K Number
K222304
Manufacturer
Date Cleared
2022-11-08

(99 days)

Product Code
Regulation Number
884.4160
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Sonata® Transcervical Fibroid Ablation System 2.2 is intended for diagnostic intrauterine imaging and transcervical treatment of symptomatic uterine fibroids, including those associated with heavy menstrual bleeding.

Device Description

The Sonata System 2.2 provides radiofrequency (RF) ablation of uterine fibroids using a transcervical approach that is uterine sparing without incisions or material uterine distension. The system enables a clinician to deliver radiofrequency energy to fibroid tissue resulting in thermal fixation and coagulative necrosis of the tissue. The system combines two technologies - ultrasound for visualization, and radiofrequency energy for ablative therapy - in a single integrated handpiece. The Sonata System is comprised of medical equipment, software, and various single-use and reusable instruments. A single-use Radiofrequency Ablation (RFA) Handpiece attaches to a reusable Intrauterine Ultrasound (IUUS) Probe to provide sonography-guided RF ablation. Once connected, the combination is referred to as the "Treatment Device". The RFA Handpiece connects to the Sonata RF Generator and contains the Needle Electrodes that deliver radiofrequency energy to the target tissue. The IUUS Probe connects to the SMART Tablet and provides diagnostic ultrasound imaging and guidance. Ultrasound guidance is used to localize the fibroids from within the uterine cavity, guide placement of the RFA Handpiece Needle Electrodes into a target fibroid and ensure safety with respect to the serosa. When the Needle Electrodes are anchored within tissue, the physician is able to pivot the IUUS Probe transducer around the Needle Electrodes in order to confirm safety of the uterine serosa through multiple ultrasound planes. The Sonata System allows for treatment planning through the use of a graphical interface and automated control of RF energy delivery. Sonata Graphical Guidance Software (GGS) includes the SMART Guide and integrates treatment planning, targeting, and ablation of fibroids. The SMART Guide displays a real-time graphic overlay on the live ultrasound image for targeting and deployment of radiofrequency ablation.

AI/ML Overview

The provided document is a 510(k) summary for the Sonata® Transcervical Fibroid Ablation System 2.2. It describes modifications made to an already cleared device and demonstrates substantial equivalence to its predicate. The critical point here is that this submission is for modifications to a previously cleared device, and thus, it largely leverages the safety and effectiveness data of the predicate device (K211535). The performance testing done for this specific submission focuses on verifying the impact of the changes.

Here's a breakdown of the requested information based on the provided text:

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

For this specific 510(k) submission (K222304), the performance testing was focused on the modifications to the device (new sterilization instructions for the IUUS Probe and the addition of the IUUS Probe Connector Protector). The document states:

"In all cases, the verification and validation testing met the acceptance criteria."

Therefore, the table will reflect the verification of the changes rather than comprehensive performance data of the entire system (as that was covered in the predicate device's clearance).

Acceptance Criteria (from the document)Reported Device Performance (as stated in the document)
For Addition of validated sterilization instructions for the IUUS Probe:Met Acceptance Criteria
- Risk AnalysisDemonstrated no new risks were identified, and the overall risk profile remains unchanged.
- Sterilization Validation (for STERIS System 1E and STERIS System 1 EXPRESS)Validated; all acceptance criteria met.
- Residuals TestingValidated; all acceptance criteria met.
- Impact on IUUS Probe Use LifeValidated; all acceptance criteria met.
- Impact on IUUS Probe BiocompatibilityValidated; all acceptance criteria met. (The document globally states the device is biocompatible with intended use in compliance with ISO 10993-1, -5, -10, -11).
- Impact on Human Factors Engineering analysisValidated; all acceptance criteria met. (The modified Sonata System 2.2 continues to rely on HFE validation of Sonata System 2.1).
- Electrical safety certification (e.g., ANSI/AAMI ES60601-1, IEC 60601-1-2, etc.)The device continues to comply with the listed electrical safety & EMC standards (ANSI/AAMI ES60601-1:2005, IEC 60601-1-2, IEC 60601-1-6, ANSI AAMI IEC 62366-1, IEC 60601-1-8, ANSI/AAMI IEC 60601-2-2, IEC 60601-2-37, IEC 62304).
For New Accessory: IUUS Probe Connector Protector:Met Acceptance Criteria
- Risk AnalysisDemonstrated no new risks were identified, and the overall risk profile remains unchanged.
- Design verificationValidated; all acceptance criteria met.
- Connector Protector Life testing (including shipping stress & multiple cycles of simulated use, cleaning, disinfection & sterilization with IUUS Probe)Validated; all acceptance criteria met. The new accessory supports reprocessing of the IUUS Probe and provides a water-tight cover for the IUUS Probe electrical connector during liquid reprocessing procedures.
- Human Factors Engineering AnalysisValidated; all acceptance criteria met. (The modified Sonata System 2.2 continues to rely on HFE validation of Sonata System 2.1).
Overall Statement:
Applicable design requirements, FDA recognized standards, and/or methods and criteria used in the predicate device submission."In all cases, the verification and validation testing met the acceptance criteria." and "The modifications... did not raise any new questions of safety and effectiveness." and "The risk analysis demonstrated that no new risks were identified... and the overall risk profile of the device remains unchanged."
Clinical Trial Acceptance Criteria (from predicate K211535, relied upon by K222304): No specific numerical acceptance criteria are provided in this summary for the clinical endpoints, but the overall conclusion for the predicate implies they were met.Results from IDE G140114 (NCT NCT02228174) with n=147 treated subjects across 22 centers demonstrated the system performs as intended and per specifications, and ablation capability was confirmed with reproducible, discretely demarcated zone of tissue necrosis.

2. Sample sizes used for the test set and the data provenance

  • For the modifications assessed in K222304 (sterilization and connector protector):

    • Sample Size: Not explicitly stated for each specific test (e.g., how many IUUS probes were tested for use life or biocompatibility with the new sterilization methods). However, the document indicates that "verification and validation testing met the acceptance criteria" for these changes.
    • Data Provenance: Not specified as a country of origin. This refers to bench testing and design control activities rather than human subject data. The validation was conducted by Gynesonics, Inc. as part of their design control procedures.
    • Retrospective/Prospective: These are likely prospective bench tests performed specifically for this submission.
  • For the underlying clinical safety and effectiveness of the Sonata System (relied upon from predicate K211535):

    • Sample Size: 147 treated patients (n=147).
    • Data Provenance: The study (IDE G140114, NCT NCT02228174) included 22 centers with treated patients. The specific countries are not mentioned in this summary but are typically part of a full clinical study report.
    • Retrospective/Prospective: This was a single-arm cohort study, effectively prospective, where each subject served as their own control for assessing treatment outcomes.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

  • For the modifications assessed in K222304: This refers to bench testing and design verification/validation. Ground truth would be defined by engineering specifications, recognized standards (e.g., ISO, IEC), and established test protocols. The document does not describe the involvement of external experts for establishing ground truth for these specific non-clinical tests, and it's not typically required for this type of verification.
  • For the underlying clinical safety and effectiveness of the Sonata System (relied upon from predicate K211535): The document does not specify the number or qualifications of experts used to establish ground truth for the clinical outcomes. In clinical trials for this type of device, ground truth for fibroid diagnosis and treatment effect would typically be established by the treating physicians (e.g., gynecologists) and potentially independent assessment committees based on imaging (ultrasound, MRI) and patient-reported outcomes.

4. Adjudication method for the test set

  • For the modifications assessed in K222304: Adjudication methods are not described for these bench tests. Compliance is determined against pre-defined engineering specifications and standard requirements.
  • For the underlying clinical safety and effectiveness of the Sonata System (relied upon from predicate K211535): The document does not specify an adjudication method for the clinical trial endpoints. Clinical trials often employ independent data monitoring committees or clinical events committees for adjudication, but this detail is not present in the 510(k) summary.

5. If a multi-reader multi-case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

  • Not Applicable. The Sonata System 2.2 is a medical device for fibroid ablation, not an AI-powered diagnostic system that relies on human readers interpreting images. While it uses "Sonata Graphical Guidance Software (GGS)" including a "SMART Guide" with "graphical overlay on the live ultrasound image for targeting and deployment," this is an integrated guidance system for the physician performing the procedure, not a standalone AI diagnostic tool requiring MRMC studies to assess reader improvement. The "SMART Guide" provides real-time visual assistance during the procedure.

6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

  • Not Applicable. The Sonata System is not a standalone algorithm. It is a physical medical device (ablator) with integrated ultrasound imaging and software guidance, requiring direct human operation (human-in-the-loop) during the transcervical fibroid ablation procedure. The "SMART Guide" is an integral part of the user interface provided to the clinician.

7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.)

  • For the modifications assessed in K222304: The ground truth for these specific changes involves adherence to engineering specifications, validated sterilization protocols, biocompatibility standards, and functional performance criteria in bench testing.
  • For the underlying clinical safety and effectiveness of the Sonata System (relied upon from predicate K211535): The clinical trial (IDE G140114) would have relied on a combination of:
    • Clinical outcomes data: Patient symptoms (e.g., heavy menstrual bleeding), quality of life.
    • Imaging: For fibroid identification, sizing, and assessment of treatment effect (e.g., volume reduction of ablated fibroids).
    • Safety data: Adverse event reporting.

8. The sample size for the training set

  • Not Applicable. This document describes a medical device with integrated software guidance, not a machine learning or AI model that requires a distinct training set in the typical sense. The software (Sonata System Software v2.1.2) is likely developed through traditional software engineering processes, not by training on a large dataset of patient images or outcomes.

9. How the ground truth for the training set was established

  • Not Applicable. As this is not an AI/ML system requiring a training set in the typical sense, there is no discussion of how ground truth for a training set was established. The software's functionality and guidance (the "SMART Guide") are based on established medical principles of ultrasound imaging and radiofrequency ablation, not derived from a trained dataset.

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Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). On the left, there is a symbol representing the Department of Health & Human Services - USA. To the right of this symbol, there is a blue square with the letters "FDA" in white. Next to the blue square, the words "U.S. FOOD & DRUG ADMINISTRATION" are written in blue.

November 8, 2022

Gynesonics, Inc. Diane King VP, Global Regulatory Affairs & Healthcare Compliance 600 Chesapeake Drive Redwood City, CA 94063

Re: K222304

Trade/Device Name: Sonata® Transcervical Fibroid Ablation System 2.2 Regulation Number: 21 CFR§ 884.4160 Regulation Name: Unipolar Endoscopic Coagulator-Cutter and Accessories Regulatory Class: II Product Code: KNF, ITX, IYO Dated: October 7, 2022 Received: October 11, 2022

Dear Diane King:

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.

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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 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,

Jason Roberts -S

Jason R. Roberts, 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

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Indications for Use

510(k) Number (if known) K222304

Device Name

Sonata® Transcervical Fibroid Ablation System 2.2

Indications for Use (Describe)

The Sonata® Transcervical Fibroid Ablation System 2.2 is intended for diagnostic intrauterine imaging and transcervical treatment of symptomatic uterine fibroids, including those associated with heavy menstrual bleeding.

Type of Use (Select one or both, as applicable)
Remediation Use (Part 21 CFR 601 Subpart E)
For-Profit Control Use (21 CFR 601 Subpart E)

X Prescription Use (Part 21 CFR 801 Subpart D)

| Over-The-Counter Use (21 CFR 801 Subpart C)

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gyn

510(k) Summary

Sponsor:Gynesonics, Inc.600 Chesapeake DriveRedwood City, CA 94063
Contact Person:Diane KingVP Global Regulatory Affairs and Healthcare Compliancedking@gynesonics.com(650) 216-3883
Date Prepared:November 2, 2022

Device Information

Proprietary Name:Sonata® Transcervical Fibroid Ablation System 2.2
Common Name:Sonography-Guided Transcervical Fibroid Ablation System
Class:Class II
Regulation:21 CFR 884.4160Unipolar endoscopic coagulator-cutter and accessories
Product Code:KNF Coagulator-Cutter, Endoscopic, Unipolar (And AccessoriesITX Transducer, Ultrasonic, DiagnosticIYO Ultrasonic pulsed echo imaging system
Classification Panel:85 – Obstetrical & Gynecological

Indications for Use

The Sonata® Transcervical Fibroid Ablation System 2.2 is intended for diagnostic intrauterine imaging and transcervical treatment of symptomatic uterine fibroids, including those associated with heavy menstrual bleeding.

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Predicate Devices

The predicate device is listed in Table 1. The predicate device is the unmodified Sonata Transcervical Fibroid Ablation System 2.2.

The predicate device has not been the subject of any design-related recalls.

Table 1 Table of Predicate and Reference Device

510(k)Product510(k) HolderClearance Date
K211535Sonata Transcervical Fibroid Ablation System2.2GynesonicsJune 17, 2021

Device Description:

The Sonata System 2.2 (Figure 1) provides radiofrequency (RF) ablation of uterine fibroids using a transcervical approach that is uterine sparing without incisions or material uterine distension. The system enables a clinician to deliver radiofrequency energy to fibroid tissue resulting in thermal fixation and coagulative necrosis of the tissue.

Image /page/4/Figure/9 description: The image shows the text "Figure 1 Sonata System 2.2". The text is in bold font. The figure number is 1, and the system version is 2.2.

Image /page/4/Figure/10 description: The image shows a medical device system and its components. On the left is a system cart with a SMART Tablet and RF Generator attached. On the right are the components: IUUS Probe, RFA Handpiece, RFA Handpiece Cable, and two Dispersive Electrodes. The reusability of each component is specified.

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The system combines two technologies - ultrasound for visualization, and radiofrequency energy for ablative therapy - in a single integrated handpiece (Figure 2).

Figure 2 Intrauterine Ultrasound (IUUS) Probe being connected to the Radiofrequency Ablation (RFA) Handpiece to form a single Treatment Device

Image /page/5/Picture/4 description: The image shows two medical instruments, labeled as "IUUS Probe" and "RFA Handpiece", being held by gloved hands. The IUUS probe is positioned above the RFA handpiece, both against a blue background. A second image shows the two instruments being held together.

The Sonata System is comprised of medical equipment (Figure 1), software, and various single-use and reusable instruments. Sonata System devices and accessories are summarized in Table 2. The devices that are changed or new with this submission are shown in bold purple.

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Catalog NumberProduct Description
Durable Equipment
SONATA2-110Sonata Transcervical Fibroid Ablation System, consisting of:
RFG2-110Sonata Radiofrequency Generator
USCON-2200Sonata SMART Tablet
ACCY-002Sonata System Cart
External componentsFootswitch, mouse, cables
System Software
SW-002Sonata System Software v2.1.2
Reusable Devices
IUSP-002Sonata Intrauterine Ultrasound (IUUS) Probe (Non-Sterile) (modified IFU)
IUSP-002SSonata Intrauterine Ultrasound (IUUS) Probe (Sterile)
ACCY-008Sonata RFA Handpiece Cable, Reusable
Single-Use Devices
RFA-002Sonata Radiofrequency Ablation Handpiece (Sterile)
DE-001Sonata Dispersive Electrode (Non-sterile)
Accessories
SHPR-001Sonata Intrauterine Ultrasound Probe Sterile Shipper Kit
RTN-001Sonata Intrauterine Ultrasound Probe Return Kit
ACCY-018Sonata IUUS Probe Connector Protector
OM-1000-GSSonata IUUS Probe Reprocessing Tray (Manufacturer: Summit Medical LLC)
8EC4AEndocavity Ultrasound Transducer (Manufacturer: Terason®)

Table 2 Sonata System 2.2 Devices and Accessories

A single-use Radiofrequency Ablation (RFA) Handpiece attaches to a reusable Intrauterine Ultrasound (IUUS) Probe as shown in Figure 2 to provide sonography-guided RF ablation. Once connected, the combination is referred to as the "Treatment Device". The RFA Handpiece connects to the Sonata RF Generator and contains the Needle Electrodes that deliver radiofrequency energy to the target tissue. The IUUS Probe connects to the SMART Tablet and provides diagnostic ultrasound imaging and guidance. Ultrasound guidance is used to localize the fibroids from within the uterine cavity, guide placement of the RFA Handpiece Needle Electrodes into a target fibroid and ensure safety with respect to the serosa. When the Needle Electrodes are anchored within tissue, the physician is able to pivot the IUUS Probe transducer around the Needle Electrodes in order to confirm safety of the uterine serosa through multiple ultrasound planes.

The Sonata System allows for treatment planning through the use of a graphical interface and automated control of RF energy delivery.

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Sonata Graphical Guidance Software (GGS) includes the SMART Guide (Figure 3) and integrates treatment planning, targeting, and ablation of fibroids. The SMART Guide displays a real-time graphic overlay on the live ultrasound image for targeting and deployment of radiofrequency ablation.

Image /page/7/Figure/3 description: The image is a figure from the Sonata System SMART Guide. The figure shows two images, one ultrasound and one anatomical, with labels for the IUUS Probe Tip, Introducer Guide, Ablation Zone, and Thermal Safety Border. The text explains that the SMART Guide is a graphical overlay used for sizing and positioning of the Ablation Zone over the targeted fibroid, and that the Thermal Safety Border must be kept within the uterine serosa at all times.

Figure 3 Sonata SMART Guide

Two main elements of the SMART Guide are the Ablation Zone and the Thermal Safety Border.

  • Ablation Zone (red inner ellipse) a two-dimensional representation of the outer . boundary of the average region of tissue ablation for the selected ablation size
  • . Thermal Safety Border (green outer ellipse) - the distance at which tissue outside of the Ablation Zone is safe from the potential of thermal damage.

Changes triggering this 510(k)

Table 3 summarizes the changes to the Sonata System 2.2 that are driving the need for a new 510(k).

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Sonata System 2.2Component/AccessoryDescription of ChangeReason for changeImpact of Change
Sonata IntrauterineUltrasound (IUUS) ProbeIUSP-002Labeling change: Additionof validated instructions forsterilization of the IUUSProbe by the followingliquid chemical sterilantprocessing systems:STERIS System 1E®(available in the US only)STERIS System 1®EXPRESS(available only OUS).Expand options forsterilization of reusabledevice.Sterilization validationand verification of devicecompatibility required.
Addition of unclassifiedaccessory:ACCY-018 Sonata IUUSProbe Connector ProtectorReferenced within SonataIUUS Probe IUSP-002 IFUNew accessory supportsreprocessing of the IUUSProbeProvides a water-tightcover for the IUUSProbe electricalconnector during liquidreprocessingprocedures.Design controls werefollowed for the newaccessory. See Table 5for summary of designcontrols and test resultsrelevant to use of thenew accessories forreprocessing of theIUUS Probe.

Table 3 Summary of Device Changes Triggering New 510(k)

Comparison to Predicate Device

Table 4 contains a detailed comparison of the modified Sonata System 2.2 to its predicate, the unmodified Sonata System 2.2. The modified Sonata Transcervical Fibroid Ablation System 2.2 employs the same fundamental scientific technology as the currently marketed predicate Sonata Transcervical Fibroid Ablation System 2.2 (K211535). The modifications in the subject device do not raise any new questions of safety and effectiveness.

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Modified Sonata System 2.2(this submission)Predicate Sonata System 2.2(K211535)Comparison Discussion
CharacteristicsIntended Use/Indications for Use
Intended UseAblation of uterine fibroids with diagnosticultrasound imaging.Ablation of uterine fibroids with diagnosticultrasound imaging.Same
Indications for UseThe Sonata System is intended for diagnosticintrauterine imaging and transcervicaltreatment of symptomatic uterine fibroids,including those associated with heavymenstrual bleeding.The Sonata System is intended for diagnosticintrauterine imaging and transcervicaltreatment of symptomatic uterine fibroids,including those associated with heavymenstrual bleeding.Same
Regulation Number§884.4160 Unipolar endoscopic coagulator-cutter and accessories§884.4160 Unipolar endoscopic coagulator-cutter and accessoriesSame
Product CodeKNFCoagulator-Cutter, Endoscopic, Unipolar (AndAccessories)ITXTransducer,Ultrasonic, DiagnosticIYOUltrasonic pulsed echo imaging systemKNFCoagulator-Cutter, Endoscopic, Unipolar (AndAccessories)ITXTransducer,Ultrasonic, DiagnosticIYOUltrasonic pulsed echo imaging systemSame
System Functional/ Operational Features
Principal Mode of OperationRadiofrequency ablation of fibroid tissueresulting in thermal fixation and coagulativenecrosis.B Mode ultrasound imagingRadiofrequency ablation of fibroid tissueresulting in thermal fixation and coagulativenecrosis.B Mode ultrasound imagingSame
Primary user interfaceGraphical user interfaceGraphical user interfaceSame
CharacteristicsModified Sonata System 2.2(this submission)Predicate Sonata System 2.2(K211535)Comparison Discussion
TreatmentPlanningIntegrated SMART Guide in softwareIntegrated SMART Guide in softwareSame
TreatmentApproachIn situ delivery and control of RF energy through deployable array needle electrodes with impedance and temperature feedback under visual control.In situ delivery and control of RF energy through deployable array needle electrodes with impedance and temperature feedback under visual control.Same
TreatmentGuidanceMust be used under ultrasound guidance that is integrated into the system. The Ultrasound Console (SMART Tablet) with IUUS Probe is indicated for intrauterine imaging and guidance for placement of the Needle Electrodes.Must be used under ultrasound guidance that is integrated into the system. The Ultrasound Console (SMART Tablet) with IUUS Probe is indicated for intrauterine imaging and guidance for placement of the Needle Electrodes.Same
Route ofAccessTranscervicalTranscervicalSame
System Components
RF GeneratorAn RF Generator provides RF energy to the RFA Handpiece through the handpiece cableAn RF Generator provides RF energy to the RFA Handpiece through the handpiece cableSame
TreatmentDeviceSingle-use RFA handpiece with trocar-pointed shaft and 7 deployable needle electrodes, with reusable Cable. Combines with the reusable Intrauterine Ultrasound Probe to form the "Treatment Device".Single-use RFA handpiece with trocar-pointed shaft and 7 deployable needle electrodes, with single-use Cable. Combines with the reusable Intrauterine Ultrasound Probe to form the "Treatment Device".Same
DispersiveElectrodesDispersive Electrodes, quantity 2, with cables; provides return path for the RF energy delivered by the HandpieceDispersive Electrodes, quantity 2, with cables; provides return path for the RF energy delivered by the HandpieceSame
CharacteristicsModified Sonata System 2.2 (this submission)Predicate Sonata System 2.2 (K211535)Comparison Discussion
Ultrasound ConsoleIncorporates the Terason uSmart3200T Ultrasound System (K150533) with addition of Sonata Graphical Guidance software. The uSmart3200T is a tablet with 11.6" LED backlit display, lithium-polymer battery. Uses a medical-grade power supply. Data transferred internally from the ultrasound engine to the laptop computer over a FireWire (aka IEEE 1394)Incorporates the Terason uSmart3200T Ultrasound System (K150533) with addition of Sonata Graphical Guidance software. The uSmart3200T is a tablet with 11.6" LED backlit display, lithium-polymer battery. Uses a medical-grade power supply. Data transferred internally from the ultrasound engine to the laptop computer over a FireWire (aka IEEE 1394)Same
Ultrasound TransducerGynesonics Sonata Intrauterine Ultrasound (IUUS) ProbeGynesonics Sonata Intrauterine Ultrasound (IUUS) ProbeSame
Ultrasound TransducerClaimed compatibility with commercially available Terason 8EC4A transducerClaimed compatibility with commercially available Terason 8EC4A transducerSame
Power cordPower cord - A medical grade power cord that provides AC power to the power strip on the System Cart. The power strip in turn powers the RF Generator and the Ultrasound Console.Power cord - A medical grade power cord that provides AC power to the power strip on the System Cart. The power strip in turn powers the RF Generator and the Ultrasound Console.Same
FootswitchPneumatic footswitch with PVC tubing used to activate and terminate delivery of RF energy.Pneumatic footswitch with PVC tubing used to activate and terminate delivery of RF energy.Same
Optical MouseOptical MouseOptical MouseSame
System CartCart, accommodates tabletCart, accommodates tabletSame
Materials
Materials - Patient Contact - IUUS ProbeGlass fiber filled polyetherimide, glass reinforced vinyl ester, fluorocarbon rubber, UV adhesive, SiliconeGlass fiber filled polyetherimide, glass reinforced vinyl ester, fluorocarbon rubber, UV adhesive, SiliconeSame
Patient Contact Materials - active electrodeMedical grade metal alloys and plastic polymers (i.e. Nitinol®, surgical grade stainless steel)Medical grade metal alloys and plastic polymers (i.e. Nitinol®, surgical grade stainless steel)Same
CharacteristicsModified Sonata System 2.2(this submission)Predicate Sonata System 2.2(K211535)Comparison Discussion
Patient ContactMaterials- dispersiveelectrodeAcrylate-polymer based hydrogel, polyesterfabric with poly film and medical grade acrylicadhesiveAcrylate-polymer based hydrogel, polyesterfabric with poly film and medical grade acrylicadhesiveSame
BiocompatibilityIs biocompatible with intended use incompliance with• ISO 10993-1 5th Ed. 2018-08• ISO 10993-5 3rd ed. 2009-06-01• ISO 10993-10 3rd ed. 2010-08-01• ISO 10993-11 3rd ed. 2017-09Is biocompatible with intended use incompliance with• ISO 10993-1 5th Ed. 2018-08• ISO 10993-5 3rd ed. 2009-06-01• ISO 10993-10 3rd ed. 2010-08-01• ISO 10993-11 3rd ed. 2017-09Same
Safety and Performance
Electrical Safety& EMCANSI/AAMI ES60601-1:2005/(R)2012 And A1:2012,C1:2009 / (R)2012 And A2:2010/(R)2012IEC 60601-1-2 Ed 4: 2014-02IEC 60601-1-6 Ed 3.1 2013-10ANSI AAMI IEC 62366-1:2015IEC 60601-1-8: Edition 2.1 2012-11ANSI/AAMI IEC 60601-2-2:2017IEC 60601-2-37 Ed 2.1 2015IEC 62304 Ed. 1.1 2015-06ANSI/AAMI ES60601-1:2005/(R)2012 And A1:2012,C1:2009 / (R)2012 And A2:2010/(R)2012IEC 60601-1-2 Ed 4: 2014-02IEC 60601-1-6 Ed 3.1 2013-10ANSI AAMI IEC 62366-1:2015IEC 60601-1-8: Edition 2.1 2012-11ANSI/AAMI IEC 60601-2-2:2017IEC 60601-2-37 Ed 2.1 2015IEC 62304 Ed. 1.1 2015-06Same
Performancetesting –System level(bench)• Shelf-life / Service life• Confirmatory verification to specifications,standards, and guidance documents.• Shelf-life / Service life• Confirmatory verification to specifications,standards and guidance documents.Same including designcontrols
CharacteristicsModified Sonata System 2.2(this submission)Predicate Sonata System 2.2(K211535)Comparison Discussion
Performancetesting –AblationAblation output RF Generator safety features Handpiece retention forces Ultrasound visibility of the handpiece Dispersive Electrode adhesion RF Generator software and hardware verification and validation, including GUI, alerts, communication between components, real-time feedback to user via device sensors, power control, and software/hardware interface Successfully demonstrated through early clinical and bench ablation testing that the system performs as intended and per specifications. Ablation capability was confirmed and the radiofrequency ablation provides a reproducible, discretely demarcated zone of tissue necrosis.Ablation output RF Generator safety features Handpiece retention forces Ultrasound visibility of the handpiece Dispersive Electrode adhesion RF Generator software and hardware verification and validation, including GUI, alerts, communication between components, real-time feedback to user via device sensors, power control, and software/hardware interface Successfully demonstrated through early clinical and bench ablation testing that the system performs as intended and per specifications. Ablation capability was confirmed and the radiofrequency ablation provides a reproducible, discretely demarcated zone of tissue necrosis.Same
Acoustic OutputMeasurementStandardNEMA UD 2-2004 (R2009)IEC 60601-2-37 Ed 2.1 2015NEMA UD 2-2004 (R2009)IEC 60601-2-37 Ed 2.1 2015Same
Acoustic OutputGlobalMaximumB Mode:ISPTA ≤ limit of 720 mW/cm²Value: 162 mW/cm²ISPTA ≤ limit of 720 mW/cm²Value: 162 mW/cm²Same
MI ≤ limit of 1.9Value: 1.7MI ≤ limit of 1.9Value: 1.7
CharacteristicsModified Sonata System 2.2(this submission)Predicate Sonata System 2.2(K211535)Comparison Discussion
Usability andIEC 60601-1-6 Ed 3.1 2013-10IEC 60601-1-6 Ed 3.1 2013-10Same
Human FactorsValidationANSI AAMI IEC 62366-1:2015ANSI AAMI IEC 62366-1:2015
The modified Sonata System 2.2 continues torely on HFE validation of Sonata System 2.1.Sonata System 2.2 continues to rely on HFEvalidation of Sonata System 2.1.
Clinical Trial todemonstratesafety andeffectivenessIDE G140114NCT NCT02228174n = 14722 centers with treated patientsIDE G140114NCT NCT02228174n = 14722 centers with treated patientsSame
Single-arm cohort study with each subjectserving as her own control.Single-arm cohort study with each subjectserving as her own control.
The modified Sonata System 2.2 continues torely on the same clinical trial study as theunmodified Sonata System 2.2. The changesassociated with the subject of this 510k donot change safety or efficacy of the device.Sonata System 2.2 continues to rely on theclinical trial study as Sonata System 2.1.

Table 4 Substantial Equivalence Table for Sonata System

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Performance Testing

Gynesonics has applied their design control procedures including risk analysis to evaluate the modifications to the device which are the subject of this 510(k). For each change, verification and, as required, validation was conducted on the modified device to demonstrate that the modified device meets the applicable design requirements. The test methods and acceptance criteria used established methods consisting of FDA recognized standards and/or the same methods and criteria as were used in the predicate device submission. Table 5 summarizes the design control activities. In all cases, the verification and validation testing met the acceptance criteria.

ChangeSummary of Design Control Activities andTesting
Addition of validated instructions for sterilization of theIUUS Probe by STERIS System 1E liquid chemicalprocessing system for Reusable Sonata IntrauterineUltrasound (IUUS) Probe IUSP-002Risk AnalysisSterilization ValidationResiduals TestingImpact on IUUS Probe Use LifeImpact on IUUS Probe BiocompatibilityImpact on Human Factors Engineering analysisElectrical safety certification
New Accessory for reprocessing, IUUS ProbeConnector ProtectorRisk AnalysisDesign verificationConnector Protector Life testing including shipping stress &multiple cycles of simulated use, cleaning, disinfection &sterilization with IUUS ProbeHuman Factors Engineering Analysis

Table 5 Summary of Design Control Activities

The risk analysis demonstrated that no new risks were identified as a consequence of the modifications and the overall risk profile of the device remains unchanged.

Animal Data

No animal data was needed to validate the subject modified Sonata System 2.2.

Clinical Data

No additional clinical study data was needed to validate the subject modified Sonata System 2.2.

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Conclusion

The subject modified Sonata Transcervical Fibroid Ablation System 2.2 employs the same fundamental scientific technology as the currently marketed predicate Sonata Transcervical Fibroid Ablation System 2.2 (K211535). Both systems combine radiofrequency ablation with intrauterine sonography. The indications for use and workflow are the same. The modifications to the device, as described in this 510(k) have been verified and validated according to design controls. The changes in the subject device did not raise any new questions of safety and effectiveness. Therefore, the Sponsor believes that the modified Sonata System 2.2 is substantially equivalent to its predicate device, the Sonata System 2.2 (K211535).

§ 884.4160 Unipolar endoscopic coagulator-cutter and accessories.

(a)
Identification. A unipolar endoscopic coagulator-cutter is a device designed to destroy tissue with high temperatures by directing a high frequency electrical current through the tissue between an energized probe and a grounding plate. It is used in female sterilization and in other operative procedures under endoscopic observation. This generic type of device may include the following accessories: an electrical generator, probes and electrical cables, and a patient grounding plate. This generic type of device does not include devices used to perform female sterilization under hysteroscopic observation.(b)
Classification. Class II (performance standards).