K Number
K081170
Device Name
PROSTATE TISSUE MARKER
Manufacturer
Date Cleared
2008-05-28

(34 days)

Product Code
Regulation Number
878.4300
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Prostate Tissue Marker is indicated for use to radiographically mark prostate tissue.
Device Description
The Prostate Tissue Marker consists of a pure gold marker placed inside a 17 Ga disposable beveled needle applicator. Also contained in the needle are 2 resorbable polylactic acid/polyglycolic acid (PLA/PGA) pellets and a polyethylene glycol (PEG) plug in the needle bevel. The gold marker is intended for long-term radiographic marking of the tissue site. The pellets are visible via ultrasound for approximately 4 weeks and are essentially resorbed in approximately 12 weeks.
More Information

Not Found

No
The device description focuses on the physical components and materials of the marker and applicator, with no mention of software, algorithms, or data processing that would indicate AI/ML. The "Mentions AI, DNN, or ML" and "Description of the training set..." sections are also marked as "Not Found".

No
The device is described as a "tissue marker" whose indication is to "radiographically mark prostate tissue." It does not mention any therapeutic function or intent in mitigating, treating, or preventing disease.

No

The device is a marker for prostate tissue, intended for radiographic marking, not for diagnosing a condition or disease. It aids in visualizing an anatomical site rather than detecting or identifying a medical condition.

No

The device description explicitly states it consists of a physical gold marker, a needle applicator, and resorbable pellets, 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:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections. They are used to provide information for diagnosis, monitoring, or screening.
  • Device Function: The Prostate Tissue Marker is a physical device designed to be implanted into prostate tissue for radiographic marking. It is used in vivo (within the body) to help visualize the tissue site using imaging modalities like radiography and ultrasound.
  • Intended Use: The intended use is to "radiographically mark prostate tissue," which is a procedural aid for imaging, not a diagnostic test performed on a sample.

The device's function and intended use clearly fall outside the scope of in vitro diagnostics. It's a medical device used for localization and visualization within the body.

N/A

Intended Use / Indications for Use

The Prostate Tissue Marker is indicated for use to radiographically mark prostate tissue.

Product codes

NEU

Device Description

The Prostate Tissue Marker consists of a pure gold marker placed inside a 17 Ga disposable beveled needle applicator. Also contained in the needle are 2 resorbable polylactic acid/polyglycolic acid (PLA/PGA) pellets and a polyethylene glycol (PEG) plug in the needle bevel. The gold marker is intended for long-term radiographic marking of the tissue site. The pellets are visible via ultrasound for approximately 4 weeks and are essentially resorbed in approximately 12 weeks.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

prostate tissue

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)

K080698, K071614

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 878.4300 Implantable clip.

(a)
Identification. An implantable clip is a clip-like device intended to connect internal tissues to aid healing. It is not absorbable.(b)
Classification. Class II.

0

SENORx

K081170 page 1

7.

MAY 2 8 2008

and the control control control control controlled in the controlled

7. 510(K) SUMMARYMAY 28 2008
Date preparedApril 23, 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 nameProstate Tissue Marker
Common nameTissue marker
Classification nameImplantable Clip
Classification regulation878.4300 NEU
Predicate deviceGel Mark UltraCor Biopsy Site Marker, K080698, Clearance date: 3/31/2008; NEU
Fiducial Markers, K071614, Clearance date: 9/11/2007; IYE
DescriptionThe Prostate Tissue Marker consists of a pure gold marker placed inside a 17 Ga
disposable beveled needle applicator. Also contained in the needle are 2 resorbable
polylactic acid/polyglycolic acid (PLA/PGA) pellets and a polyethylene glycol (PEG)
plug in the needle bevel. The gold marker is intended for long-term radiographic
marking of the tissue site. The pellets are visible via ultrasound for approximately 4
weeks and are essentially resorbed in approximately 12 weeks.
Indications for useThe Prostate Tissue Marker is indicated for use to radiographically mark prostate tissue.
Summary of substantial
equivalenceThe Prostate Tissue Marker is identical to the Gel Mark UltraCor Biopsy Site Marker
(SenoRx, K080698) except for the intended use being prostate tissue rather than another
soft tissue, breast. The Fiducial Marker (CIVCO, K071614) is also used to mark soft
body tissues, including the prostate for the treatment of tumors. The CIVCO Fiducial
Marker itself is also pure gold with approximately the same mass as the proposed
device. The principle of operation, method of use, technological characteristics, and
basic design are the same for the SenoRx device and similar to the CIVCO device. The
indication for use, intended use, and treatment site for the Prostate Tissue Marker is a
subset of that for the CIVCO device and represents a different soft tissue target for the
SenoRx device.

and the comments of the comments of the comments of the comments of

1

Image /page/1/Picture/1 description: The image shows the seal of the Department of Health & Human Services (HHS) of the United States. The seal features a stylized eagle with three stripes on its wing, symbolizing health and human services. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" is arranged in a circular pattern around the eagle.

Public Health Service

MAY 2 8 2008

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

SenoRx, Inc. % Mr. Eben Gordon VP, RA/QA 11 Columbia Aliso Viejo, California 92656

Re: K081170

Trade/Device Name: Prostate Tissue Marker Regulation Number: 21 CFR 878.4300 Device Name: Implantable clip Regulatory Class: II Product Code: NEU Dated: April 23, 2008 Received: April 29, 2008

Dear Mr. Hawkins:

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 (OS) 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. Eben Gordon

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 Center for Devices and Radiological Health's (CDRH's) Office of Compliance at (240) 276-0115. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding postmarket surveillance, please contact CDRH's Office of Surveillance and Biometric's (OSB's) Division of Postmarket Surveillance at (240) 276-3474. For questions regarding of device adverse events (Medical Device Reporting (MDR)), please contact the Division of Surveillance Systems at (240) 276-3464. 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,

Mark M. Milliman

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

Enclosure

3

6. INDICATIONS FOR USE

510(k) Number (if known): KOG | | 70

Device Name: _________________________________________________________________________________________________________________________________________________________________ Prostate Tissue Marker

Indications for Use:

The Prostate Tissue Marker is indicated for use to radiographically mark prostate tissue.

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 OF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Neil Rp Oyl for rxn

Page ⊥ of ⊥

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

510(k) Number K081170

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