K Number
K202973
Device Name
HANAROSTENT Benefit Biliary (NNN)
Manufacturer
Date Cleared
2021-05-11

(223 days)

Product Code
Regulation Number
876.5010
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The HANAROSTENT® Benefit™ Biliary (NNN) is indicated for the palliation of malignant strictures in the biliary tree.
Device Description
The HANAROSTENT® Benefit™ Biliary (NNN) is a self-expanding tubular prosthesis designed to maintain patency of biliary obstructions caused by malignant tumors. It consists of a self-expandable metal stent and a delivery device. The self-expandable metal stent is made of nickel titanium alloy (Nitinol) wire. The delivery device is made of polymeric materials. The stent is loaded into the distal part of the delivery device, and expanded in the body by pulling the outer sheath of the delivery device. The stent and delivery device are provided sterile and are intended for single use only.
More Information

No
The summary describes a mechanical device (a stent and delivery system) and its performance testing, with no mention of software, algorithms, or data processing that would indicate AI/ML.

Yes.
The device is indicated for the palliation of malignant strictures in the biliary tree, which is a therapeutic purpose aiming to alleviate symptoms and improve the patient's condition.

No

The device is a self-expanding metal stent designed to maintain patency of biliary obstructions (treatment), not to diagnose a condition.

No

The device description explicitly states it consists of a self-expandable metal stent and a delivery device, both of which are hardware components.

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 "palliation of malignant strictures in the biliary tree." This describes a therapeutic intervention performed within the body to treat a condition.
  • Device Description: The device is a "self-expanding tubular prosthesis" (a stent) and a "delivery device." These are physical devices designed to be implanted or used to deliver something for treatment.
  • Lack of IVD Characteristics: IVD devices are used in vitro (outside the body) to examine specimens (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening. This device does not perform any such function. It is a medical device used in vivo (within the body).

Therefore, the HANAROSTENT® Benefit™ Biliary (NNN) is a therapeutic medical device, not an IVD.

N/A

Intended Use / Indications for Use

The HANAROSTENT® Benefit™ Biliary (NNN) is indicated for the palliation of malignant strictures in the biliary tree.

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

FGE

Device Description

The HANAROSTENT® Benefit™ Biliary (NNN) is a self-expanding tubular prosthesis designed to maintain patency of biliary obstructions caused by malignant tumors. It consists of a self-expandable metal stent and a delivery device. The self-expandable metal stent is made of nickel titanium alloy (Nitinol) wire. The delivery device is made of polymeric materials. The stent is loaded into the distal part of the delivery device, and expanded in the body by pulling the outer sheath of the delivery device. The stent and delivery device are provided sterile and are intended for single use only.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

biliary tree

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)

Bench testing was performed to confirm the safety and effectiveness of the subject device as compared to the predicate device. Testing was performed as per the design control system. The following tests were conducted:
• Design Verification Testing
○ Foreshortening
○ Crossing Profile
○ Trackability
○ Deployment Force
○ Withdrawal (Repositioning) Force
○ Expansion Force
○ Stent Separation
○ Deployment Accuracy
○ Compression Force
○ Stent Integrity
○ Stent Dimensional Verification
○ Delivery System Tensile Strength
• Biocompatibility Testing
• MRI Safety and Compatibility Testing
• Corrosion Testing:
○ Single stent
○ Overlapping stents

No animal performance data is submitted in this 510(k).
No clinical performance data is submitted in this 510(k).

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.

K111149

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.

K163018, K140630

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

§ 876.5010 Biliary catheter and accessories.

(a)
Identification. A biliary catheter and accessories is a tubular flexible device used for temporary or prolonged drainage of the biliary tract, for splinting of the bile duct during healing, or for preventing stricture of the bile duct. This generic type of device may include a bile collecting bag that is attached to the biliary catheter by a connector and fastened to the patient with a strap.(b)
Classification. Class II (special controls). The device, when it is a bile collecting bag or a surgical biliary catheter that does not include a balloon component, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 876.9.

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May 11, 2021

M.I.Tech Co., Ltd. % Kelly Kucharczyk Manager, Regulatory and Medical Writing Services NAMSA 400 Highway 169 South, Suite 500 Minneapolis, MN 55426

Re: K202973 Trade/Device Name: HANAROSTENT Benefit Biliary (NNN) Regulation Number: 21 CFR 876.5010 Regulation Name: Biliary catheter and accessories Regulatory Class: Class II Product Code: FGE Dated: April 8, 2021 Received: April 12, 2021

Dear Kelly Kucharczyk:

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 and the limitations described below. 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/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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.

The OHT3: Office of GastroRenal, ObGyn, General Hospital and Urology Devices has determined that there is a reasonable likelihood that this device will be used for an intended use not identified in the proposed labeling and that such use could cause harm. Therefore, in accordance with Section 513(i)(1)(E) of the Act, the following limitation must appear in the Warnings section of the device's labeling:

The safety and effectiveness of this device for use in the vascular system have not been established.

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Furthermore, the indication for biliary use must be prominently displayed in all labeling, including pouch box, and carton labels, instructions for use, and other promotional materials, in close proximity to the trade name, of a similar point size, and in bold print.

Please note that the above labeling limitations are required by Section 513(i)(1)(E) of the Act. Therefore, a new 510(k) is required before these limitations are modified in any way or removed from the device's labeling.

The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and permits your device to proceed to the market. This letter will allow you to begin marketing your device as described in your Section 510(k) premarket notification if the limitation statement described above is added to your labeling.

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) 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 provisions (Sections (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-device-safety/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 Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn

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(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,

Courtney H. Lias, Ph.D. Acting Office Director OHT3: Office of GastroRenal, ObGyn, General Hospital and Urology Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K202973

Device Name HANAROSTENT® Benefit™ Biliary (NNN)

Indications for Use (Describe)

The HANAROSTENT® Benefit™ Biliary (NNN) is indicated for the palliation of malignant strictures in the biliary tree.

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

510(k) NumberK202973
Preparation DateMay 11, 2021
SubmitterM.I.Tech Co., Ltd.
174 Habuk 2-gil, Jinwi-myeon,
Pyeongtaek-si, Gyeonggi-do
17706, Republic of Korea
Phone: 82-31-662-5645
Fax: 82-31-662-5648
Primary ContactInae Kim, PhD
Medical Affairs Team Manager
M.I.Tech Co., Ltd.
174 Habuk 2-gil, Jinwi-myeon,
Pyeongtaek-si, Gyeonggi-do
17706, Republic of Korea
Email: inae116@mitech.co.kr
Phone: 82-70-4304-7450
Fax: 82-2-3463-4703
Subject DeviceDevice Trade Name:HANAROSTENT® Benefit™ Biliary (NNN)
Device Classification Name:Stents, Drains And Dilators For The Biliary Ducts
Regulation Number:21 CFR 876.5010
Regulation Description:Biliary catheter and accessories
Device Class:Class II
Classification Product Code:FGE
Regulation Medical Specialty:Gastroenterology/Urology
510(k) Review Panel:Gastroenterology/Urology
Device DescriptionThe HANAROSTENT® Benefit™ Biliary (NNN) is a self-expanding tubular prosthesis designed
to maintain patency of biliary obstructions caused by malignant tumors. It consists of a self-
expandable metal stent and a delivery device. The self-expandable metal stent is made of nickel
titanium alloy (Nitinol) wire. The delivery device is made of polymeric materials. The stent is
loaded into the distal part of the delivery device, and expanded in the body by pulling the outer
sheath of the delivery device. The stent and delivery device are provided sterile and are intended
for single use only.
Intended Use /
Indications for UseThe HANAROSTENT® Benefit™ Biliary (NNN) is indicated for the palliation of malignant
strictures in the biliary tree.
Mechanism of ActionThe stent is loaded by the delivery device. Upon deployment of the stent, it imparts an outward
radial force on the luminal surface of the biliary tract to establish patency.
Predicate Device510(k) Number:K111149
Applicant:M.I.Tech Co., Ltd.
Trade Name:HANAROSTENT® Biliary (NNN)
Device Classification Name:Stents, Drains And Dilators For The Biliary Ducts
Regulation Number:21 CFR 876.5010
Regulation Description:Biliary catheter and accessories
Device Class:Class II
Classification Product Code:FGE
Regulation Medical Specialty:Gastroenterology/Urology
510(k) Review Panel:Gastroenterology/Urology
Reference DevicesReference Device 1:
510(k) Number:K163018
Applicant:Cook Ireland Ltd.
Trade Name:Zilver 635 Biliary Stent
Device Classification Name:Stents, Drains And Dilators For The Biliary Ducts
Regulation Number:21 CFR 876.5010
Regulation Description:Biliary catheter and accessories
Device Class:Class II
Classification Product Code:FGE
Regulation Medical Specialty:Gastroenterology/Urology
510(k) Review Panel:Gastroenterology/Urology
Reference Device 2:
510(k) Number:K140630
Applicant:Boston Scientific
Trade Name:Wallflex Biliary RX Stent System
Device Classification Name:Stents, Drains And Dilators For The Biliary Ducts
Regulation Number:21 CFR 876.5010
Regulation Description:Biliary catheter and accessories
Device Class:Class II
Classification Product Code:FGE
Regulation Medical Specialty:Gastroenterology/Urology
510(k) Review Panel:Gastroenterology/Urology
TechnologicalThe subject device and predicate device have substantially equivalent technological characteristics
Characteristicswith only minor differences regarding:
• Stent shape: the subject device has straight ends; the predicate has flared ends.
• Stent radiopaque marker quantity: the subject device has 9; the predicate device has 12.
• Stent diameters: the subject device offers 6mm and 8mm diameter stents; the predicate device offers 8mm and 10mm diameter stents.
• Stent lengths: the subject device offers a 110mm length stent; the predicate device does not offer a 110mm length stent.
• Delivery device diameter: the subject delivery device diameter is 5.9Fr; the predicate delivery device diameter is 7.08Fr.
• Stenting procedure: two subject devices can be implanted; only one predicate device is typically implanted.
• Performance testing: The subject and predicate devices have equivalent deployment, expansion, and compression forces.
• Corrosion testing: The subject and predicate devices have equivalent simulated single stent implant corrosion susceptibility. The subject and reference devices have equivalent simulated stent-in-stent implant corrosion susceptibility
FDA Guidance
DocumentsThe following FDA guidance documents were consulted in preparing this premarket submission:
• Metal Expandable Biliary Stents - Premarket Notification (510(k)) Submissions, issued July 2019
• Shelf Life of Medical Devices, issued April 1991
• Submission and Review of Sterility Information in Premarket Notification (510(k)) Submissions for Devices Labeled as Sterile, issued January 2016
• Guidance for Industry: Pyrogen and Endotoxins Testing: Questions and Answers, issued June 2012
• Use of International Standard ISO 10993-1, "Biological evaluation of medical devices - Part 1: Evaluation and testing within a risk management process", issued June 2016
• Technical Considerations for Non-Clinical Assessment of Medical Devices containing Nitinol, issued October 2020
• Establishing Safety and Compatibility of Passive Implants in the Magnetic Resonance (MR) Environment, issued December 2014
• Testing and Labeling Medical Devices for Safety in the Magnetic Resonance (MR) Environment, issued August 2019
Performance - BenchBench testing was performed to confirm the safety and effectiveness of the subject device as compared to the predicate device. Testing was performed as per the design control system. The following tests were conducted:
• Design Verification Testing
○ Foreshortening
○ Crossing Profile
○ Trackability
○ Deployment Force
○ Withdrawal (Repositioning) Force
○ Expansion Force
○ Stent Separation
○ Deployment Accuracy
○ Compression Force
○ Stent Integrity
○ Stent Dimensional Verification
○ Delivery System Tensile Strength
• Biocompatibility Testing
• MRI Safety and Compatibility Testing
• Corrosion Testing:
○ Single stent
○ Overlapping stents
Performance - AnimalNo animal performance data is submitted in this 510(k).
Performance - ClinicalNo clinical performance data is submitted in this 510(k).
Substantial
EquivalenceThe subject device is substantially equivalent to the predicate device when evaluating intended use and technological characteristics.
ConclusionThis comparison demonstrates the subject device is substantially equivalent to the predicate device. The subject device is as safe and effective as the predicate device and will perform as intended.

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www.mitech.co.kr

HEAD OFFICE
174, HABUK2-GIL, JINWI-MYEON, PYEONGTAEK-SI, GYEONGGI-DO,
17706, REPUBLIC OF KOREA TEL +82 31 662 5645 FAX +82 31 662 5648

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