K Number
K062159
Date Cleared
2006-09-05

(39 days)

Product Code
Regulation Number
876.1075
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The RB12 Suction Rectal Biopsy System is intended to provide biopsy specimens of the rectal mucosa and submucosa suitable for pathological examination for the diagnosis of Hirschsprung's disease.

Device Description

The RB12 consists of a gamma sterilized single use polystyrene closed end cylinder shaped capsule with a small hole at the closed end which contains a stainless steel cutting blade and a polyethylene seal. The capsule connects to a re-useable handpiece (HP1000) via a quick twist and lock system and suits both left and right handed operators. The HP1000 has an inner piston which automatically locates in the internal seal when the capsule is connected. This creates an airtight loop to the attached syringe via the suction tube/syringe adaptor. The inner piston is pushed forward when the thumb trigger is activated pushing the blade forward past the capsule hole cutting the specimen. The RBI2 design uses a combination of a re-useable handpiece and a disposable (single use) capsule. The capsule is supplied to the end users in a sterile state completely assembled with an internal blade and seal. A syringe is connected to the rear end of the internal trigger tube via a piece of suction tube and a syringe/tube adaptor (supplied sterile with capsules). The disposable is placed onto the outer tubing that is housed within the handle. While placing the capsule the internal trigger tube automatically locates and passes through the seal. When capsule is placed onto the handpiece it creates an air loop from the syringe to the front section of the capsule. The capsule is placed against the mucosal wall of the rectum of the patient covering the capsule port. When the syringe is withdrawn this causes negative pressure in the capsule sucking the mucosal and sub mucosal into the capsule. The thumb trigger is pushed forward which pushes the blade forward cutting the tissue that has been sucked into the port. The front of the capsule remains airtight as the trigger/inner tube slides through the internal seal.

AI/ML Overview

The provided text describes a medical device, the RB12 Suction Rectal Biopsy System, and its 510(k) summary for FDA clearance. However, it does not contain the specific information requested about acceptance criteria and a study proving the device meets those criteria.

The document primarily focuses on:

  • Device description and indications for use.
  • Substantial equivalence comparison with a predicate device.
  • Voluntary standards applied (related to quality systems, sterilization, biocompatibility, etc.).
  • Performance data mentioning "bench testing" including a "seal test, a chisel blade test, and an assembled capsule test."
  • A "critical evaluation" performed by a pediatric surgeon.
  • The FDA's 510(k) clearance letter.

Therefore, I cannot provide the requested information from the given text.

The document does not include:

  1. A table of acceptance criteria and reported device performance.
  2. Sample sizes used for a test set, data provenance, or details of a specific study proving performance.
  3. Number or qualifications of experts used to establish ground truth for a test set.
  4. Adjudication method for a test set.
  5. Information about a multi-reader multi-case (MRMC) comparative effectiveness study or human reader improvement with AI. (This is a non-AI medical device).
  6. Information about a standalone (algorithm only) performance study. (This is a non-AI medical device).
  7. The type of ground truth used (e.g., pathology, outcomes data) in a performance study.
  8. Sample size for a training set. (This is a non-AI medical device).
  9. How ground truth for a training set was established. (This is a non-AI medical device).

The "Performance Data" section briefly mentions "bench testing," but it does not elaborate on the specific criteria, results, or the study design in enough detail to answer the prompt. The "Critical Evaluation" by a pediatric surgeon is an expert assessment, but it is not presented as a structured study with quantifiable acceptance criteria and performance metrics.

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510(k) Summary

SEP - 5 2006

Submitter Information:

Aus Systems Pty Ltd 3 Charles Street Allenby Gardens, South Australia 5009 Australia

Contact:

Ian P. Gordon

Telephone: 727-797-4727 Fax: 727-797-4757 email: igordon(@emergogroup.com

Date Prepared:

July 26, 2006

Product Name & Classification:

RBI2 Suction Rectal Biopsy System Class II, per 876.1075 Panel: Gastroenterology/Urology Product Code: FCK

Description:

The RB12 consists of a gamma sterilized single use polystyrene closed end cylinder shaped capsule with a small hole at the closed end which contains a stainless steel cutting blade and a polyethylene seal. The capsule connects to a re-useable handpiece (HP1000) via a quick twist and lock system and suits both left and right handed operators. The HP1000 has an inner piston which automatically locates in the internal seal when the capsule is connected. This creates an airtight loop to the attached syringe via the suction tube/syringe adaptor. The inner piston is pushed forward when the thumb trigger is activated pushing the blade forward past the capsule hole cutting the specimen.

AMERICA NO BAR2519 McMullen Booth Roadt 727 797 4727E-mail: info@emergogroup.com
Suite 510-295f 727 797 4757'Website: www.emergogroup.com
Clearwater, FL 33761 USAНЕННИКА И ВИДИНИНИ (1912) 1912 1915 1111 1111 111 1811 1111 111 111 111 111 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11

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The RBI2 design uses a combination of a re-useable handpiece and a disposable (single use) capsule. The capsule is supplied to the end users in a sterile state completely assembled with an internal blade and seal.

A syringe is connected to the rear end of the internal trigger tube via a piece of suction tube and a syringe/tube adaptor (supplied sterile with capsules). The disposable is placed onto the outer tubing that is housed within the handle. While placing the capsule the internal trigger tube automatically locates and passes through the seal. When capsule is placed onto the handpiece it creates an air loop from the syringe to the front section of the capsule. The capsule is placed against the mucosal wall of the rectum of the patient covering the capsule port. When the syringe is withdrawn this causes negative pressure in the capsule sucking the mucosal and sub mucosal into the capsule. The thumb trigger is pushed forward which pushes the blade forward cutting the tissue that has been sucked into the port. The front of the capsule remains airtight as the trigger/inner tube slides through the internal seal.

Indications for Use:

The RB12 Suction Rectal Biopsy System is intended to provide biopsy specimens of the rectal mucosa and submucosa suitable for pathological examination for the diagnosis of Hirschsprung's disease.

Substantial Equivalence:

This device is substantially equivalent to the Model SBT-100 Rectal Suction Biopsy Tool, marketed under K902097 by Medical Measurements, Inc.

DescriptionPredicate DeviceSBT-100K902097Proposed DeviceAus systems - RBI2
Handpiece for instrument placement
Cylindrical tube housed within handpiece
Cylindrical tube distal end connects toclosed end capsule
Capsule has side port to allow specimen tobe sucked into capsule under negativepressure
Aspiration connection to cylindrical tube
Internal blade to cut tissue whilst undernegative pressure
Pressure seal mechanism
Trigger to activate blade
Insertion depth measurement indicators
Intended useRectal biopsy specimencollectionRectal biopsyspecimen collection
Blade sizeUnknown5mm x 7mm
Insertion depthVariousVarious 1-5 cm
Sample notch size2.5mm2.4 - 2.7mm
Number of samplesmultiple1 per capsule
Mode of actionSuctionSuction

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Target populationTrained physicianTrained physician
Visualization techniquesInsertion depth markerson outer surfaceInsertion depthmarkers on outersurface
Method of placementPort side Posteriorlywithin the rectumPort side Posteriorlywithin the rectum 1-5cm
ReusabilityAll parts reusableReusable handpiece,disposable (singleuse) capsule

Voluntary Standards Applied:

ISO 13485Quality Systems
ISO 10993-1Biological Evaluation of Medical devices Part 1: Evaluation and Testing
ISO 11737Sterilization of Health Care Products - Requirements for validation and routine
control -Radiation Sterilization
AAMI- TIR27Sterilization of Health Care Products - Radiation Sterilization - Substantiation of
25kGy as a Sterilization Dose - Method VD
ISO 11607Packaging for terminally Sterilized Medical Devices
ISO17664Sterilization of Medical Devices Information to be provided by the manufacturer
for the processing of resterilizable medical devices.
ISO 7153-1Surgical Instruments - Metallic Materials
EN 1441Medical Device - Risk Analysis
EN 1041Medical Devices - Information supplied by Manufacturer
EN 980Graphical Symbols for Use in the Labeling of Medical Devices

Performance Data:

Bench testing was performed including a seal test, a chisel blade test, and an assembled capsule test.

Critical Evaluation:

A critical evaluation of the RBI-2 device has been performed by pediatric surgeon J K Freeman, MBBS FRACS, whose credentials include the following:

  • Senior Visiting Surgeon, Women's and Children's Hospital, Adelaide, South ● Australia
  • Senior Lecturer in Pediatric Surgery, University of Adelaide .
  • . Chief of Pediatric Surgery, Flinders Medical Center, Adelaide, South Australia
  • . Senior Lecturer in Pediatric Surgery, Flinders University

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Image /page/3/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 wavy lines representing the department's mission to promote health, well-being, and human services. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the eagle symbol.

Food and Drug Administration 9200 Corporate Blvd. Rockville MD 20850

SEP - 5 2006

Re: K062159

Suite 427

Aus Systems PTY Ltd. c/o Mr. Ian P. Gordon

Senior Vice President Emergo Group, Inc.

2454 McMullen Booth Road

CLEARWATER FL 33759

Trade/Device Name: RB12 Suction Rectal Biopsy System Regulation Number: 21 CFR §876.1075 Regulation Name: Gastroenterology-urology biopsy instrument Regulatory Class: II Product Code: FCK Dated: July 26, 2006 Received: July 31, 2006

Dear Mr. Gordon:

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 arior 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 (Premarket Approval), 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.

Image /page/3/Picture/9 description: The image shows a circular logo with the text "FDA Centennial 1906-2006" in it. The logo is black and white and has a vintage look. The text is arranged in a circular pattern around the central "FDA" abbreviation. There are also three stars at the bottom of the logo.

Protecting and Promoting Public Health

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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 yours,

Nancy C. Hogdon

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

Finclosure

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Indications for Use

510(k) # (if known):

Device Name: RBI2 Suction Rectal Biopsy System

Indications for Use:

The RB12 Suction Rectal Biopsy System is intended to provide biopsy specimens of the rectal mucosa and submucosa suitable for pathological examination for the diagnosis of Hirschsprung's disease.

Prescription Use x (21 CFR 801 Subpart D) ANDIOR

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)

Daniel br. Sengrown
Division Sign Off

(Division Sign-Off) Division of Reproductive, Abo and Radiological Devices 510(k) Number.

§ 876.1075 Gastroenterology-urology biopsy instrument.

(a)
Identification. A gastroenterology-urology biopsy instrument is a device used to remove, by cutting or aspiration, a specimen of tissue for microscopic examination. This generic type of device includes the biopsy punch, gastrointestinal mechanical biopsy instrument, suction biopsy instrument, gastro-urology biopsy needle and needle set, and nonelectric biopsy forceps. This section does not apply to biopsy instruments 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 (performance standards).(2) Class I for the biopsy forceps cover and the non-electric biopsy forceps. The devices subject to this paragraph (b)(2) are exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 876.9.