(136 days)
For rapid transcervical aspiration of the uterine cavity.
The Berkeley VC-10 Vacuum Curettage System uses aspiration to remove uterine contents through the cervix. The system includes the vacuum pump, collection containers, connection tubing, and patient contacting vacurettes. The vacuum pump is electrically powered and generates suction through vacuum pressure. The vacuum pump console is not provided sterile and is a multi-use device. The patient contacting vacurettes of the VC-10 system are provided as sterile, single use disposable devices.
Similar to the predicate device VC-10, the modified Berkeley VC-10 includes a high capacity. double diaphragm pump and motor, enclosed in a stainless steel cabinet. Collection canisters sit on top of the cabinet, and a large vacuum gauge and vacuum control knob are easily accessed on the top of the cabinet. A vacurette (available in various shapes and sizes) is attached to a collection set (includes a plastic swivel handle with a slip ring to control the vacuum and PVC tubing) and is attached to the patient port of the first collection container. Two accessories, which can be used to collect tissue, include a tissue trap, which is connected to the collection tubing and the collection container, or a gauze sack, which is placed inside the collection container. The modified VC-10 offers the same foot actuator pedal for vacuum supply.
The provided text describes a 510(k) premarket notification for the Berkeley VC-10 Vacuum Curettage System, focusing on a modification to the vacuum pump motor. This type of submission primarily demonstrates substantial equivalence to a predicate device rather than presenting a comprehensive study on diagnostic performance or AI effectiveness.
Therefore, many of the requested elements regarding acceptance criteria for diagnostic accuracy, sample sizes for AI training/testing, expert adjudication, MRMC studies, and ground truth establishment are not applicable or extractable from this document. The document describes acceptance criteria and testing for the functional performance and safety of the device itself, not for its diagnostic or interpretative capabilities.
Here’s what can be extracted based on the provided text, addressing the applicable points:
1. Table of Acceptance Criteria and Reported Device Performance
The document states that "All performance testing passed or met the pre-specified acceptance criteria." However, the exact numerical acceptance criteria are not explicitly stated in the provided text. Only the tests performed and the outcomes are mentioned broadly.
| Test Performed | Acceptance Criteria | Reported Device Performance |
|---|---|---|
| Maximum Measured Vacuum Pressure | Not explicitly stated in the document | Passed acceptance criteria |
| Free Flow Rate | Not explicitly stated in the document | Passed acceptance criteria |
| Time to Develop Vacuum | Not explicitly stated in the document | Passed acceptance criteria |
| Time to Reach Full Vacuum | Not explicitly stated in the document | Passed acceptance criteria |
| Time to Evacuate 1L w/ 7mm Curette | Not explicitly stated in the document | Passed acceptance criteria |
| Time to Evacuate 1L w/ 6mm Curette | Not explicitly stated in the document | Passed acceptance criteria |
| Electrical Safety (AAMI/ANSI ES 60601-1:2005/(R) 2012 and A1:2012) | Compliance with standards | Passed |
| EMC (IEC 60601-1-2 Edition 3: 2007-03) | Compliance with standards | Passed |
2. Sample Size Used for the Test Set and Data Provenance
The document does not describe a "test set" in the context of diagnostic accuracy, image analysis, or AI. The testing performed is bench performance testing of the device's physical functions. Therefore, information on sample size and data provenance in this context is not applicable/available.
3. Number of Experts Used to Establish the Ground Truth for the Test Set and Their Qualifications
As this is not a study assessing diagnostic performance or AI, there were no "experts" establishing a "ground truth" for a test set in that sense. The "ground truth" for functional performance tests would be the established engineering specifications and physical measurements, determined by the device manufacturer's engineers.
4. Adjudication Method for the Test Set
Not applicable, as there is no diagnostic test set or human interpretation being evaluated.
5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done
No, an MRMC study was not done. This document does not describe the evaluation of human readers or AI assistance.
6. If a Standalone (i.e. algorithm only without human-in-the-loop performance) Was Done
Not applicable. The device is a vacuum curettage system, not an AI algorithm. Its performance is entirely "standalone" in the sense that it performs physical actions.
7. The Type of Ground Truth Used
For the functional bench tests, the "ground truth" would be the pre-specified engineering and performance specifications that the device is designed to meet (e.g., specific vacuum pressure levels, flow rates, evacuation times). For electrical safety and EMC, the ground truth is compliance with the referenced international consensus standards (AAMI/ANSI ES 60601-1 and IEC 60601-1-2).
8. The Sample Size for the Training Set
Not applicable. This is not an AI/machine learning device.
9. How the Ground Truth for the Training Set Was Established
Not applicable. This is not an AI/machine learning device.
Summary of the Study and Device Performance:
The study described is a bench performance testing study conducted by the manufacturer (Gyrus ACMI, Inc.) to evaluate the functional and safety performance of the modified Berkeley VC-10 Vacuum Curettage System. The modification involved an upgrade to a 1/2 horsepower vacuum pump motor from a 1/3 horsepower motor.
The study aimed to demonstrate substantial equivalence of the modified device to its predicate (the original Berkeley VC-10) by showing that the technological differences (new motor) do not raise different questions of safety or effectiveness.
Tests performed included:
- Maximum Measured Vacuum Pressure
- Free Flow Rate
- Time to Develop Vacuum
- Time to Reach Full Vacuum
- Time to Evacuate 1L with 7mm Curette
- Time to Evacuate 1L with 6mm Curette
- Electrical Safety (according to AAMI/ANSI ES 60601-1)
- Electromagnetic Compatibility (EMC) (according to IEC 60601-1-2)
All performance testing passed or met the pre-specified acceptance criteria, and the device was found to be in compliance with the relevant electrical safety and EMC standards. This indicates that the modified device functions as intended and safely, maintaining substantial equivalence to the predicate device.
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Public Health Service
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Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002
September 29, 2017
Gyrus ACMI, Inc. Christina Flores Senior Specialist, Regulatory Affairs 136 Turnpike Road Southborough, MA 01772
Re: K171440
Trade/Device Name: Berkeley VC-10 Vacuum Curettage System Regulation Number: 21 CFR& 884.5070 Regulation Name: Vacuum Abortion System Regulatory Class: II Product Code: HHI, HHK Dated: August 31, 2017 Received: September 1, 2017
Dear Christina Flores:
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.
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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 (DICE) 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 (DICE) 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
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Indications for Use
510(k) Number (if known) K171440
Device Name Berkeley VC-10 Vacuum Curettage System
Indications for Use (Describe) For rapid transcervical aspiration of the uterine cavity.
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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K171440
510(k) Summary Gyrus ACMI, Inc. Berkeley VC-10 Vacuum Curettage System
General Information
| 510(k) Submitter | Gyrus ACMI, Inc. 136 Turnpike Rd Southborough, MA 01772 Phone: 508-804-2776 |
|---|---|
| Establishment Registration Number: | 3003790304 |
| Contact Person: | Christina Flores Senior Specialist, Regulatory Affairs 508-804-2776 Christina.flores@olympus-osta.com |
| Date Prepared: | September 27, 2017 |
Device Identification
| Classification Name: | Vacuum Abortion System |
|---|---|
| Regulation number | 21 CFR 884.5070 |
| Product codes | HHI (System, Abortion, Vacuum) HHK (Curette, Suction, Endometrial (And Accessories)) |
| Regulatory Class | Class II |
| Trade Name: | Berkeley VC-10 Vacuum Curettage System |
| Generic/Common Name: | Vacuum abortion system |
Predicate Device
| K030935 | Gyrus ACMI VC-10 |
|---|---|
| --------- | ------------------ |
The predicate device has not been subject to a design-related recall.
Product Description
The Berkeley VC-10 Vacuum Curettage System uses aspiration to remove uterine contents through the cervix. The system includes the vacuum pump, collection containers, connection tubing, and patient contacting vacurettes. The vacuum pump
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is electrically powered and generates suction through vacuum pressure. The vacuum pump console is not provided sterile and is a multi-use device. The patient contacting vacurettes of the VC-10 system are provided as sterile, single use disposable devices.
Similar to the predicate device VC-10, the modified Berkeley VC-10 includes a high capacity. double diaphragm pump and motor, enclosed in a stainless steel cabinet. Collection canisters sit on top of the cabinet, and a large vacuum gauge and vacuum control knob are easily accessed on the top of the cabinet. A vacurette (available in various shapes and sizes) is attached to a collection set (includes a plastic swivel handle with a slip ring to control the vacuum and PVC tubing) and is attached to the patient port of the first collection container. Two accessories, which can be used to collect tissue, include a tissue trap, which is connected to the collection tubing and the collection container, or a gauze sack, which is placed inside the collection container. The modified VC-10 offers the same foot actuator pedal for vacuum supply.
Indications for Use
For rapid transcervical aspiration of the uterine cavity.
The indications for use and intended use of the modified/unmodified Berkeley VC-10 Vacuum Curettage System has not changed as a result of the vacuum pump motor modification in this submission. The indications for use of the subject and predicate devices are identical.
Comparison to Predicate Device:
The modified Berkeley VC-10 has been compared to the predicate VC-10 device with respect to intended use, design, performance, and fundamental scientific technology.
The Berkeley VC-10 was originally cleared in K030935. The modification that is the subject of this submission is to the vacuum pump and motor in the console of the Berkeley VC-10 Vacuum Curettage System. The horsepower rating for the predicate and new vacuum pump is changing from 1/3 horsepower to 1/2 horsepower. All other components of the system are identical to those cleared in K030935. The system's interface with the disposable components has not changed with this modification.
No changes were made to patient contacting material or packaging to the modified VC-10 since the predicate system was cleared in K030935.
A comparison of the pump specifications for the modified Berkeley VC-10 system and the predicate Berkeley VC-10 system is shown in the table below:
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| VC-10 (K030935) | VC-10 (this submission) | |
|---|---|---|
| Motor part number | 72R547-V116-D303X | 87R647-101-N470X |
| Voltage/Frequency | 115VAC/60 Hz | Same |
| Power/Amps | 600VA/5A | 500VA/T6.3AH |
| Horsepower | 1/3 HP | 1/2 HP |
| Maximum Vacuum | 73 cm Hg | 71 cm Hg |
Except for the replacement of a the vacuum pump motor and the adjustments made to the internal enclosure to accommodate the new vacuum pump motor, the modified Berkeley VC-10 system and unmodified Berkeley VC-10 are identical. These minor differences do not raise different questions of safety or effectiveness. As demonstrated in the non-clinical testing (e.g., electrical safety, EMC, and functional testing), the different technological characteristics do not affect the safety and effectiveness of the subject devices. The comparisons and summary of testing results presented in this Special 510(k) Notification show this device to be substantially equivalent to the predicate VC-10 device.
Summary of Biocompatibility, Sterilization and Shelf Life Discussion
The subject of the modification is the pump motor in the non-patient contacting console of the VC-10 system. The sterile, single use disposable devices that were cleared with the system under K030935 have not been modified since receiving FDA clearance. Therefore, the current submission relies on the biocompatibility, sterilization and shelf life information provided in K030935.
Electrical Safety and Electromagnetic Compatibility (EMC)
Electrical Safety was tested according to AAMI/ANSI ES 60601-1:2005/(R) 2012 and A1:2012.
EMC was tested according to IEC 60601-1-2 Edition 3: 2007-03.
Summary of Bench. Performance Testing
The following bench performance tests were conducted to assess the functional performance of the modified device:
- Maximum Measured Vacuum Pressure ●
- Free Flow Rate
- Time to Develop Vacuum
- Time to Reach Full Vacuum ●
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- Time to Evacuate 1L w/ 7mm Curette .
- . Time to Evacuate 1L w/ 6mm Curette
All performance testing passed or met the pre-specified acceptance criteria.
Conclusion
The modified Berkeley VC-10 has the same intended use, fundamental technology and similar design as its predicate VC-10 device. The technological differences do not raise different questions of safety or effectiveness and the performance testing demonstrates substantial equivalence.
§ 884.5070 Vacuum abortion system.
(a)
Identification. A vacuum abortion system is a device designed to aspirate transcervically the products of conception or menstruation from the uterus by using a cannula connected to a suction source. This device is used for pregnancy termination or menstrual regulation. This type of device may include aspiration cannula, vacuum source, and vacuum controller.(b)
Classification. Class II (performance standards).