K Number
K230284
Manufacturer
Date Cleared
2023-10-25

(265 days)

Product Code
Regulation Number
882.5950
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Penumbra LP Coil System is indicated for the embolization of:

  • · Intracranial aneurysms
  • · Other neurovascular abnormalities such as arteriovenous malformations and arteriovenous fistulae
  • · Arterial and venous embolizations in the peripheral vasculature
Device Description

The Penumbra LP Coil System is comprised of the Penumbra LP Coil, a platinum embolization coil attached to a composite delivery pusher with a radiopaque positioning marker and the Penumbra LP Coil Detachment Handle.

The coil/delivery pusher is packaged separately from the Penumbra LP Coil Detachment Handle. Penumbra LP Coil includes the following coil configurations:

  • Ruby Coil LP ●
  • Packing Coil LP ●
  • PTC Coil LP ●
  • Helical Coil LP ●
  • Hybrid Coil LP ●
AI/ML Overview

The provided text is a 510(k) summary for the Penumbra LP Coil System. This document focuses on demonstrating substantial equivalence to a previously cleared predicate device, rather than proving the device meets specific acceptance criteria through an independent study with a defined ground truth, a test set, or expert adjudication.

Therefore, many of the requested data points (sample size of test set, data provenance, number of experts for ground truth, adjudication method, MRMC study, standalone performance, training set sample size, ground truth for training set) are not applicable to this type of submission.

Here's an analysis based on the information provided:


1. Table of Acceptance Criteria and Reported Device Performance

The provided document describes bench-top testing performed to evaluate the physical and mechanical properties of the subject device and demonstrate substantial equivalence to the predicate device. For each attribute, the "Specification" acts as the acceptance criteria, and the "Results" indicate the device met these criteria.

AttributeAcceptance Criteria (Specification)Reported Device Performance (Results)
Dimensional/Visual InspectionConfirm the dimensions of the test units meet all product specifications.Pass
Friction TestingConfirm that the friction within a microcatheter is acceptable.Pass
Fatigue Resistance TestingConfirm that the coil implant retains its shape after being cycled into/out of the microcatheter.Pass
Simulated Use TestingSimulated use testing in an anatomical model and post-detachment dimensional inspection.Pass
Radiopacity TestingConfirm fluoroscopic visibility of test units.Pass
Torsional Resistance TestingConfirm torsional resistance of test units.Pass
Corrosion TestingConfirm that there is no visible corrosion after testing.Pass
Coil Stiffness TestingConfirm that test units meet product specifications related to coil stiffness.Pass
Tensile TestingConfirm tensile strength of coil implant and Detachment Pusher joints.Pass

Additionally, the document states:

  • Biocompatibility Testing: The Penumbra LP Coil System was determined to be biocompatible according to the requirements of ISO 10993-1. Specific tests for the Detachment Pusher (Cytotoxicity, Hemocompatibility) and Introducer Sheath (Cytotoxicity, Sensitization, Irritation, Systemic Toxicity, Hemocompatibility, Material-Mediated Pyrogenicity) were performed.
  • Sterilization Testing: The device was tested to be sterile using identical acceptance criteria and testing methods as the predicate device in accordance with ISO 11135 and ISO 10993-7. The Sterilization Assurance Level (SAL) requirement is ≥10-6.

2. Sample Size Used for the Test Set and Data Provenance

The document does not specify a "test set" in the context of clinical data or images for an AI/CAD/software device. The tests performed are bench-top mechanical, chemical, and biological evaluations. The sample size for each bench-top test is not explicitly mentioned.

Data Provenance: Not applicable in the context of clinical data for this type of submission. The data is from laboratory testing (bench-top, biocompatibility, sterilization).


3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications of Those Experts

Not applicable. This submission is for a physical medical device (embolization coil system), not a diagnostic device relying on expert interpretation of images or clinical data. Ground truth, in this context, refers to established engineering specifications and international standards (e.g., ISO 10993-1, ISO 11135, ISO 10993-7).


4. Adjudication Method for the Test Set

Not applicable. There is no "test set" in the sense of clinical cases requiring expert adjudication. The "Pass" results for bench-top tests indicate compliance with predefined engineering specifications.


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. This is a physical medical device; it is not an AI/CAD/software device intended to assist human readers.


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

Not applicable. This is a physical medical device; it is not a standalone algorithm.


7. The Type of Ground Truth Used

For the bench-top testing, the "ground truth" or reference for evaluating performance was engineering specifications, product specifications, and relevant international standards (e.g., ISO 10993-1 for biocompatibility, ISO 11135 and ISO 10993-7 for sterilization).


8. The Sample Size for the Training Set

Not applicable. This is a physical medical device; there is no "training set" in the context of machine learning or AI.


9. How the Ground Truth for the Training Set was Established

Not applicable. There is no training set.

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October 25, 2023

Image /page/0/Picture/1 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" in blue, with the word "ADMINISTRATION" underneath.

Penumbra, Inc. Samyukta Rangachari Regulatory Specialist II One Penumbra Place Alameda, California 94502

Re: K230284

Trade/Device Name: Penumbra LP Coil System Regulation Number: 21 CFR 882.5950 Regulation Name: Neurovascular Embolization Device Regulatory Class: Class II Product Code: HCG, KRD Dated: September 26, 2023 Received: September 28, 2023

Dear Samyukta Rangachari:

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 (the 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 available 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.

Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device" (https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software Change to an Existing Device" (https://www.fda.gov/media/99785/download).

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Your device is also subject to, among other requirements, the Quality System (QS) regulation (21 CFR Part 820), which includes, but is not limited to, 21 CFR 820.30, Design controls; 21 CFR 820.90, Nonconforming product; and 21 CFR 820.100, Corrective and preventive action. Please note that regardless of whether a change requires premarket review, the QS regulation requires device manufacturers to review and approve changes to device design and production (21 CFR 820.30 and 21 CFR 820.70) and document changes and approvals in the device master record (21 CFR 820.181).

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 Part 803) for devices or postmarketing safety reporting (21 CFR Part 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-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 Part 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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,

Naira Muradyan -S

Naira Muradyan, Ph.D. Assistant Director DHT5A: Division of Neurosurgical, Neurointerventional and Neurodiagnostic Devices OHT5: Office of Neurological and Physical Medicine Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

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Indications for Use

510(k) Number (if known) K230284

Device Name Penumbra LP Coil System

Indications for Use (Describe)

The Penumbra LP Coil System is indicated for the embolization of:

  • · Intracranial aneurysms
  • · Other neurovascular abnormalities such as arteriovenous malformations and arteriovenous fistulae
  • · Arterial and venous embolizations in the peripheral vasculature
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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Image /page/3/Picture/0 description: The image shows the Penumbra logo. The word "Penumbra" is written in a red, sans-serif font. To the right of the word is a red circle with a white "P" inside. The logo is simple and modern.

1 510(k) Summary K230284

(as required by 21 CFR 807.92)

Pursuant to Section 12, Part (a)(i)(3A) of the Safe Medical Devices Act of 1990, Penumbra, Inc. is providing the summary of Substantial Equivalence for the subject Penumbra LP Coil System (herein after referred to as LP Coil).

Sponsor/Applicant Name and Address 1.1

Penumbra, Inc. One Penumbra Place Alameda, CA 94502 USA

1.2 Sponsor Contact Information

Samyukta Rangachari Regulatory Affairs Specialist Tel: (763) 742-9306 Fax: (510) 217-6414 E-mail: srangachari@penumbrainc.com

1.3 Date of Preparation of 510(k) Summary

October 25, 2023

1.4 Device Trade or Proprietary Name

Penumbra LP Coil System

Primary Device Classification 1.5

Regulatory Class: II Classification Panel: Neurology Classification Name: Neurovascular embolization device Regulation Number: 21 CFR 882.5950 Product Code: HCG

Secondary Device Classification 1.6

Regulatory Class: II Classification Panel: Cardiovascular Classification Name: Vascular embolization device Regulation Number: 21 CFR 870.3300 Product Code: KRD

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Image /page/4/Picture/0 description: The image shows the word "Penumbra" in a red, sans-serif font. To the right of the word is a red circle with a white "P" inside. The "P" is stylized with a horizontal line running through it.

1.7 Predicate Device

510(k) NumberDevice Name
K192955Penumbra LP Coil System

1.8 Comparison of Technological Characteristics with the Predicate Device

AttributesPredicate DeviceSubjectDevice
General
Trade NamePenumbra LP Coil SystemPenumbra LPCoil System
510(k) NumberK192955K230284
ClassificationClass II: HCG, KRDSAME
Indications for UseThe Penumbra LP Coil System isindicated for the embolization of:• Intracranial aneurysms• Other neurovascular abnormalitiessuch as arteriovenous malformationsand arteriovenous fistulae• Arterial and venous embolizationsin the peripheral vasculatureSAME
Materials
CoilPlatinum/Tungsten, Adhesive,Titanium, PolymerSAME
Introducer SheathPolymerEquivalent
Detachment HandlePlastic, Stainless SteelSAME
Dimensions/Shape
Coil Secondary ShapeComplex, FinishComplex, Finish,Helical, Hybrid
Coil Length1-60 cm1-70 cm
Coil Primary Diameter0.0135 in.0.0115 in.-0.0135 in.
Coil SecondaryDiameter1-8 mm1-10 mm
Detachment PusherLength185 cmSAME
Introducer Sheath Length125 cm max126 cm max
Other
SterilizationEOSAME
Sterilization AssuranceLevel (SAL)≥10-6SAME
AttributesPredicate DeviceSubjectDevice
UseSingle UseSAME
Shelf-life (coil implant &detachment pusher)5 Years1 year
Shelf-life (detachmenthandle)5 YearsSAME
Device PackagingMaterials and DimensionsAs specified inK192955SAME

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Image /page/5/Picture/0 description: The image shows the Penumbra company logo. The word "Penumbra" is written in a red, sans-serif font. To the right of the word is a red circle with a white "P" inside. The logo is simple and modern.

Device Description 1.9

The Penumbra LP Coil System is comprised of the Penumbra LP Coil, a platinum embolization coil attached to a composite delivery pusher with a radiopaque positioning marker and the Penumbra LP Coil Detachment Handle.

The coil/delivery pusher is packaged separately from the Penumbra LP Coil Detachment Handle. Penumbra LP Coil includes the following coil configurations:

  • Ruby Coil LP ●
  • Packing Coil LP ●
  • PTC Coil LP ●
  • Helical Coil LP ●
  • Hybrid Coil LP ●

1.10 Indications For Use

The Penumbra LP Coil System is indicated for the embolization of:

  • . Intracranial aneurysms
  • Other neurovascular abnormalities such as arteriovenous malformations and . arteriovenous fistulae
  • Arterial and venous embolizations in the peripheral vasculature .

1.11 Summary of Non-Clinical Data

Included in this section are summary descriptions of the testing performed on the subject Penumbra LP Coil System based on the risk analysis of changes compared to the predicate device.

1.11.1 Bench-top Testing

Design Verification testing was conducted to evaluate the physical and mechanical properties of the subject devices and demonstrate substantial equivalence to predicate. The following tests were performed, and all tests passed:

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Image /page/6/Picture/0 description: The image shows the Penumbra company logo. The logo consists of the word "Penumbra" in a red, sans-serif font, followed by a red circle with a white "P" inside. The "P" is stylized with a horizontal line extending from the top of the letter to the edge of the circle. There is a registered trademark symbol in the bottom right corner of the logo.

AttributeSpecificationResults
Dimensional/VisualInspectionConfirm the dimensions of the test units meet allproduct specifications.Pass
Friction TestingConfirm that the friction within a microcatheter isacceptable.Pass
Fatigue ResistanceTestingConfirm that the coil implant retains its shape afterbeing cycled into/out of the microcatheter.Pass
Simulated Use TestingSimulated use testing in an anatomical model andpost-detachment dimensional inspection.Pass
Radiopacity TestingConfirm fluoroscopic visibility of test units.Pass
Torsional ResistanceTestingConfirm torsional resistance of test units.Pass
Corrosion TestingConfirm that there is no visible corrosion aftertesting.Pass
Coil Stiffness TestingConfirm that test units meet product specificationsrelated to coil stiffness.Pass
Tensile TestingConfirm tensile strength of coil implant andDetachment Pusher joints.Pass

Table 1: Bench-Top Testing Summary

1.11.2 Biocompatibility Testing

Non-clinical testing determined the Penumbra LP Coil System to be biocompatible according to the requirements of ISO 10993-1. Some biocompatibility testing of the predicate Penumbra LP Coil System was deemed applicable considering the same materials.

The following tests were performed for the Detachment Pusher of the subject Penumbra LP Coil System:

  • . Cytotoxicity
  • Hemocompatibility .

The following tests were performed for the Introducer Sheath of the subject Penumbra LP Coil System:

  • Cytotoxicity ●
  • Sensitization ●
  • Irritation ●
  • Systemic Toxicity .
  • Hemocompatibility ●
  • Material-Mediated Pyrogenicity ●

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Image /page/7/Picture/0 description: The image shows the word "Penumbra" in a red, sans-serif font. To the right of the word is a red circle with a white "P" inside. The "P" is stylized with a line extending from the top of the "P" to the edge of the circle.

1.11.3 Sterilization Testing

The Penumbra LP Coil System was tested to be sterile using identical acceptance criteria and testing methods as the predicate device in accordance with ISO 11135 and ISO 10993-7.

1.12 Performance Data – Animal, Clinical

No animal or clinical studies were conducted because bench testing was determined sufficient for verification and validation purposes.

1.13 Summary of Substantial Equivalence

The subject Penumbra LP Coil System is substantially equivalent to the predicate device Penumbra LP Coil System. The subject device has identical intended use as the predicate device. The subject and the predicate devices differ with minor technological variations, while maintaining the same fundamental scientific technology. However, these differences do not raise different questions of safety and effectiveness.

The device testing described in the 510(k) Summary demonstrates the subject device is substantially equivalent to the predicate device with regards to operating principle, fundamental technology, and device performance.

§ 882.5950 Neurovascular embolization device.

(a)
Identification. A neurovascular embolization device is an intravascular implant intended to permanently occlude blood flow to cerebral aneurysms and cerebral ateriovenous malformations. This does not include cyanoacrylates and other embolic agents, which act by polymerization or precipitation. Embolization devices used in other vascular applications are also not included in this classification, see § 870.3300.(b)
Classification. Class II (special controls.) The special control for this device is the FDA guidance document entitled “Class II Special Controls Guidance Document: Vascular and Neurovascular Embolization Devices.” For availability of this guidance document, see § 882.1(e).