K Number
K171332
Manufacturer
Date Cleared
2017-08-14

(98 days)

Product Code
Regulation Number
882.1480
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Artemis™ Neuro Evacuation Device is used for the controlled aspiration of tissue and/or fluid during surgery of the Ventricular System or Cerebrum in conjunction with a Penumbra Aspiration Pump.

Penumbra Aspiration Pump:
The Penumbra Aspiration Pump is indicated as a vacuum source for the Penumbra Aspiration Systems.

Device Description

The Artemis™ Neuro Evacuation Device, is a surgical instrument designed to aid a physician in the removal of tissue and/or fluid during image-guided neurosurgery. The Artemis Wand has two functions. These functions are control and transfer of aspiration and generation of rotational energy. Aspiration is generated by a Penumbra Aspiration Pump, which the Artemis Wand connects to through its flexible tubing. The Artemis Wand has a rigid hypotube containing a wire to facilitate removing tissue and/or fluid with the assistance of rotational energy and aspiration.

The Artemis Wand is designed to be image-guided, allowing visualization of the procedure. The method of removal is vacuum aspiration, which draws the tissue and/or fluid into the lumen of the Wand hypotube. The integrated wire is fully contained within the lumen of the Wand hypotube, and has rotational capability facilitating movement of any tissue and/or fluid that may otherwise clog the hypotube lumen.

AI/ML Overview

The provided text describes the Penumbra Artemis™ Neuro Evacuation Device and its substantial equivalence to a predicate device, the Apollo System. This document is a 510(k) summary, which focuses on demonstrating substantial equivalence rather than presenting a comparative effectiveness study with human readers or a standalone algorithm performance study.

Therefore, the information required to answer the following points is not available in the provided text:

  • A table of acceptance criteria and the reported device performance: While some tests are listed with "100% Pass" or descriptions like "Non-toxic," specific numerical acceptance criteria (e.g., minimum aspiration rates, maximum force tolerances) and their corresponding performance values are not detailed. The provided information summarizes categories of tests and their overall success.
  • Sample size used for the test set and the data provenance (e.g., country of origin of the data, retrospective or prospective): The text mentions "Design Verification (Bench-Top Testing)" and "Simulated Use" but does not specify the sample sizes (number of devices or simulated clots) used for these tests. Data provenance is also not mentioned.
  • Number of experts used to establish the ground truth for the test set and the qualifications of those experts: This information is not relevant to the non-clinical, bench-top testing described.
  • Adjudication method (e.g., 2+1, 3+1, none) for the test set: Not applicable to the non-clinical testing.
  • If a multi-reader multi-case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance: This study type is not mentioned or implied, as the device is a mechanical neuro evacuation device, not an AI diagnostic tool.
  • If a standalone (i.e. algorithm only without human-in-the-loop performance) was done: Not applicable, as the device is a mechanical instrument.
  • The type of ground truth used (expert consensus, pathology, outcomes data, etc): For the non-clinical tests, the "ground truth" would be established engineering specifications and successful execution of the test methods (e.g., passing a specific force test, achieving a certain vacuum level, being non-toxic per ISO standards).
  • The sample size for the training set: Not applicable, as this is not an AI/machine learning device.
  • How the ground truth for the training set was established: Not applicable.

However, based on the provided text, here is a summary of the acceptance criteria and study information that is mentioned:

Acceptance Criteria and Reported Device Performance (Based on available summary data):

Test CategoryTest Method SummaryReported Performance (Conclusion)
Biocompatibility
In vitro CytotoxicityMEM Elution TestNon-toxic
SensitizationISO Guinea Pig Maximization Sensitization TestNon-sensitizing
IrritationISO Tests for Irritation and Skin SensitizationNon-irritant
Systemic ToxicityISO Acute Systemic Injection TestNon-toxic
Material Mediated PyrogenISO Materials-Mediated Rabbit Pyrogen TestNon-pyrogenic
HemocompatibilityThrombogenicity Study in Dogs - ISONon-Thrombogenic
Coagulation (PT)Prothrombin Time (PT) TestNon-hemolytic
Coagulation (PTT)Partial Thromboplastin Time (PTT) TestNon-hemolytic
Hematology (Hemolysis) - Direct ContactASTM Hemolysis (Direct Contact Method)Non-hemolytic
Hematology (Hemolysis) - Indirect ContactASTM Hemolysis (Extract Method)Non-hemolytic
GenotoxicityAmes TestNon-mutagenic
ISO In Vivo Mouse Micronucleus AssayNon-mutagenic
Design Verification (Bench-Top Testing)
Packaging InspectionConfirm the packaging outputs meet all product specifications.100% Pass
Dimensional / Visual InspectionConfirm the dimensions / visual outputs meet all product specifications.100% Pass
Dynamic Vacuum TestingWand can sustain maximum vacuum and transfer vacuum to distal tip of wand.100% Pass
Simulated UseEvaluate the effectiveness of the device to generate rotational energy to remove simulated clot.100% Pass
Tensile/TorqueAll components are tested to ensure connections/joints meet all product specifications.100% Pass
Electric Safety TestingCompliant to requirements of IEC 60601-1 (3rd Ed.), IEC 60601-1-2, 60601-1-6, and IEC 62366.100% Pass
SterilizationGamma irradiation sterilization to a 6-log sterility assurance utilizing the VDmax25.Validated (in accordance with ISO 11137 and ISO 11737)
Shelf-Life12-month Shelf-life

Additional Information from the text:

  • Study Types: The studies conducted are primarily non-clinical bench-top testing and biocompatibility testing. This is a type of standalone performance testing in the sense that it evaluates the device's physical and biological properties in a controlled environment, not its performance in humans or with human interaction for diagnostic purposes.
  • Ground Truth for Non-clinical Tests: For biocompatibility, the ground truth is established by the specified international and FDA guidelines (EN ISO 10993-1, 21 CFR, Part 58 Good Laboratory Practices). For bench-top testing, the ground truth is against pre-defined product specifications and engineering requirements.
  • No Multi-Reader Multi-Case (MRMC) Study or AI/ML Algorithm Performance: The Artemis™ Neuro Evacuation Device is a physical medical instrument, not an AI-powered diagnostic tool. Therefore, studies involving human readers, AI algorithms, training sets, or expert consensus for image interpretation are not applicable and were not performed or reported in this document.

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Image /page/0/Picture/2 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized caduceus symbol, which is a staff with two snakes entwined around it. The caduceus is positioned to the right of the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA", which is arranged in a circular fashion around the logo.

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

August 14. 2017

Penumbra, Inc. Mary Rose Director, Regulatory Affairs One Penumbra Place Alameda, California 94502

Re: K171332

Trade/Device Name: Artemis Neuro Evacuation Device Regulation Number: 21 CFR 882.1480 Regulation Name: Neurological Endoscope Regulatory Class: Class II Product Code: GWG Dated: July 14, 2017 Received: July 17, 2017

Dear Ms. Rose:

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 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,

Carlos L. Pena -S

Carlos L. Peña, PhD, MS Director Division of Neurological and Physical Medicine Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K171332

Device Name ArtemisTM Neuro Evacuation Device

Indications for Use (Describe)

The Artemis™ Neuro Evacuation Device is used for the controlled aspiration of tissue and/or fluid during surgery of the Ventricular System or Cerebrum in conjunction with a Penumbra Aspiration Pump.

Penumbra Aspiration Pump:

The Penumbra Aspiration Pump is indicated as a vacuum source for the Penumbra Aspiration Systems.

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)

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Image /page/3/Picture/0 description: The image shows the word "Penumbra" in a bold, red font. To the right of the word is a red circle with a white "P" inside. The logo is simple and modern. The word "Penumbra" is the main focus of the image.

510(k) SUMMARY 1

(as required by 21 CFR 807.92)

Sponsor/Applicant Name and Address 1.1

Penumbra Inc. One Penumbra Place Alameda, CA 94502, USA

Sponsor Contact Information 1.2

Mary Rose Director, Regulatory Affairs Phone: 510-748-3346 FAX: 510-217-6414 email: mary.rose@penumbrainc.com

1.3 Date of Preparation of 510(k) Summary

July 14, 2017

Device Trade or Proprietary Name 1.4

Artemis™ Neuro Evacuation Device

Device Common/Usual or Classification Name 1.5

Endoscope, neurological (Product Code: GWG)

Primary Device Classification 1.6

Regulatory Class:II
Classification Panel:Neurology
Classification Name:Endoscope, neurological
Regulation Number:21 CFR 882.1480
Product Code:GWG

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Predicate Devices 1.7

510(k)NumberClearanceDateName of Predicate DeviceName ofManufacturer
K13293101/17/14Apollo SystemPenumbra, Inc.
K15269903/17/16Apollo SystemPenumbra, Inc.
Reference Devices
K16053305/24/16Penumbra Embolectomy Aspiration System(INDIGOTM Aspiration System)Penumbra, Inc.
K16044905/25/16Penumbra System® and Penumbra Pump MAXPenumbra, Inc.

1.8 Predicate Comparison

Apollo™ SystemSubject Device:Artemis™ Neuro EvacuationDevice
510(k) No.K132931, K152699K171332
ClassificationClass II, GWGClass II, GWG
Intended UseUsed for the controlledSAME
aspiration of tissue and/or
fluid during surgery of the
Ventricular System or
Cerebrum.
Aspiration ControlFingertip controlled viaSAME
vacuum regulator hole on
Wand handle.
Mechanism of ActionVacuum Aspiration aided byVibrational EnergyVacuum Aspiration aided byRotational Energy
Power Source forMechanism of ActionApollo GeneratorPrimary Cell Lithium IonBattery, 1.5 Volt DC Motorcontained within the handle
Aspiration SourceApollo PumpPenumbra Aspiration Pump
Wand Hypotube304 Stainless SteelSAME
Wand MaterialsPolymer, MetalSAME
Wand DimensionsL: 27.0 cm – 28.0 cmL: 26.1 cm - 27.0 cm
ID: 0.060″ — 0.088″ID: 00.048″ — 0.100″
OD: 0.072″ — 0.101″OD: 00.058″ — 0.109″
Aspiration TubingPolymerSAME
Material

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Apollo™ SystemSubject Device:Artemis™ Neuro EvacuationDevice
Aspiration TubingDimensionsOD: 0.188"ID: 0.088"OD: 0.263"ID: 0.163"
Single Use orReusableSingle UseSAME
SterilizationEOGamma
Shelf-Life12-Months - WandSAME
Aspiration PumpApollo System PumpPenumbra Aspiration Pump
IEC 60601-1ComplianceYesSAME
IEC 60601-1-2ComplianceYesSAME
Voltage100-115 VAC/230 VACSAME
Frequency50 Hz/60 HzSAME
Maximum Vacuum29 inHgSAME
Maximum Flow rate0.8 SCFMSAME

1.9 Device Description

The Artemis™ Neuro Evacuation Device, is a surgical instrument designed to aid a physician in the removal of tissue and/or fluid during image-guided neurosurgery. The Artemis Wand has two functions. These functions are control and transfer of aspiration and generation of rotational energy. Aspiration is generated by a Penumbra Aspiration Pump, which the Artemis Wand connects to through its flexible tubing. The Artemis Wand has a rigid hypotube containing a wire to facilitate removing tissue and/or fluid with the assistance of rotational energy and aspiration.

The Artemis Wand is designed to be image-guided, allowing visualization of the procedure. The method of removal is vacuum aspiration, which draws the tissue and/or fluid into the lumen of the Wand hypotube. The integrated wire is fully contained within the lumen of the Wand hypotube, and has rotational capability facilitating movement of any tissue and/or fluid that may otherwise clog the hypotube lumen.

Intended users for this device are physicians who have received appropriate training in image-guided neurosurgery.

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1.10 Indications for Use

The Artemis™ Neuro Evacuation Device is used for the controlled aspiration of tissue and/or fluid during surgery of the Ventricular System or Cerebrum in conjunction with a Penumbra Aspiration Pump.

Penumbra Aspiration Pump:

The Penumbra Aspiration Pump is indicated as a vacuum source for the Penumbra Aspiration Systems.

1.11 Summary of Non-clinical Data

Included in this section is a description of the testing, which substantiates the safe and effective performance of the subject Artemis™ Neuro Evacuation Device as well as its substantial equivalence to the predicate device:

  • Biocompatibility .
  • Design Verification (Bench-Top Testing) ●
  • EMC ●
  • Sterilization
  • . Shelf-life

1.11.1 Biocompatibility

Biocompatibility testing was performed on the subject Artemis™ Neuro Evacuation Device. Tests were selected in accordance with EN ISO 10993-1 guidelines (Biological Evaluation of Medical Devices) and FDA Guidance. All studies were conducted pursuant to 21 CFR, Part 58, Good Laboratory Practices.

TestMethodConclusions
In vitro CytotoxicityMEM Elution TestNon-toxic
Sensitization (Magnusson-Kligman Method)ISO Guinea Pig Maximization Sensitization TestNon-sensitizing

The following tests were performed based contact type and duration:

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TestMethodConclusions
Irritation (IntracutaneousReactivity (ISO))ISO Tests for Irritation and Skin SensitizationNon-irritant
Systemic Toxicity
Systemic Injection (ISO)ISO Acute Systemic Injection TestNon-toxic
Material Mediated PyrogenISO Materials-Mediated Rabbit Pyrogen TestNon-pyrogenic
Hemocompatibility
Thrombosis (DogThrombogenicity)Thrombogenicity Study in Dogs - ISONon-Thrombogenic
Coagulation (PT)Prothrombin Time (PT) TestNon-hemolytic
Coagulation (PTT)Partial Thromboplastin Time (PTT) TestNon-hemolytic
Hematology (Hemolysis) -Direct ContactASTM Hemolysis (Direct Contact Method)Non-hemolytic
Hematology (Hemolysis) -Indirect ContactASTM Hemolysis (Extract Method)Non-hemolytic
Genotoxicity
Ames MutagenicityAmes TestNon-mutagenic
In vivo Mouse micronucleusISO In Vivo Mouse Micronucleus AssayNon-mutagenic

The non-clinical testing found the Penumbra Artemis™ Neuro Evacuation Device to be biocompatible according to EN ISO 10993 requirements. Therefore, Penumbra Artemis™ Neuro Evacuation Device is substantial equivalent to the predicate device.

1.11.2 Bench-Top Testing

Design Verification testing was conducted to evaluate the physical and mechanical properties of the Artemis™ Neuro Evacuation Device and demonstrate substantial equivalence to predicate. The following tests were successfully performed:

TestTest Method SummaryResults
Packaging InspectionConfirm the packaging outputs meet all productspecifications.100%Pass
Dimensional / VisualInspectionConfirm the dimensions / visual outputs meet allproduct specifications.100%Pass
Dynamic VacuumTestingWand can sustain maximum vacuum and transfervacuum to distal tip of wand.100%Pass
Simulated UseEvaluate the effectiveness of the device to generaterotational energy to remove simulated clot.100%Pass

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Image /page/8/Picture/0 description: The image shows the word "Penumbra" in a red, sans-serif font. To the right of the word is a red circle with a white "P" inside. The logo is simple and modern, with the red color giving it a sense of energy.

Tensile/TorqueAll components are tested to ensure connections/joints meet all product specifications.100%
Pass
Electric Safety TestingCompliant to requirements of IEC 60601-1 (3rd Ed.),IEC 60601-1-2, 60601-1-6, and IEC 62366.100%
Pass

Design Verification (Bench-Top Testing) found the Penumbra Artemis™ Neuro Evacuation Device to meet all design inputs. Therefore, Penumbra Artemis™ Neuro Evacuation Device is substantially equivalent to the predicate device.

1.11.3 Sterilization

The Artemis™ Neuro Evacuation Device was validated for gamma irradiation sterilization to a 6-log sterility assurance utilizing the VDmax25 sterilization validation in accordance with ISO 11137 and ISO 11737.

1.11.4 Shelf Life

The Artemis™ Neuro Evacuation Device has a 12-month Shelf-life

1.12 Summary of Substantial Equivalence

The subject Artemis™ Neuro Evacuation Device is equivalent to the predicate Apollo System™. The subject device has an identical intended use as the predicate device. The subject device and predicate device differ slightly in regards to technological and material variations. However, these differences do not raise different questions of safety and effectiveness. The device testing described in Section 1.11 demonstrate the subject device is equivalent to the predicate device in regards to operating principle fundamental technology, materials, and device performance.

§ 882.1480 Neurological endoscope.

(a)
Identification. A neurological endoscope is an instrument with a light source used to view the inside of the ventricles of the brain.(b)
Classification. Class II (performance standards).