K Number
K160142
Device Name
MINERAL OIL
Date Cleared
2016-04-21

(91 days)

Product Code
Regulation Number
884.6180
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Mineral Oil is used as an overlay for culture of embryos, oocytes, and sperm in assisted reproduction technology (ART) and micromanipulation procedures.
Device Description
Mineral Oil is used to cover medium during embryo, oocyte, and sperm culture in assisted reproduction technology (ART) and micro-manipulation procedures. Mineral Oil is recommended for use as an overlay for a small volume of medium to prevent evaporation stable osmolality and pH. The material composition: High Purity Paraffin Oil comes in two density types: - Light type has a ratio between 0.8200 to 0.8400 g/mL (15°C) and a viscosity which is between 8.850 to 11.70mm²/s (37.78°C) - Heavy type has a ratio between 0.8500 to 0.8700 g/mL (15°C) and a viscosity which is between 41.90 to 44.10mm²/s (37.78°C). There are two types of products, Mineral Oil - Light and Mineral Oil - Heavy. Two different unit sizes (100mL and 50mL) are available for each type. Mineral oils are colorless, tasteless, clear oil fluids which do not produce fluorescence. Both Mineral Oils (Heavy and Light) do not contact the ova or embryo during culture. Mineral Oil is filter sterilized and dispensed into sterile light-resistant glass bottles.
More Information

No
The device description and performance studies focus on the physical and chemical properties of mineral oil for use in ART procedures. There is no mention of any software, algorithms, or data processing that would indicate the use of AI/ML.

No.
The mineral oil is used as an overlay to prevent evaporation and stabilize osmolality and pH of the culture medium during ART procedures, rather than directly treating a disease or condition.

No

The device is described as an "overlay for culture of embryos, oocytes, and sperm" to prevent evaporation and maintain stable osmolality and pH. It is a consumable used in the process of assisted reproduction technology, not a tool for diagnosis or evaluation of a medical condition.

No

The device description clearly states the device is a physical substance (mineral oil) used as an overlay, not a software program.

Based on the provided information, this device is likely an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use clearly states that the mineral oil is used "for culture of embryos, oocytes, and sperm in assisted reproduction technology (ART) and micromanipulation procedures." These procedures involve handling and manipulating biological samples (embryos, oocytes, sperm) in vitro (outside the living body) for diagnostic or therapeutic purposes related to fertility.
  • Device Description: The description details the composition and function of the mineral oil as an overlay for culture medium, specifically to prevent evaporation and maintain stable conditions for the biological samples. This function is directly related to the in vitro handling of these samples.
  • Performance Studies: The performance studies include tests like MEA (Mouse Embryo Assay), which assesses the suitability of the product for supporting embryo development in vitro. This type of testing is characteristic of products used in in vitro procedures involving biological samples.
  • Predicate Device: The mention of a predicate device (K022002; Cook, Sydney IVF Culture Oil) which is also used in ART procedures further supports the classification as an IVD.

While the device itself is a chemical substance (mineral oil), its intended use and function within the context of ART procedures, which involve the in vitro handling and manipulation of human biological samples for diagnostic or therapeutic purposes, align with the definition of an In Vitro Diagnostic device. It is a reagent or material used in an in vitro procedure.

N/A

Intended Use / Indications for Use

Mineral Oil is used as an overlay for culture of embryos, oocytes, and sperm in assisted reproduction technology (ART) and micromanipulation procedures.

Product codes

MOL

Device Description

Mineral Oil is used to cover medium during embryo, oocyte, and sperm culture in assisted reproduction technology (ART) and micro-manipulation procedures. Mineral Oil is recommended for use as an overlay for a small volume of medium to prevent evaporation stable osmolality and pH.

The material composition:

High Purity Paraffin Oil comes in two density types:

  • Light type has a ratio between 0.8200 to 0.8400 g/mL (15°C) and a viscosity which is between 8.850 to 11.70mm²/s (37.78°C)
  • Heavy type has a ratio between 0.8500 to 0.8700 g/mL (15°C) and a viscosity which is between 41.90 to 44.10mm²/s (37.78°C).

There are two types of products, Mineral Oil - Light and Mineral Oil - Heavy. Two different unit sizes (100mL and 50mL) are available for each type. Mineral oils are colorless, tasteless, clear oil fluids which do not produce fluorescence.

Both Mineral Oils (Heavy and Light) do not contact the ova or embryo during culture. Mineral Oil is filter sterilized and dispensed into sterile light-resistant glass bottles.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

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

Non-Clinical Performance Data

KITAZATO BIOPHARMA completed a number of non-clinical performance tests:

  • Appearance (color): clear, particle free
  • Sterility: No microbial growth from sterility testing per USP
  • Endotoxin Testing: Endotoxin values conform to the value 80% of 1-cell control embryos develop at 96 hours
  • Peroxide value (POV):
  • Shelf-life testing

The Mineral Oil meets all the requirements for overall design, and sterilization results confirming that the design output meets the design inputs and specifications for the device.

Key Metrics

  • MEA: ≥ 80% (96h Blastocysts)
  • Endotoxin: ≤ 0.25 EU/mL (USP)
  • Peroxide value (POV):

§ 884.6180 Reproductive media and supplements.

(a)
Identification. Reproductive media and supplement are products that are used for assisted reproduction procedures. Media include liquid and powder versions of various substances that come in direct physical contact with human gametes or embryos (including water, acid solutions used to treat gametes or embryos, rinsing solutions, sperm separation media, supplements, or oil used to cover the media) for the purposes of preparation, maintenance, transfer or storage. Supplements are specific reagents added to media to enhance specific properties of the media (e.g., proteins, sera, antibiotics, etc.).(b)
Classification. Class II (special controls) (mouse embryo assay information, endotoxin testing, sterilization validation, design specifications, labeling requirements, biocompatibility testing, and clinical testing). The device, when it is phosphate-buffered saline used for washing, and short-term handling and manipulation of gametes and embryos; culture oil used as an overlay for culture media containing gametes and embryos; and water for assisted reproduction applications, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 884.9.

0

Image /page/0/Picture/1 description: The image shows the seal of the Department of Health & Human Services - USA. The seal is circular, with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. In the center of the seal is an abstract image of a bird-like figure, possibly representing an eagle or other national symbol. The image is in black and white.

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

April 21, 2016

KITAZATO BioPharma Co., Ltd. % Diane Sudduth RA Consultant Emergo Global Consulting, LLC 816 Congress Avenue, Suite 1400 Austin, TX 78701

Re: K160142 Trade/Device Name: Mineral Oil Regulation Number: 21 CFR§ 884.6180 Regulation Name: Reproductive Media and Supplements Regulatory Class: II Product Code: MOL Dated: January 20, 2016 Received: January 21, 2016

Dear Diane Sudduth,

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.

1

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 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" (21 CFR 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/ResourcesforYou/Industry/default.htm.

Sincerely vours.

Herbert P. Lerner -S

for 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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Indications for Use

510(k) Number (if known) K160142

Device Name Mineral Oil

Indications for Use (Describe)

Mineral Oil is used as an overlay for culture of embryos, oocytes, and sperm in assisted reproduction technology (ART) and micromanipulation procedures.

X Prescription Use (Part 21 CFR 801 Subpart D)

| Over-The-Counter Use (21 CFR 801 Subpart C)

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510(k) Summary

MINERAL OIL

K160142

1. Submission Sponsor

KITAZATO Biopharma Co., Ltd. 81 Nakajima Fuji Shizuoka, 416-0907 Japan Phone number: +81-545-66-2202 Contact: Kyoko Izumi Title: Quality Assurance Manager

2. Submission Correspondent

Emergo Global Consulting, LLC 816 Congress Avenue, Suite 1400 Austin, TX 78701 Cell Phone: (561) 305.5075 Office Phone: (512) 327.9997 Contact: Diana Sudduth, Senior Consultant, RA Email: project.management@emergogroup.com

3. Date Prepared

April 12, 2016

4. Device Identification

Trade/Proprietary Name:Mineral Oil
Common/Usual Name:Mineral Oil
Classification Name:Reproductive media and supplements
Regulation Number:21 CFR 884.6180
Product Code:MQL, Reproductive media and supplements
Device Class:Class II
Classification Panel:Obstetrics/Gynecology

5. Legally Marketed Predicate Device(s)

Cook, Sydney IVF Culture Oil, K022002

6. Device Description

4

Mineral Oil is used to cover medium during embryo, oocyte, and sperm culture in assisted reproduction technology (ART) and micro-manipulation procedures. Mineral Oil is recommended for use as an overlay for a small volume of medium to prevent evaporation stable osmolality and pH.

The material composition:

High Purity Paraffin Oil comes in two density types:

  • Light type has a ratio between 0.8200 to 0.8400 g/mL (15°C) and a viscosity which is between 8.850 to 11.70mm²/s (37.78°C)
  • Heavy type has a ratio between 0.8500 to 0.8700 g/mL (15°C) and a viscosity which is between 41.90 to 44.10mm²/s (37.78°C).

There are two types of products, Mineral Oil - Light and Mineral Oil - Heavy. Two different unit sizes (100mL and 50mL) are available for each type. Mineral oils are colorless, tasteless, clear oil fluids which do not produce fluorescence.

Both Mineral Oils (Heavy and Light) do not contact the ova or embryo during culture. Mineral Oil is filter sterilized and dispensed into sterile light-resistant glass bottles.

7. Indication for Use Statement

Mineral Oil is used as an overlay for culture of embryos, oocytes, and sperm in assisted reproduction technology (ART) and micromanipulation procedures.

8. Substantial Equivalence Discussion

The following Table 1 compares the Mineral Oil to the predicate device with respect to indications for use, principles of operation, technological characteristics, and performance testing. The comparison of the devices provides more detailed information regarding the basis for the determination of substantial equivalence.

| Manufacturer | Kitazato BioPharma Co., Ltd. | Cook | Significant
Differences |
|----------------------|---------------------------------------|---------------------------------------|----------------------------|
| Trade Name | Mineral Oil | Sydney IVF Culture Oil | - |
| 510(k)
Number | K160142 | K022002 | - |
| Product Code | MQL | MQL | Same |
| Regulation
Number | 884.6180 | 884.6180 | |
| Regulation
Name | Reproductive media and
supplements | Reproductive media and
supplements | Same |

Table 1 - Comparison of Characteristics

5

Clinical
Indications for
UseMineral Oil is used as an overlay
for culture of embryos, oocytes,
and sperm in assisted
reproduction technology (ART)
and micromanipulation
procedures.The Sydney IVF Culture Oil is
intended for use as an oil
overlay for culture of gametes,
zygotes, or embryos in assisted
reproduction technology (ART)
and micromanupulation
procedures.Similar
Patient
contactThis product does not contact
directly with gametes/embryos
as it is used as an overlay for
culturing in culture media.This product does not
contact directly with
gametes/embryos as it is
used as an overlay for
culturing in culture media.Same
Used in similar
populationThe product is used for fertility
treatment of humansThe product is used for
fertility treatment of humansSame
Technical
MEA≥ 80%
(96h Blastocysts)≥ 80%Same
Endotoxin≤ 0.25 EU/mL
(USP)
  • -Endotoxin Testing: Endotoxin values conform to the value 80% of 1-cell control embryos develop at 96 hours
  • -Peroxide value (POV):
  • -Shelf-life testing

The Mineral Oil meets all the requirements for overall design, and sterilization results confirming that the design output meets the design inputs and specifications for the device.

10. Statement of Substantial Equivalence

The results of the testing described above provide a reasonable assurance that Mineral Oil is as safe and effective as the predicate device and supports a determination of substantial equivalence.