K Number
K133148
Device Name
BIOMARC COAXIAL NEEDLE
Date Cleared
2014-05-13

(208 days)

Product Code
Regulation Number
876.1500
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The BiomarC Coaxial Needle allows delivery of fiducial markers into soft tissue.
Device Description
The BiomarC Coaxial Needle is a sterile, pyrogen free, single patient use, disposable coaxial needle that consists of an outer cannula with an attached female luer lock hub, an inner stylet with an attached male luer lock hub, and a flexible slip ring style depth stop. The BiomarC Coaxial Needle is designed for use with BiomarC Fiducial Markers. The outer cannula is only one gauge size larger than the appropriate BiomarC Fiducial Marker needle, e.g., 18g BiomarC Coaxial Needle for a 19g BiomarC Fiducial Marker needle.
More Information

Not Found

No
The description focuses on the mechanical components and function of a needle for marker delivery, with no mention of AI or ML.

No.
The device facilitates the delivery of fiducial markers for imaging, but it does not directly treat a disease or condition. Its function is diagnostic or procedural preparation rather than therapeutic intervention.

No
The device is described as a needle for delivering fiducial markers into soft tissue. There is no mention of it collecting or analyzing data for diagnostic purposes. Its function is interventional (delivery), not diagnostic.

No

The device description clearly outlines physical components (outer cannula, inner stylet, depth stop) and its function involves the physical delivery of fiducial markers, indicating it is a hardware device.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is to "allow delivery of fiducial markers into soft tissue." This is a procedure performed on the patient's body, not a test performed on a sample taken from the body.
  • Device Description: The description details a needle used for insertion into tissue. This is a surgical or interventional device, not a device used for analyzing biological samples.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), detecting analytes, or providing diagnostic information based on laboratory testing.

IVD devices are used to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. This device's function is purely for delivering a physical object (fiducial markers) into tissue.

N/A

Intended Use / Indications for Use

The BiomarC Coaxial Needle allows delivery of fiducial markers into soft tissue.

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

FBK, NEU

Device Description

The BiomarC Coaxial Needle is a sterile, pyrogen free, single patient use, disposable coaxial needle that consists of an outer cannula with an attached female luer lock hub, an inner stylet with an attached male luer lock hub, and a flexible slip ring style depth stop.

The BiomarC Coaxial Needle is designed for use with BiomarC Fiducial Markers. The outer cannula is only one gauge size larger than the appropriate BiomarC Fiducial Marker needle, e.g., 18g BiomarC Coaxial Needle for a 19g BiomarC Fiducial Marker needle.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

soft tissue

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

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)

Not Found

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.

K042615, K936194

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

§ 876.1500 Endoscope and accessories.

(a)
Identification. An endoscope and accessories is a device used to provide access, illumination, and allow observation or manipulation of body cavities, hollow organs, and canals. The device consists of various rigid or flexible instruments that are inserted into body spaces and may include an optical system for conveying an image to the user's eye and their accessories may assist in gaining access or increase the versatility and augment the capabilities of the devices. Examples of devices that are within this generic type of device include cleaning accessories for endoscopes, photographic accessories for endoscopes, nonpowered anoscopes, binolcular attachments for endoscopes, pocket battery boxes, flexible or rigid choledochoscopes, colonoscopes, diagnostic cystoscopes, cystourethroscopes, enteroscopes, esophagogastroduodenoscopes, rigid esophagoscopes, fiberoptic illuminators for endoscopes, incandescent endoscope lamps, biliary pancreatoscopes, proctoscopes, resectoscopes, nephroscopes, sigmoidoscopes, ureteroscopes, urethroscopes, endomagnetic retrievers, cytology brushes for endoscopes, and lubricating jelly for transurethral surgical instruments. This section does not apply to endoscopes that have specialized uses in other medical specialty areas and that are covered by classification regulations in other parts of the device classification regulations.(b)
Classification —(1)Class II (special controls). The device, when it is an endoscope disinfectant basin, which consists solely of a container that holds disinfectant and endoscopes and accessories; an endoscopic magnetic retriever intended for single use; sterile scissors for cystoscope intended for single use; a disposable, non-powered endoscopic grasping/cutting instrument intended for single use; a diagnostic incandescent light source; a fiberoptic photographic light source; a routine fiberoptic light source; an endoscopic sponge carrier; a xenon arc endoscope light source; an endoscope transformer; an LED light source; or a gastroenterology-urology endoscopic guidewire, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 876.9.(2) Class I for the photographic accessories for endoscope, miscellaneous bulb adapter for endoscope, binocular attachment for endoscope, eyepiece attachment for prescription lens, teaching attachment, inflation bulb, measuring device for panendoscope, photographic equipment for physiologic function monitor, special lens instrument for endoscope, smoke removal tube, rechargeable battery box, pocket battery box, bite block for endoscope, and cleaning brush for endoscope. The devices subject to this paragraph (b)(2) are exempt from the premarket notification procedures in subpart E of part 807of this chapter, subject to the limitations in § 876.9.

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Page 1 of 2

510(k) Summary 5

5. 510(k) Summary

5 -

ं . . .

Andrew Adams Director - Regulatory Affairs & Quality Assurance Carbon Medical Technologies, Inc. 1290 Hammond Road Saint Paul, MN 55110

651-653-8512 Phone: Fax: 651-407-1975

Submitted: September 27, 2013

Device Name

Trade Name:BiomarC Coaxial Needle
Classification Name:Endoscopic Injection Needle, 21 CFR 876.1500, FBK
Implantable Clip, 21 CFR 878.4300, NEU
Common/Usual Name:Coaxial Needle

Predicate Devices

Carbon Medical Technologies Endoscopic Injection Needle (K042615), by Carbon Medical Technologies, Inc. Coaxial Biopsy Needle (K936194), by Bard Gynecology & Radiology

Indication for Use

The BiomarC Coaxial Needle allows delivery of fiducial markers into soft tissue.

Device Description

The BiomarC Coaxial Needle is a sterile, pyrogen free, single patient use, disposable coaxial needle that consists of an outer cannula with an attached female luer lock hub, an inner stylet with an attached male luer lock hub, and a flexible slip ring style depth stop.

The BiomarC Coaxial Needle is designed for use with BiomarC Fiducial Markers. The outer cannula is only one gauge size larger than the appropriate BiomarC Fiducial Marker needle, e.g., 18g BiomarC Coaxial Needle for a 19g BiomarC Fiducial Marker needle.

BiomarC Coaxial Needle Premarket Notification 510(k) 5-1 (May 8, 2014)

MAY 1 3 2014

1

Technological Characteristics and Performance

The technological characteristics and performance of the BiomarC Coaxial Needle are substantially equivalent to the predicate devices (Table 5).

CharacteristicProposed DevicePredicate DevicePredicate Device
Trade nameBiomarC Coaxial NeedleCarbon Medical
Technologies Endoscopic
Injection NeedleCoaxial Biopsy Needle
510(k) numberK042615K936194
510(k) holderCarbon Medical
Technologies, Inc.Carbon Medical
Technologies, Inc.Bard Gynecology and
Radiology
Indications for
useThe BiomarC Coaxial
Needle allows delivery of
fiducial markers into soft
tissue.The Carbon Medical
Technologies Injection
Needle is an accessory for
currently marketed
endoscopes to allow
delivery of injectable
materials into tissue during
an endoscopic procedure.The coaxial biopsy needle
guide is intended for use as
a guiding needle in
obtaining core, biopsy
samples from soft tissue
such as liver, kidney,
spleen, lymph nodes and
various soft tissue lesions.
UseSingle useSingle useSingle use
SterilitySterilized by EO with an
SAL of 1x10-6Sterilized by EO with an
SAL of 1x10-6Sterilized by EO
PyrogensPyrogen freePyrogen freePyrogen free
Cannula/stylet
rod materialStainless steel, type 304Stainless steelStainless steel
Tip styleTrocar tipSpinal tipTrocar or blunt tip
Device body
contact
categoryExternal communicating
device, tissue, limitedExternal communicating
device, tissue, limitedExternal communicating
device, tissue, limited
SafetySafety has been established
for the identical nature and
duration of patient contact
through a history of use in
other similar devices.Safety has been established
for the identical nature and
duration of patient contact
through a history of use in
other identical and similar
devices.Unknown
Able to create a channel
through soft tissueAble to create a channel
through soft tissueAble to create a channel
through soft tissue
PerformanceAble to allow delivery of
fiducial markers through
channel createdAble to allow delivery of
injectable materials through
channel createdAble to guide another
device through channel
created

BiomarC Coaxial Needle Premarket Notification 510(k) 5-2 (May 8, 2014)

2

Image /page/2/Picture/0 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized depiction of an eagle or bird-like figure with three curved lines representing its body and wings. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the bird symbol.

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

May 13, 2014

Carbon Medical Technologies Incorporated Mr. Andrew J. Adams Director, Regulatory Affairs & Quality Assurance 1290 Hammond Road Saint Paul, Minnesota 55110

Re: K133148

Trade/Device Name: BiomarC Coaxial Needle Regulation Number: 21 CFR 876.1500 Regulation Name: Endoscope and accessories Regulatory Class: Class II Product Code: FBK, NEU Dated: March 6, 2014 Received: March 7, 2014

Dear Mr. Adams:

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.

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

3

Page 2 - Mr. Andrew J. Adams

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 Industry and Consumer Education 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 Industry and Consumer Education 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,

David Krause -S

  • Binita S. Ashar, M.D., M.B.A., F.A.C.S. for . Acting Director Division of Surgical Devices Office of Device Evaluation Center for Devices and Radiological Health
    Enclosure

4

  1. Indications for Use Statement

510(k) Number: K133148

Device Name: BiomarC Coaxial Needle

Indications for Use:

The BiomarC Coaxial Needle allows delivery of fiducial markers into soft tissue.

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 IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Joshua C. Nipper -S

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BiomarC Coaxial Needle Premarket Notification 510(k) 4-1 (May 8, 2014)