K Number
K211344
Device Name
MICRUSFRAME, DELTAFILL, DELTAXSFT, GALAXY G3, GALAXY G3 XSFT, and GALAXY G3 Mini Microcoil Delivery Systems
Date Cleared
2021-05-28

(25 days)

Product Code
Regulation Number
882.5950
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
MICRUSFRAME, DELTAFILL, and DELTAXSFT 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. The GALAXY G3 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. The GALAXY G3 XSFT Microcoil Delivery System is intended for endovascular embolization of intracranial aneurysms. 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 MICRUSFRAME, DELTAFILL, DELTAXSFT, GALAXY G3, GALAXY G3 XSFT, and 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. 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. 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). For the MICRUSFRAME, DELTAFILL, DELTAXSFT, GALAXY G3, and GALAXY G3 XSFT microcoils: The microcoil is fabricated from a platinum alloy wire. The wire is wound into a primary coil which may contain either a polypropylene suture (SR) or an absorbable polymer suture and then formed into a secondary shape. The secondary shape may be spherical, complex, or helical. For the GALAXY G3 Mini microcoils: 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. For all Microcoil Delivery Systems: 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, catalog no. DCB2000500, works with the ENPOWER Control Cable and with the standard connecting cable.
More Information

Not Found

No
The device description and performance studies focus on the mechanical and electrical components of the microcoil delivery system, with no mention of AI or ML for image analysis, decision support, or any other function.

Yes

The device is intended for endovascular embolization of intracranial aneurysms and other neurovascular abnormalities, which are medical treatments.

No

This device is an embolization coil delivery system used for treatment (endovascular embolization), not for diagnosis.

No

The device description clearly outlines physical components including microcoils, a connecting cable, and a Detachment Control Box (DCB), indicating it is a hardware device with potential software control for the detachment mechanism.

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

Here's why:

  • Intended Use: The intended use clearly describes the device as being used for endovascular embolization of various vascular abnormalities within the body. This is a therapeutic procedure performed in vivo (within a living organism).
  • Device Description: The device description details a system for delivering microcoils into blood vessels. This is consistent with an interventional medical device used for treatment, not for analyzing samples in vitro (outside of a living organism).
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens derived from the human body (like blood, urine, tissue, etc.) to provide information for diagnosis, monitoring, or compatibility testing.

In summary, the device is an interventional medical device used for therapeutic purposes within the body, which is distinct from an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

Indications for Use (Describe)

MICRUSFRAME, DELTAFILL, and DELTAXSFT 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.

The GALAXY G3 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.

The GALAXY G3 XSFT Microcoil Delivery System is intended for endovascular embolization of intracranial aneurysms.

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 MICRUSFRAME, DELTAFILL, DELTAXSFT, GALAXY G3, GALAXY G3 XSFT, and 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.

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. 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).

For the MICRUSFRAME, DELTAFILL, DELTAXSFT, GALAXY G3, and GALAXY G3 XSFT microcoils:

  • . The microcoil is fabricated from a platinum alloy wire. The wire is wound into a primary coil which may contain either a polypropylene suture (SR) or an absorbable polymer suture and then formed into a secondary shape. The secondary shape may be spherical, complex, or helical.

For the GALAXY G3 Mini microcoils:

  • . 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.

For all Microcoil Delivery Systems:

  • . 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, catalog no. DCB2000500, 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, 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)

Non-Clinical Performance Data

TestTest Method SummaryResults
Tracking Force (delivery)The purpose of the Track Force test was to evaluate the force it takes to deliver the subject device through a microcatheter; utilizing the system Catheter Performance Simulation System (CPSS).Pass Samples passed the established acceptance criteria
TestTest Method SummaryResults
Simulated Use: Tracking Force (delivery)The purpose of the Tracking Force test was to evaluate the ease of deliverability of the coils through the microcatheter in a clinically relevant bench top model.Pass Samples passed the established acceptance criteria
Simulated Use: Microcatheter StabilityThe purpose of the Microcatheter Stability test was to evaluate the amount of movement of the microcatheter tip from its starting position in a clinically relevant bench top model.Pass Samples passed the established acceptance criteria

Animal Testing: N/A – No animal studies were required as appropriate verification and validation of the modifications was achieved based on the bench testing.

Shelf Life Testing: N/A - Changes did not impact the shelf-life of the product.

Biocompatibility Testing: N/A - Changes did not impact biocompatibility.

Sterilization: N/A - Changes did not impact sterilization.

Clinical Performance Data: Clinical studies were not required as appropriate verification and validation of the minor design modifications was achieved based on the bench testing.

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.

K171747, K171862, K150319

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.

Not Found

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/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health & Human Services seal on the left and the FDA acronym with the words "U.S. Food & Drug Administration" on the right. The FDA part of the logo is in blue, with the acronym in a darker shade and the words in a lighter shade.

May 28, 2021

Medos International SARL % Ariell Joiner, Ph.D. Senior Regulatory Affairs Program Lead CERENOVUS 6303 Blue Lagoon Drive, Suite 315 Miami, Florida 33126

Re: K211344

Trade/Device Name: MICRUSFRAME, DELTAFILL, DELTAXSFT, GALAXY G3, GALAXY G3 XSFT, and GALAXY G3 Mini Microcoil Delivery Systems Regulation Number: 21 CFR 882.5950 Regulation Name: Neurovascular Embolization Device Regulatory Class: Class II Product Code: HCG. KRD Dated: April 30, 2021 Received: May 3, 2021

Dear Dr. Ariell Joiner:

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/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.

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

1

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-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 (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,

Naira Muradyan, Ph.D. Assistant Director DHT5A: Division of Neurosurgical, Neurointerventional and Neurodiagnostic Devices OHT5: Office of Neurological and Physical Medicine Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

2

Indications for Use

510(k) Number (if known) K211344

Device Name

MICRUSFRAME, DELTAFILL, DELTAXSFT, GALAXY G3, GALAXY G3 XSFT, and GALAXY G3 Mini Microcoil Delivery Systems

Indications for Use (Describe)

MICRUSFRAME, DELTAFILL, and DELTAXSFT 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.

The GALAXY G3 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.

The GALAXY G3 XSFT Microcoil Delivery System is intended for endovascular embolization of intracranial aneurysms.

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)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

This section applies only to requirements of the Paperwork Reduction Act of 1995.

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff(@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

3

510(k) Summary - K211344

I. Submitter Medos International SARL Chemin-Blanc 38 2400 Le Locle, Switzerland

Tel: +1 (908) 249-0182

Contact Person: Ariell Joiner Email: ajoiner@jts.jnj.com

Date Prepared: April 30, 2021

II. Devices

Table 1. Device
Device Proprietary NameMICRUSFRAME, DELTAFILL, DELTAXSFT, GALAXY G3,
GALAXY G3 XSFT, and GALAXY G3 Mini Microcoil Delivery
Systems
Common or Usual NameDevice, Neurovascular Embolization & Vascular, for Promoting
Embolization
Classification NameClass II 21 CFR 882.5950 – Device, Neurovascular Embolization
Class II 21 CFR 870.3300 – Device, Vascular, For Promoting
Embolization
Regulatory ClassificationII
Product CodesHCG, KRD

III. Predicate

The predicate devices are listed below in Table 2.

Devices

Table 2: Predicate Devices
510(k) NumberDate ClearedNameManufacturer
K171747Jul 14, 2017MICRUSFRAME, DELTAFILL,
DELTAXSFT, GALAXY G3 FILL, and
GALAXY G3 XSFT Microcoil
Delivery SystemsMedos
International
SARL*
K171862Sep 25, 2017GALAXY G3 Mini Microcoil Delivery
System
K150319Jun 12, 2015MICRUSFRAME, DELTAFILL,
DELTAXSFT, GALAXY G3, and
GALAXY G3 XSFT Microcoil
Delivery SystemsMedos
International
SARL*

Continued on next page

4

The MICRUSFRAME, DELTAFILL, DELTAXSFT, GALAXY G3, GALAXY G3 IV. Device Description XSFT, and 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).

Image /page/4/Figure/4 description: This image shows a microcoil system. The system includes a hub connector, a re-sheathing tool, an introducer sheath body, and an introducer sheath tip. The device positioning unit (DPU) is labeled, as well as the microcoil.

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. 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).

For the MICRUSFRAME, DELTAFILL, DELTAXSFT, GALAXY G3, and GALAXY G3 XSFT microcoils:

  • . The microcoil is fabricated from a platinum alloy wire. The wire is wound into a primary coil which may contain either a polypropylene suture (SR) or an absorbable polymer suture and then formed into a secondary shape. The secondary shape may be spherical, complex, or helical.

For the GALAXY G3 Mini microcoils:

  • . 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.

For all Microcoil Delivery Systems:

  • . 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.

5

| IV. Device Description, continued | 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, catalog no. DCB2000500, works with the ENPOWER Control Cable and with the standard connecting cable. |
|-----------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| V. Indications for Use | MICRUSFRAME, DELTAFILL, and DELTAXSFT 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.

The GALAXY G3 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.

The GALAXY G3 XSFT Microcoil Delivery System is intended for endovascular embolization of intracranial aneurysms.

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. |
| VI. Comparison of Technological Characteristics with Predicate Device | The devices in this submission include minor design changes (reduced distal outer diameter and taper transition) only to the Core Wire of the Device Positioning Unit. There are no modifications to the material of the Core Wire, to other elements of the Device Positioning Unit, to the components or materials of the microcoil, to the introducer, or to the ENPOWER Detachment Control System.

Endovascular coil embolization is the technological principle for both the subject and predicate devices. This technology is based on placing embolic coils in the neurovascular or peripheral vasculature to reduce or block blood flow. The subject devices and predicate devices are based on the same overall technological characteristics as shown in Table 3-1 and Table 3-2. |

6

VI.Table 3-1. Technological Characteristics of the Predicate and Subject Device
Comparison of
Technological
Characteristics
with Predicate
Device,
continuedDescriptionPredicate Devices:
MICRUSFRAME, DELTAFILL,
DELTAXSFT, GALAXY G3, GALAXY
G3 XSFT Microcoil Delivery Systems
(K150319, K171747)This Submission:
MICRUSFRAME,
DELTAFILL,
DELTAXSFT, GALAXY
G3, GALAXY G3 XSFT
Microcoil Delivery
Systems
Indications for UseMICRUSFRAME, DELTAFILL, and
DELTAXSFT 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.
The GALAXY G3 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.
The GALAXY G3 XSFT Microcoil Delivery
System is intended for endovascular
embolization of intracranial aneurysms.Same as Predicate
Microcoil
Microcoil MaterialPlatinum/TungstenSame as Predicate
Microcoil Primary
WindTriangular or CylindricalSame as Predicate
Microcoil Secondary
ShapeComplex, Helical, or SphericalSame as Predicate
Microcoil Stretch-
ResistantPGA= Polyglycolic Acid Suture
PP= Polypropylene SutureSame as Predicate
Primary Coil Wind
Outer Diameter (OD)0.009" - 0.015"Same as Predicate
Secondary Shape OD
Ranges1.5mm - 24mmSame as Predicate
Microcoil Length
Ranges1cm - 60cmSame as Predicate
Delivery System TypeWire Shaft with radiopaque markerSame as Predicate
Delivery System
Delivery System
Introducer SheathHDPE IntroducerSame as Predicate
Delivery System
Resheathing ToolNylon 12Same as Predicate
Introducer Tip Wall
Thickness0.0103"Same as Predicate
Introducer Sheath
Length120cm and 81cmSame as Predicate
Table 3-1. Technological Characteristics of the Predicate and Subject Device,
continued
DescriptionPredicate Devices:
MICRUSFRAME, DELTAFILL,
DELTAXSFT, GALAXY G3, GALAXY
G3 XSFT Microcoil Delivery Systems
(K150319, K171747)This Submission:
MICRUSFRAME,
DELTAFILL,
DELTAXSFT, GALAXY
G3, GALAXY G3 XSFT
Microcoil Delivery
Systems
Delivery System, continued
Device Positioning
Unit (DPU) 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
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, Shelf Life, and Packaging
Sterilization
MethodElectron Beam RadiationSame as Predicate
Shelf Life3 yearsSame as Predicate
PackagingPackaged in a plastic hoop and enclosed in a
pouchSame as Predicate

7

VI.

Comparison of Technological Characteristics with Predicate Device, continued

Table 3-2. Technological Characteristics of the Predicate and Subject Device
DescriptionPredicate Device:
GALAXY G3 Mini Microcoil Delivery
System
(K171862)This Submission:
GALAXY G3 Mini
Microcoil Delivery System
Indications for
UseThe 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.Same as Predicate
VI.
Comparison of
Technological
Characteristics
with Predicate
Device,
continuedTable 3-2. Technological Characteristics of the Predicate and Subject Device,
continued
DescriptionPredicate Device:
GALAXY G3 Mini Microcoil Delivery
System
(K171862)This Submission:
GALAXY G3 Mini
Microcoil Delivery System
Microcoil
Microcoil MaterialPlatinum/TungstenSame as Predicate
Microcoil Primary
WindCylindricalSame as Predicate
Microcoil Secondary
ShapeComplexSame as Predicate
Microcoil Stretch-
ResistantPP= Polypropylene SutureSame as Predicate
Primary Coil Wind
Outer Diameter
(OD)0.009"Same as Predicate
Secondary Shape
OD Ranges1.0mm – 3.0mmSame as Predicate
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
Introducer Tip Wall
Thickness0.0103"Same as Predicate
Introducer Sheath
Length81cm and 120cmSame as Predicate
Device Positioning
Unit (DPU) 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
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, Shelf Life, and Packaging
Sterilization MethodEthylene Oxide (EtO)Same as Predicate
Shelf Life3 yearsSame as Predicate
PackagingPackaged in a plastic hoop and enclosed in a
pouchSame as Predicate

Continued on next page

8

Continued on next page

9

VII. Non-Table 4: Verification Testing
ClinicalTestTest Method SummaryResults
Performance
DataTracking Force
(delivery)The purpose of the Track Force test was to evaluate
the force it takes to deliver the subject device
through a microcatheter; utilizing the system
Catheter Performance Simulation System (CPSS).Pass
Samples passed the
established
acceptance criteria
Table 5: Validation Testing
TestTest Method SummaryResults
Simulated Use:
Tracking Force
(delivery)The purpose of the Tracking Force test was to
evaluate the ease of deliverability of the coils
through the microcatheter in a clinically relevant
bench top model.Pass
Samples passed the
established
acceptance criteria
Simulated Use:
Microcatheter
StabilityThe purpose of the Microcatheter Stability test was
to evaluate the amount of movement of the
microcatheter tip from its starting position in a
clinically relevant bench top model.Pass
Samples passed the
established
acceptance criteria

Animal Testing

N/A – No animal studies were required as appropriate verification and validation of the modifications was achieved based on the bench testing.

Shelf Life Testing

N/A - Changes did not impact the shelf-life of the product.

Biocompatibility Testing

N/A - Changes did not impact biocompatibility.

Sterilization

N/A - Changes did not impact sterilization.

VIII. Clinical Clinical studies were not required as appropriate verification and validation of the Performance minor design modifications was achieved based on the bench testing. Data

IX. Conclusion The minor design modifications made to the Core Wire of the Device Positioning Unit do not alter the intended use or indications for use of the subject devices. The overall technological characteristics of the subject and predicate devices remain the same. The risk assessment and successful verification and validation testing raises no new questions regarding the safety and effectiveness of the devices. Therefore, the modified devices are substantially equivalent to their respective predicate devices.

End of 510(k) Summary