K Number
K964547

Validate with FDA (Live)

Date Cleared
1997-01-08

(56 days)

Product Code
Regulation Number
870.4450
Reference & Predicate Devices
N/A
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Identi Loops are designed and indicated for temporary intraoperative use during various general surgical procedures requiring identification, retraction, or occlusion of tendons, ureters, nerves, arteries or veins. The Identi Loop is not designed nor indicated for Implantation.

Device Description

The Identi Loops are designed and indicated for temporary intraoperative use during various general surgical procedures requiring identification, retraction, or occlusion of tendons, ureters, nerves, arteries or veins. The Identi Loop is not designed nor indicated for Implantation. Previously 2 sizes Mini and Maxi were available, we have now added Super Maxi (Extra Maxi).

AI/ML Overview

This document is a 510(k) summary for the Degania Silicone Identi Loops, specifically addressing the addition of a "Super Maxi" size. It does not contain information about acceptance criteria or a study proving the device meets those criteria.

Therefore, I cannot provide the requested information. The document focuses on regulatory submission for a new size of an existing device, emphasizing its substantial equivalence to previous versions, rather than new performance testing.

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Image /page/0/Picture/0 description: The image shows a black and white logo for ISO 9002. The logo is circular with the text "ISO 9002" in the center in a bold font. The text "Quality Assured Firm" is written along the bottom of the circle, and the text "Israel Standards Institution of Israel" is written along the top of the circle. The logo appears to be a certification mark indicating that the organization has met the requirements of the ISO 9002 standard.

Image /page/0/Picture/1 description: The image contains two words, "Degumia" and "Silicone". The word "Degumia" is written in a bold, black font on a white background. The word "Silicone" is written in a white font with a black outline on a white background.

Image /page/0/Picture/2 description: The image is a close-up, grainy, black-and-white image. The image is not clear enough to determine what the image is showing.

Degania Silicone Ltd. Degania Bet 15130, Israel. Tel: 972-6-755712, Fax: 972-6-709182

8 1997 JAN

K964547

APPENDIX E

510(k) SUMMARY

Trade Name: Degania Silicone Identi Loops

Common Name: Vascular Ties or Loops

Product Code: 79

Device Class: I

Classification Panel: General & Plastic Surgery

Establishment Registration Number: 8030107

This summary of 510K safety and effectiveness information is being submitted in accordance with the requirements of SMDA 1990 and 21 CFR 807:92.

DEVICE DESCRIPTION AND USE:

The Identi Loops are designed and indicated for temporary intraoperative use during various general surgical procedures requiring identification, retraction, or occlusion of tendons, ureters, nerves, arteries or veins. The Identi Loop is not designed nor indicated for Implantation.

Previously 2 sizes Mini and Maxi were available, we have now added Super Maxi (Extra Maxi).

MANUFACTURING :

The Identi Loops are manufactured from the same raw materials, from the same vendors and using the same manufacturing processes as our previous 510(k).

SUBSTANTIAL EQUIVALENCE:

We are Substantially Equivalent to ourselves.

Betty Lu

Nov. 11, 1896

Date

Bette Lubin Product Advisor & Regulatory Affairs Degania Silicone

24/2

§ 870.4450 Vascular clamp.

(a)
Identification. A vascular clamp is a surgical instrument used to occlude a blood vessel temporarily.(b)
Classification. Class II (performance standards).