K Number
K083191
Device Name
DETLOGIX ANNULOPLASTY RING, MODEL: 5100
Date Cleared
2009-04-10

(163 days)

Product Code
Regulation Number
870.3800
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The dETlogix annuloplasty ring, model 5100, is indicated for the correction of mitral valvular insufficiency where the lesions are not severe enough as to require total valve replacement. The decision to undertake valvuloplasty can be made only after visual analysis of the lesion present. The most favorable conditions for valvuloplasty using an annuloplasty ring are a combination of a distended natural valve ring associated with supple valve cusps and normal chordae tendineae. The remodeling valvuloplasty technique with a prosthetic ring may be used in all acquired or congenital mitral insufficiencies with dilatation and deformation of the fibrous mitral annulus. For Type I mitral insufficiencies with no subvalvular lesions and normal valvular movements, this ring technique used alone is sufficient. However, the ring technique must be associated with mitral valvuloplasty repair in Type II insufficiencies with a prolapsed valve due to elongation or rupture of the chordae tendineae and in Type III insufficiencies with limitation of valvular movements due to fusion of the commissures or chordae tendineae, or chordal hypertrophy.
Device Description
The dETlogix™ annuloplasty ring, model 5100, is constructed of titanium alloy and has a sewing ring margin that consists of a layer of silicone rubber, covered with polyester velour cloth sewn with a single seam.
More Information

Not Found

No
The summary describes a physical annuloplasty ring and its intended use in surgical procedures. There is no mention of software, algorithms, or data processing that would indicate the presence of AI/ML.

Yes
The device is indicated for the correction of mitral valvular insufficiency, directly treating a medical condition.

No

The device description clearly states it is an annuloplasty ring, which is an implantable medical device used for the correction of mitral valvular insufficiency, a treatment rather than a diagnostic function. The text indicates that the decision to use the device is made after visual analysis, but the device itself is not performing that analysis.

No

The device description explicitly states the device is constructed of titanium alloy and has a sewing ring margin made of silicone rubber and polyester cloth, indicating it is a physical implantable device, not software.

Based on the provided text, 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.
  • Device Description and Intended Use: The description clearly states that the dETlogix annuloplasty ring is a physical implantable device used for the surgical correction of mitral valvular insufficiency. It is a prosthetic ring that is surgically implanted to remodel the mitral annulus.
  • Lack of Mention of Samples or Testing: There is no mention of the device being used to test samples from the body or to provide diagnostic information based on such testing.

Therefore, the dETlogix annuloplasty ring is a surgical implant, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The dETlogix annuloplasty ring, model 5100, is intended for the correction of mitral valvular insufficiency where the lesions are not so severe as to require total valve replacement. The dETlogix annuloplasty ring, model 5100, is indicated for the correction of mitral valvular insufficiency where the lesions are not severe enough as to require total valve replacement. The decision to undertake valvuloplasty can be made only after visual analysis of the lesion present. The most favorable conditions for valvuloplasty using an annuloplasty ring are a combination of a distended natural valve ring associated with supple valve cusps and normal chordae tendineae. The remodeling valvuloplasty technique with a prosthetic ring may be used in all acquired or congenital mitral insufficiencies with dilatation and deformation of the fibrous mitral annulus. For Type I mitral insufficiencies with no subvalvular lesions and normal valvular movements, this ring technique used alone is sufficient. However, the ring technique must be associated with mitral valvuloplasty repair in Type II insufficiencies with a prolapsed valve due to elongation or rupture of the chordae tendineae and in Type III insufficiencies with limitation of valvular movements due to fusion of the commissures or chordae tendineae, or chordal hypertrophy.

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

KRH

Device Description

The dETlogix annuloplasty ring, model 5100, is constructed of titanium alloy and has a sewing ring margin that consists of a layer of silicone rubber, covered with polyester velour cloth sewn with a single seam.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Mitral valve annulus (for mitral valvular insufficiency)

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Prescription Use

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)

Functional/Safety Testing: The dETlogix annuloplasty ring has successfully completed design verification testing.

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.

K032250, K926138, K831949

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

§ 870.3800 Annuloplasty ring.

(a)
Identification. An annuloplasty ring is a rigid or flexible ring implanted around the mitral or tricuspid heart valve for reconstructive treatment of valvular insufficiency.(b)
Classification. Class II (special controls). The special control for this device is the FDA guidance document entitled “Guidance for Annuloplasty Rings 510(k) Submissions.”

0

KO8319/

Image /page/0/Picture/1 description: The image shows a logo with the letter 'E' in a square grid pattern, with a circle behind the letter. Below the logo, the word 'Edwards' is printed in a serif font. The logo is simple and professional, likely representing a company or organization with the name Edwards.

APR 1 0 2009

510(k) Summary

Submitter:Edwards Lifesciences LLC
Contact Person:Martin A. Kaufman
Director - Regulatory Affairs
martin_kaufman@edwards.com
(ph) 949.250.2708
(fax) 949.250.3630
Date Prepared:October 27, 2008
Trade Name:Edwards™™ dETlogix™™ annuloplasty ring
Classification Name:Class II, CFR 870.3800 Annuloplasty Ring, KRH
Predicate Device(s):GeoForm® annuloplasty ring (K032250)
Carpentier-Edwards Physio® annuloplasty ring
(K926138)
Carpentier-Edwards Classic® annuloplasty ring
(K831949)
Device Description:The dETlogix™ annuloplasty ring, model 5100, is
constructed of titanium alloy and has a sewing ring
margin that consists of a layer of silicone rubber,
covered with polyester velour cloth sewn with a single
seam.
Indications for Use:The dETlogix annuloplasty ring, model 5100 is
intended for the correction of mitral valvular
insufficiency where the lesions are not so severe as to
require total valve replacement.
Comparative Analysis:It has been demonstrated that the dETlogix
annuloplasty ring is comparable to the predicate
devices in design, intended use, materials, and
principal of operation.
Functional/Safety Testing:The dETlogix annuloplasty ring has successfully
completed design verification testing.
Conclusion:The dETlogix annuloplasty ring 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 & Human Services. The logo consists of a stylized eagle or bird-like figure with three wing-like shapes. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES. USA" is arranged in a circular fashion around the bird-like figure.

Public Health Service

APR 1 0 2009

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Edwards Lifesciences, LLC. Martin A. Kaufman Director of Regulatory Affairs One Edwards Way Irvine CA 92614

Re: K083191

Trade/Device Name: dETlogix annuloplasty ring, model 5100 Regulation Number: 21 CFR 870.3800 Regulatory Class: Class II Product Code: KRH Dated: February 26, 2009 Received: March 2, 2009

Dear Mr. Kaufman:

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.

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); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); 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

Mr. Kaufman - Page 2

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) 276-0120. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please contact the CDRH/Office of Surveillance and Biometrics/Division of Postmarket Surveillance at 240-276-3464. For more information regarding the reporting of adverse events, please go to http://www.fda.gov/cdrh/mdr/.

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,

Bram D. Zuckerman, M.D. Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

3

Indications for Use

510(k) Number (if known): __K083191

Device Name: _dETlogix annuloplasty ring, Model 5100

Indications for Use:

The dETlogix annuloplasty ring, model 5100, is indicated for the correction of mitral valvular insufficiency where the lesions are not severe enough as to require total valve replacement.

The decision to undertake valvuloplasty can be made only after visual analysis of the lesion present. The most favorable conditions for valvuloplasty using an annuloplasty ring are a combination of a distended natural valve ring associated with supple valve cusps and normal chordae tendineae.

The remodeling valvuloplasty technique with a prosthetic ring may be used in all acquired or congenital mitral insufficiencies with dilatation and deformation of the fibrous mitral annulus.

For Type I mitral insufficiencies with no subvalvular lesions and normal valvular movements, this ring technique used alone is sufficient. However, the ring technique must be associated with mitral valvuloplasty repair in Type II insufficiencies with a prolapsed valve due to elongation or rupture of the chordae tendineae and in Type III insufficiencies with limitation of valvular movements due to fusion of the commissures or chordae tendineae, or chordal hypertrophy.

Prescription Use (Part 21 CFR 801 Subpart D)XAND/OROver-The-Counter Use (21 CFR 801 Subpart C)
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(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE OF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

(Division Sign-Off)
Division of Cardiovascular Devices
510(k) NumberK083191
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