K Number
K212079
Manufacturer
Date Cleared
2022-02-02

(215 days)

Product Code
Regulation Number
876.1075
Panel
SU
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The TeesuVac Breast Biopsy Device Mark 1 is indicated to obtain percutaneous core biopsy specimens from soft tissue, and tumors of the breast. This product is intended for diagnostic use only, NOT therapy. The instrument is intended to provide breast tissue for histologic examination with partial or complete removal of the imaged abnormality.

The extent of histologic abnormality cannot be reliably determined from its mammographic appearance. Therefore, the extent of removing the imaged evidence of an abnormality does not predict the extent of removal of a histologic abnormality (e.g., malignancy). When the sampled abnormality is not histologically benign, it is essential that the tissue margins be examined for completeness of removal using standard surgical procedures.

Device Description

TeesuVac Breast Biopsy Device Mark 1 is a sterile, tetherless vacuum-assisted handheld biopsy device intended to obtain percutaneous core biopsy specimens from soft tissue and tumors of the breast with ultrasound guidance. TeesuVac Breast Biopsy Device Mark 1 is intended for biopsy and diagnosis only. The device is battery-driven and for single-patient use. An unsterilized Battery Pack that comes with the biopsy device is applied using the sterile Battery Clip, stored in the tray containing the biopsy device. The device is fitted with a 14G needle set to obtain specimens from soft tissue and tumors. The device is for professional users only. The tissue harvested by TeesuVac Breast Biopsy Device Mark 1 is intended for diagnostic use only.

The cannula needle consists of two hollow cannulas, an inner cannula with a specimen chamber, and a sharp outer cutting cannula that extends at high speeds over the aperture to acquire targeted tissue specimens. During the shot, a vacuum pulls the tissue into the chamber, followed by moving the outer cutting cannula forward over the specimen chamber to cut the tissue and collect the specimen in the specimen chamber. The TeesuVac Breast Biopsy Device Mark 1 has two buttons: the Slider for loading and the Sampling button to perform the biopsy procedure.

AI/ML Overview

The information provided describes a medical device, the TeesuVac Breast Biopsy Device Mark 1, and its substantial equivalence to a predicate device (Bard Max-Core Disposable Core Biopsy Instrument) based on non-clinical testing. It does not contain information about clinical studies with human participants, AI performance, or ground truth established by experts.

Therefore, many of the requested sections about acceptance criteria, efficacy studies, and ground truth cannot be filled from the provided text.

Here's the available information based on the document:

1. A table of acceptance criteria and the reported device performance

The document presents a comparison of attributes between the subject device (TeesuVac Breast Biopsy Device Mark 1) and the predicate device (Bard Max-Core, K133948). The "Evaluation" column in the table suggests that the subject device's performance is considered "Similar" or "Same as" the predicate device for most attributes, indicating that meeting these comparable performance characteristics serves as the de facto acceptance criteria for "substantial equivalence."

AttributeAcceptance Criteria (Implicit: Similar to/Same as Predicate)Reported Device Performance (Subject Device)
Device TypeBiopsy InstrumentBiopsy Instrument
Regulation Number21 CFR 876.107521 CFR 876.1075
Product CodeKNWKNW
Indication for UseSimilar to Bard Max-Core (broader for predicate)To obtain percutaneous core biopsy specimens from soft tissue and tumors of the breast (diagnostic use only)
Patient PopulationSimilar to Bard Max-CoreAny patient population requiring the harvest of cellular material
DisposableSingle-useSingle-use
SAL levelSAL > 10^-6SAL > 10^-6
Sterilization methodSimilar to Bard Max-CoreGamma
Visualization TechniquesSimilar to Bard Max-Core (predicate has more options)Ultrasound Imaging
Principle of OperationSimilar to Bard Max-CoreMake a small incision or puncture the skin with a scalpel. Using ultrasound guidance, insert the needle through the incision, and position the tip to the appropriate depth.
MaterialsA single-use device composed primarily of plastics and stainless steelA single-use device composed primarily of plastics and stainless steel
Patient contacting materialsStainless steel needle (and rarely the plastic handle)Stainless steel needle (and rarely the plastic handle)
Mechanical principleSimilar to Max-Core (predicate is not electromechanical)Self-contained handheld electromechanical vacuum-assisted biopsy device
Number of tissue samplesSingle sample per punctureSingle sample per puncture
Mechanism of actionSimilar to Bard Max-CoreOuter tube retracts, then moves forward
Mode of actionFast-moving outer tubeFast-moving outer tube
Needle DesignSeparated Coaxial Cannula, Hollow outer cutting cannula, Notched inner needle/trocar tipped, no transport of tissue, Aspiration via inner needleSeparated Coaxial Cannula, Hollow outer cutting cannula, Notched inner needle/trocar tipped, no transport of tissue, Aspiration via inner needle
Needle diameter/gauge14G14G
Number of samplesSingle sample per punctureSingle sample per puncture
Sample weight~10 mg (Pig breast)14 mg (Pig Breast)
Sample Length~8.35 mm (Pig breast)9.04 mm (Pig breast)
Number of segments in samplesMinimum 1.2, Maximum 2.1 segmentsMinimum 1 segment, Maximum 2.1 segments
Sample Quality score4.867.71
Durability≥ 5 shots, Intact needle tip≥ 5 shots, Intact needle tip
Duration of the sample cut

§ 876.1075 Gastroenterology-urology biopsy instrument.

(a)
Identification. A gastroenterology-urology biopsy instrument is a device used to remove, by cutting or aspiration, a specimen of tissue for microscopic examination. This generic type of device includes the biopsy punch, gastrointestinal mechanical biopsy instrument, suction biopsy instrument, gastro-urology biopsy needle and needle set, and nonelectric biopsy forceps. This section does not apply to biopsy instruments that have specialized uses in other medical specialty areas and that are covered by classification regulations in other parts of the device classification regulations.(b)
Classification. (1) Class II (performance standards).(2) Class I for the biopsy forceps cover and the non-electric biopsy forceps. The devices subject to this paragraph (b)(2) are exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 876.9.