K Number
K100454
Manufacturer
Date Cleared
2010-04-22

(64 days)

Product Code
Regulation Number
882.5950
Panel
NE
Reference & Predicate Devices
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The HydroCoil Embolic System (HES) is intended for the endovascular embolization of intracranial aneurysms and other neurovascular abnormalities such as arteriovenous malformations and artiovenous fistula. The HES is also intended for vascular occlusion of blood vessels within the neurovascular system to permanently obstruct blood flow to an aneurysm or other vascular malformation and for arterial and venous embolization in the peripheral vasculature.

Device Description

The HydroFrame coils consist of implant coil made of platinum alloy with inner hydrogel core. The coils are designed in 3D spherical structure in various loop sizes and lengths. The coil is attached to a V-TrakTM delivery pusher via a polymer filament. The delivery pusher contains radiopaque positioning markers at the distal end. The proximal end is inserted into a hand held battery powered V-GripTM Detachment Controller (sold separately). The implant segment detaches upon activation of the Detachment Controller.

AI/ML Overview

The provided text describes the HydroCoil Embolic System, HydroFrame, a neurovascular embolization device. The submission is a Special 510(k) for this device, comparing it to an existing predicate device (K090357). The acceptance criteria and supporting study are focused on demonstrating that the updated device maintains the same performance characteristics as the predicate through bench testing.

Here's a breakdown of the requested information based on the provided text:

1. Table of Acceptance Criteria and Reported Device Performance

The acceptance criteria for each test was "Met same specifications as predicate". The reported device performance for all tests listed below was that this criterion was met.

TestAcceptance CriteriaReported Device Performance
Visual InspectionMet same specifications as predicate device (K090357)Met same specifications as predicate
Dimensional MeasurementMet same specifications as predicate device (K090357)Met same specifications as predicate
Simulated Use: Introduction, Tracking, Deployment, Frame tumbling, Microcatheter movement, Microcatheter manipulation, Compartmentalization, Periphery fill, Basket formation, Shape retention, Overall performanceMet same specifications as predicate device (K090357)Met same specifications as predicate
Advancement/RetractionMet same specifications as predicate device (K090357)Met same specifications as predicate
Spring ConstantMet same specifications as predicate device (K090357)Met same specifications as predicate
Gel ExpansionMet same specifications as predicate device (K090357)Met same specifications as predicate
Weld TensileMet same specifications as predicate device (K090357)Met same specifications as predicate

2. Sample Size Used for the Test Set and Data Provenance

The document does not specify the sample size used for the test set (number of devices tested for each bench test). It also does not provide information on data provenance (country of origin or whether it was retrospective or prospective), as these were bench tests of a physical device, not an AI algorithm utilizing clinical data.

3. Number of Experts Used to Establish Ground Truth for the Test Set and Qualifications

This information is not applicable as the study described is purely bench testing of a physical medical device, not an AI algorithm requiring expert ground truth for interpretation. The ground truth for bench tests would be directly measurable physical properties and performance characteristics.

4. Adjudication Method for the Test Set

This information is not applicable as the study described is purely bench testing of a physical medical device. Adjudication methods are typically relevant for studies involving human interpretation or clinical outcomes.

5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done

No, a Multi-Reader Multi-Case (MRMC) comparative effectiveness study was not done. This type of study is relevant for AI algorithms or imaging interpretation, not for the bench testing of a physical embolization device.

6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) Was Done

No, a standalone (algorithm only) performance study was not done. This device is a physical medical implant, not an AI algorithm.

7. The Type of Ground Truth Used

The "ground truth" for the bench tests was based on engineering specifications and measurable physical properties of the predicate device. The goal was to ensure the new device met the same objective specifications as the existing one.

8. The Sample Size for the Training Set

This information is not applicable as the device is a physical medical device, not an AI algorithm that requires a training set.

9. How the Ground Truth for the Training Set Was Established

This information is not applicable as the device is a physical medical device, not an AI algorithm that requires a training set and associated ground truth.

§ 882.5950 Neurovascular embolization device.

(a)
Identification. A neurovascular embolization device is an intravascular implant intended to permanently occlude blood flow to cerebral aneurysms and cerebral ateriovenous malformations. This does not include cyanoacrylates and other embolic agents, which act by polymerization or precipitation. Embolization devices used in other vascular applications are also not included in this classification, see § 870.3300.(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 § 882.1(e).