K Number
K013264
Device Name
MICRO STAMPING LIGATING CLIP
Date Cleared
2001-11-29

(59 days)

Product Code
Regulation Number
878.4300
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
A clip like device intended to connect internal tissues to aid in healing. These clips are intended to be used in accordance with the many of surgeon judgement.
Device Description
The MSC Ligating Clip is substantially equivalent in function and intended use to the Edward Weck and Company Hemoclip Ligating Clip and the Ethicon Ligaclip. Specifically: the MSC Ligating Clip is exactly similar in functional design, performs the same functions and has the same intended use as these presently distributed devices mentioned above. The packaging methods and packaging materials are exactly the same, respectively.
More Information

Not Found

Not Found

No
The summary describes a mechanical clip for tissue ligation and explicitly states "Mentions AI, DNN, or ML: Not Found".

Yes
Explanation: The device is intended to connect internal tissues to aid in healing, which is a therapeutic function.

No
Explanation: The device is described as a ligating clip intended to connect internal tissues to aid in healing. Its function is to physically join tissues, not to diagnose medical conditions or identify diseases.

No

The device description explicitly states it is a "clip like device" and compares it to other physical ligating clips, indicating it is a hardware device.

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

Here's why:

  • Intended Use: The intended use is to "connect internal tissues to aid in healing." This is a therapeutic or surgical function performed directly on the patient's body.
  • Device Description: The description reinforces its use as a "Ligating Clip" for connecting tissues.
  • 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 treatment.

IVD devices are used in vitro (outside the body) to analyze samples and provide diagnostic information. This device is used in vivo (inside the body) for a surgical procedure.

N/A

Intended Use / Indications for Use

The MSC Ligating Clip is indicated for use as to connect internal tissues to aid in healing. This device is for prescription use only.

A clip like device intended to connect internal tissues to aid in healing. These clips are acceptable for use with any material that is suitable to the many of surgeon judgement.

Product codes

FZP

Device Description

The MSC Ligating Clip is substantially equivalent in function and intended use to the Edward Weck and Company Hemoclip Ligating Clip (see example of labeling in Appendix E of products presently on the market) and the Ethicon Ligaclip. Specifically: the MSC Ligating Clip is exactly similar in functional design, performs the same functions and has the same intended use as these presently distributed devices mentioned above. The packaging methods and packaging materials are exactly the same, respectively.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

internal tissues

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)

Not Found

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 878.4300 Implantable clip.

(a)
Identification. An implantable clip is a clip-like device intended to connect internal tissues to aid healing. It is not absorbable.(b)
Classification. Class II.

0

Micro Stamping Corporation (Pre-market Notification)

Page 14

NOV 2 9 2001

Appendix A (Summary of Safety And Effectiveness)

Submitter:

John Gagliardi. President (contact person) MidWest Process Innovation, LLC 7736 Woodside Court Maineville, OH 45039 513-573-0085 (Telephone and fax) or 513-573-0519 (Telephone and fax) JGAGL777@One.Net

Trade Name: Micro Stamping Corporation (MSC) Ligating Clip

Common Name: Ligating Clip

Classification Name: Implantable Clip (21 CFR, Part 878.4300)

Summary of Safety and Effectiveness:

The MSC Ligating Clip is substantially equivalent in function and intended use to the Edward Weck and Company Hemoclip Ligating Clip (see example of labeling in Appendix E of products presently on the market) and the Ethicon Ligaclip.

Specifically:

the MSC Ligating Clip is exactly similar in functional design, performs the same functions and has the same intended use as these presently distributed devices mentioned above.

The packaging methods and packaging materials are exactly the same, respectively.

The MSC Ligating Clip is indicated for use as to connect internal tissues to aid in healing. This device is for prescription use only.

1

Image /page/1/Picture/1 description: The image is a black and white logo for the U.S. Department of Health & Human Services. The logo features the department's seal, which includes the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged in a circular pattern. Inside the circle is a stylized symbol consisting of three curved lines, which is the department's official emblem. The overall design is simple and conveys a sense of authority and professionalism.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

NOV 2 9 2001

Micro Stamping Corporation MidWest Process Innovation, LLC C/o John Gagliardi President 7736 Woodside Court Maineville, Ohio 45039

Re: K013264

Trade/Device Name: MSC Ligating Clip Regulation Number: 21 CFR 878.4300 Regulation Name: Implantable Clip Regulatory Class: Class II Product Code: FZP Dated: September 25, 2001 Received: October 1, 2001

Dear Mr. Gagliardi:

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

2

(21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set (21 CFR Part 807); labelling (21 CFR Part 820); and if applicable, the electronic
forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the elect forth in the quality systems (QD) rogulation (Sections 531-542 of the Act); 21 CFR 1000-1050.
product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-

This letter will allow you to begin marketing your device as described in your Section 510(k)
The same of the first of the success of section with assisses of your device to I his letter will anow you to begin manxemily of substantial equivalence of your device to a legally premarket notification. The PDA initing of backandary of 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 CFF) Part 801 and additionally 21 CFR Part 809.10 for in vitro diagnostic devices), please contact the Office of additionally 21 CFN Fall 607.10 for his rate under in the promotion and advertising of Compliance at (301) 594-4037. Thursday, 16 - 410-1463. Also, please note the your device, prease comate and of the reference to premarket notifications be obtained from the Other general information on your responsibilities under the Act may be obtained from the Other general mionnation on your responsional and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address (800) 056-2041 61 (501) vs (501) vs (400 http://www.fda.gov/cdrh/dsmamain.html

Sincerely yours,

Susan Walker, MD

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Celia M. Witten, Ph.D., M.D. Director Divison of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

3

Image /page/3/Picture/0 description: The image shows the logo for Micro Stamping Corp. The logo is in black and white and features the company name in a bold, sans-serif font. Below the company name is the phrase "the stamp of quality". There is also a handwritten note at the top of the image that says "P. 7 of 12".

Page 1 of 1

Attachment II

Indications for Use

Re: K013264

Device Name: MSC Ligating Clip

Indications for Use:

Indications for Use:
A clip like device intended to connect internal tissues to aid in healing. These clips are A clip like device intended to contect internal Lisate to the many of surgeon judgement.

(please do not write below this line - continue on another page if needed)

Prescription Use_X (Per 21 CFR, Part 801.109)

or

Over-the-Counter Use__________________________________________________________________________________________________________________________________________________________

Susan Walker

(Division Sign-Off) Division of General, Restorative and Neurological Devices

510(k) Number

Optional Format 1-2-96