K Number
K061663
Device Name
ENDOMEDICAL TECHNOLOGIES QUIK-COVER FLEXIBLE ENDOSCOPE BARRIER SHEATH FOR OTOLARYNGOSCOPES AND BRONCHOSCOPES
Date Cleared
2006-09-06

(93 days)

Product Code
Regulation Number
874.4760
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 the upper airway, vocal chords, nasal passages, esophagus and pulmonary structures,
Device Description
The EndoMedical Technologies Quik-Cover™ Flexible Endoscope Barrier Sheath (EndoMedical Technologies Quik-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 EndoMedical 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 device description and summary of performance studies focus on the physical barrier function of the sheath and do not mention any computational or analytical capabilities that would suggest the use of AI/ML.

No
The device is a protective cover for endoscopes, designed to maintain sterility and eliminate the need for high-level disinfection. It does not provide any therapeutic function like treating or curing a disease.

No

The device is a sterile, disposable protective covering for flexible endoscopes, eliminating the need for high-level disinfection. It provides a barrier during endoscopic examinations but does not actively diagnose or process medical information to identify diseases or conditions.

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 a software-only one.

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

Here's why:

  • IVD Definition: In Vitro Diagnostics are tests performed on samples taken from the human body (like blood, urine, or tissue) to detect diseases, conditions, or infections.
  • Device Function: The description clearly states that the EndoMedical Technologies Quik-Cover™ is a barrier sheath that covers a flexible endoscope. Its purpose is to provide a sterile covering for the endoscope during procedures, eliminating the need for high-level disinfection of the endoscope itself.
  • No Sample Analysis: The device does not analyze any samples taken from the patient's body. It is a physical barrier used during a medical procedure.

Therefore, the device's function and intended use fall outside the scope of In Vitro Diagnostics.

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 the upper airway, vocal chords, nasal passages, esophagus and pulmonary structures,
Indications for Use: The EndoMedical Technologies Quik-Cover flexible endoscope barrier sheath provides a sterile, disposable protective covering for endoscopes used during examination of the upper airway, vocal chords, nasal passages, esophagus and pulmonary structures.

Product codes

EOB

Device Description

The EndoMedical Technologies Quik-Cover™ Flexible Endoscope Barrier Sheath (EndoMedical Technologies Quik-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 EndoMedical 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

upper airway, vocal chords, nasal passages, esophagus and pulmonary structures

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

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

Not Found

Predicate Device(s)

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

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 874.4760 Nasopharyngoscope (flexible or rigid) and accessories.

(a)
Identification. A nasopharyngoscope (flexible or rigid) and accessories is a tubular endoscopic device with any of a group of accessory devices which attach to the nasopharyngoscope and is intended to examine or treat the nasal cavity and nasal pharynx. It is typically used with a fiberoptic light source and carrier to provide illumination. The device is made of materials such as stainless steel and flexible plastic. This generic type of device includes the antroscope, nasopharyngolaryngoscope, nasosinuscope, nasoscope, postrhinoscope, rhinoscope, salpingoscope, flexible foreign body claw, flexible biopsy forceps, rigid biopsy curette, flexible biospy brush, rigid biopsy forceps and flexible biopsy curette, but excludes the fiberoptic light source and carrier.(b)
Classification. Class II.

0

K061663
Document Date: 5/05/06

  • 6 2006

510(k) Summary 5.

May 5, 2006 Date Prepared Revised for ENT/Bronchoscope only May 30, 2006

New DeviceEndoMedical Technologies Quik-Cover™ Flexible Endoscope Barrier Sheath
Predicate Devices
K000767 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

Intended Use

The EndoMedical Technologies Quik-Cover™ Flexible Endoscope Barrier Sheath provides a sterile, disposable protective covering for flexible endoscopes during endoscopic examination of the upper airway, vocal chords, nasal passages, esophagus and pulmonary structures,

Device Description

The EndoMedical Technologies Quik-Cover™ Flexible Endoscope Barrier Sheath (EndoMedical Technologies Quik-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 EndoMedical 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.

1

Substantial Equivalence Comparison

The intended use of the EndoMedical Technologies Quik-Cover is similar to the predicate devices in that the sheaths are sterile, disposable protective accessories used to cover endoscopes, catheters 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 endoscope barrier sheaths, a distal polymeric window. Some models of the EndoMedical Technologies Quik-Cover™ and predicate devices also include a side working channel. The EndoMedical Technologies Quik-Cover application method is similar to the predicate devices in that the sheath slides on and off with no vacuum/ pressure source required.

The EndoMedical Technologies Quik-Cover™ sheath material 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 Quil-Cover Flexible Endoscope Barrier Sheath is, therefore, substantially equivalent to currently marketed devices.

2

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

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

SEP - 6 2006

Memcath Technologies c/o Marc Jaker Vice President RTC, Inc. - Memcath Technologies, LLC 1777 Oakdale Avenue West St., Paul, MN 55118-4031

Re: K061663

K001005
Trade/Device Name: Quik-Cover Protective Barrier Sheath Regulation Number: 21 CFR 874.4760 Regulation Name: Nasopharyngoscope and accessories Regulatory Class: Class II Product Code: EOB Dated: August 16, 2006 Received: August 17, 2006

Dear Mr. Jaker:

We have reviewed your Section 510(k) premarket notification of intent to market the device We have reviewed your Section 9 ro(x) promatics is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate for use stated in the encrosule) to regars manetical Device Amendments, or to commerce prior to May 28, 1970, the characted with the provisions of the Federal Food, Drug. devices that have been recure approval of a premarket approval approval application (PMA). and Cosment Act (Act) that do not require approvine controls provisions of the Act. The
You may, therefore, market the device, subject to the general controls provisions of You may, therefore, market the device, basjon to the manual registration, listing of general controls provisions of the free herefore required in the manage inst misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), If your device is classified (SCC above) into s. Existing major regulations affecting your device .
It may be subject to such additional controls. Existing major regulations it may be subject to such additional control - Internage - Title 21, Parts 800 to 898. In addition, FDA can be found in the Code of Peceral concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean Please be advised that I Dri- s issuation of a complies with other requirements of the Act that FDA has made a decemination administered by other Federal agencies. You must or any Federal Statutes and regulations administered of registration and listing (21 comply will an the Act s requirements, mercess communities practice requirements as set CFR Part 807), labeling (21 CFR Part 801), government 820); and if applicable, the electronic
forth in the quality systems (QS) regulation (21 CFR 1000 1050 forth in the quality systems (QD) regulation (Sections 531-542 of the Act); 21 CFR 1000-1050.

3

Page 2 -- Mr. Marc Jaker

.. +

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

Sincerely yours,

M.B. EgdahlmsiWD

Malvina B. Eydelman, M.D. Director Division of Ophthalmic and Ear, Nose and Throat Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

Indications for Use Statement 1.

510(k) Number (if known): K061663

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 the upper airway, vocal chords, nasal passages, esophagus and pulmonary structures.

Prescription Use XX (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (21 CFR 801 Subpart C)

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

ion Sign-Off) sion of Ophthalmic

Number K5061163

Prescription Use . (Per 21 CFR 801.109)