description
The Micrus Presidio 18-System Microcoil consists of an embolic coil ("Microcoil") attached to a Device Positioning Unit (DPU) (single use, sterile). The Presidio 18-System Microcoil is compatible with commercially available 2-tip marker microcatheters which have internal lumen diameters between 0.017" and 0.021." The coils are available in spherical shapes and are available in various diameters and lengths: Coil lengths range from 30 to 50 centimeters. Coil diameters range from 8 to 20 millimeters. Micrus Presidio 18-System Microcoils are fabricated from the same diameter platinum alloy wire as used in the Cerecyte 18 system platinum Microcoils, which is first wound into a primary coil (containing an absorbable polymer suture inside the wind) and then formed into a secondary helical or spherical shape. The Microcoils are subjected to the same thermal treatments for primary and secondary shaping processes. The addition of Presidio 18-System Microcoil to the Cerecyte 18-System line means these 18-System Microcoils will be identical to the current CE Marked / FDA Cleared Cerecyte 18-System with only a single point of difference (length). The platinum alloy wire will match the diameter of all Micrus Microcoil 18 Systems (Platinum only and Cerecyte). The catalog number for Presidio-18 is PC4. The 18 System Presidio Microcoils maintain the same design features as all the current Microcoil Systems. Compared with the current design, size 18 Presidio Microcoil Systems have: The same intended use Connect to the same connecting cables. Detach using the same Detachment Control Box. It is important to reiterate, the Micrus Presidio-18 MicroCoils are identical to the current FDA cleared Micrus Cerecyte-18 MicroCoils except for length
More Information

Not Found

No
The device description focuses on the physical characteristics and materials of the microcoil and delivery system, with no mention of software, algorithms, or data processing that would indicate the use of AI/ML.

Yes
The device is intended for "endovascular embolization of intracranial aneurysms," which is a medical treatment.

No

The device is an embolic coil system intended for the endovascular embolization (treatment) of intracranial aneurysms, not for diagnosis.

No

The device description explicitly details physical components like an embolic coil, a Device Positioning Unit (DPU), and platinum alloy wire, 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 "endovascular embolization of intracranial aneurysms." This is a therapeutic procedure performed within the body to treat a medical condition.
  • Device Description: The device is a microcoil designed to be delivered into an aneurysm to block blood flow. This is a physical implant used for treatment.
  • Lack of Diagnostic Function: There is no mention of the device being used to examine specimens (like blood, tissue, or urine) in vitro (outside the body) to provide information for diagnosis, monitoring, or screening.

IVD devices are used to perform tests on samples taken from the human body to provide information about a person's health. This device is a therapeutic device used to treat a condition directly within the body.

N/A

Intended Use / Indications for Use

The MicroCoil Delivery System is intended for endovascular embolization of intracranial aneurysms.

Product codes (comma separated list FDA assigned to the subject device)

HCG

Device Description

The Micrus Presidio 18-System Microcoil consists of an embolic coil ("Microcoil") attached to a Device Positioning Unit (DPU) (single use, sterile).

"Cerecyte" Microcoil Systems in the 18-system size received CE Marking in December 7, 2005. This technical file is in application of CE Marking for the "Presidio" 18-sized system. The Presidio 18-System Microcoil is compatible with commercially available 2-tip marker microcatheters which have internal lumen diameters between 0.017" and 0.021." The coils are available in spherical shapes and are available in various diameters and lengths:

  • Coil lengths range from 30 to 50 centimeters.
  • Coil diameters range from 8 to 20 millimeters. .

Micrus Presidio 18-System Microcoils are fabricated from the same diameter platinum alloy wire as used in the Cerecyte 18 system platinum Microcoils, which is first wound into a primary coil (containing an absorbable polymer suture inside the wind) and then formed into a secondary helical or spherical shape. The Microcoils are subjected to the same thermal treatments for primary and secondary shaping processes. The addition of Presidio 18-System Microcoil to the Cerecyte 18-System line means these 18-System Microcoils will be identical to the current CE Marked / FDA Cleared Cerecyte 18-System with only a single point of difference (length). The platinum alloy wire will match the diameter of all Micrus Microcoil 18 Systems (Platinum only and Cerecyte). The catalog number for Presidio-18 is PC4.

The 18 System Presidio Microcoils maintain the same design features as all the current Microcoil Systems. Compared with the current design, size 18 Presidio Microcoil Systems have:

  • The same intended use
  • Connect to the same connecting cables .
  • Detach using the same Detachment Control Box. .

It is important to reiterate, the Micrus Presidio-18 MicroCoils are identical to the current FDA cleared Micrus Cerecyte-18 MicroCoils except for length

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

intracranial

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): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K053160, K012145, K002056

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

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

§ 882.5950 Neurovascular embolization device.

(a)
Identification. A neurovascular embolization device is an intravascular implant intended to permanently occlude blood flow to cerebral aneurysms and cerebral ateriovenous malformations. This does not include cyanoacrylates and other embolic agents, which act by polymerization or precipitation. Embolization devices used in other vascular applications are also not included in this classification, see § 870.3300.(b)
Classification. Class II (special controls.) The special control for this device is the FDA guidance document entitled “Class II Special Controls Guidance Document: Vascular and Neurovascular Embolization Devices.” For availability of this guidance document, see § 882.1(e).

0

AUG 25 2006

Safety and Efficacy Summary ll.

Contact Information A.

Patrick Lee Regulatory Affairs Specialist Micrus Endovascular Corporation 821 Fox Lane San Jose, CA 95131

B. Device Name

Micrus MicroCoil System, Presidio-18 Device, Artificial Embolization Regulation Number: 8822.5950 Product Code: HCG Device Class: II

C. Predicate Device(s)

NumberDescriptionClearance Date
K053160Micrus MicroCoil System, Cerecyte-18Dec 07, 2005
K012145MicroVention MicroPlex Complex 3DOct 29, 2001
K002056Micrus MicroCoil Delivery SystemJan 11, 2001

D. Device Description

The Micrus Presidio 18-System Microcoil consists of an embolic coil ("Microcoil") attached to a Device Positioning Unit (DPU) (single use, sterile).

"Cerecyte" Microcoil Systems in the 18-system size received CE Marking in December 7, 2005. This technical file is in application of CE Marking for the "Presidio" 18-sized system. The Presidio 18-System Microcoil is compatible with commercially available 2-tip marker microcatheters which have internal lumen diameters between 0.017" and 0.021." The coils are available in spherical shapes and are available in various diameters and lengths:

  • Coil lengths range from 30 to 50 centimeters.
  • Coil diameters range from 8 to 20 millimeters. .

Micrus Presidio 18-System Microcoils are fabricated from the same diameter platinum alloy wire as used in the Cerecyte 18 system platinum Microcoils, which is first wound into a primary coil (containing an absorbable polymer suture inside the wind) and then formed into a secondary helical or spherical shape. The Microcoils are subjected to the same thermal treatments for primary and secondary shaping processes. The addition of Presidio 18-System Microcoil to the Cerecyte 18-System line means these 18-System

1

Microcoils will be identical to the current CE Marked / FDA Cleared Cerecyte 18-System with only a single point of difference (length). The platinum alloy wire will match the diameter of all Micrus Microcoil 18 Systems (Platinum only and Cerecyte). The catalog number for Presidio-18 is PC4.

The 18 System Presidio Microcoils maintain the same design features as all the current Microcoil Systems. Compared with the current design, size 18 Presidio Microcoil Systems have:

  • The same intended use
  • Connect to the same connecting cables .
  • Detach using the same Detachment Control Box. .

It is important to reiterate, the Micrus Presidio-18 MicroCoils are identical to the current FDA cleared Micrus Cerecyte-18 MicroCoils except for length

E. Intended Use

The MicroCoil Delivery System is intended for endovascular embolization of intracranial aneurysms.

062036

2

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo is circular and contains the department's name around the perimeter. In the center of the circle is an abstract symbol that resembles an eagle or a stylized human figure. The symbol is composed of three curved lines.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

AUG 2 5 2006

Micrus Endovascular Corporation % Mr. Patrick Lee Regulatory Affairs Specialist 821 Fox Lane San Jose, California 95131

Re: K062036

Trade/Device Name: Micrus Microcoil system "Presidio-18" Model #s: PC4 Regulation Number: 21 CFR 882.5950 Regulation Name: Neurovascular embolization device Regulatory Class: II Product Code: HCG Dated: July 17, 2006 Received: July 19, 2006

Dear Mr. Lee:

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 - Mr. Patrick Lee

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 (24 CFR Part 801), please contact the Office of Compliance at (240) 276-0115. Also, please note the regulation on it Jed. "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 (240) 276-3150 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

farbare melhn

Mark N. Melkerson

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

Enclosure

4

Indications for Use

Kobjo36 510(k) Number (if known): _

Micrus Microcoil system "Presidio-18" Model #s: PC4 Device Name: ____

Indications For Use:

The Micrus MicroCoil Delivery System is intended for endovascular embolization of intracranial aneurysms.

Prescription Use X (Part 21 CFR 801 Subpart D)

AND/OR

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

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Page 1 of _ 1

Carbare Brelund for mxm
Division Sign Off

Division of General, Restorative, and Neurological Devices

510(k) Number K062036