K Number
K071246
Device Name
MICRUS MICROCOIL DELIVERY SYSTEM, MODELS SPH, HEL, CHE, PC4, HSR, FSR, CSP, CFS, SRC, PP4, STR
Date Cleared
2007-06-01

(29 days)

Product Code
Regulation Number
882.5950
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Micrus Microcoil Delivery System is intended for endovascular embolization of intracranial aneurysms.
Device Description
The Micrus Microcoil Delivery System consists of (1) An embolic coil ("Microcoil") attached to a Device Positioning Unit (DPU) (single use, sterile). (2) An Connecting Cable ("CCB") (3) A Detachment Control Box ("DCB")
More Information

Not Found

No
The summary describes a mechanical delivery system for embolic coils and does not mention any software, algorithms, or data processing that would indicate the use of AI or ML.

Yes
The device is described as an "embolic coil" system intended for "endovascular embolization of intracranial aneurysms," which directly treats a medical condition.

No
Explanation: This device is intended for endovascular embolization of intracranial aneurysms, which is a treatment procedure, not a diagnostic one. It delivers an embolic coil to the aneurysm site.

No

The device description explicitly lists hardware components: an embolic coil, a Device Positioning Unit, a Connecting Cable, and a Detachment Control Box.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to examine specimens taken from the human body (like blood, urine, tissue) to provide information about a person's health. This testing is done outside the body (in vitro).
  • Device Description and Intended Use: The description clearly states the device is used for "endovascular embolization of intracranial aneurysms." This is a procedure performed inside the body (in vivo) to treat a medical condition. The device is a delivery system for embolic coils, which are implanted within the aneurysm.

The device is a therapeutic device used in a surgical procedure, not a diagnostic device used for testing samples.

N/A

Intended Use / Indications for Use

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

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

Product Code HCG

Device Description

The Micrus Microcoil Delivery System consists of (1) An embolic coil ("Microcoil") attached to a Device Positioning Unit (DPU) (single use, sterile). (2) An Connecting Cable ("CCB") (3) A Detachment Control Box ("DCB")

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.

Micrus Microcoil Delivery System, 510(k) K002056, Micrus Microcoil Delivery System, 510(k) K031578

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

ー1 2007

Summary of Safety and Effectiveness

| Submitter Name and Address: | Micrus Endovascular Corp.
821 Fox Lane
San Jose, CA 95131 |
|------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Contact Name: | Patrick Lee, Regulatory Affairs Specialist
Phone: 408-433-1428
Fax: 408-433-1585
Email: plee@micruscorp.com |
| Preparation Date: | May 1, 2007 |
| Device Name and
Classification: | Micrus Microcoil Delivery System
Common Name: Micrus Microcoil System
Classification Name: Device, Artificial Embolization
Product Code HCG
Regulatory Class II |
| Predicate Devices: | Micrus Microcoil Delivery System, 510(k) K002056
Micrus Microcoil Delivery System, 510(k) K031578 |
| Device Description: | The Micrus Microcoil Delivery System consists of
(1) An embolic coil ("Microcoil") attached to a Device
Positioning Unit (DPU) (single use, sterile).
(2) An Connecting Cable ("CCB")
(3) A Detachment Control Box ("DCB") |
| Device Intended Use | The Micrus MicroCoil Delivery System is intended for
endovascular embolization of intracranial aneurysms. |

Comparison to Predicate Devices:

The Microcoil Delivery Systems with the new Detachment Control Box ("DCB") have shown substantial equivalence to the FDA-cleared and marketed Micrus Microcoil Delivery System in terms of intended use, design, material and method of construction, and dimensions. The modification has not altered the fundamental technology of the sponsor's predicate device.

Conclusion:

Based upon the design, materials, function, intended use comparison with currently marketed device and the non-clinical testing performed by Micrus Endovascular Corporation, it is concluded that the new DCB of the Micrus Microcoil Delivery System is substantially equivalent to the predicate devices in safety and effectiveness.

1

DEPARTMENT OF HEALTH & HUMAN SERVICES · USA

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUN - 1 2007

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

Re: K071246

Trade/Device Name: Micrus Microcoil Delivery System Regulation Number: 21 CFR 882.5950 Regulation Name: Neurovascular embolization Regulatory Class: II Product Code: HCG Dated: May 1, 2007 Received: May 3, 2007

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.

2

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 (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 (240) 276-3150 or the Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,
Mark A. Milliken

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

Enclosure

3

Indications for Use

KO71246 510(k) Number (if known): ___

Device Name: Micrus Microcoil Delivery System

Indications For Use:

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

Prescription Use (Part 21 CFR 801 Subpart D)

AND/OR

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

K071246

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Mark A. Millikan

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

510(k) Number_