K Number
K082659
Device Name
MODIFIED ENDO STICH
Date Cleared
2008-09-19

(7 days)

Product Code
Regulation Number
876.1500
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Modified Endo Stitch™ 10 mm single use suturing device has application in endoscopic surgery for the placement of interrupted or running stitches in soft tissues
Device Description
The Modified Endo Stitch™ is an endoscopic suturing device that contains two jaws at its distal end, with opposing handles and a toggle lever at its proximal end.
More Information

Not Found

No
The summary describes a mechanical suturing device and explicitly states "Not Found" for mentions of AI, DNN, or ML.

No.
The device is used for placing stitches during surgery, which is a restorative or reconstructive action, not a therapeutic one in the sense of treating a disease or condition. It facilitates a surgical procedure rather than providing therapy itself.

No
The device is described as a suturing device used in endoscopic surgery for placing stitches in soft tissues, indicating a therapeutic or surgical function rather than a diagnostic one.

No

The device description clearly states it is a physical endoscopic suturing device with jaws, handles, and a toggle lever, indicating it is a hardware device.

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

Here's why:

  • Intended Use: The intended use is for "placement of interrupted or running stitches in soft tissues" during endoscopic surgery. This describes a surgical tool used on the patient's body, not a device used to test samples from the body (like blood, urine, or tissue) in a lab setting.
  • Device Description: The description of jaws, handles, and a toggle lever aligns with a surgical instrument, not an in vitro diagnostic device.
  • Lack of IVD Characteristics: The description does not mention any components or functions related to analyzing biological samples, detecting analytes, or providing diagnostic information based on laboratory testing.

IVD devices are specifically designed to perform tests on samples taken from the human body to provide information for diagnosis, monitoring, or screening. This device is clearly a surgical tool.

N/A

Intended Use / Indications for Use

For use in endoscopic surgery for the placement of interrupted or running stitches in soft tissues

The Modified Endo Stitch™ 10 mm single use suturing device has application in endoscopic surgery for the placement of interrupted or running stitches in soft tissues

Product codes

OCW

Device Description

The Modified Endo Stitch™ is an endoscopic suturing device that contains two jaws at its distal end, with opposing handles and a toggle lever at its proximal end.

The device holds and passes a needled suture between the two jaws. The suture needle is passed from one jaw to another by squeezing the opposing handles and secured in each jaw by activating the toggle lever.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

soft tissues

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)

In-vitro and in-vivo testing has been performed in support of the intended use of this device.

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

Not Found

Predicate Device(s)

K934738: Autosuture™ Endoscopic Suturing Device

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 876.1500 Endoscope and accessories.

(a)
Identification. An endoscope and accessories is a device used to provide access, illumination, and allow observation or manipulation of body cavities, hollow organs, and canals. The device consists of various rigid or flexible instruments that are inserted into body spaces and may include an optical system for conveying an image to the user's eye and their accessories may assist in gaining access or increase the versatility and augment the capabilities of the devices. Examples of devices that are within this generic type of device include cleaning accessories for endoscopes, photographic accessories for endoscopes, nonpowered anoscopes, binolcular attachments for endoscopes, pocket battery boxes, flexible or rigid choledochoscopes, colonoscopes, diagnostic cystoscopes, cystourethroscopes, enteroscopes, esophagogastroduodenoscopes, rigid esophagoscopes, fiberoptic illuminators for endoscopes, incandescent endoscope lamps, biliary pancreatoscopes, proctoscopes, resectoscopes, nephroscopes, sigmoidoscopes, ureteroscopes, urethroscopes, endomagnetic retrievers, cytology brushes for endoscopes, and lubricating jelly for transurethral surgical instruments. This section does not apply to endoscopes 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 (special controls). The device, when it is an endoscope disinfectant basin, which consists solely of a container that holds disinfectant and endoscopes and accessories; an endoscopic magnetic retriever intended for single use; sterile scissors for cystoscope intended for single use; a disposable, non-powered endoscopic grasping/cutting instrument intended for single use; a diagnostic incandescent light source; a fiberoptic photographic light source; a routine fiberoptic light source; an endoscopic sponge carrier; a xenon arc endoscope light source; an endoscope transformer; an LED light source; or a gastroenterology-urology endoscopic guidewire, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 876.9.(2) Class I for the photographic accessories for endoscope, miscellaneous bulb adapter for endoscope, binocular attachment for endoscope, eyepiece attachment for prescription lens, teaching attachment, inflation bulb, measuring device for panendoscope, photographic equipment for physiologic function monitor, special lens instrument for endoscope, smoke removal tube, rechargeable battery box, pocket battery box, bite block for endoscope, and cleaning brush for endoscope. The devices subject to this paragraph (b)(2) are exempt from the premarket notification procedures in subpart E of part 807of this chapter, subject to the limitations in § 876.9.

0

Surgical Devices, a global business unit of Tyco Healthcare Group LP (d/b/a Covidien)
5. 510(K) SUMMARY:K082659
nag
510(k) Summary of Safety and Effectiveness:SEP 1 9 2008
SUBMITTER:Surgical Devices, a global business unit of Tyco
Healthcare Group LP (d/b/a Covidien)
60 Middletown Avenue
North Haven, CT 06473
CONTACT PERSON:Robert Zott
Program Director, Regulatory Affairs
Phone: (203) 492-6013
Fax: (203) 492-5029
DATE PREPARED:September 11, 2008
TRADE/PROPRIETARY NAME:Modified Endo Stitch™
COMMON/USUAL NAME:Endoscopic Suturing Device
CLASSIFICATION NAME:Endoscope and accessories
PREDICATE DEVICE(S):K934738: Autosuture™ Endoscopic Suturing
Device
DEVICE DESCRIPTION:The Modified Endo Stitch™ is an endoscopic
suturing device that contains two jaws at its
distal end, with opposing handles and a toggle
lever at its proximal end.

INTENDED USE:

TECHNOLOGICAL CHARACTERISTICS:

The device holds and passes a needled suture between the two jaws. The suture needle is passed from one jaw to another by squeezing the

opposing handles and secured in each jaw by

:

activating the toggle lever.

For use in endoscopic surgery for the placement

of interrupted or running stitches in soft tissues

  • Trademark of Tyco Healthcare Group I.P d/b/a Covidien September 11, 2008

Special 510(k) for the Modified Endo Stitch™ Endoscopic Suturing Device

1

K082659 pag

MATERIALS:

All patient contact materials in the Modified Endo Stitch™ have been evaluated in accordance with ISO 10993-1: 2003, Biological Evaluation of medical devices --Part 1: Evaluation and Testing.

PERFORMANCE DATA:

In-vitro and in-vivo testing has been performed in support of the intended use of this device.

  • Trademark of Tyco Healthcare Group LP d/b/a Covidien September 11, 2008

Special 510(k) for the Modified Endo Stitch™M Endoscopic Suturing Device

Page 21

..

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 circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is an abstract symbol resembling an eagle or bird with three wing-like shapes.

SEP 1 9 2008

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Covidien % Mr. Robert Zott Program Director, Regulatory Affairs 60 Middletown Avenue North Haven, Connecticut 06473

Re: K082659

Trade/Device Name: Modified Endo Stitch™ - Trade name to be determined Regulation Number: 21 CFR 876.1500 Regulation Name: Endoscope and accessories Regulatory Class: II Product Code: OCW Dated: September 11, 2008 Received: September 12, 2008

Dear Mr. Zott:

We have reviewed your Scction 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 - Mr. Robert Zott

This letter will allow you to begin marketing your device as described in your Section 510(k) premarket notification. The FDA finding of substantial cquivalence 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 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 vours.

Mark N Millerson

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

Enclosure

4

4. INDICATIONS FOR USE STATEMENT:

510(k) Number (if known):

Device Name:

Modified Endo Stitch™ - Trade name to be determined.

Indications For Use:

The Modified Endo Stitch™ 10 mm single use suturing device has application in endoscopic surgery for the placement of interrupted or running stitches in soft tissues

Prescription Use (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (21 CFR 807 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

(Division Sign-Off)
Division of General, Restorative,
and Neurological Devices
510(k) NumberL082659
------------------------
* Trademark of Tyco Healthcare Group LP d/b/a Covidien September 11, 2008Special 510(k) for the Modified Endo Stitch™ Endoscopic Suturing Device
----------------------------------------------------------------------------------------------------------------------------------------------------

Page 19