K Number
K073023
Device Name
STERILS SINGLE-USE I/A HANDPIECES
Date Cleared
2008-03-12

(138 days)

Product Code
Regulation Number
886.4670
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Bausch & Lomb™ Sterile Single-Use I/A Handpieces are used following phacoemulsification, an anterior surgical procedure to fragment and remove a cataractous lens. The eye is infused with Balanced Salt Solution (BSS) via the irrigation function, while the cortical material, viscoelastic, and excess BSS is removed via the aspiration. I/A handpieces are also used for polishing the capsular bag to remove residual lens epithelial cells from the capsular membrane following extraction of the lens material.
Device Description
The Bausch & Lomb, Inc. Sterile Single-Use I/A Handpieces are accessories to the Bausch & Lomb, Inc. Stellaris Vision Enhancement System and the Bausch & Lomb, Inc. PREMIERE (Millennium) Microsurgical System. Both irrigation and aspiration functions are incorporated within one molded plastic handle, and operate simultaneously at a balanced rate to irrigate, maintain proper anterior chamber depth during a procedure, and remove cortical lens material, viscoelastic, and excess BSS used to bathe the anterior chamber. This combination feature allows access through a single incision, thus reducing trauma to the eye and improving surgical control. The Bausch & Lomb, Inc. family of Sterile Single-Use I/A Handpieces (containing the new plastic hand-held handle) currently consists of the models identified in Table 2.
More Information

Not Found

No
The description focuses on the mechanical function of the handpieces for irrigation and aspiration during cataract surgery and explicitly states "Not Found" for mentions of AI, DNN, or ML.

No.
The device is used to remove fragmented lens material and excess fluid during and after cataract surgery, which is a surgical procedure, not a therapeutic treatment in itself. Its function is to facilitate the surgery and maintain the anterior chamber depth.

No

The device is described as an accessory used for surgical procedures (phacoemulsification, removing cortical material, polishing the capsular bag) rather than for diagnosing a condition. Its functions are irrigation and aspiration, which are therapeutic/interventional in nature.

No

The device description clearly states it is a "molded plastic handle" and an "accessory" to surgical systems, indicating it is a physical hardware component used in a surgical procedure.

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

Here's why:

  • Intended Use: The intended use describes a surgical procedure (phacoemulsification) and the removal of materials from the eye during that procedure. It does not involve testing samples of human origin in vitro (outside the body) to provide diagnostic information.
  • Device Description: The device is described as an accessory to surgical systems used for irrigation and aspiration during eye surgery. This is a surgical tool, not a diagnostic test.
  • Lack of Diagnostic Claims: There are no mentions of analyzing samples, detecting biomarkers, or providing any kind of diagnostic information about a patient's health status.
  • Performance Studies: The performance studies mentioned are related to verification and validation of the device's function during surgery, not the accuracy of a diagnostic test.

IVD devices are used to examine specimens derived from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening. This device is used during a surgical procedure on the eye.

N/A

Intended Use / Indications for Use

The Bausch & Lomb Sterile Single-Use I/A Handpieces are used following phacoemulsification, an anterior surgical procedure to fragment and remove a cataractous lens. The eye is infused with Balanced Salt Solution (BSS) via the irrigation function, while the cortical material, viscoelastic, and excess BSS is removed via the aspiration function. I/A handpieces are also used for polishing the capsular bag to remove residual lens epithelial cells from the capsular membrane following extraction of the lens material.

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

86 HQC

Device Description

The Bausch & Lomb, Inc. Sterile Single-Use I/A Handpieces are accessories to the Bausch & Lomb, Inc. Stellaris Vision Enhancement System and the Bausch & Lomb, Inc. PREMIERE (Millennium) Microsurgical System. Both irrigation and aspiration functions are incorporated within one molded plastic handle, and operate simultaneously at a balanced rate to irrigate, maintain proper anterior chamber depth during a procedure, and remove cortical lens material, viscoelastic, and excess BSS used to bathe the anterior chamber. This combination feature allows access through a single incision, thus reducing trauma to the eye and improving surgical control. The Bausch & Lomb, Inc. family of Sterile Single-Use I/A Handpieces (containing the new plastic hand-held handle) currently consists of the models identified in Table 2.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

eye

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)

Verification and Validation Testing: Performance testing was conducted on the devices and their components in accordance with device design control requirements and found to meet requirements set forth in the design control plan.

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

Not Found

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.

K951463, K912739

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

§ 886.4670 Phacofragmentation system.

(a)
Identification. A phacofragmentation system is an AC-powered device with a fragmenting needle intended for use in cataract surgery to disrupt a cataract with ultrasound and extract the cataract.(b)
Classification. Class II.

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510(k) Summary Statement Bausch & Lomb Irrigation and Aspiration Handpieces

MAR 12 2008

Applicant's Name and Address

Bausch & Lomb, Inc. 1400 North Goodman Street Rochester, NY 14609

Contact Person

Lisa Graney Global Regulatory and Quality Manager Bausch & Lomb. Inc. 1400 North Goodman Street Rochester, NY 14609 (585) 338-6612

1. Identification of device

Common Name: Irrigation/Aspiration (I/A) Handpieces Trade Name: Bausch & Lomb® Sterile Single-Use I/A Handpieces Classification: Class II Phacofragmentation system (21 CFR 886.4670 Device classification: Class II (21 CFR 886.4670) Pro Code: 86 HQC

2. Description of device

The Bausch & Lomb, Inc. Sterile Single-Use I/A Handpieces are accessories to the Bausch & Lomb, Inc. Stellaris Vision Enhancement System and the Bausch & Lomb, Inc. PREMIERE (Millennium) Microsurgical System. Both irrigation and aspiration functions are incorporated within one molded plastic handle, and operate simultaneously at a balanced rate to irrigate, maintain proper anterior chamber depth during a procedure, and remove cortical lens material, viscoelastic, and excess BSS used to bathe the anterior chamber. This combination feature allows access through a single incision, thus reducing trauma to the eye and improving surgical control. The Bausch & Lomb, Inc. family of Sterile Single-Use I/A Handpieces (containing the new plastic hand-held handle) currently consists of the models identified in Table 2.

3. Intended use

The Bausch & Lomb Sterile Single-Use I/A Handpieces are used following phacoemulsification, an anterior surgical procedure to fragment and remove a cataractous lens. The eye is infused with Balanced Salt Solution (BSS) via the irrigation function, while the cortical material, viscoelastic, and excess BSS is removed via the aspiration function. I/A handpieces are also used for polishing the capsular bag to remove residual lens epithelial cells from the capsular membrane following extraction of the lens material.

1

4. Substantial Equivalence

510(k)Clearance DateDevice Description
K95146310/27/1995Storz I/A Handpieces (B&L)
K9127394/7/2006SITE Microsurgical System

A comparison of characteristics of the Bausch & Lomb, Inc., Sterile Single-Use I/A Handpieces to those of predicate devices, demonstrating substantial equivalence is found at the end of this document.

5. Technological Characteristics

The Bausch & Lomb, Inc., Sterile Single-Use I/A handpieces associated with this submission are a series of single handpieces, with different tip designs. One of the models requires a silicone irrigation sleeve. The handpiece tip configurations available are: straight, curved, and hooked designs. The microsurqical system for which the handpieces are designed include the Bausch & Lomb, Inc., Stellaris Vision Enhancement System and the Bausch & Lomb, Inc., PREMIERE Millenium Microsurgical System. The finished product material composition is a plastic medical grade handle, and medical grade stainless steel tips on the models. The handpieces are for single use purposes.

6. Safety and Perfomance Testing:

Bausch & Lomb, Inc., Sterile Single-Use I/A Handpieces are provided Steriltv: sterile by gamma irradiation. Sterilization has been validated to a SAL of 10° for all standard panel of ophthalmic organisms in accordance with ANSI/AAMI/ISO TR13409 Standards.

Stability: Seal Integrity Test with dye penetration of radiated product; and a Microbial Barrier Test after accelerated aging at one and five years, in accordance with adopted Standards.

Biocompatibility: The following tests were conducted on the devices: cytotoxicity., bioburden determination, LAL Endotoxin Test, and Particle Test. All tests were conducted on three separate lots of product manufactured at different times. The results indicated that all outcomes were within expected and acceptable limits of the tests.

All stability and biocompatibility testing was conducted under adopted international standards as follows:

Dye Penetration:ANSI/AAMI/ISO 11607 (Annex C)
Microbial Barrier Test:DIN 58953-6, DIN EN 868-1; ANSI/AAMI/ISO 11607
Cytotoxicity:DIN EN ISO 10993-5-12, ISO 9363-1
Bioburden Determination:DIN EN 1174, ISO 11737-1, USP 25 [61]
LAL Endotoxin Test:DAB 1999 V.2, USP 25 [85], EP 2001, FDA Guideline
Particle Test:USP 25 [788]

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Bausch & Lomb, Inc. 510(k) Summary: Sterile Single-Use I/A Handpieces

Verification and Validation Testing: Performance testing was conducted on the devices and their components in accordance with device design control requirements and found to meet requirements set forth in the design control plan.

7. Packaging

The Bausch & Lomb Inc., Sterile Single-Use I/A Handpieces are packaged in sealed packages subject to radiation sterilization and enclosed in an outer carton, labeled on the carton and the immediate package container.

8. Clinical Data:

The Bausch & Lomb, Inc., Sterile Single-Use I/A Handpieces are substantially equivalent to Bausch & Lomb Inc., I/A handpieces currently available in the marketplace. Clinical investigations were deemed as not necessary for the planned marketing of the new model handpieces.

9. See following pages

This section was intentionally left blank.

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Bausch & Lomb, Inc. 510(k) Summary: Sterile Single-Use I/A Handpieces

| MANUFACTURER | B&L I/A
HANDPIECES
[Subject 510(k)] | STORZ (B&L) I/A
HANDPIECES
K961463 | SITE MICROSURGICAL
SYSTEM
K912739 |
|---------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------|
| Indication for Use | The Bausch &
Lomb™ Sterile
Single-Use I/A
Handpieces are
used following
phacoemulsification,
an anterior surgical
procedure to
fragment and
remove a
cataractous lens.
I/A handpieces are also
used for polishing the
capsular bag. | Irrigation/aspiration
of lens material
and viscoelastic
material; capsule
polishing: Models
B4973 and
B4973CAV for
viscoelastic
material removal
specifically | Irrigation/aspiration:
Models MVS1082 and
E4750121 infusion
handpieces for use in
bimanual procedures
specifically |
| Type of
handpiece/components | See Table 2. | See Table 2. | See Table 2. |
| -Number of single
handpieces | 23 | 13 | 10 |
| -Number of handpieces
for use with
interchangeable tips | 0 | 0 | 1 |
| -Number of
interchangeable tips | 0 | 0 | unknown |
| Models requiring a
silicone irrigation
sleeve | 85785S | MVS 1066 | none |
| Handpiece tip
configurations | Straight, curved,
angled, and hooked
designs | Straight, curved,
angled, and
hooked designs | Straight and curved
designs |
| Microsurgical system
for which handpieces
are designed | B&L Stellaris Vision
Enhancement
System and B&L
PREMIERE
Millenium
Microsurgical
System. | Storz Protégé and
PREMIERE for
MVS Models:
Storz DAISY and
United Sonics unit
for B4973;
Cavitron unit for
B4973 CAV. | SITE TXR Microsurgical
System 2200 |
| Finished Product
Material Composition | Medical grade
plastic handle;
medical grade
stainless steel on
most models | 316L, stainless
steel; medical
grade silicone on
most models | Stainless steel; other
materials unknown |
| Handpiece Reusable | No | Yes | Yes |

9. Table 1. Comparison Chart of Predicate Devices

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Table 2. Sterile Single-Use Handpieces and Corresponding Predicate Reusable I/A Handpieces

Sterile Single Use I/A HandpiecesPredicate Reusable I/A Handpiece
Model No.TypeModel No.Type510(k) number
Coaxial Irrigation/Aspiration Handpieces
35782SI/A Handpiece, straight, 17GA, 12/boxMVS 1063I/A Handpiece Straight, 17GAK951463
35783SI/A Handpiece, curved, 17GA, 12/boxMVS 1063 SI/A Handpiece Curved, 17GAK951463
35783STI/A Handpiece, curved, 17GA, 12/boxMVS 1063 SI/A Handpiece Curved, 17GAK951463
35784SI/A Handpiece, tip 45°, 17GA, 12/boxMVS 1063 CXI/A Handpiece Tip 45°, 17GAK951463
35784STI/A Handpiece, tip 45°, 17GA, 12/boxMVS 1063 CXI/A Handpiece Tip 45°, 17GAK951463
35785SI/A Handpiece, straight with sleeve, 12/boxMVS 1066I/A Handpiece, straight with sleeveK951463
35786SI/A Handpiece, tip 90°, 16GA, 12/boxDP9730I/A Tip 90° for use with handle DP9721K951463
35786STI/A Handpiece, tip 90°, 16GA, 12/boxDP9730I/A Tip 90° for use with handle DP9721K951463
35794STI/A Handpiece curved with Sleeve 1.8 12/boxDP9734Curved I/A Tip with sleeve for use with DP9721 HandleK951463
35795STI/A Handpiece tip 45° with Sleeve 1.8 12/boxDP973345° I/A Tip with sleeve for use with DP9721 HandleK951463
Bimanual Aspiration Handpieces
35780SAspiration Handpiece, sterile, 21GA, 12/boxE4753A23Aspiration Handpiece, 0.3mm PortK912739
35901S19Aspiration Handpiece, 19GA, 12/boxMVS1083Aspiration Handpiece, 19GAK912739
35901S20Aspiration Handpiece, 20GA, 12/boxMVS1083Aspiration Handpiece, 19GAK912739
Bimanual Irrigation Handpieces
35781SIrrigation Handpiece, sterile, 21GA, 12/boxE4750I21Irrigation Handpiece 21GAK912739
35787SIrrigation Handpiece, smooth tip, 21GA, 12/boxE4750I21Irrigation Handpiece 21GAK912739
35787STIrrigation Handpiece, smooth tip, 21GA, 12/boxE4750I21Irrigation Handpiece 21GAK912739
35788SIrrigation Handpiece, central port, 21GA, 12/boxE4750I21Irrigation Handpiece 21GAK912739
35902S19Irrigation Handpiece, 19GA, 12/boxMVS1082Irrigation Handpiece, 19GAK912739
35902S20Irrigation Handpiece, 20GA, 12/boxMVS1082 20Irrigation Handpiece, 20GAK912739
35902ST19Irrigation Handpiece, 19GA, 12/boxMVS1082Irrigation Handpiece, 19GAK912739
Bimanual Irrigation Choppers
35903S19Irrigation Chopper, 19GA, 12/boxMVS1096 19Irrigation Chopper, 19GAK951463
35903S20Irrigation Chopper, 20GA, 12/boxMVS1096 19Irrigation Chopper, 19GAK951463
35903ST19Irrigation Chopper, 19GA, 12/boxMVS1096 19Irrigation Chopper, 19GAK951463

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Image /page/5/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a stylized depiction of an eagle or bird-like figure with three curved lines representing its body and wings. The logo is surrounded by the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" in a circular arrangement.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Bausch & Lomb, Inc. c/o Ms. Lisa Graney Manager, Global Regulatory Affairs 1400 North Goodman St. Rochester, NY 14609

MAR 1 2 2008

Re: K073023

Trade/Device Name: Bausch & Lomb (B&L) Sterile Single-Use I/A Handpieces Regulation Number: 21 CFR 886.4670 Regulation Name: Phacofragmentation System Regulatory Class: Class II Product Code: HQC Dated: February 19, 2008 Received: February 21, 2008

Dear Ms. Graney:

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.

6

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 Center for Devices and Radiological Health's (CDRH's) Office of Compliance at (240) 276-0115. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding postmarket surveillance, please contact CDRH's Office of Surveillance and Biometric's (OSB's) Division of Postmarket Surveillance at 240-276-3474. For questions regarding the reporting of device adverse events (Medical Device Reporting (MDR)), please contact the Division of Surveillance Systems at 240-276-3464. 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,

Malina B. Eglata, und

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

Enclosure

7

510(k) Bausch & Lomb, Inc. B&L Sterile Single-Use I/A Handpieces

Indication for Use

Section 4

SECTION 4 : INDICATIONS FOR USE STATEMENT

510(k) Number (if known): _KO 13023

Device Name:

Bausch & Lomb™ Sterile Single-Use I/A Disposable Handpieces

Indication for Use

The Bausch & Lomb™ Sterile Single-Use I/A Handpieces are used following phacoemulsification, an anterior surgical procedure to fragment and remove a cataractous lens. The eye is infused with Balanced Salt Solution (BSS) via the irrigation function, while the cortical material, viscoelastic, and excess BSS is removed via the aspiration. I/A handpieces are also used for polishing the capsular bag to remove residual lens epithelial cells from the capsular membrane following extraction of the lens material.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use

Over-the -counter-use

M.L.B. Nichols

(Division Sign-off)
Division of Ophthalmic Devices

510(k) Number K073023

ਨੇਤ

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BAUSCH & LOMB STERILE SINGLE-USE I/A STELLARIS HANDPIECE MODELS 510(K) K073023

| Model No.

Sterile Single Use I/A HandpiecesType
Coaxial Irrigation/Aspiration Handpieces
85782SI/A Handpiece Straight, 17GA
85783SI/A Handpiece, curved, 17 GA
85783STI/A Handpiece, curved, 17 GA
85784SI/A Handpiece, tip 45°, 17 GA
85784STI/A Handpiece, Tip 45°, 17 GA
85785SI/A Handpiece, straight w/ sleeve
85786SI/A Handpiece, tip 90°, 16 GA
85786STI/A Handpiece, tip 90°, 16 GA
85794STI/A Handpiece, curved w/ Sleeve 1.8
85795STI/A Handpiece
Bimanual Aspiration Handpieces
Sterile Single-Use I/A Handpiece
Model No.Type
85780SAspiration Handpiece, sterile, 21 GA
85901S19Aspiration Handpiece, sterile, 19 GA
85901S20Aspiration Handpiece, sterile, 20 GA
Bimanual Irrigation Handpieces
Sterile Single-Use I/A Handpiece
Model No.Type
85781SIrrigation Handpiece, sterile, 21 GA
85787SIrrigation Handpiece, smooth tip, 21 GA
85787STIrrigation Handpiece, smooth tip, 21 GA
85788SIrrigation Handpiece, central port, 21 GA
85902S19Irrigation Handpiece, sterile, 19 GA
85902S20Irrigation Handpiece, sterile, 20 GA
85902ST19Irrigation Handpiece, sterile, 19 GA
Bimanual Irrigation Choppers
Sterile Single-Use I/A HandpieceType
Model No.
85903S19Irrigation Chopper, 19 GA
85903S20Irrigation Chopper, 20 GA
85903ST19Irrigation Chopper, 19 GA

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