K Number
K022243
Device Name
HORIZONS REUSABLE HOT BIOPSY FORCEPS
Date Cleared
2002-10-25

(105 days)

Product Code
Regulation Number
876.4300
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Horizons Reusable Hot Biopsy Forceps is intended to be used in the flexible endescope for transendoscopic, dissecting, and grasping tissue for biopsy.
Device Description
Not Found
More Information

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Not Found

No
The summary describes a mechanical biopsy forceps and contains no mention of AI, ML, or related concepts like image processing or algorithms.

No
The device is used for grasping tissue for biopsy, which is a diagnostic procedure, not a therapeutic one.

No
Explanation: The device is described as "Reusable Hot Biopsy Forceps" intended for dissecting and grasping tissue for biopsy. While biopsy is a step in diagnosis, the device itself is a tool for tissue collection, not for analyzing or interpreting medical data to make a diagnosis.

No

The device is described as "Reusable Hot Biopsy Forceps," which is a physical instrument used in conjunction with a flexible endoscope. This description clearly indicates a hardware device, not software.

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

Here's why:

  • Intended Use: The intended use is to "be used in the flexible endescope for transendoscopic, dissecting, and grasping tissue for biopsy." This describes a surgical/procedural tool used during a medical procedure to collect a tissue sample.
  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body (like blood, urine, or tissue) outside of the body to detect diseases, conditions, or infections.
  • Lack of IVD Characteristics: The description doesn't mention any analysis of the collected tissue sample, any reagents, or any diagnostic testing performed on the sample by the device itself. The device's function is solely the collection of the sample.

Therefore, the Horizons Reusable Hot Biopsy Forceps is a medical device used for tissue collection, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

Horizons Reusable Hot Biopsy Forceps is intended to be used in the flexible endescope for transendoscopic, dissecting, and grasping tissue for biopsy.

Product codes

78 KGE

Device Description

Not Found

Mentions image processing

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Mentions AI, DNN, or ML

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Input Imaging Modality

Not Found

Anatomical Site

Not Found

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

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Key Metrics

Not Found

Predicate Device(s)

Not Found

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 876.4300 Endoscopic electrosurgical unit and accessories.

(a)
Identification. An endoscopic electrosurgical unit and accessories is a device used to perform electrosurgical procedures through an endoscope. This generic type of device includes the electrosurgical generator, patient plate, electric biopsy forceps, electrode, flexible snare, electrosurgical alarm system, electrosurgical power supply unit, electrical clamp, self-opening rigid snare, flexible suction coagulator electrode, patient return wristlet, contact jelly, adaptor to the cord for transurethral surgical instruments, the electric cord for transurethral surgical instruments, and the transurethral desiccator.(b)
Classification. Class II (performance standards).

0

DEPARTMENT OF HEALTH & HUMAN SERVICES

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Food and Drug Administration 9200 Corporate Boulevard · Rockville MD 20850

OCT 2 5 2002

Mr. Rafic Saleh President Horizons International Corporation 287 Monterrey Street P.O. Box 7273 Ponce PUERTO RICO 00732-7273

Re: K022243 Trade/Device Name: Horizons Reusable Hot Biopsy Forceps Regulation Number: 21 CFR §876.4300 Regulation Name: Endoscopic electrosurgical unit and accessories Regulatory Class: II Product Code: 78 KGE Dated: October 14, 2002

Received: October 16, 2002

Dear Mr. Saleh:

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 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.

1

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), please contact the Office of Compliance at one of the following numbers, based on the regulation number at the top of this letter:

8xx.1xxx(301) 594-4591
876.2xxx, 3xxx, 4xxx, 5xxx(301) 594-4616
884.2xxx, 3xxx, 4xxx, 5xxx, 6xxx(301) 594-4616
892.2xxx, 3xxx, 4xxx, 5xxx(301) 594-4654
Other(301) 594-4692

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 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,

Nancy C. Croydon

Nancy C. Brogdon Director, Division of Reproductive, Abdominal, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

2

K022243
fig. 1 of 1

6.1 Indication for Use

510K INDICATION FOR USE STATEMENT

510(k) Number (if known): K022243

Device Name: Horizons Reusable Hot Biopsy Forceps

Applicant Name: Horizons International Corp.

Indications for Use:

Horizons Reusable Hot Biopsy Forceps is intended to be used in the flexible endescope for transendoscopic, dissecting, and grasping tissue for biopsy.

Horizons International Corp.

Signature: Date: 7/10/02

Rafic Saleh President

David A. Seaman

(Division Sign-Off) Division of Reproductive, Abdominal and Radiological Devices 510(k) Number _

Prescription Use
(Per 21 CFR 801.109)