IVALON PVA SURGICAL SPEAR, IVALON EYE DRAIN, 80CC, IVALON EYE DRAIN, 400CC, IVALON EYE WICK
K971832 · M-Pact Worldwide Management Corp. · HOZ · Jul 31, 1997 · Ophthalmic
Device Facts
| Record ID | K971832 |
| Device Name | IVALON PVA SURGICAL SPEAR, IVALON EYE DRAIN, 80CC, IVALON EYE DRAIN, 400CC, IVALON EYE WICK |
| Applicant | M-Pact Worldwide Management Corp. |
| Product Code | HOZ · Ophthalmic |
| Decision Date | Jul 31, 1997 |
| Decision | SESE |
| Submission Type | Traditional |
| Regulation | 21 CFR 886.4790 |
| Device Class | Class 2 |
Intended Use
The Ivalon® Eye Drain 80cc, Eye Drain 400cc, Surgical Spears, and Eye Wick 8-inch are used to absorb fluids from the operative field in ophthalmic surgery.
Device Story
Ivalon PVA surgical devices consist of sterile, single-use, dried, and compressed formalized polyvinyl alcohol (PVA) sponges. These devices are used by surgeons during ophthalmic procedures to absorb fluids from the operative field. The sponges are manufactured by M-PACT Corporation and are provided in various configurations, including 80cc and 400cc drains, 8-inch wicks, and surgical spears. The formalized PVA material is a condensation product of polyvinyl alcohol and formaldehyde, processed to ensure the removal of residual chemicals. The devices are packaged individually as sterile, compressed sponges.
Clinical Evidence
No clinical data; bench testing only.
Technological Characteristics
Formalized polyvinyl alcohol (PVA) sponge material (condensation product of polyvinyl alcohol and formaldehyde). Sterile, single-use, dried, and compressed form factor. Available as 80cc/400cc drains, 8-inch wicks, and surgical spears.
Indications for Use
Indicated for use in ophthalmic surgery to absorb fluids from the operative field.
Regulatory Classification
Identification
An ophthalmic sponge is a device that is an absorbant sponge, pad, or spear made of folded gauze, cotton, cellulose, or other material intended to absorb fluids from the operative field in ophthalmic surgery.
Special Controls
*Classification.* Class II (special controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 886.9.
Predicate Devices
- Merocel Eye Drain 80cc
- Merocel Eye Drain 400cc
- Merocel Eye Wick 8-inch
- Merocel Surgical Spears
Related Devices
- K082460 — CENEFOM PVA SURGICAL SPEAR · Longtek Scientific Co., Ltd. · Dec 15, 2008
- K132796 — SUNTOUCH EYE SPEAR · Huizhou Foryou Medical Devices Co., Ltd. · Oct 30, 2013
- K130117 — NETWORK EYE SPEARS, POINTS, DRAINS, WICKS AND SHIELDS · Network Medical Products, Ltd. · Oct 29, 2013
- K990671 — DRAINAGE WICK; SURGICAL SPEARS AND SPONGES, CORNEAL LIGHT SHIELD, INSTRUMENT WIPE · Hurricane Medical · May 10, 1999
- K091240 — ALPHAMED SURGICAL SPEAR, MODEL 70-5000 · Alphamed, Inc. · Oct 23, 2009
Submission Summary (Full Text)
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K97/832
## SUMMARY STATEMENT
Barry Hale M-PACT Corporation 1040 OCL Parkway Eudora, KS 66025 913-542-2135 Contact Barry Hale May 14, 1997
Name of Product: Sponge, Opthalmic
M-PACT Corporation, registration number 1928508, wishes to file an intent to market
And Surgination Design 90cc, Eve Drain 400cc, Eve Wick 8-inch, and Surgico M-PACT Corporation, registration number 1928-06, Wiskes With & Margical
sterile, single-use Eye Drain 80cc, Eye Drain 400cc, Eye Wick Birghcal
Sterile, single-use for a forma sterle, single-use Eye Drain 80cc, Eye Drain 400cc, Eye Wick Sheet, Will market the Spears muractured from formalized PVA sponge material. The classification name for the devices
products under the trade name of TVALON®. The classification name for the de products under ale aic aic air and CFR 886.4790).
The Eye Drain 80cc, Bye Drain 400cc, Bye Wick 8-inch, and Surgical Spears are The Eye Drain 80cc, Eye Drain 400cc, Eye Wilks Punch, and compressed sponge. They are used to
packaged individually as a sterile, dried and compressed sponge. They are used t packaged individually as a sterne, drive the start of a progety.
M-PACT Eye Drain 80cc, Eye Drain 400cc, Eye Wick 8-inch, and Surgical Spears are M-PACT Eye Drain 80cc, Eye Drain 400cc, Lye W.R. 9 min and of polyviny!
made from formalized PVA sponge, which is a condensation product of polyviny! made from formalized TVA sponge, which is a condensands promote on the foam
alcohol and formaldehyde. Once the chemical reaction has taken place and the foam
in the formalia alcohol and formaldehyde. Once the cheined clean of any residual chemicals.
M-PACT Corporation is the manufacturer of the formalized PVA sponge. M-PACT has
s of the bearly BAX Compresson (Departs, Colorado) to complete the packaging M-PACT Corporation is the manufacturer on the formation and the packaging
contracted with IPAX Corporation (Denver, Colorado) to complete the packaging contracted with IPAA Corporation (Denver) 300 and 100 sterilization services.
Although this is a new product for M-PACT, it is a product which is substantially Although this is a new product for M-PAC. It is a production in Surgical Spears.
equivalent to Eye Drain 800cc, Eye Drain 400cc, Eye Wick Sunch, were on the market p equivalent to Eye Drain 80cc, bye United Commerce and which were on the market prior that are currently marketed in interstate commerce and when of 1976 (May 28, 1976).
to the date of the enactment of the Medical Device Amendrom of 1976 (May 28, 1976).
Commen to the data of the enactment of the Medical Device Alichesters or 11, 2017
The M-PACT Eye Drain 80cc, Eye Drain 400cc, Eye Wick 8-Inch, and Surgical Spears The M-PACT Eye Drain 80cc, Eye Drain 400cc, Eye Pristiended use as the Merocel I Bye
are identical in size, shape, material composition and intended use as the Merocel Bye are identical in size, shape, material composition and Surgical Spears currently marketed
Drain 80cc, Eye Drain 400cc, Eye Wick 8-inch, and Surgical Spears currently, Florida Drain 80cc, Eye Drain 400cc, Lye Wick o-nitity (Komed, Jicks opville, Florida). Since the
by Merocel Corporation, Mystic, Connecticut (Komed, Jacksonville, Florida). Since by Merocel Corporation, Mystic, Comecucar (Nick 8-inch, and Surgical Spears are
M-PACT Eye Drain 80cc, Eye Drain 400cc, Eye Wick 8-inch, and Surgical Spears are M-PACT Bye Drain 80cc, Lye Drain 400cc, Eye WiEk of Internal I
identical to product currently marketed by Merocel, the only changes will be in regard to labeling and packaging.
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Image /page/1/Picture/1 description: The image shows the logo for the Department of Health & Human Services (USA). The logo is circular and contains the department's name around the perimeter. In the center is a stylized image of an eagle.
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
## JUL 3 | 1997
Mr. Barry Hale M-PACT Corp. 1040 OCL Parkway Fudora, KS 66025
Re: K971832
K971832
Trade Name: Ivalon PVA Surgical Spear; Ivalon Eye Drain, 80cc; Ivalon Eye Drain,
Trade Name: Ivalon PVA Surgical Spear; Ival 400cc; Ivalon Eye Wick
Regulatory Class: II Product Code: 86 HOZ Dated: May 14, 1997 Received: May 19, 1997
Dear Mr. Hale:
We have reviewed your Section 510(k) notification of intent to market the device referenced We have reviewed your Section 510(ts) nothleakter tially equivalent (for the indications for above and we have determined the devices marketed in interstate commerce prior to May 28, 1976, use stated in the enclosure) to device Amendments, or to devices that have been
the enactment date of the Medical Device Amendarel Food. Drug, and Cosme the enactment date of the Medical Device rine Federal Food, Drug, and Cosmetic Act
reclassified in accordance with the provisions of the Federal controls provisions of reclassified in accordance with the provisions or the general controls provisions of the (Act). You may, therefore, market the device, successes and groundents for annual registration,
Act. The general controls provisions of the Act include requirements mishrandi Act. The general controls provisions of the Actual requence requence in the randing and adulteration.
If your device is classified (see above) into either class II (Special Controls) or class III
n and the many and If your device is classified (see above) into exist additional controls. Existing major (Premarket Approval), it may be subject to sam ations of Federal Regulations, Title 21,
regulations affecting your device can be found in the Code of Federaliance with the regulations aftecting your device can be round as an assumes compliance with the Parts 800 to 895. A substantally couragents, as set forch in the Quality System
current Good Manufacturing Practice requirements, as set forch in the Right current Good Manufacturing Practice (General regulation (21 CFR Part 820) and than, through
Regulation (QS) for Medical Devices: (GDA) will verify such icegulation (QS) inspections, the Food Indian may result in regulation may result in regilatory ac periodic (QS) inspections, the Food and Drag Pressult in regulation may result in regulatory action. In
assumptions. Failure to comply with the GMP regulation may result an assumptions. Fallure to comply with the GMT regorifican whice in the Eederal addition, FDA may publish lurinel amour. Remarket notification submission does not affect
Register. Please note: this response to your premarket nonification submicres under Register. Please note: This response to your press. It through 542 of the Act for devices under any obligation you might have under sections or other Federal laws or regulations.
the Electronic Product Radiation Control provisions, or other Federal laws or regulations.
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## Page 2 - Mr. Barry Hale
This letter will allow you to begin marketing your device as described in your 510(k)
Dremarket notification . The EDA findi 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 slevice to proceed to the marker. " --
If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4613. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its internet address "http://www.fda.gov/cdrh/dsmamain.html".
Sincerely yours,
A. Raeyl lorenthal
A. Ralph Rosenthal, M.D Director Division of Ophthalmic Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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510(k) Number (if known): ____________________________________________________________________________________________________________________________________________________
Device Name: _________________________________________________________________________________________________________________________________________________________________
INDICATIONS FOR USE:
INDICATIONS FOX USE:
The Ivalon® Eye Drain 400cc, Surgical Spears, and Eye Wick 8-inch are =================================================================================== The Ivalon® Eye Drain 80cc, Eye Drain 400cc, Surgical Opens, 2007, 2007, 1
used to absorb fluids from the operative field in ophthalmic surgery.
(Please do not write below this line - use another page if needed.)
Concurrence of CDRH, Office of Device Evaluation (ODE)
| | <div align="center">my-chen Shir of</div> <div align="center">(Division Sign-Off)</div> <div>Division of Ophthalmic Devices</div> |
|---------------|-----------------------------------------------------------------------------------------------------------------------------------|
| 510(k) Number | K971832 |
| Prescription Use | <div>✓</div> | OR | Over-The-Counter Use |
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