K Number
K170257
Device Name
Sydney IVF Culture Oil
Date Cleared
2017-02-24

(28 days)

Product Code
Regulation Number
884.6180
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
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 micro-manipulation procedures.
Device Description
Sydney IVF Culture Oil is designed to protect gametes and embryos during ART processing by providing a barrier between the embryo culture media and the air, thereby minimizing evaporation, and reducing fluctuations in osmolality. Sydney IVF Culture Oil consists of pharmaceutical grade mineral oil. Sydney IVF Culture Oil is provided in glass vials (50 ml). This product is a single use, aseptically-filtered device.
More Information

Not Found

No
The device description and performance studies focus on the physical properties and biological compatibility of the mineral oil, with no mention of AI or ML technologies.

No.
The primary function of the device is to protect gametes and embryos by minimizing evaporation and reducing fluctuations in osmolality, which is a supportive rather than a therapeutic action. Therapeutic devices directly treat or prevent a disease or condition, whereas this device provides an optimal environment for biological processes.

No

The device is an oil overlay used to protect gametes, zygotes, or embryos during ART procedures by minimizing evaporation and reducing osmolality fluctuations. It is a protective and supportive material, not a device used to obtain information for the purpose of diagnosis.

No

The device description clearly states that the device is a pharmaceutical grade mineral oil provided in glass vials, which are physical components, not software.

Based on the provided information, no, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is to provide an oil overlay for culture of gametes, zygotes, or embryos in ART and micro-manipulation procedures. This is a supportive function for the culture process itself, not a diagnostic test performed in vitro on a specimen to provide information about a patient's health or condition.
  • Device Description: The description focuses on its physical function as a barrier to minimize evaporation and reduce osmolality fluctuations. It's a component used in the process, not a test kit or reagent designed to detect or measure something in a biological sample.
  • Lack of Diagnostic Elements: There is no mention of analyzing a sample, detecting a substance, or providing diagnostic information. The performance studies focus on the oil's ability to support embryo development (MEA), its purity (Endotoxin, Sterility), and its shelf life – all related to its function as a culture medium component.

IVD devices are typically used to perform tests on samples like blood, urine, tissue, etc., to diagnose, monitor, or screen for diseases or conditions. This device's role is to create a stable environment for the biological material being cultured, which is a different function.

N/A

Intended Use / Indications for Use

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 micro-manipulation procedures.

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

MQL

Device Description

Sydney IVF Culture Oil is designed to protect gametes and embryos during ART processing by providing a barrier between the embryo culture media and the air, thereby minimizing evaporation, and reducing fluctuations in osmolality. Sydney IVF Culture Oil consists of pharmaceutical grade mineral oil.

Sydney IVF Culture Oil is provided in glass vials (50 ml). This product is a single use, aseptically-filtered device.

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 (study type, sample size, AUC, MRMC, standalone performance, key results)

A real-time shelf-life study was conducted to demonstrate that the Sydney IVF Culture Oil met the following specifications at time zero (0) and after 20 weeks of storage at 2 - 8 °C:

  • Mouse Embryo Assay (MEA): ≥80% 2-cell embryos expanded to blastocysts at 72 hours
  • Endotoxin (LAL):
  • Sterility: No growth in accordance with USP

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.

K022002

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

§ 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

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

February 24, 2017

William A. Cook Australia Pty Ltd Gordana Pozvek, Ph.D. Senior Regulatory Affairs Specialist 95 Brandl Street Eight Mile Plains OLD 4113 Australia

K170257 Re:

Trade/Device Name: Sydney IVF Culture Oil Regulation Number: 21 CFR 884.6180 Regulation Name: Reproductive media and supplements Regulatory Class: Class II Product Code: MQL Dated: January 24, 2017 Received: January 27, 2017

Dear Dr. Gordana Pozvek:

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

Image /page/0/Picture/11 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is a stylized image of three human profiles facing to the right, stacked on top of each other.

1

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,

Charles Viviano -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

2

Indications for Use

510(k) Number (if known) K170257

Device Name Sydney IVF Culture Oil

Indications for Use (Describe)

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 micro-manipulation procedures.

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

X Prescription Use (Part 21 CFR 801 Subpart D)

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

CONTINUE ON A SEPARATE PAGE IF NEEDED.

This section applies only to requirements of the Paperwork Reduction Act of 1995.

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff(@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

3

K170257 Page 1 of 2

COOK®
MEDICAL

WILLIAM A. COOK AUSTRALIA PTY. LTD. 95 BRANDL STREET BRISBANE TECHNOLOGY PARK, EIGHT MILE PLAINS BRISBANE, QLD 4113, AUSTRALIA PHONE: 1800,777,222 FAX: +61,7,3841,1288 WWW.COOKMEDICAL.COM

510(k) Summary - K170257

SUBMITTED BY:

William A. Cook Australia Pty Ltd 95 Brandl Street Eight Mile Plains QLD 4113 Australia

Contact Person:Gordana Pozvek, Ph.D.
Tel:+61 (7) 3841 1188
Fax:+61 (7) 3841 3905
E-mail:Gordana.Pozvek@CookMedical.com

Date Prepared: February 24, 2017

DEVICE IDENTIFICATION:

Trade Name:Sydney IVF Culture Oil
Common Name:IVF Culture Oil
Regulation No:21 CFR 884.6180, Reproductive Media and Supplements
Regulatory Class:II
Product Code:MQL - Media, Reproductive

PREDICATE DEVICE:

Sydney IVF Culture Oil (K022002)

The predicate device has not been subject to a design related recall.

DEVICE DESCRIPTION:

Sydney IVF Culture Oil is designed to protect gametes and embryos during ART processing by providing a barrier between the embryo culture media and the air, thereby minimizing evaporation, and reducing fluctuations in osmolality. Sydney IVF Culture Oil consists of pharmaceutical grade mineral oil.

Sydney IVF Culture Oil is provided in glass vials (50 ml). This product is a single use, aseptically-filtered device.

4

INDICATIONS FOR USE:

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 micromanipulation procedures.

COMPARISON OF INTENDED USE AND TECHNOLOGICAL CHARACTERISTICS WITH THE PREDICATE DEVICE:

Sydney IVF Culture Oil has the same Indications for Use as the predicate device cleared under K022002. Therefore, the intended use of the subject device is the same as the predicate device.

Sydney IVF Culture Oil has similar technological characteristics to the predicate device. This 510(k) was submitted to expand the shelf-life from 90 days (predicate device shelf-life) to 20 weeks when stored at 2-8℃. The difference between subject and predicate devices does not impact substantial equivalence, as it does not raise different questions of safety and effectiveness.

PERFORMANCE DATA:

A real-time shelf-life study was conducted to demonstrate that the Sydney IVF Culture Oil met the following specifications at time zero (0) and after 20 weeks of storage at 2 - 8 °C:

  • Mouse Embryo Assay (MEA): ≥80% 2-cell embryos expanded to blastocysts at 72 hours
  • Endotoxin (LAL):
  • Sterility: No growth in accordance with USP ●

CONCLUSION:

The results of the testing demonstrate that the Sydney IVF Culture Oil is as safe and effective as the predicate device, and supports a determination of substantial equivalence.