K Number
K061324
Device Name
EMT QUIK-COVER FLEXIBLE ENDOSCOPE BARRIER SHEATH, SERIES 1-7
Date Cleared
2006-06-20

(40 days)

Product Code
Regulation Number
876.1500
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The EndoMedical Technologies Quik-Cover™ Flexible Endoscope Barrier Sheath provides a sterile, disposable protective covering for flexible endoscopes during endoscopic examination of bladder, urethra, lower gastrointestinal tract, and upper gastrointestinal structures including the esophagus.
Device Description
The EndoMedical Technologies Quik-Cover Flexible Endoscope Barrier Sheath (EndoMedical Technologies Quilt-Cover™) is a sterile, single-use device that covers the entire patient contact surface of flexible endoscopes and eliminates the need for high-level disinfection of the endoscope following each procedure. The device is composed of a contiguous polymeric sheath, with an optical window at the distal end which is preloaded on a deployment tube. Some models of the EndoMedival Technologies Quik-Cover™ include a Y-connector and side port channel(s) that are intended to allow passage of air, water, suction and biopsy instruments.
More Information

Not Found

No
The summary describes a physical barrier sheath for endoscopes and does not mention any software, algorithms, or data processing that would indicate the use of AI/ML.

No
Explanation: The device is a barrier sheath for flexible endoscopes, designed to provide a protective covering and eliminate the need for high-level disinfection. It does not exert any therapeutic effect on the patient.

No

This device is described as a "sterile, single-use device that covers the entire patient contact surface of flexible endoscopes" to eliminate the need for high-level disinfection. Its purpose is to act as a barrier sheath for endoscopes, not to diagnose medical conditions—it facilitates the use of other diagnostic tools (endoscopes) by maintaining sterility.

No

The device description clearly states it is a "sterile, single-use device that covers the entire patient contact surface of flexible endoscopes" and is "composed of a contiguous polymeric sheath, with an optical window at the distal end which is preloaded on a deployment tube." This describes a physical, hardware-based medical device, not software.

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

Here's why:

  • Intended Use: The intended use is to provide a sterile, disposable protective covering for flexible endoscopes during endoscopic examinations of various anatomical sites. This is a physical barrier function, not a diagnostic test performed on samples taken from the body.
  • Device Description: The device is described as a physical sheath that covers the endoscope. While it has an optical window and potentially channels for instruments, its primary function is to prevent contact between the endoscope and the patient's tissues.
  • Lack of IVD Characteristics: There is no mention of the device being used to analyze biological samples (blood, urine, tissue, etc.) or to provide diagnostic information based on such analysis. IVDs are typically used to detect, measure, or identify substances or characteristics in these samples to aid in diagnosis, monitoring, or screening.

The device is clearly intended for use during a medical procedure (endoscopy) to maintain sterility and reduce the need for high-level disinfection of the endoscope, which is a procedural and infection control function, not a diagnostic one.

N/A

Intended Use / Indications for Use

The EndoMedical Technologies Quik-Cover™ Flexible Endoscope Barrier Sheath provides a sterile, disposable protective covering for flexible endoscopes during endoscopic examination of bladder, urethra, lower gastrointestinal tract, and upper gastrointestinal structures including the esophagus.

Product codes (comma separated list FDA assigned to the subject device)

FED

Device Description

The EndoMedical Technologies Quik-Cover Flexible Endoscope Barrier Sheath (EndoMedical Technologies Quilt-Cover™) is a sterile, single-use device that covers the entire patient contact surface of flexible endoscopes and eliminates the need for high-level disinfection of the endoscope following each procedure. The device is composed of a contiguous polymeric sheath, with an optical window at the distal end which is preloaded on a deployment tube. Some models of the EndoMedival Technologies Quik-Cover™ include a Y-connector and side port channel(s) that are intended to allow passage of air, water, suction and biopsy instruments.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

bladder, urethra, lower gastrointestinal tract, and upper gastrointestinal structures including the esophagus.

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)

Nonclinical performance testing demonstrated that the EndoMedical Technologies Quik-Cover reliably achieves the desired affect and is safe for its intended use. No new questions of safety or effectiveness for endoscope barrier sheaths were raised during the testing.

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

Optical qualities of sheath window.
Sheath mechanical tests.
Finished device barrier testing

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.

K000767, K042531, K990354, K021344, K040215, K031786, K963344

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

§ 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.

0

Document Date: 5/05/06

510(k) Summary 5.

Date PreparedMay 5, 2006
New DeviceEndoMedical Technologies Quik-Cover™ Flexible Endoscope Barrier Sheath
Predicate DevicesK000767 Memcath Urology Introducer Sheath
K042531 UPDATED SLIP Urology Introducer Sheath, Percutaneous Systems, Inc.
K990354 Vision-Sciences EndoSheaths for use with Flexible ENT Scopes
K021344 Vision-Sciences Flexible Fiberoptic Bronchoscope and EndoSheath System
K040215 Vision-Sciences Flexible Cystoscope with EndoSheath System
K031786 Vision-Sciences Trans-Nasal Esophagoscope with EndoSheath System
K963344 SS-F32 EndoSheath for use with the Vision-Sciences Model S-F100 Sigmoidoscope
ContactMarc Jaker, Vice President
RTC, Inc. - Memcath Technologies, LLC
1777 Oakdale Ave
West St. Paul, MN 55118
Phone: 651-450-7400 Fax: 651-450-7555
Email: mjaker@rtcincmn.com

Intended Use

The EndoMedical Technologies Quik-Cover™ Flexible Endoscope Barrier Sheath provides a sterile, disposable protective covering for flexible endoscopes during endoscopic examination of bladder, urethra, lower gastrointestinal tract, and upper gastrointestinal structures including the esophagus.

Device Description

The EndoMedical Technologies Quik-Cover Flexible Endoscope Barrier Sheath (EndoMedical Technologies Quilt-Cover™) is a sterile, single-use device that covers the entire patient contact surface of flexible endoscopes and eliminates the need for high-level disinfection of the endoscope following each procedure. The device is composed of a contiguous polymeric sheath, with an optical window at the distal end which is preloaded on a deployment tube. Some models of the EndoMedival Technologies Quik-Cover™ include a Y-connector and side port channel(s) that are intended to allow passage of air, water, suction and biopsy instruments.

Page 10 of 31

Comment: Removed references to ENT and broncho

1

Substantial Equivalence Comparison

The intended use of the EndoMedical Technologics Quik-Cover™ is similar to the predicate devices in that the sheaths are sterile, disposable protective accessories used to cover endoscopes, cathelers or instruments to help prevent the transmission of pathogens.

The EndoMedical Technologies Quik-Cover™ device configuration is similar to the predicate devices in that all devices are comprised of a membrane sheath, a proximal connector and, with respect to the that an are novel a ventify a distal polymeric window. Some models of the EndoMedical Technologies Quik-Cover™ and predicate devices also include a side working channel. The EndoMedical Technologics Quik-Cover™ application method is similar to the predicate devices ir that the shealth slides on and off with no vacuum/ pressure source required.

The EndoMedical Technologies Quik-Cover™ sheath material is identical to the sheath material for the Memcath Urology Introducer Sheath (K000767) and the SLIP Urology Introducer Sheath (K042531) predicate devices. Safety and performance characteristics related to minor design differences have been addressed through the following nonclinical tests:

  • Optical qualities of sheath window .
  • Sheath mechanical tests .
  • . Finished device barrier testing

Nonclinical performance testing demonstrated that the EndoMedical Technologies Quik-Cover reliably achieves the desired affect and is safe for its intended use. No new questions of safety or effectiveness for endoscope barrier sheaths were raised during the testing. The EndoMedical Technologies Quilt-Cover Flexible Endoscope Barrier Sheath is, therefore, substantially equivalent to currently marketed devices.

Koc1324
PG. 2 of 2

Page 11 of 31

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Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle with three lines representing its body and wings. The eagle is facing right. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the eagle.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUN 20 2006

Mr. Marc Jaker Vice President RTC, Inc .- Memcath Technologies LLC 1777 Oakdale Ave. WEST ST. PAUL MN 55118

Re: K061324

Trade/Device Name: EndoMedical Technologies Quik-Cover™ Flexible Endoscope Barrier Sheath Regulation Number: 21 CFR 876.1500 Regulation Name: Endoscope and accessories Regulatory Class: II Product Code: FED Dated: May 8, 2006 Received: May 18, 2006

Dear Mr. Jaker:

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.

3

Page 2 -

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.

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.xxx(Gastroenterology/Renal/Urology)240-276-0115
21 CFR 884.xxx(Obstetrics/Gynecology)240-276-0115
21 CFR 894.xxx(Radiology)240-276-0120
Other240-276-0100

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 vours.

Nancy C. Hogdon

Nancy C. Brogdon Director, Division of Reproductive, Abdominal, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

Indications for Use Statement 4.

510(k) Number (if known): K061324

Device Name: EndoMedical Technologies Quik-Cover™ Flexible Endoscope Barrier Sheath

Indications for Use: The EndoMedical Technologies Quik-Cover™ flexible endoscope barrier sheath provides a sterile, disposable protective covering for endoscopes used during examination of structures such as the bladder, urethra, lower gastrointestinal tract, and upper gastrointestinal structures including the esophagus.

Over-The-Counter Use Prescription Use XX AND/OR (21 CFR 80I Subpart C) (Part 21 CFR 801 Subpart D) (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Nancyc Brogdon


(Division Sign-Off)
Division of Reproductive, Abdominal,

Radiological Devices
510(k) Number K061324

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