(34 days)
The Confirma Breast MRI Interventional Components are intended to be used in conjunction with a magnetic resonance scanner and the Confirma Access Breast Coil designs to permit MRI-guided interventional procedures, such as breast biopsy and localization of lesions that can be performed and interpreted by a trained physician.
The Confirma Breast MRI Interventional Components provide a grid system to immobilize the breast in an Access Breast Coil device. The grid system allows the physician to perform a biopsy through a needle block inserted in the grid plate. The system supports a standard medial-lateral approach using the Access Breast Coil. The design of the interventional components focuses on ease of patient positioning and set-up by the clinician, and patient ergonomics for enhanced comfort during interventional procedures. The design allows for unilateral or bilateral access, and offers maximum access to aid the physician in MRguided interventional procedures such as breast biopsy and localization of lesions, providing lateral and medial access to the breast. The components are provided non-sterile and are non-disposable. The components must be sterilized at the beginning of each procedure. The components are manufactured from Ultem 1000 polyetherimide which can be autoclaved or sterilized with formaldehyde. The compression plate and grid plate system incorporate locking mechanisms that secure the components once positioned. These locks provide stability during the interventional procedure. The compression and grid plates are bidirectional, allowing them to be placed in either a medial-facing or lateral-facing position. This allows the clinician to perform the interventional procedure from the medial or lateral side. For unilateral breast intervention, the system uses one grid plate and one compression plate. For bilateral breast intervention, the system uses 2 grid plates and 2 compression plates. The components are made of medical grade plastic materials, which are fire rated and have high impact and tensile strength.
The provided text describes the Confirma Breast MRI Interventional Components, a device intended for MRI-guided interventional procedures such as breast biopsy and lesion localization. However, it does not contain any information regarding acceptance criteria, reported device performance, or any studies conducted to prove the device meets specific criteria.
The document is a 510(k) summary for a premarket notification to the FDA, focusing on demonstrating substantial equivalence to legally marketed predicate devices. It discusses:
- Device Description: How the device functions as a grid system for breast immobilization and allows for biopsy.
- Comparison with Legally Marketed Devices: Lists several predicate devices and states that the Confirma device is substantially equivalent to them in terms of functionality and access for interventional procedures.
- Conclusions: Reiterates substantial equivalence and mentions that potential hazards were studied and controlled during product development, including risk analysis, test, and design considerations, and planned verification and validation testing processes. However, no results of these planned tests are provided.
- Indications for Use: Specifies the intended use of the device in conjunction with MRI scanners and specific breast coils for MRI-guided procedures.
Therefore, I cannot provide a table of acceptance criteria and reported device performance or information about specific studies, as this data is not present in the given text.
To directly answer your specific points based only on the provided text:
- A table of acceptance criteria and the reported device performance: Not provided in the text. The document focuses on substantial equivalence rather than performance metrics.
- Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective): Not provided in the text. No specific test sets or study data are mentioned.
- Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience): Not provided in the text. No ground truth establishment is described.
- Adjudication method (e.g. 2+1, 3+1, none) for the test set: Not provided in the text.
- If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance: Not performed/not relevant. This device is an interventional component, not an AI-assisted diagnostic tool.
- If a standalone (i.e. algorithm only without human-in-the-loop performance) was done: Not performed/not relevant. This device is a physical component for interventional procedures, not an algorithm.
- The type of ground truth used (expert consensus, pathology, outcomes data, etc): Not provided in the text.
- The sample size for the training set: Not applicable/Not provided in the text. This is not an AI/algorithm-focused device requiring a training set.
- How the ground truth for the training set was established: Not applicable/Not provided in the text.
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JUL - 9 2007
510(k) Summary of Safety and Effectiveness
This 510(k) summary of safety and effectiveness information is submitted as part of the PreMarket Notification in accordance with the requirements of 21 CFR Part 807, Subpart E and Section 807.92.
1. Identification of Submitter:
| Submitter: | Confirma, Inc. |
|---|---|
| Address: | 11040 Main Street, Suite 100 |
| Bellevue, WA 98004 | |
| Phone: | 425-691-1400 |
| Fax: | 425-691-1599 |
| Contact: | Patricia A. Milbank, JD |
| Title: | Vice President, Regulatory Affairs/Quality Assurance |
| Phone: | 425-894-9733 |
| Fax: | 425-822-3648 |
| Date Prepared: | May 29, 2007 |
2. Identification of Product:
| Trade Name: | Confirma Breast MRI Interventional Components |
|---|---|
| Regulatory Number: | 21 CFR 892.1000 |
| Regulation Name: | Magnetic Resonance Diagnostic Device |
| Common Name: | System, Nuclear Magnetic Resonance Imaging |
| Regulatory Class: | Class II |
| Product Code: | 90 MOS |
| Manufacturer: | Confirma, Inc.11040 Main Street, Suite 100Bellevue, WA 98004 |
3. Indications for Use
The Confirma Breast MRI Interventional Components are intended to be used in conjunction with a magnetic resonance scanner and the Confirma Access Breast Coil designs to permit MRI-guided interventional procedures, such as breast biopsy and localization of lesions that can be performed and interpreted by a trained physician.
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4. Device Description:
The Confirma Breast MRI Interventional Components provide a grid system to immobilize the breast in an Access Breast Coil device. The grid system allows the physician to perform a biopsy through a needle block inserted in the grid plate. The system supports a standard medial-lateral approach using the Access Breast Coil.
The design of the interventional components focuses on ease of patient positioning and set-up by the clinician, and patient ergonomics for enhanced comfort during interventional procedures. The design allows for unilateral or bilateral access, and offers maximum access to aid the physician in MRguided interventional procedures such as breast biopsy and localization of lesions, providing lateral and medial access to the breast. The components are provided non-sterile and are non-disposable. The components must be sterilized at the beginning of each procedure. The components are manufactured from Ultem 1000 polyetherimide which can be autoclaved or sterilized with formaldehyde.
The compression plate and grid plate system incorporate locking mechanisms that secure the components once positioned. These locks provide stability during the interventional procedure.
The compression and grid plates are bidirectional, allowing them to be placed in either a medial-facing or lateral-facing position. This allows the clinician to perform the interventional procedure from the medial or lateral side.
For unilateral breast intervention, the system uses one grid plate and one compression plate. For bilateral breast intervention, the system uses 2 grid plates and 2 compression plates.
The components are made of medical grade plastic materials, which are fire rated and have high impact and tensile strength.
Features of the Confirma Breast MRI Interventional Components:
- . Optimized for parallel imaging applications
- . Lateral and medial interventional access
- . Supports both unilateral and bilateral imaging exams
- . Compatible with Confirma Access breast coil designs
- . 40 cm field of view
- . Extensive coverage of chest wall and axilla
- Ergonomically designed for patient comfort to minimize motion . artifact
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5. Comparison with Legally Marketed Devices
The Interventional Components are substantially equivalent to the following legally marketed devices:
| 510(k)No. | Trade Name | Manufacturer | ProductCode | RegulationNumber |
|---|---|---|---|---|
| K001303 | Breast ImmobilizationDevice MR-BY 160 | MRI DevicesCorporation | 90 MOS | 892.1000 |
| K020289 | MICS Intervention Aid | Machnet BV | 90 LNH | 892.1000 |
| K052704 | Model BBD BreastImmobilization and BiopsyDevice | Invivo Corporation | 90 MOS | 892.1000 |
| K052987 | Breast Immobilization andBiopsy Device, Models BI160-0, BI 160-PA, and BI160-CC | Noras Röntgen-undMedizintechnikGmbH | 90 MOS | 892.1000 |
The predicate devices are designed for use with MR scanners and standard breast coils to perform interventional breast procedures. The Confirma Breast MRI Interventional Components and the predicate devices allow bilateral and unilateral imaging and access of the breast as well as medial and lateral access to the breast for biopsy and interventional procedures.
6. Conclusions
The Confirma Breast MRI Interventional Components are substantially equivalent to the identified legally marketed devices. The potential hazards have been studied and controlled as part of the product development process. including risk analysis, test and design considerations, and planned verification and validation testing processes. The Confirma Breast MRI Interventional Components allow access and support for breast interventional procedures comparable to the predicate devices.
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Image /page/3/Picture/0 description: The image shows a circular logo for the U.S. Department of Health & Human Services. The logo features the department's emblem, which consists of a stylized caduceus-like symbol with three parallel lines curving into a serpentine shape. The text "U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES" is arranged around the emblem in a circular fashion.
DEPARTMENT OF HEALTH & HUMAN SERVICES
Food and Drug Administration 9200 Corporate Blvd. Rockville MD 20850
- 9 2007
Ms. Patricia A. Milbank VP RA/OA Confirma, Inc. 11040 Main Street, Suite 100 BELLEVUE WA 98004
Re: K071534
Trade/Device Name: Confirma Breast MRI Interventional Components Regulation Number: 21 CFR 892.1000 Regulation Name: Magnetic resonance diagnostic device Regulatory Class: II Product Code: MOS Dated: June 1, 2007 Received: June 5, 2007
Dear Ms. Milbank:
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 (Premarket Approval), it may be subject to such additional controls. Existing major regulations offecting 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.
Image /page/3/Picture/10 description: The image shows a logo with the text "FDA Centennial 1906-2006" in a circular design. Below the logo, the text "Protecting and Promoting Public Health" is written in a cursive font. The logo appears to be a commemorative emblem for the FDA's centennial anniversary. The text emphasizes the FDA's role in safeguarding and improving public health.
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Enclosure
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.
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 one of the following numbers, based on the regulation number at the top of this letter:
| 21 CFR 876.xxx | (Gastroenterology/Renal/Urology) | 240-276-0115 |
|---|---|---|
| 21 CFR 884.xxx | (Obstetrics/Gynecology) | 240-276-0115 |
| 21 CFR 894.xxx | (Radiology) | 240-276-0120 |
| Other | 240-276-0100 |
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 at its Internet address http://www.fda.gov/cdrl/industry/support/index.html.
Sincerely yours,
Nancy C. Hogdon
Nancy C. Brogdon Director, Division of Reproductive, Abdominal, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health
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Indication(s) for Use Statement
510(k) Number:
To be assigned by FDA
Confirma Breast MRI Interventional Components Device Name:
Indications for Use:
The Confirma Breast MRI Interventional Components are intended to be used in conjunction with a magnetic resonance scanner and the Confirma Access Breast Coil designs to permit MRI-guided interventional procedures, such as breast biopsy and localization of lesions that can be performed and interpreted by a trained physician.
Prescription Use (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)
Huld Remun
(Division Sign-Off)
Division of Reproductive, Abdominal and
Radiological Devices
510(k) Number K071534
§ 892.1000 Magnetic resonance diagnostic device.
(a)
Identification. A magnetic resonance diagnostic device is intended for general diagnostic use to present images which reflect the spatial distribution and/or magnetic resonance spectra which reflect frequency and distribution of nuclei exhibiting nuclear magnetic resonance. Other physical parameters derived from the images and/or spectra may also be produced. The device includes hydrogen-1 (proton) imaging, sodium-23 imaging, hydrogen-1 spectroscopy, phosphorus-31 spectroscopy, and chemical shift imaging (preserving simultaneous frequency and spatial information).(b)
Classification. Class II (special controls). A magnetic resonance imaging disposable kit intended for use with a magnetic resonance diagnostic device only is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 892.9.