K Number
K092544
Device Name
INSTRUMED VASCULAR CLAMPS
Date Cleared
2009-10-26

(68 days)

Product Code
Regulation Number
870.4450
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
INSTRUMED Vascular Clamps are devices intended for temporary or partial occlusion of blood vessels during vascular surgical procedures.
Device Description
The Instrumed Vascular Clamps are reusable surgical instruments. To ensure the multi-purpose use of this device, many different models are available. The differences can be as follows: - . Some have ring handles with a ratchet closure to adjust the amount of tension applied to the vessel for occlusion or partial occlusion. - Bulldog style Vascular Clamps are another type of vascular cross clamp that use a spring or cross – action mechanism to apply tension to the vessel for occlusion. - The choice of jaw style depends on the surgeon's preference, based on the type and delicacy of ↓ the vessel to be occluded. The surgeon chooses the vascular clamp based on the anatomy of the site and the type of occlusion desired, based on the type and size of the blood vessels, and surgical techniques. Clamps are either fully or partially occluding an artery or vein with correct tension to produce minimal trauma to vessels. Full occlusion clamps stops blood flow entirely by covering the full vessel. Partial occlusion clamps are placed on part of the vessel to isolate the area to be worked on while allowing blood flow to continue in the rest of the vessel. Instrumed vascular clamps are made of the following standardized materials Stainless Steel ASTM F 899-07 or Titanium Alloy, The instruments are offered in non-sterile condition.
More Information

No
The device description and summary of performance studies indicate a purely mechanical surgical instrument with no mention of AI or ML capabilities.

No
The device is used for temporary occlusion of blood vessels during surgical procedures, which is a surgical instrument used for manipulation, not a device that directly treats a disease or condition in a therapeutic manner.

No

Explanation: The device, vascular clamps, are described as surgical instruments used for temporary or partial occlusion of blood vessels during surgical procedures. Their function is to physically manipulate blood vessels, not to provide information about a patient's health status or condition, which is the primary purpose of diagnostic devices.

No

The device description clearly states that the Instrumed Vascular Clamps are reusable surgical instruments made of stainless steel or titanium alloy, indicating a physical hardware device.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens (like blood, urine, or tissue) taken from the human body to provide information about a person's health. This testing is done outside of the body (in vitro).
  • Device Function: The Instrumed Vascular Clamps are surgical instruments used during a surgical procedure to temporarily occlude blood vessels within the body. They are used for mechanical manipulation of tissue, not for testing or analysis of specimens.
  • Intended Use: The intended use clearly states "temporary or partial occlusion of blood vessels during vascular surgical procedures." This is a surgical function, not a diagnostic one.

The description of the device, its materials, and its use in surgery all point to it being a surgical instrument, not an IVD.

N/A

Intended Use / Indications for Use

INSTRUMED Vascular Clamps are devices intended for temporary or partial occlusion of blood vessels during vascular surgical procedures.

Product codes

DXC

Device Description

The Instrumed Vascular Clamps are reusable surgical instruments. To ensure the multi-purpose use of this device, many different models are available. The differences can be as follows: .- Some have ring handles with a ratchet closure to adjust the amount of tension applied to the vessel for occlusion or partial occlusion. - Bulldog style Vascular Clamps are another type of vascular cross clamp that use a spring or cross – action mechanism to apply tension to the vessel for occlusion. - The choice of jaw style depends on the surgeon's preference, based on the type and delicacy of ↓ the vessel to be occluded. The surgeon chooses the vascular clamp based on the anatomy of the site and the type of occlusion desired, based on the type and size of the blood vessels, and surgical techniques. Clamps are either fully or partially occluding an artery or vein with correct tension to produce minimal trauma to vessels. Full occlusion clamps stops blood flow entirely by covering the full vessel. Partial occlusion clamps are placed on part of the vessel to isolate the area to be worked on while allowing blood flow to continue in the rest of the vessel. Instrumed vascular clamps are made of the following standardized materials Stainless Steel ASTM F 899-07 or Titanium Alloy, The instruments are offered in non-sterile condition.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

blood vessels

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 results of non-clinical and bench testing indicates that the new device is completely comparable to the predicate devices. Biocompatibility and sterilization studies were successfully completed.

Key Metrics

Not Found

Predicate Device(s)

K072834, K992053, K070661, K982278

Reference Device(s)

K973080, K022754

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 870.4450 Vascular clamp.

(a)
Identification. A vascular clamp is a surgical instrument used to occlude a blood vessel temporarily.(b)
Classification. Class II (performance standards).

0

K092544

510(k) Summary

510(k) Summary as required by section 807.92(c)

date prepared 08/17/2009

Submission Applicant:

INSTRUMED INTERNATIONAL, INC. 626 Cooper Court Schaumburg, IL 60173

OCT 2 3 2009

Establishment Registration Number:

1421101

Official Correspondent:

Mr. Berndt Fetzer INSTRUMED INTERNATIONAL, INC. 626 Cooper Court Schaumburg, IL 60173

Phone: 847-908-0292

Trade name:

Instrumed Vascular Clamp

Common name:

Various vascular clamps:

Bulldog Clamps, Vessel Clamps, Microvascular Bulldog Clamps, Ring Handle Bulldog Clamps, Neonatal Vascular Clamp, Pediatric Clamps, Occlusion Clamps, Vascular Clamps, Cardio Clamps, Aorna, Roman, Multi-Purpose Clamps, Blood Vessel Forceps, Anastomosis Clarms, Vena Clamps, Torto Clamps, Torto Plan vascular Clamps, Aortic Aneurysm Clamps, Abdominal Clamps, Profunda Clamps, Shunt Clamps, Aortic Clamps, Patent-Ductus Clamps, Fogarty-Type Clamps, Vascular Forceps, Microvascular Forceps, Minimally Invasive Coronary Systems

Classification name:

Clamp, Vascular (21 CFR 870.4450, Product code DXC)

Regulation Description Vascular Clamp

Substantial Equivalence Claims:

| K072834 | SIBEL SA VASCULAR CLAMP; SURGICAL INSTRUMENTS BELGIUM SA
P.D. K973080 Surgical Vascular Clamp, Walter Lorenz Surgical, Inc |
|---------|-------------------------------------------------------------------------------------------------------------------------------|
| K992053 | AESCULAP VASCULAR INSTRUMENTS
AESCULAP, INC.
P.D. Preamendments: Aesculap, Codman, Heartport, V.Mueller, Walter Lorenz |
| K070661 | VITALCOR FEATHERWEIGHT VASCULAR CLAMPS; VITALCOR, INC.
P.D. K022754 S&T SINGLE USE MICRO ANASTOMOSIS CLAMP; S & T AG |
| K982278 | MICRINS MICRO ANASTOMOSIS CLAMP; MICRINS SURGICAL INC |

1

Description of the Device:

The Instrumed Vascular Clamps are reusable surgical instruments. To ensure the multi-purpose use of this device, many different models are available. The differences can be as follows:

  • . Some have ring handles with a ratchet closure to adjust the amount of tension applied to the vessel for occlusion or partial occlusion.
  • Bulldog style Vascular Clamps are another type of vascular cross clamp that use a spring or cross � action mechanism to apply tension to the vessel for occlusion.
  • The choice of jaw style depends on the surgeon's preference, based on the type and delicacy of ↓ the vessel to be occluded.

The surgeon chooses the vascular clamp based on the anatomy of the site and the type of occlusion desired, based on the type and size of the blood vessels, and surgical techniques. Clamps are either fully or partially occluding an artery or vein with correct tension to produce minimal trauma to vessels. Full occlusion clamps stops blood flow entirely by covering the full vessel. Partial occlusion clamps are placed on part of the vessel to isolate the area to be worked on while allowing blood flow to continue in the rest of the vessel.

Instrumed vascular clamps are made of the following standardized materials Stainless Steel ASTM F 899-07 or Titanium Alloy,

The instruments are offered in non-sterile condition.

Indications for Use:

INSTRUMED Vascular Clamps are devices intended for temporary or partial occlusion of blood vessels during vascular surgical procedures.

Comparison with Predicate Device:

The results of non-clinical and bench testing indicates that the new device is completely comparable to the predicate devices. Biocompatibility and sterilization studies were successfully completed.

The Instrumed product is similiar to the predicate device in terms of technical characteristics, design, Indications for Use, Target population, where it is used, performance, biocompatibility, sterilisation method, mechanical safety characteristics as well as sizes and configurations. Therefore it can be deemed substantially equivalent for its indicated use.

Conclusion:

The presented data that was conducted on the Instrumed Vascular Clamps shows in its results and in comparison to the predicate devices that the products are substantially equivalent to the predicate devices.

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" arranged around the perimeter. Inside the circle, there is a stylized image of an eagle or bird-like figure with outstretched wings.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room W-066-0609 Silver Spring, MD 20993-0002

OCT 2 0 2009

Intrumed International, Inc. Michael Massong RA/QA Director 626 Cooper Court Schaumburg, IL 60173

Re: K092544

Trade/Device Name: Intrumed Vascular Clamps Regulation Number: 21 CFR 870.4450 Regulation Name: Vascular Clamp Regulatory Class: Class II Product Code: DXC Dated: September 30, 2009 Received: October 1, 2009

Dear Mr. Massong:

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

3

Page 2 - Mr. Massong

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 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/MedicalDevices/Safety/ReportaProblem/default.htm 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 (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm.

Sincerely yours.

Duna R. Vuchner

Image /page/3/Picture/7 description: The image shows a handwritten letter 'f' in a simple, slightly stylized font. The letter is in black ink and appears to be part of a larger text or word. The stroke of the 'f' is continuous, with a curved top and a descending stem.

Bram D. Zuckerman, M.D. Director Division of Cardiovascular Devices Office of Device Evaluation

Center for Devices and Radiological Health

Enclosure

4

Indications for Use

510(k) Number (if known): K092544

Device Name:

Instrumed Vascular Clamps

Indications For Use:

INSTRUMED Vascular Clamps are devices intended for temporary or partial occlusion of blood vessels during vascular surgical procedures.

Prescription Use (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (21 CFR 801 Subpart C)

(Please do NOT WRITE BELOW THIS LINE-CONTINUE on another Page if needed)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Duma R. Vc. Amez

Division Sign-C Division of Cardiovascular Devices

10(k) Number_K0925A4

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