(175 days)
This device is intended for colon cleansing when medically indicated, such as before radiological or endoscopic examinations.
This colonic irrigation system is a device intended to instill water into the colon through a nozzle inserted into the rectum to cleanse (evacuate) the contents of the lower colon. The system is designed to allow evacuation of the contents of the colon during the administration of the colonic irrigation. The device consists of a container for fluid connected to the nozzle via tubing and includes a system which enables the temperature, and gravity induced flow of water through the nozzle to be controlled. The device includes a console-type toilet and necessary fittings to allow the device to be connected to water and sewer pipes. This device uses water that comes from household type hot and cold outlets.
The provided text describes a 510(k) premarket notification for a medical device (colonic irrigation system), which focuses on establishing substantial equivalence to a predicate device rather than presenting a study demonstrating acceptance criteria for the new device's performance.
Therefore, the input document does not contain the information requested in categories 1-9 regarding acceptance criteria and a study to prove device performance. The submission is for a Traditional 510(k) where clinical trials are generally not required.
Here's a breakdown of why each requested point cannot be answered:
- A table of acceptance criteria and the reported device performance: This information is not present. The document focuses on comparing technological characteristics to a predicate device for substantial equivalence, not on specific performance metrics with acceptance criteria.
- Sample size used for the test set and the data provenance: No test set is described.
- Number of experts used to establish the ground truth for the test set and the qualifications of those experts: No test set or ground truth establishment process is described.
- Adjudication method for the test set: Not applicable as no test set is described.
- If a multi-reader multi-case (MRMC) comparative effectiveness study was done, if so, what was the effect size of how much human readers improve with AI vs without AI assistance: Not applicable. This device is a colonic irrigation system, not an AI-assisted diagnostic tool.
- If a standalone (i.e., algorithm only without human-in-the-loop performance) was done: Not applicable. This device is a physical system, not an algorithm.
- The type of ground truth used (expert consensus, pathology, outcomes data, etc.): No ground truth is described in the context of device performance testing.
- The sample size for the training set: Not applicable. This is not an AI/machine learning device requiring a training set.
- How the ground truth for the training set was established: Not applicable.
Summary from the provided document:
The document is a 510(k) premarket notification for the "Ultimate Professional Continuous Flow Colonic System." The purpose of this submission is to demonstrate substantial equivalence to a previously marketed device, the "Angel of Water, Colon Hydrotherapy System (K003720)." The comparison focuses on:
- Intended use
- Target Population
- Design
- Performance (in terms of functional characteristics, not clinical outcomes or specific metrics)
- Where Used
The FDA's letter (K033149) confirms that the device is substantially equivalent to the predicate device for the stated indications for use (colon cleansing before radiological or endoscopic examinations). This determination means the FDA did not require a new study to prove "acceptance criteria" for clinical performance, as the device is deemed sufficiently similar to a legally marketed predicate.
{0}------------------------------------------------
K033 49 Premarket Notification - Ultimate Conce
MAR 2 3 2004
Ultimate Concepts Inc.
7835 South 1300 East Sandy, Utah 84094 Phone 800-682-3241 or 801-566-3214
SUMMARY
| Submitter's name:Address: | Ultimate Concepts, Inc.7835 South 1300 EastSandy, Utah 84094 |
|---|---|
| Phone:Fax number: | 800-632-3241801-566-7152 |
| Name of contact person: | Grace HollandRegulatory Specialists, Inc3722 Ave, Sausalito |
Date the summary was prepared: September 8, 2003
| Name of the device: | Ultimate Professional Continuous FlowColonic System |
|---|---|
| Trade or proprietary name: | Ultimate Professional Continuous FlowColonic System |
| Common or usual name: | Colonic Irrigation System |
| Classification name: | Colonic Irrigation System |
Irvine, CA 92606
Phone: 949-262-0411 fax: 949-552-2821
The legally marketed device to which we are claiming equivalence [807.92(a)(3)]:
Angel of Water, Colon Hydrotherapy System, manufactured by Lifestream Purification Systems. Reference K003720
Description of the device:
This colonic irrigation system is a device intended to instill water into the colon through a nozzle inserted into the rectum to cleanse (evacuate) the contents of the lower colon. The system is designed to allow evacuation of the contents of the colon during the administration of the colonic irrigation. The device consists of a container for fluid connected to the nozzle via tubing and includes a system which enables the temperature, and gravity induced flow of water through the nozzle to be controlled. The device includes a console-type toilet and
{1}------------------------------------------------
necessary fittings to allow the device to be connected to water and sewer pipes. This device uses water that comes from household type hot and cold outlets.
Indications:
This device is intended for colon cleansing when medically indicated, such as before radiological or endoscopic examinations.
Summary of the technological characteristics of our device compared to the predicate device:
The Angel of Water, K003720 and Ultimate Professional Continuous Flow Colonic System were compared in the following areas and found to have similar technological characteristics and to be equivalent.
Intended use Target Population Design Performance Where Used
{2}------------------------------------------------
Image /page/2/Picture/1 description: The image shows the seal of the Department of Health & Human Services (HHS). The seal features a stylized eagle with three overlapping wings, representing the department's mission to protect and promote the health and well-being of all Americans. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" are arranged in a circular pattern around the eagle.
Public Health Service
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
MAR 2 3 2004
Ultimate Concepts, Inc. c/o Ms. Grace Holland Regulatory Consultant Regulatory Specialists, Inc. 3722 Ave. Sausalito IRVINE CA 92606
Re: K033149
Trade/Device Name: Ultimate Professional Continuous Flow Colonic System Regulation Number: 21 CFR §876.5220 Regulation Name: Colonic irrigation system Regulatory Class; II Product Code: 76 KPL Dated: January 29, 2004 Received: February 2, 2004
·Dear Ms. Holland:
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,
{3}------------------------------------------------
Page 2
This letter will allow you to begin marketing your device as described in your Section 510(k) I his letter will anow you to ough finding of substantial equivalence of your device to a legally prematication: "Privation: "Privesults 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 If you desire spositiv acceptiance at one of the following numbers, based on the regulation number at the top of the letter:
| 8xx. Ixxx | (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 Other or complanos as (2005) was a mart 807.97) you may obtain. Other general information on your responsibilities under the Act may be obtained from the Division of Small miconnation on your volumer 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. brogdon
Nancy C. Brogdon Director, Division of Reproductive, Abdominal and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
{4}------------------------------------------------
Page 1 of of __
510(k) Number (if known):_____________________________________________________________________________________________________________________________________________________
Device Name: Ultimate Professional Continuous Flow Colonic System
Indications For Use:
This device is intended for colon cleansing when medically indicated, such as before radiological or endoscopic examinations.
(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Prescription Use
(Per 21 CFR 801.109)
OR
Over-The-Counter Use (Optional Format 1-2-96)
David G. Seymann
(Division Sign-Off)
Division of Reproductive, Abdominal, and Radiological Devices 510(k) Number
§ 876.5220 Colonic irrigation system.
(a)
Identification. A colonic irrigation system is a device intended to instill water into the colon through a nozzle inserted into the rectum to cleanse (evacuate) the contents of the lower colon. The system is designed to allow evacuation of the contents of the colon during the administration of the colonic irrigation. The device consists of a container for fluid connected to the nozzle via tubing and includes a system which enables the pressure, temperature, or flow of water through the nozzle to be controlled. The device may include a console-type toilet and necessary fittings to allow the device to be connected to water and sewer pipes. The device may use electrical power to heat the water. The device does not include the enema kit (§ 876.5210).(b)
Classification. (1) Class II (performance standards) when the device is intended for colon cleansing when medically indicated, such as before radiological or endoscopic examinations.(2) Class III (premarket approval) when the device is intended for other uses, including colon cleansing routinely for general well being.
(c)
Date PMA or notice of completion of a PDP is required. A PMA or a notice of completion of a PDP is required to be filed with the Food and Drug Administration on or before December 26, 1996 for any colonic irrigation system described in paragraph (b)(2) of this section that was in commercial distribution before May 28, 1976, or that has, on or before December 26, 1996 been found to be substantially equivalent to a colonic irrigation system described in paragraph (b)(2) of this section that was in commercial distribution before May 28, 1976. Any other colonic irrigation system shall have an approved PMA in effect before being placed in commercial distribution.