K Number
K013111
Device Name
EXHALE PROBE
Date Cleared
2001-10-01

(13 days)

Product Code
Regulation Number
874.4680
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Exhale Probe is intended for blood-flow detection and electrosurgery procedures (i.e. coagulation/cauterization, hemostasis, etc.) in the upper airways and tracheobronchial tree through a bronchoscope.
Device Description
The Exhale Probe is a multi-function catheter that provides: (1) Doppler audio output in the presence of pulmonary vessel blood-flow; and (2) radiofrequency (RF) energy to a target site within the upper airway or tracheobronchial tree. The probe is inserted into through the 2 mm working channel of a standard bronchoscope and connects to the Exhale Doppler Processing Unit and a standard, commercially available, electrocautery radiofrequency generator.
More Information

Not Found

No
The summary describes a device that uses Doppler audio and RF energy, with no mention of AI or ML capabilities.

Yes
The device performs electrosurgery procedures (i.e., coagulation/cauterization, hemostasis), which are therapeutic interventions.

Yes
The device is described as providing "Doppler audio output in the presence of pulmonary vessel blood-flow", which implies it is used to detect or assess physiological conditions, falling under the definition of a diagnostic device.

No

The device description clearly states it is a "multi-function catheter" and connects to a "Doppler Processing Unit" and an "electrocautery radiofrequency generator," indicating it is a hardware device with associated components, not software only.

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

Here's why:

  • Intended Use: The intended use clearly states the device is for "blood-flow detection and electrosurgery procedures... in the upper airways and tracheobronchial tree through a bronchoscope." This describes a procedure performed in vivo (within the living body).
  • Device Description: The description details a catheter inserted into the body and connected to external units for Doppler and RF energy. This is consistent with an in vivo medical device.
  • Lack of IVD Characteristics: There is no mention of analyzing samples (blood, tissue, etc.) in vitro (outside the body) to provide diagnostic information. IVDs typically involve tests performed on biological specimens.

Therefore, the Exhale Probe is an in vivo medical device, not an IVD.

N/A

Intended Use / Indications for Use

The Exhale Probe is intended for blood-flow detection and electrosurgery procedures (i.e. coagulation/cauterization, hemostasis, etc.) in the upper airways and tracheobronchial tree through a bronchoscope.

Product codes

EOQ, ITX, IYO

Device Description

The Exhale Probe is a multi-function catheter that provides: (1) Doppler audio output in the presence of pulmonary vessel blood-flow; and (2) radiofrequency (RF) energy to a target site within the upper airway or tracheobronchial tree. The probe is inserted into through the 2 mm working channel of a standard bronchoscope and connects to the Exhale Doppler Processing Unit and a standard, commercially available, electrocautery radiofrequency generator.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

upper airways and tracheobronchial tree

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

Non-Clinical Test Results: Biocompatibility. The materials used in the Exhale RF Probe have proven biocompatibility.

Key Metrics

Not Found

Predicate Device(s)

K010649, K011267

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 874.4680 Bronchoscope (flexible or rigid) and accessories.

(a)
Identification. A bronchoscope (flexible or rigid) and accessories is a tubular endoscopic device with any of a group of accessory devices which attach to the bronchoscope and is intended to examine or treat the larynx and tracheobronchial tree. It is typically used with a fiberoptic light source and carrier to provide illumination. The device is made of materials such as stainless steel or flexible plastic. This generic type of device includes the rigid ventilating bronchoscope, rigid nonventilating bronchoscope, nonrigid bronchoscope, laryngeal-bronchial telescope, flexible foreign body claw, bronchoscope tubing, flexible biopsy forceps, rigid biopsy curette, flexible biopsy brush, rigid biopsy forceps, flexible biopsy curette, and rigid bronchoscope aspirating tube, but excludes the fiberoptic light source and carrier.(b)
Classification. Class II.

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Image /page/0/Picture/1 description: The image shows the words "Kol 3111" in a bold, handwritten-like font. Below this, the words "Exhale™Probe" are printed in a clear, sans-serif font. The "TM" is a superscript, indicating a trademark.

OCT - 1 2001

APPENDIX A. 510(k) SUMMARY

This summary of 510(k) safety and effectiveness information is submitted in accordance with the requirements of SMDA 1990 and 21 CFR §807.92.

Name\Address:

Broncus Technologies, Inc. 1400 N. Shoreline Boulevard, Building A, Suite 8 Mountain View, CA 94043

Telephone Number:

(650) 428-1600

Fax Number:

(650) 428-1542

Contact Person:

Timothy R. Williams Director, Regulatory and Clinical Affairs

Date Summary was Prepared:

June 29, 2001

Trade Name:

Exhale Probe

Classification Number and Name:

Class II, 21 CFR 892.1560, Ultrasound Pulsed Echo Imaging System

Class II, 21 CFR 892.1570, Diagnostic Ultrasound Transducer

Class II 21 CFR 874.4680, Bronchoscope & Accessories

Device Description:

The Exhale Probe is a multi-function catheter that provides: (1) Doppler audio output in the presence of pulmonary vessel blood-flow; and (2) radiofrequency (RF) energy to a target site within the upper airway or tracheobronchial tree. The probe is inserted into through the 2 mm working channel of a standard bronchoscope and connects to the Exhale Doppler Processing Unit and a standard, commercially available, electrocautery radiofrequency generator.

1

Broncus Technologies. Inc.

6013111 Exhale™Probe

Substantial Equivalence:

The Exhale Probe is substantially equivalent to the Exhale Doppler Probe (K010649) and the Exhale RF Probe (K011267). with respect to intended use, method of introduction, method of operation, safety, and materials.

Safety:

The Exhale Probe consisting of a multi-function catheter contains a coagulation electrode and an ultrasonic transducer and is designed to comply with International Standard IEC 60601-1. The Exhale Probe will meet the requirements of the FDA's 510(k) Diagnostic Ultrasound Guidance for 1997 for a Track 1 device.

Non-Clinical Test Results:

Biocompatibility

The materials used in the Exhale RF Probe have proven biocompatibility.

Summary of Substantial Equivalence:

Based on the intended use and product performance information provided in this notification, the subject device has been shown to be substantially equivalent to the predicate devices.

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Image /page/2/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 text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is an abstract symbol resembling an eagle or bird in flight, composed of three stylized, curved lines.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

OCT = 1 2001

Broncus Technologies, Inc. C/O Mark Job TÜV Product Services 1775 Old Highway 8 New Brighton, MN 55412-1891

Re: K013111

Trade Name: Exhale Probe Regulation Number: 21 CFR 874.4680; 21 CFR 892.1570; 21 CFR 892.1560 Regulation Name: Bronchoscope and Accessory; Diagnostic Ultrasound Transducer; Ultrasound Pulsed Echo Imaging System Regulatory Class: Class II Product Code: EOQ; ITX; IYO Dated: September 17, 2001 Received: September 18, 2001

Dear Mr. Job:

We have reviewed your Section 510(k) premarket 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 legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amerodments, 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 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.

This determination of substantial equivalence applies to the Model BT 1440 transducer intended for use with the Exhale Probe Catheter, as described in your premarket notification.

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

3

Page 2 - Mr. Mark Job

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 CI I rat 0077; mooning (21 CFR Part 820); and if applicable, the electronic form in the qualis (Sections (Sections 531-542 of the Act); 21 CFR 1000-1050.

This determination of substantial equivalence is granted on the condition that prior to shipping This device, you submit a postclearance special report. This report should contain complete information, including acoustic output measurements based on production line devices, requested in Appendix G, (enclosed) of the Center's September 30, 1997 "Information for Manufacturers In Appendix O, (chelosod) of the Semies tic Ultrasound Systems and Transducers." If the special report is incomplete or contains unacceptable values (e.g., acoustic output greater than approved levels), then the 510(k) clearance may not apply to the production units which as a result may be considered adulterated or misbranded.

The special report should reference the manufacturer's 510(k) number. It should be clearly and rne special report of the FILE" and should be submitted in duplicate to:

Food and Drug Administration Center for Devices and Radiological Health Document Mail Center (HFZ-401) 9200 Corporate Boulevard Rockville, Maryland 20850

This letter will allow you to begin marketing your device as described in your premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed nontication. THE PDF Imaning of tastion for your device and thus permits your device to proceed to market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801, please If you desire specific at no issess at (301) 594-4591. Additionally, for questions on the comact the Office of Compilance at (301) 29 + + + > > = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = promotion and advertising or gulation entitled, "Misbranding by reference to premarket 4059. Also, please note the regations on ther general information on your responsibilities under the notification (21 CFR Par 80777). Only Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or at (301) 443-6597 or at its Internet address "http://www.fda.gov/cdrh/dsmamain.html".

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Page 3 - Mr. Mark Job

If you have any questions regarding the content of this letter, please contact Karen Baker MSN, RN at (301) 594-2080.

Sincerely yours,

David M. Whipple

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

Enclosures

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Broncus Technologies, Inc.
----------------------------------
510(k) Number (if known):K 013111
Device Name:The Exhale Probe
Indications for Use:The Exhale Probe is intended for blood-flow detection and electrosurgery procedures (i.e. coagulation/cauterization, hemostasis, etc.) in the upper airways and tracheobronchial tree through a bronchoscope.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use_

OR

over-the-counter Use__________________________________________________________________________________________________________________________________________________________

Sonola

(Division Sign-Off) Division of Ophthalmic Devices nor 3111 510(k) Number_

CONFIDENTIAL