(34 days)
Not Found
No
The summary describes a mechanical applicator for delivering fluids and does not mention any AI/ML components or functionalities.
No.
The device is used for the simultaneous delivery of two fluids or solutions onto a surgical site, which is an ancillary function during surgical procedures and not a direct therapeutic action on the patient.
No
Explanation: The device is described as an applicator for delivering fluids to a surgical site, which is a therapeutic or procedural function, not a diagnostic one. There is no indication of it being used to identify or analyze a medical condition.
No
The device description explicitly lists physical components (Y-Connector, Spray Tips, Plunger Cap) and describes a physical applicator for delivering fluids, indicating it is a hardware device, not software-only.
Based on the provided information, this device is not an IVD (In Vitro Diagnostic).
Here's why:
- Intended Use: The intended use is the "simultaneous delivery of two non-homogenous fluids or solutions onto a surgical site." This describes a device used during a surgical procedure to apply substances directly to tissue, not to test samples outside the body to diagnose or monitor a condition.
- Device Description: The components listed (Y-Connector, Spray Tips, Plunger Cap) are consistent with a device for applying liquids, not for performing diagnostic tests on biological samples.
- Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), detecting analytes, or providing diagnostic information.
IVD devices are specifically designed to perform tests on samples taken from the human body to provide information for diagnosis, monitoring, or screening. This device's function is purely for the application of fluids during surgery.
N/A
Intended Use / Indications for Use
The Confluent Surgical Dual Liquid Applicator is indicated for use in the simultaneous delivery of two non-homogenous fluids or solutions onto a surgical site.
Product codes (comma separated list FDA assigned to the subject device)
FMF
Device Description
The Confluent Surgical Dual Liquid Applicator will be configured using the following components: Y-Connector, Three Spray Tips; the Spray Tip consists of a polycarbonate Spray Tip, and a polycarbonate or nylon orifice cup. Plunger Cap
Mentions image processing
Not Found
Mentions AI, DNN, or ML
Not Found
Input Imaging Modality
Not Found
Anatomical Site
surgical site
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)
Testing conducted to characterize performance of the proposed device incorporating the modification discussed in this submission has demonstrated that it is substantially equivalent to the predicate device and that it is suitable for the intended use specified.
Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)
Not Found
Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.
Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.
Not Found
Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).
Not Found
§ 880.5860 Piston syringe.
(a)
Identification. A piston syringe is a device intended for medical purposes that consists of a calibrated hollow barrel and a movable plunger. At one end of the barrel there is a male connector (nozzle) for fitting the female connector (hub) of a hypodermic single lumen needle. The device is used to inject fluids into, or withdraw fluids from, the body.(b)
Classification. Class II (performance standards).
0
510(k) Summary
JUN - 1 2006
This 510(k) summary of safety and effectiveness information is submitted in accordance with the requirements of the Safe Medical Devices Act (SMDA) of 1990. The contents of the 510(k) summary have been provided in conformance with 21 CFR §807.98.
| Date Prepared: | April 14, 2006 | |
|---|---|---|
| Sponsor | Confluent Surgical, Inc. | |
| 101A First Avenue | ||
| Waltham, MA 02451 | ||
| Contact | Eric Ankerud | |
| (781) 693 2333 | ||
| Phone: | ||
| (781) 693 2363 | ||
| Fax: | ||
| E-mail: eankerud@confluentsurgical.com | ||
| Device Trade/Proprietary Name | Confluent Surgical Dual Liquid Applicator | |
| Classification Name | Piston Syringe (21 CFR 880.5860) | |
| Class II | ||
| Product Code: FMF | ||
| Common Name | Confluent Surgical Dual Liquid Applicator | |
| Predicate Device(s) | Confluent Surgical Dual Liquid applicator (K042588) | |
| DEVICE DESCRIPTION | ||
| Product Description | The Confluent Surgical Dual Liquid Applicator will be | |
| configured using the following components: | ||
| Y-Connector | ||
| Three Spray Tips; the Spray Tip consists of a | ||
| polycarbonate Spray Tip, and a polycarbonate or | ||
| nylon orifice cup. | ||
| Plunger Cap | ||
| Indications for Use | The Confluent Surgical Dual Liquid Applicator is indicated | |
| for use in the simultaneous delivery of two non- | ||
| homogenous fluids or solutions onto a surgical site. | ||
| Technological Characteristics: | The proposed device incorporating the modification | |
| discussed in this submission has similar technological | ||
| characteristics compared to the predicate device | ||
| Safety and Performance | Testing conducted to characterize performance of the | |
| proposed device incorporating the modification discussed | ||
| in this submission has demonstrated that it is substantially | ||
| equivalent to the predicate device and that it is suitable for | ||
| the intended use specified. | ||
| Conclusion | Based on 1) safety and performance data, and 2) | |
| similarities in indication for use, operating principle, | ||
| component shape and dimensions, materials and | ||
| manufacturing processes, the Confluent Surgical Dual | ||
| Liquid Applicator has been shown to be substantially | ||
| equivalent to a predicate device under the Federal Food, | ||
| Drug and Cosmetic Act. |
1
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Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo features a stylized eagle with three lines representing its wings. The text "DEPARTMENT OF HEALTH AND HUMAN SERVICES - USA" is arranged in a circular pattern around the eagle.
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
JUN - 1 2006
Mr. Eric P. Ankerud Vice President, Clinical, Regulatory & Quality Confluent Surgical, Incorporated 101A First Avenue Waltham, Massachusetts 02451
Re: K061183
Trade/Device Name: Confluent Surgical Dual Liquid Applicator Regulation Number: 880.5860 Regulation Name: Piston Syringe Regulatory Class: II Product Code: FMF Dated: April 27, 2006 Received: May 2, 2006
Dear Mr. Ankerud:
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 Lederal Register.
3
Page 2 -Mr. Ankerud
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 531-542 of the Act); 21 CFR 1000-1050.
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 vours,
Chiu Lin, Ph.D.
Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
4
Indications for Use Statement
Page 1_of 1
| 510(k) Number (if known): | KC61183 |
|---|---|
| Device Name: | Confluent Surgical Dual Liquid Applicator |
| Indications for Use: | The Confluent Surgical Dual Liquid Applicator is indicated for use in the simultaneous delivery of two non-homogenous fluids or solutions onto a surgical site. |
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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