K Number
K053311
Manufacturer
Date Cleared
2006-01-27

(60 days)

Product Code
Regulation Number
876.1500
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Stryker Scope Warmer is indicated for use with endoscopes. As such, this product is indicated for use prior to and during surgeries in which an endoscope is indicated. The Stryker Scope Warmer is intended to be used, prior to and during these procedures, to heat endoscopes so as to minimize fogging of the scope.

Device Description

The Stryker Scope Warmer is an endoscopic accessory, composed of PVC and sodium acetate.

AI/ML Overview

The provided text is a 510(k) summary for the Stryker Scope Warmer. This type of submission focuses on demonstrating substantial equivalence to a predicate device rather than presenting detailed clinical study results and acceptance criteria in the manner requested.

Therefore, the requested information elements related to a study proving the device meets acceptance criteria, such as sample sizes, ground truth establishment, expert qualifications, and comparative effectiveness studies, are not present in the provided document.

Here’s what can be extracted based on the nature of the submission:

1. A table of acceptance criteria and the reported device performance

The document does not explicitly state acceptance criteria in terms of numerical performance targets like sensitivity, specificity, accuracy, or fogging reduction percentages. Instead, it relies on substantial equivalence to a predicate device and conformance to voluntary safety and performance standards.

Acceptance Criteria TypeReported Device Performance
Safety and EffectivenessSubstantially equivalent to Applied Medical's Scope Warmer (K931895).
Intended UseTo heat endoscopes, prior to and during surgeries, to minimize fogging of the scope.
Material CompositionComposed of PVC and sodium acetate.
Standards ConformanceConforms to ISO 10993, EN 550, ASTM D999, ASTM D1140, ASTM D4728, ASTM 5276, ASTM F88-94, EN 868-1, ISO 11607, and ASTM D4169.

2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

  • Not Applicable / Not Provided. The 510(k) summary for this device, an endoscope warmer, does not describe a clinical study with a "test set" in the context of diagnostic or AI-driven devices. Substantial equivalence for this type of device is typically demonstrated through bench testing, material compatibility, and engineering assessments rather than clinical trials with patient data.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

  • Not Applicable / Not Provided. Ground truth establishment by experts is not relevant for this type of device submission.

4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

  • Not Applicable / Not Provided. Adjudication methods are not relevant for this type of device submission.

5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

  • No. An MRMC study is not relevant as this is an endoscope warmer, not an AI diagnostic device.

6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

  • No. This is not an algorithmic device.

7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.)

  • Not Applicable / Not Provided. Ground truth is not established in the typical sense for an endoscope warmer. Compliance is shown through engineering and material standards.

8. The sample size for the training set

  • Not Applicable / Not Provided. There is no "training set" for this device.

9. How the ground truth for the training set was established

  • Not Applicable / Not Provided. There is no "training set" for this device.

Summary of what the document does convey about the device's demonstration of safety and effectiveness:

The Stryker Scope Warmer's safety and effectiveness are established through:

  • Substantial Equivalence: It is deemed substantially equivalent to the legally marketed predicate device, Applied Medical's Scope Warmer (K931895). This implies that its fundamental technology, intended use, and performance characteristics are similar enough not to raise new questions of safety or effectiveness.
  • Compliance with Voluntary Standards: Conformance to a comprehensive list of international and industry standards (ISO 10993, EN 550, ASTM D999, ASTM D1140, ASTM D4728, ASTM 5276, ASTM F88-94, EN 868-1, ISO 11607, and ASTM D4169). These standards cover aspects like biocompatibility (ISO 10993), electromagnetic compatibility (EN 550), packaging (EN 868-1, ISO 11607, ASTM F88-94), and performance of plastics (various ASTM D standards).
  • Technological Differences: The submission explicitly states that "The technological differences between the Stryker Scope Warmer and the identified predicate device... do not affect the safety or efficacy of the product." This is a key assertion in a 510(k) submission, indicating that any differences were assessed and found not to introduce new risks or alter performance significantly.

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stryker®

JAN 2 7 2006

Endoscopy

510(k) SUMMARY OF SAFETY AND EFFECTIVENESS

Device Name

Proprietary Name:Stryker Scope Warmer
Common and Usual Name:Endoscope Warmer, Instrument Warmer
Classification Name:Endoscope and/or Accessories, Laparoscope, General &Plastic Surgery

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

The Stryker Scope Warmer is substantially equivalent in terms of safety and effectiveness to currently marketed devices, including Applied Medical's Scope Warmer (K931895).

The Stryker Scope Warmer is a new product developed by Stryker Scope Warmer is an endoscopic accessory, composed of PVC and sodium acetate.

The Stryker Scope Warmer is indicated for use with endoscopes. As such, this product is indicated for use prior to and during surgeries in which an endoscope is indicated. The Stryker is intended to be used, prior to and during these procedures, to heat endoscopes so as to minimize fogging of the scope.

The Stryker Scope Warmer conforms to the following voluntary safety and performance standards: ISO 10993. EN 550. ASTM D999. ASTM D1140. ASTM D4728. ASTM 5276. ASTM F88-94. EN 868-1, ISO 11607 and ASTM D4169.

The technological differences between the Stryker Scope Warmer and the identified predicate device (Applied Medical's Scope Warmer (K931895) do not affect the safety or efficacy of the product, therefore, the Stryker Scope Warmer is substantially equivalent to the identified predicate devices and surgery systems.

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Image /page/1/Picture/1 description: The image shows the seal of the Department of Health and Human Services (HHS) of the United States. The seal features the department's name encircling a symbol. The symbol consists of a stylized caduceus, a staff with two snakes entwined around it, representing medicine and health, with three lines above it.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JAN 27 2006

Ms. Crystal Ong Regulatory Affairs Representative Stryker Endoscopy 5900 Optical Court San Jose, California 95138

Re: K053311

Trade/Device Name: Stryker Scope Warmer Regulation Number: 21 CFR 876.1500 Regulation Name: Endoscope and accessories Regulatory Class: II Product Code: GCJ Dated: November 23, 2005 Received: December 7, 2005

Dear Ms. Ong:

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.

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Page 2 - Ms. Ong

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" (21 CFR 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 vours,

charlau bienn

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):

Device Name:_Stryker Scope Warmer

Indications For Use:

The Stryker Scope Warmer is indicated for use with endoscopes. As such, this product is indicated for use prior to and during surgeries in which an endoscope is indicated. The Stryker Scope Warmer is intended to be used, prior to and during these procedures, to heat endoscopes so as to minimize fogging of the scope.

L 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)

Jarbare Muelin

(Division Sign)-Division of General, Restorative. and Neurological Devices

Page 1 of

510(k) Number K053311

§ 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.