The HANAROSTENT® BILIARY (NNN) is indicated for the palliation of malignant strictures in the biliary tree.
Device Story
HANAROSTENT® Biliary (NNN) is a self-expanding, uncoated tubular metal stent made of Nitinol wire; designed to maintain patency of bile duct strictures caused by malignant tumors. Stent features diamond pattern, cylinder shape, and flare ends; available in 8-10mm diameters and 40-120mm lengths. Includes 12 gold markers for radiopacity. Deployed via percutaneous or endoscopic approach using a braided introducer system; release achieved by pulling outer sheath. Used by physicians in clinical settings to relieve biliary obstruction. Stent expands at body temperature upon deployment. Single-use device.
Clinical Evidence
Bench testing only. Performed compression force, expansion force, deployment force/accuracy, withdrawal force, and corrosion tests. Biocompatibility assessed per ISO 10993-1:2003.
Technological Characteristics
Stent: Nitinol wire, diamond pattern, cylinder shape with flare. Markers: Gold. Introducer: Teflon, PEEK, ABS, SUS 304, PC. Deployment: Self-expanding at body temperature via outer sheath withdrawal. Sterilization: Ethylene Oxide (EO).
Indications for Use
Indicated for palliation of malignant strictures in the biliary tree. Not for use in the vascular system.
Regulatory Classification
Identification
A biliary catheter and accessories is a tubular flexible device used for temporary or prolonged drainage of the biliary tract, for splinting of the bile duct during healing, or for preventing stricture of the bile duct. This generic type of device may include a bile collecting bag that is attached to the biliary catheter by a connector and fastened to the patient with a strap.
Special Controls
*Classification.* Class II (special controls). The device, when it is a bile collecting bag or a surgical biliary catheter that does not include a balloon component, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 876.9.
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K111149
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# Pre-Market Notification 510(k) Summary
This summary of 510(k)-safety and effectiveness information is being submitted in accordance with requirements of 21 CFR Part 807.92.
#### 1. Sponsor Information:
| Company Name & Address: | M.I.Tech Co., Ltd.<br>241-3 Habuk-ri, Jinwi-myeon,<br>Pyeongtaek-si, Gyeonggi-do<br>451-864 Republic of Korea |
|-------------------------|---------------------------------------------------------------------------------------------------------------|
| Contact Person: | Danny Lee |
| Contact Title: | Manager |
| Contact Phone Number: | +82 31 662-5645 |
| Contact Fax Number: | +82 31 662-5648 |
Date of Summary:
#### 2. Device Name and Classification:
| Common and Usual Name: | Biliary Catheter |
|----------------------------|------------------------------------------------------------------------------------------------------------------------------------------|
| Proprietary Name: | HANAROSTENT® Biliary (NNN) |
| Classification Name: | Biliary Catheter |
| Classification Regulation: | 21 CFR 876.5010 |
| Regulatory Class: | Class 2 |
| Product Code: | FGE |
| Performance Standards: | No applicable performance standards have been<br>issued under section 514 or under section 513(b) of<br>the Food, Drug and Cosmetic Act. |
October 21, 2011
#### 3. Predicate Device(s):
Niti-S Biliary Stent & Introducer, K073667
### 4. Description of Device:
The HANAROSTENT® Biliary (NNN) is a self-expanding uncoated tubular prosthesis designed to maintain patency of bile duct strictures caused by malignant tumors. It consists of a self-expanding metal stent and delivery system. The Biliary stent is made of Nickel Titanium alloy (Nitinol) wire, which expands at body temperature. The stent is deployed with supplied introducers for percutaneous and endoscopic use.
The Stent is available in two diameters (8 and 10mm) and eight lengths (40mm, 50mm, 60mm, 70mm, 80mm, 90mm, 100mm, and 120mm). User preference, individual patient condition and/or anatomy determine the appropriate type and size for use. The HANAROSTENT® Biliary (NNN) is intended for single use only.
# క. Indications for Use:
The HANAROSTENT® Biliary (NNN) is indicated for the palliation of malignant structures in the biliary tree.
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K111149
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| Proprietary Name | HANAROSTENT® Biliary (NNN) | Niti-S Biliary Stent & Introducer |
|-------------------------|----------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------|
| Indications for use | The HANAROSTENT® Biliary (NNN)<br>is indicated for the palliation of<br>malignant strictures in the biliary<br>tree. | The Niti-S Biliary Stent is indicated<br>for the palliation of malignant<br>strictures in the biliary tree. |
| Design<br>(Stent) | Image: HANAROSTENT Biliary Stent | Image: Niti-S Biliary Stent |
| | Nitinol wire | Nitinol wire |
| | Cylinder shape, Diamond pattern, | Cylinder shape, Diamond pattern |
| | Flare shape | Non Flare shape |
| | Length; 40, 50, 60, 70, 80, 90, 100,<br>120mm | Length; 40, 50, 60, 70, 80, 90, 100,<br>120 mm |
| | Diameter; 8, 10mm | Diameter; 8, 10mm |
| | Marker; 12 gold markers | Markers; 8 Pt/Ir<br>2 STS 316L |
| Design<br>(Introducer) | Image: HANAROSTENT Introducer | Image: Niti-S Introducer |
| | Braided tube type<br>Length; 60, 180cm<br>Diameter; 2.36mm | Co-axial tube type<br>Usable Length; 50,60,180,190cm<br>Diameter; 2.7, 2.8mm |
| Single Use | Yes | Yes |
| Sterile | EO Sterilization | EO Sterilization |
| Method of<br>Placement | Percutaneous,<br>Endoscopic | Percutaneous,<br>Endoscopic |
| Method of<br>Deployment | Release by pulling Outer sheath | Release by pulling Outer sheath |
| Materials | Stent - Nitinol | Stent - Nitinol |
| | Marker - Gold | Marker - Pt/Ir, STS316L |
| | Introducer - Teflon, PEEK, ABS, SUS<br>304, PC | Introducer - Teflon, PE, ABS |
# 6. Comparison with Predicate Device(s):
The HANAROSTENT® Biliary (NNN) has the same device characteristics, composition, function, and intended use as the predicate device, such as the Niti-S Biliary Stent & Introducer.
The minor differences between the devices are introducer type, marker materials, and dimensional differences. These minor differences do not raise new questions of safety or efficacy of the device.
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Based on the comparison of intended use and technical features, the HANAROSTENT® Biliary (NNN) is substantially equivalent to the identified predicate device.
## 7. Performance Summary:
Appropriate bench testing including compression force, expansion force, deployment force and accuracy, withdrawal force and corrosion tests were performed to confirm the safety and effectiveness of the HANAROSTENT® Biliary (NNN) stent as compared to the identified predicate device. Biocompatibility safety was assessed in accordance with ISO10993-1:2003.
Based on the performance comparisons, the HANAROSTENT® Biliary (NNN) is substantially equivalent to the identified predicate device.
#### 8. Conclusions:
In accordance with the Federal Food, Drug and Cosmetic Act. 21 CFR Part 807, and based on the information provided in this premarket notification M.I.Tech Co., Ltd. concludes that the HANAROSTENT® Biliary (NNN) stent and introducer system is safe and effective, performs at least as well, and is substantially equivalent to the predicate devices as described herein and similar devices legally commercially available.
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Image /page/3/Picture/1 description: The image shows the logo for the Department of Health & Human Services USA. The logo is a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" arranged around the perimeter. Inside the circle is an abstract image of an eagle.
Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring, MD 20993-0002
M.I.Tech Co., Ltd. % Mr. Paul Sumner Vice President Arkin Consulting Group 1733 Canton Lane MARIETTA GA 30062
DEC 30 2011
Re: K11149
Trade/Device Name: HANAROSTENT® Biliary (NNN) Regulation Number: 21 CFR §876.5010 Regulation Name: Biliary catheter and accessories Regulatory Class: II Product Code: FGE Dated: December 19, 2011 Received: December 22, 2011
Dear Mr. Sumner:
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 (Act). You may, therefore, market the device, subject to the general controls provisions of the Act and the limitations described below. 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.
The Office of Device Evaluation has determined that there is a reasonable likelihood that this device will be used for an intended use not identified in the proposed labeling and that such use could cause harm. Therefore, in accordance with Section 513(i)(1)(E) of the Act, the following limitation must appear in the Warnings section of the device's labeling:
The safety and effectiveness of this device for use in the vascular system have not been established.
Furthermore, the indication for biliary use must be prominently displayed in all labeling, including pouch, box, and carton labels, instructions for use, and other promotional materials, in close proximity to the trade name, of a similar point size, and in bold print.
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Please note that the above labeling limitations are required by Section 513(i)(1)(E) of the Act. Therefore, a new 510(k) is required before these limitations are modified in any way or removed from the device's labeling.
The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and permits your device to proceed to the market. This resure will allow you to begin marketing your device as described in your Section 510(k) premarket notification if the limitation statement described above is added to your labeling.
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 may of cables to additions, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.
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 ievents) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.
If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.
You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm.
Sincerely yours,
Mark A. Milliken
fo
Christy Foreman Director Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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# Indications for Use
510(k) Number (if known): K111149
Device Name: HANAROSTENT® BILIARY (NNN)
Indications For Use: The HANAROSTENT® BILIARY (NNN) is indicated for the palliation of malignant strictures in the biliary tree.
Prescription Use __ > (Part 21 CFR 801 Subpart D) AND/OR
Over-The-Counter Use (21 CFR 807 Subpart C)
(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
:
Colin M. Pollard
Gastro-Rena
Page 1 of 1
Two short videos show you everything — or skip straight to the written tutorial if you'd rather read. You can reopen this any time from the Tutorial button in the top bar.
Part 1 — Search, results, and everyday workflows 16 min
Part 2 — Embeddings: the galaxy map 3 min
1. Search: exact and fuzzy
Type a phrase like "coronary artery calcification" into the search box. You get two kinds of results. Exact results match the literal phrase — prefix searches work ("coronary artery calcificati") but suffix searches do not. Fuzzy results match on the meaning and intent of your phrase rather than the exact words, and are sorted by relevance score. Hover over the Exact or Fuzzy badge on any row to see exactly why it matched.
Use the checkboxes above the results to narrow: SaMD keeps only software-only devices, AI / ML keeps only devices with AI.
Exact vs. fuzzy search: what's the difference?
Exact matches on the literal phrase (prefix search works, suffix does not). Fuzzy matches on the meaning and intent of the phrase rather than the exact words. Hover over the badge on any row to see why it matched.
You search "coronary artery calcification" and want only software devices with AI. What two filters do you apply?
Narrow by SaMD (software-only devices), then narrow by AI/ML (devices with AI).
2. The results table
Scroll right in the results table. The intended use is extracted for you — no need to open the PDF. The device story gives a high-level snapshot of what the device does and how it's used. The AI Performance sub-table shows each output name, acceptance criteria, observed values, and development/test dataset descriptions — the same format Innolitics uses for regulatory strategy outputs, and the fastest high-level fingerprint of an AI device. It is AI-generated but has been very reliable in practice.
Where do you find a device's intended use without opening the PDF?
Scroll right in the search results table. The intended use column is extracted for you; no need to dig into the 510(k) summary PDF.
What does the AI Performance sub-table show, and why is it useful?
Output name, acceptance criteria, observed values, development dataset description, and test dataset description. It's the same format we use for regulatory strategy output and Fast 510(k) input, and the fastest high-level fingerprint of an AI device. AI-generated but reliable in practice.
3. Judging fuzzy relevance
Fuzzy results trail off in relevance as you scroll. Use three signals to decide how far down to go: the fuzzy badge explanations, the intended use column, and whether your target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, you're past the relevant zone. A top hit with a low score (~0.4) and a stretched explanation is a hint the closest predicates are far away — the project may be headed for De Novo. Note the fuzzy search is a pattern match: it doesn't handle negation ("not") well, and hardware devices can appear — filter by SaMD/AI ML to cut them.
How do you judge how far down fuzzy search results to go?
Use the relevancy signals: the fuzzy badge explanations, the intended use column, and whether the target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, results are trailing off in relevancy.
4. Device detail page: chat and citations
Click a device name to open its detail page: device facts on the left, a chat window on the right. Ask something like "Describe the training data". The answer carries little citation bubbles — click one to jump to the highlighted passage in the source PDF, so you can verify every AI answer against the document. There's also a Download PDF button for sharing.
How do you verify an AI chat answer on the device detail page?
Click the citation bubbles to jump to the relevant highlight in the source document.
Reading rule for every project: how many summaries do you read in full?
At least the three most relevant 510(k) or De Novo summaries, in full. After that, use targeted chat questions to confirm your memory quickly. The tool supports this professional habit — it doesn't replace it.
5. Side-by-side comparison
Select multiple rows in the results table (aim for under ~10), then open the PDF Viewer tab. Ask one question — it goes to all selected devices in parallel, each with citations. This is the fastest way to compare and contrast devices: training data, PCCP scope, how they handled adding new scanners, and so on.
What does the side-by-side PDF viewer mode do?
Select multiple devices, open the PDF viewer tab, and ask one question (e.g., "Describe the training data"). It queries all selected devices simultaneously with citations, so you can compare and contrast quickly.
6. Collections
With rows selected, go to the Collections tab and create a labeled collection (e.g., "Cobb Angle Project"). Reload that selection any time — before a client call, pull up the collection and ask questions across all of its devices at once.
How do you save a set of selected devices for later use?
Select the rows, go to the Collections tab, and create a labeled collection (e.g., "Cobb Angle Project"). You can reload the selection anytime and carry it into the PDF viewer and other tabs that support selections.
7. Product codes and the regulations tree
Click a product code in the results to jump to it in the regulations tree — identification text, sibling product codes, and devices you can open in a PDF viewer on the right. Click a regulation number to see its identification, special controls, and related product codes. You can also search by product code or regulation number at the top of the tree. Always read the special controls if any exist for your device — it broadens your search and sharpens pre-kickoff research.
What can you do from the regulations tree view?
Browse product codes and regulation numbers, read the identification text and special controls, browse sibling product codes, open device PDFs on the right, and search by product code or regulation number at the top of the tree.
8. Chart view
Click Show Chart and segment by regulation number (or product code) to see which regulations dominate your result set. Clicking a regulation takes you into the regulations tree. Great for spotting that most matches are, say, hardware laparoscopic devices — a cue to go back and filter.
How do you see which regulations dominate a search result set?
Click "Show Chart" and segment by Regulation Number. Clicking a regulation takes you to the regulations tree.
9. The predicate graph
Open the Predicates tab for a family-tree view of predicate relationships. Click a node to trace its parents and children; selections from search carry over pre-selected. Commonly predicated devices are worth reading — a lot of people predicated them for a reason. The visual lineage is also handy on client calls, e.g. to show how a predicate family evolved and justify why your predicate still holds.
In the predicate graph, why are commonly predicated devices worth reading?
A lot of people predicated them for a reason. Clicking a node traces parents and children, and selections from search carry over pre-selected.
10. Embeddings: the galaxy map
The Embeddings tab plots every matching document in a 2-D "galaxy map" where semantically similar devices cluster together. Hover or click clusters to explore, and let AI label the clusters for you. Embeddings beat product codes for grouping: two devices can carry different product codes (LLZ vs. QIH) yet do the same thing — the embedding captures the meaning of the intended use and device story. This is also exactly how retrieval-augmented generation (RAG) works under the hood, and it makes a great visual on client calls.
Try it yourself
Head to the search page and work through a few of these AI/ML fuzzy searches to build intuition: perivascular fat on CT · aortic valve calcification opportunistic screening on noncontrast CT · breast cancer prediction on digital pathology slides · autism detection · gestational age prediction · a hearing aid that can also detect a pulse · foundation model based analysis of ECG · large language models · penetration test. Watch how the relevance scores, intended use, and AI Performance tables tell you when results stop being meaningful.