(54 days)
The CLAREON MONARCH IV IOL Delivery System is for implantation of qualified Alcon foldable IOLs. No unqualified lenses should be used with the CLAREON MONARCH IV IOL Delivery System.
The CLAREON MONARCH IV IOL Delivery System consists of two parts. An autoclavable, reusable, titanium handpiece and a sterile, single-use cartridge are used for implanting foldable intraocular lenses into the eye following removal of the natural crystalline lens.
The system provides a controlled means to reliably place Alcon qualified intraocular lenses (IOLs) into the capsular bag when a qualified combination of handpiece, cartridge, Alcon foldable IOL, and ophthalmic viscosurgical device (OVD) is used.
The cartridge is loaded by inserting the IOL into the opening in the back of cartridge after OVD is applied to the inner lumen of the cartridge. The loaded cartridge is installed into the handpiece and the IOL is delivered through the cartridge nozzle.
The provided text describes a 510(k) summary for the CLAREON MONARCH IV IOL Delivery System. This document focuses on demonstrating substantial equivalence to a predicate device rather than providing a detailed study proving the device meets specific acceptance criteria in the way a clinical trial for an AI/software device would.
The information given relates to a hardware medical device (an intraocular lens delivery system), not an AI-powered diagnostic or predictive tool. Therefore, many of the requested categories (like "effect size of how much human readers improve with AI vs without AI assistance," "standalone performance," "training set size," or "ground truth for training set") are not applicable to this type of device and are not present in the provided text.
However, I can extract the relevant information regarding performance testing and acceptance criteria as described for this hardware device.
Here's a breakdown of the available information:
1. Table of Acceptance Criteria and Reported Device Performance
The acceptance criteria are implicitly defined by the standards and characteristics tested to demonstrate substantial equivalence to the predicate device. The performance is reported as meeting these standards and demonstrating equivalence.
| Performance Characteristic / Test | Acceptance Criteria (Implicit) | Reported Device Performance |
|---|---|---|
| IOL Delivery Performance | Compatibility and reliable delivery with qualified Monarch cartridges, Clareon IOLs, and OVDs per ISO 11979-3-12. | Demonstrates compatibility and delivery performance in accordance with ISO 11979-3-12. |
| Biocompatibility | Meets biocompatibility requirements for patient-contact aspects per ISO 10993-18-20 and ISO 10993-5-09. | Meets biocompatibility requirements in accordance with intended use and specified ISO standards. |
| Reprocessing & Sterilization | Meets reprocessing and sterilization over claimed use life per ISO 17664-17, ISO 17665-1-06, and ISO 14937-09. | Achieves reprocessing and sterilization performance in accordance with specified ISO standards. |
| Human Factors & Usability | Demonstrates safe and effective use by intended users per IEC 62366-1-20 and FDA guidance. | Meets human factors and usability requirements for safe and effective use. |
2. Sample Size Used for the Test Set and Data Provenance
The document does not specify exact sample sizes for each test mentioned (e.g., how many IOLs were delivered, how many sterilization cycles were performed for specific tests). It only lists the types of tests conducted. "Data provenance" as in country of origin or retrospective/prospective is not specified, as these are typically bench and lab tests for a physical device, not an imaging or diagnostic study.
3. Number of Experts Used to Establish Ground Truth and Qualifications
This information is not applicable and not provided. The testing described involves engineering, material, and biological compatibility assessments against established standards, not expert consensus on interpretations.
4. Adjudication Method for the Test Set
This is not applicable and not provided as it's not a study involving human interpretation of data for ground truth establishment.
5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was Done
No, an MRMC study was not done. This type of study is relevant for AI-assisted diagnostic tools where human readers' performance with and without AI assistance is compared. The described device is a physical delivery system.
6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) was Done
No, a standalone algorithm performance study was not done. This is a hardware device; thus, the concept of "standalone algorithm performance" is not applicable.
7. The Type of Ground Truth Used
The "ground truth" for this device's performance is based on established international standards (ISO, IEC) and FDA guidance documents for medical device performance, biocompatibility, reprocessing, and human factors. For example:
- IOL Delivery Performance: Compliance with ISO 11979-3-12.
- Biocompatibility: Conformance to ISO 10993-18-20 and ISO 10993-5-09.
- Reprocessing and Sterilization: Adherence to ISO 17664-17, ISO 17665-1-06, and ISO 14937-09.
- Human Factors: Conformance to IEC 62366-1-20 and FDA guidance.
8. The Sample Size for the Training Set
No training set is applicable or mentioned. This is a physical device, not a machine learning model.
9. How the Ground Truth for the Training Set was Established
Not applicable.
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August 23, 2021
Alcon Laboratories, Inc. Jwalitha Shankardas Associate Director, Global Regulatory Affairs 6201 South Freeway Fort Worth, Texas 76134
Re: K212039
Trade/Device Name: CLAREON MONARCH IV IOL Delivery System Regulation Number: 21 CFR 886.4300 Regulation Name: Intraocular Lens Guide Regulatory Class: Class I, reserved Product Code: MSS Dated: June 29, 2021 Received: June 30, 2021
Dear Jwalitha Shankardas:
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 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
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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 mediation-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,
For Bennett Walker, Ph.D. Assistant Director DHT1A: Division of Ophthalmic Devices OHT1: Office of Ophthalmic, Anesthesia, Respiratory, ENT and Dental Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health
Enclosure
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Indications for Use
Submission Number (if known)
Device Name
CLAREON MONARCH IV IOL Delivery System
Indications for Use (Describe)
The CLAREON MONARCH IV IOL Delivery System is for implantation of qualified Alcon foldable IOLs. No unqualified lenses should be used with the CLAREON MONARCH IV IOL Delivery System.
Type of Use (Select one or both, as applicable)
Prescription Use (Part 21 CFR 801 Subpart D)
Over-The-Counter Use (21 CFR 801 Subpart C)
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510(K) SUMMARY
This 510(k) summary document has been prepared in accordance with 21 CFR section 807.92.
I. SUBMITTER
| Company: | Alcon Laboratories, Inc. |
|---|---|
| 6201 South FreewayFort Worth, TX 76134-2099, USA | |
| Primary Contact Person: | Jwalitha Shankardas, Global Regulatory Affairs |
| Phone: | 817-551-8582 |
| Email: | Jwalitha.shankardas @alcon.com |
| Date Prepared: | June 28, 2021 |
II. DEVICE
| Trade Names: | CLAREON MONARCH IV IOL Delivery System |
|---|---|
| Common Name: | Folders and Injectors, Intraocular lens (IOL) |
| Classification Name: | Folders and Injectors, Intraocular lens (IOL) |
| Device Classification: | Class I- 21CFR 886.4300 |
| Product Code: | MSS |
III. PREDICATE DEVICE
| Trade Names: | Monarch III IOL Delivery System, Monarch III C cartridge,Monarch III Handpiece (H4) |
|---|---|
| 510K Number | K112977 |
| FDA Clearance date | 03/27/2012 |
| Submitter | Alcon Laboratories, Inc. |
| Common Name: | Folders and Injectors, Intraocular lens (IOL) |
| Classification Name: | Folders and Injectors, Intraocular lens (IOL) |
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| Device Classification: | Class I- 21CFR 886.4300 |
|---|---|
| FDA Panel | Ophthalmic |
| Product Code: | MSS |
IV. DEVICE DESCRIPTION
The CLAREON MONARCH IV IOL Delivery System consists of two parts. An autoclavable, reusable, titanium handpiece and a sterile, single-use cartridge are used for implanting foldable intraocular lenses into the eye following removal of the natural crystalline lens.
The system provides a controlled means to reliably place Alcon qualified intraocular lenses (IOLs) into the capsular bag when a qualified combination of handpiece, cartridge, Alcon foldable IOL, and ophthalmic viscosurgical device (OVD) is used.
The cartridge is loaded by inserting the IOL into the opening in the back of cartridge after OVD is applied to the inner lumen of the cartridge. The loaded cartridge is installed into the handpiece and the IOL is delivered through the cartridge nozzle.
V. INDICATIONS FOR USE
The CLAREON MONARCH IV IOL Delivery System is for implantation of qualified Alcon foldable IOLs. No unqualified lenses should be used with the CLAREON MONARCH IV IOL Delivery System.
VI. INDICATIONS FOR USE COMPARISON
The indications for use of the CLAREON MONARCHIV IOL Delivery System are the same as the predicate device.
VII. TECHNOLOGICAL COMPARISON
The technological characteristics of the CLAREON MONARCH IV IOL Delivery System are equivalent to those of the predicate device, MONARCH III IOL Delivery System in terms of operating principle, technological characteristics, component materials, manufacturing process, biocompatibility, cleaning, steam sterilization method, performance, and FDA-recognized standards used for performance testing. The CLAREON MONARCHIV IOL Delivery System
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has the same intended use, and is compatible with the same Alcon's Monarch cartridges as its predicate.
The CLAREON MONARCH IV IOL Delivery System is primarily differentiated from its predicate by minor design change optimizations to the handpiece housing, knob and plunger for the Clareon IOL design.
VIII. NON-CLINICAL AND/OR CLINICAL TESTS SUMMARY & CONCLUSIONS
The following performance data were provided in support of the substantial equivalence determination.
- Compatibility and delivery performance with qualified Monarch cartridges, Clareon IOLs . and OVDs in accordance with ISO 11979-3-12.
- Biocompatibility of the patient-contact aspects of the CLAREON MONARCH IV IOL . Delivery System in accordance with the intended use of the device (in accordance with ISO 10993-18-20 and ISO 10993-5-09).
- Reprocessing and sterilization over the claimed use life in accordance with ISO 17664-. 17, ISO 17665-1-06 and ISO 14937-09.
- Human factors and usability for safe and effective use by intended users in accordance with . IEC 62366-1-20 as well as the FDA guidance, Applying Human Factors and Usability Engineering to Medical Devices: Guidance for Industry and Food and Drug Administration Staff; 2016.
The technological characteristics that determine the functionality and performance of the CLAREON MONARCH IV IOL Delivery System is substantially equivalent to the predicate device. The data from the non-clinical tests demonstrate that the safety and effectiveness profile of the CLAREON MONARCH IV IOL Delivery System is equivalent to that of the legally marketed predicate device.
§ 886.4300 Intraocular lens guide.
(a)
Identification. An intraocular lens guide is a device intended to be inserted into the eye during surgery to direct the insertion of an intraocular lens and be removed after insertion is completed.(b)
Classification. Class I (general controls). Except when used as folders or injectors for soft or foldable intraocular lenses, the device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to § 886.9.