K Number
K103008
Device Name
INZONE DETACHMENT SYSTEM
Date Cleared
2010-12-10

(59 days)

Product Code
Regulation Number
882.5950
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The InZone™ Detachment System is intended for use with all Boston Scientific Detachable Coils in the embolization of intracranial aneurysms and other vascular malformations of the neuro and peripheral vasculature.
Device Description
Boston Scientific's InZone™ Detachment System is a sterile, handheld, single-patient use device designed for use with Boston Scientific Detachable Coils. The device consists of an enclosure with a detachment button, five LED indicator lamps, a funnel inset at its distal end, and a cable connection port. The device comes pre-loaded with two AAAA (1.5 VDC) batteries.
More Information

No
The description focuses on a mechanical detachment system with basic electronic components (LEDs, button, batteries) and software verification according to standard medical device software development processes. There is no mention of AI, ML, image processing, or data sets typically associated with AI/ML applications.

Yes.
The device is intended for use in the embolization of intracranial aneurysms and other vascular malformations, which is a therapeutic intervention.

No

The device description and intended use indicate it is for the embolization of vascular malformations, which is a therapeutic intervention, not a diagnostic one. It facilitates the detachment of coils used in treatment.

No

The device description explicitly states it is a "sterile, handheld, single-patient use device" with physical components like an enclosure, button, LED lamps, funnel, cable port, and batteries. This indicates it is a hardware device with embedded software, not a software-only medical device.

Based on the provided information, the InZone™ Detachment System is not an IVD (In Vitro Diagnostic) device.

Here's why:

  • Intended Use: The intended use is for the embolization of intracranial aneurysms and other vascular malformations within the body (in vivo). IVD devices are used to examine specimens from the body (in vitro) to provide information for diagnosis, monitoring, or screening.
  • Device Description: The description details a handheld device used to detach coils inside the patient's vasculature. This is a therapeutic/interventional device, not a diagnostic one that analyzes samples.
  • Anatomical Site: The anatomical sites mentioned are within the neuro and peripheral vasculature, indicating use directly on the patient.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples, reagents, or providing diagnostic information based on laboratory testing.

Therefore, the InZone™ Detachment System is a medical device used for a therapeutic procedure, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The InZone Detachment System is intended for use with all Boston Scientific Detachable Coils in the embolization of intracranial aneurysms and other vascular malformations of the neuro and peripheral vasculature.

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

HCG, KRD

Device Description

Boston Scientific's InZone™ Detachment System is a sterile, handheld, single-patient use device designed for use with Boston Scientific Detachable Coils. The device consists of an enclosure with a detachment button, five LED indicator lamps, a funnel inset at its distal end, and a cable connection port. The device comes pre-loaded with two AAAA (1.5 VDC) batteries.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

intracranial, neuro and peripheral vasculature

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Physician, within sterile field

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)

Verification testing of the modified InZone Detachment System consisted of the following:

  1. Funtional testing to assess proper operation of the InZone device at start-up and in the detachment of Boston Scientific Detachable Coils.
  2. Software verification in accordance with Boston Scientific's Corporate SOP for Medical Device Software Development and in accordance with AAMI/ANSI/IEC 62304:2006, Medical device software - Software life cycle processes.
  3. Risk assessment in accordance with EN ISO 14971:2009
  4. Assessment of the modifications for impact upon: Sterility Assurance (no impact), Shelf Life (no impact), Packaging Validation (no impact), Compliance to standards.

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.

K093142

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.

K092666

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

§ 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).

0

510(k) Summary Of Safety And Effectiveness Summary Date October 8, 2010 Submitter Name and Boston Scientific Corporation DEC 1 0 2010 Address 47900 Bayside Parkway ા ﻤﺤﺐ ﺍﻟ Fremont, CA. 94538 Contact Person: Jim Leathley Regulatory Affairs Project Manager Phone: 510 440 7836 Fax: 510 440 7752 Email: leathlej@bsci.com InZone™ Detachment System Trade Name: Common Name: Power Supply Classification Name: The InZone Detachment System is intended for use with all Boston Scientific Detachable Coils in the embolization of intracranial aneurysms and other vascular malformations of the neuro and peripheral vasculature. Boston Scientific's detachable coils are Class II devices (special controls) classed as neurovascular embolization devices under 21 CFR 882.5950 (HCG) and vascular embolization devices under 21 CFR 870.3300 (KRD). The special control for the devices is FDA's guidance document, Class II Special Controls Guidance Document: Vascular and Neurovascular Embolization Devices (issued 29 Dec 2004).

K103008

Legally Marketed Predicate Devices:

Reference (Clearance Date)Device
K093142 (4 Feb 2010)Target Detachable Coils and
InZone Detachment System
K092666 (30 Sept 2009)InZone Detachment System and
IZDS Connecting Cable

1

510(k) Summary Of Safety And Effectiveness (cont.)

Device Description:

Boston Scientific's InZone™ Detachment System is a sterile, handheld, single-patient use device designed for use with Boston Scientific Detachable Coils. The device consists of an enclosure with a detachment button, five LED indicator lamps, a funnel inset at its distal end, and a cable connection port. The device comes pre-loaded with two AAAA (1.5 VDC) batteries.

How the Device Functions

Use of Boston Scientific's detachable coils involves a minimally invasive procedure to access the treatment area (intracranial aneurysm or other neuro or peripheral abnormality) from within a blood vessel (endovascular therapy). Treatment involves insertion of a Boston Scientific two tipmarker microcatheter into a patient's femoral artery and then navigation of the microcatheter through the vascular system, into the neuro or peripheral vasculature, and then to the site of the lesion.

Detachable coils are used in conjunction with:

  • · Boston Scientific microcatheters
  • · a Boston Scientific InZone Detachment System
  • · a Boston Scientific IZDS Connecting Cable, and
  • · a Patient Return Electrode (an off-the-shelf 20 or 22 gauge stainless-steel hypodermic needle)

Microcatheters. InZone Detachment System and IZDS Connecting Cable are all sold separately.

During a procedure, a physician will assess the target lesion to determine the type, size and number of coils to use. After prepping the patient and preparing the coil according to the instructions for use, the coil is delivered through the microcatheter to the lesion. The delivery wire enables the physician to deploy, position, or reposition the coil until proper placement. Prior to detachment of the coil, the entire device (i.e., coil and delivery wire) may be withdrawn completely, if necessary (e.g., if the physician desires to use a different size or shape coil).

The radionaqueness of the platinum-tungsten coil, in conjunction with radiopaque markers on the coil's delivery wire and on the microcatheter, enable the physician to properly position the device within the lesion and to always know the location of the coil relative to the distal tip of the microcatheter.

After being placed at the site of the lesion, the coil is detached from its delivery wire through an electrolytic process using a Boston Scientific InZone Detachment System (Table 1).

2

Table 1 -

Compatibility between Boston Scientific's InZone Detachment System and Detachable Coils

Types of Coils that can be used
InZone Detachment System
(M00345100940)GDC Detachable Coils1
Matrix2 Detachable Coils1
Target Detachable Coils2

1 For coil detachment, requires use of Boston Scientific's IZDS Connecting Cable (M00345110250) with the InZone Detachment System (see K092666).

2 No cable required for coil detachment (see K093142).

When using the InZone Detachment System to detach GDC and Matrix Detachable Coils:

An IZDS Connecting Cable is used in conjunction with an off-the-shelf patient return electrode. The IZDS Connecting Cable (Model / UPN M00345110250) is a 180 cm ground cable (black) for use with the InZone Detachment System. There are no accessories provided with the IZDS Connecting Cable.

The proximal end of the coil's delivery wire is inserted into the InZone Detachment System (anode connection), and the IZDS Connecting Cable completes the circuit between the InZone Detachment System ground port and the patient return electrode (cathode connection).

The InZone Detachment System and IZDS Connecting Cable are sold separately.

When using the InZone Detachment System to detach Target Detachable Coils:

No cable is required as the device's composite metal and polymer wire incorporates an anode and cathode into the wire thus eliminating the need to use a connecting cable and patient return electrode when detaching a Target Detachable Coil .

The proximal end of the coil's delivery wire is inserted into the InZone Detachment System (anode connection); the device's delivery wire hypotube provides the current return path (cathode connection).

3

510(k) Summary Of Safety And Effectiveness

Scientific Concept

In the use of Boston Scientific Detachable Coils, detachment of the coil from its delivery wire is accomplished by means of an electrolytic process wherein the body's electrolytes serve as the electrolytic carrier between positive and negative electrodes. Since body fluids are relatively ionic, these fluids serve as good conductors for the minimal electric current generated by the InZone Detachment System. Boston Scientific's detachable coils are designed so that electrolytic dissolution occurs in a defined area called the detachment zone.

Operation of the InZone Detachment System in the detachment of coils is governed by the InZone device's firmware first detecting the type of delivery wire which is inserted into the units funnel.

When used with Boston Scientific's GDC or Matrix' Detachable Coils, the InZone Detachment System operates at a maximum 12VDC and a maximum current of 1.0 mA.

For Target Detachable Coils, when the InZone Detachment System detects that a Target Detachable Coil delivery wire has been inserted into the units funnel, the device's firmware engages circuitry which operates the device at a maximum 28VDC and 1.8 mA.

Physical and Performance Characteristics

| Description: | Sterile, hand-held, internally powered, disposable unit, used within
sterile field |
|--------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Size: | 14.0 x 5.8 x 2.8 cm (5.5 x 2.3 x 1.1 inch) |
| Weight: | 80 g (2.8 oz) |
| Power: | 3V |
| Power Source: | Two 1.5 V (AAAA) DC batteries (in series) |
| CPU Operating Voltage: | 3.3 V DC |
| Max Current: | When detaching GDC and Matrix² Coils: 1mA
When detaching Target Detachable Coils: 1.8 mA |
| Power Switch: | Inserting coil delivery wire turns unit on. Removing delivery wire
turns unit off. Unit turns off after 2 minutes if unit detects no
activity |
| Safety Features: | At start up: Memory integrity (checksum assessment); calibration
validity
During detachment: Over-current / over-voltage (at least 10x/sec)
Software consistently running (at least 100x/sec) |
| Delivery Wire Interface: | InZone slides over proximal 6.5 cm of coil delivery wire |
| Attachment to Patient
Return Electrode (PRE): | InZone slides over proximal 6.5 cm of coil delivery wire |

4

510(k) Summary Of Safety And Effectiveness

Physical and Performance Characteristics (cont.)

| Cable Socket Type: | When detaching GDC and Matrix2 Coils: Black cable with
minigrabber attached to PRE. |
|----------------------------|----------------------------------------------------------------------------------------------|
| | When detaching Target Detachable Coils: Not applicable; return is
integral to the device. |
| Sterilization Method: | Ethylene Oxide Gas |
| Sterile Barrier: | PETG tray with Tyvek® lid |
| Packaging: | Carton with Directions for Use |
| User Serviceable Parts: | No user serviceable parts |
| User Required Maintenance: | No user required maintenance |
| Calibration: | Done at factory |
| Number of Detachments: | Minimum of 20 detachments |

User Interface / Displays:

DisplayComment/Action
PowerSystem Ready Indicator (LED) on and single audible tone when
powered up
Current
VoltageCurrent Flow Indicator (LED) on (green)
System Ready Indicator (LED) flashes (green) if high resistance
detected
Cycle CompleteCycle complete indicator (LED) on (green), 3 beeps
Running
Low Battery
GroundingCurrent Flow Indicator (LED) on (green)
Low battery Indicator (LED) flashes (amber)
Grounding Indicator (LED) flashes (amber) until complete circuit
is detected; when complete circuit is detected, LED remains
steady on and System Ready indicator (LED) will turn on (green)
accompanied by single beep
To start detachment
Resume current after
detachmentPress Detachment button
Press Detachment button
ErrorAll 5 LEDs illuminate

Packaging:

Each InZone Detachment System is packaged in a PETG tray; a Tyvek lid is heat-sealed to the tray. The tray with lid is then placed into a fiberboard carton along with Directions for Use.

5

510(k) Summary Of Safety And Effectiveness (cont.)

| Verification Testing: | Verification testing of the modified InZone Detachment System
consisted of the following:

  1. Funtional testing to assess proper operation of the InZone
    device at start-up and in the detachment of Boston Scientific
    Detachable Coils.

  2. Software verification in accordance with Boston Scientific's
    Corporate SOP for Medical Device Software Development and
    in accordance with AAMI/ANSI/IEC 62304:2006, Medical
    device software - Software life cycle processes.

  3. Risk assessment in accordance with EN ISO 14971:2009

  4. Assessment of the modifications for impact upon:

Sterility Assurance (no impact)
Shelf Life (no impact)
Packaging Validation (no impact)
Compliance to standards |
|----------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Accessories: | There are no accessories to the InZone Detachment System. |
| Indications for Use /
Intended Use: | The InZone Detachment System is intended for use with all
Boston Scientific Detachable Coils in the embolization of
intracranial aneurysms and other vascular malformations of the
neuro and peripheral vasculature. |
| Comparison to Predicate Device: | In October 2010 Boston Scientific submitted a Special 510(k) fo |

r modifications to device firmware to: a) reduce detachment cycle times; b) change the way the InZone unit signals detachment; and c) change the way the InZone device's grounding indicator signals proper grounding when the device is used with Boston Scientific GDC and Matrix2 Detachable Coils.

Additionally, the device's cone/wire guide component was modified to facilitate smoother placement of the InZone unit over detachable coil delivery wires.

Boston Scientific Corporation's modified InZone™ Detachment System has the same intended use and indications for use as the current legally marketed predicate device cleared under premarket notification K093142 (cleared 4 Feb 2010).

6

Comparison to Predicate Device (cont.):

Although the InZone Detachment System incorporates modifications to a device component, device firmware, packaging, and Directions for Use, the modifications do not alter the fundamental scientific technology of the predicate device.

Risk assessment of the modifications, in the form of design and use failure modes and effects analysis (design and use FMEAs), has been conducted in accordance with EN ISO 14971:2009. Boston Scientific has determined the modifications to the predicate device raise no new questions of safety or effectiveness.

Verification testing of the modified InZone Detachment System has demonstrated the device to be substantially equivalent to the predicate InZone Detachment System cleared under K093142.

Conclusion:

Since the subject modifications do not alter the intended use/ indications for use of the predicate device, or the fundamental scientific technology of the predicate device; and because risk assessment of the modifications and successful verification testing raise no new questions of safety and effectiveness, Boston Scientific has determined the modified InZone Detachment System to be substantially equivalent to the current legally marketed predicate device cleared by FDA under K093142.

7

Image /page/7/Picture/1 description: The image shows the seal of the U.S. Department of Health & Human Services. The seal is circular and contains the words "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" around the top half of the circle. In the center of the seal is a stylized image of a caduceus, a symbol often associated with medicine and healthcare.

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

Boston Scientific Corporation c/o Mr. James Leathley Regulatory Affairs Project Manager 47900 Bayside Parkway Freemont, CA 94538

DEC 1 0 2010

Re: K103008

Trade/Device Name: InZone™ Detachment System Regulation Number: 21 CFR 882.5950 Regulation Name: Neurovascular Embolization Device Regulatory Class: Class II Product Code: HCG and KRD Dated: November 9, 2010 Received: November 10, 2010

Dear Mr. Leathley:

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 note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

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.

8

Page 2 - Mr. James Leathley

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.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. 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 go to

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

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) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely vours.

Malvina B. Eydelman, M.D.

Director Division of Ophthalmic. Neurological, and Ear, Nose and Throat Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

9

INDICATIONS FOR USE STATEMENT

510(k) Number: _ K103 108_

DEC 1 0 2010

Device Name: InZone™ Detachment System

Indications for Use:

Boston Scientific's InZone™ Detachment System is intended for use with all versions of BSC Detachable Coils in the embolization of intracranial aneurysms and other vascular malformations of the neuro and peripheral vasculature.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use V (Per 21 CFR 801.109) OR

Over The Counter Use


KRISTEN BOWSHER
(Division Sign-Off)

Division of Ophthalmic, Neurological and Ear, Nose and Throat Devices

510(k) Number_KLO3108