K Number
K060676
Device Name
NES REPROCESSED ENDOSCOPIC TROCAR
Date Cleared
2007-09-07

(542 days)

Product Code
Regulation Number
876.1500
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Reprocessed Endoscopic Trocars are indicated for use to establish a port of entry for endoscopic instruments in patients requiring minimally invasive surgical procedures.
Device Description
Trocars are devices inserted into a patient in order to maintain a clear pathway to facilitate the insertion of various surgical tools. Trocars are designed in both bladed and non-bladed configurations, however this submission is for non-bladed B5LTs. Non-bladed trocars require an incision be made before insertion into the patient's cavity. Trocars have a luer stopcock port for insufflation and desufflation of the patient's cavity. NES Reprocessed Endoscopic Trocars are sent from a user facility to be cleaned, sterilized and repackaged by NES. NES Reprocessed Endoscopic Trocars have the same intended use and performance characteristics equivalent to Endoscopic Trocars provided by Original Equipment Manufacturers (OEM).
More Information

Not Found

No
The device description and performance studies focus on the reprocessing of a physical surgical tool (trocar) and do not mention any software, algorithms, or data processing that would indicate the use of AI/ML. The "Mentions AI, DNN, or ML" section is explicitly marked as "Not Found".

No.
The device facilitates surgical procedures by providing a port of entry for instruments but does not directly treat a disease or condition.

No

Explanation: The device, a trocar, is used to create a port of entry for surgical instruments during minimally invasive procedures. It facilitates the insertion of other tools, but does not itself provide diagnostic information about a patient's condition.

No

The device description clearly describes a physical medical device (trocars) that are reprocessed, not a software-only device.

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

Here's why:

  • Intended Use: The intended use is to "establish a port of entry for endoscopic instruments in patients requiring minimally invasive surgical procedures." This describes a surgical tool used directly on a patient during a procedure.
  • Device Description: The description details a physical device inserted into the body to create a pathway for other surgical tools. It mentions features like a luer stopcock for insufflation, which are related to surgical procedures, not diagnostic testing of samples.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens derived from the human body (like blood, urine, tissue, etc.) to provide information for diagnosis, monitoring, or screening.

IVD devices are specifically designed to perform tests on samples taken from the body to provide diagnostic information. This device is a surgical instrument used for access during a procedure.

N/A

Intended Use / Indications for Use

Reprocessed Endoscopic Trocars are indicated for use to establish a port of entry for endoscopic instruments in patients requiring minimally invasive surgical procedures.

Product codes

NLM

Device Description

Trocars are devices inserted into a patient in order to maintain a clear pathway to facilitate the insertion of various surgical tools. Trocars are designed in both bladed and non-bladed configurations, however this submission is for non-bladed B5LTs. Non-bladed trocars require an incision be made before insertion into the patient's cavity. Trocars have a luer stopcock port for insufflation and desufflation of the patient's cavity. NES Reprocessed Endoscopic Trocars are sent from a user facility to be cleaned, sterilized and repackaged by NES. NES Reprocessed Endoscopic Trocars have the same intended use and performance characteristics equivalent to Endoscopic Trocars provided by Original Equipment Manufacturers (OEM).

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

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)

NES Reprocessed Endoscopic Trocars operate as originally intended and are safe, effective and sterile as demonstrated by cleaning, packaging, performance, sterilization and biocompatibility testing.

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

Not Found

Predicate Device(s)

K011538, K011257, K990028, K971738, K922608

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.

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Section 2-1510(k) Summary
SubmitterNortheast Scientific, Inc.
29 S. Commons Rd.
Waterbury, CT 06704SEP - 7 2007
ContactCraig Allmendinger
President & CEO
Phone: 203-756-2111
Fax: 203-757-5532
Email: Allmendinger@sbcglobal.net
DateAugust 31st, 2007
DeviceTrade Name: NES Reprocessed Endoscopic Trocar
Common Name: Non-Bladed Trocar
Classification Name: Endoscope and accessories
Product Code: NLM
Device Class: Class II
OEM Models: Ethicon XCEL B5LT
Predicate Devices510(k) #Trade Name
K011538:Endopath® Non-Bladed Solid Obturator Trocar
K011257:Endopath® Non-Bladed Obturator Trocar System
(5mm)
K990028:Endopath® Optiview® Optical Surgical Obturator
and Sleeve
K971738:Ethicon Endopath® Resposable Trocar System
K922608:Endopath® EP Disposable Surgical Trocar
Indications for UseNES Reprocessed Endoscopic Trocars are indicated for use to
establish a port of entry for endoscopic instruments in patients
requiring minimally invasive surgical procedures.
ContraindicationsNES Reprocessed Endoscopic Trocars are not intended to be used
on patients undergoing open surgical procedure and for whom
endoscopic procedure has been contraindicated.
Device DescriptionTrocars are devices inserted into a patient in order to maintain a
clear pathway to facilitate the insertion of various surgical tools.
Trocars are designed in both bladed and non-bladed
configurations, however this submission is for non-bladed B5LTs.
Non-bladed trocars require an incision be made before insertion
into the patient's cavity. Trocars have a luer stopcock port for
insufflation and desufflation of the patient's cavity. NES
K060676Page 2 of 2
Reprocessed Endoscopic Trocars are sent from a user facility to be
cleaned, sterilized and repackaged by NES. NES Reprocessed
Endoscopic Trocars have the same intended use and performance
characteristics equivalent to Endoscopic Trocars provided by
Original Equipment Manufacturers (OEM).
Technological
CharacteristicsNES Reprocessed Endoscopic Trocars have identical
design, materials, characteristics and intended use as the
OEM Trocars.
Test DataNES Reprocessed Endoscopic Trocars operate as originally
intended and are safe, effective and sterile as demonstrated by
cleaning, packaging, performance, sterilization and
biocompatibility testing.
ConclusionBased on the information provided, NEScientific, Inc. concludes
that NES Reprocessed Endoscopic Trocars are safe, effective,
perform as intended and are substantially equivalent to the
predicate devices identified herein.

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Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

SEP - 7 2007

Northeast Scientific, Inc. % Mr. Craig Allmendinger President & CEO 29 South Commons Road Waterbury, Connecticut 06704

Re: K060676

Trade/Device Name: NES Reprocessed Endoscopic Trocar Regulation Number: 21 CFR 876.1500 Regulation Name: Endoscope and accessories Regulatory Class: II Product Code: NLM Dated: August 8, 2007 Received: August 9, 2007

Dear Mr. Allmendinger:

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 - Mr. Craig Allmendinger

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 premated 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 (240) 276-3150 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

for

Mark N. Melkerson Dep. Dir.
9/16/05

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

Enclosure

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K06.676

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Indications for Use

510(k) Number (if known): K060676

Device Name: NES Reprocessed Endoscopic Trocar

Indications For Use:

Reprocessed Endoscopic Trocars are indicated for use to establish a port of entry for endoscopic instruments in patients requiring minimally invasive surgical procedures.

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

510(k) Number C060676

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)

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K060676 List of Reprocessed Device(s):

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DescriptionModel NumberSize (ID/Length)
Ethicon XCEL Bladeless Endoscopic
TrocarB5LT5 mm diameter x 100 mm