K Number
K023019
Device Name
VOMED URETHRA OLIVE, MODELS 1420 000, 1425 000, 1430 000
Date Cleared
2002-12-10

(90 days)

Product Code
Regulation Number
876.5130
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
VOMED urethra olives are acorn-tipped reusable devices designed for use in ureterography. With the aid of a ureterocystoscope, a radiopaque medium is injected into the ureter for radiologic imaging. The VOMED urethra olives are accessories of male urethrographic catheters. They are placed temporarily on the external end of the penis to guide the insertion of the catheters and to facilitate the injection of the opaque substance. The devices are indicated for diagnostic and therapeutic urologic procedures.
Device Description
VOMED urethra olives are acorn-tipped reusable devices designed for use in ureterography. They are accessories of male urethrographic catheters.
More Information

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Not Found

No
The summary describes a physical, reusable device used for guiding catheters and injecting contrast medium. There is no mention of software, algorithms, or data processing that would indicate the presence of AI or ML.

Yes
The device is indicated for diagnostic AND therapeutic urologic procedures, as stated in the 'Intended Use / Indications for Use' section.

Yes
The "Intended Use / Indications for Use" section explicitly states, "The devices are indicated for diagnostic and therapeutic urologic procedures."

No

The device description clearly states it is a physical, reusable device ("acorn-tipped reusable devices") used as an accessory to catheters, indicating it is hardware.

Based on the provided information, the VOMED urethra olives are not an In Vitro Diagnostic (IVD) device.

Here's why:

  • IVD Definition: IVD devices are used to examine specimens derived from the human body (like blood, urine, tissue) in vitro (outside the body) to provide information for diagnosis, monitoring, or screening.
  • VOMED Urethra Olives Function: The description clearly states that these devices are used in vivo (inside the body) during a medical procedure (ureterography). They are accessories to catheters and are used to guide insertion and facilitate the injection of a substance into the body for imaging.

Therefore, the VOMED urethra olives are medical devices used in vivo for a diagnostic imaging procedure, not IVD devices used in vitro for testing bodily specimens.

N/A

Intended Use / Indications for Use

VOMED urethra olives are acorn-tipped reusable devices designed for use in ureterography. With the aid of a ureterocystoscope, a radiopaque medium is injected into the ureter for radiologic imaging.

The VOMED urethra olives are accessories of male urethrographic catheters. They are placed temporarily on the external end of the penis to guide the insertion of the catheters and to facilitate the injection of the opaque substance.

The devices are indicated for diagnostic and therapeutic urologic procedures.

Product codes

78 FGI

Device Description

VOMED urethra olives are acorn-tipped reusable devices designed for use in ureterography. They are accessories of male urethrographic catheters, placed temporarily on the external end of the penis to guide catheter insertion and facilitate opaque substance injection.

Mentions image processing

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Mentions AI, DNN, or ML

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Input Imaging Modality

Radiologic imaging (inferred from "radiopaque medium is injected into the ureter for radiologic imaging" and "radiologic imaging")

Anatomical Site

Ureter, Urethra (external end of the penis)

Indicated Patient Age Range

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Intended User / Care Setting

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Description of the training set, sample size, data source, and annotation protocol

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Description of the test set, sample size, data source, and annotation protocol

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Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Not Found

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

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Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

Not Found

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

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Predetermined Change Control Plan (PCCP) - All Relevant Information

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§ 876.5130 Urological catheter and accessories.

(a)
Identification. A urological catheter and accessories is a flexible tubular device that is inserted through the urethra and used to pass fluids to or from the urinary tract. This generic type of device includes radiopaque urological catheters, ureteral catheters, urethral catheters, coudé catheters, balloon retention type catheters, straight catheters, upper urinary tract catheters, double lumen female urethrographic catheters, disposable ureteral catheters, male urethrographic catheters, and urological catheter accessories including ureteral catheter stylets, ureteral catheter adapters, ureteral catheter holders, ureteral catheter stylets, ureteral catheterization trays, and the gastro-urological irrigation tray (for urological use).(b)
Classification. (1) Class II (performance standards).(2) Class I for the ureteral stylet (guidewire), stylet for gastrourological catheter, ureteral catheter adapter, ureteral catheter connector, and ureteral catheter holder. The devices subject to this paragraph (b)(2) are exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 876.9.

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/0/Picture/2 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized caduceus symbol, which is a staff with two snakes coiled around it, and the words "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" arranged in a circular pattern around the symbol. The logo is black and white and appears to be slightly pixelated.

DEC 1 0 2002

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

VOMED Volzer Medizintechnik GmbH & Co. c/o Ms. Dagmar S. Mäser FDA Liaison Business Support International P.O. Box 457 HOT SPRINGS NC 28743

Re: K023019 Trade/Device Name: VOMED Urethra Olive Models 1420 000: 1425 000; and 1430 000 Regulation Number: 21 CFR 8876.5130 Regulation Name: Urological catheter and accessories Regulatory Class: II Product Code: 78 FGI Dated: September 6, 2002

Received: September 11, 2002

Dear Ms. Mäser

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 list.ng (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

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/dsmaldsmamain.html.

Sincerely yours,

Nancy C. Crozden

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

Enclosure

2

VOMED Volzer Medizintechnik GmbH & Co.

510(k) Number

Device Name

VOMED Urethra Olive 78 FGI)

INDICATIONS FOR USE

VOMED urethra olives are acorn-tipped reusable devices designed for use in ureterography. With the aid of a ureterocystoscope, a radiopaque medium is injected into the ureter for radiologic imaging.

The VOMED urethra olives are accessories of male urethrographic catheters. They are placed temporarily on the external end of the penis to guide the insertion of the catheters and to facilitate the injection of the opaque substance.

The devices are indicated for diagnostic and therapeutic urologic procedures.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Umil A. Lym

Division Sign-Off)
Division of Reproductive, Abdominal,
and Radiological Devices
510(k) Number K02318

Prescription Use
(P. CEP 801.109)

OR

Over-The-Counter Use

(Per CFR 801 109)

(Optional Format 1-2-96)