(35 days)
Not Found
No
The summary describes a physical medical device (applicator) used in brachytherapy and does not mention any software, algorithms, or data processing that would indicate the use of AI/ML.
Yes
The device is used to deliver a prescribed radiation dose during brachytherapy procedures, which is a form of cancer treatment, thus serving a therapeutic purpose.
No.
The SAVI Applicator is described as an accessory for delivering radiation dose during brachytherapy procedures, functioning as a pathway for radiation, not for diagnosing conditions.
No
The device description clearly states it is an "expandable cylindrical device with radially positioned catheters," which are physical hardware components.
No, this device is not an IVD (In Vitro Diagnostic).
Here's why:
- Intended Use: The intended use clearly states that the SAVI Applicator is used as an accessory to remote afterloading equipment for brachytherapy procedures. This involves delivering radiation to the treatment area within the body.
- Device Description: The description details a physical device inserted into the target volume for radiation delivery.
- Lack of IVD Characteristics: An IVD is a medical device used to perform tests on samples taken from the human body (like blood, urine, tissue) to provide information about a person's health. This device does not perform any such tests on biological samples.
The SAVI Applicator is a therapeutic device used in the delivery of radiation therapy, not a diagnostic device used for testing biological samples.
N/A
Intended Use / Indications for Use
The SAVI Applicator is intended for use as an accessory to commercially available remote afterloading equipment used during brachytherapy procedures. The multiple lumens of the SAVI Applicator are intended to provide pathways from which a prescribed radiation dose is delivered to the treatment area.
Product codes (comma separated list FDA assigned to the subject device)
JAQ
Device Description
The SAVI Applicator is an expandable cylindrical device with radially positioned catheters, which is inserted into the target volume. The SAVI Applicator is provided sterile and is a single use device.
Mentions image processing
Not Found
Mentions AI, DNN, or ML
Not Found
Input Imaging Modality
Not Found
Anatomical Site
Not Found
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)
Performance testing was conducted on the SAVI Applicator to demonstrate the integrity, suitability and substantial equivalence of the device.
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.
SAVI Applicator (K080565), Wright Vaginal Cuff Applicator (K980601), Comfort Catheters (K032372), Shielded Rectal Applicator Set (K033371)
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
§ 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
Cianna Medical. 510(k) Submission- Special SAVI Applicator Kit
6. 510(k) Summary of Safety and Effectiveness
| Device Name: | SAVI Applicator JUL 22 2008 |
|---|---|
| Device Model Number: | SAVI-006 |
| SAVI-008 | |
| SAVI-010 | |
| Classification Name: | Remote Controlled Radionuclide Applicator System |
| (JAQ), | |
| 21 CFR, 892.5700 | |
| Device Classification: | Class II |
| Predicate devices: | SAVI Applicator (K080565) |
| Wright Vaginal Cuff Applicator (K980601) | |
| Comfort Catheters (K032372) | |
| Shielded Rectal Applicator Set (K033371) | |
| Manufacturer: | Cianna Medical |
| 6 Journey, Suite 125 | |
| Aliso Viejo, CA 92656 | |
| Establishment Registration | |
| Number: | 2032338 |
| Official Contact: | Gary Mocnik |
| Cianna Medical | |
| 6 Journey, Suite 125 | |
| Aliso Viejo, CA 92656 | |
| Phone: (949) 360-0059 |
Intended Use:
The SAVI Applicator is intended for use as an accessory to commercially available remote afterloading equipment used during brachytherapy procedures. The multiple lumens of the SAVI Applicator are intended to provide pathways from which a prescribed radiation dose is delivered to the treatment area.
1
Device Description:
The SAVI Applicator is an expandable cylindrical device with radially positioned catheters, which is inserted into the target volume. The SAVI Applicator is provided sterile and is a single use device.
Technological Characteristics Summary
The SAVI Applicator is equivalent to the predicate devices, with the same principles of operation and overall technological characteristics.
Performance Data Summary
Performance testing was conducted on the SAVI Applicator to demonstrate the integrity, suitability and substantial equivalence of the device.
Conclusion:
Upon reviewing the safety and efficacy information provided in this submission and comparing intended use, principle of operation and overall technological characteristics, the SAVI Applicator is determined to be substantially equivalent to existing legally marketed devices
Strut Adjusted Volume Implant (SAVI)
2
Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized caduceus symbol, which is a staff with two snakes coiled around it. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the symbol. The logo is black and white.
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
Mr. Gary Mocnik V.P. Regulatory Affairs and Quality Systems Cianna Medical, Inc. 6 Journey, Suite 125 ALISO VIEJO CA 92656
JUL 2 2 2008
Re: K081677
Trade/Device Name: SAVI Applicator Kit Regulation Number: 21 CFR 892.5700 Regulation Name: Remote Controlled radio-nuclide applicator system Regulatory Class: II Product Code: JAQ Dated: June 10, 2008 Received: June 19, 2008
Dear Mr. Mocnik:
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 SAVI Applicator Kit for breast brachytherapy as a replacement for whole breast irradiation in the treatment of breast cancer has not been established.
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. The safety and effectiveness of this device for use as a replacement for whole breast irradiation in the treatment of breast cancer have not been established.
3
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 labcling.
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) 276-0120. 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,
Valerith
Donna-Bea Til lman, Ph.D., M.P.A. Director Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
4
- Indications for Use Statement
INDICATIONS FOR USE STATEMENT
510(k) Number (if known): K_0816 77
Device Name:
SAVI Applicator Kit
Indications for Use:
The SAVI Applicator Kit is intended for use as an accessory to commercially available remote afterloading equipment used during brachytherapy procedures. The multiple lumens of the SAVI Applicator are intended to provide pathways from which a prescribed radiation dose is delivered to the treatment area.
(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED) . .
Concurrence of CDRH, Office of Device Evaluation (ODE)
| X | OR | Over-The-Counter Use |
|---|---|---|
| Prescription Use | (Optional Format 1-2-96) | |
| (Per 21 CFR 801.109) |
| (Division Sign-Off) | |
|---|---|
| Division of Reproductive, Abdominal and | |
| Radiological Devices | |
| 510(k) Number | K081677 |