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510(k) Data Aggregation

    K Number
    K132675
    Date Cleared
    2013-10-03

    (36 days)

    Product Code
    Regulation Number
    870.3300
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    EMBOZENE MICROSPHERES

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    Embozene® Microspheres are intended for embolization of hypervascular tumors and arteriovenous malformations.

    Device Description

    Embozene® Microspheres are tightly calibrated, compressible microspheres intended to occlude vasculature for the purpose of blocking blood flow to a target tissue such as hypervascular tumor (HVT) or arteriovenous malformation (AVM). Embozene® Microspheres are manufactured from sodium polymethacrylate and coated with proprietary Polyzene®-F. The microspheres are compressible to enable smooth delivery through the indicated delivery catheter. Embozene® Microspheres are color coded by size to allow easy identification of different sizes. Embozene® Microspheres are supplied sterile and packaged in 20ml polycycloolefin syringes with a standard 7ml fill volume across the range. Embozene® Microspheres syringes and vials are available with 1 ml or 2 ml microsphere volume per syringe or vial.

    AI/ML Overview

    This document is a 510(k) summary for Embozene® Microspheres, describing their intended use, device description, and a comparison to a predicate device. It does not describe a study involving an AI device or a direct performance evaluation against acceptance criteria in the context of AI/ML. Instead, it focuses on demonstrating substantial equivalence to a previously cleared device.

    Therefore, many of the requested elements for an AI device study are not present in the provided text. I will answer based on the information available and indicate when information is not extractable from the provided text.


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

    The provided text describes a submission for demonstrating substantial equivalence for an existing device, Embozene® Microspheres, with the addition of new sizes (1100 µm and 1300 µm). It does not present acceptance criteria for a "device performance" in the typical sense of accuracy, sensitivity, or specificity as might be seen for an AI/ML device.

    Instead, the "performance" here relates to demonstrating that the new sizes of the Embozene® Microspheres maintain the same characteristics and safety profile as the predicate device. The implicit acceptance criteria are that the new sizes are substantially equivalent to the cleared predicate device.

    Acceptance Criterion (Implicit)Reported Device Performance
    Same Indications for UseUnchanged: Embolization of hypervascular tumors and arteriovenous malformations.
    Same Design, Specifications, Fundamental Scientific TechnologyThe subject device and predicate have the same design, specifications, fundamental scientific technology, and packaging. The only change is the addition of 1100 µm and 1300 µm sizes.
    Chemical CompositionUnchanged
    Osmolarity of Transport SolutionUnchanged
    pH of Transport SolutionUnchanged
    Shelf LifeSame (3 years)
    SterilitySame (Pyrogen-free, sterile)
    PackagingSame (Syringe or vial)
    Syringe Total Fill VolumeSame (7ml)
    Microsphere Volume per SyringeSame (1 or 2 ml)
    Catheter CompatibilityTesting conducted on the subject device and concluded to be equivalent to the predicate.
    Size DistributionTesting conducted on the subject device and concluded to be equivalent to the predicate. Specific sizes and tolerances for the new sizes (1100 µm ± 75 µm and 1300 µm ± 75 µm) are provided, consistent with the predicate's sizing methodology.
    Overall Safety and Effectiveness (Clinical Review)Clinical evaluation included a review of scientific literature, unpublished data, and post-market surveillance over ten years. "Concluded that the benefits of TAE with Embozene microspheres family including the additional 1100 and 1300 µm microspheres for the treatment of hypervascular tumors and arteriovenous malformations outweigh the potential risk."

    2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

    This information is not applicable in the context of the provided document. The submission is for a medical device (microspheres), not an AI/ML diagnostic or prognostic tool that would typically use a test set of data. The "clinical evaluation" mentioned in Section 8 refers to a review of existing literature and post-market surveillance, not a specific prospective or retrospective study with a defined sample size for the purpose of validating an algorithm.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

    This information is not applicable. The document describes a medical device, not an AI/ML algorithm that requires expert-established ground truth on a test set. The clinical evaluation process relies on existing scientific literature, a broad assessment by medical professionals, and regulatory review processes, rather than a specific number of experts labeling data for a test set.

    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

    This information is not applicable for the same reasons as points 2 and 3.

    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 information is not applicable. This document is a 510(k) summary for a medical device (microspheres), not an AI/ML device, and thus no MRMC study or AI assistance evaluation was conducted or reported here.

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

    This information is not applicable. This document is a 510(k) summary for a medical device (microspheres), not an AI/ML device.

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

    For the purpose of this 510(k) submission, the "ground truth" concerning the safety and effectiveness of the Embozene® Microspheres (including the new sizes) is established through:

    • Engineering and material characterization: In-vitro testing for size distribution and catheter compatibility (Section 7). This confirms the physical properties.
    • Scientific literature review: A comprehensive review of Transarterial Embolization (TAE) using various embolic agents, including the existing Embozene® Microspheres, over the last ten years (Section 8). This constitutes a form of aggregated "outcomes data" and medical consensus from the broader scientific community.
    • Unpublished data and post-market surveillance: This also contributes to the "outcomes data" and real-world evidence confirming the safety and effectiveness of the existing device family (Section 8).

    There is no "ground truth" established for an AI algorithm's performance.

    8. The sample size for the training set

    This information is not applicable. This is not an AI/ML device.

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

    This information is not applicable. This is not an AI/ML device.

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    K Number
    K073417
    Date Cleared
    2008-12-15

    (377 days)

    Product Code
    Regulation Number
    870.3300
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    EMBOZENE MICROSPHERES

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    Embozene™ Microspheres are indicated for the embolization of hypervascular tumors and arteriovenous malformations. Embozene™ Microspheres may be used for vasculturion of blood vessels within the neurovascular system.

    Device Description

    Celonova BioSciences, Inc. Embozene™ Microspheres are spherical embolic hydrogels. They are artificial embolization devices used to obstruct or reduce blood flow to hypervascularized tumors or artenovenous mall ormations via selective microcatheter delivery.

    The embolization particles are available in seven (7) size ranges of 40, 100, 250, 400, 500, 700 and 900 um diameters to enable appropriate size selection for the turnor or malformation to be treated. Embozene™ Microspheres are designed for use under fluoroscopic guidance through compatible delivery catheters. The product is provided as a sterile, non pyrogenic, single use device. It is an uncolored or color-coded particle that is opaque under fluoroscopy. The product and its delivery container are steam sterlized.

    AI/ML Overview

    The provided text is a 510(k) summary for the Embozene™ Microspheres. It states "Clinical Data: None required." and does not contain information about acceptance criteria or a study proving the device meets said criteria. Therefore, most of the requested information cannot be extracted from the given text.

    However, I can provide what little information is available:

    1. A table of acceptance criteria and the reported device performance
    Not provided. The submission states, "Clinical Data: None required."

    2. Sample sized used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)
    Not applicable, as no clinical data was required or provided.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)
    Not applicable, as no clinical data was required or provided.

    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set
    Not applicable, as no clinical data was required or provided.

    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, as no clinical data was required or provided, and this is not an AI/imaging device.

    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done
    Not applicable, as this is not an AI/algorithm device.

    7. The type of ground truth used (expert concensus, pathology, outcomes data, etc)
    Not applicable, as no clinical data was required or provided. The device relies on substantial equivalence to predicate devices.

    8. The sample size for the training set
    Not applicable, as no clinical data was required or provided, and this is not an AI/algorithm device.

    9. How the ground truth for the training set was established
    Not applicable, as no clinical data was required or provided, and this is not an AI/algorithm device.

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