EZ-Tip pipettes are for denudation, i.e. removing the cumulus from an occyte prior to Intracytoplasmic Sperm Injection (ICSI) and In Vitro Fertilization (IVF) and for handling gametes, embryos and biopsied cells (polar bodies, blastomeres and trophectoderm) during assisted reproductive techniques (ART). EZ-Tips are not intended for biopsy of cells from oocytes or embryos.

The EZ-Grip provides aspiration and expulsion capabilities to plastic pipettes when fitted during assisted reproduction procedures.

Device Description

The EZ-Tip pipette is an extruded medical grade polycarbonate capillary that is pulled at one end to form a tapered tip. It has an outer diameter (OD) of 0.9 mm at the proximal end and fits to an actuating device such as the EZ-Grip. All tips are approximately 90 mm in length and depending on the size of the tip they have a volumetric capacity of 15.9 - 25.4 µl.

Pipette Tips are supplied in a range of inner diameter (ID) sizes at the distal end as shown below:

Size 75 µm, 200 µm, 250 µm, 290 µm, 600 µm are suitable for specimen handling
Sizes 125 µm, 135 µm, 145 µm, 155 µm, 170 µm are suitable for denudation

The EZ-Tip is supplied sterile in one of two packaging options; individually blister packed or pouch packed in a vial containing 20 tips. All pipettes are intended single use and disposable.

The EZ-Grip is a hand held, reusable actuator or pipeter for plastic pipettes. It consists of a machined aluminium barrel containing stainless steel and PTFE internal working mechanisms, a titanium plunger wire and medical grade silicone and nylon seals. The plunger mechanism is designed to be compatible with 0.9 mm OD plastic pipettes and it has an aspiration volume range of 0.2 µl to 3 µl with a blow-out volume of 1.4 µl above the adjusted aspiration volume setting.

The EZ-Grip is supplied non-sterile with validated protocols for cleaning and sterilization included in the Instructions for Use.

AI/ML Overview

The provided document describes the non-clinical testing and assessment of the EZ-Tip and EZ-Grip devices to demonstrate their substantial equivalence to predicate devices (The Stripper micropipet and micropipeter tips and The Stripper device, respectively). The study does not involve human subjects or AI, but rather focuses on physical, chemical, and biological performance characteristics relevant to assisted reproductive techniques (ART).

Here's a breakdown of the requested information based on the provided text:

1. Table of Acceptance Criteria and Reported Device Performance

Test	Acceptance Criteria	Reported Device Performance
EZ-Tip
Mouse Embryo Assay (MEA)	≥80% hatched blastocysts at 120 h	Passed (three lots demonstrated ≥80% hatched blastocysts at 120 h)
Endotoxin (LAL)	≤20 EU/device	Passed (three lots demonstrated ≤20 EU/device)
Sterilization	Compliance with ISO11137-1:2006 and ISO11137-2:2012	Sterilization validated in compliance with these standards
Packaging Integrity	Compliance with ISO11607-2:2006, ASTM F1886/F1886M - 09, ASTM F1929-12, ASTM F1140-07, and ASTMF1980:07(2011)	Validation studies conducted per these standards; accelerated aged samples conditioned per ASTMF1980:07(2011)
Shelf-Life (EZ-Tip Vial of 20)	Supported by packaging and performance tests	Three years (supported by real-time and accelerated aging)
Shelf-Life (EZ-Tip Singles)	Supported by packaging and performance tests	Five years (supported by real-time and accelerated aging)
EZ-Grip
Mouse Embryo Assay (MEA) (Plunger Wires)	≥80% hatched blastocysts at 120 h	Passed (three lots of plunger wires demonstrated ≥80% hatched blastocysts at 120 h)
Reprocessing Validation	Compliance with FDA guidance "Reprocessing Medical Devices in Health Care Settings: Validation Methods and Labeling"	Reprocessing validated in accordance with this guidance
Device Life (Simulated Use)	Performs according to product specifications after routine maintenance and reprocessing	Confirmed to perform after 16,000 actuations (measuring aspirated volume, delivered volume, force)

2. Sample Size Used for the Test Set and Data Provenance

EZ-Tip MEA & Endotoxin Testing: Three lots of EZ-Tip were tested.
EZ-Grip MEA Testing (Plunger Wires): Three lots of EZ-Grip plunger wires were tested.
EZ-Grip Device Life Bench Testing: Not explicitly stated as a number of devices, but it involved simulating one year of use (16,000 actuations) on at least one device.
Provenance: All tests described are non-clinical, laboratory-based assessments of the physical device components and their interaction with biological samples (mouse embryos). The data provenance is from laboratory testing and not from human clinical data, nor is country of origin of the data specified beyond the company being in the UK.

3. Number of Experts Used to Establish Ground Truth for the Test Set and Qualifications

This information is not applicable as the described studies are non-clinical and do not involve human diagnostic assessment or expert-determined ground truth in the typical clinical sense. The "ground truth" here is objective laboratory measurements (e.g., percentage of hatched blastocysts, endotoxin levels, physical performance metrics).

4. Adjudication Method for the Test Set

This information is not applicable as the described studies are non-clinical and do not involve human diagnostic assessment requiring adjudication.

5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was Done

No. A MRMC comparative effectiveness study was not done. This study is focused on the non-clinical performance of medical devices for ART, not comparative effectiveness of human readers or AI.

6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) was Done

No. This is not an AI/algorithm-based device. It is a physical medical device (pipettes and a pipettor).

7. The Type of Ground Truth Used

For Mouse Embryo Assays (MEA): The "ground truth" is the observed biological outcome of mouse embryo development (percentage of hatched blastocysts), which is a direct biological measure.
For Endotoxin Testing: The "ground truth" is the measured endotoxin level, a chemical quantification.
For Sterilization, Packaging, and Bench Testing: The "ground truth" is compliance with established international standards and internal product specifications for physical and functional performance.

8. The Sample Size for the Training Set

Not Applicable. There is no "training set" as this is not an AI/machine learning study.

9. How the Ground Truth for the Training Set was Established

Not Applicable. There is no "training set" as this is not an AI/machine learning study.

Summary

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Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized image of three human profiles facing to the right, with flowing lines beneath them.

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

January 23, 2017

Research Instruments Ltd. Wendy Hassan Regulatory Affairs Executive Bickland Industrial Park Falmouth. Cornwall TR11 4TA United Kingdom

Re: K161275

Trade/Device Name: EZ-Tip Singles, EZ-Tip Vial of 20, EZ-Grip Regulation Number: 21 CFR 884.6130 Regulation Name: Assisted reproduction microtools Regulatory Class: Class II Product Code: MOH Dated: December 14, 2016 Received: December 19, 2016

Dear Wendy Hassan,

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

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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 yours,

Benjamin R. 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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DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

510(k) Number (if known) K161275

Device Name EZ-Tip Vial of 20 EZ-Tip Singles EZ-Grip

Indications for Use (Describe)

The EZ-Grip provides aspiration and expulsion capabilities to plastic pipettes when fitted during assisted reproduction procedures.

Type of Use (Select one or both, as applicable)

Prescription Use (Part 21 CFR 801 Subpart D)

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

CONTINUE ON A SEPARATE PAGE IF NEEDED.

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Image /page/3/Picture/1 description: The image shows a stylized logo with the letters 'RI' in a bold, serif typeface. A curved line underlines the letters, adding a touch of elegance to the design. The logo is presented in black against a white background, creating a strong contrast.

Bickland Industrial Park, Falmouth, Cornwall, TR11 4TA, UK Tel: 01326 372753 [International +44 1326 372 753] Fax: 01326 378783 [International +44 1326 378 783] e-mail: sales@research-instruments.com www.research-instruments.com

K161275 Page 1 of 5

510(k) Summary

Date prepared January 16, 2017

Submitter's information

Company Name: Registration Number: Address:

Telephone: Fax: Contact person: Contact Title: Contact email:

Device Names

Trade Name: Common name: Classification Number: Classification Name: Product Code: Classification Panel: Regulatory Class:

Predicate Device

Trade Name: Common name: Manufacturer: Classification Name: 510(K)

IVF micropipette and micropipetter 884.6130 Assisted Reproduction Microtools MQH (Microtools, Assisted Reproduction) Obstetrics/Gynecology ll

wendy.hassan@research-instruments.com

EZ-Tip Vial of 20, EZ-Tip Singles, EZ-Grip

Research Instruments Ltd.

Bickland Industrial Park

Cornwall TR11 4TA United Kingdom

+44 (0) 1326 372 753 +44 (0) 1326 378 783

Regulatory Affairs Executive

Wendy Hassan

9617095

Falmouth.

The Stripper micropipet and micropipeter tips IVF micropipet and micropipeter Mid-Atlantic Diagnostics, Inc Microtools, Assisted Reproduction (21CFR 884.6130, 85 MQH) Kaasaaa

The Stripper micopipet and micropipeter tips have not been subject to a design-related recall.

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Image /page/4/Picture/1 description: The image shows a logo with the letters 'RI' in a bold, stylized font. A curved line underlines the letters, adding a sense of elegance and movement to the design. The logo is simple, yet impactful, making it easily recognizable. The black color of the letters and line creates a strong contrast against the white background.

Device Description

Pipette Tips are supplied in a range of inner diameter (ID) sizes at the distal end as shown below:

Size 75 µm, 200 µm, 250 µm, 290 µm, 600 µm are suitable for specimen handling
Sizes 125 µm, 135 µm, 145 µm, 155 µm, 170 µm are suitable for denudation

The EZ-Tip is supplied sterile in one of two packaging options; individually blister packed or pouch packed in a vial containing 20 tips. All pipettes are intended single use and disposable.

The EZ-Grip is supplied non-sterile with validated protocols for cleaning and sterilization included in the Instructions for Use.

Indications for Use

EZ-Tip pipettes are for denudation, i.e. removing the cumulus from an oocyte prior to Intracytoplasmic Sperm Injection (ICSI) and In Vitro Fertilization (IVF) and for handling gametes, embryos and biopsied cells (polar bodies, blastomeres and trophectoderm) during assisted reproductive techniques (ART). EZ-Tips are not intended for biopsy of cells from oocytes or embryos.

The EZ-Grip provides aspiration and expulsion capabilities to plastic pipettes when fitted during assisted reproduction procedures.

Comparison to Predicate Indication for Use

The Stripper tips indications for use is as follows:

The Stripper micropipette family's indication for use is to manipulate and transfer zygotes and . embryos during IVF and ICSI procedures.
· The Stripper micropipets are used in the tissue culture techniques performed by embryologists when preparing oocytes for IVF, ICSI and assisted hatching techniques prior to implantation.
· The Stripper micropipets are tools used in procedures that have been developed to aid infertile couples achieve pregnancy
. Removes cumulus and corona cells from oocytes for confirmation of fertility during IVF.
Removes cumulus and corona cells from oocytes prior to ICSI procedures
Used to transfer embryos and oocytes through various media and solutions during IVF procedures

Although differences in indications exist, the overall intended use is the same i.e. both subject and predicate devices are used to remove the cumulus and corona cells from occytes and to manipulate or handle human reproductive cells through various media and solutions during ART procedures.

The EZ-Grip is used in the same manner as intended by the Stripper predicate device i.e. to provide aspiration and expulsion capabilities to pipettes when fitted during assisted reproduction procedures.

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K161275 Page 3 of 5

Technological Assessment

Table 1: Comparison of the EZ-Tip and the Stripper micropipette.

Feature	EZ-TipK161275	Stripper TipsK993699	Comparison
Geometryanddimensions	Proximal OD 0.9 mmDistal ID size range -75μm to 600 μmLength 90 mm	Information unknown	Different: The specificdimensions of tips clearecin K993699 is not known;however, differences in tipdimensions do not raisedifferent safety andeffectiveness questions(e.g., tip size appropriateto handle reproductivecells of interest).
Materialsused	Polycarbonate	Polycarbonate	Same
Manufacture	Extruded plastic capillaryCut to provide different IDdimensionsSealed in packaging toretain sterile barrier	Extruded plastic capillaryCut to provide different IDdimensionsSealed in packaging toretain sterile barrier	Same
Sterility	Sterile (SAL 10-6) gammairradiated	Sterile (SAL 10-6) gammairradiated	Same
Use	Single Use	Single Use	Same
MouseEmbryoAssay (MEA)	1-Cell MEA: ≥80%hatched blastocysts at120 h.	1-Cell MEA: ≥ 70%, toblastocyst at 96 h	Different: The MouseEmbryo Assay (MEA)specification is lower inthe predicate device;however this does notraise different S & Equestions.
Endotoxin(LAL)	< 20 EU/device	<0.03 EU/ml	Different: The Endotoxin(LAL) specification forthe predicate device isdifferent; however thisdoes not raise different S& E questions.

As noted in the table above, the subject and predicate tips are similar in that they are both polycarbonate tips with similar designs and are provided sterile and single-use only. The differences identified do not raise different questions of safety and effectiveness as discussed in Table 1 above.

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Feature	EZ-GripK161275	The StripperK993699	Comparison
Usage	Reusable - supplied notsterile	Reusable - supplied notsterile	Same
Handling	Hand-held device withthumb operated plunger	Hand-held device withthumb operated plunger	Same
OD of theplastic pipettetip	0.9 mm	Unknown	Different: The specific ODdimension of tips clearedin K993699 is not known;however, differences inOD do not raise differentquestions of S & E (e.q.ability to hold pipettesused for aspiration andexpulsion procedures).
Material - ofbarrel	Machined aluminium	Aluminium	Same
Material - ofplunger wire	Titanium	Stainless steel	Different: The material ofthe plunger wire in thepredicate device isdifferent however thisdoes not raise different S& E questions.
Maintenance	Seals and plunger wire	Seals and plunger wire	Same
AspirationVolume	Maximum adjustableaspiration volume up to 3ul with 1.4 µl blow outcapacity above themaximum aspirationvolume	Unknown	Different: The blow outcapacity of the predicatedevice is differenthowever this does notraise different S & Equestions.

Table 2: Comparison of the EZ-Grip with the Stripper device.

In summary, the similarities between the EZ-Grip and the predicate Stripper are that both are hand held devices with thumb operated plungers that are used to aspirate and expel fluids in support of assisted reproduction laboratory procedures. Both devices are provided non-sterile, are reusable, and require periodic maintenance to replace the seals and plunger wire components. The differences identified do not raise different questions of safety and effectiveness as discussed in Table 2 above.

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Image /page/7/Picture/1 description: The image shows a logo with the letters "RI" in a bold, serif typeface. The letters are black and are positioned side by side. A curved line is located beneath the letters, adding a sense of movement or design flair to the logo. The overall design is simple, yet elegant, with a focus on the letters and the curved line.

K161275 Page 5 of 5

Non-Clinical Assessment of the EZ-Tip

· Mouse Embryo Assay (MEA) Testing One-cell MEA testing was performed on three lots of EZ-Tip, demonstrating that devices met the acceptance specification of ≥80% hatched blastocysts at 120 h. Test articles passed all MEA testing conducted. MEA testing is performed on each lot of EZ-Tip.
· Endotoxin Testing Bacterial Endotoxin (Limulus Amoebocyte Lysate) Assay testing (FDA recognized consensus standard USP<85> "Bacterial Endotoxins Test" and ANSI/AAMI ST72:2011 "Bacterial endotoxins test methods, routine monitoring, and alternatives to batch testing") was performed on three lots of product demonstrating that devices met the acceptance specification of ≤20 EU/device. Endotoxin testing is performed on each lot of EZ-Tip.
Sterilization Validation The sterilization was performed in compliance with . requirements in the applicable standards for gamma irradiation ISO11137-1:2006 "Sterilization of health care products. Radiation. Requirements for development, validation and routine control of a sterilization process for medical devices" and ISO11137-2:2012 "Sterilization of health care products - Radiation - Part 2: Establishing the sterilization dose".
· Packaging Validation Package integrity validation studies were conducted per ISO11607-2:2006 "Packaging for terminally sterilized medical devices Part 2: Validation requirements for forming, sealing and assembly processes", ASTM F1886/F1886M - 09 "Standard Test Method for Seal Strength of Flexible Packaging by Visual Inspection", ASTM F1929-12 "Standard Test Method for Detecting Seal Leaks in Porous Medical Packaging by Dye Penetration" and ASTM F1140-07 "Standard Test Methods for Internal Pressurization Failure Resistance of the Unrestrained Packages." These studies used accelerated aged samples conditioned in accordance with ASTMF1980:07(2011) "Standard Guide for Accelerated Aging of Sterile Barrier Systems for Medical Devices".
Shelf-Life The proposed shelf-life of EZ-Tip Vial of 20 (three years) and Singles (five years) is . supported by packaging and performance tests conducted on samples exposed to real-time and accelerated aging conditions pursuant to ASTMF1980:07(2011) "Standard Guide for Accelerated Aging of Sterile Barrier Systems for Medical Devices". The parameters assessed before and after aging included endotoxin (LAL) and MEA testing.

Non-Clinical Assessment of the EZ-Grip

· Mouse Embryo Assay (MEA) Testing One-cell MEA testing was performed on three lots of EZ-Grip plunger wires demonstrating that devices met the acceptance specification of ≥80% hatched blastocysts at 120 h. Test articles passed all MEA testing conducted. MEA testing is performed on each lot of EZ-Grip plunger wires.
Reprocessing Validation Reprocessing validation of the EZ-Grip was in accordance with the procedures outlined in the FDA guidance document titled "Reprocessing Medical Devices in Health Care Settings: Validation Methods and Labeling" issued on March 17, 2015.
· Device Life Bench testing confirmed that the EZ-Grip performs according to the product specifications after routine maintenance and reprocessing during one year of simulated use consisting 16,000 actuations of the device set to aspirate 3 µl. Device evaluation consisted of measuring aspirated volume at each device setting, assessment of delivered volume and the force required to actuate the 3ul default setting and 1.4 µl blow-out function.

Conclusion

The intended use, technological characteristics and non-clinical test data supports a conclusion that the EZ-Tip and EZ-Grip devices are substantially equivalent to the predicate devices.

Regulation Number and Section

§ 884.6130 Assisted reproduction microtools.

(a)
Identification. Assisted reproduction microtools are pipettes or other devices used in the laboratory to denude, micromanipulate, hold, or transfer human gametes or embryos for assisted hatching, intracytoplasmic sperm injection (ICSI), or other assisted reproduction methods.(b)
Classification. Class II (special controls) (mouse embryo assay information, endotoxin testing, sterilization validation, design specifications, labeling requirements, and clinical testing). The device, when the assisted reproduction microtools (pipettes) are manufactured from glass, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 884.9.