K Number
K092877
Device Name
INDISCAL ASPIRATION DEVICE AND ACCESSORIES
Date Cleared
2009-11-17

(60 days)

Product Code
Regulation Number
888.1100
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The InDiscal Aspiration Device and Accessories are intended for aspiration of disc material during percutaneous discectomies in the lumbar, thoracic, and cervical regions of the spine.
Device Description
The InDiscal™ Aspiration Device is a sterile, single-use device that is inserted through the InDiscal™ Aspiration Introducer into the patient to aspirate tissue disc material. The device consists of a handle, coring needle with sheath, storage chamber and activation switch. The InDiscal™ Aspiration accessories include the InDiscal™ Aspiration Introducer, InDiscal™ Aspiration Plug, InDiscal™ Aspiration Cap, InDiscal™ Aspiration Sheath
More Information

Not Found

No
The 510(k) summary describes a mechanical aspiration device and its accessories. There is no mention of AI, ML, image processing, or any software-driven analytical capabilities. The description focuses on the physical components and their function in aspirating disc material.

No
The device is strictly for aspiration of disc material and does not provide any therapeutic effect.

No
The device is described as an "Aspiration Device" intended for "aspiration of disc material" during "percutaneous discectomies." Its function is to remove tissue, not gather information for diagnosis.

No

The device description clearly outlines physical components such as a handle, coring needle, sheath, storage chamber, and activation switch, 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 the "aspiration of disc material during percutaneous discectomies." This is a surgical procedure performed directly on the patient's body to remove tissue.
  • Device Description: The device is described as being "inserted through the InDiscal™ Aspiration Introducer into the patient to aspirate tissue disc material." This confirms it's used in vivo (within the living body).
  • IVD Definition: In Vitro Diagnostics (IVDs) are medical devices used to examine specimens (like blood, urine, or tissue) outside the body to provide information about a person's health.

This device is clearly designed for a surgical procedure performed on the patient, not for testing samples from the patient.

N/A

Intended Use / Indications for Use

The InDiscal Aspiration Device and Accessories are intended for aspiration of disc material during percutaneous discectomies in the lumbar, thoracic, and cervical regions of the spine.

Product codes

HRX

Device Description

The InDiscal™ Aspiration Device is a sterile, single-use device that is inserted through the InDiscal™ Aspiration Introducer into the patient to aspirate tissue disc material. The device consists of a handle, coring needle with sheath, storage chamber and activation switch.

The InDiscal™ Aspiration accessories include the InDiscal™ Aspiration Introducer, InDiscal™ Aspiration Plug, InDiscal™ Aspiration Cap, InDiscal™ Aspiration Sheath

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

lumbar, thoracic, and cervical regions 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)

Not Found

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

Not Found

Predicate Device(s)

K942987, K931109, K923525, K914282, K902778, K040919

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.

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092877

5. 510(k) Summary

Submitter Information

NOV 1 7 2009

:

4

A. Company Name: Baylis Medical Company Inc.

B. Company Address: 2645 Matheson Blvd. East Mississauga, Ontario L4W 5S4 Canada

C. Company Phone: (905) 602-4875; ext 252

D. Company Facsimile: (905) 602-5671

E. Contact Person: Meghal Khakhar

F. Summary Prepared on: 09-Nov-2009

Device Identification

A. Device Trade Name: InDiscal™ Aspiration Kit

The InDiscal™ Aspiration Kit includes the InDiscal™ Aspiration Device, InDiscal™ Aspiration Introducer, InDiscal™ Aspiration Plug, InDiscal™ Aspiration Kit, InDiscal™ Aspiration Cap, InDiscal™ Aspiration Sheath

B. Device Common Name: Percutaneous Discectomy Probe

C. Classification Name: Arthroscope and Accessories, 21 CFR 888.1100

D. Device Class: Class II

E. Device Code: HRX

Identification of Predicate Device

Device nameManufactured by510(k) number
Nucleotome Probe (L Kit)Surgical DynamicsK942987
Nucleotome Probe (E Kit)Surgical DynamicsK931109
Nucleotome 3.5 mm Automated
Percutaneous Lumbar ProbeSurgical DynamicsK923525
Nucleotome® II (Version2) Tissue
Aspirator/CutterSurgical DynamicsK914282
Surgical Dynamics Nucleotome II
Tissue Aspirator/cutterSurgical DynamicsK902778
21200 Nucleotome Probe SetSurgical DynamicsK040919

1

Device Description

The InDiscal™ Aspiration Device is a sterile, single-use device that is inserted through the InDiscal™ Aspiration Introducer into the patient to aspirate tissue disc material. The device consists of a handle, coring needle with sheath, storage chamber and activation switch.

The InDiscal™ Aspiration accessories include the InDiscal™ Aspiration Introducer, InDiscal™ Aspiration Plug, InDiscal™ Aspiration Cap, InDiscal™ Aspiration Sheath

Intended Use

The InDiscal Aspiration Device and Accessories are intended for aspiration of disc material during percutaneous discectomies in the lumbar, thoracic, and cervical regions of the spine.

Substantial Equivalence

The intended use of the InDiscal™ Aspiration Device and accessories is substantially equivalent to the Nucleotome probe predicate devices. The method used to remove the tissue for InDiscal™ Aspiration Device and Nucleotome probes is mechanical aspiration.

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Image /page/2/Picture/1 description: The image shows the seal of the U.S. Department of Health & Human Services. The seal features a stylized eagle with outstretched wings, facing right. The eagle is surrounded by a circular border containing the text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" in capital letters.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room W-O66-0609 Silver Spring, MD 20993-0002

NOV 1 7 2009

Baylis Medical Company, Inc. % Ms. Meghal Khakhar Manager, Regulatory and Scientific Affairs . 2645 Matheson Boulevard, East Mississauga, Ontario Canada L4W 5S4

Re: K092877

Trade/Device Name: InDiscal Aspiration Device and Accessories Regulation Number: 21 CFR 888.1100 Regulation Name: Arthroscope Regulatory Class: Class II Product Code: HRX Dated: September 9, 2009 Received: September 18, 2009

Dear Ms. Khakhar:

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

3

Page 2 - Ms. Meghal Khakhar

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

Sincerely yours.

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

Enclosure

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Indications for Use

510(k) Number (if known): K092877

Device Name: InDiscal Aspiration Device and Accessories

Indications for Use:

The InDiscal Aspiration Device and Accessories are intended for aspiration of disc material during percutaneous discectomies in the lumbar, thoracic, and cervical regions of the spine.

Prescription Use X (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)

Nichreoble for mrn

(Division Sign-Off) Division of Surgical, Orthopedic, and Restorative Devices

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510(k) Number K092877