(107 days)
No
The summary does not mention AI, ML, image processing, or any other indicators of AI/ML technology. The device description focuses on physical components and the performance studies relate to material integrity and biocompatibility.
Yes
The device is indicated for the "treatment of varicose veins and varicosities," which is a therapeutic purpose.
No
The "Intended Use / Indications for Use" states that the device is indicated for the treatment of varicose veins, not for their diagnosis.
No
The device description explicitly lists hardware components such as a fiber, guide wire, introducer sheath, and needle, indicating it is a hardware-based medical device kit.
Based on the provided information, this device is not an IVD (In Vitro Diagnostic).
Here's why:
- Intended Use: The intended use is for the treatment of varicose veins and varicosities. This is a therapeutic procedure performed in vivo (within the body).
- Device Description: The device components (fiber, guide wire, introducer sheath, needle) are all used for accessing and treating the vein directly within the patient's body.
- 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, etc.) to provide information for diagnosis, monitoring, or compatibility testing.
IVD devices are used to perform tests outside of the body on biological samples. This device is used inside the body for a therapeutic intervention.
N/A
Intended Use / Indications for Use
The VARI-LASE procedure kit is indicated for the treatment of varicose veins and varicosities associated with superficial reflux of the Greater Saphenous Vein.
Product codes
GEX
Device Description
The VARI-LASE procedure kit contains a 600um fiber and the following accessories used to gain endovascular access: 0.035" / 150cm stainless steel guide wire, 5Fr/45cm introducer sheath, 19 Gauge/7cm Percutaneous Entry Needle
Mentions image processing
Not Found
Mentions AI, DNN, or ML
Not Found
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
Non-Clinical Testing: Testing has been conducted to verify the integrity and biocompatibility of the marker bands that are placed on the fiber and introducer sheath.
Key Metrics
Not Found
Predicate Device(s)
EVLT Kit (Diomed, Inc. K023543), SLT Venous Fiber Delivery Systems (Surgical Laser Technologies, Inc. K023624), Angiodynamics ELVS Kit (Angiodynamics, Inc.)
Reference Device(s)
Not Found
Predetermined Change Control Plan (PCCP) - All Relevant Information
Not Found
§ 878.4810 Laser surgical instrument for use in general and plastic surgery and in dermatology.
(a)
Identification. (1) A carbon dioxide laser for use in general surgery and in dermatology is a laser device intended to cut, destroy, or remove tissue by light energy emitted by carbon dioxide.(2) An argon laser for use in dermatology is a laser device intended to destroy or coagulate tissue by light energy emitted by argon.
(b)
Classification. (1) Class II.(2) Class I for special laser gas mixtures used as a lasing medium for this class of lasers. 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 § 878.9.
0
030654
JUN 1 8 2003
.
510(K) SUMMARY
| Common/Usual Name: | Laser Instrument Fiber and Procedure Kit |
|---|---|
| Product Trade Name: | Vari-Lase Endovenous Laser Procedure Kit |
| Classification Name: | Laser Surgical Instrument for use in General and Plastic |
| Surgery and in Dermatology | |
| 21 CFR 878-4810 (Product Code GEX) | |
| Manufacturer: | Vascular Solutions, Inc. |
| 2495 Xenium Lane North | |
| Minneapolis, Minnesota 55441 | |
| Establishment Registration: | 2134812 |
| Contact: | Deborah Jensen |
| V. P., Regulatory Affairs, Clinical Affairs, and Quality | |
| Systems | |
| (763) 656-4349 phone | |
| (763) 656-4252 fax | |
| Performance Standards: | No performance standards have been developed under |
| section 514 for this device. | |
| Device Description: | The VARI-LASE procedure kit contains a 600um fiber and |
| the following accessories used to gain endovascular access: | |
| 0.035" / 150cm stainless steel guide wire | |
| 5Fr/45cm introducer sheath | |
| 19 Gauge/7cm Percutaneous Entry Needle | |
| Intended Use: | The VARI-LASE procedure kit is indicated for the |
| treatment of varicose veins and varicosities associated with | |
| superficial reflux of the Greater Saphenous Vein. | |
| Summary of Non-Clinical Testing: | Testing has been conducted to verify the integrity and |
| biocompatility of the marker bands that are placed on the | |
| fiber and introducer sheath. | |
| Predicate Devices: | EVLT Kit (Diomed, Inc. K023543) |
| SLT Venous Fiber Delivery Systems (Surgical Laser | |
| Technologies, Inc. K023624) | |
| Angiodynamics ELVS Kit (Angiodynamics, Inc.) | |
| Conclusions: | The VARI-LASE Procedure Kit is substantially equivalent |
| to the identified predicate devices based on a comparison of | |
| the indications for use and the components supplied and | |
| the technological characteristics of the supplied | |
| components. |
1
DEPARTMENT OF HEALTH & HUMAN SERVICES
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 text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" around the perimeter. Inside the circle is a stylized image of an eagle or bird-like figure, represented by three curved lines that suggest the shape of a bird in flight.
Public Health Service
JUN 1 8 2003
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
Ms. Deborah L. Jensen Vice President, Regulatory Affairs, Clinical Research, and Quality Systems Vascular Solutions, Inc. 2495 Xenium Lane North Minneapolis, Minnesota 55441
Re: K030654
Trade/Device Name: Vari-Lase Endovenous Laser Procedure Kit Regulation Number: 21 CFR 878.4810 Regulation Name: Laser surgical instrument for use in general and plastic surgery and in dermatology Regulatory Class: II Product Code: GEX Dated: May 30, 2003 Received: June 2, 2003
Dear Ms. Jensen:
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.
2
Page 2 - Ms. Deborah L. Jensen
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), 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) you may obtain. 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
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
3
Indications for Use Statement
510(k) Number:
Device Name:
Vascular Solutions Vari-Lase™ Endovenous Laser Procedure Kit
Indications for Use:
The VARI-LASE procedure kit is indicated for the treatment of varicose veins and varicosities associated with superficial reflux of the Greater Saphenous Veion
Miriam C. Provost
ion Sign-Off Division of General, Restorative and Neurological Devices
510(k) Number K036654