K Number
K093002
Device Name
AZUR PERIPHERAL HYDROCOIL ENDOVASCULAR EMBOLIZATION SYSTEM-DETACHABLE 35, MODELS 45-450405, 45-450410, 45-450610
Manufacturer
Date Cleared
2009-10-28

(30 days)

Product Code
Regulation Number
870.3300
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Azur Peripheral HydroCoil Endovascular Embolization Coil System is intended to reduce or block the rate of blood flow in vessels of the peripheral vasculature. It is intended for use in the interventional radiologic management of arteriovenous malformations, arteriovenous fistulae, aneurysms, and other lesions of the peripheral vasculature.
Device Description
The Azur Peripheral HydroCoil Endovascular Embolization System- Detachable 35 consists of an implantable coil attached to a delivery pusher. The coil system is delivered to the treatment site through the microcatheter. The proximal end of the delivery pusher is inserted to the detachment controller. The detachment controller is activated by the user and this detaches the coil. The Azur coils are designed for use with the Azur Detachment Controller, specifically designed for coil detachment.
More Information

Not Found

No
The summary describes a mechanical embolization coil system and its delivery mechanism. There is no mention of AI, ML, image processing, or any software-driven analytical capabilities. The performance studies are bench tests of mechanical properties.

Yes
The device is intended to reduce or block the rate of blood flow in vessels by embolization, which is a therapeutic intervention for various vascular conditions like arteriovenous malformations, fistulae, and aneurysms.

No
Explanation: The device description states its intended use is to "reduce or block the rate of blood flow in vessels of the peripheral vasculature," indicating a therapeutic purpose (embolization), not a diagnostic one.

No

The device description clearly outlines physical components: an implantable coil, a delivery pusher, and a detachment controller. These are hardware components, not software.

No, 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 Azur Peripheral HydroCoil Endovascular Embolization Coil System is an implantable medical device used to physically block blood flow within blood vessels. It is a therapeutic device, not a diagnostic one.
  • Intended Use: The intended use clearly states it's for "reducing or blocking the rate of blood flow" and for "interventional radiologic management" of vascular lesions. This is a treatment, not a diagnostic process.
  • Device Description: The description details a physical coil and delivery system, not a test or assay performed on a biological sample.

The information provided describes a device used within the body for treatment, which is the opposite of an in vitro diagnostic.

N/A

Intended Use / Indications for Use

The Azur Peripheral HydroCoil Endovascular Embolization Coil System is intended to reduce or block the rate of blood flow in vessels of the peripheral vasculature. It is intended for use in the interventional radiologic management of arteriovenous malformations, arteriovenous fistulae, aneurysms, and other lesions of the peripheral vasculature.

Product codes

KRD

Device Description

The Azur Peripheral HydroCoil Endovascular Embolization System- Detachable 35 consists of an implantable coil attached to a delivery pusher. The coil system is delivered to the treatment site through the microcatheter. The proximal end of the delivery pusher is inserted to the detachment controller. The detachment controller is activated by the user and this detaches the coil. The Azur coils are designed for use with the Azur Detachment Controller, specifically designed for coil detachment.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

vessels of the peripheral vasculature

Indicated Patient Age Range

Not Found

Intended User / Care Setting

interventional radiologic management

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)

Bench Testing:

  • Visual inspection: Met established criteria
  • Dimensional inspection: Met established criteria
  • Simulated use testing: Met established criteria
  • Reposition time: Met established criteria
  • Detachment test: Met established criteria
  • Advancement/Retraction test: Met established criteria
  • Detachment element tensile test: Met established criteria
  • Coil initial tension test: Met established criteria
  • Coil tensile test: Met established criteria
  • Gel expansion: Met established criteria

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.

K071939, K090168

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

§ 870.3300 Vascular embolization device.

(a)
Identification. A vascular embolization device is an intravascular implant intended to control hemorrhaging due to aneurysms, certain types of tumors (e.g., nephroma, hepatoma, uterine fibroids), and arteriovenous malformations. This does not include cyanoacrylates and other embolic agents, which act by polymerization or precipitation. Embolization devices used in neurovascular applications are also not included in this classification, see § 882.5950 of this chapter.(b)
Classification. Class II (special controls.) The special control for this device is the FDA guidance document entitled “Class II Special Controls Guidance Document: Vascular and Neurovascular Embolization Devices.” For availability of this guidance document, see § 870.1(e).

0

K093002

OCT 2 8 2009

510(k) Summary

| Trade Name: | Azur Peripheral HydroCoil Endovascular Embolization System -
Detachable 35 |
|-----------------|-------------------------------------------------------------------------------|
| Generic Name: | Vascular Embolization Coil |
| Classification: | Class II, 21 CFR 870.3300 |
| Submitted By: | MicroVention, Inc
1311 Valencia Avenue
Tustin, California U.S.A. |
| Contact: | Naomi Gong |

Predicate Devices:

NumberDescriptionClearance Date
K071939Azur Peripheral HydroCoil
Endovascular Embolization System-
Pushable 35January 11, 2008
K090168Azur Peripheral Hydrocoil
Endovascular Embolization System -
Detachable 18March 12, 2009

Device Description

The Azur Peripheral HydroCoil Endovascular Embolization System- Detachable 35 consists of an implantable coil attached to a delivery pusher. The coil system is delivered to the treatment site through the microcatheter. The proximal end of the delivery pusher is inserted to the detachment controller. The detachment controller is activated by the user and this detaches the coil. The Azur coils are designed for use with the Azur Detachment Controller, specifically designed for coil detachment.

1

Indication For Use

The intended use as stated in the product labeling is as follows:

The Azur Peripheral HydroCoil Endovascular Embolization Coil System is intended to reduce or block the rate of blood flow in vessels of the peripheral vasculature. It is intended for use in the interventional radiologic management of arteriovenous malformations, arteriovenous fistulae, aneurysms, and other lesions of the peripheral vasculature.

Verification and Test Summary Table

Bench TestingResult
Visual inspectionMet established criteria
Dimensional inspectionMet established criteria
Simulated use testingMet established criteria
Reposition timeMet established criteria
Detachment testMet established criteria
Advancement/Retraction testMet established criteria
Detachment element tensile testMet established criteria
Coil initial tension testMet established criteria
Coil tensile testMet established criteria
Gel expansionMet established criteria

Summary of Substantial Equivalence

The data presented in this submission demonstrates the technological similarity and equivalency of the Azur Peripheral HydroCoil Endovascular Embolization System -Detachable 35 coils when compared with the predicate devices, MicroVention Azur Pushable 35 [K071939] and Azur Detachable 18 [K090168].

The devices,

  • Have the same intended use, ■
  • 트 Use the same operating principle,
  • . Incorporate the same basic design,
  • 내 Use similar construction and material,
  • Are packaged and sterilized using same material and processes. I

In summary, the Azur Detachable 35 coils described in this submission is, in our opinion, substantially equivalent to the predicate devices.

2

DEPARTMENT OF HEALTH & HUMAN SERVICES

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 eagle with its wings spread, and the text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" arranged in a circular pattern around the eagle. The eagle is depicted in a simple, abstract style, with bold lines forming its shape. The text is in uppercase letters and is evenly spaced around the circle.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room W-066-0609 Silver Spring, MD 20993-0002

MicroVention, Inc. c/o Ms. Naomi Gong Regulatory Affairs Project Manager 1311 Valencia Avenue Tustin, CA 92780

OCT 2 8 2009

Re: K093002

Azur Peripheral HydroCoil Endovascular Embolization System-Detachable 35 Regulation Number: 21 CFR 870.3300 Regulation Name: Vascular Embolization Device Regulatory Class: Class II (two) Product Code: KRD Dated: September 25, 2009 Received: September 28, 2009

Dear Ms. Gong:

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.

3

Page 2 - Ms. Naomi Gong

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. 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 Office of Compliance at (301) 594-4646. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR 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 (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html

Sincerely yours,

R. R. Erickson, M.D.

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

Enclosure

4

Special 510(k), Azur Detachable 35

Indications for Use

510(k) Number (if known): ___

Device Name: Azur Peripheral HydroCoil Endovascular Embolization System -Detachable 35

Indications For Use:

The Azur Peripheral HydroCoil Endovascular Embolization Coil System is intended to reduce or block the rate of blood flow in vessels of the peripheral vasculature. It is intended for use in the interventional radiologic management of arteriovenous malformations, arteriovenous fistulae, aneurysms, and other lesions of the peripheral vasculature.

Prescription Use X (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (21 CFR 807 Subpart C)

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Goncurrence of CDRH, Office of Device Evaluation (ODE)

(Division Sian/66

(Division Sign, Off) 610(k) Numbe

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