K Number
K032980

Validate with FDA (Live)

Date Cleared
2003-12-18

(85 days)

Product Code
Regulation Number
878.4300
Age Range
All
Reference & Predicate Devices
N/A
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticPediatricDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

Multiple clip appliers are indicated for ligation of tubular structures. Vanguard intends to reprocess multiple clip appliers one time. Reprocessed multiple clip appliers are single use devices.

Device Description

Vanguard Medical Concepts, Inc., intends to market Reprocessed Disposable, Multiple Clip Appliers with non changeable reloads. Reprocessing Multiple Clip Appliers is performed by Vanguard to Vanguard Potocol Number 40017. "Reprocessed," means all operations performed to render a contaminated single-use device patient ready (Enforcement Priorities for Single-Use Devices Reprocessed by Third Party Reprocessors and Hospitals). Vanguard is a "third party reprocessor" and reprocesses used single-used medical devices. Appliers are sold new by the original manufacturers to the hospital. The hospital uses the appliers, collects them and ships them to Vanguard for reprocessing. Appliers are reprocessed by Vanguard as described in our reprocessing protocol Control Document Number 40017, and returns them to the hospital to be reused as a single-use device again.

AI/ML Overview

The provided document is a 510(k) summary for a reprocessed medical device, specifically Reprocessed Multiple Clip Appliers. It does not contain information on acceptance criteria, a study proving device performance against such criteria, or details regarding AI/algorithm performance.

Therefore, I cannot extract the requested information as it is not present in the provided text.

The document discusses:

  • The classification and general information about the device (Vanguard Reprocessed Multiple Clip Appliers).
  • The reprocessing process by Vanguard.
  • The claim of substantial equivalence to a legally marketed predicate device (Ethicon disposable surgical and endoscopic Ligaclip Multiple Clip Appliers).
  • The FDA's 510(k) clearance letter.
  • Indications for Use for the reprocessed device.

There is no mention of:

  1. Acceptance criteria or device performance metrics.
  2. Any study that would test device performance against such criteria, including sample sizes, data provenance, ground truth, or expert involvement.
  3. Any AI or algorithm-related components or studies (standalone or MRMC).

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Image /page/0/Picture/0 description: The image shows the logo for Vanguard Medical. The logo includes the company name in a stylized font, with the address "5307 Great Oak Drive" printed below. The image also includes the date "DEC 1 8 2003" and the phone number "Tel: (863) 683-8680".

Page 1 of

Lakeland, FL

Fax: (413) 215-9809

510(k) SUMMARY

Reference:Vanguard Medical Concepts, Inc.Section 510(k) NotificationAMI Reprocessed Multiple Clip Appliers (Non Re-loadable)
Classification name:LSR Disposable StaplerManual Surgical Instrument
Common/Usual Name:Disposable Surgical Instruments
Proprietary Name:Vanguard Reprocessed Multiple Clip Appliers
Establishment Reg. No.:1649663
Classification:The FDA has classified Manual, General SurgicalInstruments as Class I devices under the General andPlastic Surgery Panel (21 CFR 878.4800)As an implantable clip, Class II.

Vanguard Medical Concepts, Inc., intends to market Reprocessed Disposable, Multiple Clip Appliers with non changeable reloads. Reprocessing Multiple Clip Appliers is performed by Vanguard to Vanguard Potocol Number 40017.

"Reprocessed," means all operations performed to render a contaminated single-use device patient ready (Enforcement Priorities for Single-Use Devices Reprocessed by Third Party Reprocessors and Hospitals). Vanguard is a "third party reprocessor" and reprocesses used single-used medical devices.

Appliers are sold new by the original manufacturers to the hospital. The hospital uses the appliers, collects them and ships them to Vanguard for reprocessing. Appliers are reprocessed by Vanguard as described in our reprocessing protocol Control Document Number 40017, and returns them to the hospital to be reused as a single-use device again

Vanguard believes that single-use Appliers can be considered "reusable" - by Vanguard" as defined in the Food and Drug Administration Compliance Policy Guide #7124.16. they are able to withstand the necessary cleaning and sterilization process, the physical characteristics or quality of the device will not be adversely effected, and the device remains safe and effective for its intended use.

Vanguard reprocessed appliers are substantially equivalent to Ethicon disposable surgical and endoscopic Ligaclip Multiple Clip Appliers currently marketed new by Ethicon under 510(k) 830503.

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Image /page/1/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is an emblem featuring a stylized depiction of three birds in flight, arranged in a stacked formation.

DEC 1 8 2003

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Vanguard Medical Concepts, Inc. c/o Mr. Mark W. Aldana Adven Medical, Inc. 3706 76th Street Lubbock, Texas 79423

Re: K032980

Trade/Device Name: Reprocessed Multiple Clip Appliers Regulation Number: 21 CFR 878.4300 Regulation Name: Implantable clip Regulatory Class: II Product Code: FZP Dated: September 22, 2003 Received: October 3, 2003

Dear Mr. Aldana:

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. Ilsting 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 (PMA), 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 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); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the clectronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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Page 2 - Mr. Mark W. Aldana

This letter will allow you to begin marketing your device as described in your Section 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), please contact the Office of Compliance at (301) 594-4659. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). 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) 443-6597 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html

Sincerely yours,

Miriam C. Provost

Celia M. Witten, Ph.D., M.D. Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known): K032980

Device Name: Reprocessed Multiple Clip Appliers

Indications For Use:

Multiple clip appliers are indicated for ligation of tubular structures.

Vanguard intends to reprocess multiple clip appliers one time.

Reprocessed multiple clip appliers are single use devices.

Prescription Use X (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)

Miriam C. Provost

(Division Sign-Off) Division of General, Restorative and Neurological Devices

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510(k) Number_________________________________________________________________________________________________________________________________________________________________

§ 878.4300 Implantable clip.

(a)
Identification. An implantable clip is a clip-like device intended to connect internal tissues to aid healing. It is not absorbable.(b)
Classification. Class II.