K Number
K180010
Device Name
AtriClip FLEX-V
Manufacturer
Date Cleared
2018-01-31

(29 days)

Product Code
Regulation Number
878.4300
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The AtriClip LAA Exclusion System is indicated for the occlusion of the heart's left atrial appendage, performed under direct visualization and in conjunction with other cardiac surgical procedures. Direct visualization, in this context, requires that the surgeon is able to see the heart directly, with or without assistance from a camera, endoscope, etc., or other appropriate viewing technologies.
Device Description
The AtriClip FLEX:V device consists of a single use, sterile, self-closing, implantable clip preloaded on a single use clip applier along with a selection guide. When closed, the Clip applies uniform pressure over the length of the Clip to ensure consistent, reproducible, and secure occlusion of the left atrial appendage (LAA). The clip is then deployed and is left as a permanent implant. The Clip is available in the following lengths to accommodate different sizes of LAA: 35 mm, 40 mm, 45 mm, and 50 mm. The AtriClip FLEX:V device is a disposable device with a handle, shaft, suture anchors, shaft rotation knob, and deployment end-effector containing the Clip.
More Information

Not Found

No
The summary describes a mechanical device for surgical occlusion and does not mention any AI/ML components or functions.

Yes
The device is implanted to occlude the left atrial appendage, which is a therapeutic intervention aimed at preventing complications like stroke.

No

The device is an implantable clip system designed for the occlusion of the heart's left atrial appendage during cardiac surgical procedures. It is a therapeutic device, not a diagnostic one.

No

The device description clearly states it is an implantable clip preloaded on a clip applier, which are physical hardware components, not software.

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

Here's why:

  • Intended Use: The intended use is for the "occlusion of the heart's left atrial appendage, performed under direct visualization and in conjunction with other cardiac surgical procedures." This describes a surgical procedure performed directly on the patient's body.
  • Device Description: The device is an implantable clip and applier used to physically close off the left atrial appendage. This is a therapeutic device used during surgery.
  • Lack of Diagnostic Purpose: There is no mention of the device being used to test samples (like blood, tissue, etc.) to diagnose a condition, monitor a disease, or screen for health issues. IVDs are used in vitro (outside the body) to provide information about a patient's health status.

The AtriClip LAA Exclusion System is a surgical device used for a therapeutic purpose (occluding the LAA) during a cardiac surgical procedure.

N/A

Intended Use / Indications for Use

The AtriClip LAA Exclusion System is indicated for the occlusion of the heart's left atrial appendage, performed under direct visualization and in conjunction with other cardiac surgical procedures.

Direct visualization, in this context, requires that the surgeon is able to see the heart directly, with or without assistance from a camera, endoscope, etc., or other appropriate viewing technologies.

Product codes

FZP

Device Description

The AtriClip FLEX:V device consists of a single use, sterile, self-closing, implantable clip preloaded on a single use clip applier along with a selection guide. When closed, the Clip applies uniform pressure over the length of the Clip to ensure consistent, reproducible, and secure occlusion of the left atrial appendage (LAA). The clip is then deployed and is left as a permanent implant. The Clip is available in the following lengths to accommodate different sizes of LAA: 35 mm, 40 mm, 45 mm, and 50 mm. The AtriClip FLEX:V device is a disposable device with a handle, shaft, suture anchors, shaft rotation knob, and deployment end-effector containing the Clip.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

heart's left atrial appendage

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)

The following bench testing was conducted for design and performance elements deemed appropriate to demonstrate equivalence to the previously cleared PRO-V device. The AtriClip FLEX V device met the predetermined acceptance criteria ensuring substantial equivalence to the previously cleared PRO-V device. No new safety or performance issues were raising during testing.

Non-clinical Bench Testing:

  • Reliability Testing
  • Mechanical Testing
  • Drop Testing
  • Biocompatibility Testing
  • Transit Testing
  • Shelf Life Testing

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

Not Found

Predicate Device(s)

K173031

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 878.4300 Implantable clip.

(a)
Identification. An implantable clip is a clip-like device intended to connect internal tissues to aid healing. It is not absorbable.(b)
Classification. Class II.

0

Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

January 31, 2018

AtriCure, Inc. Brittany Lowe Regulatory Affairs Specialist 7555 Innovation Way Mason, Ohio 45040

Re: K180010

Trade/Device Name: AtriClip FLEX-V Regulation Number: 21 CFR 878.4300 Regulation Name: Implantable Clip Regulatory Class: Class II Product Code: FZP Dated: December 29, 2017 Received: January 2, 2018

Dear Ms. Lowe:

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-related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (QS) 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,

Nicole G. Ibrahim -S

for Bram D. Zuckerman, M.D. Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K180010

Device Name AtriClip FLEX-V

Indications for Use (Describe)

The AtriClip LAA Exclusion System is indicated for the occlusion of the heart's left atrial appendage, performed under direct visualization and in conjunction with other cardiac surgical procedures.

Direct visualization, in this context, requires that the surgeon is able to see the heart directly, with or without assistance from a camera, endoscope, etc., or other appropriate viewing technologies.

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)☑ Prescription Use (Part 21 CFR 801 Subpart D)☐ Over-The-Counter Use (21 CFR 801 Subpart C)
☑ Prescription Use (Part 21 CFR 801 Subpart D)
☐ Over-The-Counter Use (21 CFR 801 Subpart C)

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l. Applicant Information

| Manufacturer: | AtriCure, Inc.
7555 Innovation Way
Mason, Ohio 45040
P: 513-644-4736
F: 513-895-9013 |
|--------------------|--------------------------------------------------------------------------------------------------|
| Contact Person: | Brittany Lowe
Regulatory Affairs Specialist |
| Alternate Contact: | Jonathan McElwee, RAC
Manager, Regulatory Affairs |
| Date Prepared: | 1/31/2018 |

II. Device Information

Proprietary Name:AtriClip FLEX·V™ device
Common Name:Implantable Clip and Clip Applier
Classification:Implantable Clip and Clip Applier
Regulatory Class: Class II; per 21 CFR 878.4300
Product Code: FZP
Classification Panel: General and Plastic Surgery
Predicate Device:AtriClip LAA Exclusion System with Preloaded PRO·V Clip
(K173031, FZP, October 25, 2017)

lll. Device Description

The AtriClip FLEX:V device consists of a single use, sterile, self-closing, implantable clip preloaded on a single use clip applier along with a selection guide. When closed, the Clip applies uniform pressure over the length of the Clip to ensure consistent, reproducible, and secure occlusion of the left atrial appendage (LAA). The clip is then deployed and is left as a permanent implant. The Clip is available in the following lengths to accommodate different sizes of LAA: 35 mm, 40 mm, 45 mm, and 50 mm. The AtriClip FLEX:V device is a disposable device with a handle, shaft, suture anchors, shaft rotation knob, and deployment end-effector containing the Clip.

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IV. Intended Use/ Indications for Use

The AtriClip LAA Exclusion System is indicated for the heart's left atrial appendage. performed under direct visualization and in conjunction with other cardiac surgical procedures.

Direct visualization, in this context, requires that the surgeon is able to see the heart directly, with or without assistance from a camera, endoscope, etc., or other appropriate viewing technologies.

V. Comparison of Technological Characteristics (PRO-V cleared via K173031)

The AtriClip system is comprised of an implantable Clip Applier used to deliver the clip to the implant site. The implantable Clip used in the subject device and predicate device are identical. Modifications were made to the Clip Applier design only, to accommodate differing body habitus and surgeon preference. These changes include:

  • . Addition of an aluminum shaft for malleability
  • . An end effector that can be manually rotated 180° in 45° increments for physician preference and patient anatomy
  • . A one handed trigger to deploy the clip
  • An over-center feature to reduce the force needed to hold the clip open .
  • A pistol grip style handle for physician preference ●

The intended use, operating principles, performance specification and expiration dating of the subject device are the same as the predicate device.

VI. Performance Data

The following bench testing was conducted for design and performance elements deemed appropriate to demonstrate equivalence to the previously cleared PRO-V device. The AtriClip FLEX V device met the predetermined acceptance criteria ensuring substantial equivalence to the previously cleared PRO-V device. No new safety or performance issues were raising during testing.

Non-clinical Bench Testing:

  • Reliability Testing ●
  • . Mechanical Testing
  • Drop Testing ●
  • . Biocompatibility Testing
  • Transit Testing
  • Shelf Life Testing .

VII. Conclusions

AtriCure has demonstrated that the modifications made to the AtriClip FLEX-V device are substantially equivalent in fundamental design, technology, function, device materials, packaging, sterilization, operating principal, and intended use/ indication for use as the previously cleared device: AtriClip LAA Exclusion System with Preloaded PRO·V Clip.