K Number
K081814

Validate with FDA (Live)

Manufacturer
Date Cleared
2008-12-17

(174 days)

Product Code
Regulation Number
874.4250
Age Range
All
Reference & Predicate Devices
N/A
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticPediatricDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The reprocessed ENT shavers are intended to be used with a reusable hand piece and are designed for use in various ENT, head and neck surgeries and otoneurologic procedures.

Sinus Applications:

  • Polypectomy .
  • Ethmoidectory/Sphenoethmoidectomy
  • Septoplasty
  • Antrostomy
  • Endoscopic DCR .
  • Frontal Sinus Trephination and Irrigation
  • Frontal Sinus Drill Out
  • Septal Spur Removal
  • Trans-Sphenoidal Procedures

Head and Neck Procedures

  • Rhinoplasty .
  • Lipodebridement in the Maxillary and Mandibular Region .
  • Soft Tissue Shaving
  • Acoustic Neuroma Removal

Nasopharyngeal and Laryngeal Procedures

  • Tonsillectomy .
  • Tracheal Procedures .
  • Adenoidectomy
  • Laryngeal Lesion De-Bulking
  • Laryngeal Polypectomy .

Otology Procedures

  • Mastoidotomy .
  • Mastoidectomy
Device Description

SterilMed's reprocessed ENT shavers are powered dissectors inserted into a reusable hand piece and designed to be used in the removal of bone and tissue in various ENT, head and neck surgeries, and otoneurologic procedures. These devices were originally manufactured by Gyrus and Medtronic.

Note: Only the shaver is the subject of this submission, the reusable hand piece and any other related equipment are not included in the scope of this submission.

AI/ML Overview

The provided text describes a 510(k) premarket notification for "Reprocessed ENT Shavers" by SterilMed, Inc. It claims substantial equivalence to Gyrus Diego® and Medtronic Xomed XPS® shavers. However, the document primarily focuses on the regulatory submission and does not contain detailed information about specific acceptance criteria or the study that definitively proves the device meets those criteria in a quantitative, performance-based manner as typically expected for AI/ML device descriptions.

Instead, the submission states: "Representative samples of reprocessed ENT shavers were tested to demonstrate appropriate functional characteristics. Process validation testing was performed to validate the cleaning and sterilization procedures as well as device packaging. In addition, the manufacturing process includes visual and validated functional testing of all products produced." This indicates that the testing focused on ensuring the reprocessed devices perform similarly to the original devices and meet reprocessing standards.

Given the information in the provided text, I cannot complete the table with specific quantitative acceptance criteria and reported device performance metrics in the way you've outlined for an AI/ML device. The document is a regulatory submission for a reprocessed medical device, not a performance study of an AI/ML diagnostic tool.

The document does not provide details on:

  • Specific quantifiable acceptance criteria for performance (e.g., sensitivity, specificity, AUC).
  • Numerical reported device performance against those criteria.
  • Sample sizes for a "test set" or data provenance in the context of an AI/ML model's evaluation.
  • Number of experts used to establish ground truth, their qualifications, or adjudication methods related to diagnostic accuracy.
  • MRMC comparative effectiveness study details.
  • Standalone algorithm performance (as this is a reprocessed physical device).
  • Type of ground truth in an AI/ML context.
  • Sample size for a training set or how ground truth for the training set was established.

The "Conclusion" section states: "The reprocessed ENT shavers are substantially equivalent to Gyrus Diego® and Medtronic Xomed XPS® blades. This conclusion is based upon the devices' similarities in functional design (principle of operation), materials, indications for use and methods of construction." This is the core "proof" presented for this type of device, focusing on equivalence rather than novel performance metrics.

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K081814

Image /page/0/Picture/1 description: The image shows the logo for SterilMed, INC. The logo is in black and white and features the company name in a bold, sans-serif font. Below the company name, there is smaller text that reads "Medical Device Reprocessing" and "Small Equipment & Instrument Repair."

510(K) PREMARKET NOTIFICATION SUBMISSION JUNE 25, 2008 FOR REPROCESSED ENT SHAVERS

SUMMARY AND CERTIFICATION II.

DEC 1 7 2008

510(k) Summary A.

Submitter:SterilMed, Inc.
Contact Person:Joshua Clarin11400 73rd Avenue NorthMaple Grove, MN 55369Ph: 612-644-8402Fax: 763-488-3350
Date Prepared:June 25, 2008
Trade Name:Reprocessed ENT Shavers
Classification Name:Ear, Nose and Throat Electrical or Pneumatic Surgical Drill
Classification Number:Class II, 21 CFR 874.4250
Product Code:ERL
PredicateDevices:The reprocessed ENT shavers are substantially equivalent to Gyrus Diego® and MedtronicXomed XPS® shavers.
DeviceDescription:SterilMed's reprocessed ENT shavers are powered dissectors inserted into a reusable handpiece and designed to be used in the removal of bone and tissue in various ENT, head and necksurgeries, and otoneurologic procedures. These devices were originally manufactured by Gyrusand Medtronic.
Note: Only the shaver is the subject of this submission, the reusable hand piece and any otherrelated equipment are not included in the scope of this submission.
Intended Use:The reprocessed ENT shavers are intended to be used with a reusable hand piece and aredesigned for use in various ENT, head and neck surgeries, and otoneurologic procedures.
Functional andSafety Testing:Representative samples of reprocessed ENT shavers were tested to demonstrate appropriatefunctional characteristics. Process validation testing was performed to validate the cleaning andsterilization procedures as well as device packaging. In addition, the manufacturing processincludes visual and validated functional testing of all products produced.
Conclusion:The reprocessed ENT shavers are substantially equivalent to Gyrus Diego® and MedtronicXomed XPS® blades.
This conclusion is based upon the devices' similarities in functional design (principle ofoperation), materials, indications for use and methods of construction.

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Image /page/1/Picture/0 description: The image shows the logo for SterilMed INC. The logo is in bold, black font. Underneath the company name, it says "Medical Device Reprocessing" and "Small Equipment & Instrument Repair".

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510(K) PREMARKET NOTIFICATION SUBMISSION JUNE 25, 2008 FOR REPROCESSED ENT SHAVERS

K081814

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B. Premarket Notification Statement

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In lieu of a Premarket Notification Statement, a 510(k) Summary has been provided. Refer to Section II.A for 510(k) summary and certification.

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CONFIDENTIAL & PROPRIETARY INFORMATION OF STERILMED, INC.

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/2/Picture/1 description: The image shows the seal of the Department of Health & Human Services (HHS). The seal features a stylized eagle with its wings spread, symbolizing protection and service. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" are arranged in a circular pattern around the eagle.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

SterilMed. Inc. c/o Dennis Toussaint Director Regulatory Affairs 11400 73rd Avenue, N. Suite 100 Maple Grove, MN 55369

DEC 1 7 2008

K081814 Re: Trade/Device Name: Reprocessed ENT Shavers Regulation Number: 21 CFR 874.4250 Regulation Name: Ear, Nose, and Throat electric or pneumatic surgical drill Regulatory Class: Class II Product Code: ERL Dated: December 12, 2008 Received: December 15, 2008

Dear Mr. Toussaint:

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 (OS) 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,

M. B. Egolints, mD

Malvina B. Eydelman, M.D. 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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K081814

Indications for Use

510(k) Number (if known):_K081814

Device Name: Reprocessed ENT Shavers

Indications for Use:

Indications tor Use:
The reprocessed ENT shavers are intended to be used with a reusable hand piece and are designed for use in various ENT, head and neck surgeries and otoneurologic procedures.

Sinus Applications:

  • Polypectomy .
  • Ethmoidectory/Sphenoethmoidectomy
  • Septoplasty
  • Antrostomy
  • Endoscopic DCR .
  • Frontal Sinus Trephination and Irrigation
  • Frontal Sinus Drill Out
  • Septal Spur Removal
  • Trans-Sphenoidal Procedures

Head and Neck Procedures

  • Rhinoplasty .
  • Lipodebridement in the Maxillary and Mandibular Region .
  • Soft Tissue Shaving
  • Acoustic Neuroma Removal

Nasopharyngeal and Laryngeal Procedures

  • Tonsillectomy .
  • Tracheal Procedures .
  • Adenoidectomy
  • Laryngeal Lesion De-Bulking
  • Laryngeal Polypectomy .

Otology Procedures

  • Mastoidotomy .
  • Mastoidectomy

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)

Sir Nadler

(Division Sign-Off) Division of Ophthalmic and Ear, Nose and Throat Devices

510(k) Number K081814

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K081814

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. And the same of

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Carlos Concession

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ManufacturerModel #
Gyrus7013-8100
7013-8000
7013-8035
7013-8001
7013-8002
7013-8003
Medtronic Xomed18-84004HR
18-84004
18-83504HR
18-83504
18-82904HRE
18-82904
18-84002HRE
18-84002
18-83502HRE
18-83502
18-82902HRE
18-82902
18-84005HRE
18-84005
18-82905HRE
18-82905
18-82040HR
18-82040
18-82940HR
18-82940

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List of Devices included in this Premarket Notification Submission - 510(k) K081814

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and the state of the states of the states

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and the comments of the comments of the country of

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§ 874.4250 Ear, nose, and throat electric or pneumatic surgical drill.

(a)
Identification. An ear, nose, and throat electric or pneumatic surgical drill is a rotating drilling device, including the handpiece, that is intended to drive various accessories, such as an ear, nose, and throat bur (§ 874.4140), for the controlled incision or removal of bone in the ear, nose, and throat area.(b)
Classification. Class II.