K Number
K070715
Device Name
NASOPORE EAR
Manufacturer
Date Cleared
2007-05-07

(54 days)

Product Code
Regulation Number
874.3620
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Nasopore® Ear is a fragmentable ear packing and is indicated for use in patients, undergoing ear surgery, as a space occupying stent to separate and prevent adhesions between mucosal surfaces; to help control minimal bleeding, following ear surgery, by tamponade effect and blood absorption.
Device Description
Nasopore® Ear is composed of a bioresorbable poly(DL-lactide-co-s-caprolactone) urethane that fragments within several days after insertion in the outer and / or middle ear, whereafter it will fall out of the ear or leaves the body by the natural mucus flow. The type of Nasopore® Ear is indicated on the label. Nasopore® Ear is packed in a blister closed by a medical paper lid. Nasopore® Ear is indicated for single-use.
More Information

No
The device description and performance studies focus on the material properties and physical function of the ear packing, with no mention of AI or ML.

Yes
The device is described as a "space occupying stent to separate and prevent adhesions between mucosal surfaces" and helps "control minimal bleeding ... by tamponade effect and blood absorption," which are therapeutic functions.

No
The device, Nasopore® Ear, is described as a "fragmentable ear packing" used post-ear surgery as a space-occupying stent "to help control minimal bleeding" and prevent adhesions. Its function is to physically support and manage the surgical site, rather than to diagnose a condition or disease.

No

The device description clearly states it is a physical, bioresorbable material (poly(DL-lactide-co-s-caprolactone) urethane) intended for insertion into the ear, indicating it is a hardware 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 as a surgical packing and stent for the ear, used during and after surgery to manage bleeding and prevent adhesions. This is a therapeutic and mechanical function within the body.
  • Device Description: The device is a bioresorbable material inserted into the ear. It does not involve the examination of specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples, detecting substances, or providing diagnostic information.

IVD devices are used to perform tests on samples (like blood, urine, tissue) taken from the body to diagnose, monitor, or screen for diseases or conditions. This device is placed within the body for a physical purpose.

N/A

Intended Use / Indications for Use

Nasopore® Ear is a fragmentable ear packing and is indicated for use in patients, undergoing ear surgery, as a space occupying stent to separate and prevent adhesions between mucosal surfaces; to help control minimal bleeding, following ear surgery, by tamponade effect and blood absorption.

Product codes

NHB

Device Description

Device Nasopore® Ear is composed of a bioresorbable poly(DL-lactide-co-s- caprolactone) urethane that fragments within several days after insertion in the outer and / or middle ear, whereafter it will fall out of the ear or leaves the body by the natural mucus flow.

The type of Nasopore® Ear is indicated on the label. Nasopore® Ear is packed in a blister closed by a medical paper lid. Nasopore® Ear is indicated for single-use.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

outer and / or middle ear

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

The safety and effectiveness of the Nasopore® have been demonstrated via data collected from design verification tests and analyses. The design verification testing consisted of the following:

  • In vitro degradation testing -
  • Shelf life testing -

Key Metrics

Not Found

Predicate Device(s)

Invotec Ear Tampon (Wick) w/String; Invotec Internat.; K973578, Nasopore® nasal dressing, Polyganics, K052099

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 874.3620 Ear, nose, and throat synthetic polymer material.

(a)
Identification. Ear, nose, and throat synthetic polymer material is a device material that is intended to be implanted for use as a space-occupying substance in the reconstructive surgery of the head and neck. The device is used, for example, in augmentation rhinoplasty and in tissue defect closures in the esophagus. The device is shaped and formed by the suregon to conform to the patient's needs. This generic type of device is made of material such as polyamide mesh or foil and porous polyethylene.(b)
Classification. Class II.

0

Nasopore® Ear

Ko 70715

Traditional 510(k) Premarket Notification

bioresorbable soft
POLYGANICS

:

.

510(k) Summary of Safety and Effectiveness
Submitter:Polyganics BV
L.J. Zielstraweg 1
9713 GX, Groningen
The Netherlands
www.polyganics.com
Contact Person:Jan Nieuwenhuis
Managing Director
Tel : +31 50 588 6588
Fax : +31 50 588 6599
Mobile : +31 653 211 303
E-mail : jan.nieuwenhuis@polyganics.com
Date Prepared:March 07, 2007
MAY - 7 2007
General Provisions:Trade Name: Nasopore®
Common Name: Fragmentable ear dressing
Classification Name: ENT synthetic polymer material
21 CFR 874.3620, Class II
Predicate Devices:Invotec Ear Tampon (Wick) w/String; Invotec Internat.; K973578
Nasopore® nasal dressing, Polyganics, K052099
Performance StandardsFor the Nasopore® performance, the FDA, under section 514 of the Food, Drug and Cosmetic Act, has not established standards.
Indications for UseNasopore® Ear is a fragmentable ear packing and is indicated for use in patients, undergoing ear surgery, as a space occupying stent to separate and prevent adhesions between mucosal surfaces; to help control minimal bleeding, following ear surgery, by tamponade effect and blood absorption.

·

1

Traditional 510(k) Premarket Notification

K070715

Device Nasopore® Ear is composed of a bioresorbable poly(DL-lactide-co-s-Description caprolactone) urethane that fragments within several days after insertion in the outer and / or middle ear, whereafter it will fall out of the ear or leaves the body by the natural mucus flow.

The type of Nasopore® Ear is indicated on the label. Nasopore® Ear is packed in a blister closed by a medical paper lid. Nasopore® Ear is indicated for single-use.

The safety and effectiveness of the Nasopore® have been demonstrated via Performance data collected from design verification tests and analyses. The design Data: verification testing consisted of the following:

  • In vitro degradation testing -
  • Shelf life testing -

The intended use of Nasopore Ear is substantially equivalent to those Summary of featured with the competitor device Invotec Ear Tampon (Wick) w/String (ref. Substantial 510(k)973578). The safety (biocompatibility) and efficacy of Nasopore® Ear Equivalence is demonstrated by its substantial equivalent Nasopore® Nasal dressing (ref. 510(k)052099; Polyganics BV).

Polyganics BV already markets Nasopore® Nasal Dressing. The subject device. Nasopore® Ear, is made from the same material as Nasopore® Nasal Dressing. The subject device is substantially equivalent to Nasopore® Nasal Dressing with respect to physical characteristics and with regard to the intended use of the device. i.e. a space occupying stent to separate and prevent adhesions between mucosal surfaces and help control minimal bleeding following surgery, by tamponade effect and blood absorption, Nasopore® Nasal dressing in the nasal/sinus cavities and Nasopore® Ear in the outer ear. The predicate device Nasopore® Nasal Dressing is made of a fragmentable poly(DL-lactide-co-s-caprolactone) urethane and the identical manufacturing process is used to produce the foam. The subject and predicate device are made of poly(DL-lactide-co-s-caprolactone) urethanen, which has demonstrated to be satisfactory biocompatible. Next to the Nasopore® nasal dressing, Polyganics also markets Nasopore® Ear (K062540). This product is intended as a packing used after outer ear surgery. However the middle ear possesses a connection to the Eustachian tube, which indicates that the fragments, obtained during fragmentation, can leave the body via the natural mucus flow.

2

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 stripes forming its wing and tail feathers. The eagle is positioned to the right of a circular text that reads "DEPARTMENT OF HEALTH & HUMAN SERVICES-USA".

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Polyganics BV c/o Jan Nieuwenhuis L.J. Zielstraweg 1 NL-9713-GX Groningen The Netherlands

MAY - 7 2007

Re: K070715

Trade/Device Name: Polyganics Nasopore® Ear Regulation Number: 21 CFR 874.3620 Regulation Name: ENT Synthetic Polymer Material Regulatory Class: II Product Code: NHB Dated: March 12, 2007 Received: March 14, 2007

Dear Ms. Nieuwenhuis:

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.

3

Page 2 – Jan Nieuwenhuis

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. Eickelman SiwD

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

Nasopore® Ear

Image /page/4/Picture/2 description: The image shows the words "bioresorbable solution" and "POLYGANICS". Above these words is the text "K070715" in a handwritten style. The words "bioresorbable solution" are in a smaller font size than the word "POLYGANICS".

Indications for Use Form

510(k) Number:

K070915

Device Name:

Nasopore® Ear

Indications for Use:

Nasopore® Ear is a fragmentable ear packing and is indicated for use in patients, undergoing ear surgery, as a space occupying stent to separate and prevent adhesions between mucosal surfaces; to help control minimal bleeding, following ear surgery, by tamponade effect and blood absorption.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use X (Per 21 CFR 801.109)

Over-The-Counter Use _________________________________________________________________________________________________________________________________________________________

(Optional Format 1-2-96)

(Division Sign-Off)

OR

510(k) Number__

Division Sign-Off)
Division of Ophthalmic Ear,
Nose and Throat Devises

510(k) Numbe 07 March 2007

Page 8 of 45