K Number
K173614
Manufacturer
Date Cleared
2018-04-17

(146 days)

Product Code
Regulation Number
882.5950
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

Penumbra Coil 400:

  • Intracranial aneurysms.
  • Other neurovascular abnormalities such as arteriovenous malformations and arteriovenous fistulae.
  • Arterial and venous embolizations in the peripheral vasculature.

Ruby Coil System:

  • Arterial and venous embolizations in the peripheral vasculature.

POD System (For POD Coils with nominal sizes ≤ 6 mm):

  • Intracranial aneurysms.
  • Other neurovascular abnormalities such as arteriovenous malformations and arteriovenous fistulae.
  • Arterial and venous embolizations in the peripheral vasculature.

POD System (For POD Coils with nominal sizes > 6 mm):

  • Arterial and venous embolizations in the peripheral vasculature.
Device Description

The subject devices (Penumbra Coil System and POD System) are designed for embolization in the neuro and/or peripheral vasculature. This is achieved by using coils to exclude the intended treatment area from blood flow, thus creating stasis and allowing thrombosis to occur. The subject devices consist of a bare platinum embolization coil for the treatment of aneurysms or other vascular abnormalities. The devices should only be used by physicians who have received appropriate training in interventional techniques.

The subject devices consist of the following components:

  • Coil: The Coil is attached to a Delivery Pusher both contained within an Introducer Sheath. The Coil is an implantable medical device intended to exclude the treatment area from blood flow, thus creating stasis and allowing thrombosis to occur.
  • Delivery Pusher: The Delivery Pusher is composed of a shaft with a radiopaque positioning marker, a Distal Detachment Tip (DDT) and a pull wire. The Delivery Pusher may also be referred to as the Detachment Pusher.
  • Introducer Sheath: The Introducer Sheath is intended to cover the entire length of the Coil and the distal flexible segment of the Delivery Pusher. The Introducer Sheath is secured onto the Delivery Pusher with a friction lock to prevent unsheathing until use.
  • Detachment Handle: The Detachment Handle is packaged separately. It is intended for use in multiple coil detachments performed during a single procedure.
AI/ML Overview

This document, a 510(k) Premarket Notification for the Penumbra Coil System and POD System, focuses on demonstrating substantial equivalence to a predicate device rather than presenting a study proving a device meets specific acceptance criteria for performance, especially concerning Artificial Intelligence (AI) or software-based diagnostics.

Therefore, many of the requested details about acceptance criteria, clinical study design (sample size, data provenance, expert ground truth, adjudication, MRMC study, standalone performance), and training set information are not applicable to this type of submission. This document describes a medical device (embolization coils) that is a physical product, not an AI/software device.

Here's an attempt to extract relevant information and note where the requested information is not present:

Device: Penumbra Coil System (Penumbra Coil 400 and Ruby Coil System); POD System
Device Type: Neurovascular Embolization Device


Acceptance Criteria and Reported Device Performance (Non-AI/Software Context)

For this physical device, "acceptance criteria" are typically defined by engineering specifications and performance benchmarks, proven through bench-top (laboratory) and biocompatibility testing. The "performance" is the passing of these tests, demonstrating that the device functions as intended and is safe.

Here's a table based on the provided "Bench-Top Testing" and "Biocompatibility Testing" sections:

Feature/Test CategoryAcceptance Criteria (Specification)Reported Device Performance (Results)
Bench-Top Testing
Dimensional/Visual InspectionMeet all product specificationsPass
Fatigue ResistanceCoil retains secondary shape after cycling into/out of 0.025 in. ID microcatheterPass
Torsional ResistanceMinimum value per specificationPass
Friction (Pull & Push)Maximum value per specificationPass
Simulated Use Flow Model TestingEffectiveness to embolize targeted vasculature in anatomical modelPass
Distal System Tensile TestMinimum per specificationPass
Stiffness TestingMaximum value per specificationPass
Biocompatibility Testing
In Vitro CytotoxicityNon-ToxicNon-Toxic
SensitizationNon-SensitizingNon-Sensitizing
Irritation (Intracutaneous Reactivity)Non-IrritantNon-Irritant
Implant studyNon-IrritantNon-Irritant
Systemic Toxicity (Acute)Non-ToxicNon-Toxic
Material Mediated PyrogenNon-PyrogenicNon-Pyrogenic
Sub-Chronic Toxicity (Sub-Acute Toxicity)Non-ToxicNon-Toxic
In Vitro HemolysisNon-HemolyticNon-Hemolytic
Dog Thrombogenicity CoagulationNon-ThrombogenicNon-Thrombogenic
Complement ActivationNo greater biological response than corresponding controlNo greater biological response than corresponding control
Genotoxicity (Mouse Lymphoma)Non-MutagenicNon-Mutagenic
Genotoxicity (Ames Mutagenicity)Non-MutagenicNon-Mutagenic
Genotoxicity (In Vivo Mouse Micronucleus)Non-MutagenicNon-Mutagenic
MR Compatibility TestingCompliant with ASTM F2182-11, F2052-15, F2213-06 (R-11), F2119-07 (R-13) for 1.5T & 3T MR environmentsTesting performed; advises MR conditional statement in IFU
MRA TestingMaximum artifact distance beyond implant of 2 mm using clinical MRA sequenceMaximum artifact distance was 2 mm

Information Not Applicable or Not Provided for This Type of Submission (AI/Software-Specific Questions)

  1. Sample sizes used for the test set and the data provenance (e.g., country of origin of the data, retrospective or prospective):

    • N/A. This is a physical device, and the "test set" here refers to the number of units or biological samples used in bench-top and biocompatibility testing, not a clinical data set for an AI model. The document does not specify the number of units tested for each bench-top criterion. Biocompatibility tests followed ISO and CFR guidelines.
  2. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g., radiologist with 10 years of experience):

    • N/A. Ground truth establishment by experts is relevant for AI/diagnostic software. For a physical device, ground truth is established by objective measurements against engineering specifications and biological material reactions.
  3. Adjudication method (e.g., 2+1, 3+1, none) for the test set:

    • N/A. Adjudication is for resolving discrepancies in expert interpretations, not for physical device testing.
  4. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance:

    • N/A. This applies to AI-assisted diagnostic tools, not physical embolization coils.
  5. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done:

    • N/A. This applies to AI/software.
  6. The type of ground truth used (expert consensus, pathology, outcomes data, etc.):

    • For this device, "ground truth" related to performance is based on engineering specifications, direct physical measurements, and well-established biological response criteria (e.g., cell viability, immune response markers) in a laboratory setting, as well as adherence to recognized standards like ASTM and ISO. There is no "expert consensus" on ground truth for the physical and biological properties being tested here in the way there would be for a diagnostic image.
  7. The sample size for the training set:

    • N/A. There is no "training set" as this is not an AI/machine learning device.
  8. How the ground truth for the training set was established:

    • N/A. There is no "training set" or AI model.

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Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health & Human Services logo on the left and the FDA logo on the right. The FDA logo features the letters 'FDA' in a blue square, followed by the words 'U.S. FOOD & DRUG ADMINISTRATION' in blue text.

April 17, 2018

Penumbra, Inc. Aditi Kolla Regulatory Specialist III One Penumbra Place Alameda, California 94502

Re: K173614

Trade/Device Name: Penumbra Coil System (Penumbra Coil 400 and Ruby Coil System); POD System Regulation Number: 21 CFR 882.5950 Regulation Name: Neurovascular Embolization Device Regulatory Class: Class II Product Code: HCG, KRD Dated: March 10, 2018 Received: March 13, 2018

Dear Aditi Kolla:

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 mav, 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-related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820);

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and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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.

For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (http://www.fda.gov/DICE) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely.

Image /page/1/Picture/6 description: The image shows the text "Carlos L. Pena -S-D". The text is written in a simple, sans-serif font. The letters are black, and the background is white. The letters "FDA" are in the background in a light blue color.

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

Enclosure

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Indications for Use

510(k) Number (if known) K173614

Device Name

Penumbra Coil System (Penumbra Coil 400 and Ruby Coil System) POD System

Indications for Use (Describe)

Penumbra Coil 400

The Penumbra Coil 400 is indicated for the embolization of:

  • · Intracranial aneurysms.
  • · Other neurovascular abnormalities such as arteriovenous malformations and arteriovenous fistulae.
  • · Arterial and venous embolizations in the peripheral vasculature.

Ruby Coil System

Ruby Coil System is indicated for arterial and venous embolizations in the peripheral vasculature.

POD System (For POD Coils with nominal sizes ≤ 6 mm)

The POD System is indicated for the embolization of:

  • · Intracranial aneurysms.
  • · Other neurovascular abnormalities such as arteriovenous malformations and arteriovenous fistulae.
  • · Arterial and venous embolizations in the peripheral vasculature.

POD System (For POD Coils with nominal sizes > 6 mm)

The POD System is indicated 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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510(k) Summary

K173614

(as required by 21 CFR 807.92)

Pursuant to Section 12, Part (a)(i)(3A) of the Safe Medical Devices Act of 1990, Penumbra Inc. is providing the summary of Substantial Equivalence for the subject Penumbra Coil System and POD System.

1. Sponsor/Applicant Name and Address

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

2. Sponsor Contact Information

Aditi Kolla Regulatory Affairs Specialist III Phone: (510) 995-2010 Fax: (510) 217-6414 Email: akolla@penumbrainc.com

3. Date of Preparation of 510(k) Summary

March 10, 2018

4. Device Trade or Proprietary Name

Penumbra Coil System (Penumbra Coil 400 and Ruby Coil System) POD System

5. Primary Device Classification

II Regulatory Class: Classification Panel: Neurology Classification Name: Neurovascular Embolization Device Regulation Number: 21 CFR 882.5950 Product Code: HCG

6. Secondary Device Classification

Regulatory Class: Classification Panel: Classification Name: Regulation Number: Product Code:

II Cardiovascular Vascular Embolization Device 21 CFR 870.3300 KRD

7. Predicate and Reference Devices

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510(k)NumberClearance Dateof Predicate DeviceName ofManufacturer
Predicate Device
K120330April 02, 2012Penumbra Coil SystemPenumbra, Inc.
Reference Device
K170852July 19, 2017POD Packing CoilPenumbra, Inc.

8. Predicate Device Comparison

AttributePenumbra CoilSystem(Predicate Device)POD Packing Coil(Reference Device)Penumbra CoilSystem and PODSystem (SubjectDevice)
General
510(k) No.K120330K170852K173614
ClassificationClass II (HCG, KRD)SAMESAME
Intended UseIndicated for theembolization of:-Intracranial aneurysms-Other neurovascularabnormalities such asarteriovenousmalformations andarteriovenous fistulae.-Arterial and venousembolizations in theperipheral vasculature.SAMESAME
Materials/Construction
CoilPlatinum/Tungsten(92% Pt, 8% W),Nitinol (55% Ni, 45%Ti), Adhesive,Gold/Tin (80% Au,20% Sn), PolyethyleneTerephthalate (PET),TitaniumPlatinum/Tungsten(92% Pt, 8% W),Polymer, Adhesive,PolyethyleneTerephthalate (PET),TitaniumSAME asReference
Dimensions/Shape
Coil ShapeComplex, Helical, JWaveSAME as Predicate
Coil Length1 - 60 cm2 - 60 cmSAME as Predicate
CoilSecondary2-32 mmNot Present2-40 mm
AttributePenumbra CoilSystem(PredicateDevice)POD Packing Coil(Reference Device)Penumbra CoilSystem and PODSystem (SubjectDevice)
DiameterCoil Primary Diameter0.022 in. maxSAMESAME
Device Packagingspecified in K120330SAMESAME
SterilizationEthylene Oxide (EO)SAMESAME
Shelf-Life(Coil/Pusherassembly)8 years8 yearsPenumbra Coil System: 8 yearsPOD System: 5 years

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9. Device Description

The subject devices (Penumbra Coil System and POD System) are designed for embolization in the neuro and/or peripheral vasculature. This is achieved by using coils to exclude the intended treatment area from blood flow, thus creating stasis and allowing thrombosis to occur. The subject devices consist of a bare platinum embolization coil for the treatment of aneurysms or other vascular abnormalities. The devices should only be used by physicians who have received appropriate training in interventional techniques.

The subject devices consist of the following components:

  • . Coil: The Coil is attached to a Delivery Pusher both contained within an Introducer Sheath. The Coil is an implantable medical device intended to exclude the treatment area from blood flow, thus creating stasis and allowing thrombosis to occur.
  • . Delivery Pusher: The Delivery Pusher is composed of a shaft with a radiopaque positioning marker, a Distal Detachment Tip (DDT) and a pull wire. The Delivery Pusher may also be referred to as the Detachment Pusher.
  • . Introducer Sheath: The Introducer Sheath is intended to cover the entire length of the Coil and the distal flexible segment of the Delivery Pusher. The Introducer Sheath is secured onto the Delivery Pusher with a friction lock to prevent unsheathing until use.
  • Detachment Handle: The Detachment Handle is packaged separately. It is intended for ● use in multiple coil detachments performed during a single procedure.

10. Indications for Use

Penumbra Coil 400

The Penumbra Coil 400 is indicated for the embolization of:

  • Intracranial aneurysms. ●
  • Other neurovascular abnormalities such as arteriovenous malformations and ● arteriovenous fistulae.
  • Arterial and venous embolizations in the peripheral vasculature. ●

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Ruby Coil System

Ruby Coil System is indicated for arterial and venous embolizations in the peripheral vasculature.

POD System (For POD Coils with nominal sizes ≤ 6 mm)

The POD System is indicated for the embolization of:

  • Intracranial aneurysms.
  • Other neurovascular abnormalities such as arteriovenous malformations and ● arteriovenous fistulae.
  • Arterial and venous embolizations in the peripheral vasculature. ●

POD System (For POD Coils with nominal sizes > 6 mm)

The POD System is indicated for arterial and venous embolizations in the peripheral vasculature.

11. Summary of Non-Clinical Data

Pursuant to Section 12, Part (a)(i)(3A) of the Safe Medical Devices Act of 1990, a summary of information regarding Substantial Equivalence of the device is as follows.

Included in this section are descriptions of the design control testing performed on the subject Penumbra Coil System and POD System. Design Verification (Bench-Top Testing and MR Characterization Testing) was performed on the subject devices as a part of the design control activities. The subject devices met all established requirements.

12. Bench-Top Testing

Design verification testing was conducted to evaluate the physical and mechanical properties of the subject devices and demonstrate substantial equivalence to predicate. The following tests were performed and all tests passed:

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AttributeSpecificationResults
Dimensional/VisualInspectionConfirm the dimensions of the units meet allproduct specifications.Pass
Fatigue ResistanceThe Coil retains its secondary shape after beingcycled into/out of the 0.025 inch inner diameter(ID) microcatheter.Pass
Torsional ResistanceMinimum value per specificationPass
Friction through a 0.025 in.ID microcatheter – Pull &PushMaximum value per specificationPass
Simulated Use Flow ModelTestingSimulated use testing with accessory devices inan anatomical model which simulated thetortuosity of the neurovasculature. Devices weredelivered through the model to evaluate theeffectiveness of the devices to embolize targetedvasculature.Pass
Distal System Tensile TestMinimum per specificationPass
Stiffness TestingMaximum value per specificationPass

12.1. Biocompatibility Testing

Biocompatibility testing previously applicable to the predicate device and reference device substantiates the biocompatibility of the subject devices. Studies were selected in accordance with EN ISO 10993-1 guidelines (Biological Evaluation of Medical Devices). All studies were conducted pursuant to 21 CFR, Part 58, Good Laboratory Practices. The following tests were performed on the predicate and reference devices:

TestMethodResults
In Vitro CytotoxicityISO Elution Test (MEM Extract)Non-Toxic
SensitizationMagnusson-Kligman MethodNon-Sensitizing
Irritation (IntracutaneousReactivity)ISO Intracutaneous (Intradermal)Injection TestNon-Irritant
Implant studyIntramuscular Implant TestNon-Irritant
Systemic Toxicity (Acute)
Acute Systemic ToxicityISO Acute Systemic Injection TestNon-Toxic
Material Mediated PyrogenUSP Material-Mediated RabbitPyrogen TestNon-pyrogenic
Sub-Chronic Toxicity (Sub-Acute Toxicity)
Sub-Chronic/Sub-AcuteToxicity14 day / 14 dose Repeat Dose studyNon-Toxic
Hemo-compatibility
In Vitro HemolysisASTM Method (Extraction &Direct Contact)Non-Hemolytic
Dog ThrombogenicityCoagulationThrombogenicity Study in Dogs - ISOPT and PTT TestNon-Thrombogenic

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Complement ActivationC3a and SC5b-9 throughEnzyme AssayNo greaterbiological responsethan correspondingcontrol
Genotoxicity
Mouse LymphomaISO In Vitro Mouse LymphomaNon-Mutagenic
Ames MutagenicitySalmonella typhimuriumReverse Mutation Assay (AmesTest)Non-Mutagenic
In Vivo MouseMicronucleusISO In Vivo MouseMicronucleus AssayNon-Mutagenic

The leveraged non-clinical testing substantiates that the subject Penumbra Coil System and POD System is non-cytotoxic, non-sensitizing, non-irritating, non-toxic, non-pyrogenic, nonmutagenic, non-genotoxic, non-hemolytic, and non-thrombogenic.

12.2. MR Compatibility Testing

Testing in 1.5T & 3T MR environment was performed to advise the MR conditional statement in the Instructions for Use (IFU). Testing was done in accordance to standards ASTM F2182-11, ASTM F2052-15, ASTM F2213-06 (R-11), and ASTM F2119-07 (R-13).

12.3. MRA Testing

MRA artifact associated with a Penumbra coil array in the form of an 8 mm diameter sphere was assessed per ASTM F2119-07 (R-13) using a clinical MRA sequence. The maximum artifact distance beyond the implant was 2 mm using this sequence.

13. Summary of Substantial Equivalence

The subject Penumbra Coil System (i.e., Penumbra Coil 400 and Ruby Coil System) and POD System are substantially equivalent to the predicate device Penumbra Coil System. The subject devices have identical intended use as the predicate device. The subject and the predicate devices differ slightly in regards to minor technological variations, while maintaining the same fundamental scientific technology. However, these differences do not raise different questions of safety and effectiveness.

The device testing described in the 510(k) Summary demonstrate the subject devices are substantially equivalent to the predicate device in regards to operating principle, fundamental technology and device performance.

§ 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).