K Number
K052745
Device Name
ASSISTO ARM SYSTEMS
Date Cleared
2005-11-23

(54 days)

Product Code
Regulation Number
882.1480
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
ASSISTO® Arm Systems consist of a table-mounted endoscope holder system intended for use by surgeons to hold endoscopes and arthroscopes with a diameter of 2.7mm to 10mm during general diagnostic and therapeutic procedures. The device is also intended for use by qualified surgeons for holding endoscopes during diagnostic and therapeutic neurologic procedures.
Device Description
Table-mounted self-retaining endoscope holder system consisting of stainless steel tubular, articulated arms that are connected to a vertical stand and are freely adjustable within the articulating radius according to the requirements of the particular surgical procedure. Accessories include endoscope holders for 2.7mm to 10mm scopes. The device is reusable and provided non-sterile. It must be cleaned and sterilized before use.
More Information

Not Found

No
The device description and intended use describe a purely mechanical, self-retaining endoscope holder system with no mention of software, image processing, or AI/ML terms.

No.
The device is an endoscope holder system, which is a surgical tool used to hold endoscopes during diagnostic and therapeutic procedures. It is not directly therapeutic itself; rather, it facilitates therapeutic procedures performed by surgeons.

No

Explanation: The device is an endoscope holder system. Its function is to hold endoscopes during diagnostic and therapeutic procedures, but it does not perform any diagnostic function itself. It is a tool used during procedures that may have a diagnostic component.

No

The device description clearly states it is a "Table-mounted self-retaining endoscope holder system consisting of stainless steel tubular, articulated arms" and accessories, indicating it is a physical hardware device.

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

Here's why:

  • Intended Use: The intended use clearly states that the device is used to hold endoscopes and arthroscopes during general diagnostic and therapeutic procedures, including neurologic procedures. This is a surgical support device, not a device used to examine specimens derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of disease.
  • Device Description: The description details a mechanical, table-mounted system for holding instruments. This aligns with a surgical support device, not an IVD.
  • Lack of IVD Characteristics: The description does not mention any components or functions related to analyzing biological samples, reagents, or any other elements typically associated with in vitro diagnostics.

Therefore, the ASSISTO® Arm Systems are a surgical instrument holder, not an IVD.

N/A

Intended Use / Indications for Use

ASSISTO® Arm Systems consist of a table-mounted endoscope holder system intended for use by surgeons to hold endoscopes and arthroscopes with a diameter of 2.7mm to 10mm during general diagnostic and therapeutic procedures. The device is also intended for use by qualified surgeons for holding endoscopes during diagnostic and therapeutic neurologic procedures.

Product codes

GCJ, GWG, KOG, HRX

Device Description

Table-mounted self-retaining endoscope holder system consisting of stainless steel tubular, articulated arms that are connected to a vertical stand and are freely adjustable within the articulating radius according to the requirements of the particular surgical procedure. Accessories include endoscope holders for 2.7mm to 10mm scopes.
The device is reusable and provided non-sterile. It must be cleaned and sterilized before use.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

surgeons

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)

Design analysis and comparison as well as verification testing confirm that basic functional characteristics are substantially equivalent to the predicate devices cited and raise no new issues of safety and effectiveness.

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

Not Found

Predicate Device(s)

K050051, K992006, K950214

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 882.1480 Neurological endoscope.

(a)
Identification. A neurological endoscope is an instrument with a light source used to view the inside of the ventricles of the brain.(b)
Classification. Class II (performance standards).

0

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510(k) summary of safety and effectiveness

Date:September 15, 2005
Submitter:Name:Geomed Medizin-Technik GmbH & Co.
Ludwigstaler Strasse 27
Postfach 4047
Tuttlingen, Germany 78532NOV 2 3 2005
Contact Person:Thomas Haug
General Manager
Telephone:
Fax:+49.7461.93550
+49.7461.935593
Product:Trade Name:ASSISTO® Arm Systems
Classification:
Common Name:
Classification
Name:Class II
Endoscope Holder
Laparoscope, General & Plastic Surgery (GCJ,
876.1500)
Endoscope, Neurological (GWG, 21 CFR 882.1480)
Endoscope and/or Accessories (KOG, 21 CFR
876.1500)
Arthroscope (HRX, 21 CFR 888.1100)
Predicate
Devices:Name
Armand Endoscope Holder
Neuroview Instrument Holder, Model
300-33Manufacturer
KLS-Martin L.P.
Integra Neurocare
LLC.K-No.
K050051
K992006
Abdominal Wall RetractorOmni-Tract SurgicalK950214
ASSISTO® Arm Systems are substantially equivalent to the predicate
devices since the basic features and intended uses are the same.
Device
Description:Table-mounted self-retaining endoscope holder system consisting of
stainless steel tubular, articulated arms that are connected to a vertical stand
and are freely adjustable within the articulating radius according to the
requirements of the particular surgical procedure. Accessories include
endoscope holders for 2.7mm to 10mm scopes.
The device is reusable and provided non-sterile. It must be cleaned and
sterilized before use.
Intended
Use:ASSISTO® Arm Systems consist of a table-mounted endoscope holder
system intended for use by surgeons to hold endoscopes and arthroscopes
with a diameter of 2.7mm to 10mm during general diagnostic and
therapeutic procedures. The device is also intended for use by qualified
surgeons for holding endoscopes during diagnostic and therapeutic
neurologic procedures.
Performance
Data:Design analysis and comparison as well as verification testing confirm that
basic functional characteristics are substantially equivalent to the predicate
devices cited and raise no new issues of safety and effectiveness.
Conclusion:Based upon the product technical information provided, intended use and
performance information provided in this premarket notification, the
ASSISTO® Arm Systems have been shown to be substantially equivalent to

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NOV 2 3 2005

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Geomed Medizin-Technik GmbH & Company c/o Angelika Scherp Business Support International Amstel 320-I Amsterdam 1017AP Netherlands

Re: K052745

Trade/Device Name: ASSISTO® Arm Systems Regulation Number: 21 CFR 882.1480 Regulation Name: Neurological endoscope Regulatory Class: II Product Code: GWG, GCJ Dated: September 28, 2005 Received: September 30, 2005

Dear Ms. Scherp:

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 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 (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 (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

Varbara Buehel

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

Enclosure

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INDICATIONS FOR USE

510(k) Number (if known): K052745

Device Name: ASSISTO® Arm Systems

Indications for Use:

ASSISTO® Arm Systems consist of a table-mounted endoscope holder system intended for use by surgeons to hold endoscopes and arthroscopes with a diameter of 2.7mm to 10mm during general diagnostic and therapeutic procedures. The device is also intended for use by qualified surgeons for holding endoscopes during diagnostic and therapeutic neurologic procedures.

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)

Barbara Buehrig

Division of General, Restorative, and Neurological Devices

510(k) Number K052745

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