K Number
K012196
Device Name
ULTRACELL ABSORBENT STICK
Date Cleared
2001-08-24

(42 days)

Product Code
Regulation Number
886.4790
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Used during surgery to protect delicate tissue from trauma, absorb fluid and act as a filter to aspirate.
Device Description
Not Found
More Information

Not Found

Not Found

No
The summary provides no information suggesting the use of AI or ML. The device description and intended use point towards a physical surgical tool.

Yes
The device is used to protect delicate tissue from trauma during surgery, which is a therapeutic function.

No
The description states the device is "Used during surgery to protect delicate tissue from trauma, absorb fluid and act as a filter to aspirate." This describes a therapeutic or protective function, not a diagnostic one (identifying a disease or condition).

No

The provided 510(k) summary describes a device used during surgery to protect tissue, absorb fluid, and act as a filter. This functionality strongly suggests a physical device (e.g., a surgical sponge or filter) rather than a software-only application. The lack of any mention of software, algorithms, or data processing further supports this conclusion.

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

Here's why:

  • Intended Use: The intended use is "Used during surgery to protect delicate tissue from trauma, absorb fluid and act as a filter to aspirate." This describes a device used in vivo (within the body) during a surgical procedure.
  • IVD Definition: In vitro diagnostics are medical devices used to examine specimens taken from the body, such as blood, urine, or tissue, to provide information for diagnosis, monitoring, or screening.

The function of this device is entirely focused on physical actions within the surgical field, not on analyzing biological samples outside the body.

N/A

Intended Use / Indications for Use

Used during surgery to protect delicate tissue from trauma, absorb fluid and act as a filter to aspirate.

Product codes

HOZ

Device Description

Not Found

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Used during surgery

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)

Not Found

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 886.4790 Ophthalmic sponge.

(a)
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.(b)
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.

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Image /page/0/Picture/1 description: The image is a black and white logo for the U.S. Department of Health and Human Services. The logo features a stylized eagle with three curved lines representing its wings. The eagle is positioned inside a circle, and the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is written around the circumference of the circle.

AUG 2 4 2001

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Ultracell Medical Technologies, Inc. c/o Ms. Colleen Martin Quality Control Manager and Official Correspondent 183 Providence-New London Turnpike North Stonington, CT 06359

Re: 510(K) Number: K012196 Trade/Device Name: Absorbent Stick Regulation Number: CFR 21 886.4790 Regulatory Class: Class II Product Code: HOZ Dated: July 10, 2001 Received: July 13, 2001

Dear Ms. Martin:

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 enace in the Medical Device Amendments, or to devices that have been reclassified in encernance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act). You may, accordance with the provident of 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 (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 requirements, 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 oublish 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.

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Page 2 - Ms. Colleen Martin

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 nredicate 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) 594-6413. 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" (21CFR 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/dsma/dsmamain.html".

Sincerely yours,
A. Ralph Rosenthal

A. Ralph Rosenthal, M.D. Director Division of Ophthalmic and Ear, Nose and Throat Devices Office of Device Evaluation Center for Devices and Radiological Health

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510(k) NUMBER (IF KNOWN): __ 012196

DEVICE NAME: Ultracell Absorbent Stick

INDICATIONS FOR USE: Used during surgery to protect delicate tissue from trauma, absorb fluid and act as a filter to aspirate.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription UseX
(per 21 CFR 801.109)

OR
Over-
(C
12-The-Counter-Use : Optional Format 1-2-96)

Daniel W.C. Brown Ph.D.

(Division Sign-Off) Division of Ophthalmic Devices 510(k) Number _012196