K Number
K171531
Device Name
Jamshidi Bone Marrow Biopsy/Aspiration Needle, Jamshidi T-Handle Bone Marrow Biopsy/Aspiration Needle, Jamshidi Evolve Bone Marrow Biopsy/Aspiration Needle
Manufacturer
Date Cleared
2017-09-11

(109 days)

Product Code
Regulation Number
876.1075
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Jamshidi Bone Marrow Biopsy/Aspiration Needle – DJ: Intended use for the posterior iliac crest biopsy technique. Jamshidi T-Handle Bone Marrow Biopsy/Aspiration Needle - TJ: Intended use for the posterior iliac crest biopsy technique. Jamshidi Evolve Bone Marrow Biopsy/Aspiration Needle – EJ: Indicated for use in aspirating bone marrow and for use in obtaining core biopsy samples of bone and/or bone marrow.
Device Description
The Jamshidi® devices are manual, sterile, disposable needles intended to obtain bone marrow aspirate and core biopsy samples from bone and/or bone marrow. The devices are comprised of an outer cannula with a handle and an inner stylet. Some models include a marrow acquisition cradle (MAC) or a specimen cradle. The MAC and specimen cradle fit inside the cannula to capture and retrieve samples by mechanically cutting the core sample. The specimen is contained within the cradle during withdrawal from the cannula.
More Information

No
The device description and performance studies indicate a manual, mechanical device for obtaining bone marrow samples, with no mention of AI or ML technologies.

No.
The device is used to obtain bone marrow aspirate and core biopsy samples, which are diagnostic procedures, not therapeutic procedures.

Yes

The device is used to obtain bone marrow aspirate and core biopsy samples, which are then used for diagnostic purposes.

No

The device description clearly states it is comprised of physical components (needles, cannula, handle, stylet, cradles) and is used for manual procedures, indicating it is a hardware medical device.

Based on the provided information, these Jamshidi Bone Marrow Biopsy/Aspiration Needles are not IVD (In Vitro Diagnostic) devices.

Here's why:

  • Intended Use: The intended use is to obtain bone marrow aspirate and core biopsy samples. This is a procedure to collect a sample from the body.
  • Device Description: The device is a needle designed for the physical act of collecting a sample. It doesn't perform any testing or analysis on the sample itself.
  • Lack of IVD Characteristics: IVD devices are used to examine specimens derived from the human body in vitro (outside the body) to provide information for diagnostic purposes. This device's function is solely to acquire the specimen.

While the collected bone marrow sample will likely be used for in vitro diagnostic testing later, the needle itself is a surgical/procedural device used for sample collection, not an IVD device.

N/A

Intended Use / Indications for Use

Jamshidi Bone Marrow Biopsy/Aspiration Needle – DJ: Intended use for the posterior iliac crest biopsy technique.
Jamshidi T-Handle Bone Marrow Biopsy/Aspiration Needle - TJ: Intended use for the posterior iliac crest biopsy technique.
Jamshidi Evolve Bone Marrow Biopsy/Aspiration Needle - EJ: Indicated for use in aspirating bone marrow and for use in obtaining core biopsy samples of bone and/or bone marrow.

Product codes

KNW

Device Description

The Jamshidi® devices are manual, sterile, disposable needles intended to obtain bone marrow aspirate and core biopsy samples from bone and/or bone marrow. The devices are comprised of an outer cannula with a handle and an inner stylet. Some models include a marrow acquisition cradle (MAC) or a specimen cradle. The MAC and specimen cradle fit inside the cannula to capture and retrieve samples by mechanically cutting the core sample. The specimen is contained within the cradle during withdrawal from the cannula.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

posterior iliac crest, bone and/or bone marrow

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

Bench-top testing (pull testing, sharpness testing) was conducted on EJ devices. Simulated use testing was conducted on DJ, TJ and EJ devices. Comparative testing (sharpness testing, simulated use testing) was conducted on JBC devices.

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Bench-top testing (pull testing, sharpness testing) was conducted on EJ devices. Simulated use testing was conducted on DJ, TJ and EJ devices. Comparative testing (sharpness testing, simulated use testing) was conducted on JBC devices. All testing was successfully completed, showing with reasonable assurance that the proposed CareFusion's Jamshidi Bone Marrow Biopsy/Aspiration Needles meet or exceed all performance requirements, and are substantially equivalent to the predicate devices.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K813338, K913306, K003370, and K070091.

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 876.1075 Gastroenterology-urology biopsy instrument.

(a)
Identification. A gastroenterology-urology biopsy instrument is a device used to remove, by cutting or aspiration, a specimen of tissue for microscopic examination. This generic type of device includes the biopsy punch, gastrointestinal mechanical biopsy instrument, suction biopsy instrument, gastro-urology biopsy needle and needle set, and nonelectric biopsy forceps. This section does not apply to biopsy instruments that have specialized uses in other medical specialty areas and that are covered by classification regulations in other parts of the device classification regulations.(b)
Classification. (1) Class II (performance standards).(2) Class I for the biopsy forceps cover and the non-electric biopsy forceps. The devices subject to this paragraph (b)(2) are exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 876.9.

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Public Health Service

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

September 11, 2017

CareFusion Tamara Brey Regulatory Affairs Manager 75 North Fairway Drive Vernon Hills, Illinois 60061

Re: K171531

Trade/Device Name: Jamshidi Bone Marrow Biopsy/Aspiration Needle, Jamshidi T-Handle Bone Marrow Biopsy/Aspiration Needle, Jamshidi Evolve Bone Marrow Biopsy/Aspiration Needle Regulation Number: 21 CFR 876.1075 Regulation Name: Gastroenterology-Urology Biopsy Instrument Regulatory Class: Class II Product Code: KNW Dated: August 29, 2017 Received: August 31, 2017

Dear Tamara Brey:

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 Actinclude 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 comples with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply

Image /page/0/Picture/11 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, stacked on top of each other.

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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 devicerelated adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (OS) 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. Jennifer R. Stevenson -S3

For Binita S. Ashar, M.D., M.B.A., F.A.C.S. Director Division of Surgical 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)

K171531

Device Name

Jamshidi Bone Marrow Biopsy/Aspiration Needles

Indications for Use (Describe)

Jamshidi Bone Marrow Biopsy/Aspiration Needle – DJ: Intended use for the posterior iliac crest biopsy technique.

Jamshidi T-Handle Bone Marrow Biopsy/Aspiration Needle - TJ: Intended use for the posterior iliac crest biopsy technique.

Jamshidi Evolve Bone Marrow Biopsy/Aspiration Needle - EJ: Indicated for use in aspirating bone marrow and for use in obtaining core biopsy samples of bone and/or bone marrow.

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)

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510(k) SUMMARY – K171531

A summary of 510(k) safety and effectiveness information in accordance with 21 CFR 807.92.

SUBMITTER INFORMATION
NameCareFusion
Address75 North Fairway Drive, Vernon Hills, IL 60061 USA
Phone number(847) 362-9285
Fax number(312) 949-9245
Establishment Registration
Number1423507
Name of contact personTamara Brey
Date preparedSeptember 7, 2017
DESCRIPTION OF DEVICE
Trade or proprietary nameJamshidi® Bone Marrow Biopsy/Aspiration Needle
Jamshidi® T-Handle Bone Marrow Biopsy/Aspiration Needle
Jamshidi® Evolve Bone Marrow Biopsy/Aspiration Needle
Common or usual nameBone Marrow Biopsy Needle
Classification nameGastroenterology-urology biopsy instrument
Classification panelGastroenterology/Urology
RegulationClass II per 21CFR §876.1075
Product CodeKNW
Legally marketed device(s) to
which equivalence is claimedK813338, K913306, K003370, and K070091.
Device descriptionThe Jamshidi® devices are manual, sterile, disposable needles intended
to obtain bone marrow aspirate and core biopsy samples from bone
and/or bone marrow. The devices are comprised of an outer cannula with
a handle and an inner stylet. Some models include a marrow acquisition
cradle (MAC) or a specimen cradle. The MAC and specimen cradle fit
inside the cannula to capture and retrieve samples by mechanically
cutting the core sample. The specimen is contained within the cradle
during withdrawal from the cannula.
Intended use of the deviceJamshidi Bone Marrow Biopsy/Aspiration Needle - DJ: Intended use for
the posterior iliac crest biopsy technique.
Jamshidi T-Handle Bone Marrow Biopsy/Aspiration Needle - TJ:
Intended use for the posterior iliac crest biopsy technique.
Jamshidi Evolve Bone Marrow Biopsy/Aspiration Needle – EJ: Indicated
for use in aspirating bone marrow and for use in obtaining core biopsy
samples of bone and/or bone marrow.

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DEVICE COMPARISON TO PREDICATE DEVICE

The Jamshid® Bone Marrow Biopsy/Aspiration Needles are the predicate devices in the intended use, target population, fundamental scientific technology, operating principles, fundamental mechanical design, performance characteristics, packaging, sterility and biocompatibility.

The technological characteristics of the proposed Jamshidi® Bone Marrow Biopsy/Aspiration Needles utilizes the same basic components as identified in the predicate Jamshidi® devices to achieve its intended use: a cannula, handle, inner stylet and a marrow acquisition cradle (MAC) or a specimen cradle in some models. The proposed and predicate devices are for single use, have the same materials, and operate manually to access bone marrow.

The differences between the proposed and predicate devices include an expanded range of needle lengths, introduction of centimeter depth markings to facilitate placement, a new needle tip geometry, an updated specimen cradle design, and a new depth stop accessory. The general procedures and guidelines in the proposed device's labeling were updated to provide clarity and facilitate biopsy sample collection.

In summary, the proposed changes were appropriately assessed and do not raise any new or significant questions of safety and efficacy. The proposed devices are substantially equivalent to the predicate devices presented.

PERFORMANCE DATA

SUMMARY OF NON-CLINICAL TESTS CONDUCTED FOR DETERMINATION OF SUBSTANTIAL EQUIVALENCE - PERFORMANCE TEST SUMMARY

Bench-top testing (pull testing, sharpness testing) was conducted on EJ devices. Simulated use testing was conducted on DJ, TJ and EJ devices. Comparative testing (sharpness testing, simulated use testing) was conducted on JBC devices. All testing was successfully completed, showing with reasonable assurance that the proposed CareFusion's Jamshidi Bone Marrow Biopsy/Aspiration Needles meet or exceed all performance requirements, and are substantially equivalent to the predicate devices.

CharacteristicStandard/Test/FDA Guidance
Risk ManagementBS EN ISO 14971:2012
Medical Devices. Application of Risk Management to Medical Devices
PackagingAAMI / ANSI / ISO 11607-1:2006/(R)2010 [Including: Amendment 1 (2014)] Packaging
for Terminally Sterilized Medical Devices - Part 1: Requirements for Materials, Sterile
Barrier Systems And Packaging Systems
PackagingAAMI / ANSI / ISO 11607-2:2006/(R)2010, [including: amendment 1 (2014)]. Packaging
for Terminally Sterilized Medical Devices - Part 2: Validation Requirements for Forming,
Sealing and Assembly Processes
BiocompatibilityANSI/AAMI/ISO 10993-1:2009 (R) 2013 Biological Evaluation of Medical Devices - Part
1: Evaluation and Testing within a Risk Management Process
BiocompatibilityANSI/AAMI/ISO 10993-4:2002 Amendment 1 2006 Biological Evaluation of Medical
Devices - Part 4: Selection of Tests for Interactions with Blood
BiocompatibilityANSI/AAMI/ISO 10993-5:2009 (R) 2014 Biological Evaluation of Medical Devices -
Part 5: Tests for In Vitro Cytotoxicity
BiocompatibilityANSI/AAMI/ISO 10993-7:2008 (R) 2012 Biological Evaluation of Medical Devices - Part
7: Ethylene Oxide Sterilization Residuals
BiocompatibilityANSI/AAMI/ISO 10993-10:2010 (R) 2014 Biological Evaluation of Medical Devices -
Part 10: Tests for Irritation and Skin Sensitization
BiocompatibilityANSI/AAMI/ISO 10993-11:2006 Biological Evaluation of Medical Devices - Part 11:
Tests for Systemic Toxicity

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BiocompatibilityANSI/AAMI /ISO 10993-12:2012 Biological Evaluation of Medical Devices – Part 12: Sample Preparation and Reference Materials
BiocompatibilityANSI/AAMI/ISO 10993-17:2002 (R) 2012 Biological Evaluation of Medical Devices – Part 17: Establishment of Allowable Limits for Leachable Substances
BiocompatibilityISO 10993-18: 2005 Biological Evaluation of Medical Devices - Part 18: Chemical Characterization of Materials
SterilizationISO 11135:2014 Sterilization of Health Care Products - Ethylene Oxide Requirements for the Development, Validation and Routine Control of a Sterilization Process for Medical Devices
SterilizationISO 11138-1: 2006/(R) 2010 Sterilization of Health Care Products - Biological Indicators - Part 1: General Requirements
SterilizationISO 11737-1:Second Edition 2006-04-01 Sterilization of Medical Devices - Microbiological Methods - Part 1
SterilizationAAMI TIR28:2009/(R)2013 Product Adoption and Process Equivalency for Ethylene Oxide Sterilization
SterilizationAAMI/ANSI/ISO 11137-1:2006/(R) 2010 Including: Amendment 1 (2013) Sterilization of Health Care Products - Radiation - Part 1: Requirements for Development, Validation, and Routine Control of a Sterilization Process for Medical Devices
StabilityASTM F1980-07 Standard Guide for Accelerated Aging of Sterile Barrier Systems for Medical Devices
SUMMARY OF CLINICAL TESTS CONDUCTED FOR DETERMINATION OF SUBSTANTIAL EQUIVALENCE AND/OR OF CLINICAL INFORMATION
N/A - No clinical tests were conducted for this submission
CONCLUSION OF DEVICE COMPARISON
The Jamshidi Bone Marrow Biopsy/Aspiration Needles are equivalent to the predicate devices in that:
- The devices have the same intended use.
- The devices have substantially equivalent design, function and areas of application.

| - The devices demonstrate substantially equivalent performance.