(138 days)
The Bausch & Lomb™ Sterile Single-Use I/A Handpieces are used following phacoemulsification, an anterior surgical procedure to fragment and remove a cataractous lens. The eye is infused with Balanced Salt Solution (BSS) via the irrigation function, while the cortical material, viscoelastic, and excess BSS is removed via the aspiration. I/A handpieces are also used for polishing the capsular bag to remove residual lens epithelial cells from the capsular membrane following extraction of the lens material.
The Bausch & Lomb, Inc. Sterile Single-Use I/A Handpieces are accessories to the Bausch & Lomb, Inc. Stellaris Vision Enhancement System and the Bausch & Lomb, Inc. PREMIERE (Millennium) Microsurgical System. Both irrigation and aspiration functions are incorporated within one molded plastic handle, and operate simultaneously at a balanced rate to irrigate, maintain proper anterior chamber depth during a procedure, and remove cortical lens material, viscoelastic, and excess BSS used to bathe the anterior chamber. This combination feature allows access through a single incision, thus reducing trauma to the eye and improving surgical control. The Bausch & Lomb, Inc. family of Sterile Single-Use I/A Handpieces (containing the new plastic hand-held handle) currently consists of the models identified in Table 2.
This document is a 510(k) Summary Statement for Bausch & Lomb Sterile Single-Use I/A Handpieces. It describes the device and its intended use, and importantly, details the testing conducted to demonstrate its safety and performance for FDA clearance through substantial equivalence to existing predicate devices.
Here's an analysis of the acceptance criteria and the study that proves the device meets them:
1. A table of acceptance criteria and the reported device performance
| Acceptance Criteria Category | Specific Test/Standard | Reported Device Performance |
|---|---|---|
| Sterilization | Validated to a SAL of 10⁻⁶ for ophthalmic organisms (ANSI/AAMI/ISO TR13409) | All tests were conducted on three separate lots of product manufactured at different times. The results indicated that all outcomes were within expected and acceptable limits of the tests. |
| Stability | Seal Integrity Test (dye penetration of radiated product) | The results indicated that all outcomes were within expected and acceptable limits of the tests. |
| Microbial Barrier Test (after accelerated aging at one and five years) | The results indicated that all outcomes were within expected and acceptable limits of the tests. | |
| Biocompatibility | Cytotoxicity (DIN EN ISO 10993-5-12, ISO 9363-1) | The results indicated that all outcomes were within expected and acceptable limits of the tests. |
| Bioburden determination (DIN EN 1174, ISO 11737-1, USP 25 [61]) | The results indicated that all outcomes were within expected and acceptable limits of the tests. | |
| LAL Endotoxin Test (DAB 1999 V.2, USP 25 [85], EP 2001, FDA Guideline) | The results indicated that all outcomes were within expected and acceptable limits of the tests. | |
| Particle Test (USP 25 [788]) | The results indicated that all outcomes were within expected and acceptable limits of the tests. | |
| Functional Performance | Device design control requirements | Performance testing was conducted on the devices and their components... and found to meet requirements set forth in the design control plan. |
2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)
- Sample Size for Test Set: For sterilization, stability, and biocompatibility testing, the document states, "All tests were conducted on three separate lots of product manufactured at different times." This indicates a sample size of at least three product lots. For Verification and Validation Testing, the sample size is not explicitly stated but implies testing of "devices and their components."
- Data Provenance: The document does not specify the country of origin of the data. The testing appears to be retrospective, as it describes tests conducted on manufactured products to demonstrate compliance with standards. There is no mention of prospective studies or clinical trials with human subjects for this 510(k) submission.
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 510(k) submission describes testing of medical devices against established international and national standards (e.g., ISO, AAMI, DIN, USP, FDA Guidelines). The "ground truth" here is defined by these scientifically recognized and validated standards and their specified acceptable limits, not by expert consensus on specific cases. Therefore, there were no "experts" in the sense of clinical reviewers establishing ground truth for a test set in this context. The experts involved would be the professionals who developed these standards and the qualified laboratory personnel who conducted the tests according to the standards.
4. Adjudication method (e.g. 2+1, 3+1, none) for the test set
Not applicable. This is not a study involving human interpretation of data where adjudication methods (like 2+1 radiologists) would be used. The performance is assessed against quantitative and qualitative benchmarks defined by the referenced standards.
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. This submission is for a physical medical device (I/A handpieces) and not an AI-powered diagnostic or assistive technology. Therefore, no MRMC study or AI-related comparative effectiveness analysis was performed.
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, the concept of standalone algorithm performance does not apply.
7. The type of ground truth used (expert consensus, pathology, outcomes data, etc)
The ground truth for this device is defined by established international and national standards and their pre-defined acceptable limits and specifications. For instance:
- Sterilization: Achieved a Sterility Assurance Level (SAL) of 10⁻⁶ as per ANSI/AAMI/ISO TR13409.
- Biocompatibility: Results were within "expected and acceptable limits" of tests like cytotoxicity, bioburden, LAL Endotoxin, and particle tests, all governed by specific ISO, DIN, USP, or FDA guidelines.
- Functional Performance: Met "requirements set forth in the design control plan."
8. The sample size for the training set
Not applicable. This is a medical device, not a machine learning model, so there is no concept of a "training set."
9. How the ground truth for the training set was established
Not applicable, as there is no training set for this type of device submission.
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510(k) Summary Statement Bausch & Lomb Irrigation and Aspiration Handpieces
MAR 12 2008
Applicant's Name and Address
Bausch & Lomb, Inc. 1400 North Goodman Street Rochester, NY 14609
Contact Person
Lisa Graney Global Regulatory and Quality Manager Bausch & Lomb. Inc. 1400 North Goodman Street Rochester, NY 14609 (585) 338-6612
1. Identification of device
Common Name: Irrigation/Aspiration (I/A) Handpieces Trade Name: Bausch & Lomb® Sterile Single-Use I/A Handpieces Classification: Class II Phacofragmentation system (21 CFR 886.4670 Device classification: Class II (21 CFR 886.4670) Pro Code: 86 HQC
2. Description of device
The Bausch & Lomb, Inc. Sterile Single-Use I/A Handpieces are accessories to the Bausch & Lomb, Inc. Stellaris Vision Enhancement System and the Bausch & Lomb, Inc. PREMIERE (Millennium) Microsurgical System. Both irrigation and aspiration functions are incorporated within one molded plastic handle, and operate simultaneously at a balanced rate to irrigate, maintain proper anterior chamber depth during a procedure, and remove cortical lens material, viscoelastic, and excess BSS used to bathe the anterior chamber. This combination feature allows access through a single incision, thus reducing trauma to the eye and improving surgical control. The Bausch & Lomb, Inc. family of Sterile Single-Use I/A Handpieces (containing the new plastic hand-held handle) currently consists of the models identified in Table 2.
3. Intended use
The Bausch & Lomb Sterile Single-Use I/A Handpieces are used following phacoemulsification, an anterior surgical procedure to fragment and remove a cataractous lens. The eye is infused with Balanced Salt Solution (BSS) via the irrigation function, while the cortical material, viscoelastic, and excess BSS is removed via the aspiration function. I/A handpieces are also used for polishing the capsular bag to remove residual lens epithelial cells from the capsular membrane following extraction of the lens material.
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4. Substantial Equivalence
| 510(k) | Clearance Date | Device Description |
|---|---|---|
| K951463 | 10/27/1995 | Storz I/A Handpieces (B&L) |
| K912739 | 4/7/2006 | SITE Microsurgical System |
A comparison of characteristics of the Bausch & Lomb, Inc., Sterile Single-Use I/A Handpieces to those of predicate devices, demonstrating substantial equivalence is found at the end of this document.
5. Technological Characteristics
The Bausch & Lomb, Inc., Sterile Single-Use I/A handpieces associated with this submission are a series of single handpieces, with different tip designs. One of the models requires a silicone irrigation sleeve. The handpiece tip configurations available are: straight, curved, and hooked designs. The microsurqical system for which the handpieces are designed include the Bausch & Lomb, Inc., Stellaris Vision Enhancement System and the Bausch & Lomb, Inc., PREMIERE Millenium Microsurgical System. The finished product material composition is a plastic medical grade handle, and medical grade stainless steel tips on the models. The handpieces are for single use purposes.
6. Safety and Perfomance Testing:
Bausch & Lomb, Inc., Sterile Single-Use I/A Handpieces are provided Steriltv: sterile by gamma irradiation. Sterilization has been validated to a SAL of 10° for all standard panel of ophthalmic organisms in accordance with ANSI/AAMI/ISO TR13409 Standards.
Stability: Seal Integrity Test with dye penetration of radiated product; and a Microbial Barrier Test after accelerated aging at one and five years, in accordance with adopted Standards.
Biocompatibility: The following tests were conducted on the devices: cytotoxicity., bioburden determination, LAL Endotoxin Test, and Particle Test. All tests were conducted on three separate lots of product manufactured at different times. The results indicated that all outcomes were within expected and acceptable limits of the tests.
All stability and biocompatibility testing was conducted under adopted international standards as follows:
| Dye Penetration: | ANSI/AAMI/ISO 11607 (Annex C) |
|---|---|
| Microbial Barrier Test: | DIN 58953-6, DIN EN 868-1; ANSI/AAMI/ISO 11607 |
| Cytotoxicity: | DIN EN ISO 10993-5-12, ISO 9363-1 |
| Bioburden Determination: | DIN EN 1174, ISO 11737-1, USP 25 [61] |
| LAL Endotoxin Test: | DAB 1999 V.2, USP 25 [85], EP 2001, FDA Guideline |
| Particle Test: | USP 25 [788] |
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Bausch & Lomb, Inc. 510(k) Summary: Sterile Single-Use I/A Handpieces
Verification and Validation Testing: Performance testing was conducted on the devices and their components in accordance with device design control requirements and found to meet requirements set forth in the design control plan.
7. Packaging
The Bausch & Lomb Inc., Sterile Single-Use I/A Handpieces are packaged in sealed packages subject to radiation sterilization and enclosed in an outer carton, labeled on the carton and the immediate package container.
8. Clinical Data:
The Bausch & Lomb, Inc., Sterile Single-Use I/A Handpieces are substantially equivalent to Bausch & Lomb Inc., I/A handpieces currently available in the marketplace. Clinical investigations were deemed as not necessary for the planned marketing of the new model handpieces.
9. See following pages
This section was intentionally left blank.
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Bausch & Lomb, Inc. 510(k) Summary: Sterile Single-Use I/A Handpieces
| MANUFACTURER | B&L I/AHANDPIECES[Subject 510(k)] | STORZ (B&L) I/AHANDPIECESK961463 | SITE MICROSURGICALSYSTEMK912739 |
|---|---|---|---|
| Indication for Use | The Bausch &Lomb™ SterileSingle-Use I/AHandpieces areused followingphacoemulsification,an anterior surgicalprocedure tofragment andremove acataractous lens.I/A handpieces are alsoused for polishing thecapsular bag. | Irrigation/aspirationof lens materialand viscoelasticmaterial; capsulepolishing: ModelsB4973 andB4973CAV forviscoelasticmaterial removalspecifically | Irrigation/aspiration:Models MVS1082 andE4750121 infusionhandpieces for use inbimanual proceduresspecifically |
| Type ofhandpiece/components | See Table 2. | See Table 2. | See Table 2. |
| -Number of singlehandpieces | 23 | 13 | 10 |
| -Number of handpiecesfor use withinterchangeable tips | 0 | 0 | 1 |
| -Number ofinterchangeable tips | 0 | 0 | unknown |
| Models requiring asilicone irrigationsleeve | 85785S | MVS 1066 | none |
| Handpiece tipconfigurations | Straight, curved,angled, and hookeddesigns | Straight, curved,angled, andhooked designs | Straight and curveddesigns |
| Microsurgical systemfor which handpiecesare designed | B&L Stellaris VisionEnhancementSystem and B&LPREMIEREMilleniumMicrosurgicalSystem. | Storz Protégé andPREMIERE forMVS Models:Storz DAISY andUnited Sonics unitfor B4973;Cavitron unit forB4973 CAV. | SITE TXR MicrosurgicalSystem 2200 |
| Finished ProductMaterial Composition | Medical gradeplastic handle;medical gradestainless steel onmost models | 316L, stainlesssteel; medicalgrade silicone onmost models | Stainless steel; othermaterials unknown |
| Handpiece Reusable | No | Yes | Yes |
9. Table 1. Comparison Chart of Predicate Devices
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Table 2. Sterile Single-Use Handpieces and Corresponding Predicate Reusable I/A Handpieces
| Sterile Single Use I/A Handpieces | Predicate Reusable I/A Handpiece | ||||
|---|---|---|---|---|---|
| Model No. | Type | Model No. | Type | 510(k) number | |
| Coaxial Irrigation/Aspiration Handpieces | |||||
| 35782S | I/A Handpiece, straight, 17GA, 12/box | MVS 1063 | I/A Handpiece Straight, 17GA | K951463 | |
| 35783S | I/A Handpiece, curved, 17GA, 12/box | MVS 1063 S | I/A Handpiece Curved, 17GA | K951463 | |
| 35783ST | I/A Handpiece, curved, 17GA, 12/box | MVS 1063 S | I/A Handpiece Curved, 17GA | K951463 | |
| 35784S | I/A Handpiece, tip 45°, 17GA, 12/box | MVS 1063 CX | I/A Handpiece Tip 45°, 17GA | K951463 | |
| 35784ST | I/A Handpiece, tip 45°, 17GA, 12/box | MVS 1063 CX | I/A Handpiece Tip 45°, 17GA | K951463 | |
| 35785S | I/A Handpiece, straight with sleeve, 12/box | MVS 1066 | I/A Handpiece, straight with sleeve | K951463 | |
| 35786S | I/A Handpiece, tip 90°, 16GA, 12/box | DP9730 | I/A Tip 90° for use with handle DP9721 | K951463 | |
| 35786ST | I/A Handpiece, tip 90°, 16GA, 12/box | DP9730 | I/A Tip 90° for use with handle DP9721 | K951463 | |
| 35794ST | I/A Handpiece curved with Sleeve 1.8 12/box | DP9734 | Curved I/A Tip with sleeve for use with DP9721 Handle | K951463 | |
| 35795ST | I/A Handpiece tip 45° with Sleeve 1.8 12/box | DP9733 | 45° I/A Tip with sleeve for use with DP9721 Handle | K951463 | |
| Bimanual Aspiration Handpieces | |||||
| 35780S | Aspiration Handpiece, sterile, 21GA, 12/box | E4753A23 | Aspiration Handpiece, 0.3mm Port | K912739 | |
| 35901S19 | Aspiration Handpiece, 19GA, 12/box | MVS1083 | Aspiration Handpiece, 19GA | K912739 | |
| 35901S20 | Aspiration Handpiece, 20GA, 12/box | MVS1083 | Aspiration Handpiece, 19GA | K912739 | |
| Bimanual Irrigation Handpieces | |||||
| 35781S | Irrigation Handpiece, sterile, 21GA, 12/box | E4750I21 | Irrigation Handpiece 21GA | K912739 | |
| 35787S | Irrigation Handpiece, smooth tip, 21GA, 12/box | E4750I21 | Irrigation Handpiece 21GA | K912739 | |
| 35787ST | Irrigation Handpiece, smooth tip, 21GA, 12/box | E4750I21 | Irrigation Handpiece 21GA | K912739 | |
| 35788S | Irrigation Handpiece, central port, 21GA, 12/box | E4750I21 | Irrigation Handpiece 21GA | K912739 | |
| 35902S19 | Irrigation Handpiece, 19GA, 12/box | MVS1082 | Irrigation Handpiece, 19GA | K912739 | |
| 35902S20 | Irrigation Handpiece, 20GA, 12/box | MVS1082 20 | Irrigation Handpiece, 20GA | K912739 | |
| 35902ST19 | Irrigation Handpiece, 19GA, 12/box | MVS1082 | Irrigation Handpiece, 19GA | K912739 | |
| Bimanual Irrigation Choppers | |||||
| 35903S19 | Irrigation Chopper, 19GA, 12/box | MVS1096 19 | Irrigation Chopper, 19GA | K951463 | |
| 35903S20 | Irrigation Chopper, 20GA, 12/box | MVS1096 19 | Irrigation Chopper, 19GA | K951463 | |
| 35903ST19 | Irrigation Chopper, 19GA, 12/box | MVS1096 19 | Irrigation Chopper, 19GA | K951463 |
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Image /page/5/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a stylized depiction of an eagle or bird-like figure with three curved lines representing its body and wings. The logo is surrounded by the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" in a circular arrangement.
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
Bausch & Lomb, Inc. c/o Ms. Lisa Graney Manager, Global Regulatory Affairs 1400 North Goodman St. Rochester, NY 14609
MAR 1 2 2008
Re: K073023
Trade/Device Name: Bausch & Lomb (B&L) Sterile Single-Use I/A Handpieces Regulation Number: 21 CFR 886.4670 Regulation Name: Phacofragmentation System Regulatory Class: Class II Product Code: HQC Dated: February 19, 2008 Received: February 21, 2008
Dear Ms. Graney:
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 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 electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.
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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 Center for Devices and Radiological Health's (CDRH's) Office of Compliance at (240) 276-0115. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding postmarket surveillance, please contact CDRH's Office of Surveillance and Biometric's (OSB's) Division of Postmarket Surveillance at 240-276-3474. For questions regarding the reporting of device adverse events (Medical Device Reporting (MDR)), please contact the Division of Surveillance Systems at 240-276-3464. 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 yours,
Malina B. Eglata, und
Malvina B. Eydelman, M.I Director Division of Ophthalmic and Ear, Nose and Throat Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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510(k) Bausch & Lomb, Inc. B&L Sterile Single-Use I/A Handpieces
Indication for Use
Section 4
SECTION 4 : INDICATIONS FOR USE STATEMENT
510(k) Number (if known): _KO 13023
Device Name:
Bausch & Lomb™ Sterile Single-Use I/A Disposable Handpieces
Indication for Use
The Bausch & Lomb™ Sterile Single-Use I/A Handpieces are used following phacoemulsification, an anterior surgical procedure to fragment and remove a cataractous lens. The eye is infused with Balanced Salt Solution (BSS) via the irrigation function, while the cortical material, viscoelastic, and excess BSS is removed via the aspiration. I/A handpieces are also used for polishing the capsular bag to remove residual lens epithelial cells from the capsular membrane following extraction of the lens material.
(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Prescription Use
Over-the -counter-use
M.L.B. Nichols
(Division Sign-off)
Division of Ophthalmic Devices
510(k) Number K073023
ਨੇਤ
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BAUSCH & LOMB STERILE SINGLE-USE I/A STELLARIS HANDPIECE MODELS 510(K) K073023
、
| Model No.Sterile Single Use I/A Handpieces | Type |
|---|---|
| Coaxial Irrigation/Aspiration Handpieces | |
| 85782S | I/A Handpiece Straight, 17GA |
| 85783S | I/A Handpiece, curved, 17 GA |
| 85783ST | I/A Handpiece, curved, 17 GA |
| 85784S | I/A Handpiece, tip 45°, 17 GA |
| 85784ST | I/A Handpiece, Tip 45°, 17 GA |
| 85785S | I/A Handpiece, straight w/ sleeve |
| 85786S | I/A Handpiece, tip 90°, 16 GA |
| 85786ST | I/A Handpiece, tip 90°, 16 GA |
| 85794ST | I/A Handpiece, curved w/ Sleeve 1.8 |
| 85795ST | I/A Handpiece |
| Bimanual Aspiration Handpieces | |
| Sterile Single-Use I/A HandpieceModel No. | Type |
| 85780S | Aspiration Handpiece, sterile, 21 GA |
| 85901S19 | Aspiration Handpiece, sterile, 19 GA |
| 85901S20 | Aspiration Handpiece, sterile, 20 GA |
| Bimanual Irrigation Handpieces | |
| Sterile Single-Use I/A HandpieceModel No. | Type |
| 85781S | Irrigation Handpiece, sterile, 21 GA |
| 85787S | Irrigation Handpiece, smooth tip, 21 GA |
| 85787ST | Irrigation Handpiece, smooth tip, 21 GA |
| 85788S | Irrigation Handpiece, central port, 21 GA |
| 85902S19 | Irrigation Handpiece, sterile, 19 GA |
| 85902S20 | Irrigation Handpiece, sterile, 20 GA |
| 85902ST19 | Irrigation Handpiece, sterile, 19 GA |
| Bimanual Irrigation Choppers | |
| Sterile Single-Use I/A Handpiece | Type |
| Model No. | |
| 85903S19 | Irrigation Chopper, 19 GA |
| 85903S20 | Irrigation Chopper, 20 GA |
| 85903ST19 | Irrigation Chopper, 19 GA |
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.
§ 886.4670 Phacofragmentation system.
(a)
Identification. A phacofragmentation system is an AC-powered device with a fragmenting needle intended for use in cataract surgery to disrupt a cataract with ultrasound and extract the cataract.(b)
Classification. Class II.