SURGICAL HEADLIGHT
K061690 · Gulf Medical Fiberoptics · FST · Sep 15, 2006 · General, Plastic Surgery
Device Facts
| Record ID | K061690 |
| Device Name | SURGICAL HEADLIGHT |
| Applicant | Gulf Medical Fiberoptics |
| Product Code | FST · General, Plastic Surgery |
| Decision Date | Sep 15, 2006 |
| Decision | SESE |
| Submission Type | Traditional |
| Regulation | 21 CFR 878.4580 |
| Device Class | Class 2 |
Intended Use
The use for this particular device is to be worn on the surgeons head and to illuminate the body cavity during examinations or surgical procedures. This product is shipped to the end user non-sterile.
Device Story
Surgical headlight worn on surgeon's head; provides illumination of body cavities during surgical procedures or examinations. Device is non-sterile upon shipment. Operates as a surgical lamp to assist visualization in clinical or OR settings.
Clinical Evidence
No clinical data; bench testing only.
Technological Characteristics
Surgical lamp; head-worn form factor; non-sterile.
Indications for Use
Indicated for surgeons to illuminate body cavities during examinations or surgical procedures.
Regulatory Classification
Identification
A surgical lamp (including a fixture) is a device intended to be used to provide visible illumination of the surgical field or the patient.
Special Controls
*Classification.* Class II (special controls). The device, when it is an operating room lamp, a surgical instrument light, a surgical floor standing light, an endoscopic surgical light, a surgical light connector, a ceiling mounted surgical light, a surgical light carrier, surgical light accessories, a surgical lamp, a remote illuminator, or an incandescent surgical lamp, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 878.9.
Related Devices
- K991572 — ISOLUX SURGICAL HEADLIGHT · Isolux America · Jul 8, 1999
- K031548 — LED HEADLIGHT · Welch Allyn, Inc. · Aug 11, 2003
- K994362 — HEADLAMP HL2000. · Angiolaz, Inc. · May 11, 2000
- K980166 — LIGHTSOURCE OR ILLUMINATOR · Cuda Products Co. · Apr 1, 1998
- K031549 — SOLID STATE LAMP [LED] HEADLIGHT · Welch Allyn, Inc. · Aug 11, 2003
Submission Summary (Full Text)
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Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
## SEP 15 2006
Gulf Medical Fiberoptics % Mr. Marcelino Afanador 148 Dunbar Avenue, Unit B Oldsmar, Florida 34667
Re: K061690
Trade/Device Name: Surgical Headlight Regulation Number: 21 CFR 878.4580 Regulation Name: Surgical lamp Regulatory Class: II Product Code: FST Dated: September 6, 2006 Received: September 7, 2006
## Dear Mr. Afanador:
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.
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 Codc 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 electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.
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Page 2 - Mr. Marcelino Afanador
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 (240) 276-0115. 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 (240) 276-3150 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.
Sincerely vours,
fon Ntin
Mark N. Melkerson 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): K061690
Device Name: Surgical Headlight
Indications For Use: The use for this particular device is to be worn on the surgeons head and to illuminate the body cavity during examinations or surgical procedures. This product is shipped to the end user non-sterile.
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 In Vitro Diagnostic Devices (OIVD)
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(Division Sign-Off) Division of General, Restorative, and Neurological Devices
Page 1 of
1661690 510(k) Number.