K Number
K241552
Date Cleared
2024-09-06

(98 days)

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

The MENTOR™ MemoryGel™ Enhance Single Use Gel Breast Implant Sizer is indicated for single use only for temporary insertion intraoperatively to evaluate the shape and size of the MemoryGel™ Enhance Breast Implanted.

Device Description

The MENTOR™ MemoryGel™ Enhance Single Use Gel Breast Implant Sizer (Sizer) is a silicone elastomer device, filled with silicone gel, that is designed for temporary intraoperative placement in the surgically prepared breast pocket. The Sizer is used to evaluate the appropriate MemoryGel™ Breast Implant size and shape for each patient prior to implantation of a breast implant. It is provided sterile and is for single use only. The Sizer should not be resterilized.

AI/ML Overview

The provided text is a 510(k) summary for the MENTOR™ MemoryGel™ Enhance Single Use Gel Sizer. It outlines the device description, indications for use, comparison to a predicate device, and summaries of non-clinical testing and performance data.

However, the request asks for specific details about the acceptance criteria and the study proving the device meets these criteria, particularly in the context of an AI medical device. The provided FDA document does not pertain to an AI medical device. Instead, it describes a physical medical device (a breast implant sizer). Therefore, many of the requested points, such as AI-specific performance metrics (e.g., effect size of human readers with AI assistance, standalone algorithm performance), and details about training/test sets for an AI model, are not applicable to this document.

The document discusses biocompatibility testing and physical performance data for the sizer device. I will extract the relevant "acceptance criteria" and "device performance" information from the provided text as best as possible, mapping it to the closest available information, while explicitly noting when requested information is not present or not applicable due to the nature of the device described.


Device: MENTOR™ MemoryGel™ Enhance Single Use Gel Sizer
Type of Device: Physical Medical Device (not an AI medical device)


Acceptance Criteria and Reported Device Performance

The provided document details non-clinical testing for biological safety (biocompatibility) and physical properties. The acceptance criteria are implicitly that the device "passed" these tests or showed "no significant effects."

Acceptance Criteria CategorySpecific Test/PropertyAcceptance Criteria (Implicit)Reported Device Performance
BiocompatibilityCytotoxicity (ISO Agarose Overlay and ISO Elution)Device passes cytotoxicity requirements.Passed
Sensitization (Maximization Method)Device passes sensitization requirements.Passed
Intracutaneous ReactivityDevice passes intracutaneous reactivity requirements.Passed
Acute Systemic ToxicityDevice passes acute systemic toxicity requirements.Passed
Hemocompatibility (Direct Contact and Extraction)Device passes hemocompatibility requirements.Passed
Pyrogenicity - Material MediatedDevice is non-pyrogenic.Non-pyrogenic.
Pyrogenicity - Limulus Amebocyte Lysate (LAL)Device is non-pyrogenic.Non-pyrogenic.
Genotoxicity (Bacterial Reverse Mutation Assay)Negative for genotoxic activity.Negative for genotoxic activity.
Genotoxicity (Unscheduled DNA Synthesis Assay in Mammalian Cells In Vitro)Negative for genotoxic activity.Negative for genotoxic activity.
Genotoxicity (Chromosome Aberrations in Chinese Hamster Ovary (CHO) Cells)Negative for genotoxic activity.Negative for genotoxic activity.
Genotoxicity (Micronucleus Cytogenetic Assay in Mice)Negative for genotoxic activity.Negative for genotoxic activity.
ImplantationDevice is non-irritating.Non-irritating.
ImmunotoxicityNo significant effects on immunological response.No significant effects of the test articles on the immunological response.
Autoantibody ProductionNo significant differences for serum IFN-γ levels among treatment groups.No significant differences were found for the serum IFN-γ levels among the treatment groups of this experiment.
AdjuvancyUnlikely to cause an adjuvant effect in humans.Unlikely that silicone gels cause an adjuvant effect in humans.
Reproductive Toxicity/TeratogenicityDoes not cause reproductive or teratogenic effects.Did not cause reproductive or terotogenic effects.
Chronic Toxicity/CarcinogenicityNot considered to be carcinogenic.Not considered to be carcinogenic.
Physical PerformanceShell/Patch Joint StrengthMeets defined acceptance criteria.Passed the acceptance criteria as defined in the protocol.
Shell ElongationMeets defined acceptance criteria.Passed the acceptance criteria as defined in the protocol.
Shell Tension SetMeets defined acceptance criteria.Passed the acceptance criteria as defined in the protocol.
Shell Break ForceMeets defined acceptance criteria.Passed the acceptance criteria as defined in the protocol.
Gel CohesivenessMeets defined acceptance criteria.Passed the acceptance criteria as defined in the protocol.
Microbiological SafetyBioburden TestingVerification of device microbiological safety.Conducted to verify device microbiological safety. (No specific "passed" or "failed" for Bioburden, but implied by overall conclusion that "all physical characteristics passed the acceptance criteria.")
Routine LAL TestingVerification of device microbiological safety.Conducted to verify device microbiological safety. (No specific "passed" or "failed" for LAL, but implied by overall conclusion that "all physical characteristics passed the acceptance criteria.")

Study Details (as applicable to a physical device, not an AI device)

  1. Sample size used for the test set and the data provenance:

    • The document does not explicitly state sample sizes for each specific test. It mentions "test articles" (e.g., "Intact, smooth and Siltex MemoryGel breast implants" for cytotoxicity) which implies physical samples were used.
    • Data Provenance: Not explicitly stated (e.g., country of origin). The testing seems to be laboratory-based performance and biocompatibility testing of manufactured units, rather than human subject data or image data. It refers to established standards (e.g., EN ISO 10993-1, FDA Guidance).
    • Retrospective or Prospective: Not applicable in the context of device design verification; these are laboratory tests.
  2. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:

    • Not applicable. This relates to physical and biological testing metrics, not interpretation of clinical data by experts for ground truth establishment. Biocompatibility results are typically determined by laboratory assays and objective measurements against established standards, not expert consensus. The "ground truth" for physical properties would be engineering specifications and measurements.
  3. Adjudication method (e.g., 2+1, 3+1, none) for the test set:

    • Not applicable. This is relevant for image-based or clinical human-in-the-loop studies (e.g., for AI). For physical device testing, results are typically determined by validated testing methods and equipment.
  4. 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 breast implant sizer, not an AI device. No human-in-the-loop studies involving AI assistance are described.
  5. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done:

    • Not applicable. This is a physical device, not an algorithm.
  6. The type of ground truth used:

    • For Biocompatibility: Laboratory test results, conducted according to ISO 10993 standards and FDA guidance, measuring specific biological responses (e.g., cytotoxicity, sensitization).
    • For Physical Performance: Engineering specifications and objective physical measurements (e.g., strength, elongation, break force, cohesiveness). This leverages testing conducted to qualify the device as an implant, implying adherence to implant design specifications.
  7. The sample size for the training set:

    • Not applicable. This refers to a physical device, not an AI model requiring a training set. The "training" for this device is its manufacturing process and design.
  8. How the ground truth for the training set was established:

    • Not applicable. As above, there is no "training set" in the context of an AI model for this physical device. The device's "ground truth" for its design and manufacturing would be established through established engineering principles, material science, and quality control processes. The document states that the testing "leverages the testing conducted to qualify the device as an implant" and confirms it "meets implant design specifications."

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September 6, 2024

Mentor Worldwide LLC Alicia Botham Senior Program Lead 31 Technology Drive Irvine, California 92614

Re: K241552

Trade/Device Name: MENTOR™ MemoryGel™ Enhance Single Use Gel Sizer Regulatory Class: Unclassified Product Code: MRD Dated: May 24, 2024 Received: May 31, 2024

Dear Alicia Botham:

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 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.

All medical devices, including Class I and unclassified devices and combination product device constituent parts are required to be in compliance with the final Unique Device Identification System rule ("UDI Rule"). The UDI Rule requires, among other things, that a device bear a unique device identifier (UDI) on its label and package (21 CFR 801.20(a)) unless an exception or alternative applies (21 CFR 801.20(b)) and that the dates on the device label be formatted in accordance with 21 CFR 801.18. The UDI Rule (21 CFR 830.300(a) and 830.320(b)) also requires that certain information be submitted to the Global Unique Device Identification Database (GUDID) (21 CFR Part 830 Subpart E). For additional information on these requirements, please see the UDI System webpage at https://www.fda.gov/medical-devices/device-advicecomprehensive-regulatory-assistance/unique-device-identification-system-udi-system.

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).

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Sincerely,

Simeerery',
Alicia Hemphill -S Hemphill -S Hemphill -S Hemphill -S
Alicia Hemphill -S Hemphill -S - Date: 2024.09.06 21:10:36 Date: 2024.09.06 21:10:36 -05'00'

Alicia Hemphill Assistant Director DHT4B: Division of 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

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Indications for Use

510(k) Number (if known) K241552

Device Name

MENTOR™ MemoryGel™ Enhance Single Use Gel Sizer

Indications for Use (Describe)

The MENTOR MemoryGel™ Enhance Single Use Gel Breast Implant Sizer is indicated for single use only for temporary insertion intraoperatively to evaluate the shape and size of the MemoryGel™ Enhance Breast Implanted.

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 (K241552)

Contact Person: Alicia Botham Senior Program Lead, Regulatory Affairs Mentor Worldwide LLC 31 Technology Drive Irvine, CA 92618

Telephone: 828-775-0302

Email: ABotham1@its.jnj.com

May 31, 2024 Date Prepared:

Device Name and Classification

Trade NameMENTOR™ MemoryGel™ Enhance Single Use Gel Sizer
Common NameVolume Sizer for Breast Implants
Product CodeMRD – Mammary Sizer
Device Classification RegulationUnclassified, Pre-Amendment
Classification PanelGeneral and Plastic Surgery
Premarket ReviewOffice of Health Technology 4 (Surgical and InfectionControl Devices)Division of Health Technology 4B (Infection Control andPlastic and Reconstructive Surgery)

Predicate Device

MENTOR™ MemoryGel™ Resterilizable Gel Sizer, K062421

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

Device Description

The MENTOR™ MemoryGel™ Enhance Single Use Gel Breast Implant Sizer (Sizer) is a silicone elastomer device, filled with silicone gel, that is designed for temporary intraoperative placement in the surgically prepared breast pocket. The Sizer is used to evaluate the appropriate MemoryGel™ Breast Implant size and shape for each patient

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prior to implantation of a breast implant. It is provided sterile and is for single use only. The Sizer should not be resterilized.

Indications for Use

The MENTOR™ MemoryGel™ Enhance Single Use Gel Breast Implant Sizer is indicated for single use only for temporary insertion intraoperatively to evaluate the size and shape of the MemoryGel™ Enhance Breast Implant to be implanted.

Comparison of Technological Characteristics with the Predicate Device:

The MENTOR™ MemoryGel™ Enhance (SZUHE) Single Use Gel Sizer is substantially equivalent to the MENTOR™ Resterilizable Gel Sizer which received clearance under 510(k) K062421. The primary differences are the Mentor Resterilizable Gel Sizer is provided non-sterile, can be resterilized and reused up to ten times. The MENTOR™ MemoryGel™ Enhance Gel Breast Implant Sizer is provided sterile and is for single use only.

MENTOR™ MemoryGel™ Enhance SingleUse Gel Sizer (under review)Mentor Resterilizable Gel Sizer510(k) K062421
Indication for UseThe Sizer is only indicated for singleuse for temporary insertionintraoperatively to evaluate the sizeand shape of the MemoryGel™Enhance Breast Implant to beimplanted.The Mentor Resterilizable Gel BreastImplant Sizer is indicated for temporaryinsertion intraoperatively to evaluatethe size and shape of the MemoryGel™Breast Implant to be implanted.
ShellPolydimethylsiloxane andPhenyl Polydimethylsiloxane(Low Bleed Layer)Heat CuredPolydimethylsiloxane andPhenyl Polydimethylsiloxane(Low Bleed Layer)Heat Cured
Low Bleed PatchPolydimethylsiloxanePhenyl Polydimethylsiloxane(Low Bleed Layer)Heat CuredPolydimethylsiloxanePhenyl Polydimethylsiloxane(Low Bleed Layer)Heat Cured
Pad PrintingPolydimethylsiloxaneMoisture CuredPolydimethylsiloxaneMoisture Cured

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FillerSilicone Gel(prefilled)Silicone Gel(prefilled)
SterilizationProvided Sterile(Dry Heat)Provided Non-sterile(with cleaning and sterilizationinstructions)
UseSingle Use OnlyUp to 10 times use

Device Component Comparison for Predicate and Proposed Device(s)

ComponentMENTOR™ MemoryGel™ MC, M+, HP,UHP Resterilizable Gel Breast ImplantSizerMENTOR™ MemoryGel™Enhance Single Use GelSizerPatientContacting
(Predicate)(Proposed)
Silicone ShellPolydimethylsiloxaneSame as predicateYes
Dimethyl: MED-6649
Diphenyl: MED-6609
Silicone gel1 Part Pre-Mix Restricted Gel: GEL1-8109Nusil MED3-6300-1Unrestricted GelNo
Low BleedPatchPolydimethylsiloxaneSame as predicateNo
Dimethyl: MED-6649
Diphenyl: MED-6609
Patch DiskMED-4735Same as predicateNo
DiskMED-4735Same as predicateNo
Dip CoatDow Corning 92-009Same as predicateYes
Black SiliconeInkSilicone CF3-1008-2Same as predicateYes
ShellThicknessMinimum thickness is 0.009"Same as predicateN/A

Summary of Non-Clinical Testing:

Biocompatibility

The MENTOR™ MemoryGel™ Enhance Single Use Gel Sizer is currently categorized as a limited (<24hrs) tissue contacting device as per EN ISO 10993-1 (2020) and FDA Guidance for Industry "Use of International Standard ISO 10993-1, "Biological evaluation of medical devices - Part 1: Evaluation and testing within a risk management process"

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(2023). The materials being used in the Sizer were tested for biological safety. All materials passed the requirements of ISO 10993 for biocompatibility.

The device was first qualified as a breast implant and therefore, testing conducted to qualify the device as an implant can be applied to the device used as a sizer. Per the Design Verification Plan, the only difference between the device as an implant the device as a sizer (the subject of this application), is device labelling as well as pad printing to read "SINGLE USE ONLY" and "NOT FOR IMPLANT."

TestTest ArticleResults
Cytotoxicity Study (ISOAgarose Overlay and ISOElution)Intact, smooth and SiltexMemoryGel breast implantsPassed
Sensitization(MaximizationMethod)MemoryGel smooth shell,textured shell and siliconegelPassed
Intracutaneous ReactivitySmooth and SiltexMemoryGel breast implantsPassed
Acute Systemic ToxicitySmooth and SiltexMemoryGel breast implantsPassed
Hemocompatibility (DirectContact and Extraction)Siltex and smoothMemoryGel breast implantsPassed
Pyrogenicity - MaterialMediatedSmooth and SiltexMemoryGel breast implantsNon-pyrogenic.
PyrogenicityーLimulusAmebocyte Lysate (LAL)Smooth MemoryGel BreastImplantsNon-pyrogenic
Genotoxicity - BacterialReverse Mutation AssaySmooth MemoryGel breastimplantNegative for genotoxic activity
Genotoxicity - UnscheduledDNA Synthesis Assay inMammalian Cells In VitroSmooth MemoryGel breastimplantNegative for genotoxic activity
Genotoxicity - ChromosomeAberrations in ChineseHamster Ovary (CHO) CellsSmooth MemoryGel breastimplantNegative for genotoxic activity
Genotoxicity - MicronucleusCytogenetic Assay in MiceSiltex MemoryGel breastimplantNegative for genotoxic activity
ImplantationSiltex MemoryGel BreastImplantNon-irritating
ImmunotoxicitySmooth and SiltexMemoryGel breast implantsNo significant effects of the testarticles on the immunologicalresponse

Summary of Toxicology and Biocompatibility Testing & Results Considered for the MENTOR™ MemoryGel™ Enhance Single Use Gel Sizer

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Autoantibody ProductionSmooth MemoryGel BreastImplant ShellNo significant differences werefound for the serum IFN-γ levelsamong the treatmentgroups of this experiment.
AdjuvancySiltex MemoryGel BreastImplant Shell and GelUnlikely that silicone gels cause anadjuvant effect in humans
ReproductiveToxicity/TeratogenicitySmooth MemoryGel BreastImplant Shell, SiltexMemoryGel Breast ImplantShell and GelDid not cause reproductive orterotogenic effects
ChronicToxicity/CarcinogenicitySmooth MemoryGel BreastImplant Shell, SiltexMemoryGel Breast ImplantShell and GelNot considered to be carcinogenic

Performance Data

Mentor conducted design verification to assess the physical properties of the Sizers, which leverages the testing conducted to qualify the device as an implant. The following tests were performed: Shell/Patch Joint Strength, Shell Elongation, Shell Tension Set, Shell Break Force, and Gel Cohesiveness. In addition, Bioburden Testing and Routine LAL Testing were conducted to verify device microbiological safety. All physical characteristics passed the acceptance criteria as defined in the protocol. These results confirm that the device meets implant design specifications, and therefore qualifies the device to be used as a sizer for temporary intraoperative use by means of substantial equivalence to the predicate device.

Summary and Conclusion

The combination of successful performance testing (passing all acceptance criteria), unchanged indications for use, and unchanged technological characteristics, demonstrate substantial equivalence of the proposed device to the predicate device. The conclusions drawn from the nonclinical testing (discussed above) demonstrate that the subject device (K241552) is as safe, as effective and performs as well as or better than the predicate device (MENTOR™ Resterilizable Gel Breast Implant Sizer, K062421).

N/A