K Number
K171862
Device Name
GALAXY G3 Mini Microcoil Delivery System
Date Cleared
2017-09-25

(95 days)

Product Code
Regulation Number
882.5950
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The GALAXY G3 Mini Microcoil Delivery System is intended for endovascular embolization of intracranial aneurysms, other neurovascular abnormalities such as arteriovenous malformations fistulae, and is also intended for arterial and venous embolizations in the peripheral vasculature.
Device Description
The GALAXY G3 Mini 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 contains a polypropylene suture (SR) and then formed into a secondary shape. The secondary shape is complex. 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 works with the EnPower Control Cable and with the standard connecting cable.
More Information

No
The device description and performance studies focus on the mechanical and electrical aspects of a microcoil delivery system for embolization. There is no mention of AI or ML in the intended use, device description, or performance testing.

Yes.
The device, a microcoil delivery system, is intended for endovascular embolization of various neurovascular and peripheral vascular abnormalities, which are medical treatments for diseases or conditions.

No

Explanation: The device is a GALAXY G3 Mini Microcoil Delivery System intended for endovascular embolization, which is a therapeutic treatment. It is used to deliver a microcoil to treat conditions, not to diagnose them.

No

The device description clearly outlines multiple hardware components including a Microcoil System (with an implantable microcoil and DPU), a connecting cable, and a Detachment Control Box. Performance studies also include extensive bench testing on physical properties of the device.

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

Here's why:

  • Intended Use: The intended use is for endovascular embolization of intracranial aneurysms and other vascular abnormalities. This is a therapeutic procedure performed in vivo (within the body) to block blood flow.
  • Device Description: The device is a system for delivering a microcoil implant into the body. It involves physical components like a microcoil, delivery unit, and detachment system.
  • Lack of Diagnostic Purpose: The device is not used to diagnose a condition by examining samples of blood, tissue, or other body fluids in vitro (outside the body).

IVD devices are specifically designed for diagnostic purposes using samples taken from the body. This device is designed for a therapeutic intervention within the body.

N/A

Intended Use / Indications for Use

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

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

HCG, KRD

Device Description

The GALAXY G3 Mini 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 contains a polypropylene suture (SR) and then formed into a secondary shape. The secondary shape is complex.
  • o 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 works with the EnPower Control Cable and with the standard connecting cable.

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), arterial and venous in the peripheral vasculature.

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 activities were conducted on the finished sterile device based on current standards and FDA Guidance Document; "Class II Special Controls Guidance Document: Vascular and Neurovascular Embolization Devices". The following performance data were provided in support of the substantial equivalence determination. The bench testing included the following tests: Spring Constant, Complex Shape, Particulate, Atraumatic Bead, DPU 3 System Outer Diameter, Microcatheter Tip Deflection Force, Detachment Zone Tensile Strength, Stretch Resistance Fiber Tensile Strength, Track Force (Delivery), Dimensional Inspection of FDL Diameter and Coil Length, Coil OD Verification on Final Assembly, Dimensional Inspection of the Distal Fluro-saver markers, Coil Durability, Detachment, Coil Durability & Reliability, Resheathing Reliability, Fluro saver Marker Durability, Distal Outer Sheath Durability, Dimensional Inspection of the Introducer, Introducer Bond Strength, Coil Transfer to Microcatheter, Introducer Flushing, Radiopacity, Overall Coil Performance, MRI Testing. All samples passed the established acceptance criterion for all tests.

Shelf-Life Testing: Codman successfully completed accelerated aging testing to support a shelf life of 12 months. Finished sterile devices were subjected to environmental conditioning, simulated transportation and accelerated aging before being tested.

Packaging: The modification to the current packaging consists of a change in pouch material due to the change in sterilization method from e-beam to ethylene oxide. Utilizing previously validated pouch material used in the same sterilization cycle (K021591), the new packaging configuration was validated in accordance with applicable recommendations in International Standard ISO 11607-1 "Packaging for Terminally Sterilized Medical Devices - Part 1: Requirements for Materials, Sterile Barrier Systems, and Packaging Systems" and ISO 11607-2 "Packaging for Terminally Sterilized Medical Devices - Part 2: Validation Requirements for Forming, Sealing, and Assembly Processes" as recognized by FDA.

Biocompatibility Testing: Conducted in accordance with International Standard ISO 10993-1 "Biological Evaluation of Medical Devices - Part 1: Evaluation of Testing Within a Risk Management Process" (ISO 10993-1:2009/2010AC), and FDA's Guidance Document entitled "Use of International Standard ISO-10993, Biological Evaluation of Medical Devices Part 1: Evaluation and Testing" (June 16. 2016). Tests performed: ISO MEM Elution, Hemocompatibility Tests (In Vitro Hemolysis Direct Contact (ASTM F756), In Vitro Hemolysis - Extract, In Vivo Thromboresistance O), Chemical Characterization of Extractables (ISO 10993-18).

Sterilization: Ethylene oxide sterilized and validated to assure a Sterility Assurance Level (SAL) 10-6 according to ISO 11135-1 and ISO 10993-7.

Animal Study: Not required.

Clinical Study: Not required.

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, K083646

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.

K093973, K021591

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

§ 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).

0

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 one behind the other, creating a sense of depth and unity.

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

September 25, 2017

Codman & Shurtleff, Inc. Yoon Hee Beattv Sr. Regulatory Affairs Specialist 325 Paramount Drive Raynham, Massachusetts 02767

Re: K171862

Trade/Device Name: GALAXY G3 Mini Microcoil Delivery System Regulation Number: 21 CFR 882.5950 Regulation Name: Neurovascular Embolization Device Regulatory Class: Class II Product Code: HCG, KRD Dated: August 21, 2017 Received: August 23, 2017

Dear Ms. Beatty:

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

1

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,

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) K171862

Device Name

GALAXY G3 Mini Microcoil Delivery System

Indications for Use (Describe)

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

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) 265-2919 Fax: (305) 265-6889

Contact Person: Yoon Hee Beatty Date Prepared: August 21, 2017

II. Device

Table 1. Device
Device Proprietary NameGALAXY G3 Mini Microcoil Delivery System
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

The corresponding predicate devices that are listed in Table 2 below are applicable III. Predicate Device to the devices in this submission.

Table 2. Prior 510(k) Clearance
510(k) NumberDate ClearedNameManufacturer
Primary Predicate
K15031906/12/2015Micrus Microcoil System DELTAXFTCodman & Shurtleff, Inc.
Reference Predicate
K08364601/02/2009Micrus Microcoil System DELTAPLUSHMicrus Endovascular
Corporation*
Reference Device
K09397305/26/2010ORBIT GALAXY Detachable Coil SystemCodman & Shurtleff, Inc.
Reference Device
K02159105/22/2002PROWLER SELECT Infusion CathetersCordis Neurovascular,
Inc.**
*On 09/27/10, Micrus Endovascular Corporation was acquired by Johnson & Johnson and now operates as a wholly-owned
subsidiary of Codman & Shurtleff, Inc within the Johnson & Johnson family of companies. Medos International SARL (Medos) will
be the recognized legal manufacturer and Codman & Shurtleff, Inc. will be the subcontractor appointed by Medos.
** This 510(k) was originally owned by Cordis Neurovascular, Inc., a subsidiary of Cordis Corporation. In 2008, Cordis
Neurovascular, Inc., was merged with Codman and Shurtleff, Inc. This 510(k) is presently owned by Codman & Shurtleff, Inc.

4

IV. Device The GALAXY G3 Mini Microcoil Delivery Systems consist of three components, a Description 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: The image is titled "Figure 1. Microcoil System" and shows a diagram of the microcoil system. The diagram labels the different parts of the system, including the hub connector, re-sheathing tool, introducer sheath body, introducer sheath tip, device positioning unit (DPU), and microcoil. The microcoil is located at the tip of the system and is a small, coiled wire.

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 contains a polypropylene suture (SR) and then formed into a secondary shape. The secondary shape is complex.
  • o 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 works with the EnPower Control Cable and with the standard connecting cable.

5

V. Indications for Use

The GALAXY G3 Mini 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.

6

VI. Comparison of Technological Characteristics With Predicate Device

Endovascular coil embolization is the technological principle for both the subject and predicate devices. It is based on placing embolic coils in the neurovascular or peripheral vasculature in order to reduce or block blood flow. The subject device and predicate devices are based on the following same technological characteristics:

Table 3. Technological Characteristics of the Predicate and Proposed Devices
DescriptionPredicate Device:
DELTAXSFT
Microcoil Delivery Systems
(K150319)This Submission:
GALAXY G3 Mini
Microcoil Delivery Systems
Indications for UseDELTAXSFT 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.Same as predicate
GALAXY G3 Mini 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.
Microcoil
Microcoil MaterialPlatinum/TungstenSame as predicate
Microcoil Primary WindTriangularCylindrical*
Microcoil Secondary ShapeHelicalComplex*
Microcoil Stretch-ResistantPGA= Polyglycolic Acid SuturePP= Polypropylene Suture**
Primary Coil Wind Outer
Diameter0.0096"0.009"
Secondary Shape Outer
Diameter Ranges1.5mm-4mm1.0mm - 3.0mm
Microcoil Length Ranges1cm-8cmSame as predicate
Delivery System
Delivery System TypeWire Shaft with radiopaque markerSame as predicate
Delivery System Introducer
SheathHDPE IntroducerSame as predicate
Delivery System Resheathing
ToolNylon 12Same as predicate
Flush PortsNoneFlush ports
Introducer Sheath Tip ShapeStraightTapered
Introducer Sheath Length120cm81cm and 120cm
Device Positioning Unit (DPU3)
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
Distal Segment of the Device
Positioning UnitDevice Positioning Unit 3 (DPU3)Same 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 and Shelf Life
Sterilization MethodE-Beam RadiationEthylene Oxide (EtO)*
Shelf Life3 yearsSame as predicate
PackagingPackaged in a plastic hoop and
enclosed in a pouch.Same as predicate***
* Same shape and sterilization method as ORBIT GALAXY DCS (K093973)
** Same material as DELTAPLUSH Microcoil (K083646)
*** Same pouch material as PROWLER SELECT Infusion Catheters (K021591)

7

VII. Performance Data

Verification and Validation Testing

Verification and validation activities were conducted on the finished sterile device based on current standards and FDA Guidance Document; "Class II Special Controls Guidance Document: Vascular and Neurovascular Embolization Devices". The following performance data were provided in support of the substantial equivalence determination. The bench testing included the following tests:

Table 4. Verification and Validation Testing
TestTest Method SummaryResults
Spring
ConstantThe purpose of the Spring Constant test is to
measure the softness of the coil by recording the
spring constant of the primary wind.PASS:
Samples passed the
established acceptance
criterion
Complex
ShapeThe purpose of the Complex Shape test is to
visually inspect the complex shape of the G3
Mini Microcoils.PASS:
Samples passed the
established acceptance
criterion
ParticulateThe purpose of the Particulate test is to measure
particulate count during simulated use per the
requirements of USP788.PASS:
Samples passed the
established acceptance
criterion
Atraumatic
BeadThe purpose of the Atraumatic Bead test is to
visually verify that the bead end of the coil
meets the final assembly specification.PASS:
Samples passed the
established acceptance
criterion
DPU 3
System Outer
DiameterThe purpose of the DPU 3 System Outer
Diameter test is to verify the OD is within
specification to ensure microcatheter
compatibility.PASS:
Samples passed the
established acceptance
criterion
Microcatheter
Tip
Deflection
ForceThe purpose of the Microcatheter Stability (Tip
Deflection Force) test is to measure the
deflection and/or stability of the microcatheter
by recording the force generated at the distal tip
of the microcatheter as the DPU device is
advanced to the tip of the microcatheter.PASS:
Samples passed the
established acceptance
criterion
Detachment
Zone Tensile
StrengthThe purpose of the Detachment Zone Tensile
Strength test was to evaluate the attachment
strength of the detachment fiber to prevent
unintentional coil detachmentsPASS:
Samples passed the
established acceptance
criterion
Stretch
Resistance
Fiber Tensile
StrengthThe objective of test is to verify that the coil
provides sufficient stretch resistance under
tensile loading to ensure the coil can be retracted
and repositioned without stretching.PASS:
Samples passed the
established acceptance
criterion
VII.Table 4. Verification and Validation Testing, continued
Performance
Data,
continuedTestTest Method SummaryResults
Track 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).PASS:
Samples passed the
established acceptance
criterion
Dimensional
Inspection of
FDL
Diameter and
Coil LengthThe objective of test is to verify the FDL
diameter and the coil length meets the
specification.PASS:
Samples passed the
established acceptance
criterion
Coil OD
Verification
on Final
AssemblyThe purpose of the Dimensional Inspection of
the Outer Diameter of the proposed device is to
verify the OD is within specification.PASS:
Samples passed the
established acceptance
criterion
Dimensional
Inspection of
the Distal
Fluro-saver
markersThe purpose of the Dimensional Inspection of
the Distal Fluoro Saver Marker was to verify
that the Fluoro Saver Markers are in the
correct proximal position in order to give the
physician a visual indication that the microcoil is
approaching the distal tip of the microcatheter.PASS:
Samples passed the
established acceptance
criterion
Coil
DurabilityThe purpose of the Coil Durability test was to
evaluate the coil's ability to stay attached to the
proposed device during simulated use of six
insertions and withdrawals cycled into and out
of a clinically relevant aneurysm model.PASS:
Samples passed the
established acceptance
criterion
Detachment,
Coil
Durability &
ReliabilityThe purpose of the Coil Detachment Durability
& Reliability test was to evaluate the reliability
of the detachment mechanism of the proposed
device after being cycled into and then out of a
clinically relevant anatomical model six times.PASS:
Samples passed the
established acceptance
criterion
Resheathing
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.PASS:
Samples passed the
established acceptance
criterion
Fluro saver
Marker
DurabilityThe purpose of the Fluoro Saver Marker
Durability test was to evaluate the ability of the
Fluoro Saver Markers to stay affixed and in the
correct position on the shaft of the proposed
device after being cycled into and then out of a
clinically relevant anatomical model six times.PASS:
Samples passed the
established acceptance
criterion

8

510(k) Summary, Continued

9

VII.
PerformanceTest
Data, (Cont.)
Distal Outer
Sheath
Durability
Table 4. Verification and Validation Testing, continued
TestTest Method SummaryResults
Distal Outer
Sheath
DurabilityThe purpose of the Distal Outer Sheath
Durability test was to evaluate the durability of
the distal outer sheath during the simulated use
of six insertions and withdrawals of the
proposed device into and then out of a clinically
relevant aneurysm model.PASS:
Samples passed the
established acceptance
criterion
Dimensional
Inspection of
the
IntroducerThe introducer underwent dimensional
inspection per approved test method.PASS:
Samples passed the
established acceptance
criterion
Introducer
Bond
StrengthThe objective of the test is to verify that the
bond strength of the introducer fuse joint.PASS:
Samples passed the
established acceptance
criterion
Coil Transfer
to
MicrocatheterThe purpose of the test is to evaluate the
introducer sheath for allowing for insertion of
the embolic coil into the microcatheter through
the RHV.PASS:
Samples passed the
established acceptance
criterion
Introducer
FlushingThe purpose of the test is to visually inspect to
confirm flushing.PASS:
Samples passed the
established acceptance
criterion
RadiopacityThe purpose of the test is to verify the ability to
visualize the coil under fluoroscopy for
physician to determine the location of the coil
during use.PASS:
Samples passed the
established acceptance
criterion
Overall Coil
PerformanceThe objective of the test is to evaluate
physician's satisfaction rating on performance
compared to a predicate device.PASS:
Samples passed the
established acceptance
criterion
MRI TestingThe purpose of the test is to demonstrate that
GALAXY G3 MINI Microcoil to be "MR-
conditional" according to the specific conditions
used for the assessment.PASS:
Samples passed the
established acceptance
criterion

Shelf-Life Testing

Codman successfully completed accelerated aging testing to support a shelf life of 12 months. Finished sterile devices were subjected to environmental conditioning, simulated transportation and accelerated aging before being tested.

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VII. Performance Packaging

Data (Cont.)

The modification to the current packaging consists of a change in pouch material due to the change in sterilization method from e-beam to ethylene oxide. Utilizing previously validated pouch material used in the same sterilization cycle (K021591), the new packaging configuration was validated in accordance with applicable recommendations in International Standard ISO 11607-1 "Packaging for Terminally Sterilized Medical Devices - Part 1: Requirements for Materials, Sterile Barrier Systems, and Packaging Systems" and ISO 11607-2 "Packaging for Terminally Sterilized Medical Devices - Part 2: Validation Requirements for Forming, Sealing, and Assembly Processes" as recognized by FDA.

Biocompatibility Testing

Biocompatibility testing was conducted in accordance with International Standard ISO 10993-1 "Biological Evaluation of Medical Devices - Part 1: Evaluation of Testing Within a Risk Management Process" (ISO 10993-1:2009/2010AC), and FDA's Guidance Document entitled "Use of International Standard ISO-10993, Biological Evaluation of Medical Devices Part 1: Evaluation and Testing" (June 16. 2016).

The following tests were performed:

  • ISO MEM Elution
  • Hemocompatibility Tests ●
    • O In Vitro Hemolysis Direct Contact (ASTM F756)
    • O In Vitro Hemolysis - Extract
    • In Vivo Thromboresistance O
  • Chemical Characterization of Extractables (ISO 10993-18)

Sterilization

The GALAXY G3 Mini Microcoil System is ethylene oxide sterilized and was validated to assure a Sterility Assurance Level (SAL) 10-6 according to the requirements of International Standards ISO 11135-1 "Sterilization of Health Care Products Ethylene Oxide - Part 1: Requirements for development, validation and routine control of a sterilization process for medical devices, and ISO 10993-7 "Biological Evaluation of medical devices - Part 7: Ethylene Oxide sterilization residual" as recognized by FDA.

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VII. Performance Animal Study

Data (Cont.)

An animal study was not required as appropriate verification and validation of the GALAXY G3 Mini Microcoil Delivery System was achieved based on the similarities of the proposed device to the predicate device, and from results of bench testing.

Summary of Clinical Testing

A clinical study was not required as appropriate verification and validation of the GALAXY G3 Mini Microcoil Delivery System was achieved based on the similarities of the proposed device to the predicate device, and from results of bench testing.

Based upon the design, materials, function, intended use, performance, VIII. Conclusion manufacturing and sterilization process and the non-clinical testing performed by Codman, it is concluded that the GALAXY G3 Mini Microcoil Delivery Systems are substantially equivalent to the currently marketed CODMAN DELTAXSFT Microcoil Delivery Systems (K150319) and therefore, does not raise any new questions of safety or effectiveness.

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