K Number
K090815
Device Name
PERCUTANEOUS DISCECTOMY SYSTEM
Manufacturer
Date Cleared
2009-05-21

(57 days)

Product Code
Regulation Number
888.1100
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Laurimed Discectomy System is indicated for use in aspiration of disc material during open discectomies in the lumbar region of the spine.
Device Description
The Laurimed Discectomy System is intended to be used to cut and aspirate nucleus material from discs in the spine. The system consists of a set of introduction tools (Dilator, Straight Cannula, Curved Cannula (qty. 2) and Trocar), a Device Cleaner, and a Discectomy Device The Laurimed Discectomy System is supplied as a sterile, single patient use, single-level, disposable device.
More Information

Not Found

No
The 510(k) summary describes a mechanical device for cutting and aspirating disc material and does not mention any AI or ML components or functionalities.

No

The device is used to remove disc material during surgery, which is a therapeutic procedure, but the device itself is an instrument used in therapy, rather than being a therapeutic device that directly applies therapy (like a drug or radiation therapy).

No
Explanation: The device is indicated for aspiration of disc material during open discectomies, which is a therapeutic procedure, not a diagnostic one. It is used to cut and aspirate nucleus material.

No

The device description explicitly lists physical components like introduction tools (Dilator, Cannulas, Trocar), a Device Cleaner, and a Discectomy Device, indicating it is a hardware-based system.

Based on the provided information, the Laurimed Discectomy System 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.
  • Laurimed Discectomy System Function: The description clearly states that the Laurimed Discectomy System is a surgical device used to "cut and aspirate nucleus material from discs in the spine" during open discectomies. This is a direct surgical intervention on the body, not a test performed on a sample outside the body.

The device is a surgical tool used for a therapeutic procedure, not a diagnostic test.

N/A

Intended Use / Indications for Use

The Laurimed Discectomy System is indicated for use in aspiration of disc material during open discectomies in the lumbar region of the spine.

Product codes

HRX

Device Description

The Laurimed Discectomy System is intended to be used to cut and aspirate nucleus material from discs in the spine. The system consists of a set of introduction tools (Dilator, Straight Cannula, Curved Cannula (qty. 2) and Trocar), a Device Cleaner, and a Discectomy Device. The Laurimed Discectomy System is supplied as a sterile, single patient use, single-level, disposable device.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

lumbar region of the spine

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)

Results of non-clinical testing demonstrated that the Laurimed Discectorny System is safe and effective for its intended use.

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

Not Found

Predicate Device(s)

K082194

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 888.1100 Arthroscope.

(a)
Identification. An arthroscope is an electrically powered endoscope intended to make visible the interior of a joint. The arthroscope and accessories also is intended to perform surgery within a joint.(b)
Classification. (1) Class II (performance standards).(2) Class I for the following manual arthroscopic instruments: cannulas, currettes, drill guides, forceps, gouges, graspers, knives, obturators, osteotomes, probes, punches, rasps, retractors, rongeurs, suture passers, suture knotpushers, suture punches, switching rods, and trocars. 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 § 888.9.

0

510(k) Summary

This summary of 510(k) safety and effectiveness information is submitted in accordance with the requirements of SMDA 1990 and 21 CFR 807.92.

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

Laurimed LLC 500 Arquello Street, Suite 100 Redwood City, CA 94063 Phone: (650) 587-5296 Fax: (650) 587-3823

MAY 21 2009

B. Contact Person

Sevrina Ciucci Regulatory Affairs Consultant (408) 316-4837

C. Date Prepared March 20, 2009

D. Device Name

Laurimed Discectomy System Trade Name: Tissue Cutter/Aspirator Common Name: Arthroscope (21 CFR §8888 1100) Product Code {{ Classification Name:

Predicate Devices E.

The Laurimed Discectomy System is substantially equivalent to the Laurimed Percutaneous Discectomy System (K082194).

Device Description F.

The Laurimed Discectomy System is intended to be used to cut and aspirate nucleus material from discs in the spine. The system consists of a set of introduction tools (Dilator, Straight Cannula, Curved Cannula (qty. 2) and Trocar), a Device Cleaner, and a Discectomy Device

The Laurimed Discectomy System is supplied as a sterile, single patient use, single-level, disposable device.

1

Intended Use G.

The Laurimed Discectomy System is indicated for use in aspiration of disc material during open discectomies in the lumbar region of the spine.

Technological Comparison H.

The technological characteristics and principals of operation of the Laurimed Discectomy System are substantially equivalent to the noted predicate device.

Summary of Non-Clinical Data 1.

Results of non-clinical testing demonstrated that the Laurimed Discectorny System is safe and effective for its intended use.

Summary of Data J.

The Laurimed Discectomy System has been carefully compared to a legally marketed device with respect to intended use and technological characteristics. In addition, non-clinical testing was conducted to validate the performance of the device and ensure the Laurimed Discectomy System functions as intended and meets design specifications. The comparison and non-clinical results demonstrate that the device is substantially equivalent to the predicate device and is safe and effective for its intended use.

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 or bird symbol, with three curved lines forming its body and wings. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" is arranged in a circular fashion around the bird symbol.

MAY 2 1 2009

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Public Health Service

Laurimed, LLC % Ms. Sevrina Ciucci Regulatory Affairs Consultant 500 Arguello Street, Suite 100 Redwood City, California 94063

Re: K090815

Trade/Device Name: Discectomy System Regulation Number: 21 CFR 888.1100 Regulation Name: Arthroscope Regulatory Class: II Product Code: HRX Dated: March 20, 2009 Received: March 25, 2009

Dear Ms. Ciucci:

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.

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); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); 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.

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

3

Page 2 - Ms. Sevrina Ciucci

(240) 276-0115. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please contact the CDRH/Office of Surveillance and Biometrics/Division of Postmarket Surveillance at (240) 276-3464. For more information regarding the reporting of adverse events, please go to http://www.fda.gov/cdrh/mdr/.

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,

For D.J., D.J. D.R.

Mark N. Melkerson (Deire D.m.s,i2)

Mark N. Melkerson Division of Surgical, Orthopedic and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

Laurimed LLC

510(k) Notification Discectomy System

Indication for Use Statement

510(k) Number (if known): K_ O

Device Name: Discectomy System

Indications for Use:

The Laurimed Discectomy System is indicated for use in aspiration of disc material during open discectomies in the lumbar region of the spine.

Prescription Use

OR

Over-The-Counter Use

(per 21 CFR 801.109)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Neleela forman
(Division Sign-Off)

Division of Surgical, Orthopedic, and Restorative Devices

510(k) Number K090815

Appendix I, Page 1 of 1