← Product Code [MQJ](/submissions/OB/subpart-g%E2%80%94assisted-reproduction-devices/MQJ) · K120877

# MICROMANIPULATOR SET (K120877)

_Narishige Co., Ltd. · MQJ · Jun 20, 2012 · Obstetrics/Gynecology · SESE_

**Canonical URL:** https://fda.innolitics.com/submissions/OB/subpart-g%E2%80%94assisted-reproduction-devices/MQJ/K120877

## Device Facts

- **Applicant:** Narishige Co., Ltd.
- **Product Code:** [MQJ](/submissions/OB/subpart-g%E2%80%94assisted-reproduction-devices/MQJ.md)
- **Decision Date:** Jun 20, 2012
- **Decision:** SESE
- **Submission Type:** Traditional
- **Regulation:** 21 CFR 884.6150
- **Device Class:** Class 2
- **Review Panel:** Obstetrics/Gynecology

## Indications for Use

The NAI-5 Micromanipulator Set enables coarse and fine positioning of a microtool under the microscope and is used in assisted reproduction procedures.

## Device Story

NAI-5 Micromanipulator Set facilitates precise microtool positioning under microscope for assisted reproduction procedures. System integrates motor-driven coarse manipulators and oil hydraulic fine manipulators. Device comprises coarse/fine drive units, control units, and power supply. Operated by clinicians in laboratory settings to manipulate microtools during procedures. Provides mechanical assistance for positioning; does not perform automated analysis or decision-making.

## Clinical Evidence

No clinical data. Bench testing only.

## Technological Characteristics

System consists of motor-driven coarse manipulators and oil hydraulic fine manipulators. Includes coarse/fine drive units, control units, and power supply. X, Y, and Z-axis movement for both coarse (22mm range) and fine (10mm range) operations. Non-software controlled mechanical/hydraulic system.

## Regulatory Identification

Assisted reproduction micromanipulators are devices intended to control the position of an assisted reproduction microtool. Assisted reproduction microinjectors are any device intended to control aspiration or expulsion of the contents of an assisted reproduction microtool.

## Special Controls

*Classification.* Class II (special controls) (design specifications, labeling requirements, and clinical testing). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 884.9.

## Predicate Devices

- MM-89 Motor drive Manipulator ([K002291](/device/K002291.md))
- MMO202ND Three axis Hanging Joystick Oil Hydraulic Micromanipulator ([K002659](/device/K002659.md))

## Submission Summary (Full Text)

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>
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# JUN 20 2012

K12087

#### 5. 510(k) SUMMARY AS REQUIRED BY SECTION 807.92(C)

Submitted by:

Mrs. Mitsuko Yoneyama President

Narishige Co., Ltd. 27-9, Minamikarasuvama 4 chome Setagaya-ku Tokyo 157-0062 Japan

Phone: 81-3-3308-8383 Fax: 81-3-3308-8700 E-mail: sales@narishige.co.jp

Date Submitted: March 19, 2012

Device Identification:

Trade Name: NAI-5 Micromanipulator Set Common Name: Micromanipulator Set Classification Name: Assisted Reproduction Micromanipulators and Microinjectors (21 CFR. 884.6150)

#### Predicate Device:

Narishige Co., Ltd. claims the NAI-5 Micromanipulator Set as substantially equivalent to a system that has combined two predicate devices: MM-89 Motor drive Manipulator (Premarket Notification 510(k) Number: K002291) and MMO202ND Three axis Hanging Joystick Oil Hydraulic Micromanipulator (Premarket Notification 510(k) Number: K002659).

#### Device Description:

The NAI-5 Micromanipulator Set enables coarse and fine positioning of a microtool under the microscope and is used in assisted reproduction procedures. The NAI-5 Micromanipulator Set consists of motor driven coarse manipulators that enable coarse movement operation and oil hydraulic micromanipulators that enable fine movement operation.

#### Intended Use:

The NAI-5 Micromanipulator Set enables coarse and fine positioning of a microtool under the microscope and is used in assisted reproduction procedures.

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### Technological Characteristics:

The NAI-5 Micromanipulator Set consists of motor driven coarse manipulators that enable coarse movement operation and oil hydraulic micromanipulators that enable fine movement operation.

The specifications of the NAI-5 are summarized in the comparison table below.

| NAI-5                          | MM-89                                                                                    | MMO-202ND                                                           |                                              |
|--------------------------------|------------------------------------------------------------------------------------------|---------------------------------------------------------------------|----------------------------------------------|
| Micromanipulator<br>Set        | Motor-drive<br>Manipulator                                                               | Three-axis<br>Hanging Joystick<br>Oil Hydraulic<br>Micromanipulator |                                              |
| 510(k) Status and<br>number    | Subject Device                                                                           | Predicate Device                                                    | Predicate Device                             |
|                                | K002291                                                                                  | K002659                                                             |                                              |
| Type of<br>manipulator         | Coarse and fine                                                                          | Coarse only                                                         | Fine only                                    |
| Type of control                | Motorized and Oil<br>Hydraulic control                                                   | Motorized control                                                   | Oil Hydraulic<br>control                     |
| Configuration                  | Coarse and Fine<br>Drive Units,<br>Coarse and Fine<br>Control Units, and<br>Power Supply | Coarse Drive<br>Unit, Coarse<br>Control Unit, and<br>Power Supply   | Fine Drive Unit,<br>and Fine Control<br>Unit |
| Identification of<br>each axis | X-axis, Y-axis, and<br>Z-axis                                                            | X-axis, Y-axis,<br>and Z-axis                                       | X-axis, Y-axis,<br>and Z-axis                |
|                                | (coarse and fine)                                                                        | (coarse only)                                                       | (fine only)                                  |

### Comparison Table

(The table is continued to the next page.)

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## (NAI-5)

## (MM-89)

(MMO-202ND)

| Movement<br>Range of<br>each axis          | Coarse: 22mm<br>Fine: 10mm                                                                                                                                                      | Coarse: 22mm                                                                                                                                                               | Fine: 10mm                                                                                                                                                                                                            |
|--------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Dimensions<br>of Drive Unit                | W57 x D138 x<br>H94mm<br>(Coarse and fine<br>combined)                                                                                                                          | W80 x D116 X<br>H142mm                                                                                                                                                     | W40 x D46 x<br>H87mm                                                                                                                                                                                                  |
| Dimensions<br>of Motorized<br>Control Unit | W70 x D100 x H120mm                                                                                                                                                             |                                                                                                                                                                            | N/A                                                                                                                                                                                                                   |
| Dimensions<br>of Hydraulic<br>Control Unit | W65 x D180 x<br>H175mm                                                                                                                                                          | N/A                                                                                                                                                                        | W165 x D80 x<br>H175mm                                                                                                                                                                                                |
| Dimensions<br>of Power<br>Supply           | W125 x D105 x H85mm                                                                                                                                                             |                                                                                                                                                                            | N/A                                                                                                                                                                                                                   |
| Intended Use                               | The NAI-5<br>Micromanipulator<br>Set enables coarse<br>and fine positioning<br>of a microtool under<br>the microscope and<br>is used in assisted<br>reproduction<br>procedures. | The MM-89<br>Motor-drive<br>Manipulator helps<br>coarse positioning<br>of a microtool<br>under the<br>microscope and is<br>used in assisted<br>reproduction<br>procedures. | The MMO-202ND<br>Three-axis<br>Hanging Joystick<br>Oil Hydraulic<br>Micromanipulator<br>helps fine<br>positioning of a<br>microtool under the<br>microscope and is<br>used in assisted<br>reproduction<br>procedures. |

#### Substantial Equivalence:

Narishige Co., Ltd. claims the NAI-5 Micromanipulator Set as substantially equivalent to a system that has combined two predicate devices: MM 89 Motor drive Manipulator (Premarket Notification 510(k) Number: K002291) and MMO 202ND Three-axis Hanging Joystick Oil Hydraulic Micromanipulator (Premarket Notification 510(k) Number: K002659).

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#### DEPARTMENT OF HEALTH & HUMAN SERVICES

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring, MD 20993-0002

## Mrs. Mitsuko Yoneyama President Narishige Co., Ltd. 27-9, Minamikarasuyama 4-chome, Setagaya-ku TOKYO 157-0062 JAPAN

Re: K120877

> Trade/Device Name: NAI-5 Micromanipulator Set Regulation Number: 21 CFR§ 884.6150 Regulation Name: Assisted reproduction micromanipulators and microinjectors Regulatory Class: II Product Code: MQJ Dated: March 23, 2012 Received: March 23, 2012

JUN 2 0 2012

Dear Mrs. Yoneyama:

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) 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. 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.

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 (reporting of medical

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device-related adverse events) (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.

Sincerély vours,

and an

Benjamin R. Fisher, Ph.D. Director Division of Reproductive, Gastro-Renal, and Urological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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## 4. Indications for Use:

510(k) Number (if known): K120877

Device Name: NAI-5 Micromanipulator Set

The NAI-5 Micromanipulator Set is used for coarse and fine Indications for Use: positioning of a microtool under the microscope and is used in assisted reproduction procedures.

Prescription Use (Part 21 CFR 801 Subpart D) AND/OR

Over-The-Counter Use (21 CFR 801 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

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