K Number
K012694
Device Name
REPROCESSED USED DISPOSABLE ARTHROSCOPIC BLADES AND BURS
Manufacturer
Date Cleared
2002-02-04

(174 days)

Product Code
Regulation Number
878.4820
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Arthroscopic blades and burs are indicated for resection of tissue within joint spaces under arthroscopic control.
Device Description
Arthroscopic blades and burs are single use instruments consisting of several tubes and designs. The inner blade rotation is driven by a motor. AMI intends to reprocess arthroscopy blades and burs. Reprocessing includes all the steps performed to make a contaminated single use device patient ready. Only dispossible, non angled arthroscopy blades and burs manufactured by Dyonics and Stryker, that are currently sold on the market (which have met premarket requirements by the original manufacturer for single use) will be reprocessed by AMI.
More Information

Not Found

No
The summary describes a mechanical device (arthroscopic blades and burs) and a reprocessing service. There is no mention of AI, ML, image processing, or any other technology typically associated with AI/ML.

No
The device, arthroscopic blades and burs, is used for the resection (removal) of tissue. This is a surgical tool, not a device that provides therapy or treatment to a patient. The reprocessing of these tools makes them "patient ready" for surgical procedures.

No
Explanation: The device, arthroscopic blades and burs, is used for resection of tissue, which is a therapeutic rather than a diagnostic function.

No

The device description clearly states it is a physical instrument (arthroscopic blades and burs) with a motor, and the submission is for reprocessing these physical devices.

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

Here's why:

  • Intended Use: The intended use is "resection of tissue within joint spaces under arthroscopic control." This describes a surgical procedure performed directly on the patient's body.
  • Device Description: The device is described as "single use instruments consisting of several tubes and designs" used for tissue resection. This aligns with surgical instruments.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens derived from the human body (like blood, urine, tissue samples) to provide information for diagnosis, monitoring, or screening.

IVD devices are used in vitro (outside the body) to analyze biological samples. This device is used in vivo (inside the body) during surgery.

N/A

Intended Use / Indications for Use

Arthroscopic blades and burs are single use instruments consisting of several tubes and designs. The inner blade rotation is driven by a motor.

Arthroscopy blades and burs are indicated for resection of tissue within joint spaces under arthroscopic control.

AMI intends to reprocess arthroscopy blades and burs. Reprocessing includes all the steps performed to make a contaminated single use device patient ready.

Only dispossible, non angled arthroscopy blades and burs manufactured by Dyonics and Stryker, that currently sold on the market (which have met premarket requirements by the original manufacturer for single use) will be reprocessed by AMI.

Product codes

HWE

Device Description

AMI Reprocessed Stryker and Dyonics Disposable Arthroscopic Blades/Bursare single use sugery blades for resection of tissue within joint spaces under arthoscopic control.

AMI Reprocessed Stryker and Dyonics Disposable Arthroscopic Blades/Burs are composed of the same materials as currently marketed hand-manipulated Stryker and Dyonics Disposable Arthroscopic Blades/Burs sold new.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

joint spaces

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

AMI claims that Reprocessed Stryker and Dyonics Disposable Arthroscopic Blades/Burs are able to withstand the necessary cleaning and sterilization process, the physical characteristics or quality of the device will not be adversely effected, and the device remains safe and effective for its intended use.

Key Metrics

Not Found

Predicate Device(s)

K953695

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 878.4820 Surgical instrument motors and accessories/attachments.

(a)
Identification. Surgical instrument motors and accessories are AC-powered, battery-powered, or air-powered devices intended for use during surgical procedures to provide power to operate various accessories or attachments to cut hard tissue or bone and soft tissue. Accessories or attachments may include a bur, chisel (osteotome), dermabrasion brush, dermatome, drill bit, hammerhead, pin driver, and saw blade.(b)
Classification. Class I (general controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to § 878.9.

0

K012694

dven Medical, Inc.

1001 Slaton Hwy. Lubbock, Texas 79404

Tel: (806) 745-7718 Fax: (806) 745-0223

FEB 0 4 2002

510(k) SUMMARY

Re:Adven Medical, Inc.
501(K) Notification:Reprocessed Used Disposable Arthroscopic Blades and Burs
Classification Name:87HWE Powered Surgical Instruments & Accessories/Attachments
Common/Usual Name:Disposable Arthroscopic Bone Shavers
Proprietary Name:Reprocessed Used Disposable Arthroscopic Blades and Burs
Establishment Reg. No.:1649663
Device Classifications:Class I per 21 CFR 878.482 - Powered Surgical Accessories.

AMI intends to market AMI Reprocessed Stryker and Dyonics Disposable Arthroscopic Blades/Burs that have been reprocessed. Reprocessing Stryker and Dyonics Disposable Arthroscopic Blades/Burs is performed by AMI to AMI protocol Number 40006. "Reprocessed," means all operations performed to render a contaminated single-use device patient ready (Enforcement Priorities for Single-Use Devices Reprocessed by Third Party Reprocessors and Hospitals).

AMI believes that reprocessed single-use Stryker and Dyonics Arthroscopic Blades/Burs can be considered "reusable" as defined in the Food and Drug Administration Compliance Policy Guide #7124.16: they are able to withstand the necessary cleaning and sterilization process, the physical characteristics or quality of the device will not be adversely effected, and the device remains safe and effective for its intended use.

AMI Reprocessed Stryker and Dyonics Disposable Arthroscopic Blades/Bursare single use sugery blades for resection of tissue within joint spaces under arthoscopic control.

AMI Reprocessed Stryker and Dyonics Disposable Arthroscopic Blades/Burs are composed of the same materials as currently marketed hand-manipulated Stryker and Dyonics Disposable Arthroscopic Blades/Burs sold new.

AMI Reprocessed Stryker and Dyonics Disposable Arthroscopic Blades/Burs are substantially equivalent to disposable arthroscopic blades/burs marketed by Smith & Nephew Dyonics under 510(k) Number K953695.

AMI claims that Reprocessed Stryker and Dyonics Disposable Arthroscopic Blades/Burs are able to withstand the necessary cleaning and sterilization process, the physical characteristics or quality of the device will not be adversely effected, and the device remains safe and effective for its intended use.

1

Image /page/1/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized image of an eagle or bird-like figure, with its wings spread and feathers suggested by curved lines.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

FEB 0 4 2002

Mr. Mark Aldana President Adven Medical, Inc. 1001 Slaton Highway Lubbock, Texas 79404

Re: K012694

Trade/Device Name: Reprocessed Used Disposable Arthroscopic Blades and Burrs Regulation Number: 878.4820 Regulation Name: Surgical instrument motors and accessories/attachments Regulatory Class: I Product Code: HWE Dated: December 3, 2001 Received: December 5, 2001

Dear Mr. Aldana:

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 (QS) 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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Page 2 - Mr. Mark Aldana

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 and additionally 21 CFR Part 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4659. 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 Part 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers, International and Consumer 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.

Miriam C. Provost

Col 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

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Page 1 of 1

510)k) Number: K012694

Reprocessed Used, Disposable Arthroscopic Blades and Burrs Device Name:

Indications For Use:

Arthroscopic blades and burs are single use instruments consisting of several tubes and designs. The inner blade rotation is driven by a motor.

Arthroscopy blades and burs are indicated for resection of tissue within joint spaces under arthroscopic control.

AMI intends to reprocess arthroscopy blades and burs. Reprocessing includes all the steps performed to make a contaminated single use device patient ready.

Only dispossible, non angled arthroscopy blades and burs manufactured by Dyonics and Stryker, that are currently sold on the market (which have met premarket requirements by the original manufacturer for single use) will be reprocessed by AMI.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Muriam C. Provost

vision Sign-Off) Division of General. Restorative and Neurological Devices

510(k) Number K012694

Prescription Use I (Per 21 CFR 801.109) OR

Over-The-Counter Use (Optional Format 1-2-96)