K Number
K983595
Manufacturer
Date Cleared
1999-02-08

(118 days)

Product Code
Regulation Number
884.6110
Reference & Predicate Devices
N/A
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Transmyometrial Embryo Transfer Sets are used for transferring IVF embryo (s) into the endometrial cavity through the myometrium. These devices are sterile and intended for one time use. The Transmyometerial Embryo Transfer Set should not be used on a patient with an active vaginal or intrauterine infection, a sexually transmitted disease, a recent uterine perforation. cervical stenosis or other cervical abnormalities which would preclude embryo transfer, a recent cesarcan section, a recent pregnancy (or is currently pregnant), or if a patient currently has an intrauterine device.

Device Description

The Transmyometrial Embryo Transfer Set is used for transferring IVF embryo(s) into the endometrial cavity through the myometrial Embryo Transfer Set should not be used on a patient with an active vaginal or intrauterine infection, a sexually transmitted discase, a recent uterine perforation, cervical stenosis or other cervical abnormalities which would preclude embryo transfer, a recent cesarean section, a recent pregnanty (or is currently program), or if the patient currently has an intrauterine device. The materials used in this device are TFE and 300 Series Stainless Steel. Both materials are widely used in the medical field and biocompatibility is assured.

AI/ML Overview

The provided text is a 510(k) Premarket Notification for a medical device (Transmyometrial Embryo Transfer Set). This type of submission is a regulatory process to demonstrate substantial equivalence to a legally marketed predicate device, rather than a study designed to demonstrate performance against specific acceptance criteria.

Therefore, the document does not contain the information requested regarding acceptance criteria and a study proving the device meets those criteria. The submission focuses on demonstrating substantial equivalence based on indications for use, design, construction, and materials, primarily by comparing it to predicate devices from Cook Australia.

Specifically, the following information is not present in the provided text:

  1. A table of acceptance criteria and the reported device performance: This document does not define specific performance metrics or acceptance criteria for the device, nor does it report any performance data against such criteria.
  2. Sample size used for the test set and the data provenance: No test sets or data provenance are mentioned.
  3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts: Ground truth establishment is not relevant to a substantial equivalence demonstration for a device of this nature.
  4. Adjudication method for the test set: No test sets or adjudication methods are mentioned.
  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: This entirely an AI/algorithm-related study type and is not applicable to an embryo transfer set.
  6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done: Not applicable, as this is a physical medical device, not an algorithm.
  7. The type of ground truth used (expert consensus, pathology, outcomes data, etc): Not applicable, as there are no performance studies described.
  8. The sample size for the training set: Not applicable, as there is no algorithm or 'training set' for this physical medical device.
  9. How the ground truth for the training set was established: Not applicable for the same reason as above.

The document states: "The Transmyometrial Embryo Transfer Set is substantially equivalent to other Transmyometrial Embryo Transfer Sets in terms of indications for use, design, construction and materials equivalence. Specifically, this device is similar to the Intra-Endometrial Embryo Transfer Set manufactured by Cook Australia." This highlights a comparison of physical and functional attributes to existing devices, not a performance study against acceptance criteria.

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Jan-26-99 01:08P

2/8/99

510(k) Premarket Notification Tronsinvasmetelal Embryo Transfer Se Cook OB/GYN

.983595

9

I. 510(k) SUMMARY OF SAFETY AND EFFECTIVENESS

Submitted By:

Brenda Davis Cook OB/GYN 1100 West Morgan Street Spencer, Indiana 47460 (812) 829-4891 October 13, 1998

Device

Trade Name: Proposed Classification Name: Transmyometrial Embryo Transfer Sct Assisted Reproduction Catheters Class II 85 MOF

Predicate Devices:

Cook OB/GYN understands due to the recent reclassification there are no predicate devices. We have used Cook Australia products as our predicate to illustrate safety and effectivencss. The Transmyometrial Embryo Transfer Set is substantially equivalent to other Transmyometrial Embryo Transfer Sets in terms of indications for use, design, construction and materials equivalence. Specifically, this device is similar to the Intra-Endometrial Embryo Transfer Set manufactured by Cook Australia.

Device Description:

The Transmyometrial Embryo Transfer Set is used for transferring IVF embryo(s) into the endometrial cavity through the myometrial Embryo Transfer Set should not be used on a patient with an active vaginal or intrauterine infection, a sexually transmitted discase, a recent uterine perforation, cervical stenosis or other cervical abnormalities which would preclude embryo transfer, a recent cesarean section, a recent pregnanty (or is currently program), or if the patient currently has an intrauterine device. The materials used in this device are TFE and 300 Series Stainless Steel. Both materials are widely used in the medical field and biocompatibility is assured.

Substantial Equivalence:

This device will be manufactured according to specified controls and a Quality Assurance Program. This device will undergo packaging similar to the devices currently marketed and distributed by Cook OB/GYN. Being similar with respect to indications for use, materials and physical construction to predicate devices, this device meets the requirements for this section 510(k) substantial equivalence.

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Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

FEB - 8 1999

Brenda Davis Regulatory Affairs Cook Ob/Gyn 1100 West Morgan Street Spencer, Indiana 47460

Re: K983595

Transmyometrial Embryo Transfer Set Dated: December 1, 1998 Received: December 4, 1998 Regulatory Class: II 21 CFR 884.6110/Procode: 85 MQF

Dear Ms. Davis:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we 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). You may, therefore, market the device, subject to the general controls provisions of the Act. 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.

If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the Current Good Manufacturing Practice requirements, as set forth in the Quality System Regulation (QS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic QS inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP requlation may result in regulatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or requlations.

This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4613. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 638-2041 or (301) 443-6597, or at its internet address "http://www.fda.gov/cdrh/dsma/dsmamain.html".

Sincerely yours,


Capt. Daniel G. Schultz, M.D. Acting Director, Division of Reproductive, Abdominal, Ear, Nose and Throat, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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## PREMARKET NOTIFICATION

# INDICATIONS FOR USE STATEMENT

[K983595](https://510k.innolitics.com/search/K983595) 510(k) Number (if known):

Transmyometrial Embryo Transfer Sets Device Name: The Transmyometrial Embryo Transfer Sets are used for Indications for Use: transferring IVF embryo (s) into the endometrial cavity through the myometrium. These devices are sterile and intended for one time use. The Transmyometerial Embryo Transfer Set should not be used on a patient with an active vaginal or intrauterine infection, a sexually transmitted disease, a recent uterine perforation. cervical stenosis or other cervical abnormalities which would preclude embryo transfer, a recent cesarcan section, a recent pregnancy (or is currently pregnant), or if a patient currently has an intrauterine device.

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use
(Per 21 CFR 801.109)

OR

Over-The-Counter Use

(Division Sign-Off) Division of Reproductive, Abdominal, ENT, and Radiological Devic 510(k) Number

§ 884.6110 Assisted reproduction catheters.

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