K Number
K171747
Device Name
MICRUSFRAME 10 Stretch Resistant Microcoil Delivery System, MICRUSFRAME 18 Stretch Resistant Microcoil Delivery System, DELTAFILL 18 Stretch Resistant Microcoil Delivery System, DELTAXSFT 10 Stretch Resistant Microcoil Delivery System, GALAXY G3 FILL and GALAXY G3 XSFT Stretch Resistant Microcoil Delivery System
Date Cleared
2017-07-14

(31 days)

Product Code
Regulation Number
882.5950
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
MICRUSFRAME, DELTAFILL, and DELTAXSFT Microcoil Delivery Systems are intended for endovascular embolization of intracranial aneurysms, other neurovascular abnormalities such as arteriovenous malformations and arteriovenous fistulae, and are also intended for arterial and venous embolizations in the peripheral vasculature. The GALAXY G3 FILL Microcoil Delivery System is intended for endovascular embolization of intracranial aneurysms, other neurovascular abnormalities such as arteriovenous malformations and is also intended for arterial and venous embolizations in the peripheral vasculature. The GALAXY G3 XSFT Microcoil Delivery System is intended for endovascular embolization of intracranial aneurysms.
Device Description
The MICRUSFRAME, DELTAFILL, DELTAXSFT, GALAXY G3 FILL, GALAXY G3 XSFT Microcoil Delivery Systems consist of three components, a Microcoil System, a connecting cable, and a Detachment Control Box (DCB). Each component is sold separately. As shown in Figure 1, the Microcoil System consists of a microcoil attached to a Device Positioning Unit (DPU). The Microcoil System is packaged in an introducer sheath designed to protect the coil in the packaging dispenser and to provide support for introducing the coil into the microcatheter catheter. The microcoil is the implantable segment of the device, and is detached from the Device Positioning Unit (DPU) using the Detachment Control System (Detachment Control Box and connecting cable). The devices in this submission include minor design changes only to the Device Positioning Unit's introducer sheath (introducer). There are no modifications to components or materials of the micro-coil or the ENPOWER Detachment Control System. Minor dimensional and design modifications to the introducer will help improve deliverability of the micro-coils.
More Information

Not Found

No
The 510(k) summary describes a mechanical microcoil delivery system and its components. There is no mention of AI or ML in the intended use, device description, or performance studies. The modifications are described as minor design changes to a physical component (introducer sheath).

Yes
The device is intended for endovascular embolization of various vascular abnormalities, which is a therapeutic intervention aimed at treating medical conditions.

No

The device is an embolization system used to treat abnormal vasculature. It delivers microcoils for therapeutic purposes, rather than diagnosing conditions.

No

The device description clearly outlines hardware components including a Microcoil System, connecting cable, and Detachment Control Box. The performance studies also focus on bench testing and animal studies of a physical component (introducer sheath).

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use clearly states that the devices are for "endovascular embolization of intracranial aneurysms, other neurovascular abnormalities... and are also intended for arterial and venous embolizations in the peripheral vasculature." This describes a therapeutic procedure performed within the body, not a test performed on a sample taken from the body.
  • Device Description: The device description details a system for delivering microcoils into blood vessels. This is a medical device used for treatment, not for diagnosing a condition by analyzing a sample.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), detecting analytes, or providing diagnostic information based on laboratory testing.

Therefore, this device falls under the category of a therapeutic medical device, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

"MICRUSFRAME, DELTAFILL, and DELTAXSFT Microcoil Delivery Systems are intended for endovascular embolization of intracranial aneurysms, other neurovascular abnormalities such as arteriovenous malformations and arteriovenous fistulae, and are also intended for arterial and venous embolizations in the peripheral vasculature.

The GALAXY G3 FILL Microcoil Delivery System is intended for endovascular embolization of intracranial aneurysms, other neurovascular abnormalities such as arteriovenous malformations and is also intended for arterial and venous embolizations in the peripheral vasculature.

The GALAXY G3 XSFT Microcoil Delivery System is intended for endovascular embolization of intracranial aneurysms."

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

HCG, KRD

Device Description

"The MICRUSFRAME, DELTAFILL, DELTAXSFT, GALAXY G3 FILL, GALAXY G3 XSFT Microcoil Delivery Systems consist of three components, a Microcoil System, a connecting cable, and a Detachment Control Box (DCB). Each component is sold separately. As shown in Figure 1, the Microcoil System consists of a microcoil attached to a Device Positioning Unit (DPU).

The Microcoil System is packaged in an introducer sheath designed to protect the coil in the packaging dispenser and to provide support for introducing the coil into the microcatheter catheter. The microcoil is the implantable segment of the device, and is detached from the Device Positioning Unit (DPU) using the Detachment Control System (Detachment Control Box and connecting cable).

  • The microcoil is fabricated from a platinum alloy wire. The wire is wound into a primary coil which may contain either a polypropylene suture (SR) or an absorbable polymer suture and then formed into a secondary shape. The secondary shape may be spherical, complex, or helical.
  • The DPU is a variable stiffness wire and has a radiopaque marker band located three (3) cm from its distal end. The Device Positioning Unit includes five (5) fluoro saver markers on the proximal section of the shaft. The markers are intended to indicate when the tip of the microcoil is approaching the tip of the microcatheter. When the distal-most marker reaches the proximal end of the Rotating Hemostatic Valve (RHV) on the microcatheter, the tip of the coil is approaching the tip of the microcatheter and fluoroscopy should be used to guide further coil insertion.
  • The introducer sheath has three main components: an introducer tip, a translucent introducer body, and a re-sheathing tool.

The ENPOWER Detachment Control Box (DCB) provides the energy necessary to allow for a thermo-mechanical detachment of the microcoil from the DPU. The connecting cable provides the energy necessary to detach the embolic coil from the Microcoil System's detachment zone. The connecting cable is connected between the Microcoil System's hub connector on the DPU and the output connector on the DCB.

  • The connecting cables may be one of two types: one with a remote detach button (the ENPOWER Control Cable) catalog no. ECB000182-00, or one without a detach button (standard connecting cable) catalog no. CCB00157-00.
  • The ENPOWER Detachment Control Box, catalog no. DCB2000500, works with the ENPOWER Control Cable and with the standard connecting cable.

The devices in this submission include minor design changes only to the Device Positioning Unit's introducer sheath (introducer). There are no modifications to components or materials of the micro-coil or the ENPOWER Detachment Control System. Minor dimensional and design modifications to the introducer will help improve deliverability of the micro-coils."

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Intracranial (aneurysms, other neurovascular abnormalities such as arteriovenous malformations and arteriovenous fistulae) and peripheral vasculature (arterial and venous embolizations).

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)

"Verification and Validation Testing:

Visual Inspection: Visual inspection of the test units to check for cosmetic defects to ensure the units are prepared for verification testing as per established test method. Results: Pass. All units passed visual inspection.
Tracking Force (delivery): The purpose of the Track Force test was to evaluate the force it takes to deliver the proposed device through a microcatheter and into a clinically relevant model; utilizing the system Catheter Performance Simulation System (CPSS). Test samples were delivered through a compatible microcatheter to verify track forces per approved test method. Results: Pass. Samples passed the established acceptance criterion.
Re-sheathing Reliability: The purpose of the Re-Sheathing Reliability test was to evaluate the ability to re-insert the proposed device into the split sheath introducer after it has been unzipped after the proposed device has been inserted and withdrawal from a clinically relevant model. The introducer sheath underwent 1 re-sheathing cycle to verify reliability per approved test method. Results: Pass. Samples passed the established acceptance criterion.
Dimensional Inspection: The Introducer underwent dimensional inspection per approved test method. Results: Pass. Samples passed the established acceptance criterion.
Particulate Testing: The full assembly underwent particulate testing per approved test method. Simulated use consisted of pushing forward to the tip of the microcatheter and then pulling back 8" and repeating five times. Results: Pass. Samples passed the established acceptance criterion.
Introducer Fuse Joint Testing: The Introducer underwent tensile strength testing per approved test method. Results: Pass. Samples passed the established acceptance criterion.

Animal Testing: The modified introducer was validated by performing an acute in-vivo animal study. An in-vivo model allowed the assessment of the acute performance of the test article to deliver an embolic coil to the target parent vessel in swine. The new introducer design demonstrated acceptable overall performance in all attributes evaluated.

Shelf Life Testing: This change does not impact the shelf-life of the device. The introducer assembly is made of the same base materials and by the same vendors as the predicate devices. The minor design changes to the device positioning unit's introducer do not impact the packaging of the device. The shelf-life testing conducted on the predicate device is applicable to the proposed device.

Biocompatibility Testing: The modified device will be manufactured using many of the same components and manufacturing processes as the predicate device. Previous biocompatibility testing conducted covered all the tests required by ISO 10993-1:2009, FDA Bluebook Memorandum G95-1, and FDA's Draft Guidance Document entitled "Use of International Standard ISO10993, Biological Evaluation of Medical Devices Part 1: Evaluation and Testing" issued April 23, 2013. Additional biocompatibility testing was conducted as part of the modifications to the introducer. A limited subset of the recommended biocompatibility tests, including in vitro cytotoxicity and in vitro hemolysis were successfully conducted on the modified introducer. In addition, chemical characterization of extractables of the Introducers manufactured with the current heat shrink polymer and the Introducers manufactured with a new heat shrink polymer were successfully conducted per ISO 10993-18.

Sterilization: The minor design changes to the device positioning unit introducer account for a negligible change in density (less than 0.024%). These changes did not impact the packaging, packaging process, sterilization configuration or sterilization process of the predicate device, the existing sterilization validation remains applicable for the proposed device."

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.

K150319

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

Not Found

§ 882.5950 Neurovascular embolization device.

(a)
Identification. A neurovascular embolization device is an intravascular implant intended to permanently occlude blood flow to cerebral aneurysms and cerebral ateriovenous malformations. This does not include cyanoacrylates and other embolic agents, which act by polymerization or precipitation. Embolization devices used in other vascular applications are also not included in this classification, see § 870.3300.(b)
Classification. Class II (special controls.) The special control for this device is the FDA guidance document entitled “Class II Special Controls Guidance Document: Vascular and Neurovascular Embolization Devices.” For availability of this guidance document, see § 882.1(e).

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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 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.

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

July 14, 2017

Codman & Shurtleff, Inc. Vivian Perez Regulatory Affairs Manager 325 Paramount Drive Raynham, Massachusetts 02767

Re: K171747

Trade/Device Name: MICRUSFRAME, DELTAFILL, DELTAXSFT, GALAXY G3 FILL, and GALAXY G3 XSFT Microcoil Delivery Systems Regulation Number: 21 CFR 882.5950 Regulation Name: Neurovascular Embolization Device Regulatory Class: Class II Product Code: HCG, KRD Dated: June 12, 2017 Received: June 13, 2017

Dear Ms. Perez:

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

1

Part 807); labeling (21 CFR Part 801); medical device reporting (reporting of medical devicerelated 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

2

Indications for Use

510(k) Number (if known)

K171747

Device Name

MICRUSFRAME, DELTAFILL, DELTAXSFT, GALAXY G3 FILL, and GALAXY G3 XSFT Microcoil Delivery Systems

Indications for Use (Describe)

MICRUSFRAME, DELTAFILL, and DELTAXSFT Microcoil Delivery Systems are intended for endovascular embolization of intracranial aneurysms, other neurovascular abnormalities such as arteriovenous malformations and arteriovenous fistulae, and are also intended for arterial and venous embolizations in the peripheral vasculature.

The GALAXY G3 FILL Microcoil Delivery System is intended for endovascular embolization of intracranial aneurysms, other neurovascular abnormalities such as arteriovenous malformations and is also intended for arterial and venous embolizations in the peripheral vasculature.

The GALAXY G3 XSFT Microcoil Delivery System is intended for endovascular embolization of intracranial aneurysms.

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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3

510(k) Summary

Codman & Shurtleff, Inc. I. Submitter 325 Paramount Drive Raynham, MA 02767

Tel: (305) 265-6810 Fax: (305) 265-6889

Contact Person: Vivian Perez Email: vperez3@its.jnj.com Date Prepared: May 26, 2017

II. Device

Table 1. Device
Device Proprietary NameMICRUSFRAME, DELTAFILL, DELTAXSFT, GALAXY G3 FILL, and GALAXY G3 XSFT Microcoil Delivery Systems
Common or Usual NameDevice, Neurovascular Embolization & Vascular, for Promoting Embolization
Classification NameDevice, Neurovascular Embolization, Class II 21 CFR 882.5950 & Vascular, for Promoting Embolization, Class II 21 CFR 870.3300
Regulatory ClassificationII
Product CodesHCG, KRD

III. Predicate Device

The predicated device is listed below in Table 2.

Table 2. Prior 510(k) Clearance
510(k)
NumberDate
ClearedNameManufacturer
K15031906/12/2015MICRUSFRAME, DELTAFILL,
DELTAXSFT, GALAXY G3, GALAXY G3
XSFT Microcoil Delivery SystemsCodman &
Shurtleff, Inc.

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The MICRUSFRAME, DELTAFILL, DELTAXSFT, GALAXY G3 FILL, IV. Device Description GALAXY G3 XSFT Microcoil Delivery Systems consist of three components, a Microcoil System, a connecting cable, and a Detachment Control Box (DCB). Each component is sold separately. As shown in Figure 1, the Microcoil System consists of a microcoil attached to a Device Positioning Unit (DPU).

Image /page/4/Figure/4 description: This image is labeled Figure 1: Microcoil System. The image shows a microcoil system with several labeled parts. The parts labeled are hub connector, re-sheathing tool, introducer sheath body, introducer sheath tip, device positioning unit (DPU), and microcoil.

The Microcoil System is packaged in an introducer sheath designed to protect the coil in the packaging dispenser and to provide support for introducing the coil into the microcatheter catheter. The microcoil is the implantable segment of the device, and is detached from the Device Positioning Unit (DPU) using the Detachment Control System (Detachment Control Box and connecting cable).

  • The microcoil is fabricated from a platinum alloy wire. The wire is wound into ● a primary coil which may contain either a polypropylene suture (SR) or an absorbable polymer suture and then formed into a secondary shape. The secondary shape may be spherical, complex, or helical.
  • The DPU is a variable stiffness wire and has a radiopaque marker band located three (3) cm from its distal end. The Device Positioning Unit includes five (5) fluoro saver markers on the proximal section of the shaft. The markers are intended to indicate when the tip of the microcoil is approaching the tip of the microcatheter. When the distal-most marker reaches the proximal end of the Rotating Hemostatic Valve (RHV) on the microcatheter, the tip of the coil is approaching the tip of the microcatheter and fluoroscopy should be used to guide further coil insertion.
  • The introducer sheath has three main components: an introducer tip, a translucent introducer body, and a re-sheathing tool.

The ENPOWER Detachment Control Box (DCB) provides the energy necessary to allow for a thermo-mechanical detachment of the microcoil from the DPU. The connecting cable delivers the energy necessary to detach the embolic coil from the Microcoil System's detachment zone. The connecting cable is connected between the Microcoil System's hub connector on the DPU and the output connector on the DCB.

  • The connecting cables may be one of two types: one with a remote detach button (the ENPOWER Control Cable) catalog no. ECB000182-00, or one without a detach button (standard connecting cable) catalog no. CCB00157-00.
  • The ENPOWER Detachment Control Box, catalog no. DCB2000500, works o with the ENPOWER Control Cable and with the standard connecting cable.

5

The devices in this submission include minor design changes only to the Device IV. Device Description, Positioning Unit's introducer sheath (introducer). There are no modifications to Continued components or materials of the micro-coil or the ENPOWER Detachment Control System. Minor dimensional and design modifications to the introducer will help improve deliverability of the micro-coils.

6

MICRUSFRAME, DELTAFILL, and DELTAXSFT Microcoil Delivery Systems are V. Indications for Use intended for endovascular embolization of intracranial aneurysms, other neurovascular abnormalities such as arteriovenous malformations and arteriovenous fistulae, and are also intended for arterial and venous embolizations in the peripheral vasculature.

GALAXY G3 FILL Microcoil Delivery System is intended for The embolization of intracranial aneurysms, other neurovascular endovascular abnormalities such as arteriovenous malformations and arteriovenous fistulae, and is also intended for arterial and venous embolizations in the peripheral vasculature.

The GALAXY G3 XSFT Microcoil Delivery System is intended for endovascular embolization of intracranial aneurysms.

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VI. Comparison of Technological Characteristic with Predicate Device

Endovascular coil embolization is the technological principle for both the subject and predicate devices. This technology is based on placing embolic coils in the neurovascular or peripheral vasculature to reduce or block blood flow. The subject devices and predicate devices are based on the same technological characteristics as shown in Table 3. No new technological characteristics are being introduced with this change.

Table 3. Technological Characteristics of the Predicate and Proposed Device
DescriptionPredicate Device:
MICRUSFRAME, DELTAFILL,
DELTAXSFT, GALAXY G3,
GALAXY G3 XSFT Microcoil
Delivery System
(K150319)This Submission:
MICRUSFRAME, DELTAFILL,
DELTAXSFT, GALAXY G3
FILL, GALAXY G3 XSFT
Microcoil Delivery System
Indications for UseMICRUSFRAME, DELTAFILL, and
DELTAXSFT Microcoil Delivery
Systems are intended for endovascular
embolization of intracranial aneurysms,
other neurovascular abnormalities such
as arteriovenous malformations and
arteriovenous fistulae, and are also
intended for arterial and venous
embolizations in the peripheral
vasculature.

GALAXY G3 Microcoil Delivery
System is intended for endovascular
embolization of intracranial aneurysms,
other neurovascular abnormalities such
as arteriovenous malformations and
arteriovenous fistulae, and is also
intended for arterial and venous
embolizations in the peripheral
vasculature.

The GALAXY G3 XSFT Microcoil
Delivery System is intended for
endovascular embolization of
intracranial aneurysms. | Same as Predicates |
| Microcoil Material | Platinum/Tungsten | Same as Predicate |
| Microcoil Primary Wind | Triangular or Cylindrical | Same as Predicate |
| Microcoil Secondary
Shape | Complex, Helical, or Spherical | Same as Predicate |
| Microcoil Stretch-
Resistant | PGA= Polyglycolic Acid Suture
PP= Polypropylene Suture | Same as Predicate |
| Primary Coil Wind Outer
Diameter (OD) | 0.009" - 0.016" | Same as Predicate |
| Secondary Shape OD
Ranges | 1.5mm - 24mm | Same as Predicate |
| Microcoil Length Ranges | 1cm - 60cm | Same as Predicate |

8

VI.
Comparison ofTable 3. Technological Characteristics of the Predicate and Proposed Device (continued)
Delivery System
TechnologicalDelivery System TypeWire Shaft with radiopaque markerSame as Predicate
CharacteristicDelivery System Introducer
SheathHDPE IntroducerSame as Predicate
with Predicate
DeviceDelivery System
Resheathing ToolNylon 12Same as Predicate
(continued)Introducer Tip Flush PortsNoneThree Flush Ports
Introducer Tip Wall
Thickness18 system: 0.005"
10 system: 0.00450.0103"
Introducer Sheath Tip
ShapeStraightTapered
Introducer Sheath Length120cm120cm and 81cm
Device Positioning Unit
(DPU) Delivery System
Length190cm ± 5cmSame as Predicate
Device Positioning Unit
Diameter0.0159"Same as Predicate
Fluoroscopy Saver MarkersFive Markers Located on the Proximal
Section of the ShaftSame as Predicate
Fluoro Saver Marker
Microcatheter Compatibility150cm LengthSame as Predicate
Mechanism of
DetachmentConnection to Microcoil System: Uses
Connecting Cable or EnPOWER
Control Cable
Detachment: Thermo-Mechanical
System uses the ENPOWER
Detachment Control Box (DCB) with
ENPOWER Control Cable or
Connecting CableSame as Predicate
Sterilization MethodElectron Beam RadiationSame as Predicate
Shelf Life3 yearsSame as Predicate
PackagingPackaged in a plastic hoop and
enclosed in a pouchSame as Predicate

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VII. Non-Clinical Data Performance Data

Verification and Validation Testing

The modifications proposed in this submission affect only the introducer sheath component of the delivery system's device positioning unit. Consequently, the verification and validation activities were focused around the introducer portion of the Device Positioning Unit (DPU). There were no changes made that affect the intended use, operational principle, design principle, manufacturing or sterilization processes of the devices. Appropriate testing was identified based on the modifications made, review of the products' risk analysis and previous use of the predicate device which was cleared under K150319. All testing conducted for the modification of the DPU's introducer was based on current standards and FDA Guidance Document; "Class II Special Controls Guidance Document: Vascular and Neurovascular Embolization Devices" issued on December 29, 2004. All testing was performed on final sterile product following the same test methods used to test the predicate device. The following performance data were provided in support of the substantial equivalence determination.

Table 4: Verification and Validation Testing
TestTest Method SummaryResults
Visual InspectionVisual inspection of the test
units to check for cosmetic
defects to ensure the units are
prepared for verification testing
as per established test method.Pass
All units passed visual
inspection
Tracking Force (delivery)The purpose of the Track
Force test was to evaluate the
force it takes to deliver the
proposed device through a
microcatheter and into a
clinically relevant model;
utilizing the system
Catheter Performance
Simulation System (CPSS).
Test samples were delivered
through a compatible
microcatheter to verify track
forces per approved test
method.Pass
Samples passed the
established acceptance
criterion
Re-sheathing ReliabilityThe purpose of the Re-
Sheathing Reliability test was
to evaluate the ability to re-
insert the proposed device
into the split sheath introducer
after it has been unzipped
after the proposed device has
been inserted and withdrawal
from a
clinically relevant model.
The introducer sheath
underwent 1 re-sheathing
cycle to verify reliability per
approved test method.Pass
Samples passed the
established
acceptance criterion

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Table 4: Verification and Validation Testing (continued)
TestTest Method SummaryResults
Dimensional InspectionThe Introducer underwent
dimensional inspection per
approved test method.Pass
Samples passed the
established
acceptance criterion
Particulate TestingThe full assembly underwent
particulate testing per
approved test method.
Simulated use consisted of
pushing forward to the tip of
the microcatheter and then
pulling back 8" and repeating
five times.Pass
Samples passed the
established
acceptance criterion
Introducer Fuse Joint
TestingThe Introducer underwent
tensile strength testing per
approved test method.Pass
Samples passed the
established
acceptance criterion

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VII. Non-Clinical Data Performance Data

Animal Testing

The modified introducer was validated by performing an acute in-vivo animal study. An in-vivo model allowed the assessment of the acute performance of the test article to deliver an embolic coil to the target parent vessel in swine. The new introducer design demonstrated acceptable overall performance in all attributes evaluated.

Shelf Life Testing

This change does not impact the shelf-life of the device. The introducer assembly is made of the same base materials and by the same vendors as the predicate devices. The minor design changes to the device positioning unit's introducer do not impact the packaging of the device. The shelf-life testing conducted on the predicate device is applicable to the proposed device.

Biocompatibility Testing

The modified device will be manufactured using many of the same components and manufacturing processes as the predicate device. Previous biocompatibility testing conducted covered all the tests required by ISO 10993-1:2009, FDA Bluebook Memorandum G95-1, and FDA's Draft Guidance Document entitled "Use of International Standard ISO10993, Biological Evaluation of Medical Devices Part 1: Evaluation and Testing" issued April 23, 2013. Additional biocompatibility testing was conducted as part of the modifications to the introducer. A limited subset of the recommended biocompatibility tests, including in vitro cytotoxicity and in vitro hemolysis were successfully conducted on the modified introducer. In addition, chemical characterization of extractables of the Introducers manufactured with the current heat shrink polymer and the Introducers manufactured with a new heat shrink polymer were successfully conducted per ISO 10993-18.

Sterilization

The minor design changes to the device positioning unit introducer account for a negligible change in density (less than 0.024%). These changes did not impact the packaging, packaging process, sterilization configuration or sterilization process of the predicate device, the existing sterilization validation remains applicable for the proposed device.

Summary of Clinical Testing

Clinical studies were not required as appropriate verification and validation of the minor design modifications to the delivery system's device positioning unit's introducer were achieved based on the similarities of the proposed device to the predicate device, and from results of bench testing. All testing was conducted using statistical sampling methods as required by the Codman & Shurtleff, Inc. Design Control procedures.

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VIII. Conclusion

The minor design modifications made to the introducer do not alter the intended use or indications for use of the predicate devices, or the fundamental scientific technology of the predicate devices. Risk assessment of the modifications and successful verification/validation testing raised no new questions regarding the safety and effectiveness of the predicate devices, Codman has determined that the modified devices are substantially equivalent to the predicate devices.