K Number
K092684
Device Name
LAPAROSCOPIC RETRACTORS
Date Cleared
2010-01-22

(143 days)

Product Code
Regulation Number
876.1500
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Laparoscopic Retractors are designed to retract or elevate organs and tissues to provide better visualization access to surgical sites during minimally invasive laparoscopic procedures.
Device Description
The proposed Laparoscopic retractors are inserted through the trocar cannula and into the abdomen in order to provide visualization during laparoscopic surgery by retracting and manipulating organs at the surgical site.
More Information

Not Found

No
The summary describes a purely mechanical surgical instrument for retraction, with no mention of AI, ML, image processing, or data-driven decision-making.

No
The device is used to retract or elevate organs and tissues to provide better visualization and access during surgery, which is a surgical tool function rather than a therapeutic one. It assists in the procedure but does not treat a disease or condition itself.

No
Explanation: The device is a surgical retractor used to manipulate tissues for better visualization during surgery, not to diagnose a condition.

No

The device description clearly states it is a physical instrument (Laparoscopic retractors) inserted into the body, indicating it is a hardware device, not software only.

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

Here's why:

  • Intended Use: The intended use is to "retract or elevate organs and tissues to provide better visualization access to surgical sites during minimally invasive laparoscopic procedures." This is a surgical tool used in vivo (within the living body) to manipulate tissues during surgery.
  • Device Description: The description confirms it's inserted into the abdomen to manipulate organs during surgery.
  • Lack of IVD Characteristics: There is no mention of:
    • Analyzing samples (blood, urine, tissue, etc.) in vitro (outside the body).
    • Providing diagnostic information based on the analysis of samples.
    • Any laboratory or analytical function.

IVDs are devices used to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. This device is a surgical instrument for physical manipulation during a procedure.

N/A

Intended Use / Indications for Use

Laparoscopic Retractors are designed to retract or elevate organs and tissues to provide better visualization access to surgical sites during minimally invasive laparoscopic procedures.

Product codes

GCJ

Device Description

The proposed Laparoscopic retractors are inserted through the trocar cannula and into the abdomen in order to provide visualization during laparoscopic surgery by retracting and manipulating organs at the surgical site.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

abdomen

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)

Non-Clinical Testing: All materials used in the fabrication of the Laparoscopic Retractors were evaluated through biological qualification safety tests as outlined in ISO 10993 Part-1 "Biological Evaluation of Medical Devices". These materials also were evaluated in accordance with industry recognized test methods and were found to be acceptable for the intended use. Performance testing demonstrated that the proposed device is substantially equivalent to the currently marketed predicate devices with regard to functional characteristics.

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

Not Found

Predicate Device(s)

K933008, K930667

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

14092684

CardinalHealth


Cardinal Health 1430 Waukegan Road McGaw Park, Illinois 60085-6787 847.578.6610 FAX: 847.785.2506

JAN 22 2010

SMDA REQUIREMENTS

510(k) SUMMARY OF SAFETY AND EFFECTIVENESS Laparoscopic Retractors

| Sponsor: | Cardinal Health
1430 Waukegan Road MPKB
McGaw Park, IL 60085 |
|----------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Regulatory Affairs:
Contact | Sharon Nichols |
| Telephone: | (847) 578-6610 |
| Date Summary Prepared: | August 2009 |
| Common Name: | Laparoscopic Retractors |
| Regulation Description: | Endoscope and Accessories |
| Device Classification name | Laparoscope, General and Plastic
Surgery |
| Device Class and
Regulation Number: | II
21 CFR §876.1500 |
| Procode: | GCJ |
| Predicate Devices: | K933008, Laparoscopic Retractors and
Scraper
K930667, Reusable Laparoscopic
Instruments |
| Description: | The proposed Laparoscopic retractors
are inserted through the trocar cannula
and into the abdomen in order to
provide visualization during laparoscopic
surgery by retracting and manipulating
organs at the surgical site. |

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، ﻭﺍﻟ

1

Intended Use:

Summary of Technological Characteristics:

Summary of testing:

Non-Clinical Testing:

Laparoscopic Retractors are designed to retract or elevate organs and tissues to provide better visualization access to surgical sites during minimally invasive laparoscopic procedures.

The proposed device and the predicate devices are composed of the same or similar design, materials and manufacturing characteristics.

All materials used in the fabrication of the Laparoscopic Retractors were evaluated through biological qualification safety tests as outlined in ISO 10993 Part-1 "Biological Evaluation of Medical Devices". These materials also were evaluated in accordance with industry recognized test methods and were found to be acceptable for the intended use.

Performance testing demonstrated that the proposed device is substantially equivalent to the currently marketed predicate devices with regard to functional characteristics.

000038

2

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/2/Picture/1 description: The image shows the logo for the Department of Health & Human Services - USA. The logo consists of a circle with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is a stylized image of an eagle.

Public Health Service

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

JAN 2 2 2010

Cardinal Health % Ms. Sharon Nichols Regulatory Affairs Manager 1430 Waukegan Road MPKB McGaw Park, Illinois 60085

Re: K092684

Trade/Device Name: Laparoscopic Retractors Regulation Number: 21 CFR 876.1500 Regulation Name: Endoscope and accessories Regulatory Class: Class II Product Code: GCJ Dated: March 21, 2010 Received: March 21, 2010

Dear Ms. Nichols:

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 (reporting of medical

3

Page 2 - Ms. Sharon Nichols

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" (21 CFR 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/cdrl/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 (301) 796-7100 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours.

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

Enclosure

4

KO92684

CardinalHealth

1430 Waukegan Road McGaw Park, Illinois 60085-6787 847.578.6442 FAX: 847.785.2506

Indication for Use

510(k) Number (if known):

Device Name:

Laparoscopic Retractors

Indications For Use:

Laparoscopic Retractors are designed to retract or elevate organs and tissues to provide better visualization access to surgical sites during minimally invasive laparoscopic procedures.

Prescription Use _X

Over-The Counter Use

(Per 21 CFR 801.109)

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

or

Concurrence of CDRH, Office of Device Exaluation (ODE) SMU

(Division Sign-Off)

Division of Surgical, Orthopedic, and Restorative Devices

510(k) Number_K092684

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