K Number
K081079
Device Name
CONTURA MLB SOURCE APPLICATOR FOR BRACHYTHERAPY
Manufacturer
Date Cleared
2008-05-02

(16 days)

Product Code
Regulation Number
892.5700
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Contura Multi-Lumen Balloon Source Applicator for Brachytherapy is intended to provide brachytherapy when the physician chooses to deliver intracavitary radiation to the surgical margins following lumpectomy for breast cancer.
Device Description
The Contura MLB Applicator consists of a multi-lumen catheter connected to an inflatable spherical balloon that can be attached to commercially available High Dose Rate remote afterloader equipment for passage of the radiation source delivery wire. Five radiation source wire lumens are provided; one central lumen located along the long axis of the applicator and four lumens symmetrically offset from the central lumen. The balloon is inflated to a 4.5 - 6 cm spherical shape by a controlled volume injection of a saline/contrast solution.
More Information

Not Found

No
The device description and intended use focus on the mechanical and physical aspects of the brachytherapy applicator, with no mention of AI or ML technologies. The "Mentions AI, DNN, or ML" section explicitly states "Not Found".

Yes
The device is explicitly stated to "provide brachytherapy," which is a form of radiation therapy used to treat cancer, thus making it a therapeutic device.

No
Explanation: The device is intended for delivering brachytherapy (radiation treatment) to surgical margins, not for diagnosing a condition.

No

The device description clearly outlines physical components like a multi-lumen catheter, inflatable balloon, and lumens, indicating it is a hardware device.

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

Here's why:

  • Intended Use: The intended use is to "provide brachytherapy when the physician chooses to deliver intracavitary radiation to the surgical margins following lumpectomy for breast cancer." This describes a therapeutic procedure involving the delivery of radiation directly to a patient's tissue.
  • Device Description: The device is a physical applicator used to deliver radiation. It involves a catheter, balloon, and lumens for a radiation source wire. This is a medical device used for treatment, not for analyzing samples from the body to diagnose or monitor a condition.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), detecting analytes, or providing diagnostic information based on in vitro testing.

IVD devices are used to examine specimens derived from the human body to provide information for the diagnosis, prevention, monitoring, treatment, or alleviation of disease. This device's function is to deliver radiation for therapeutic purposes.

N/A

Intended Use / Indications for Use

The Contura Multi-Lumen Balloon Source Applicator for Brachytherapy is intended to provide brachytherapy when the physician chooses to deliver intracavitary radiation to the surgical margins following lumpectomy for breast cancer.

Product codes

JAQ

Device Description

The Contura MLB Applicator consists of a multi-lumen catheter connected to an inflatable spherical balloon that can be attached to commercially available High Dose Rate remote afterloader equipment for passage of the radiation source delivery wire. Five radiation source wire lumens are provided; one central lumen located along the long axis of the applicator and four lumens symmetrically offset from the central lumen. The balloon is inflated to a 4.5 - 6 cm spherical shape by a controlled volume injection of a saline/contrast solution.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

breast

Indicated Patient Age Range

Not Found

Intended User / Care Setting

physician

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)

Preclinical studies demonstrated that the Contura MLB Applicator performed as intended under simulated use conditions. The dosimetry of the Contura MLB Applicator and the predicate devices demonstrated that the Contura MLB Applicator could deliver an equivalent radiation dose.

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

Not Found

Predicate Device(s)

K071229, K030558

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 892.5700 Remote controlled radionuclide applicator system.

(a)
Identification. A remote controlled radionuclide applicator system is an electromechanical or pneumatic device intended to enable an operator to apply, by remote control, a radionuclide source into the body or to the surface of the body for radiation therapy. This generic type of device may include patient and equipment supports, component parts, treatment planning computer programs, and accessories.(b)
Classification. Class II.

0

Image /page/0/Picture/0 description: The image shows the word "SenorRx" in a stylized font. The "O" in "Senor" is replaced with a ribbon symbol, commonly associated with awareness campaigns. The text is in black and white, with a slightly distressed or textured appearance.

K081029

MAY - 2 2008

5. 510(K) SUMMARY

Date preparedApril 2, 2008
NameSenoRx, Inc.
11 Columbia
Aliso Viejo, CA 92656
T. 949.362.4800; F. 949.362.0300
Contact personEben Gordon
Vice President, RA/QA
SenoRx, Inc.
T. 949.362.4800; F. 949.362.0300
Device nameContura MLB Source Applicator for Brachytherapy
Common nameMulti-Lumen balloon source applicator
Classification nameRemote controlled radionuclide source applicator
Classification regulation21 CFR 892.5700;
90 JAQ
Predicate devicesSenoRad Multi-Lumen Balloon Source Applicator for Brachytherapy
(K071229)
MammoSite Radiation Therapy System (K030558)
DescriptionThe Contura MLB Applicator consists of a multi-lumen catheter connected to
an inflatable spherical balloon that can be attached to commercially available
High Dose Rate remote afterloader equipment for passage of the radiation
source delivery wire. Five radiation source wire lumens are provided; one
central lumen located along the long axis of the applicator and four lumens
symmetrically offset from the central lumen. The balloon is inflated to a 4.5 - 6
cm spherical shape by a controlled volume injection of a saline/contrast
solution.
Indications for useThe Contura Multi-Lumen Balloon Source Applicator for Brachytherapy is
intended to provide brachytherapy when the physician chooses to deliver
intracavitary radiation to the surgical margins following lumpectomy for breast
cancer.
Summary of substantial
equivalencePreclinical studies demonstrated that the Contura MLB Applicator performed as
intended under simulated use conditions. The dosimetry of the Contura MLB
Applicator and the predicate devices demonstrated that the Contura MLB
Applicator could deliver an equivalent radiation dose. In summary, the Contura
MLB Applicator as described in this submission is substantially equivalent to
the predicate devices.

1

Image /page/1/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo features a stylized eagle with its wings spread, and the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" are arranged in a circular pattern around the eagle. The eagle is black, and the text is also black. The logo is simple and recognizable.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

MAY - 2 2008

SenoRx, Inc. % Mr. Mark Job Responsible Third Party Official Regulatory Technology Services, LLC 1393 25th Street NW BUFFALO MN 55313

Re: K081079

Trade/Device Name: Contura Multi-Lumen Balloon Source Applicator for Brachytherapy Regulation Number: 21 CFR 892.5700 Regulation Name: Remote controlled radionuclide applicator system Regulatory Class: II Product Code: JAQ Dated: April 15, 2008 Received: April 16, 2008

Dear Mr. Job:

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). You may, therefore, market the device, subject to the general controls provisions of the Act and the limitations described below. 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.

The Office of Device Evaluation has determined that there is a reasonable likelihood that this device will be used for an intended use not identified in the proposed labeling and that such use could cause harm. Therefore, in accordance with Section 513(i)(1)(E) of the Act, the following limitation must appear in the Warnings section of the device's labeling:

The safety and effectiveness of the Contura Multi-Lumen Balloon Source Applicator for Brachytherapy as a replacement for whole breast irradiation in the treatment of breast cancer has not been established.

2

The Warning must be presented within a black box, and the font should be bold and the same size as any surrounding text. The Warning should be the first item in your list of warnings.

Please note that the above labeling limitations are required by Section 513(i)(1)(E) of the Act. Therefore, a new 510(k) is required before these limitations are modified in any way or removed from the device's labeling.

The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and permits your device to proceed to the market. This letter will allow you to begin marketing your device as described in your Section 510(k) premarket notification if the limitation statement described above is added to your labeling.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to 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.

If you desire specific information about the application of other labeling requirements to your device (21 CFR Part 801), please contact the Office of Compliance at (240) 276-0100. 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 (240) 276-3150 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours.

Donna-Bea Tillman, Ph.D., M.P.A. Director Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

3

4. INDICATIONS FOR USE

510(k) Number (if known): KU81079

Device Name: _______ Contura Multi-Lumen Balloon Source Applicator for Brachytherapy _

Indications for Use:

The Contura Multi-Lumen Balloon Source Applicator for Brachytherapy is intended to provide brachytherapy when the physician chooses to deliver intracavitary radiation to the surgical margins following lumpectomy for breast cancer.

Prescription Use _____________________________________________________________________________________________________________________________________________________________ (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 OF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

signature

(Division Sign-Off)
Division of Reproductive, Abdominal,
and Radiological Devices

Page __ of ___________________________________________________________________________________________________________________________________________________________________

510(k) Number K081079