K Number
K050256
Device Name
APPLE MEDICAL/OB MOBIUS ELASTIC RETRACTOR
Date Cleared
2005-04-26

(82 days)

Product Code
Regulation Number
878.4800
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Apple Medical OB/Mobius Elastic Retractor is indicated for use to assist in nonurgent cesarean deliveries that are routine procedures. It is intended to provide incision retraction and to protect against wound contamination during a cesarean section. It is indicated for use as a surgical retractor for both vertical and transverse incisions.
Device Description
The Apple Medical OB/Mobius® Elastic Retractor is a sterile disposable abdominal retractor consisting of two flexible plastic rings connected by a sleeve of soft, high yield strength, clear plastic film. The internal ring has a circular cross-section (o-ring) and the external ring has a cruciform cross-section (quad-ring). The inner diameter of the internal o-ring limits the radius of abdominal retraction. The diameter of the external quad-ring is the same as the diameter of the internal o-ring and the sleeve. When completely unwound, the height of the cylinder is 10.6 inches. When the quad ring is rolled down, the sleeve is wrapped around the circumference of the ring reducing the height of the sleeve by 1.5 inches per rotation. Because the sleeve film is radially unyielding, the reduction in height causes the radial retraction of the incision site.
More Information

No
The device description and performance studies focus on a mechanical retractor and do not mention any AI or ML components or capabilities.

No.
The device is a surgical retractor used to assist in cesarean deliveries by providing incision retraction and protecting against wound contamination, which is a mechanical aid in a surgical procedure, not a therapeutic intervention to treat a disease or condition.

No
Explanation: The device is a surgical retractor used during cesarean deliveries to assist in incision retraction and wound contamination protection. It does not perform any diagnostic functions.

No

The device description clearly outlines physical components (flexible plastic rings, sleeve of plastic film) and their mechanical function (radial retraction of the incision site). This indicates a hardware-based medical device, not a software-only one.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to examine specimens taken from the human body (like blood, urine, or tissue) to provide information about a person's health. This testing is done outside of the body (in vitro).
  • Device Function: The Apple Medical OB/Mobius Elastic Retractor is a surgical retractor. Its function is to physically hold open an incision during surgery and protect the wound. It does not analyze or test any biological samples.
  • Intended Use: The intended use clearly states it is for "incision retraction" and "to protect against wound contamination during a cesarean section." This is a mechanical function performed on the body during a surgical procedure.

The description and intended use clearly indicate it's a surgical tool used directly on the patient during a procedure, not a device for testing samples in a lab setting.

N/A

Intended Use / Indications for Use

The Apple Medical OB/Mobius Elastic Retractor is indicated for use to assist in non-urgent cesarean deliveries that are routine procedures. It is intended to provide incision retraction and to protect against wound contamination during a cesarean section. It is indicated for use as a surgical retractor for both vertical and transverse incisions.

Product codes

KNA, GAD

Device Description

The Apple Medical OB/Mobius® Elastic Retractor is a sterile disposable abdominal retractor consisting of two flexible plastic rings connected by a sleeve of soft, high yield strength, clear plastic film. The internal ring has a circular cross-section (o-ring) and the external ring has a cruciform cross-section (quad-ring). The inner diameter of the internal o-ring limits the radius of abdominal retraction. The diameter of the external quad-ring is the same as the diameter of the internal o-ring and the sleeve. When completely unwound, the height of the cylinder is 10.6 inches. When the quad ring is rolled down, the sleeve is wrapped around the circumference of the ring reducing the height of the sleeve by 1.5 inches per rotation. Because the sleeve film is radially unyielding, the reduction in height causes the radial retraction of the incision site.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

abdominal wall

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)

The Apple Medical OB/Mobius Elastic Retractor has been clinically evaluated for the cesarean section indication and shown to be substantially equivalent to the predicate mechanical abdominal retractors.

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

Not Found

Predicate Device(s)

K041131

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 878.4800 Manual surgical instrument for general use.

(a)
Identification. A manual surgical instrument for general use is a nonpowered, hand-held, or hand manipulated device, either reusable or disposable, intended to be used in various general surgical procedures. The device includes the applicator, clip applier, biopsy brush, manual dermabrasion brush, scrub brush, cannula, ligature carrier, chisel, clamp, contractor, curette, cutter, dissector, elevator, skin graft expander, file, forceps, gouge, instrument guide, needle guide, hammer, hemostat, amputation hook, ligature passing and knot-tying instrument, knife, mallet, disposable or reusable aspiration and injection needle, disposable or reusable suturing needle, osteotome, pliers, rasp, retainer, retractor, saw, scalpel blade, scalpel handle, one-piece scalpel, snare, spatula, stapler, disposable or reusable stripper, stylet, suturing apparatus for the stomach and intestine, measuring tape, and calipers. A surgical instrument that has specialized uses in a specific medical specialty is classified in separate regulations in parts 868 through 892 of this chapter.(b)
Classification. Class I (general controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter, subject to the limitations in § 878.9.

0

K050256
page 1 of 1

APR 2 6 7005

510(k) Summary

| Sponsor | Apple Medical Corporation
28 Lord Road, Unit 135
Marlboro, MA 01752 |
|----------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Date of summary | April 20, 2005 |
| Device Trade Name | Apple Medical OB/Mobius® Elastic Retractor (OB/MER) |
| Common Name | Abdominal Retractor |
| Classification Name | Obstetric-gynecologic general manual instrument (884. 4520)
Obstetric-gynecologic specialized manual instrument (884.4530)
Manual surgical instruments for general use (878.4800) |
| Predicate Devices | The Apple Medical OB/Mobius® Elastic Retractor (K041131) and
510(k) exempt mechanical abdominal retractors used in cesarean section. |
| Description | The Apple Medical OB/Mobius® Elastic Retractor is a sterile disposable
abdominal retractor consisting of two flexible plastic rings connected by a
sleeve of soft, high yield strength, clear plastic film. The internal ring has
a circular cross-section (o-ring) and the external ring has a cruciform
cross-section (quad-ring). The inner diameter of the internal o-ring limits
the radius of abdominal retraction. The diameter of the external quad-ring
is the same as the diameter of the internal o-ring and the sleeve. When
completely unwound, the height of the cylinder is 10.6 inches. When the
quad ring is rolled down, the sleeve is wrapped around the circumference
of the ring reducing the height of the sleeve by 1.5 inches per rotation.
Because the sleeve film is radially unyielding, the reduction in height
causes the radial retraction of the incision site. |
| Intended Use | The Apple Medical OB/Mobius Elastic Retractor is indicated for use to
assist in non-urgent cesarean deliveries that are routine procedures. It is
intended to provide incision retraction and to protect against wound
contamination during a cesarean section. It is indicated for use as a
surgical retractor for both vertical and transverse incisions. |
| Technological
Characteristics | The internal o-ring is manually collapsed and inserted through the
abdominal incision where it is allowed to spring open against the parietal
peritoneum. The external quad-ring is then pulled upward placing the
cylindrical sleeve in tension and the operator rolls the ring down the
sleeve until the ring sits firmly against the skin. The radial force of the
two rings acts to retract the abdominal wall to the desired circular
geometry. |
| Testing | The Apple Medical OB/Mobius Elastic Retractor has been clinically
evaluated for the cesarean section indication and shown to be
substantially equivalent to the predicate mechanical abdominal retractors. |

1

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/1/Picture/2 description: The image shows a logo for the Department of Health & Human Services. The logo features a stylized eagle with three lines representing its wings. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES" is arranged in a circular pattern around the eagle.

APR 2 6 2005

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Apple Medical Corporation c/o Mr. James Delaney Boston Healthcare Associates, Inc. 75 Federal St., 9th Floor BOSTON MA 02110

Re: K050256

Trade/Device Name: Apple Medical OB/Mobius® Elastic Retractor Regulation Number: 21 CFR §884.4530 Regulation Name: Obstetric-gynecologic specialized manual instrument Product Code: KNA Regulation Number: 21 CFR §878.4800 Regulation Name: Manual surgical instrument for general use Product Code: GAD Regulatory Class: II Dated: April 1, 2005 Received: April 4, 2005

Dear Mr. Delaney:

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 (Premarket Approval), 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

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 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 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,

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

Indications for Use

510(k) Number (if known): K050256

Device Name: Apple Medical OB/Mobius® Elastic Retractor

Indications for Use:

The Apple Medical OB/Mobius Elastic Retractor is indicated for use to assist in nonurgent cesarean deliveries that are routine procedures. It is intended to provide incision retraction and to protect against wound contamination during a cesarean section. It is indicated for use as a surgical retractor for both vertical and transverse incisions.

Prescription Use (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)

Nancy C Bugdon
(Division Sign-Off)
Division of Reproductive, Abdominal,
and Radiological Devices
510(k) Number K050256

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