K Number
K213869
Device Name
EmbryoSlide+ ic8 dish
Manufacturer
Date Cleared
2022-03-11

(88 days)

Product Code
Regulation Number
884.6160
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The EmbryoSlide+ ic8 dish is intended for culturing, handling and preparation for transfer of human embryos. The EmbryoSlide+ ic8 dish must be used together with the EmbryoScope+ incubator.
Device Description
The EmbryoSlide+ ic8 dish is single use, sterile for embryo culture, handling, and preparation for transfer during assisted reproduction technology procedures. The EmbryoSlide+ ic8 dish is equipped with barcode label area for unique identification of the culture dish, and a small area which can be used for manual writing. The EmbryoSlide+ ic8 dish has eight culture wells. Each well holds a single embryo in 20µL of culture medium. In addition, four rinsing wells are available, each rinsing well holding 25-30μL medium. The culture area of the dish, comprising both the culture wells, must be covered with 1.6mL culture oil overlay to minimize osmolarity changes during culture in a dry environment.
More Information

Not Found

No
The summary describes a physical culture dish and its intended use in conjunction with an incubator. There is no mention of any software, algorithms, or data processing that would indicate the presence of AI/ML.

No
The device is described as a single-use dish for culturing, handling, and preparing human embryos for transfer, which is a supportive role in assisted reproduction technology rather than a direct therapeutic intervention that treats or cures a disease or condition.

No
The device is described as an embryo culture dish used for handling and preparation, with performance studies focused on safety and biological compatibility (MEA, endotoxin, cytotoxicity). There is no mention of diagnostic functions or capabilities outlined in the provided text.

No

The device description clearly describes a physical, single-use culture dish with wells and a barcode, which is a hardware component.

Based on the provided information, the EmbryoSlide+ ic8 dish is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is for "culturing, handling and preparation for transfer of human embryos." This describes a device used in the process of assisted reproduction, not a device used to diagnose a condition or state.
  • Device Description: The description focuses on the physical characteristics of the dish for holding and culturing embryos. It doesn't mention any components or functions related to analyzing biological samples to provide diagnostic information.
  • Lack of Diagnostic Function: There is no mention of the device performing any tests, measurements, or analyses on biological samples (like embryo culture medium or the embryos themselves) to provide diagnostic results.
  • Performance Studies: The performance studies focus on the device's ability to support embryo development (MEA), sterility, and physical integrity. These are performance characteristics relevant to a culture device, not a diagnostic device.
  • Key Metrics: The key metrics (Endotoxin, MEA, Cytotoxicity) are related to the safety and suitability of the dish for embryo culture, not diagnostic accuracy.

IVD devices are specifically designed to examine specimens derived from the human body to provide information for the purpose of diagnosis, monitoring, or screening. The EmbryoSlide+ ic8 dish facilitates the process of assisted reproduction, but it doesn't perform a diagnostic function itself.

N/A

Intended Use / Indications for Use

The EmbryoSlide+ ic8 dish is intended for culturing, handling and preparation for transfer of human embryos. The EmbryoSlide+ ic8 dish must be used together with the EmbryoScope+ incubator.

Product codes

MQK

Device Description

The EmbryoSlide+ ic8 dish is single use, sterile for embryo culture, handling, and preparation for transfer during assisted reproduction technology procedures. The EmbryoSlide+ ic8 dish is equipped with barcode label area for unique identification of the culture dish, and a small area which can be used for manual writing.

The EmbryoSlide+ ic8 dish has eight culture wells. Each well holds a single embryo in 20µL of culture medium.

In addition, four rinsing wells are available, each rinsing well holding 25-30μL medium. The culture area of the dish, comprising both the culture wells, must be covered with 1.6mL culture oil overlay to minimize osmolarity changes during culture in a dry environment.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

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

The following non-clinical performance testing has been conducted on the EmbryoSlide+ ic8 dish to support substantial equivalence to the predicate device:

  • Radiation sterilization and validation testing per ISO 11137-1:2006/A2013, ISO 11137-2:2013, ISO 11737-1:2018, and ISO 11737-2:2019.
  • Transportation simulation testing per ASTM D4169-16
  • Package integrity testing after accelerated aging per ASTM F1908-16:
    • Bubble test per ASTM F2096-11 O
    • Peel strength testing ASTM F88/F88M-09 O
  • Endotoxin testing per USP . The testing demonstrated that the device met the specification of =80% embryos developed to blastocyst in 96 hours."
  • Shelf-life testing (accelerated aging) per ASTM F1980:2016. The following testing was conducted:
    • Endotoxin testing per USP O
    • MEA per the 2021 FDA guidance document ""Mouse Embryo Assay for Assisted o Reproduction Technology Devices"

Key Metrics

  • Endotoxin Testing (USP ): =80% embryos developed to blastocyst at 96 hours
  • Cytotoxicity (ISO 10993-5, USP ): Non-cytotoxic

Predicate Device(s)

K173264

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 884.6160 Assisted reproduction labware.

(a)
Identification. Assisted reproduction labware consists of laboratory equipment or supplies intended to prepare, store, manipulate, or transfer human gametes or embryos for in vitro fertilization (IVF), gamete intrafallopian transfer (GIFT), or other assisted reproduction procedures. These include syringes, IVF tissue culture dishes, IVF tissue culture plates, pipette tips, dishes, plates, and other vessels that come into physical contact with gametes, embryos or tissue culture media.(b)
Classification. Class II (special controls) (mouse embryo assay information, endotoxin testing, sterilization validation, design specifications, labeling requirements, and clinical testing). The device, when it is a dish or plate intended for general assisted reproduction technology procedures, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 884.9.

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 logo on the left and the FDA logo on the right. The FDA logo includes the letters "FDA" in a blue square, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue text.

March 11, 2022

Vitrolife A/S Belinda Dueholm Regulatory Affairs Specialist Jens Juuls Vei 20 Viby J, 8260 Denmark

K213869 Re: Trade/Device Name: EmbryoSlide+ ic8 dish Regulation Number: 21 CFR§ 884.6160 Regulation Name: Assisted Reproduction Labware Regulatory Class: II Product Code: MQK Dated: December 7, 2021 Received: December 13, 2021

Dear Belinda Dueholm:

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.

1

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 (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,

Monica D. Garcia, Ph.D. Assistant Director DHT3B: Division of Reproductive, Gynecology and Urology Devices OHT3: Office of GastroRenal, ObGyn, General Hospital and Urology Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

2

Indications for Use

510(k) Number (if known) K213869

Device Name EmbryoSlide+ ic8 dish

Indications for Use (Describe)

The EmbryoSlide+ ic8 dish is intended for culturing, handling and preparation for transfer of human embryos. The EmbryoSlide+ ic8 dish must be used together with the EmbryoScope+ incubator.

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)

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 K213869 EmbryoSlide+ ic8 dish

1. SUBMITTER INFORMATION

Submitter:Vitrolife A/S
Jens Juuls Vej 20
8260 Viby J
Denmark
Contact Person:Ms. Belinda Dueholm
Telephone:+45 7221 7900 (main)
+45 2076 3707 (direct)

2. Date Prepared

March 10, 2021

3. Device Information

Device NameEmbryoSlide+ ic8 dish
Common NameCulture dish
Regulation Number21 CFR 884.6160
Regulation NameAssisted Reproduction Labware
Product CodeMQK (Labware, Assisted Reproduction)
Regulatory ClassII

4. Predicate Device

EmbryoSlide+ culture dish, K173264, (Vitrolife A/S).

The predicate device has not been subject to a design-related recall.

4

5. DEVICE DESCRIPTION

The EmbryoSlide+ ic8 dish is single use, sterile for embryo culture, handling, and preparation for transfer during assisted reproduction technology procedures. The EmbryoSlide+ ic8 dish is equipped with barcode label area for unique identification of the culture dish, and a small area which can be used for manual writing.

The EmbryoSlide+ ic8 dish has eight culture wells. Each well holds a single embryo in 20µL of culture medium.

In addition, four rinsing wells are available, each rinsing well holding 25-30μL medium. The culture area of the dish, comprising both the culture wells, must be covered with 1.6mL culture oil overlay to minimize osmolarity changes during culture in a dry environment.

ParameterSpecification
AppearanceGood clarity with no apparent flaw
SterilitySAL 10-6 (based on process validation data and package
integrity testing).
Endotoxin Testing (USP )≤ 20 EU/device
Mouse Embryo Assay (MEA)1-cell MEA: ≥80% embryos developed to blastocyst at 96
hours
Cytotoxicity (ISO 10993-5, USP )Non-cytotoxic

The EmbryoSlide+ ic8 dish has the following device specifications:

6. Indications for Use

The EmbryoSlide+ ic8 dish is intended for culturing, handling and preparation for transfer of human embryos. The EmbryoSlide+ ic8 dish must be used together with the EmbryoScope+ incubator.

7. Comparison of Intended Use and Technological Characteristics of the Subject and Predicate Device

The table below compares the intended use and technological characteristics of the subject and predicate device.

5

| Attribute | Subject Device
EmbryoSlide+ ic8 dish
K213869 | Predicate Device
EmbryoSlide Culture Dish
173264 | Differences |
|----------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Indications for use | The EmbryoSlide+ ic8 dish is intended
for culturing, handling and preparation
for transfer of human embryos. The
EmbryoSlide+ ic8 dish must be used
together with the EmbryoScope+
incubator. | The EmbryoSlide+ culture dish is
intended for preparing, storing,
and transferring human embryos.
The EmbryoSlide+ culture dish
must be used together with the
EmbryoScope+ incubator. | The indications for the
subject and predicate
devices are similar. Both the
predicate and subject
devices are indicated for
culturing of embryos for
transfer. |
| General design | Optically clear culture dish with a lid | Optically clear culture dish with a
lid | Same |
| Material | Polystyrene | Polystyrene | Same |
| Number of culture
wells for individual
embryo incubation | 8 | 16 | Different: Different number
of wells are present in the
subject and predicate
devices. Differences in well
numbers do not raise
different questions of safety
and effectiveness. |
| Traceability/ID | Individually numbered wells | Individually numbered wells | Same |
| Number of rinsing
wells | 4 | 4 | Same |
| Barcode label | Area for label (barcode) | Area for label (barcode) | Same |

As stated in the table, the subject and predicate devices have similar indications for use statements and have the same intended use (i.e., culturing embryos for transfer). The subject and predicate devices have differences in their technological characteristics (i.e., different number of culture wells). The differences in technological characteristics do not raise different questions of safety and effectiveness.

8. SUMMARY OF NON-CLINICAL PERFORMANCE TESTING

The following non-clinical performance testing has been conducted on the EmbryoSlide+ ic8 dish to support substantial equivalence to the predicate device:

  • . Radiation sterilization and validation testing per ISO 11137-1:2006/A2013, ISO 11137-2:2013, ISO 11737-1:2018, and ISO 11737-2:2019.
  • Transportation simulation testing per ASTM D4169-16
  • Package integrity testing after accelerated aging per ASTM F1908-16:
    • Bubble test per ASTM F2096-11 O
    • Peel strength testing ASTM F88/F88M-09 O
  • . Endotoxin testing per USP . The testing demonstrated that the device met the specification of ≤20 EU/device.
  • Mouse embryo assay (MEA) per the 2021 FDA guidance document "Mouse Embryo

6

Assay for Assisted Reproduction Technology Devices:"

One-cell mouse embryos were exposed to subject devices and cultured at 37°C in an atmosphere containing 5% CO2. The percent of embryos developed to the expanded blastocyst stage within 96 hours were assessed in comparison with the control group. The testing demonstrated that the device met acceptance criterion of "1-cell MEA ≥80% embryos developed to blastocyst in 96 hours."

  • Shelf-life testing (accelerated aging) per ASTM F1980:2016. The following testing was . conducted:
    • Endotoxin testing per USP O
    • MEA per the 2021 FDA guidance document ""Mouse Embryo Assay for Assisted o Reproduction Technology Devices"

9. Conclusions

The results of the performance testing described above demonstrate that the subject media products are as safe and effective as the predicate devices and support a determination of substantial equivalence.