K Number
K091519
Device Name
HAEMOBAND MULTI-LIGATOR
Date Cleared
2009-07-28

(67 days)

Product Code
Regulation Number
876.4400
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Haemoband Multi-Ligator includes suction and ligation capabilities. The ligator is used to cut off the blood flow to hemorrhoidal tissue by means of a ligature or ring placed around the hemorrhoid base. It is for use only by trained medical personnel.
Device Description
The Haemoband Multi-Ligator is a simple handheld device which allows the user to hold the hemorrhoid tissue with an applied suction while slipping a ligation band around the tissue. The Haemoband Multi-Ligator is a disposable device for the rubber band ligation of hemorrhoids. It is for single use only and is supplied with 4 preloaded non-latex rubber bands.
More Information

K0000297, K070881

Not Found

No
The summary describes a mechanical device for hemorrhoid ligation and does not mention any AI or ML components or functionalities.

Yes
Explanation: The device is used to treat hemorrhoids by cutting off blood flow to the tissue, which is a therapeutic action.

No

The device is used to treat hemorrhoids by cutting off blood flow, which is a therapeutic action, not a diagnostic one.

No

The device description clearly states it is a "simple handheld device" and a "disposable device" supplied with "preloaded non-latex rubber bands," indicating it is a physical, hardware-based medical device. There is no mention of software components.

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.
  • Haemoband Multi-Ligator Function: The Haemoband Multi-Ligator is a surgical device used to physically treat hemorrhoids by applying a ligature (rubber band) to cut off blood flow. It directly interacts with tissue within the body and performs a therapeutic action.
  • No Sample Analysis: The description does not mention any analysis of samples taken from the patient. The device is used directly on the hemorrhoidal tissue.

Therefore, the Haemoband Multi-Ligator falls under the category of a surgical or therapeutic device, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The Haemoband Multi-Ligator includes suction and ligation capabilities. The ligator is used to cut off the blood flow to hemorrhoidal tissue by means of a ligature or ring placed around the hemorrhoid base.

It is for use only by trained medical personnel.

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

FHN

Device Description

The Haemoband Multi-Ligator is a simple handheld device which allows the user to hold the hemorrhoid tissue with an applied suction while slipping a ligation band around the tissue.

The Haemoband Multi-Ligator is a disposable device for the rubber band ligation of hemorrhoids. It is for single use only and is supplied with 4 preloaded non-latex rubber bands.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

hemorrhoidal tissue

Indicated Patient Age Range

Not Found

Intended User / Care Setting

trained medical personnel located in hospitals, clinics, and doctors' offices.

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): 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.

K0000297, K070881

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

§ 876.4400 Hemorrhoidal ligator.

(a)
Identification. A hemorrhoidal ligator is a device used to cut off the blood flow to hemorrhoidal tissue by means of a ligature or band placed around the hemorrhoid.(b)
Classification. Class II (special controls). Except for a hemostatic metal clip intended for use in the gastrointestinal tract, the device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 876.9.

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Premarket Notification 510(k) Section 5 - 510(k) Summary

K091519

Haemoband

510(k) Summary Page 1 of 3 21-May-09

| Haemoband Surgical Ltd.
The Mount Business Park
2 Woodstock Link
Belfast BT6 8DD

Northern Ireland
Tel - 011-44-28-9073-7283
Fax - 011-44-28-9073-7282
JUL 2 8 2005
Official Contact:
Colin Foster - Managing Director
Proprietary or Trade Name:
Multi-Ligator
Common/Usual Name:
Hemorrhoidal ligators
Classification Name/Code:
78 FHN - hemorrhoidal ligators
21 CFR 876.4400
Device:
Multi-Ligator
Predicate Devices:
K0000297 - Erchinger Medizintecknik - Ligator
K070881 - SAPI MED S.p.a. - LEM ligator

Device Description:

The Haemoband Multi-Ligator is a simple handheld device which allows the user to hold the hemorrhoid tissue with an applied suction while slipping a ligation band around the tissue.

The Haemoband Multi-Ligator is a disposable device for the rubber band ligation of hemorrhoids. It is for single use only and is supplied with 4 preloaded non-latex rubber bands.

Indications for Use:

The Haemoband Multi-Ligator includes suction and ligation capabilities. The ligator is used to cut off the blood flow to hemorrhoidal tissue by means of a ligature or ring placed around the hemorrhoid base.

It is for use only by trained medical personnel located in hospitals, clinics, and doctors' offices.

Patient Population:

Individuals with hemorrhoids

Environment of Use:

Hospitals, clinics, and doctors' offices.

Contraindications

Do not use to treat:

  • . 4th degree or continuously prolapsed hemorrhoids
  • . Anal Polyps
  • In the presence of perineal infection, can be used after the infection has settled. .
  • Use with caution when treating patients on anticoagulants i.e. Warfarin .

1

Premarket Notification 510(k) Section 5 — 510(k) Summary

Haemoband

510(k) Summary Page 2 of 3 21-May-09

Summary of substantial equivalence:

510(k) Numbers & ManufacturersProposed DevicePredicate Device
K070881
SAPI MED S.p.a.K000297
Erchinger Medizintechnik
DeviceHaemoband Multi-LigatorLEMLigator
ClassClass IIClass IIClass II
Product CodeFHNFHNFHN
CFR876.4400876.4400876.4400
Intended UseThe Haemoband Multi-Ligator
includes suction and ligation
capabilities. The ligator is used
to cut off the blood flow to
hemorrhoidal tissue by means of
a ligature or ring placed around
the hemorrhoid base.The LEM Hemorrhoidal
ligators are used to cut off
the blood flow to
hemorrhoidal tissue by
means of a ligature or ring
placed around the
hemorrhoid base.Hemorrhoidal ligators are
used to cut off the blood
flow to hemorrhoidal tissue
by means of a ligature or
ring placed around the
hemorrhoid base.
Environment of UseHospitals, clinics, and doctors'
offices.Not specifiedNot specified
PrescriptiveYes trained medical personnelYes trained medical
personnel trained in
proctologyYes trained medical
personnel trained in
proctology
Principle of OperationApply a ligature or elastic ring
around the base of the
hemorrhoidal nodule in order to
cut off the blood flow to the
hemorrhoidal tissue. Has a
means to apply suction to hold
the hemorrhoidal tissue prior to
and during the ligature
procedure. Pre-loaded bands in a
pistol handgrip with trigger to
apply suction and release the
banding ringApply a ligature or elastic
ring around the base of the
hemorrhoidal nodule in
order to cut off the blood
flow to the hemorrhoidal
tissue. Has a means to
apply suction to hold the
hemorrhoidal tissue prior
to and during the ligature
procedure. Pre-loaded
bands in a pistol handgrip
with trigger to apply
suction and release the
banding ringHemorrhoid is grasped with
a forceps or sucked into the
ligator head (suction
forceps). A ring is slipped
over the varicosity, causing
tissue necrosis and
sloughing of the
hemorrhoid.
DisposableSingle patient use, disposableSingle patient use,
disposableSurgical stainless steel,
reusable
MaterialsStandard materials tested or
certified to ISO 10993
Bands identical to K000297Not knownIdentical bands used in
proposed device.
510(k) Numbers &
ManufacturersK070881
SAPI MED S.p.a.K000297
Erchinger Medizintechnik
DeviceHaemoband Multi-LigatorLEMLigator
Preloaded ready for
useYesNo but supplied with a
band loaderNo
Multi bandsYesNoNo
Auto reloadYesNoNo
SuctionIntegratedYesYes

·

.

62

2

Premarket Notification 510(k) Section 5 - 510(k) Summary

Haemoband

510(k) Summary Page 3 of 3 21-May-09

It is our view that there are no significant differences that affect the safety or effectiveness of the intended device as compared to the predicate device.

Substantial Equivalence

The Haemoband Multi-Ligator is viewed as substantially equivalent to the predicate devices because:

Indications -

  • Identical to predicate K070881 SAPI Med LEM .

Technology -

.

Materials -

  • The materials in patient contact are identical to predicate device or we have provided . ISO 10993 certification.

Environment of Use -

  • Identical to predicate K000297 Erchinger .

3

Image /page/3/Picture/0 description: The image is a seal for the Department of Health & Human Services - USA. The seal is circular and contains the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. In the center of the seal is an abstract image of an eagle.

DEPARTMENT OF HEALTH & HUMAN SERVICES

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Haemoband Surgical Ltd. c/o Mr. Paul E. Dryden President ProMedic, Inc. 24301 Woodsage Drive BONITA SPRINGS FL 34134-29158

JUL 28 2009

Re: K091519

Trade/Device Name: Haemoband Multi-Ligator Regulation Number: 21 CFR §876.4400 Regulation Name: Hemorrhoidal ligator Regulatory Class; II Product Code: FHN Dated: May 21, 2009 Received: May 22, 2009

Dear Mr. Dryden:

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 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); medical device reporting of medical

4

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 go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. 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 go to http://www.fda.gov/cdrh/mdr/ for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

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,

Iadine M. Morris

Janine M. Morris Acting Director, Division of Reproductive, Abdominal, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

5

Indications for Use Statement

510(k) Number:

(To be assigned)

510(k) Number:

Device Name:

Haemoband Multi-Ligator

Indications for Use:

The Haemoband Multi-Ligator includes suction and ligation capabilities. The ligator is used to cut off the blood flow to hemorrhoidal tissue by means of a ligature or ring placed around the hemorrhoid base.

It is for use only by trained medical personnel.

Prescription Use XX . (Part 21 CFR 801 Subpart D) or

Over-the-counter use (21 CFR 807 Subpart C)

Page 1 of 1

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Hula Remu
(Division Sign Off)

(Division Sign-Off) Division of Reproductive, Abdominal, and Radiological Devices 510(k) Number

A