K Number
K123641

Validate with FDA (Live)

Manufacturer
Date Cleared
2013-07-03

(219 days)

Product Code
Regulation Number
884.6160
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Vitrolife Culture Dish 60 mm, Vitrolife Culture Dish 40 mm and Vitrolife Centre Well Dish are intended for IVF, suitable for use in preparing, storing, manipulating, or transferring human gametes or embryos for in vitro fertilization (IVF), gamete intrafallopian transfer (GIFT), or other reproduction procedures.

The Vitrolife 5 Well Culture Dish is intended for preparing, storing, manipulating or transferring human gametes or embryos for in vitro fertilization (IVF), or other in vitro fertilization techniques.

The Vitrolife ICSI Dish is intended for IVF, suitable for holding oocytes and sperm during fertilization via intracytoplasmic sperm injection (ICSI).

The Vitrolife Micro Droplet Culture Dish is intended for IVF. It may be used with sperm and for the culturing of embryos using drop culture.

Device Description

The HertART disposable dishes are injection molded. The dishes are supplied with a lid. The polymers used for the dishes are virgin crystal grade polystyrene, which has successfully passed the USP class VI test for cytotoxicity, as well as 1-cell embryotoxicity test. The HertART dishes are packed in sleeves of x units in a box for a total of y units, as defined below:

Vitrolife Culture Dish 60 mm: Round dish with lid: ø63 x 15,15 mm One round well 60 mm in diameter Well Volume: 24,00 mL
Vitrolife Culture Dish 40 mm: Square dish with lid; 65,96 mm x 65,96 mm x 13,20 mm One round well: 40 mm in diameter, Well volume of 12,56 mL
Vitrolife 5-well Culture Dish: Square dish with lid: 65,96 mm x 65,96 mm x. 13,20 mm 5 round wells, Well Volume: 1,7 mL
Vitrolife Centre Well Dish: Square dish with lid: 65,96 mm x 65,96 mm x 13,20 mm 1 well, round bottom, oval opening.
Vitrolife ICSI Dish: Square dish with lid: 65,96 mm x 65,96 mm x 11,70 mm 1 square well with rounded corners
Vitrolife Micro-droplet Culture Dish: Square dish with lid: 65,96 mm x 65,96 mm x 13,20 mm 12 round wells holds drops up to 50 µL Well Volume: 12.5 µL

The dishes are terminally sterilized by gamma irradiation to achieve a SAL of 10 °. The dishes are non-pyrogenic as tested by LAL, and non-embryotoxic as tested by 1-cell Mouse Embryo Assay (MEA). The dishes are disposable and intended for single use.

AI/ML Overview

The provided text describes a 510(k) summary for various IVF dishes and primarily focuses on demonstrating substantial equivalence to predicate devices. It does not contain information related to acceptance criteria, device performance metrics (e.g., sensitivity, specificity, accuracy), study designs (e.g., MRMC, standalone), sample sizes for test/training sets, data provenance, ground truth establishment, or expert involvement typically associated with AI/software medical device studies.

The document details the physical characteristics, intended use, and material composition of the Vitrolife Culture Dishes and compares them feature-by-feature to existing predicate devices. The "Discussion" sections within each comparison consistently state that the differences do not impact safety or effectiveness and therefore support substantial equivalence.

Specifically, the studies mentioned are not performance studies in the AI/software sense, but rather tests to assure material compatibility and safety:

  • USP class VI test for cytotoxicity: This is a standard biocompatibility test for materials that will come into contact with the body.
  • 1-cell embryotoxicity test (MEA): This is a biological assay used to assess the potential toxicity of materials to embryos. The document notes that the subject device uses a "more sensitive 1-cell MEA assay" compared to the predicate's 2-cell MEA, but this is a test of the material's safety, not a measure of the device's diagnostic or predictive performance.
  • LAL test (Limulus Amebocyte Lysate): This is a test for bacterial endotoxins (pyrogens).

Therefore, I cannot fulfill the request as the provided text does not contain the necessary information to describe acceptance criteria, device performance, or study details relevant to AI/software medical devices. The document is a regulatory submission for physical medical devices used in IVF, focusing on substantial equivalence based on material and design characteristics, not on the performance of a diagnostic or assistive AI algorithm.

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HertAR 510(k) Summary

COMPANY

Name:Address:HertART ApSKorskildelund 6DK-2670 GreveDenmark
Registration No.:3008524469
Contact Person:Mr. Henrik DörgeKorskildelund 6DK 2670 GreveDenmark
Office:Mobile:E-mail:+45 3651 9170+45 2214 3822hdo@hertart.com
Date of Summary:July 02, 2013

K123641 pg 1 of 8

JUL 0 3 2013

DEVICE NAME

Trade names:Vitrolife Culture Dish 40 mmVitrolife Culture Dish 60 mmVitrolife Micro-droplet Culture DishVitrolife 5-well Culture DishVitrolife Centre Well DishVitrolife ICSI Dish
Common name:IVF Dishes
Classification name:Assisted Reproduction Labware
Classification regulation:21 CFR884.6160
Product code:MQK
Classification panel:Obstetrics/Gynecology
Device class:II

PREDICATE DEVICES

Falcon IVF Round Dish (K991253) for Vitrolife Culture Dish 60 mm & Vitrolife Culture Dish 40 mm Nunc IVF Multidish 4 Wells Nunclon (K040717) for Vitrolife 5 Well Culture Dish

Nunc IVF ICSI Dish (K090429) for Vitrolife ICSI Dish

Falcon IVF One Well Dish (K991251) for Vitrolife Centre Well Dish

Genx Culture Dish (now marketed as Sun IVF Embryo Corral Dish) (K993881) for Vitrolife Micro Droplet Culture Dish

HertART ApS IVF Dishes

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HertART. at the transmines at se

510(k) Summary

DESCRIPTION OF DEVICE

The HertART disposable dishes are injection molded. The dishes are supplied with a lid. The polymers used for the dishes are virqin crystal grade polystyrene, which has successfully passed the USP class VI test for cytotoxicity, as well as 1-cell embryotoxicity test. The HertART dishes are packed in sleeves of x units in a box for a total of y units, as defined below:

Trade NameConfigurationPackaging
Vitrolife Culture Dish 60 mmRound dish with lid: ø63 x 15,15 mmOne round well 60 mm in diameterWell Volume: 24,00 mL10 units per sleeve540 units per case
Vitrolife Culture Dish 40 mmSquare dish with lid;65,96 mm x 65,96 mm x 13,20 mmOne round well: 40 mm in diameter, Wellvolume of 12,56 mL5 units per sleeve400 units per case
Vitrolife 5-well Culture DishSquare dish with lid:65,96 mm x 65,96 mm x. 13,20 mm5 round wells, Well Volume: 1,7 mL5 units per sleeve400 units per case
Vitrolife Centre Well DishSquare dish with lid:65,96 mm x 65,96 mm x 13,20 mm1 well, round bottom, oval opening.5 units per sleeve400 units per case
Vitrolife ICSI DishSquare dish with lid:65,96 mm x 65,96 mm x 11,70 mm1 square well with rounded corners5 units per sleeve400 units per case
Vitrolife Micro-droplet CultureDishSquare dish with lid:65,96 mm x 65,96 mm x 13,20 mm12 round wells holds drops up to 50 µLWell Volume: 12.5 µL5 units per sleeve400 units per case

The dishes are terminally sterilized by gamma irradiation to achieve a SAL of 10 °. The dishes are non-pyrogenic as tested by LAL, and non-embryotoxic as tested by 1-cell Mouse Embryo Assay (MEA). The dishes are disposable and intended for single use.

INDICATIONS FOR USE

The Vitrolife Culture Dish 60 mm, Vitrolife Culture Dish 40 mm and Vitrolife Centre Well Dish are intended for IVF, suitable for use in preparing, storing, manipulating, or transferring human gametes or embryos for in vitro fertilization (IVF), gamete intrafallopian transfer (GIFT), or other reproduction procedures.

The Vitrolife 5 Well Culture Dish is intended for preparing, storing, manipulating or transferring human gametes or embryos for in vitro fertilization (IVF), or other in vitro fertilization techniques.

The Vitrolife ICSI Dish is intended for IVF, suitable for holding oocytes and sperm during fertilization via intracytoplasmic sperm injection (ICSI).

The Vitrolife Micro Droplet Culture Dish is intended for IVF. It may be used with sperm and for the culturing of embryos using drop culture.

HertART ApS IVF Dishes

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HertART.ne : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : :

K123641

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510(k) Summary

PREDICATE DEVICE COMPARISON

ParameterSubject Device -- VitrolifeCulture Dish 60 mmPredicate Device - FalconIVF Round Dish (K991253)Differences
DeviceRound petri dish with diameter60 mmRound petri dish with diameter60 mmnone
Indication forUseIntended for IVF, suitable foruse in preparing, storing,manipulating, or transferringhuman gametes or embryos forin vitro fertilization (IVF),gamete intrafallopian transfer(GIFT), or other reproductionproceduresIntended for use in preparing,storing, manipulating, ortransferring human gametes orembryos for in vitro fertilization(IVF), gamete intrafallopiantransfer (GIFT), or otherreproduction proceduresnone
MaterialVirgin Polystyrene, tested forUSP Class VI cytotoxicityVirgin Polystyrene, tested forUSP Class VI cytotoxicitynone
DimensionsDiameter 60 mmDiameter 60 mmnone
DesignfeaturesRound dishes with vented lid.Flat bottom, optically clearsurfaces.Surfaces are non-treatedRound dishes with vented lid.Flat bottom, optically clearsurfaces. Surfaces are treatedfor improved wettabilityPredicate device issurface treated forincreased wettability
Well shapeWell area of 24,07 cm²Well area of 24,07 cm²none
Well volume23,00 mL23,00 mLnone
DiscussionPredicate device uses surface treatment, which is traditionally used for cell culture labwarefor better cell adhesion. As gametes and embryos do not adhere to surfaces, and since mostculture within IVF nowadays is done in drops of media, improved wettability is not a desiredproduct feature for modern IVF procedures. The proposed device uses a more sensitive 1-cell MEA assay compared to the predicate device using a 2-cell MEA in order to improve/ensure consistency of product performanceThe differences do not impact the use of the identified predicate device to support theproposed device, as they do not raise any new types of safety or effectiveness questions.Therefore, the subject is substantially equivalent to the predicate device.
ParameterSubject Device - VitrolifeCulture Dish 40 mmPredicate Device – FalconIVF Round Dish (K991253)Differences
DeviceSquare dish with round innerdiameter of 40 mmRound petri dish with diameter60 mmProposed device hassquare outer geometryand smaller round well
Indication foruseIntended for IVF, suitable foruse in preparing, storing,manipulating, or transferringhuman gametes or embryos forin vitro fertilization (IVF),gamete intrafallopian transfer(GIFT), or other reproductionprocedures.Intended for use in preparing,storing, manipulating, ortransferring human gametes orembryos for in vitro fertilization(IVF), gamete intrafallopiantransfer (GIFT), or otherreproduction proceduresNone
MaterialVirgin Polystyrene, tested forUSP Class VI cytotoxicityVirgin Polystyrene, tested forUSP Class VI cytotoxicitynone

HertART ApS
IVF Dishes

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HertART and someons of the

K123641

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510(k) Summary Dimensions Dish Size without lid: 65,96 Diameter 60 mm round dish Proposed device has smaller round diameter mm x 65,96 mm x 10,50 mm Dish Size with lid: 65.96 mm x 65,96 mm x 13,20 mm Well diameter: 40 mm Square dish with round well. Round dishes with vented lid Proposed device has an Design features with vented lid. A patient ID coving all of the dish. Flat outer square geometry area not covered by the lid. bottom, optically clear surfaces. with ID area. Predicate Flat bottom, optically clear Surfaces are treated for device is surface treated for increased improved wettability surfaces. wettability. Surfaces are non-treated Well shape Round well area of 12,56 cm2 Well area of 24,07 cm2 Proposed device has smaller well area and Well volume 12.56 mL 23,00 ml less mL Proposed device has a square outer geometry and a patient ID area. The square outer Discussion geometry facilitates the handling and stacking of dishes, while the patient ID area for writing or barcode increases the safety in relation to mix-ups. Predicate device uses surface treatment, which is traditionally used for cell culture labware for better cell adhesion. As gametes and embryos do not adhere to surfaces, and since most culture within IVF nowadays is done in drops of media, improved wettability is not a desired product feature for modern IVF procedures. The proposed device uses a more sensitive 1-cell MEA assay compared to the predicate device using a 2-cell MEA in order to improve/ensure consistency of product performance

The differences do not impact the use of the identified predicate device to support the proposed device, as they do not raise any new types of safety or effectiveness questions. Therefore, the subject is substantially equivalent to the predicate device.

ParameterSubject Device - Vitrolife 5well Culture DishPredicate Device - Nunc IVFMultidish 4 Wells (K040717)Differences
DeviceSquare dish with 5 round wellsSquare dish with 4 round wellsProposed device has 5wells while predicatedevice has 4 wells.
Indications forUseIntended for IVF, suitable forpreparing, storing,manipulating or transferringhuman gametes or embryos forin vitro fertilization (IVF), orother in vitro fertilizationtechniquesIntended for preparing, storing,manipulating or transferringhuman gametes or embryos forin vitro fertilization (IVF.), orother in vitro fertilizationtechniques, and cell culturenone
MaterialVirgin Polystyrene, tested forUSP Class VI cytotoxicityVirgin Polystyrene, tested forUSP Class VI cytotoxicitynone
DimensionsBase: 65,96 mm x 65,96 mmDish size with lid: 65,96 mm x65,96 mm x 13,20 mmBase: 65,96 mm x 65,96 mmnone
DesignfeaturesSquare dish with vented lid. Apatient ID area not covered bythe lid.Flat bottom, optically clearsurfaces.Surfaces are non-treatedSquare dish with vented lidcoving all of the dish. Flatbottom, optically clear surfaces.Product comes both with orwithout surface treatment forimproved wettabilityProposed dish has apatient ID area.Predicate device cancome as surfacetreated for increasedwettability

HertART ApS IVF Dishes

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HertART ====================================================================================================================================================================== 510(k) Summary

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Well shapeWell area of 1.9 cm²Well Volume of 1,7 mLWells having a ramp along theedgeThe well diameter isapproximately 10.7 mm at thebottom of the well and thenquickly expands to a 15,3 mmdiameter cylinder. The height isapproximately 9.4 mm fromthe bottom of the well to therimWell area of 1.9 cm²Proposed device has aramp along the inneredge of the wells
DiscussionProposed device has a patient ID area. The square outer geometry facilitates the handlingand stacking of dishes, while the patient ID area for writing or barcode increases the safetyin relation to mix-ups.Proposed device has a ramp along the inner edge of the wells preventing the embryos fromgetting stuck in the corners and thereby facilitates the use of the product.Predicate device uses surface treatment, which is traditionally used for cell culture labwarefor better cell adhesion. As gametes and embryos do not adhere to surfaces, and since mostculture within IVF nowadays is done in drops of media, improved wettability is notconsidered a desired product feature for modern IVF procedures.The differences do not impact the use of the identified predicate device to support theproposed device, as they do not raise any new types of safety or effectiveness questions.Therefore, the subject is substantially equivalent to the predicate device.

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ParameterSubject Device - VitrolifeICSI DishPredicate Device - Nunc IVFICSI Dish (K090429)Differences
DeviceSquare dish with 1 well withrounded cornersRound dish with 1 round wellProposed device hassquare outer geometryand 1 well with roundedcorners, while predicatedevice has round outergeometry and roundwell
Indication forUseIntended for IVF, suitable forholding oocytes and spermduring fertilization viaintracytoplasmic sperminjection (ICSI).Intended for holding oocytesand sperm during fertilizationvia intracytoplasmic sperminjection (ICSI).none
MaterialVirgin Polystyrene, tested forUSP Class VI cytotoxicityVirgin Polystyrene, tested forUSP Class VI cytotoxicitynone
DimensionsDish Size without lid: 65,96 mmx 65,96 mm x 9,00 mmDish Size with lid: 65,96 mm x65,96 mm x 11,70 mmThe ICSI dish has one largecontinuous surface with thelength (at the bottom of thewell) of 50.5 mm and a widthof 34.8 mm. The corners arerounded and the total volume isapproximately 14.5 mL.Diameter: 55.77 mmHeight without lid: 8.64 mmHeight with lid: 9.75 mmProposed device issquare and wider.Height is comparable.

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HertART.......................................................................................................................................................................

510(k) Summary

K123641 pg 6 of 8

DesignfeaturesThe bottom of the dishes isclear and optimal clear.The lid can be handled with onehand while other lab equipmentcan be handled with the otherhand. The dishes can bestacked.A patient ID area not coveredby the lid.The bottom of the dishes isclear and optimal clear.The lid can be handled with onehand while other lab equipmentcan be handled with the otherhand. The dishes can bestacked.Proposed device has apatient ID area.
DiscussionProposed device has a patient ID area. The square outer geometry facilitates the handlingand stacking of dishes, while the patient ID area for writing or barcode increases the safetyin relation to mix-ups.The differences do not impact the use of the identified predicate device to support theproposed device, as they do not raise any new types of safety or effectiveness questions.Therefore, the subject is substantially equivalent to the predicate device.

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ParameterSubject Device - VitrolifeCentre Well DishPredicate Device - FalconIVF One Well Dish(K991251)Differences
DeviceSquare dish with 1 oval wellRound dish with 1 round wellProposed device hassquare outer geometryand oval well. Predicatedevice has round outergeometry and round well
Indication forUseIntended for IVF, suitable foruse in preparing, storing,manipulating, or transferringhuman gametes or embryos forin vitro fertilization (IVF),gamete intrafallopian transfer(GIFT), or other reproductionprocedures.Intended for use in preparing,storing, manipulating, ortransferring human gametes orembryos for in vitro fertilization(IVF), gamete intrafallopiantransfer (GIFT), or otherreproduction proceduresNone
MaterialVirgin Polystyrene, tested forUSP Class VI cytotoxicityVirgin Polystyrene, tested forUSP Class VI cytotoxicitynone
DimensionsDish with lid: 65,96 mm x65,96 mm x 13,20 mmHeight without lid: 10,50 mmDiameter: 55.77 mmHeight without lid: 8.64 mmHeight with lid: 9.75 mmHeight is comparable
DesignfeaturesThe dishes have perfectly flat,optically clear surfaces foroptimum manipulation andobservation of the ova andembryos. The oval wellfacilitates the handling of theova and embryos by equipmentduring microscopy.The lids are designed foraseptic manipulation andconsistent venting to maintainproper humidification. Thedishes can be stacked.A patient ID area not coveredby the lidThe dishes have perfectly flat,optically clear surfaces foroptimum manipulation andobservation of the ova andembryos. Surfaces are treatedfor improved wettability.The lids are designed foraseptic manipulation andconsistent venting to maintainproper humidificationProposed device has anoval well while predicatedevice has a round well.Predicate device is surfacetreated for increasedwettability.Proposed device has apatient ID area

HertART ApS IVF Dishes

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HertART ... " .

K123641 pg 7 of 8

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510(k) Summary

Well shape.Round bottom with diameterapprox. 15.5 mm and a largeroval openingRound
Well volumeWell Volume > 2.5 mLWell volume of 2.5 mL
DiscussionProposed device has a patient ID area. The square outer geometry facilitates the handling andstacking of dishes, while the patient ID area for writing or barcode increases the safety inrelation to mix-ups.The oval well in proposed device facilitates the handling of the ova and embryos by equipmentduring microscopy.Predicate device uses surface treatment, which is traditionally used for cell culture labware forbetter cell adhesion. As gametes and embryos do not adhere to surfaces, and since mostculture within IVF nowadays is done in drops of media, improved wettability is not a desiredproduct feature for modern IVF procedures.Proposed device used 1-cell method for MEA testing while predicate device used 2-cell method.There is to day no established standard discriminating between 1-cell or 2-cell method.The differences do not impact the use of the identified predicate device to support theproposed device, as they do not raise any new types of safety or effectiveness questions.Therefore, the subject is substantially equivalent to the predicate device.
ParameterSubject Device - VitrolifeMicro Droplet Culture DishPredicate Device – GenxCulture Dish (Sun IVFEmbryo Corral) (K993881)Differences
DeviceSquare dish with 12 round wellsRound dish with 11 round wellsProposed device hassquare outer geometryand round walls, whilepredicate device hasround outer geometry andpicket-fenced walls
Indication foruse /intended useIntended for IVF. It may beused with sperm and for theculturing of embryos using dropculture.Intended to be used whenculturing tissues and cells. Itmay be used with sperm andfor the culturing of embryos.Predicate device allowsmedia to flow freelyamong culturingcells/embryos, howeverProposed device allowindividual cells/embryosto be cultures inseparated drop cultures.
MaterialVirgin Polystyrene, tested forUSP Class VI cytotoxicityPolystyreneProposed device uses USPClass tested polystyrene
DimensionsDish with lid: 65,96 mm x65,96 mm x 13,20 mmOuter Diameter: 60 mmProposed device hassquare outer geometrywhile predicate device hasround
DesignfeaturesThe basic design is a squareculture dish with twelve smallwells (volume 12.5 microliter,holding standing drops up to 50microliter). The micro-wells areplaced with a-numerical ID in arectangular well format to alloweasy identification duringmicroscopy.The basic design is that of atraditional culture dish. Approx60 mm round with areas of $1/2$inch side walls. This dish doesnot have defined areas for thecell to be confined within.These areas are squares ofpicket-fenced walls.Proposed device has asquare outer geometryand well areas defined bysmall solid walls, whilepredicate device has around outer geometry andwell areas defined bysmall picket-fenced walls.Proposed device hasmicro-wells with a-

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HertART.neimmers at # .

510(k) Summary

approximately 0.95 mm andthe diameter is 3.3 mm at thebottom with sides sloping toapproximately 4.3 mm at thetop. There will typically be oneseparated media-drop in eachwell, this is however not linkedto if the customer decides toplace several embryos in eachwell (co-culture) or only oneembryo (single embryo cultureThe lids are designed foraseptic manipulation andconsistent venting to maintainproper humidification.A patient ID area not coveredby the lid.numerical ID to allow easyidentification duringmicroscopy, as well as aseparate patient ID area.
DiscussionThe square outer geometry of the proposed device facilitates the handling and stacking of dishes, while the patient ID area for writing or barcode increases the safety in relation to mix- ups.Predicate device allows media to flow freely among culturing cells/embryos, whileProposed device allow individual cells/embryos to be cultured in separated drop cultures, which is a routine procedure in many IVF clinics.The alphanumerical ID at each microwell allows easy drop identification during microscopy.The differences do not impact the use of the identified predicate device to support the proposed device, as they do not raise any new types of safety or effectiveness questions. Therefore, the subject is substantially equivalent to the predicate device.

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Image /page/8/Picture/0 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle with three stripes forming its wing and a wavy line representing its body. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the eagle.

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002

July 3, 2013

HertART ApS % Mr. Henrik Dörge VP Business Development Korskildelund 6 Greve 2670 DENMARK

Re: K123641

Trade/Device Name: Vitrolife Culture Dish 40 mm, Vitrolife Culture Dish 60 mm, Vitrolife Centre Well Dish, Vitrolife 5 Well Culture Dish, Vitrolife ICSI Dish, and Vitrolife Micro Droplet Culture Dish Regulation Number: 21 CFR 884.6160 Regulation Name: External uterine contraction monitor and accessories Regulatory Class: Class II

Product Code: MQK Dated: May 6, 2013 Received: May 23, 2013

Dear Mr. Dörge:

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.

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Page 2 - Mr. Henrik Dörge

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 contact 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. 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/Resourcesfor You/Industry/default.htm.

Sincerely yours,

Benjamin Fisher-S

Benjamin R. Fisher, Ph.D. Director Division of Reproductive, Gastro-Renal, and Urological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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510(k) Number: K123641

Device Name:

Vitrolife Culture Dish 40 mm Vitrolife Culture Dish 60 mm Vitrolife Centre Well Dish

Indications for Use:

The Vitrolife Culture Dishes are intended for IVF, suitable for use in preparing, storing, manipulating, or transferring human gametes or embryos for in vitro fertilization (IVF), gamete intrafallopian transfer (GIFT), or other reproduction procedures.

Prescription Use X (Part 21 CFR 801 Subpart D)

Over-The-Counter Use AND/OR (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)

Benjamin R. Fisher -S 2013.07.03 12:45:19 -04'00'

(Division Sign-Off) Division of Reproductive, Gastro-Renal, and Urological Devices K123641 510(k) Number _

Page 1 of 4

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510(k) Number: K123641

Vitrolife 5 Well Culture Dish Device Name:

Indications for Use:

The Vitrolife 5 Well Culture Dish is intended for IVF, suitable for preparing, storing, manipulating or transferring human gametes or embryos for in vitro fertilization (IVF), or other in vitro fertilization techniques.

Prescription Use X (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)

Benjamin R. Fisher -S 2013.07.03 12:46:47 -04'00'

(Division Sign-Off) Division of Reproductive, Gastro-Renal, and Urological Devices K123641 510(k) Number

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510(k) Number: K123641

Vitrolife ICSI Dish Device Name:

Indications for Use:

The Vitrolife ICSI Dish is intended for IVF, suitable for holding oocytes and sperm during fertilization via intracytoplasmic sperm injection (ICSI).

Prescription Use X (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)

Benjamin R. Fisher -S 2013.07.03 12:47:27 -04'00'

(Division Sign-Off) Division of Reproductive, Gastro-Renal, and Urological Devices K123641 510(k) Number

Page 3 of 4

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510(k) Number: K123641

Vitrolife Micro Droplet Culture Dish Device Name:

Indications for Use:

The Vitrolife Micro Droplet Culture Dish is intended for IVF. It may be used with sperm and for the culturing of embryos using drop culture.

Prescription Use X (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)

Benjamin 2013.07.03

(Division Sign-Off) Division of Reproductive, Gastro-Renal, and Urological Devices K123641 510(k) Number

Page 4 of 4

§ 884.6160 Assisted reproduction labware.

(a)
Identification. Assisted reproduction labware consists of laboratory equipment or supplies intended to prepare, store, manipulate, or transfer human gametes or embryos for in vitro fertilization (IVF), gamete intrafallopian transfer (GIFT), or other assisted reproduction procedures. These include syringes, IVF tissue culture dishes, IVF tissue culture plates, pipette tips, dishes, plates, and other vessels that come into physical contact with gametes, embryos or tissue culture media.(b)
Classification. Class II (special controls) (mouse embryo assay information, endotoxin testing, sterilization validation, design specifications, labeling requirements, and clinical testing). The device, when it is a dish or plate intended for general assisted reproduction technology procedures, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 884.9.