K Number
K212284
Device Name
Disposable Automatic Core Biopsy Instrument
Date Cleared
2021-11-10

(112 days)

Product Code
Regulation Number
876.1075
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Disposable Automatic Core Biopsy Instrument is intended for use in obtaining biopsies from soft tissues such as liver, kidney, prostate, spleen, lymph nodes and various soft tissue tumors. It is not Intended for use in bone.
Device Description
The disposable automatic core biopsy instrument is divided into QZDA and QZDB in accordance with different configuration. QZDA contains automatic core biopsy instrument. QZDB contains automatic core biopsy instrument and coaxial biopsv needle. The automatic core biopsy instrument consists of canula, stylet, protecting sheath and mechnical powering parts. The coaxial biopsy needle consists of canular housing, canula, marker, stylet, stylet housing and protecting sheath. The subject device is a single use full core biopsy device. It is available in several gauge sizes and lengths. Both the QZDA and QZDB of the device have printed gauge size indicator that is color coded according to the various gauge sizes (yellow= 20G, pink= 18G, purple= 16 G, and green= 14G). The needles have a protecting sheath. The disposable automatic core biopsy instrument is a spring-loaded automatic biopsy needle that is visible in CT (computed tomography) and ultrasound. The device is equipped with a beveled needle with centimeter markings and an echogenic distal tip for visualization during ultrasound imaging. During use, the position of the device is monitored using imaging technique. The inner stylet is equipped with a slot (specimen notch) to collect a biopsy specimen. The materials used for construction of disposable automatic core biopsy instrument are typical for this type of medical device. The only material in direct patient contact is the stainless steel 06Cr19Ni10. As the device is single use device, which is individually packaged sterile devices. The packaging is compatible with the product's EO sterilization method. The sterilization validation confirms the packaging is qualified bacterial film to maintain the sterilization condition of the device.
More Information

Not Found

No
The description focuses on the mechanical aspects of a biopsy instrument and does not mention any AI or ML components or functions.

No.
The device is used for obtaining biopsies, which is a diagnostic procedure to collect tissue samples, not to treat or alleviate a medical condition.

Yes

The device is a biopsy instrument, used to obtain tissue samples for diagnosis. This makes it a diagnostic device as it aids in the process of identifying a disease or condition.

No

The device description clearly details a physical, mechanical instrument with components like canula, stylet, protecting sheath, and mechanical powering parts, designed for obtaining tissue biopsies. It is a hardware device.

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

Here's why:

  • Intended Use: The intended use is to obtain biopsies from soft tissues. This is a procedure performed on the patient to collect a sample.
  • Device Description: The device is a biopsy instrument designed for physically extracting tissue. It is used in conjunction with imaging modalities (CT and ultrasound) to guide the procedure.
  • Lack of In Vitro Activity: An IVD is a device used to examine specimens from the human body (like blood, urine, tissue samples) in vitro (outside the body) to provide information about a physiological state, health, or disease. This device's primary function is the collection of the specimen, not the analysis of it.

The device is a surgical instrument used for a biopsy procedure, which is an in vivo (within the body) process. The collected tissue sample could then be used in an IVD test, but the biopsy instrument itself is not an IVD.

N/A

Intended Use / Indications for Use

The Disposable Automatic Core Biopsy Instrument is intended for use in obtaining biopsies from soft tissues such as liver, kidney, prostate, spleen, lymph nodes and various soft tissue tumors. It is not Intended for use in bone.

Product codes

KNW

Device Description

The disposable automatic core biopsy instrument is divided into QZDA and QZDB in accordance with different configuration. QZDA contains automatic core biopsy instrument. QZDB contains automatic core biopsy instrument and coaxial biopsv needle.

The disposable automatic core biopsy instrument QZDA contains automatic core biopsy instrument and QZDB contains automatic core biopsy instrument and coaxial biopsy needle. The automatic core biopsy instrument consists of canula, stylet, protecting sheath and mechnical powering parts. The coaxial biopsy needle consists of canular housing, canula, marker, stylet, stylet housing and protecting sheath.

The subject device is a single use full core biopsy device. It is available in several gauge sizes and lengths. Both the QZDA and QZDB of the device have printed gauge size indicator that is color coded according to the various gauge sizes (yellow= 20G, pink= 18G, purple= 16 G, and green= 14G). The needles have a protecting sheath.

The disposable automatic core biopsy instrument is a spring-loaded automatic biopsy needle that is visible in CT (computed tomography) and ultrasound. The device is equipped with a beveled needle with centimeter markings and an echogenic distal tip for visualization during ultrasound imaging. During use, the position of the device is monitored using imaging technique. The inner stylet is equipped with a slot (specimen notch) to collect a biopsy specimen.

The materials used for construction of disposable automatic core biopsy instrument are typical for this type of medical device. The only material in direct patient contact is the stainless steel 06Cr19Ni10.

As the device is single use device, which is individually packaged sterile devices. The packaging is compatible with the product's EO sterilization method. The sterilization validation confirms the packaging is qualified bacterial film to maintain the sterilization condition of the device.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

CT (computed tomography), ultrasound

Anatomical Site

soft tissues such as liver, kidney, prostate, spleen, lymph nodes and various soft tissue tumors.

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Prescription Use

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

Bench testing was performed to evaluate the performance and functionality of the subject device against requirement specification. The subject device has been subjected to compliance testing according to, by FDA, recognized consensus standards ISO 9626, ISO 10993-7, ISO 10993-1, ISO 11607-1.

Key results from bench testing (Table 1):

  • Depth projection: To confirm that subject device will not extend over the stylet tip (over-throw) during use. Conformity has been demonstrated.
  • Penetration force: To confirm that the penetration force of the subject device is equivalent to predicate device. Conformity has been demonstrated.
  • Loading force: To confirm that the force to activate the subject device (release the spring) is not too low, resulting in unintentional activation during use. Conformity has been demonstrated.
  • Mechanical durability: To confirm that subject device withstands the forces applied to the subject device during normal use. Conformity has been demonstrated.
  • Tissue sample extraction test: To confirm that the subject device can successfully retrieve biopsy specimen multiple times. Conformity has been demonstrated.
  • Tip configuration: To confirm that it is possible to take a biopsy specimen closer to nearby sensitive anatomy/structure compared to predicate device. Subject device shall have a tip dead-space that is shorter compared to predicate device. Conformity has been demonstrated.
  • Ultrasound Visibility: To confirm that the invasive part of subject device is visible in the area guided by the puncture frame or within the ultrasound range.
  • Compatibility: To confirm that the device is compatible with coaxial needle standardized sizes as per ISO 9626 has been applied.
  • Qualification metal tubing/needle component: The stainless-steel tubing fulfills the requirement in ISO 9626 Stainless steel needle tubing for the manufacture of medical devices – Requirements and test methods. Conformity has been demonstrated.

No clinical study is included in this submission.

Key Metrics

Not Found

Predicate Device(s)

K133948

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 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.

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November 10, 2021

Suzhou Leapmed Healthcare Corporation % Boyle Wang Official Correspondent Shanghai Truthful Information Technology Co., Ltd. RM.1801, No.161, East Lujiazui Rd., Pudong Shanghai, Shanghai 200120 China

Re: K212284

Trade/Device Name: Disposable Automatic Core Biopsy Instrument Regulation Number: 21 CFR§ 876.1075 Regulation Name: Gastroenterology-Urology Biopsy Instrument Regulatory Class: II Product Code: KNW Dated: August 11, 2021 Received: August 16, 2021

Dear Boyle Wang:

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.

1

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-regulatoryinformation/postmarketing-safety-reporting-combination-products); good manufacturing practice requirements as set forth in the quality systems (OS) 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,

for Shanil P. Haugen, Ph.D. Assistant Director DHT3A: Division of Renal, Gastrointestinal, Obesity and Transplant Devices 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) K212284

Device Name

Disposable Automatic Core Biopsy Instrument

Indications for Use (Describe)

The Disposable Automatic Core Biopsy Instrument is intended for use in obtaining biopsies from soft tissues such as liver, kidney, prostate, spleen, lymph nodes and various soft tissue tumors. It is not Intended for use in bone.

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 (K212284)

This summary of 510(k) safety and effectiveness information is being submitted in accordance with requirements of 21 CFR 807.92.

1.0 Submitter's Information

Name:Suzhou Leapmed Healthcare Corporation
Address:Wuzhong Science Park, NO.2 & NO.3 Building, 38# North Guandu Road,
Wuzhong District, Suzhou City, 215100 Jiangsu, P.R.China
Tel:(+86) 512 66554498-8043
Contact:Yu Zhu

Designated Submission Correspondent

Name:Shanghai Truthful Information Technology Co., Ltd.
Address:Room 1801, No. 161 East Lujiazui Rd., Pudong Shanghai, 200120 China
Tel:+86-21-50313932
Contact:Mr. Boyle Wang
Email:Info@truthful.com.cn

Date of Preparation: Oct.27,2021

2.0 Device Information

Trade name: Disposable Automatic Core Biopsy Instrument Common name: Disposable Automatic Core Biopsy Instrument Classification name: Gastroenterology-urology biopsy instrument. QZDA, QZDB Model(s): Production code: KNW Regulation number: 21 CFR 876.1075 Classification: Class II Panel: Gastroenterology/Urology

3.0 Predicate Device Information

Manufacturer: Bard Peripheral Vascular, Inc. Device: Bard® Monapty® Disposable Core Biopsy Instrument Bard® Max-Coreo® Disposable Care Biopsy Instrument 510(k) number: K133948

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4.0 Device Description

The disposable automatic core biopsy instrument is divided into QZDA and

QZDB in accordance with different configuration. QZDA contains automatic core biopsy instrument. QZDB contains automatic core biopsy instrument and coaxial biopsv needle.

The disposable automatic core biopsy instrument QZDA contains automatic core biopsy instrument and QZDB contains automatic core biopsy instrument and coaxial biopsy needle. The automatic core biopsy instrument consists of canula, stylet, protecting sheath and mechnical powering parts. The coaxial biopsy needle consists of canular housing, canula, marker, stylet, stylet housing and protecting sheath.

The subject device is a single use full core biopsy device. It is available

in several gauge sizes and lengths. Both the QZDA and QZDB of the device have printed gauge size indicator that is color coded according to the various gauge sizes (yellow= 20G, pink= 18G, purple= 16 G, and green= 14G). The needles have a protecting sheath.

The disposable automatic core biopsy instrument is a spring-loaded automatic biopsy needle that is visible in CT (computed tomography) and ultrasound. The device is equipped with a beveled needle with centimeter markings and an echogenic distal tip for visualization during ultrasound imaging. During use, the position of the device is monitored using imaging technique. The inner stylet is equipped with a slot (specimen notch) to collect a biopsy specimen.

The materials used for construction of disposable automatic core biopsy instrument are typical for this type of medical device. The only material in direct patient contact is the stainless steel 06Cr19Ni10.

As the device is single use device, which is individually packaged sterile devices. The packaging is compatible with the product's EO sterilization method. The sterilization validation confirms the packaging is qualified bacterial film to maintain the sterilization condition of the device.

5.0 Indication for Use Statement

The Disposable Automatic Core Biopsy Instrument is intended for use in obtaining biopsies from soft tissues such as liver, kidney, prostate, spleen, lymph nodes and various soft tissue tumors. It is not Intended for use in bone.

6.0 Summary of Non-Clinical Testing

Summary of non-clinical and performance testing Bench testing was performed to evaluate the performance and functionality of the subject device against requirement specification. The subject device has been subjected to compliance testing according to, by FDA, recognized consensus standards ISO 9626, ISO 10993-7, ISO 10993-1, ISO 11607-1. Results from testing performed confirms that the design requirement

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specification and user needs have been met. The subject device is confirmed to be as safe and as effective as the predicate.

7.1 Sterilization and shelf life: Disposable automatic core biopsy instrument is delivered sterile and have successfully been tested according to ISO 11607- 1. The label shelf life is 3 years.

7.2 Biocompatibility testing: Disposable automatic core biopsy instrument has successfully been tested for cytotoxicity, sensitization, intracutaneously irritation, acute systemic toxicity and material medicated pyrogenicity. The test results verify that the biocompatibility criteria given in ISO 10993 are fulfilled. Disposable automatic core biopsy instrument concludes that disposable automatic core biopsy instrument is non-toxic and biocompatible.

7.3 Performance testing - Bench: The performance of disposable automatic core biopsy instrument has been verified. Tests as described in table 1 have been completed.

Test ItemDescription
Depth projectionTo confirm that subject device will not extend over the
stylet tip (over-throw) during use. Conformity has been
demonstrated.
Penetration forceTo confirm that the penetration force of the subject device
is equivalent to predicate device. Conformity has been
demonstrated.
Loading forceTo confirm that the force to activate the subject device
(release the spring) is not too low, resulting in
unintentional activation during use. Conformity has been
demonstrated.
Mechanical durabilityTo confirm that subject device withstands the forces
applied to the subject device during normal use.
Conformity has been demonstrated.
Tissue sample extraction
testTo confirm that the subject device can successfully
retrieve biopsy specimen multiple times. Conformity has
been demonstrated
Tip configurationTo confirm that it is possible to take a biopsy specimen
closer to nearby sensitive anatomy/structure compared to
predicate device. Subject device shall have a tip
dead-space that is shorter compared to predicate device.
Conformity has been demonstrated.
Ultrasound VisibilityTo confirm that the invasive part of subject device is visible
in the area guided by the puncture frame or within the
ultrasound range.
CompatibilityTo confirm that the device is compatible with coaxial
needle standardized sizes as per ISO 9626 has been

Table 1: Performance testing summary - Bench

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applied.
Qualification metal
tubing/needle
componentThe stainless-steel tubing fulfills the requirement in ISO 9626 Stainless steel needle tubing for the manufacture of medical devices – Requirements and test methods.
Conformity has been demonstrated

7.0 _Summary of Clinical Testing

No clinical study is included in this submission.

8.0 Technological Characteristic Comparison Table

ItemSubject DevicePredicate Device
510(k) No.K212284K133948
Product CodeKNWKNW
Regulation No.21 CFR 876.107521 CFR 876.1075
ClassIIII
Intended UseThe Disposable Automatic Core
Biopsy Instrument is intended for
use in obtaining biopsies from soft
tissues such as liver, kidney,
prostate, spleen, lymph nodes and
various soft tissue tumors. It is not
Intended for use in bone.The core needle biopsy device is
intended for use in obtaining
biopsies from soft tissues such as
liver, kidney, prostate, spleen,
lymph nodes and various soft
tissue tumors. It is not intended
for use in bone.
Anatomical
sitesSpecimens from soft tissue such
as liver, kidney, prostate, spleen,
lymph nodes and various soft
tissue tumors.Specimens from soft tissue such
as liver, kidney, prostate,
spleen, lymph nodes and various
soft tissue tumors.
Mechanism of
ActionSingle puncture and sample
multiple timesSingle puncture and sample
multiple times
Device typeAutomatic biopsy gun,
spring-operatedAutomatic biopsy gun,
spring-operated
Visualization
techniqueConventional imaging guidance
equipment excluding MRIConventional imaging guidance
equipment excluding MRI
Needle materialStainless Steel.
Only Stainless steel is in direct
surgical contact with all soft
tissues of the patient.Stainless Steel
Needle
diameter
(Gauge)14G,16G,18G,20G14G,16G,18G,20G
Needle length
(mm)100,160,200,250100,160,200,250
Color
DepictionPer ISO 6009:2016:
Yellow= 20G, Pink= 18G, Purple=
16 G, and Green= 14GPer ISO 6009:2016:
Yellow = 20G, Pink = 18G, Purple = 16G and Green = 14 G.
Cannula and
StyletThe cannula is designed with an
outer cutting cannula having a
sharpened tip and an inner stylet
with sample slot.Not publicly available
Needle
Advancement
and Tissue
AccessBiopsy Needle with guillotine
coring provide the clinician with
the same single automatic
advancement for fixed sample
length for tissue penetration and
cutting.Not publicly available
Activation forceSingle-hand automatic activationNot publicly available
Specimen notch
size18mm18mm,19mm
Penetration
Depth22mm22mm
SterileEthylene Oxide, SAL: 10-6Ethylene Oxide
Shelf Life3 years5 years
Single UseSingle UseSingle Use
LabelingConform with 21 CFR 801Conform with 21 CFR 801
Performance
Comparison
testingStiffness, Resistance to breakage,
Resistance to corrosion, Sample
collection space and smoothness,
Connection firmness, Pressing
parts/Pressing parts firing force,
Cannula firing force, Sampling
switch, Scale marks firmness,
Total heavy metal content, Scale
mark identification, Sampling
structure, Penetration force,
Biopsy Sample Testing,
Ultrasound Visibility TestingStiffness, Resistance to breakage,
Resistance to corrosion, Sample
collection space and smoothness,
Connection firmness, Pressing
parts, Pressing parts firing force,
Cannula firing force, Safety switch,
Sampling switch, Scale marks
firmness, Total heavy metal
content, Scale mark identification,
Sampling structure, Penetration
force, Biopsy Sample Testing,
Ultrasound Visibility Testing
BiocompatibilityConform with ISO10993-1
(ISO10993-4, ISO10993-5,
ISO10993-10, ISO10993-11)Conform with ISO 10993
standards

Table 2- Comparison of Technology Characteristics

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The technological characteristics of the subject device are identical to those of

8

predicate device. The subject device has the same basic design as the predicate device. The comparison between the subject and predicate devices is based on the following:

  • Same intended use
  • · Same indications for use
  • · Similar material types that meet ISO 10993 biocompatibility requirements
  • · Same sterilization methods
  • · Same fundamental technology/principal of operation/user interface

The disposable biopsy device needle designs display minor differences between the subject device and the predicate devices for specimen notch size and shelf life. The specimen notch size of the current device covered by the predicate device, also the validation report of shelf life shown the life time 3 years of the current device is scientific, reliable and effective. So we think the differences would not affect the substantial equivalence of the proposed device.

9.0 Conclusion

The conclusions drawn from the comparison and analysis above demonstrate that the proposed device is as safe, as effective, and performs as well as the legally marketed predicated device in K133948 and raises no new questions of safety or effectiveness. The differences between both devices are insignificant in terms of safety and effectiveness.