K Number
K002437
Device Name
ENDIUS ENDOSCOPIC ACCESS SYSTEM
Manufacturer
Date Cleared
2000-10-02

(54 days)

Product Code
Regulation Number
888.1100
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Endius Endoscopic Access System is indicated for use in instrumented posterolateral fusion procedures where the TriFix Spinal Instrumentation System is utilized. The Endius Endoscopic Access System is also intended to be used for posterior endoscopic access to the lumbar spine for various endoscopic spinal procedures such as discectomy, nucleotomy, non-instrumented posterolateral fusion procedures.
Device Description
The Endoscopic Access System includes instruments used to access the spine by dilation of the overlying tissues, as well as a retracting device that is used to maintain the access. Once the retractor is in place, the visualization components of the system may be used. These include, an endoscope, a light source, light guide, a camera control unit, and a camera head. The Endoscope may be used to visualize the operative site. When using the system for discectomy, nucleotomy, or non-instrumented posterolateral fusion procedures the retractor used with the system has a 16mm diameter tube portion and expands distally in the range of 25-35mm. When the system is used for the placement of pedicle screws a larger retractor may be used. The larger sized retractor has a 20mm diameter tube portion and expands distally in the range of 30-40mm. The camera head, scope, and light guide are supported by a circular mount, which allows manual 360-degree rotation of the scope. The mount is connected to a vacuum powered arm that may be used to manipulate the construct in any position.
More Information

No
The description focuses on mechanical and optical components for surgical access and visualization, with no mention of AI/ML capabilities or data processing beyond basic visualization.

No
The device is described as an access system and retracting device used to visualize the operative site during surgical procedures, not to treat a condition. Its indications for use are for surgical access and fusion procedures, which are interventional rather than therapeutic in the medical device context.

No

The device is an endoscopic access system used for surgical procedures like discectomy and fusion, providing visualization and access to the surgical site rather than diagnosing a condition.

No

The device description explicitly details multiple hardware components including instruments for tissue dilation, a retractor, an endoscope, a light source, light guide, camera control unit, camera head, and a vacuum powered arm.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Device Function: The description clearly states that the Endius Endoscopic Access System is used for surgical procedures on the lumbar spine. It provides access, visualization, and allows for the use of other instruments during surgery.
  • Intended Use: The intended use is for instrumented and non-instrumented posterolateral fusion procedures, discectomy, and nucleotomy. These are all surgical interventions, not diagnostic tests performed on samples outside the body.

The device is a surgical tool used during a procedure, not a diagnostic test performed on a sample.

N/A

Intended Use / Indications for Use

The Endius Endoscopic Access System is indicated for use in instrumented posterolateral fusion procedures where the TriFix Spinal Instrumentation System is utilized. The Endius Endoscopic Access System is also intended to be used for posterior endoscopic access to the lumbar spine for various endoscopic spinal procedures such as discectomy, nucleotomy, non-instrumented posterolateral fusion procedures.

Product codes

HRX

Device Description

The Endoscopic Access System includes instruments used to access the spine by dilation of the overlying tissues, as well as a retracting device that is used to maintain the access. Once the retractor is in place, the visualization components of the system may be used. These include, an endoscope, a light source, light guide, a camera control unit, and a camera head.

The Endoscope may be used to visualize the operative site. When using the system for discectomy, nucleotomy, or non-instrumented posterolateral fusion procedures the retractor used with the system has a 16mm diameter tube portion and expands distally in the range of 25-35mm.

When the system is used for the placement of pedicle screws a larger retractor may be used. The larger sized retractor has a 20mm diameter tube portion and expands distally in the range of 30-40mm.

The camera head, scope, and light guide are supported by a circular mount, which allows manual 360-degree rotation of the scope. The mount is connected to a vacuum powered arm that may be used to manipulate the construct in any position.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

lumbar spine

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Not Found

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K002437

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc)

Not Found

§ 888.1100 Arthroscope.

(a)
Identification. An arthroscope is an electrically powered endoscope intended to make visible the interior of a joint. The arthroscope and accessories also is intended to perform surgery within a joint.(b)
Classification. (1) Class II (performance standards).(2) Class I for the following manual arthroscopic instruments: cannulas, currettes, drill guides, forceps, gouges, graspers, knives, obturators, osteotomes, probes, punches, rasps, retractors, rongeurs, suture passers, suture knotpushers, suture punches, switching rods, and trocars. The devices subject to this paragraph (b)(2) are exempt from the premarket notification procedures in subpart E of part 807 of this chapter, subject to the limitations in § 888.9.

0

Section 7 - 510(k) Summary of Safety and Effectiveness

This summary of 510(k) safety and effectiveness information is being 7.1 submitted in accordance with the requirement of SMDA 1990 and 21 CFR Statement 807.92

7.2 Endius, Inc. Submitter 23 West Bacon Street Plainville, MA. 02762 (USA)

7.3 Susan Finneran QA/RA Manager, Endius, Inc.) Company Contact 508-643-0983

7.4 Device Name/

Classification

Proprietary Name: Endius Endoscopic Access System Common Name: Endoscopic Spinal Access System Classification Name: Endoscope and Accessories

The devices in the Endoscopic Spinal Access System can be classified as class II, 876.1500 Endoscope and Accessories. The primary device in the system is the endoscope. The accessory equipment is needed to gain access for placement of the endoscope, to support the endoscope in position, or to work with the endoscope for the purpose of visualization.

K002437

1

7.5 Predicate Legally Marketed Devices

Sofamor Danek Microendoscopic Discectomy System (Sofamor Danek Memphis, Tennessee)

7.6 Device The Endoscopic Access System includes instruments used to access the spine Description by dilation of the overlying tissues, as well as a retracting device that is used to maintain the access. Once the retractor is in place, the visualization components of the system may be used. These include, an endoscope, a light source, light guide, a camera control unit, and a camera head.

The Endoscope may be used to visualize the operative site. When using the system for discectomy, nucleotomy, or non-instrumented posterolateral fusion procedures the retractor used with the system has a 16mm diameter tube portion and expands distally in the range of 25-35mm.

When the system is used for the placement of pedicle screws a larger retractor may be used. The larger sized retractor has a 20mm diameter tube portion and expands distally in the range of 30-40mm.

The camera head, scope, and light guide are supported by a circular mount, which allows manual 360-degree rotation of the scope. The mount is connected to a vacuum powered arm that may be used to manipulate the construct in any position.

7.7 Indications for Use

The Endius Endoscopic Access System is indicated for use in instrumented posterolateral fusion procedures where the TriFix Spinal Instrumentation System is utilized.

The Endius Endoscopic Access System is also intended to be used for posterior endoscopic access to the lumbar spine for various endoscopic spinal procedures such as discectomy, nucleotomy, non-instrumented posterolateral fusion procedures.

7.8 The Endius Endoscopic Spinal Access System is substantially equivalent to the Substantial Sofamore Danek USA Microendoscopic System (Memphis, TN) Equivalence A summary of the features of the two systems follows:

2

Table of Substantial Equivalent Device Similarities
MED SystemEndius Spinal Access
Product
ComponentsGuidewire/ Dilator Set Tubular Retractor Endoscope Light Source Camera and Control unit Flexible Arm AssemblyGuidewire and Dilator Set Flexposure Retractor Endoscope Light Source Camera and control unit Flexarm and Scope retractor
Mount
Product
LabelingNon-sterile, Reusable
For all components with the
exception of the scopeNon-sterile, Reusable for all
components except Flexposure
retractor
MaterialsMaterial composition is
primarily Stainless Steel and
Anodized AluminumMaterial composition is primarily
Stainless Steel and Anodized
Aluminum
IndicationsPosterior lateral visualizationAccess to the spine for various
spinal repair procedures including
nucleotomy, discectomy, non-
instrumented fusion procedures,
and instrumented fusion
procedures when the TriFix
Pedicle screw system is used.
Intended useThe System is used to access
the lumbar SpineThe system will be used to access
the lumbar spine.

Applicant. Susan Lee

:

Date 8/9/00

:

.

    1. 1

3

Image /page/3/Picture/1 description: The image shows the logo for the Department of Health & Human Services - USA. The logo is a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized image of a bird or abstract human figure.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

OCT = 2 2000

Ms. Susan Finneran Quality Assurance, Regulatory Affairs Manager Endius, Inc. 23 West Bacon Street Plainville, Massachusetts 02762

Re: K002437

Trade Name: Endius Endoscopic Access System Regulatory Class: II Product Code: HRX Dated: August 8, 2000 Received: August 9, 2000

Dear Ms. Finneran:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to 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). You may, therefore, market the device, subject to the general controls Connect Fee (110). provisions of ation, 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 (Premarket Approval), 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 895. A substantially equivalent determination assumes compliance with the current Good Manufacturing Practice requirement, as set forth in the Quality System Regulation (QS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic (QS) inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

4

Page 2 - Ms. Susan Finneran

This letter will allow you to begin marketing your device as described in your 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 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4595. 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,

Mark N Melkerson

Celia M. Witten, Ph.D., M.D. Director

Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

5

510(k) Number (if known):

Device Name: Endius Endoscopic Access System

Indications for Use: The Endius Endoscopic Access System is indicated for use in instrumented posterolateral fusion procedures where the TriFix Spinal Instrumentation System is utilized. The Endius Endoscopic Access System is also intended to be used for posterior endoscopic The Eneral Entrober ppine for various endoscopic spinal procedures such as discectomy, nucleotomy, non-instrumented posterolateral fusion procedures.

K002437

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE OF NEEDED)

Concurence of CDRH, Office of Device Evaulation (ODE)

(Posted July 1, 1998)

Mark N. Mulleken
(Optional Format 3-10-98)

(Division Sign-Off) Division of General Restorative Devices K002437 510(k) Number