K Number
K232615
Device Name
LumiMARK™ Biopsy Site Marker (LM0215T (Tulip Shape)); LumiMARK™ Biopsy Site Marker (LM0215L (Lotus Shape)); LumiMARK™ Biopsy Site Marker (LM0215R (Rose shape))
Date Cleared
2024-01-12

(137 days)

Product Code
Regulation Number
878.4300
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The LumiMARK™ Biopsy Site Marker is indicated to mark tissue associated with a percutaneous breast biopsy procedure, including axillary lymph nodes, and be permanently visible under ultrasound, x-ray, and MRI.
Device Description
The LumiMARK™ Biopsy Site Marker implant component [subject device] is composed of a nitinol (nickel/titanium alloy) material versus HydroMARK™ Breast Biopsy Site Marker [predicate device] which is composed of titanium or stainless steel encapsulated in resorbable hydrogel. The marker is not intended to be removed unless the marked tissue is determined to require surgical removal. The marker is supplied pre-loaded in a sterile, disposable applicator that allows the marker to be inserted with direct puncture under ultrasound. The applicator system is of similar design and materials as the currently marketed Devicor Medical Products Inc. HydroMARK™ Breast Biopsy Site Marker (K212158) [predicate device]. LumiMARK™ Biopsy Site Markers will be available in three different shapes. These permanently visible, implantable markers will allow the physician to identify different biopsied sites under ultrasound, x-ray, and MRI. A similar marker device commercialized by Devicor Medical Products, Inc. is already available (under K212158), and this HydroMARK™ Breast Biopsy Marker [predicate]. The deployment system used for the LumiMARK™ Biopsy Site Marker device [subject] will be similar to the HydroMARK™ Breast Biopsy Site Marker [predicate] delivery system with minor design changes to the plunger assembly and cannula. The nitinol markers will be intended for direct puncture or insertion through another introducer needle that is already in the breast or axillary lymph node.
More Information

No
The document describes a physical implantable marker and its delivery system. There is no mention of software, algorithms, or any form of data processing that would suggest the use of AI or ML. The focus is on material composition and mechanical design.

No
The device is described as a "Biopsy Site Marker" indicated to "mark tissue associated with a percutaneous breast biopsy procedure." Its purpose is to identify sites for future imaging, not to treat a disease or condition.

No
The device is a biopsy site marker, not a diagnostic tool. Its purpose is to mark tissue for future identification, not to provide diagnostic information about a medical condition.

No

The device description clearly states it is an implantable marker made of nitinol and supplied in a disposable applicator, indicating it is a physical medical device, not software.

Based on the provided information, the LumiMARK™ Biopsy Site Marker is not an IVD (In Vitro Diagnostic) device.

Here's why:

  • IVD Definition: In vitro diagnostic devices are used to examine specimens taken from the human body, such as blood, urine, or tissue, to provide information about a person's health. They are used outside the body.
  • LumiMARK™ Function: The LumiMARK™ Biopsy Site Marker is an implantable device designed to be placed inside the body (specifically, in breast tissue or axillary lymph nodes) to mark a biopsy site. It is not used to analyze a specimen taken from the body.
  • Intended Use: The intended use is to "mark tissue associated with a percutaneous breast biopsy procedure," not to perform a diagnostic test on a sample.
  • Device Description: The description clearly states it is an "implant component" and is "permanently visible, implantable markers."

Therefore, the LumiMARK™ Biopsy Site Marker falls under the category of an implantable medical device, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The LumiMARK™ Biopsy Site Marker is indicated to mark tissue associated with a percutaneous breast biopsy procedure, including axillary lymph nodes, and be permanently visible under ultrasound, x-ray, and MRI.

Product codes

NEU

Device Description

The LumiMARK™ Biopsy Site Marker implant component [subject device] is composed of a nitinol (nickel/titanium alloy) material versus HydroMARK™ Breast Biopsy Site Marker [predicate device] which is composed of titanium or stainless steel encapsulated in resorbable hydrogel. The marker is not intended to be removed unless the marked tissue is determined to require surgical removal. The marker is supplied pre-loaded in a sterile, disposable applicator that allows the marker to be inserted with direct puncture under ultrasound. The applicator system is of similar design and materials as the currently marketed Devicor Medical Products Inc. HydroMARK™ Breast Biopsy Site Marker (K212158) [predicate device].

LumiMARK™ Biopsy Site Markers will be available in three different shapes. These permanently visible, implantable markers will allow the physician to identify different biopsied sites under ultrasound, x-ray, and MRI. A similar marker device commercialized by Devicor Medical Products, Inc. is already available (under K212158), and this HydroMARK™ Breast Biopsy Marker [predicate].

The deployment system used for the LumiMARK™ Biopsy Site Marker device [subject] will be similar to the HydroMARK™ Breast Biopsy Site Marker [predicate] delivery system with minor design changes to the plunger assembly and cannula. The nitinol markers will be intended for direct puncture or insertion through another introducer needle that is already in the breast or axillary lymph node.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

ultrasound, x-ray, and MRI.

Anatomical Site

tissue associated with a percutaneous breast biopsy procedure, including axillary lymph nodes

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

Summary of Performance Testing:
Performance Testing was conducted on the Devicor Medical Products, Inc. LumiMARK™ Biopsy Site Marker [subject device] to confirm that the device meets all system requirements and is substantially equivalent (SE) to the Devicor Medical Products Inc. HydroMARK Breast Biopsy Site Marker (K212158) [predicate device].
Test Results: PASSED. The results of all performance testing met acceptance criteria and are provided in support of the substantial equivalence determination.
LumiMARK™ Risk Management Results: All risks have been reduced as far as possible through allowed controls: Inherent safety by design, information for safety, and/or preventative measures. There are no unacceptable residual risks at this time. The overall residual risk arising from individual and cumulative risk is acceptable. Benefits outlined are greater than the risks. The product is considered State-of-the-Art.
Conclusion Supporting Substantial Equivalence: The results of the design verification carried out within Devicor Medical Product's ISO 13485:2016 compliant Quality Management System conducted on the LumiMARK™ Biopsy Site Marker [subject device] demonstrates that the subject device is as safe and as effective as the legally marketed predicate device. This evidence in conjunction with the ISO 14971:2019 compliant Risk Management process supports a determination of substantial equivalence of the Devicor Medical Products, Inc. LumiMARK™ Biopsy Site Marker [subject device] when compared to the Devicor Medical Products Inc. HydroMARK™ Breast Biopsy Site Marker (K212158) [predicate devices].

Biocompatibility Testing:
Test Results: PASSED. The results of these Non-Clinical Bench Performance Data are provided in support of the substantial equivalence determination.
Conclusion Supporting Substantial Equivalence: The results of the Biocompatibility Testing conducted on the Devicor Medical Products, Inc. HydroMARK Breast Biopsy Site Marker [subject device] demonstrates that the subject device is as safe, as effective, and performs as well as, the legally marketed predicate device. This testing supports a determination of substantial equivalence (SE) of the Devicor Medical Products, Inc. HydroMARK Breast Biopsy Site Marker [subject device] when compared to the Devicor Medical Products, Inc. HydroMARK Breast Biopsy Site Marker (K212158) [predicate device].

Key Metrics

Not Found

Predicate Device(s)

K212158

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 878.4300 Implantable clip.

(a)
Identification. An implantable clip is a clip-like device intended to connect internal tissues to aid healing. It is not absorbable.(b)
Classification. Class II.

0

Image /page/0/Picture/0 description: The image contains two logos. On the left is the Department of Health & Human Services logo. On the right is the FDA logo, which is a blue square with the letters "FDA" in white, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue.

January 12, 2024

Devicor Medical Products, Inc. Katy Austin Regulatory Affairs Specialist 300 E-Business Way, Fifth Floor Cincinnati. Ohio 45241

Re: K232615

Trade/Device Name: LumiMARK™ Biopsy Site Marker (LM0215T (Tulip Shape)); LumiMARK™ Biopsy Site Marker (LM0215L (Lotus Shape)); LumiMARK™ Biopsy Site Marker (LM0215R (Rose shape)) Regulation Number: 21 CFR 878.4300 Regulation Name: Implantable Clip Regulatory Class: Class II Product Code: NEU Dated: August 28, 2023 Received: December 15, 2023

Dear Katy Austin:

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

1

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).

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 OS 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 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.

2

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, Tek N. Lamichhane -Tek Lamichhane, Ph.D. Assistant Director DHT4B: Division of Infection Control and Plastic and Reconstructive Surgery Devices OHT4: Office of Surgical and Infection Control Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

3

Indications for Use

510(k) Number (if known) K232615

Device Name

LumiMARK™ Biopsy Site Marker (LM0215T (Tulip Shape)); LumiMARK™ Biopsy Site Marker (LM0215L (Lotus Shape)); LumiMARK™ Biopsy Site Marker (LM0215R (Rose shape))

Indications for Use (Describe)

The LumiMARK™ Biopsy Site Marker is indicated to mark tissue associated with a percutaneous breast biopsy procedure, including axillary lymph nodes, and be permanently visible under ultrasound, x-ray, and MRI.

Type of Use (Select one or both, as applicable)
Prescription Use (Part 21 CFR 801 Subpart D)Over-The-Counter Use (21 CFR 801 Subpart C)

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4

510(k) Summary-K232615

SUBMITTER [Per 807.92(a)(1)]

Sponsor/Manufacturer

Devicor Medical Products, Inc. 300 E. Business Way, Fifth Floor Cincinnati, OH 45241 U.S.A.

Establishment Registration Number 3008492462

Official Correspondent for Devicor Medical Products, Inc.

Katy Austin, Senior Regulatory Affairs Specialist Email: katy.austin@mammotome.com

Date Prepared

January 12, 2024

DEVICE [Per 807.92(a)(2)]

Device Trade/Proprietary Name:LumiMARK™ Biopsy Site Marker (LM0215T (Tulip Shape))
LumiMARK™ Biopsy Site Marker (LM0215L (Lotus Shape))
LumiMARK™ Biopsy Site Marker (LM0215R (Rose Shape))
Regulation DescriptionImplantable Marker
Device Common or Usual Name:Marker, Radiographic, Implantable
Device Regulatory Classification:Class II
Device Classification Regulation:21 CFR §878.4300
Product Code:(NEU) – Marker, Radiographic, Implantable
Submission Type:Traditional 510(k) Premarket Notification
Classification Panel:General & Plastic Surgery
Premarket Review:Surgical and Infection Control Devices (OHT4)
Infection Control and Plastic Surgery Devices (DHT4B)

PREDICATE DEVICE [Per 807.92(a)(3)]

| | The Devicor Medical Products, Inc. LumiMARK™ Biopsy Site Marker [subject device] is
substantially equivalent (SE) to the Sponsor's own predicate devices: |
|---------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| | •
Devicor Medical Products Inc. HydroMARK™ Breast Biopsy Site Marker
(K212158) [predicate device] |
| Predicate
Device | The Devicor Medical Products, Inc. LumiMARK™ Biopsy Site Marker [subject device] is
substantially equivalent (SE) to the Devicor Medical Products Inc. HydroMARK™ Breast
Biopsy Site Marker (K212158) [predicate device] in terms of similar Indications for Use
/ Intended Use to mark tissue during or associated with a percutaneous breast biopsy
procedure, be visible under ultrasound for at least 6 weeks, and be permanently visible
by x-ray and MRI. The Devicor Medical Product, Inc. LumiMARK™ Biopsy Site Marker |

5

| (subject device) includes axillary lymph nodes in the Indications for Use/Intended Use
statement as a direct puncture device, also demonstrated in HydroMARK™ as cleared

in K212158.
• Substantial equivalence (SE) of the subject device is based on substantially
equivalent design, functionality, and performance characteristics as the
predicate device.

DEVICE DESCRIPTION [Per 807.92(a)(4)]

The LumiMARK™ Biopsy Site Marker implant component [subject device] is composed of a nitinol (nickel/titanium alloy) material versus HydroMARK™ Breast Biopsy Site Marker [predicate device] which is composed of titanium or stainless steel encapsulated in resorbable hydrogel. The marker is not intended to be removed unless the marked tissue is determined to require surgical removal. The marker is supplied pre-loaded in a sterile, disposable applicator that allows the marker to be inserted with direct puncture under ultrasound. The applicator system is of similar design and materials as the currently marketed Devicor Medical Products Inc. HydroMARK™ Breast Biopsy Site Marker (K212158) [predicate device].

LumiMARK™ Biopsy Site Markers will be available in three different shapes. These permanently visible, implantable markers will allow the physician to identify different biopsied sites under ultrasound, x-ray, and MRI. A similar marker device commercialized by Devicor Medical Products, Inc. is already available (under K212158), and this HydroMARK™ Breast Biopsy Marker [predicate].

The deployment system used for the LumiMARK™ Biopsy Site Marker device [subject] will be similar to the HydroMARK™ Breast Biopsy Site Marker [predicate] delivery system with minor design changes to the plunger assembly and cannula. The nitinol markers will be intended for direct puncture or insertion through another introducer needle that is already in the breast or axillary lymph node.

Product CodeDescriptionShape
LM0215TLumiMARK Biopsy Site Marker "Tulip shape"Image: Tulip shape marker
LM0215LLumiMARK Biopsy Site Marker "Lotus shape"Image: Lotus shape marker
LM0215RLumiMARK Biopsy Site Marker "Rose shape"Image: Rose shape marker

This Traditional 510(k) is being submitted to introduce LumiMARK™ Biopsy Siter Markers to the marketplace as part of the Mammotome brand, and the fundamental scientific technology when compared to the HydroMARK™ Breast Biopsy Site Marker (K212158) [predicate device] has not changed. Both subject and predicate will have 3 year/36 month shelf life.

A User Instructions & Operations Guide, and Safety Information Booklet will be provided for all LumiMARK™ Biopsy Site Markers.

6

INDICATIONS FOR USE

[Per 807.92(a)(5)

The LumiMARK™ Biopsy Site Marker is indicated to mark tissue associated with a percutaneous breast biopsy procedure, including axillary lymph nodes, and be permanently visible under ultrasound, x-ray and MRI.

COMPARISON OF TECHNOLOGICAL CHARACTERISTICS WITH THE PREDICATE DEVICE [Per 807.92(a)(6)]

The Devicor Medical Products, Inc. LumiMARK™ Biopsy Site Marker [subject device] is substantially equivalent (SE) to the Devicor Medical Products Inc. HydroMARK™ Breast Biopsy Site Marker (K212158) [predicate device] based on the similar functional and performance characteristics of the subject device when compared to the predicate device. The minor differences between the subject device and predicate device do not raise concerns of safety and effectiveness.

A side-by-side comparison of the technological characteristics of the subject device and the predicate device, supports a determination of substantial equivalency (SE) per the table below.

LumiMARK Comparison to Predicate HydroMARK Breast Biopsy Site Marker (K212158)
Regulatory
InformationProject Nike
LumiMARK™ Biopsy
Site Marker [subject]HydroMARK™ Breast
Biopsy Site Marker
K212158Comparison
ManufacturerDevicor Medical Products
De Mexico S De RL De CVDevicor Medical Products
De Mexico S De RL De CV---
Device Trade or
Proprietary
NameLumiMARK™ Biopsy Site
MarkerHydroMARK™ Breast
Biopsy Site Marker---
510(k) NumberK232615K212158N/A
Device ClassClass IIClass IISubstantially Equivalent
Device
Classification
NameMarker, Radiographic,
ImplantableMarker, Radiographic,
ImplantableSubstantially Equivalent
Device Common
NameImplantable MarkerImplantable MarkerSubstantially Equivalent
Product Code(NEU) — Marker,
Radiographic, Implantable(NEU) — Marker,
Radiographic, ImplantableSubstantially Equivalent
Regulation
Number21 CFR §878.430021 CFR §878.4300Substantially Equivalent

7

Design Features and Capabilities of the Device
Indications for
UseTo mark tissue associated
with a percutaneous breast
biopsy procedure, including
axillary lymph nodes, and be
permanently visible under
ultrasound, x-ray and MRI.To mark tissue during a
percutaneous breast
biopsy procedure,
including axillary lymph
nodes, be visible under
ultrasound for at least 6
weeks, and be
permanently visible by x-
ray and MRI.Substantially Equivalent
Prescription or
Over-the-
Counter (OTC)
UsePrescriptionPrescriptionSubstantially Equivalent
Use Environment
SterileYesYesSame
Single-UseYesYesSame
Design Features
Marker MaterialNitinol (50% Nickel, 50%
Titanium)Stainless Steel or Titanium
marker, surrounded by
hydrogelSubstantially Equivalent
Marker ShapeTulip (LM0215T)
Lotus (LM0215L)
Rose (LM0215R)Barrel (T1, S1)
Butterfly (T4)
Open Coil (T3, S3)Substantially Equivalent
Cannula TypeRigidRigidSubstantially Equivalent
Cannula
MaterialStainless SteelStainless SteelSubstantially Equivalent
Plunger Rod
MaterialStainless SteelStainless SteelSubstantially Equivalent
Plastic HandlePlastic PolymerPlastic PolymerSubstantially Equivalent
Plunger LockP Plastic PolymerPlastic PolymerSubstantially Equivalent
Plastic Plunger
ButtonPlastic PolymerPlastic PolymerSubstantially Equivalent
Shelf Life3 years/36 months3 years/36 monthsSubstantially Equivalent
Biocompatibility
results- Chemical
Characterization
Cytotoxicity
Sensitization
Irritation
Acute Systemic
Toxicity
Pyrogenicity
Subacute/ Chronic/
Subchronic Toxicity
Implantation
Genotoxicity
Carcinogenicity- Chemical
Characterization
Cytotoxicity
Sensitization
Irritation
Acute Systemic
Toxicity
Pyrogenicity
Subacute/ Chronic/
Subchronic Toxicity
Implantation
Genotoxicity
CarcinogenicitySubstantially Equivalent
Performance
evaluation- Marker Size
Deployment Force
Visibility- Marker Size
Deployment Force
VisibilitySubstantially Equivalent

8

MR Testing Results
MR Status for
MarkerMR ConditionalMR ConditionalSubstantially Equivalent
MR Status for
ApplicatorMR UnsafeMR UnsafeSubstantially Equivalent

SUMMARY OF VERIFICATION DATA AND VERIFICATION TEST CONCLUSIONS [Per 807.92(b)(1)(2)(3)]

Summary of Performance Testing

Performance Testing was conducted on the Devicor Medical Products, Inc. LumiMARK™ Biopsy Site Marker [subject device] to confirm that the device meets all system requirements and is substantially equivalent (SE) to the Devicor Medical Products Inc. HydroMARK Breast Biopsy Site Marker (K212158) [predicate device]. The following Verification Data was provided in support of the substantial equivalence (SE) determination.

Performance Testing
Performance Testing LumiMARK™Test Results: PASSED
The results of all performance testing met acceptance criteria
and are provided in support of the substantial equivalence
determination.
LumiMARK™ Risk ManagementResults: All risks have been reduced as far as possible
through allowed controls: Inherent safety by design,
information for safety, and/or preventative measures.
There are no unacceptable residual risks at this time. The
overall residual risk arising from individual and cumulative
risk is acceptable. Benefits outlined are greater than the
risks. The product is considered State-of-the-Art.
● FDA Recognized Testing Standards:
○ ISO 13485:2016
Certification - Medical Devices –
Quality Management Systems –
Requirements for Regulatory Purposes
process for medical devices
○ ISO 14971:2019 (Ed.3.0)
– Medical Devices - Application of Risk
Management to Medical DevicesConclusion Supporting Substantial Equivalence: The results
of the design verification carried out within Devicor Medical
Product's ISO 13485:2016 compliant Quality Management
System conducted on the LumiMARK™ Biopsy Site Marker
[subject device] demonstrates that the subject device is as
safe and as effective as the legally marketed predicate
device. This evidence in conjunction with the ISO 14971:2019
compliant Risk Management process supports a
determination of substantial equivalence of the Devicor
Medical Products, Inc. LumiMARK™ Biopsy Site Marker
[subject device] when compared to the Devicor Medical
Products Inc. HydroMARK™ Breast Biopsy Site Marker
(K212158) [predicate devices].

9

Biocompatibility Testing including:Biocompatibility Testing
Chemical Characterization Cytotoxicity Sensitization Irritation Acute Systemic Toxicity Material-Mediated Pyrogenicity Subacute/Subchronic/ Chronic Toxicity Implantation Effects Genotoxicity CarcinogenicityTest Results: PASSED
The results of these Non-Clinical Bench Performance Data are provided in
support of the substantial equivalence determination.
FDA Recognized Testing Standards:Conclusion Supporting Substantial Equivalence:
ISO 10993-1:2018-Biological
Evaluation of Medical Devices – Part 1:
Evaluation and Testing Within a Risk
Management Process ISO 10993-3:2014 Biological
Evaluation of Medical Devices – Part 3:
Tests for Genotoxicity, carcinogenicity
and reproductive toxicity ISO 10993-5:2009-Biological
Evaluation of Medical Devices – Part 5:
Tests for In Vitro Cytotoxicity ISO 10993-6:2016-Biological
Evaluation of Medical Devices – Part 6:
Tests for local effects after
implantation ISO 10993-10:2010-Biological
Evaluation of Medical Devices – Part
10: Tests for Irritation and Skin
Sensitization ISO 10993-11:2017-Biological
Evaluation of Medical Devices – Part
11: Tests for Systemic Toxicity ISO 10993-17:2002 Biological
Evaluation of Medical Devices – Part
17: Establishment of allowable limits
for leachable substances ISO 10993-18:2020 Biological
Evaluation of Medical Devices – Part
18: Chemical characterization of
medical device materials within a risk
management process ISO 10993-23:2021 Biological
Evaluation of Medical Devices – Part
23: Tests for IrritationThe results of the
Biocompatibility Testing conducted on the Devicor Medical Products, Inc.
HydroMARK Breast Biopsy Site Marker [subject device] demonstrates that
the subject device is as safe, as effective, and performs as well as, the
legally marketed predicate device. This testing supports a determination of
substantial equivalence (SE) of the Devicor Medical Products, Inc.
HydroMARK Breast Biopsy Site Marker [subject device] when compared to
the Devicor Medical Products, Inc. HydroMARK Breast Biopsy Site Marker
(K212158) [predicate device].
Conclusion: The results of the Verification Testing support the safety of the device and demonstrate that the

requirements and is substantially equivalent (SE) to the Devicor Medical Products Inc. HydroMARK™ Breast Biopsy Site Marker (K212158) [predicate device].

10

SUBSTANTIAL EQUIVALENCE SUMMARY / CONCLUSIONS

Based on the verification results and a side-by-side comparison of the technological characteristics of design, indication for use / intended use, components, and materials of construction, it is concluded that the Devicor Medical Products, Inc. LumiMARK™ Biopsy Site Marker (K232615) [subject device] is substantially equivalent to the Devicor Medical Products Inc. HydroMARK™ Breast Biopsy Site Marker (K212158) [predicate device].