K Number
K220010
Device Name
Daylily Single Use Sterile Embryo Transfer Catheter
Date Cleared
2022-12-16

(346 days)

Product Code
Regulation Number
884.6110
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Daylily Single Use Sterile Embryo Transfer Catheters are used to place in vitro fertilized (IVF) embryos into the uterine cavity.
Device Description
Daylily Single Use Sterile Embryo Transfer Catheters are sterile single use catheters used to deliver in vitro fertilized embryos to the uterine cavity. All models of the Daylily Single Use Sterile Embryo Transfer Catheters consist of a transfer catheter and a guide catheter. Some device models (Type II and Type IV) also include a trial catheter. The guide catheter is composed of a catheter shaft, connector, and a positioning ring (for certain Type III and IV variants). Guide catheters for some Type III and Type IV variants are also provided pre-curved. Guide catheters have a rounded/blunt tip and marker bands at the distal tip to aid in catheter placement. The guide catheter is delivered through the cervix first and is used to guide the insertion of the transfer catheter holding the embryos into the uterine cavity. The transfer catheter is composed of a catheter shaft, connector, and a stainless-steel sleeve (for Type III and IV models). Transfer catheters have a rounded/blunt tip and marker bands at the proximal end of the catheter to aid in catheter placement. The transfer catheter is loaded with embryos prior to delivery through the guide catheter and into the uterine cavity. A syringe (not provided with catheters) connected to the connector of the transfer catheter is used to deliver the embryos into the uterine cavity. The trial catheter is an optional accessory for specific models (Types II and IV), composed of a catheter shaft, connector, and a polymer-coated stainless-steel core. Trial catheters have a rounded/blunt closed tip. The trial catheter is used to provide additional support during guide catheter placement and to assess the placement of the device prior to conducting an actual embryo transfer procedure.
More Information

Not Found

No
The 510(k) summary describes a purely mechanical device (catheter) for embryo transfer and does not mention any software, algorithms, or data processing capabilities that would indicate the use of AI or ML.

Yes

Explanation: The device is used to place in vitro fertilized embryos into the uterine cavity, which is a therapeutic intervention aimed at achieving pregnancy.

No
The device is used to place in vitro fertilized (IVF) embryos into the uterine cavity, which is a therapeutic rather than a diagnostic function. While it aids in placement, it does not diagnose a condition.

No

The device description clearly details physical components like catheters, connectors, and positioning rings, and the performance studies focus on physical properties and biological interactions, not software functionality.

Based on the provided information, the Daylily Single Use Sterile Embryo Transfer Catheters are not an In Vitro Diagnostic (IVD) device.

Here's why:

  • Intended Use: The intended use is to "place in vitro fertilized (IVF) embryos into the uterine cavity." This is a procedure performed in vivo (within the body), not in vitro (in a test tube or laboratory setting).
  • Device Description: The description details a catheter system designed for physical insertion into the body to deliver embryos. It does not describe a device used to analyze biological samples or provide diagnostic information.
  • Lack of IVD Characteristics: The description does not mention any components or functions related to analyzing samples, detecting analytes, or providing diagnostic results.

IVD devices are typically used to examine specimens derived from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening. The Daylily catheter's function is to physically deliver embryos, not to perform any diagnostic testing.

N/A

Intended Use / Indications for Use

Daylily Single Use Sterile Embryo Transfer Catheters are used to place in vitro fertilized (IVF) embryos into the uterine cavity.

Product codes (comma separated list FDA assigned to the subject device)

MQF

Device Description

Daylily Single Use Sterile Embryo Transfer Catheters are sterile single use catheters used to deliver in vitro fertilized embryos to the uterine cavity. All models of the Daylily Single Use Sterile Embryo Transfer Catheters consist of a transfer catheter and a guide catheter. Some device models (Type II and Type IV) also include a trial catheter.

The guide catheter is composed of a catheter shaft, connector, and a positioning ring (for certain Type III and IV variants). Guide catheters for some Type III and Type IV variants are also provided pre-curved. Guide catheters have a rounded/blunt tip and marker bands at the distal tip to aid in catheter placement. The guide catheter is delivered through the cervix first and is used to guide the insertion of the transfer catheter holding the embryos into the uterine cavity.

The transfer catheter is composed of a catheter shaft, connector, and a stainless-steel sleeve (for Type III and IV models). Transfer catheters have a rounded/blunt tip and marker bands at the proximal end of the catheter to aid in catheter placement. The transfer catheter is loaded with embryos prior to delivery through the guide catheter and into the uterine cavity. A syringe (not provided with catheters) connected to the connector of the transfer catheter is used to deliver the embryos into the uterine cavity.

The trial catheter is an optional accessory for specific models (Types II and IV), composed of a catheter shaft, connector, and a polymer-coated stainless-steel core. Trial catheters have a rounded/blunt closed tip. The trial catheter is used to provide additional support during guide catheter placement and to assess the placement of the device prior to conducting an actual embryo transfer procedure.

The Daylily Single Use Sterile Embryo Transfer Catheters are intended for single use only and sterilized by ethylene oxide. They have a three-year shelf life.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

uterine cavity

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)

Sterilization Validation testing per:

  • ISO 11135-1:2014 A
  • AAMI TIR 28:2016
  • ISO 10993-7: 2008 A

Package Integrity testing:

  • Visual inspection
  • Bubble Leak test per ASTM F2096-11
  • Seal Strength testing per ASTM F88/ F88M-15
  • Dye Penetration test per ASTM F1929-15

Transportation Simulation testing per ASTM D4169-14.

Biocompatibility studies conducted in accordance with the 2020 FDA guidance document Use of International Standard ISO 10993-1, "Biological Evaluation of Medical Devices - Part 1: Evaluation and testing within a risk management process." Testing included the following assessments:

  • Cytotoxicity per ISO 10993-5: 2009
  • Sensitization ISO 10993-10: 2010
  • Irritation per ISO 10993-10: 2010

Testing showed the device material to be non-cytotoxic, non-sensitizing, and nonirritating.

Endotoxin testing per USP and AAMI/ANSI ST72:2019 Specification: = 80% embryos developed to expanded blastocyst at 96 hours.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Mouse Embryo Assay (MEA) Specification: 1-Cell MEA: >= 80% embryos developed to expanded blastocyst at 96 hours.
Endotoxin Specification:

§ 884.6110 Assisted reproduction catheters.

(a)
Identification. Assisted reproduction catheters are devices used in in vitro fertilization (IVF), gamete intrafallopian transfer (GIFT), or other assisted reproduction procedures to introduce or remove gametes, zygote(s), preembryo(s), and/or embryo(s) into or from the body. This generic type of device may include catheters, cannulae, introducers, dilators, sheaths, stylets, and component parts.(b)
Classification. Class II (special controls) (mouse embryo assay information, endotoxin testing, sterilization validation, design specifications, labeling requirements, biocompatibility testing, and clinical testing).

0

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December 16, 2022

Shanghai Horizon Medical Technology Co., Ltd. % Zhixuan Zhang Senior Supervisor of Regulatory Affairs MicroPort Group Co., Ltd. 1601 ZhangDong Rd., ZJ Hi-Tech Park Pudong New District Shanghai, 201203 China

  • K220010 Re:
    Trade/Device Name: Daylily Single Use Sterile Embryo Transfer Catheters (Type I (ETC-1018 S. ETC-1018 L. ETC-1024 S. ETC-1024 Ll. Type II IETC-2018 S. ETC-2018 L. ETC-2024 S, ETC-2024 L], Type III [ETC-3018 S, ETC-3018 L, ETC-3024 S, ETC-3024 L, ETC-3024 S-X, ETC-3024 L-X], and Type IV [ETC-4018 S, ETC-4018 L, ETC-4024 S, ETC-4024 L, ETC-4024 S-X, ETC-4024 L-X]) Regulation Number: 21 CFR§ 884.6110 Regulation Name: Assisted Reproduction Catheters Regulatory Class: II Product Code: MQF Dated: November 14, 2022 Received: November 16, 2022

Dear Zhixuan Zhang:

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.

1

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 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, Michael T. Bailey -S

For 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

2

Indications for Use

510(k) Number (if known) K220010

Device Name

Daylily Single Use Sterile Embryo Transfer Catheters (Type I [ETC-1018 L, ETC-1024 S, ETC-1024 L, Type II [ETC-2018 S, ETC-2018 L, ETC-2024 L], Type III [ETC-3018 S, ETC-3018 L, ETC-3024 S, ETC-3024 L, ETC-3024 S-X, ETC-3024 L-X], and Type IV [ETC-4018 S, ETC-4018 L, ETC-4024 L, ETC-4024 S-X, ETC-4024 L-X])

Indications for Use (Describe)

Daylily Single Use Sterile Embryo Transfer Catheters are used to place in vitro fertilized (IVF) embryos into the uterine cavity.

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 - K220010

SUBMITTER I.

Applicant:Shanghai Horizon Medical Technology Co., Ltd.
Applicant Address:Room 401, building 24, No. 1-28, 588 Tianxiong Rd
Pudong New Area, Shanghai, P.R.China.
Postcode: 201318.
Phone:+86-21-38954600
Fax:+86-21-50801305
Email:BeiBei.Xing@microport.com
Contact Person:Beibei Xing

Date Prepared: December 14, 2022

II. DEVICE

Trade Name:Daylily Single Use Sterile Embryo Transfer Catheters (Type I [ETC-1018 S, ETC-1018 L, ETC-1024 S, ETC-1024 L], Type II [ETC-2018 S, ETC-2018 L, ETC-2024 S, ETC-2024 L], Type III [ETC-3018 S, ETC-3018 L, ETC-3024 S, ETC-3024 L, ETC-3024 S-X, ETC-3024 L-X], and Type IV [ETC-4018 S, ETC-4018 L, ETC-4024 S, ETC-4024 L, ETC-4024 S-X, ETC-4024 L-X])
Common Name:Embryo Transfer Catheters
Regulation Name:Assisted Reproduction Catheters
Regulation Number:21 CFR 884.6110
Regulatory Class:II
Product Code:MQF (Catheter, Assisted Reproduction)

III. PREDICATE DEVICE

Guardia™ Access Nano and Soft-Trans Embryo Transfer Catheter Sets (K172051) manufactured by Cook Incorporated.

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

IV. DEVICE DESCRIPTION

Daylily Single Use Sterile Embryo Transfer Catheters are sterile single use catheters used to deliver in vitro fertilized embryos to the uterine cavity. All models of the Daylily Single Use Sterile Embryo Transfer Catheters consist of a transfer catheter and a guide

4

catheter. Some device models (Type II and Type IV) also include a trial catheter.

The guide catheter is composed of a catheter shaft, connector, and a positioning ring (for certain Type III and IV variants). Guide catheters for some Type III and Type IV variants are also provided pre-curved. Guide catheters have a rounded/blunt tip and marker bands at the distal tip to aid in catheter placement. The guide catheter is delivered through the cervix first and is used to guide the insertion of the transfer catheter holding the embryos into the uterine cavity.

The transfer catheter is composed of a catheter shaft, connector, and a stainless-steel sleeve (for Type III and IV models). Transfer catheters have a rounded/blunt tip and marker bands at the proximal end of the catheter to aid in catheter placement. The transfer catheter is loaded with embryos prior to delivery through the guide catheter and into the uterine cavity. A syringe (not provided with catheters) connected to the connector of the transfer catheter is used to deliver the embryos into the uterine cavity.

The trial catheter is an optional accessory for specific models (Types II and IV), composed of a catheter shaft, connector, and a polymer-coated stainless-steel core. Trial catheters have a rounded/blunt closed tip. The trial catheter is used to provide additional support during guide catheter placement and to assess the placement of the device prior to conducting an actual embryo transfer procedure.

Device configurations and specifications for the Daylily Single Use Sterile Embryo Transfer Catheters (Types I-IV) are shown below:

Components
ModelTransfer catheterGuide catheterTrial catheter
Outer
Diameter
(mm)/Inner
Diameter
(mm)Length
(cm)Outer
Diameter
(mm)/Inner
Diameter(m
m)Length
(cm)Outer
Diameter
(mm)Length (cm)
Type I2.35 mm
OD/1.55-
1.75 mm IDN/AN/A
Type II0.95-1.50
mm
OD/0.55-
0.75 mm ID18-24 cm12-17.3 cm1.40 mm15.3-20.6 cm
Type IIIN/AN/A
Type IV2.35-2.50/
1.55-1.90 ID1.40 mm15.3-20.6 cm

Table 1. Device configurations and models

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The Daylily Single Use Sterile Embryo Transfer Catheters are intended for single use only and sterilized by ethylene oxide. They have a three-year shelf life.

INDICATIONS FOR USE V.

Daylily Single Use Sterile Embryo Transfer Catheters are used to place in vitro fertilized (IVF) embryos into the uterine cavity.

COMPARISON OF THE INTENDED USE AND TECHNOLOGICAL VI. CHARACTERISTICS OF THE SUBJECT AND PREDICATE DEVICES

The following table compares the Daylily Single Use Sterile Embryo Transfer Catheters to the predicate device.

| Comparison Item | Subject Device –
K220010 | Predicate Device –
K172051 | Comparison |
|---------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------|----------------|
| Manufacturer | Shanghai Horizon
Medical Technology
Co., Ltd. | Cook Incorporated | Not applicable |
| Trade name | Daylily Single Use
Sterile Embryo Transfer
Catheters
(Type I [ETC-1018 S,
ETC-1018 L, ETC-1024
S, ETC-1024 L], Type II
[ETC-2018 S, ETC-
2018 L, ETC-2024 S,
ETC-2024 L], Type III
[ETC-3018 S, ETC-
3018 L, ETC-3024 S,
ETC-3024 L, ETC-3024
S-X, ETC-3024 L-X],
and Type IV [ETC-4018
S, ETC-4018 L, ETC-
4024 S, ETC-4024 L,
ETC-4024 S-X, ETC-
4024 L-X]) | Guardia™ Access
Nano and Soft-Trans
Embryo Transfer
Catheter Sets | Not applicable |
| Indications for Use | Daylily Single Use
Sterile Embryo Transfer
Catheters are used to
place in vitro fertilized | Used to place in
vitro fertilized (IVF)
embryos into the
uterine cavity. | Same |

Table 2. Intended use and technological characteristics comparison.
Comparison ItemSubject Device –
K220010Predicate Device –
K172051Comparison
(IVF) embryos into the
uterine cavity.
DimensionTransfer
catheterOD 0.95-1.5 mm (2.85-
4.5 Fr)
Length 18-24 cmOD 2.8-4.7 Fr
Length 19.1-24 cmDifferent
Guide
catheterOD 2.35-2.5 mm (7.05-
7.5 Fr)
Length 12-17.3 cmOD 5.5-8.1 Fr
Length 11.4-17.3 cmDifferent
Trial
catheterOD 1.4mm (4.2 Fr)
Length 15.3-20.6 cmOD 4.0 Fr
Length 18 cmDifferent
MaterialTransfer
catheterPolyurethane,
polycarbonate, stainless
steel (with applicable
variants)polyurethane,
stainless steelDifferent
Guide
catheterPolyether block
polyamide, silicone
(with applicable
variants)Polyethylene,
polymethylpentene,
siliconeDifferent
Trial
catheterPolyether block
polyamide, stainless
steelPolycarbonate,
stainless steel,
polyurethaneDifferent
Variants with pre-curved
guide catheterYesYesSame
Variants with positioning
rings/markersYesYesSame
Depth markers on
cathetersYesYesSame
SterilitySterilized by ethylene
oxideSterilized by
ethylene oxideSame
Single UseYesYesSame
Shelf Life3 years3 yearsSame
Mouse Embryo Assay1-Cell MEA: ≥ 80%
embryos developed to
expanded blastocyst at
96 hours.1-cell MEA ≥80%
embryos developed
to blastocyst in 96
hours.Similar
EndotoxinVisual inspection
- A Bubble Leak test per ASTM F2096-11
- > Seal Strength testing per ASTM F88/ F88M-15
- A Dye Penetration test per ASTM F1929-15
  • Transportation Simulation testing per ASTM D4169-14 .
  • Biocompatibility studies conducted in accordance with the 2020 FDA guidance . document Use of International Standard ISO 10993-1, "Biological Evaluation of Medical Devices - Part 1: Evaluation and testing within a risk management process. " Testing included the following assessments:
    • Cytotoxicity per ISO 10993-5: 2009

    • A Sensitization ISO 10993-10: 2010
    • A Irritation per ISO 10993-10: 2010

Testing showed the device material to be non-cytotoxic, non-sensitizing, and nonirritating.

  • Endotoxin testing per USP and AAMI/ANSI ST72:2019 Specification: Distance indication marker location and durability
    • Dislodgement of positioning ring

    • Tip drop when held horizontally

    • Bonding strength of device connections/bonds

    • Aspiration and leakage testing

    • A Mouse Embryo Assay (MEA) per the 2021 FDA guidance Mouse Embryo Assay for Assisted Reproduction Technology Devices: Specification - 1-Cell

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MEA: ≥ 80% embryos developed to expanded blastocyst at 96 hours.

VIII. CONCLUSIONS

The results of the testing described above demonstrate that the Daylily Single Use Sterile Embryo Transfer Catheters are as safe and effective as the predicate device and supports a determination of substantial equivalence.