K Number
K113457
Manufacturer
Date Cleared
2011-12-16

(24 days)

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

The HES is intended for the endovascular embolization of intracranial aneurysms and other neurovascular abnormalities such as arteriovenous malformations and arteriovenous fistulae. 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 embolizations in the peripheral vasculature.

Device Description

The HydroSoft Plus HES consists of implantable coil made of platinum alloy with inner hydrogel core. The helical-shaped implantable coil is available in various outer dimensions and lengths. The coil is attached to a V-Trak delivery pusher. The proximal end of the pusher is inserted into a hand held battery powered V-Grip Detachment Controller (sold separately). The implant segment detaches upon activation of the Detachment Controller.

With the exception of the coil dimensions (see comparison table below), the HydroSoft Plus line extension is substantially equivalent to the cleared predicate devices with regard to intended use, principal of operation, materials, manufacturing processes, packaging configuration and sterilization method.

AI/ML Overview

This document describes the 510(k) summary for MicroVention, Inc.'s HydroCoil Embolic System (HES) - HydroSoft Plus Line Extension. This submission is for a medical device (neurovascular embolization device), not an AI/ML powered device, so many of the requested categories are not applicable.

Here's an analysis of the provided text, focusing on the acceptance criteria and the study (bench testing) performed:


1. Table of Acceptance Criteria and the Reported Device Performance:

Acceptance Criteria (Test)Reported Device Performance
Visual InspectionMet same criteria as predicate
Dimensional MeasurementMet same criteria as predicate
Simulated UseMet same criteria as predicate
- IntroductionMet same criteria as predicate
- TrackingMet same criteria as predicate
- Reposition / DeploymentMet same criteria as predicate
- DetachmentMet same criteria as predicate
- Overall PerformanceMet same criteria as predicate
Spring ConstantMet same criteria as predicate
Gel ExpansionMet same criteria as predicate
Weld TensileMet same criteria as predicate
Advancement / Retraction ForceMet same criteria as predicate

Predicate/Subject Device Comparison:

This table highlights the specific device characteristics that define the acceptance criteria for a "substantially equivalent" device:

FeaturePredicate Device (K112226)Subject Device (HydroSoft Plus Line Extension)Acceptance Criteria Met?
Coil shapeHelicalSameYes
Implant diameter2 mm - 10 mm5 mm - 24 mmDifference
Implant restrained length2 cm - 10 cm15 cm - 50 cmDifference
Deliver pusher length185 cmSameYes
Main coil wire materialPlatinum/Tungsten (92/8 %) alloySameYes
Coupler materialPlatinum (90%) / iridium (10%)SameYes
Adhesive materialDymax 1128-AM-VTSameYes
Implant to pusher materialPolyolefin ElastomerSameYes
Stretch resistant filar materialPolyolefin ElastomerSameYes
Gel materialHydrophilic CopolymerSameYes
MRI compatibilityYesYesYes
Method of supplySterile, single useSameYes
Packaging configurationDispenser, pouch, cartonSameYes

Note on Differences: The "Implant diameter" and "Implant restrained length" are explicitly different between the predicate and subject devices. The core of this 510(k) submission is to demonstrate that despite these dimensional differences (which represent the "line extension"), the new device is still substantially equivalent in terms of safety and effectiveness, performing to "the same criteria as predicate" in the bench tests.


2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

  • Sample Size: The document does not specify the exact sample sizes for each bench test conducted (e.g., how many coils were subjected to "Weld Tensile" testing). It only states that the tests were performed and "Met same criteria as predicate."
  • Data Provenance: The tests are "bench tests," meaning they were conducted in a laboratory setting. There is no mention of country of origin of data or whether it was retrospective or prospective, as these terms typically apply to clinical studies involving human or animal subjects, which is not the case for this type of submission.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

Not applicable. This is a medical device 510(k) submission based on bench testing of physical properties and performance, not diagnostic imaging or AI assessment that requires expert ground truth labeling. The "ground truth" for these tests is defined by established engineering and material science standards and the performance of the predicate device.


4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

Not applicable. Adjudication methods are used in clinical trials or studies where subjective assessments or discrepancies in expert interpretations require resolution. Bench tests involve objective measurements against predefined specifications.


5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

Not applicable. This submission is for a physical medical device (coil embolization system), not an AI-powered diagnostic or assistive tool.


6. If a standalone (i.e. algorithm only without human-in-the loop performance) was done

Not applicable. This is not an algorithm or AI device. The testing described is performance testing of a physical product.


7. The type of ground truth used (expert consensus, pathology, outcomes data, etc)

The "ground truth" for the bench tests is the performance specifications and established criteria of the predicate device (K112226), along with general engineering and material science standards applicable to such devices. The new HydroSoft Plus line extension is considered to meet the acceptance criteria if its performance in these tests is "the same" as or equivalent to the predicate device.


8. The sample size for the training set

Not applicable. There is no "training set" as this is not an AI/ML device.


9. How the ground truth for the training set was established

Not applicable. There is no "training set" for physical device bench testing.

§ 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).