AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

Sequential Culture Media consists of Fertilization Medium, Cleavage Medium, and Blastocyst Medium that are intended to be used sequentially from fertilization to the blastocyst stage of development. The intended uses of the Fertilization Medium, Cleavage Medium, and Blastocyst Medium are as follows:

Fertilization medium is intended for use during in vitro fertilization (IVF) and intracytoplasmic sperm insertion (ICSI) procedures and culture to the two pronuclei (zygote) stage of development.

Cleavage Medium is intended for culture of embryos from the two pronuclei (zygote) stage to the 8cell stage of development. Cleavage Medium is not intended for transferring embryos to the uterine cavity.

Blastocyst Medium is intended for culture from the 8-cell stage to the blastocyst stage of development. Blastocyst Medium is not intended for transferring embryos to the uterine cavity.

Device Description

Sequential Culture Media are intended for use sequentially from fertilization to late embryonic stages during assisted reproduction technology procedures for insemination and embryo culture.

The Sequential Culture Media is provided in three variants: Fertilization Medium, Cleavage Medium, and Blastocyst Medium. Each variant is provided with or without protein (human serum albumin (HSA) or recombinant HSA (rHA)). All variants contain gentamicin, an antibiotic agent that suppresses bacterial growth. Each Sequential Culture Media solution is offered in three volumes (10mL, 50mL and 100mL).

The Sequential Culture Media solution is a colorless, clear fluid, provided sterile-filtered into a container pre-sterilized by gamma irradiation. The primary container of Sequential Culture Media 10mL is a sterile non-pyrogenic PETG vial, and the primary container of the Sequential Culture Media 50mL and 100mL is a square, non-pyrogenic PETG bottle. The containers are manufactured and provided sterile (with a SAL of 10° ) by ThermoFisher Scientific, Inc. After sterilefilling, the top of the vial and bottle are sealed with tamper-evident shrink-wrap.

AI/ML Overview

The provided text is a 510(k) Summary for a medical device called "Sequential Culture Media." It details the device's characteristics, comparison to a predicate device, and non-clinical performance testing.

Here's an analysis of the acceptance criteria and the study proving the device meets them, based on the provided document:

1. Table of Acceptance Criteria and Reported Device Performance

The device is a non-AI/ML product (culture media for IVF), so the acceptance criteria are not in terms of AI model performance metrics like accuracy, sensitivity, or specificity. Instead, they are related to the physical and biological properties of the culture media.

Criteria (Internal Requirement / Standard)Acceptance CriteriaReported Device Performance
AppearanceClear, particulate-freePassed (Clear, particulate-free)
pH (per USP <791>)7.2 – 7.6Passed (7.2 – 7.6)
Osmolarity (freezing depression method)270-295 mOsm/LPassed (270-295 mOsm/L)
Endotoxin (per USP <85>)≤ 0.25 EU/mLPassed (≤ 0.25 EU/mL)
Mouse Embryo Assay (MEA)≥ 80% of 1-cell mouse embryos developed to expanded blastocyst at 96 hoursPassed (≥ 80% of 1-cell mouse embryos developed to expanded blastocyst at 96 hours)
Sterility (per USP <71>)No microbial growthPassed (No microbial growth)
Stability TestingMaintain performance specifications (Appearance, pH, Osmolarity, Endotoxin, MEA, Sterility) for 4 monthsPassed (Real-time aged samples at baseline and 4 months)
Container Seal (per USP <671>)≤ 5.0% permeability and ≤ 1 sample exceeding 2.50% over 14 daysPassed
Sterile Filtration/Aseptic FillValidation per ISO 13408-1:2008/A1:2013 and ISO 13408-2:2018Passed
Transportation TestingPackage integrity and device performance maintained (per ASTM D4169)Passed

2. Sample Size for the Test Set and Data Provenance

  • Sample Size for Test Set: The document does not specify a distinct "test set" sample size in the way an AI/ML study would. Instead, performance testing applies to batches of the culture media. For the MEA, it mentions "1-cell mouse embryos," but the exact number of embryos or experimental replicates used is not provided.
  • Data Provenance: The studies were non-clinical performance testing conducted by Kitazato Corporation, the device manufacturer. The data provenance is internal to the manufacturer.

3. Number of Experts Used to Establish Ground Truth for the Test Set and Their Qualifications

Given this is a non-clinical, laboratory-based product, the concept of "experts establishing ground truth" as it applies to image interpretation or diagnostic accuracy is not directly applicable. The "ground truth" here is based on analytical chemistry, biological assays, and sterility testing, which are measured objectively using established scientific methods and standards (e.g., USP, ISO). The qualifications of those performing these tests would be standard laboratory technicians/scientists, but no specific details on their number or qualifications are provided.

4. Adjudication Method for the Test Set

Not applicable. This is not a human-reader-based test where adjudication would be necessary. The results are based on objective laboratory measurements.

5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

Not applicable. This is not a diagnostic device that involves human readers or AI assistance.

6. Standalone Performance (Algorithm Only without Human-in-the-Loop Performance)

Not applicable. This is not an algorithm or AI device. The device itself is the sequential culture media.

7. Type of Ground Truth Used

The "ground truth" in this context refers to the objectively measured characteristics of the culture media that are critical for its function and safety. This includes:

  • Analytical Chemistry/Physical Measurements: pH, Osmolarity, Endotoxin levels.
  • Biological Assay: Mouse Embryo Assay (MEA), which assesses the biological efficacy by observing embryo development.
  • Microbiology: Sterility testing.
  • Material Science/Engineering: Container seal integrity, package integrity.

These are established scientific and regulatory standards.

8. Sample Size for the Training Set

Not applicable. As a non-AI/ML product, there is no "training set." The product's formulation and manufacturing processes are developed based on scientific understanding of embryo culture requirements and validated against performance specifications, not through machine learning training.

9. How the Ground Truth for the Training Set Was Established

Not applicable, as there is no training set for an AI/ML model for this device. The formulation and manufacturing parameters are likely established through R&D, chemical engineering, and biological testing, informed by existing scientific knowledge and regulatory requirements for reproductive media.

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Image /page/0/Picture/0 description: The image contains 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. Underneath the square are the words "U.S. FOOD & DRUG ADMINISTRATION" in blue.

October 23, 2020

Kitazato Corporation % Audrey Swearingen Regulatory Affairs Manager Emergo Global Consulting, LLC 2500 Bee Cave Road, Building 1, Suite 300 Austin, TX 78746

Re: K200249

Trade/Device Name: Sequential Culture Media (Fertilization Medium [without HSA/rHA, with HSA, with rHA], Cleavage Medium [without HSA/rHA, with HSA, with rHA], and Blastocyst Medium [without HSA/rHA, with HSA, with rHA]) Regulation Number: 21 CFR 884.6180 Regulation Name: Reproductive Media and Supplements Regulatory Class: II Product Code: MQL Dated: September 22, 2020 Received: September 24, 2020

Dear Audrey Swearingen:

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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrl/cfdocs/cfpmn/pmn.cfm_identifies_combination product submissions. The general controls provisions of the Actinclude requirements for annual registration. listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

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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) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; 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 https://www.fda.gov/medical-devices/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance)and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). 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 (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely.

Monica D. Garcia, Ph.D. Assistant Director DHT3B: Division of Reproductive. Gynecology and Urology Devices OHT3: Office of GastroRenal, ObGyn, General Hospital and Urology Devices Office of Product Evaluation and Ouality Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K200249

Device Name

Sequential Culture Media (Fertilization Medium [with HSA, with rHA], Cleavage Medium [without HSA/rHA, with HSA, with rHA], and Blastocyst Medium [without HSA/rHA, with HSA, with rHA])

Indications for Use (Describe)

Sequential Culture Media consists of Fertilization Medium, and Blastocyst Medium that are intended to be used sequentially from fertilization to the blastocyst stage of development. The intended uses of the Fertilization Medium, Cleavage Medium, and Blastocyst Medium are as follows:

Fertilization medium is intended for use during in vitro fertilization (IVF) and intracytoplasmic sperm insertion (ICSI) procedures and culture to the two pronuclei (zygote) stage of development.

Cleavage Medium is intended for culture of embryos from the two pronuclei (zygote) stage of development. Cleavage Medium is not intended for transferring embryos to the uterine cavity

Blastocyst Medium is intended for culture from the 8-cell stage to the blastocyst stage of development. Blastocyst Medium is not intended for transferring embryos to the uterine cavity

Type of Use (Select one or both, as applicable)
X Prescription Use (Part 21 CFR 801 Subpart D)Over-The-Counter Use (21 CFR 801 Subpart C)

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510(k) Summary

K200249 - Sequential Culture Media (Fertilization Medium [without HSA/rHA, with HSA, with rHA], Cleavage Medium [without HSA/rHA, with HSA, with rHA], Blastocyst Medium [without HSA/rHA, with HSA, with rHA])

1. Submitter Information

Applicant:Kitazato Corporation
Contact:Mr. Futoshi Inoue
President and Representative Director
Address:81 Nakajima, Fuji-shi
Shizuoka 416-0907
Japan
Phone:+81 545 66 2202

2. Correspondent Information

Contact:Audrey SwearingenRegulatory Affairs Manager / Senior Consultant
Address:Emergo Global Consulting, LLC2500 Bee Cave RoadBuilding 1, Suite 300Austin, TX 78746
Phone:(512) 327-9997
Email:LST.AUS.ProjectManagement@ul.com

3. Date Prepared

October 23, 2020

4. Device Identification

Device Name:Sequential Culture Media (Fertilization Medium [without HSA/rHA, withHSA, with rHA], Cleavage Medium [without HSA/rHA, with HSA, withrHA], Blastocyst Medium [without HSA/rHA, with HSA, with rHA])
Common Name:Reproductive Culture Media
Regulation Number:21 CFR 884.6180
Regulation Name:Reproductive media and supplements
Product Code:MQL (Media, Reproductive)

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Class:

Class II

5. Predicate Device

Device Name:Sydney IVF Fertilization Medium, Cleavage Medium, Blastocyst Medium
510(k) Number:K153290
Manufacturer:Cook Medical, Inc.

The predicate device has not been subject to a design-related recall.

6. Device Description

Sequential Culture Media are intended for use sequentially from fertilization to late embryonic stages during assisted reproduction technology procedures for insemination and embryo culture.

The Sequential Culture Media is provided in three variants: Fertilization Medium, Cleavage Medium, and Blastocyst Medium. Each variant is provided with or without protein (human serum albumin (HSA) or recombinant HSA (rHA)). All variants contain gentamicin, an antibiotic agent that suppresses bacterial growth. Each Sequential Culture Media solution is offered in three volumes (10mL, 50mL and 100mL).

The following models are provided:

Model No.Description
SK01-10Sequential Culture Media Fertilization Medium 10mL
SK01-50Sequential Culture Media Fertilization Medium 50mL
SK01-100Sequential Culture Media Fertilization Medium 100mL
SK01S-10Sequential Culture Media Fertilization Medium with HSA 10mL
SK01S-50Sequential Culture Media Fertilization Medium with HSA 50mL
SK01S-100Sequential Culture Media Fertilization Medium with HSA 100mL
SK01C-10Sequential Culture Media Fertilization Medium with rHA 10mL
SK01C-50Sequential Culture Media Fertilization Medium with rHA 50mL
SK01C-100Sequential Culture Media Fertilization Medium with rHA 100mL
SK02-10Sequential Culture Media Cleavage Medium 10mL
SK02-50Sequential Culture Media Cleavage Medium 50mL
SK02-100Sequential Culture Media Cleavage Medium 100mL
SK02S-10Sequential Culture Media Cleavage Medium with HSA 10mL
SK02S-50Sequential Culture Media Cleavage Medium with HSA 50mL
SK02S-100Sequential Culture Media Cleavage Medium with HSA 100mL
SK02C-10Sequential Culture Media Cleavage Medium with rHA 10mL
SK02C-50Sequential Culture Media Cleavage Medium with rHA 50mL
SK02C-100Sequential Culture Media Cleavage Medium with rHA 100mL
SK03-10Sequential Culture Media Blastocyst Medium 10mL
SK03-50Sequential Culture Media Blastocyst Medium 50mL
SK03-100Sequential Culture Media Blastocyst Medium 100mL

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SK03S-10Sequential Culture Media Blastocyst Medium with HSA 10mL
SK03S-50Sequential Culture Media Blastocyst Medium with HSA 50mL
SK03S-100Sequential Culture Media Blastocyst Medium with HSA 100mL
SK03C-10Sequential Culture Media Blastocyst Medium with rHA 10mL
SK03C-50Sequential Culture Media Blastocyst Medium with rHA 50mL
SK03C-100Sequential Culture Media Blastocyst Medium with rHA 100mL

The Sequential Culture Media solution is a colorless, clear fluid, provided sterile-filtered into a container pre-sterilized by gamma irradiation. The primary container of Sequential Culture Media 10mL is a sterile non-pyrogenic PETG vial, and the primary container of the Sequential Culture Media 50mL and 100mL is a square, non-pyrogenic PETG bottle. The containers are manufactured and provided sterile (with a SAL of 10° ) by ThermoFisher Scientific, Inc. After sterilefilling, the top of the vial and bottle are sealed with tamper-evident shrink-wrap.

The complete device specifications are listed in Table 1 below.

7. Indication for Use Statement

Sequential Culture Media consists of Fertilization Medium, Cleavage Medium, and Blastocyst Medium that are intended to be used sequentially from fertilization to the blastocyst stage of development. The intended uses of the Fertilization Medium, Cleavage Medium, and Blastocyst Medium are as follows:

Fertilization medium is intended for use during in vitro fertilization (IVF) and intracytoplasmic sperm insertion (ICSI) procedures and culture to the two pronuclei (zygote) stage of development.

Cleavage Medium is intended for culture of embryos from the two pronuclei (zygote) stage to the 8cell stage of development. Cleavage Medium is not intended for transferring embryos to the uterine cavity.

Blastocyst Medium is intended for culture from the 8-cell stage to the blastocyst stage of development. Blastocyst Medium is not intended for transferring embryos to the uterine cavity.

8. Substantial Equivalence Discussion

The following table compares the intended use and technological features of the subject and predicate device:

K200249:Kitazato Sequential CultureMediaK153290:Cook Sydney IVF Media
DeviceAttributeComparison
ManufacturerKitazatoCook Medical, Inc.Different
Product CodeMQLMQLSame
Indications for UseSequential Culture Mediaconsists of FertilizationSydney IVF FertilizationMedium is intended for useDifferent
Medium, Cleavage Medium,and Blastocyst Medium thatare intended to be usedsequentially fromfertilization to the blastocyststage of development. Theintended uses of theFertilization Medium,Cleavage Medium, andBlastocyst Medium are asfollows:Fertilization medium isintended for use during invitro fertilization (IVF) andintracytoplasmic sperminsertion (ICSI) proceduresand culture to the twopronuclei (zygote) stage ofdevelopment.Cleavage Medium isintended for culture ofembryos from the twopronuclei (zygote) stage tothe 8-cell stage ofdevelopment. CleavageMedium is not intended fortransferring embryos to theuterine cavity.Blastocyst Medium isintended for culture fromthe 8-cell stage to theblastocyst stage ofdevelopment. BlastocystMedium is not intended fortransferring embryos to theuterine cavity.during in vitro proceduresfor insemination andincubation of oocytes.Sydney IVF CleavageMedium is intended for useduring in vitro fertilizationprocedures for culture andtransfer of cleavage stageembryos.Sydney IVF BlastocystMedium is intended for useduring in vitro fertilizationprocedures for extendedculture and transfer ofembryos.
Rx/OTCRxRxSame
Volumes10, 50, 100 mL20, 50, 100 mLDifferent
IngredientsSalts, Energy substrates,Buffer, anti-oxidant, nutrientsupplements, Amino acids,Antibiotic, proteinSalts, Energy substrates,Buffer, anti-oxidant,nutrient supplements,Amino acids, Antibiotic,proteinDifferent
pH7.2-7.67.5-7.8Different
Osmolality270-290 mOsm/L- Fertilization Medium:285-295mOsm/kg- Cleavage Medium:285-295mOsm/kg- Blastocyst Medium:280-290mOsm/kgDifferent
Endotoxin$\le$ 0.25 EU/mL< 0.4 EU/mLDifferent
MEA$\ge$ 80% of one cell mouseembryos developed toexpanded blastocyst at 96hours$\ge$ 80% expanded blastocystat 72 hoursDifferent
Sterilization methodSterile-filteredSterile-filteredSame
SterilityNo growthNo growthSame
Single-UseYesYesSame
Storage Condition2 – 8 $^{\circ}$ C2 – 8 $^{\circ}$ CSame
Shelf Life4 months20 weeksDifferent

Table 1 - Comparison of Characteristics

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The subject and predicate device have similar indications for use statements and have the same intended use - to support fertilization and embryo development in assisted reproductive technology procedures. The subject and predicate device have different technological characteristics, including differences in formulation, pH, osmolality, endotoxin, storage conditions, MEA, and shelf-life. These differences do not raise different questions of safety and effectiveness as compared to the predicate device.

9. Summary of Non-Clinical Performance Testing

To demonstrate safety and effectiveness of Sequential Culture Media and to show substantial equivalence to the predicate device, Kitazato Corporation completed the following non-clinical tests. Results confirm that the design inputs and performance specifications for the Sequential Culture Media are met.

The Sequential Culture Media passed all testing in accordance with internal requirements, national standards, and international standards shown below:

  • . Performance Testing:
    • Appearance: Clear, particulate-free o
    • pH, per USP <791>: 7.2 7.6 O
    • O Osmolarity, using freezing depression method: 270-295 mOsm/L
    • Endotoxin, per USP <85>: ≤ 0.25 EU/mL O
    • O MEA: ≥ 80% of 1-cell mouse embryos developed to expanded blastocyst at 96 hours
    • Sterility, per USP <71>: No microbial growth O

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  • . Stability testing: real-time aged samples at baseline (Time 0) and 4 months for the performance specifications above
  • . Sterile filtration and aseptic fill validation, per ISO 13408-1:2008/A1:2013 and ISO 13408-2:2018
  • . Container Seal testing, per USP <671>: ≤ 5.0% permeability and ≤ 1 sample exceeding 2.50% over the 14 days
  • . Transportation Testing per ASTM D4169 – Package integrity and device performance maintained

10. Conclusions

The results of the performance testing described above demonstrate that the Sequential Culture Media are as safe and effective as the predicate device and supports a determination of substantial equivalence.

§ 884.6180 Reproductive media and supplements.

(a)
Identification. Reproductive media and supplement are products that are used for assisted reproduction procedures. Media include liquid and powder versions of various substances that come in direct physical contact with human gametes or embryos (including water, acid solutions used to treat gametes or embryos, rinsing solutions, sperm separation media, supplements, or oil used to cover the media) for the purposes of preparation, maintenance, transfer or storage. Supplements are specific reagents added to media to enhance specific properties of the media (e.g., proteins, sera, antibiotics, etc.).(b)
Classification. Class II (special controls) (mouse embryo assay information, endotoxin testing, sterilization validation, design specifications, labeling requirements, biocompatibility testing, and clinical testing). The device, when it is phosphate-buffered saline used for washing, and short-term handling and manipulation of gametes and embryos; culture oil used as an overlay for culture media containing gametes and embryos; and water for assisted reproduction applications, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 884.9.