K Number
K062914
Device Name
HEM-O-LOK LIGATION CLIP
Manufacturer
Date Cleared
2006-11-02

(36 days)

Product Code
Regulation Number
878.4300
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Hem-o-Lok® ligating clips are intended for use in procedures involving ligation of vessels or tissue structures. Surgeons should apply the appropriate size clip for the size of the vessel or tissue structure to be ligated such that the clip completely encompasses the vessel or tissue structure.
Device Description
The Weck Hem-o-Lok® ligation clip is a manually applied hemostatic clip intended to connect internal tissues to aid healing. The clips are intended for use in procedures involving ligation of vessels or tissue structures. The Hem-o-Lok® clips are made from a non-absorbable acetyl polymer and are available in various sizes. Surgeons select the appropriate size clip for the size of the vessel or tissue structure to be ligated such that the clip completely encompasses the vessel or tissue structure.
More Information

No
The summary describes a manually applied hemostatic clip and does not mention any AI or ML components or functionalities.

No.
The device is a ligating clip used to tie off vessels or tissue structures, which is a surgical tool, not a device used for therapy.

No
Explanation: The device is described as a hemostatic clip for ligating vessels or tissue structures to aid healing, which is a therapeutic function, not a diagnostic one.

No

The device description clearly states that the device is a "manually applied hemostatic clip" made from a "non-absorbable acetyl polymer," indicating it is a physical hardware device, not software.

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, such as blood, urine, or tissue, to detect diseases, conditions, or infections. They are used to provide information for diagnosis, monitoring, or screening.
  • Device Description and Intended Use: The description clearly states that the Hem-o-Lok® ligating clips are "manually applied hemostatic clips intended to connect internal tissues to aid healing" and are used for "ligation of vessels or tissue structures." This involves a physical intervention within the body during a surgical procedure.
  • Lack of Diagnostic Activity: There is no mention of analyzing samples, detecting biomarkers, or providing diagnostic information based on biological samples. The device's function is purely mechanical and therapeutic (hemostasis and tissue ligation).

Therefore, the Hem-o-Lok® ligating clips fall under the category of a surgical device used for therapeutic purposes, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

Hem-o-Lok® ligating clips are intended for use in procedures involving ligation of vessels or tissue structures. Surgeons should apply the appropriate size clip for the size of the vessel or tissue structure to be ligated such that the clip completely encompasses the vessel or tissue structure.

Product codes

FZP

Device Description

The Weck Hem-o-Lok® ligation clip is a manually applied hemostatic clip intended to connect internal tissues to aid healing. The clips are intended for use in procedures involving ligation of vessels or tissue structures.

The Hem-o-Lok® clips are made from a non-absorbable acetyl polymer and are available in various sizes. Surgeons select the appropriate size clip for the size of the vessel or tissue structure to be ligated such that the clip completely encompasses the vessel or tissue structure.

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)

Not Found

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

Not Found

Predicate Device(s)

K982941, K993157, K003337, K030311

Reference Device(s)

K021808

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 878.4300 Implantable clip.

(a)
Identification. An implantable clip is a clip-like device intended to connect internal tissues to aid healing. It is not absorbable.(b)
Classification. Class II.

0

K063914

Image /page/0/Picture/1 description: The image shows the logo for Teleflex Medical. The word "Teleflex" is in a bold, sans-serif font, with a stylized "T" that resembles a bent tube. Below "Teleflex" is the word "MEDICAL" in a smaller, sans-serif font. The logo is black and white.

Teleflex Medical Group Headquarters 2345 Waukegan Road Bannockburn, II. 60015 USA Phone: 847-572-8002 Fax: 847-572-8001 www.teleflex.com

510(k) SUMMARY OF SAFETY AND EFFECTIVENESS Hem-o-Lok® Ligating Clips

A. Name, Address, Phone and Fax Number of Applicant

Telefiex Medical 2345 Waukegan Road Suite 120 Bannockburn, IL 60015

NOV - 2 2006

B. Contact Person

Lori Hays Senior Manager Regulatory Affairs

C. Date Prepared

September 21, 2006

D. Device Name

Trade Name: Hem-o-Lok® Ligating Clip Common Name: Ligating Clip Classification Name: Implantable Clip Product Code: FZP Regulation Number: 21 CFR 878.4300 Class: Il

E. Device Description

The Weck Hem-o-Lok® ligation clip is a manually applied hemostatic clip intended to connect internal tissues to aid healing. The clips are intended for use in procedures involving ligation of vessels or tissue structures.

The Hem-o-Lok® clips are made from a non-absorbable acetyl polymer and are available in various sizes. Surgeons select the appropriate size clip for the size of the vessel or tissue structure to be ligated such that the clip completely encompasses the vessel or tissue structure.

F. Intended Use

Hem-o-Lok® ligating clips are intended for use in procedures involving ligation of vessels or tissue structures. Surgeons should apply the appropriate size clip for the size of the vessel or tissue structure to be ligated such that the clip completely encompasses the vessel or tissue structure.

G. Substantial Equivalence

The Weck Hem-o-Lok® ligating clips are substantially equivalent to the The Weck Hemo-Lok® clips previously cleared under 510(k)s: K982941, K993157, K003337, K030311. and the Hem-o-Lok® ML Automatic Endoscopic Applier cleared under 510(k) K021808.

1

Image /page/1/Picture/1 description: The image shows the logo for the Department of Health and Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH AND HUMAN SERVICES USA" around the perimeter. Inside the circle is an abstract symbol that resembles a stylized human figure or a series of flowing lines. The symbol is composed of three curved lines that converge at the bottom, creating a sense of movement or connection.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Teleflex Medical Group % Ms. Lori Hays, MT, RAC Senior Manager, Regulatory Affairs 2345 Waukegan Road Bannockbun, Illinois 60015

NOV - 2 2006

Re: K062914

Trade/Device Name: Hem-o-Lok® Ligating Clip Regulation Number: 21 CFR 878.4300 Regulation Name: Implantable clip Regulatory Class: II Product Code: FZP Dated: September 21, 2006 Received: September 27, 2006

Dear Ms. Hays:

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.

2

Page 2 - Ms. Lori Hays, MT, RAC

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 vours.

Mark N. Melkerson

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

Enclosure

3

K028314

Indications for Use

510(k) Number (if known):

Device Name: Hem-o-Lok® Ligating Clip

Indications For Use:

Hem-o-Lok® ligating clips are intended for use in procedures involving ligation of vessels or tissue structures. Surgeons should apply the appropriate size clip for the size of the vessels or tissue structure to be ligated such the clip completely encompasses the vessel or tissue structure

Prescription Use X (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)

Page 1 of 1

(Division Sign-Off)
Division of General, Restorativo

and Neurological Devices

510(k) Number L022914