K Number
K043021
Device Name
STRYKER URETEROSCOPE
Manufacturer
Date Cleared
2005-03-16

(133 days)

Product Code
Regulation Number
876.1500
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Stryker Ureteroscope is indicated for use during minimally invasive urological surgical procedures accessed through natural body orifices, and is intended for, but not limited to, transurethral examination of the urinary tractures and, utilizing additional accessories, to perform various diagnostic and therapeutic procedures.
Device Description
The Stryker Ureteroscope is a new product developed by Stryker. The Stryker Ureteroscope is a new product and polymers.
More Information

Not Found

Not Found

No
The summary explicitly states "Mentions AI, DNN, or ML: Not Found" and provides no other information suggesting the use of these technologies.

Yes
The "Intended Use / Indications for Use" states that the device is intended "to perform various diagnostic and therapeutic procedures."

Yes
Explanation: The "Intended Use / Indications for Use" section states that the device is intended for "transurethral examination of the urinary tractures and, utilizing additional accessories, to perform various diagnostic and therapeutic procedures." The mention of "diagnostic procedures" directly indicates its diagnostic capability.

No

The device description explicitly states it is made of "new product and polymers," indicating it is a physical device and not software-only.

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

Here's why:

  • Intended Use: The intended use clearly states it's for "minimally invasive urological surgical procedures accessed through natural body orifices" and "transurethral examination of the urinary tractures" and performing "diagnostic and therapeutic procedures." This describes a device used within the body for direct examination and intervention, not for testing samples outside the body.
  • Device Description: The description mentions it's a "new product and polymers," which aligns with a surgical instrument, not a diagnostic test kit or analyzer.
  • Lack of IVD Characteristics: There is no mention of:
    • Analyzing biological samples (blood, urine, tissue, etc.)
    • Detecting or measuring substances in samples
    • Providing information about a patient's health status based on sample analysis

IVD devices are used to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. The Stryker Ureteroscope is a surgical instrument used for visualization and intervention within the urinary tract.

N/A

Intended Use / Indications for Use

The Stryker Ureteroscope is indicated for use during minimally invasive urological surgical surgical surgical to The Stryker Oreleroscope is Inclied for access and is intended for, but not limited to, procedures accessed through hatural betty and, utilizing additional accessories, to perform various diagnostic and therapeutic procedures.
The Stryker Ureteroscope is indicated for use during minimally invasive urological surgical The Stryker Ureleroscope is indical body offices, and is intended for, but not linked to, procedures accessed through thatural bouy offices, and, utilizing additional accessories, to perform transurethral examination of the unnactures transarothar and therapeutic procedures.

Product codes

78 FGB

Device Description

The Stryker Ureteroscope is a new product developed by Stryker. The Stryker The Stryter Offectionscope is a now product as a now product and polymers.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

natural body offices, unnactures

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

Not Found

Key Metrics

Not Found

Predicate Device(s)

Not Found

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 876.1500 Endoscope and accessories.

(a)
Identification. An endoscope and accessories is a device used to provide access, illumination, and allow observation or manipulation of body cavities, hollow organs, and canals. The device consists of various rigid or flexible instruments that are inserted into body spaces and may include an optical system for conveying an image to the user's eye and their accessories may assist in gaining access or increase the versatility and augment the capabilities of the devices. Examples of devices that are within this generic type of device include cleaning accessories for endoscopes, photographic accessories for endoscopes, nonpowered anoscopes, binolcular attachments for endoscopes, pocket battery boxes, flexible or rigid choledochoscopes, colonoscopes, diagnostic cystoscopes, cystourethroscopes, enteroscopes, esophagogastroduodenoscopes, rigid esophagoscopes, fiberoptic illuminators for endoscopes, incandescent endoscope lamps, biliary pancreatoscopes, proctoscopes, resectoscopes, nephroscopes, sigmoidoscopes, ureteroscopes, urethroscopes, endomagnetic retrievers, cytology brushes for endoscopes, and lubricating jelly for transurethral surgical instruments. This section does not apply to endoscopes that have specialized uses in other medical specialty areas and that are covered by classification regulations in other parts of the device classification regulations.(b)
Classification —(1)Class II (special controls). The device, when it is an endoscope disinfectant basin, which consists solely of a container that holds disinfectant and endoscopes and accessories; an endoscopic magnetic retriever intended for single use; sterile scissors for cystoscope intended for single use; a disposable, non-powered endoscopic grasping/cutting instrument intended for single use; a diagnostic incandescent light source; a fiberoptic photographic light source; a routine fiberoptic light source; an endoscopic sponge carrier; a xenon arc endoscope light source; an endoscope transformer; an LED light source; or a gastroenterology-urology endoscopic guidewire, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 876.9.(2) Class I for the photographic accessories for endoscope, miscellaneous bulb adapter for endoscope, binocular attachment for endoscope, eyepiece attachment for prescription lens, teaching attachment, inflation bulb, measuring device for panendoscope, photographic equipment for physiologic function monitor, special lens instrument for endoscope, smoke removal tube, rechargeable battery box, pocket battery box, bite block for endoscope, and cleaning brush for endoscope. The devices subject to this paragraph (b)(2) are exempt from the premarket notification procedures in subpart E of part 807of this chapter, subject to the limitations in § 876.9.

0

510(k) SUMMARY OF SAFETY AND EFFECTIVENESS

Ko 43021

Device Name

Proprietary Name:Stryker Ureteroscope
Common and Usual Name:Endoscope, Ureteroscope, Semi-Rigid Ureteroscope
Classification Name:Ureteroscope

This 510(k) summary of safety and effectiveness is being submitted in accordance with the requirements of the SMDA 1990.

The Stryker Ureteroscope is substantially equivalent in tems of safety and effectiveness The Stryker Oreler Orelerooope is SESSMANANT as a surfield

The Stryker Ureteroscope is a new product developed by Stryker. The Stryker The Stryter Offectionscope is a now product as a now product and polymers.

The Stryker Ureteroscope is indicated for use during minimally invasive urological surgical surgical surgical to The Stryker Oreleroscope is Inclied for access and is intended for, but not limited to, procedures accessed through hatural betty and, utilizing additional accessories, to perform various diagnostic and therapeutic procedures.

The Stryker Ureteroscope conforms to the following voluntary safety and performance The Stryker Orelerssope conforms to the rollering relieve of Endoscopic Equipment, ISO 10993 Biological Evaluation of Medical Devices.

There are no significant technological or performance differences between the Stryker Ureteroscope and the identified predicate device, nor are there any new questions raised Ureteroscope and the luentified produce the Stryker Ureteroscope is substantially equivalent to the identified predicate device.

Contact:

Catrick

11/1/04

Christopher L. Cook

Stryker Endoscopy 5900 Optical Court San Jose, CA 95138 Phone: 408-754-2288 408-754-2521 Fax: Email: chris.cook@stryker.com

1

Image /page/1/Picture/1 description: The image shows a circular logo with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" written around the edge. Inside the circle is a stylized image of an eagle with three wavy lines extending from its body. The logo is black and white and appears to be of a government organization.

MAR 1 6 2005

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mr. Christopher L. Cook Regulatory Supervisor Stryker Endoscopy 5900 Optical Court SAN JOSE CA 95138

Re: K043021

Trade/Device Name: Stryker Ureteroscope Regulation Number: 21 CFR §876.1500 Regulation Name: Endoscope and accessories Regulatory Class: II Product Code: 78 FGB Dated: February 18, 2005 Received: February 22, 2005

Dear Mr. Cook:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced we have reviewed your bottler been is substantially equivalent (for the indications for use stated in above and have deceally marketed predicate devices marketed in interstate commerce prior to the cholosate) to regary mant date of the Medical Device Amendments, or to devices that have been May 20, 1770, the classified in the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that recrassmed in aboordal of a premarket approval application (PMA). You may, therefore, market the do not require approval or of a provisions of the Act. The general controls provisions of the Act ut fice, subjoct to the general 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 (Premarket n your device is onastilized to such additional controls. Existing major regulations affecting your Applovary, it they of bely 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 I lease oc advirod that i Dr. I be rice complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the I carrat statues and regulations as and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set forth in the quality systems (QS) (21 CFR Part 8077, good 800); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

2

This letter will allow you to begin marketing your device as described in your Section 510(k) This letter will anow you to begin marketing your antial equivalence of your device of your device to a legally premarket notification. The FDA inding of substantial organisations of the 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 specific advice for your device on our laboring regarmers.
contact the Office of Compliance at one of the following numbers, based on the regulation number at the top of this letter:

21 CFR 876.xxxx(Gastroenterology/Renal/Urology)240-276-0115
21 CFR 884.xxxx(Obstetrics/Gynecology)240-276-0115
21 CFR 892.xxxx(Radiology)240-276-0120
Other240-276-0100

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Also, please note the regulation entitled, "Wisonation on your responsibilities under the Act from the 180 807.97). You may obtain other general information on your replainter at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.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

3

Device Name: Stryker Ureteroscope

K04 3021

Indications for Use:

The Stryker Ureteroscope is indicated for use during minimally invasive urological surgical The Stryker Ureleroscope is indical body offices, and is intended for, but not linked to, procedures accessed through thatural bouy offices, and, utilizing additional accessories, to perform
transurethral examination of the unnactures transarothar and therapeutic procedures.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

David h. Symm

(Division Sign Off) Division of Reproductive, Abdomin and Radiological Devices 510(k) Number ________________________________________________________________________________________________________________________________________________________________

Prescription Use
Use
(Per 21 CFR 801.109)

OR

Over-The-Counter-