K Number
K033739
Device Name
PHYSICIAN INDUSTRIES' DURAMETER SYRINGE
Date Cleared
2004-07-12

(227 days)

Product Code
Regulation Number
880.5860
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
For use in diagnosis of herniated or otherwise diseased intervertebral disks in the human spine. This device has not been evaluated for use in vertebroplasty.
Device Description
The Physician Industries' ACCUMETER. Polycarbonate barrel, plunger, and body, containing display software and electronics; Rubber plunger tip. Sterile (100% EtO) and non-pyrogenic (LAL).
More Information

None

No
The summary does not mention AI, ML, or any related concepts like image processing, training sets, or performance metrics typically associated with AI/ML devices. The device description focuses on physical components and basic electronics.

No.
The device is used for diagnosis of diseased intervertebral disks, not for treatment.

Yes
Explanation: The "Intended Use / Indications for Use" section explicitly states, "For use in diagnosis of herniated or otherwise diseased intervertebral disks in the human spine."

No

The device description explicitly mentions physical components like a polycarbonate barrel, plunger, body, and rubber plunger tip, indicating it is a hardware device with integrated software and electronics, not a software-only device.

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

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections. They are used outside of the body (in vitro).
  • Device Description and Intended Use: The description and intended use clearly indicate that this device is used directly on the human spine for the diagnosis of herniated or diseased intervertebral disks. It's a physical device used in a procedure, not a test performed on a sample in a lab.
  • Input Imaging Modality: The device uses x-ray or photofluorographic systems, which are imaging techniques applied to the patient's body, not laboratory tests on samples.
  • Anatomical Site: The device is used on the spinal disk, which is an internal anatomical structure.

Therefore, the ACCUMETER, as described, is a medical device used in a diagnostic procedure performed in vivo (within the body), not an in vitro diagnostic test.

N/A

Intended Use / Indications for Use

To be used for discography procedures, where the injection of contrast medium into a patient is indicated, for the purpose of viewing an area of the body (spinal disk discography) using x-ray or photoflourographic systems, to assist in diagnosis, under the direction of a licensed clinician.
For use in diagnosis of herniated or otherwise diseased intervertebral disks in the human spine. This device has not been evaluated for use in vertebroplasty.

Product codes

FMF

Device Description

Polycarbonate barrel, plunger, and body, containing display software and electronics;
Rubber plunger tip.
Sterile (100% EtO) and non-pyrogenic (LAL).

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

x-ray or photoflourographic systems

Anatomical Site

spinal disk (intervertebral disks in the human spine)

Indicated Patient Age Range

Not Found

Intended User / Care Setting

licensed clinician

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)

K913994, K904954, K960082, K910503

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 880.5860 Piston syringe.

(a)
Identification. A piston syringe is a device intended for medical purposes that consists of a calibrated hollow barrel and a movable plunger. At one end of the barrel there is a male connector (nozzle) for fitting the female connector (hub) of a hypodermic single lumen needle. The device is used to inject fluids into, or withdraw fluids from, the body.(b)
Classification. Class II (performance standards).

0

JUL 1 2 2004

SUMMARY OF SAFETY AND EFFECTIVENESS

PHYSICIAN INDUSTRIES INC. SUBMITTED BY: 3395 West 1820 South Salt Lake City UT 84104 Phone: 801-886-9505, toll free 800-241-2210

  1. DEVICE NAME ACCUMETER: Piston / control / discography syringe

II (all) Class:

IZG Classification:

892.1730 Regulation Nos ..

02. PREDICATE DEVICES:

  • Balloon Inflation Syringe, cleared under K913994 (Feb 04, 1992); Similar controls, . software, and materials. Different intended use.
  • Digital Intlation Device (syringe), cleared under K904954 (Jan 16, 1991); Similar . controls, software, and materials. Different intended use.
  • Discography Kit, cleared under K960082 (Mar 21, 1996); different material same . intended use.
  • Discography Kit, cleared under K910503 (Oct 07, 1991), different material same ● intended use.

All determined to be SE.

    1. DESCRIPTION: The Physician Industries' ACCUMETER.
    • Polycarbonate barrel, plunger, and body, containing display software and electronics; ರ
    • Rubber plunger tip. o
    • Sterile (100% EtO) and non-pyrogenic (LAL). 0
    1. INTENDED USE:

To be used for discography procedures, where the injection of contrast medium into a patient is indicated, for the purpose of viewing an area of the body (spinal disk discography) using x-ray or photoflourographic systems, to assist in diagnosis, under the direction of a licensed clinician.

    1. SUBSTANTIAL EQUIVALENCE (SE) RATIONALE: The Physician Industries' ACCUMETER shares the same general indications for use in discography as the predicates. They share the same or similar basic characteristics, materials, method of assembly / manufacture, features, and similar software of the predicates (applicable 'K' numbers listed above). In addition:
    • There is no record of unexpected patient problems or adverse reactions in the FDA's 0 MAUDE / MDR, and Safety Alert databases;

1

  • 5.2. The device and its components have been tested by independent labs for EMC, I he us no the occapatibility in accordance with ISO10993-1:2003. The device will be subjected to incoming inspection/testing. In-process inspections will be performed during manufacturing by QC. All products will have final inspections prior to sale and will be monitored through the means of our CAPA system.
    1. SAFETY AND EFFECIVENESS: There are no substantive differences between the product defined in this 510(k) submission and the predicate devices. It is similar to the technologies that are currently used in other similar medical devices. It was developed and documented under Physician Industries' Quality Management System, under the Quality System Regulation, 21 CFR Part 820, under design/change control, and is verified/validated to applicable standards/guidance documents, including software. This device family is safe and effective, when used as indicated in the application stated herein, discography, under the direction of a licensed clinician.
  1. The Physician Industries ACCUMETER shares similar indications for use and characteristics and functional features, and thus is substantially equivalent to the currently marketed predicate devices, cited above.

Signed: Brian Baker

Brian Baker, President PHYSICIAN INDUSTRIES, INC.

Dated: July 01, 2007

2

Image /page/2/Picture/1 description: The image shows the seal of the U.S. Department of Health & Human Services. The seal features the department's name encircling a stylized caduceus symbol. The text reads "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" in a circular arrangement. The caduceus is depicted with a staff and a serpent winding around it.

Public Health Service

JUL 1 2 2004

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mr. Brian Baker President Physician Industries, Incorporated 3395 West 1820 South Salt Lake City, Utah 84104

Re: K033739

Trade/Device Name: Physician Industries' Accumeter Regulation Number: 880.5860 Regulation Name: Piston Syringe Regulatory Class: II Product Code: FMF Dated: May 28, 2004 Received: June 1, 2004

Dear Mr. Baker:

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 vour 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.

3

Page 2 - Mr. Baker

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.

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) 594-4618. 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 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,

Chiu Lin, Ph.D.

Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

Indications for Use

510(k) Number: K033739

Device Name: Physician Industries' Durameter Syringe Accameter

Indications For Use:

For use in diagnosis of herniated or otherwise diseased intervertebral disks in the human spine. This device has not been evaluated for use in vertebroplasty.

Prescription Use X (Part 21 CFR 801 Subpart D) AND/OR

Over-The-Counter Use (21 CFR 807 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Antin One

(Division Sign-Off) Division of Anesthesiology, General Hospital, Page 1 of Infection Control, Dental Devices

510(k) Number: Ky33739