K Number
K043253
Device Name
VANGUARD REPROCESSED DILATING TIP AND BLUNT TROCARS
Date Cleared
2005-04-08

(135 days)

Product Code
Regulation Number
876.1500
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Reprocessed trocars are intended to provide a pathway for entry of instruments during minimally invasive surgery, with particular applications in abdominal, gynecological, urological, and thoracic procedures.
Device Description
Vanguard Reprocessed Trocar is a previously used device that has been cleaned, inspected, packaged and sterilized by Vanguard Medical Concepts, Inc. Trocar Cannulae is available with smooth or threaded sleeve in sizes 5-15mm inner diameter and 5-15cm length. Cannulae are equipped with a pressure seal for maintenance of pneumopertineum during insertion and withdrawal of instruments. Some models are equipped with a luer stopcock port for insufflation and desufflation of the operative cavity. Some models are provided with stability anchors inserted over the cannula sleeve to help seal the incision site and maintain cavity pressure. Trocar Obturator is available in shielded and non-shielded configurations sized 5-15mm. Models equipped with a safety shield are designed to expose the blade during insertion but to retract over the tip once the operative cavity has been penetrated, so as to reduce the risk for vascular or visceral injury. Non-shielded optical obturators are equipped with a clear tip and an 11-12mm video laparoscopy channel to allow trocar insertion under direct visual guidance and minimize the risk for internal injury.
More Information

Not Found

No
The device description and performance studies focus on the reprocessing and physical characteristics of a surgical trocar, with no mention of AI or ML.

No
The device, a trocar, is used to create a pathway for instruments during surgery. It is a surgical tool, not a device intended to treat or cure a disease or condition.

No
Explanation: The device is described as a surgical instrument (trocar) intended to provide a pathway for entry of instruments during minimally invasive surgery. It facilitates surgical procedures by creating access and maintaining a cavity, rather than by diagnosing a condition or disease.

No

The device description clearly details physical components like cannulae, obturators, sleeves, seals, and ports, indicating it is a hardware medical device. The reprocessing aspect also confirms it's a physical object.

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

Here's why:

  • Intended Use: The intended use is to "provide a pathway for entry of instruments during minimally invasive surgery." This is a surgical tool used directly on the patient's body during a procedure.
  • Device Description: The description details a physical instrument (trocar) used for surgical access.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens (like blood, tissue, or urine) outside of the body to provide information for diagnosis, monitoring, or screening.

IVD devices are specifically designed to be used in vitro (in glass, or outside the living organism) to analyze samples. This device is used in vivo (in the living organism) as a surgical instrument.

N/A

Intended Use / Indications for Use

Reprocessed trocars are intended to provide a pathway for entry of instruments during minimally invasive surgery, with particular applications in abdominal, gynecological, urological, and thoracic procedures.

Product codes

NLM

Device Description

Vanguard Reprocessed Trocar is a previously used device that has been cleaned, inspected, packaged and sterilized by Vanguard Medical Concepts, Inc.
Trocar Cannulae is available with smooth or threaded sleeve in sizes 5-15mm inner diameter and 5-15cm length. Cannulae are equipped with a pressure seal for maintenance of pneumopertineum during insertion and withdrawal of instruments. Some models are equipped with a luer stopcock port for insufflation and desufflation of the operative cavity. Some models are provided with stability anchors inserted over the cannula sleeve to help seal the incision site and maintain cavity pressure.
Trocar Obturator is available in shielded and non-shielded configurations sized 5-15mm. Models equipped with a safety shield are designed to expose the blade during insertion but to retract over the tip once the operative cavity has been penetrated, so as to reduce the risk for vascular or visceral injury. Non-shielded optical obturators are equipped with a clear tip and an 11-12mm video laparoscopy channel to allow trocar insertion under direct visual guidance and minimize the risk for internal injury.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

abdominal, gynecological, urological, and thoracic procedures

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 (study type, sample size, AUC, MRMC, standalone performance, key results)

Cleaning, sterilization, packaging validations, and performance and biocompatibility testing demonstrate that the reprocessed devices perform as intended and are safe and effective.

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

Not Found

Predicate Device(s)

K020428, K011538, K011257, K990028, K971475, K963760

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 & Effectiveness

K043253/52


| Submitter | Vanguard Medical Concepts, Inc.
5307 Great Oak Drive
Lakeland, FL 33815 |
|-------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Contact | Heather Crawford, RAC
Director of Regulatory Affairs
863-683-8680 [voice]
863-683-8703 [facsimile]
hcrawford@safe-reuse.com [email] |
| Date | November 23, 2004 |
| Device | Trade Name: Vanguard Reprocessed Dilating Tip and Blunt Trocars
Common Name: Dilating tip/shielded trocar, Blunt/non-shielded trocar, Adjustable stability threadClassification Number: 21 CFR 876.1500Classification Name: Endoscope and accessoriesProduct Code: NLM - Laparoscope, General & Plastic Surgery, Reprocessed - Class II |
| Predicate Devices | Original equipment manufacturer (OEM) Dilating Tip and Blunt Trocars are currently marketed under a variety of trade names. Trade names of legally marketed predicate devices are: Ethicon ® Tristar ™ Blunt Tip Trocar (10mm-12mm)Ethicon ® Endopath ® Dilating Tip Trocar (5mm-12mm)Ethicon ® Endopath ® Optiview ® Optical Trocar (5mm-12mm)Ethicon ® Tristar ™ Pyramidal Blade Trocar (5mm-12mm)Ethicon ® Endopath ® Adjustable Stability Thread (5mm-12mm) The 510(k) Premarket Notification numbers for these devices are: K020428: Endopath ® Dilating Tip TrocarK011538: Endopath ® Non-Bladed Solid Obturator Trocar SystemK011257: Endopath ® Non-Bladed Obturator Trocar System (5mm)K990028: Endopath ® Optiview ® Optical Surgical Obturator and SleeveK971475: Shielded Surgical TrocarK963760: Non-Shielded Surgical Trocar and Sleeve |

Continued on next page

1

510(k) Summary of Safety & Effectiveness, Continued


| Indications
for Use | Reprocessed trocars are intended to provide a pathway for entry of
instruments during minimally invasive surgery, with particular applications in
abdominal, gynecological, urological, and thoracic procedures. |
|----------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Contra-
indications | Reprocessed trocars should not be used in patients for whom endoscopic
procedure is contraindicated. |
| Device
Description | Vanguard Reprocessed Trocar is a previously used device that has been
cleaned, inspected, packaged and sterilized by Vanguard Medical Concepts,
Inc. |
| | Trocar Cannulae is available with smooth or threaded sleeve in sizes 5-15mm
inner diameter and 5-15cm length. Cannulae are equipped with a pressure
seal for maintenance of pneumopertineum during insertion and withdrawal of
instruments. Some models are equipped with a luer stopcock port for
insufflation and desufflation of the operative cavity. Some models are
provided with stability anchors inserted over the cannula sleeve to help seal
the incision site and maintain cavity pressure. |
| | Trocar Obturator is available in shielded and non-shielded configurations
sized 5-15mm. Models equipped with a safety shield are designed to expose
the blade during insertion but to retract over the tip once the operative cavity
has been penetrated, so as to reduce the risk for vascular or visceral injury.
Non-shielded optical obturators are equipped with a clear tip and an 11-12mm
video laparoscopy channel to allow trocar insertion under direct visual
guidance and minimize the risk for internal injury. |
| Technological
Characteristics | Vanguard Reprocessed Dilating and Blunt Tip Trocars are essentially
identical to the Original Equipment Manufacturer (i.e., Ethicon®) devices.
No changes are made to the device materials or specifications and the
reprocessed trocars possess identical technological characteristics. |
| Test Data | Cleaning, sterilization, packaging validations, and performance and
biocompatibility testing demonstrate that the reprocessed devices perform as
intended and are safe and effective. |
| | Continued on next page |

ENDOPATH®, OPTIVIEW®, and TRISTAR™ are registered trademarks of Ethicon Endo-Surgery, Inc.

2

510(k) Summary of Safety & Effectiveness, Continued

Based upon the information provided herein and the 510(k) "Substantial Conclusion Equivalence" Decision Making Process Chart, we conclude that Vanguard Reprocessed Dilating Tip and Blunt Trocars are substantially equivalent to their predicate devices under the Federal Food, Drug and Cosmetic Act.

3

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/3/Picture/1 description: The image is a black and white logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle with its wings spread, and the words "DEPARTMENT OF HEALTH & HUMAN SERVICES.USA" are arranged in a circular pattern around the eagle. The eagle is composed of three curved lines that form the shape of the bird's body and wings. The text is in a simple, sans-serif font.

Public Health Service

NOV 2 7 2006

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Ascent Healthcare Solutions % Ms. Moira Barton Regulatory Affairs Manager 10232 South 51st Street Phoenix, Arizona 85044

Re: K043253 - Supplemental Validation Submission Trade/Device Name: See Enclosed List Regulation Number: 21 CRF 876.1500 Regulation Name: Endoscope and accessories Regulatory Class: II Product Code: NLM Dated: March 7, 2005 Received: March 9, 2005

Dear Ms. Barton:

This letter corrects our substantially equivalent letter of April 8, 2005. The above-referenced premarket notification (510(k)) was cleared by the Office Evaluation (ODE) on March 31, 2005. We have received your supplemental validation data as required for reprocessed singleuse devices by the Medical Device User Fee and Modernization Act of 2002. After reviewing your supplemental validation data, we have determined the devices listed in the enclosure accompanying this letter are 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 these devices, 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 devices are classified (see above) into either class II (Special Controls) or class III (PMA) they 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 devices 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 devices comply 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 applicable requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements

4

Page 2 - Ms. Moira Barton

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.

The FDA finding of substantial equivalence of your devices to legally marketed predicate devices results in classification for your devices and thus, permits you to legally market the devices. This letter will allow you to continue marketing the devices listed in the enclosure accompanying this letter.

If you desire specific advice for your devices on our labeling regulation (21 CFR Part 801), please contact the Office of Compliance at (240) 276-0115. 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 (240) 276-3150 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html.

Sincerely wours.

Pur Salla

Mark N. Melkerson Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

5

Page 3 - Ms. Moira Barton

Indications for Use

510 (k) Number (if known) : ___K043253

Vanguard Reprocessed Bladed and Non-Bladed Trocars Device Name:

Indications For Use:

Reprocessed trocars are intended to provide a pathway for entry neproorments during minimally invasive surgery, with particular applications in abdominal, gynecological, urological, and thoracic procedures.

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

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)

K043253

Division of General, Restorative and Neurological Devices

Page 1 of

510(k) Number L043253

6

Page 4 -- Ms. Moira Barton Page 4 – Ms. Moira Barton

DeviceModel Numbers
Ethicon® Endopath® Endopath Dilating Tip
Trocar, 5 mm-12 mm355LD, 355LM, 355SD, 355SM, 355TM, 511SD,
511SM, 512SD, 512SM, 578SD
Ethicon® Endopath® Optiview Optical
Trocar 5 mm-12 mm35HS, 35HL, 35HST, 35HLT, 511H, 511HT,
512HN, 512HT, 35NST, 35NLT, 35OS, 35OL,
511NT, 511O, 512NT, 512ON
Ethicon® TristarTM Pyramidal Blade Trocar,
5 mm-12 mm355L, 355S, 355T, 511S, 512S
Ethicon® TristarTM Blunt Tip Trocar,
10 mm-12 mm512B
Ethicon® Endopath® Adjustable Stability
Thread , 5 mm-12 mmT355, T511, T512

100 - 100 - 100