K Number
K090611
Device Name
REVOLUTION FULL CORE BIOPSY
Manufacturer
Date Cleared
2009-06-04

(90 days)

Product Code
Regulation Number
876.1075
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The device is intended for use in obtaining biopsies from soft tissues such as liver, breast, kidney, prostate, spleen, lymph nodes and various soft tissue tumors.
Device Description
The Revolution™ Full Core Blopsy Device is a sterile, disposable device which features a stainless steel cutting cannula with spoon, rotating coring cannula and stylet. The device is comprised of a plastic housing that contains the mechanically actuated components. The key performance attribute of the Revolution™ Full Core Biopsy Device is the capability of obtaining a full core specimen. A variable throw feature allows the user to choose a throw setting ranging from 10 to 25 mm.
More Information

Not Found

No
The description focuses on mechanical components and features for obtaining a biopsy, with no mention of AI or ML.

No
Explanation: A biopsy device is used for diagnostic purposes (obtaining tissue for examination) rather than for treating a condition, which is the primary function of a therapeutic device.

No
Explanation: The device is described as a biopsy device used for obtaining tissue samples. Biopsy devices are used to collect samples, which are then typically analyzed to make a diagnosis. The device itself does not perform any diagnostic function on the collected sample.

No

The device description clearly outlines physical components like a stainless steel cutting cannula, rotating coring cannula, stylet, and plastic housing, 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 obtain biopsies from soft tissues. This is a procedure for collecting a sample from the body.
  • Device Description: The device is a mechanical tool for cutting and collecting tissue. It does not perform any testing or analysis on the sample itself.
  • Lack of IVD Characteristics: IVD devices are used to examine specimens from the human body to provide information for diagnosis, monitoring, or screening. This device's function is solely to acquire the specimen.

The device is a tool used in conjunction with diagnostic procedures, but it is not an IVD itself. The collected tissue sample would then likely be sent to a laboratory for in vitro diagnostic testing (e.g., histology, pathology).

N/A

Intended Use / Indications for Use

The device is intended for use in obtaining biopsies from soft tissues such as liver, breast, kidney, prostate, spleen, lymph nodes and various soft tissue tumors.

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

KNW

Device Description

The Revolution™ Full Core Blopsy Device is a sterile, disposable device which features a stainless steel cutting cannula with spoon, rotating coring cannula and stylet. The device is comprised of a plastic housing that contains the mechanically actuated components. The key performance attribute of the Revolution™ Full Core Biopsy Device is the capability of obtaining a full core specimen. A variable throw feature allows the user to choose a throw setting ranging from 10 to 25 mm.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

soft tissues such as liver, breast, kidney, prostate, spleen, lymph nodes and various soft tissue tumors.

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 confirms that the quality of samples obtained with the Revolution™ Full Core Biopsy Device is equivalent to that of the predicate 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.

K904987

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

§ 876.1075 Gastroenterology-urology biopsy instrument.

(a)
Identification. A gastroenterology-urology biopsy instrument is a device used to remove, by cutting or aspiration, a specimen of tissue for microscopic examination. This generic type of device includes the biopsy punch, gastrointestinal mechanical biopsy instrument, suction biopsy instrument, gastro-urology biopsy needle and needle set, and nonelectric biopsy forceps. This section does not apply to biopsy instruments that have specialized uses in other medical specialty areas and that are covered by classification regulations in other parts of the device classification regulations.(b)
Classification. (1) Class II (performance standards).(2) Class I for the biopsy forceps cover and the non-electric biopsy forceps. The devices subject to this paragraph (b)(2) are exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 876.9.

0

SECTION 5: 510(k) SUMMARY

Image /page/0/Picture/1 description: The image shows the word "INRAD" in bold, black letters. To the left of the word is a black square with a white diagonal line running from the top left corner to the bottom right corner. The letters are large and take up most of the image. The background is white.

K090611

pg 1 of

JUN - 4 2009

March 4, 2009

Contact Information

Melissa Lalomia Director of Quality & Regulatory Affairs Phone: 616-301-7800, ext. 102 616-301-7799 Fax: E-mail: mlalomia@inrad-inc.com

Company Information

Inrad, Inc 4375 Donker Court SE Kentwood, MI 49512 616-301-7800 Phone: 616-301-7799 Fax:

Device Name(s)

Revolution™ Full Core Biopsy Device Revolution™ Full Core Biopsy Device w/HiLiter®

Device Summary

Trade or Proprietary Name: Revolution™ Full Core Biopsy Device Revolution™ Full Core Biopsy Device w/HiLiter® Common or Usual Name: Biopsy Instrument Gastroenterology-urology biopsy instrument Classification Name: (21 CFR 876.1075, Product code KNW)

Name of Predicate(s) or Legally Marketed Device(s)

K904987 - Vibronics Auto Core Biopsy Device

Also known as:

  • BioPince® Full Core Biopsy Instrument (currently sold by InterV/Angiotech)

  • Inrad Express™ Core Biopsy Device (formerly manufactured for Inrad by Amedic)

1

SECTION 5: 510(k) SUMMARY

2090611

Device Description

The Revolution™ Full Core Blopsy Device is a sterile, disposable device which features a stainless steel cutting cannula with spoon, rotating coring cannula and stylet. The device is comprised of a plastic housing that contains the mechanically actuated components. The key performance attribute of the Revolution™ Full Core Biopsy Device is the capability of obtaining a full core specimen. A variable throw feature allows the user to choose a throw setting ranging from 10 to 25 mm.

Indications for Use

The device is intended for use in obtaining biopsies from soft tissues such as liver, breast, kidney, prostate, spleen, lymph nodes and various soft tissue turnors.

Substantial Equivalence

The Revolution™ Full Core Biopsy Device has the same intended use as the BioPince® Full Core Biopsy Instrument. The device and the predicate device have the same technological characteristics in terms of design and materials.

Performance Testing Summary

Performance testing confirms that the quality of samples obtained with the Revolution™ Full Core Biopsy Device is equivalent to that of the predicate device.

Section 5 - 2

2

DEPARTMENT OF HEALTH & HUMAN SERVICES

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Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUN - 4 2009

Ms. Melissa Lalomia Director of RA/QA Inrad. Inc. 4375 Donker Court SE KENTWOOD MI 49512

Re: K090611

Trade/Device Name: Revolution™ Full Core Biopsy Device and Revolution™ Full Core Biopsy Device w/HiLiter® Regulation Number: 21 CFR 876.1075 Regulation Name: Gastroenterology-urology-biopsy instrument Regulatory Class: II Product Code: KNW Dated: March 4, 2009 Received: March 6, 2009

Dear Ms. Lalomia:

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 CPR 803); 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.

3

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 one of the following numbers, based on the regulation number at the top of this letter.

21 CFR 876.xxx 21 CFR 884.xxx 21 CFR 892.xxx Other

(Gastroenterology/Renal/Urology) (Obstetrics/Gynecology) (Radiology)

(240) 276-0115 (240) 276-0115 (240) 276-0120 (240) 276-0100

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,

Ravine M. Murry

Janine M. Morris Acting Director, Division of Reproductive, Abdominal, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

Page 2

4

Indications for Use

Ko90611

510(k) Number (if known):

Device Name:

Revolution™ Full Core Biopsy Device Revolution™ Full Core Biopsy Device w/HiLiter®

Indications for Use:

The device is intended for use in obtaining biopsies from soft tissues such as liver, breast, kidney, prostate, spleen, lymph nodes and various soft tissue tumors.

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)

ula Rema

(Division Sign-Off) Division of Reproductive, Abdominal, and Radiological Devices 510(k) Number.

Section 4 - 1

INRAD, INC. - CONFIDENTIAL