(252 days)
Not Found
No
The device description and intended use clearly state that these are manual, stainless steel surgical instruments. There is no mention of any computational or algorithmic components, let alone AI or ML.
No.
The devices are manually operated instruments designed to perform specific surgical functions such as cutting, grasping, clamping, and dissecting, rather than delivering a therapeutic agent or energy to treat a disease.
No
These instruments are designed for surgical procedures involving cutting, grasping, clamping, dissecting, probing, draining, aspirating, suturing, or ligating. They are tools used for intervention and manipulation during surgery, not for diagnosing medical conditions.
No
The device description clearly states that the devices are manual, stainless steel instruments (clamps, forceps, etc.), which are physical hardware components. There is no mention of software as the primary or sole component of the device.
Based on the provided information, this device is not an IVD (In Vitro Diagnostic).
Here's why:
- Intended Use: The intended use clearly states that the instruments are designed to perform specific functions during surgical procedures (cutting, grasping, clamping, etc.). This is a direct interaction with the patient's body during surgery.
- Device Description: The description details manual, stainless steel instruments used in surgery.
- Lack of IVD Characteristics: IVD devices are used to examine specimens (like blood, urine, tissue) outside the body to provide information for diagnosis, monitoring, or screening. This device does not perform such functions.
The information provided describes surgical instruments used directly on a patient during a procedure, which falls under the category of surgical devices, not in vitro diagnostics.
N/A
Intended Use / Indications for Use
Integra™ Jarit® Video Assisted Thoracic Surgery (VATS) Instruments are manually operated instruments designed to perform specific functions such as cutting, grasping, clamping, dissecting, probing, draining, aspirating, suturing or ligating during open, mini-open, or thoracoscopic surgical procedures.
Product codes
GCJ
Device Description
Integra™ Jarit® Video Assisted Thoracic Surgery (VATS) Instruments are a family of manual, stainless steel instruments consisting of clamps, forceps, needle holders, scissors, knot tiers/pushers, and suction instruments. These reusable devices are packaged non-sterile and are steam sterilizable.
Mentions image processing
Not Found
Mentions AI, DNN, or ML
Not Found
Input Imaging Modality
Not Found
Anatomical Site
Not Found
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)
| Testing Performed | Results |
|---|---|
| Manual Cleaning Validation (Protein Analyses) per AAMI TIR30:2003. | Pass |
| Mechanical Cleaning Validation (Protein Analyses) per AAMI TIR30:2003. | Pass |
| Pre-Vacuum (wrapped) Steam Sterilization Validation per ANSI/AAMI ST79:2010 & A1:2010 and ANSI/AAMI/ISO 14937:2009 at 270°F (132°C) with an Exposure Time of 4 minutes. | Pass |
| Repeated Autoclave Testing, Boiling Water Testing, Copper Sulfate Corrosion Testing and Thermal Testing per ISO 13402 and ASTM F 1089-02. | Pass |
Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)
Not Found
Predicate Device(s)
K945474, K925198, K932456, K941565
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
Image /page/0/Picture/1 description: The image shows the logo for INTEGRA. The word INTEGRA is in all caps and in bold font. Below the word INTEGRA is the phrase "LIMIT UNCERTAINTY" in a smaller font. To the right of the word INTEGRA are three black squares of varying sizes.
589 Davies Driv York Pa 17402 hone (717) 940-8 Toll Free (800) 221 ax (717) 840-93
510(k) Summary
SEP 11 2012
| Submitted by: | Integra York PA, Inc.
589 Davies Drive, York, PA 17402 USA |
|----------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Contact Person: | Stephanie Sheesley, Sr. Regulatory Affairs Manager
Integra York PA, Inc.
589 Davies Drive, York, PA 17402 USA
Phone: (717) 717-840-2774 Fax: (717) 840-9347 |
| Date Prepared: | December 22, 2011 |
| Device Trade Name: | IntegraTM Jarit® Video Assisted Thoracic Surgery (VATS)
Instruments |
| Device Common Name: | Minimally Invasive Surgical Instruments |
| Classification Name: | Endoscope and accessories |
| Device Class: | Class II |
| Product Code: | GCJ |
| CFR Classification: | 21 CFR 876.1500 |
Device Description:
Integra™ Jarit® Video Assisted Thoracic Surgery (VATS) Instruments are a family of manual, stainless steel instruments consisting of clamps, forceps, needle holders, scissors, knot tiers/pushers, and suction instruments. These reusable devices are packaged non-sterile and are steam sterilizable.
Indications For Use:
Integra™ Jarit® Video Assisted Thoracic Surgery (VATS) Instruments are manually operated instruments designed to perform specific functions such as cutting, grasping, clamping, dissecting, probing, draining, aspirating, suturing or ligating during open, mini-open, or thoracoscopic surgical procedures.
1
Image /page/1/Picture/0 description: The image shows the word "INTEGRA" in bold, black letters. Below the word "INTEGRA" are the words "LIMIT UNCERTAINTY" in a smaller font. To the right of the word "INTEGRA" are four black squares of varying sizes stacked on top of each other.
589 Davies Drive
York, Pa 17402
Phone (717) 940-8335
Toll Free (800) 221-1344
Fax (717) 840-9347
www. Integralife.com
| 510(k) # | Device | Product Code | Manufacturer |
|---|---|---|---|
| K945474 | Scanlan® Thoracoscopic | ||
| Scissors, Clamps, Forceps, Needle Holder | GCJ | Scanlan Intl, Inc. | |
| K925198 | Kaiser “No Cannula” Thoracoscopic/ | ||
| Laparoscopic Instruments | GCJ | Pilling Co. | |
| K932456 | Jarit Surgical Instruments | KNF | Integra York PA, Inc. |
| K941565 | Jarit Recommended Sinus | ||
| Instruments | EOB | Integra York PA, Inc. |
Performance Standards:
No performance standards have been promulgated under Section 514 of the Food, Drug and Cosmetic Act for these devices. However, the Integra™ Jarit® Video Assisted Thoracic Surgery Instruments conform to the following standards:
- ANSI/AAMI ST79:2010 & A1:2010 Comprehensive guide to steam sterilization . and sterility assurance in health care facilities
- ANSI/AAMI/ISO 14937:2009 Sterilization of health care products-General . requirements for characterization of a sterilizing_agent and the development, validation, and routine control of a sterilization process
- ASTM TIR 30:2003 A Compendium of processes, materials, test methods, and . acceptance criteria for cleaning reusable medical devices
- ASTM F 1089-02 Standard test method for corrosion of surgical instruments ●
- t ISO 13402:1995 Surgical and dental hand instruments - Determination of resistance against autoclaving, corrosion and thermal exposure
- ISO 7153-1:2001 Surgical instruments- Metallic Materials- Part 1: Stainless Steel .
- . ASTM F899-11 Standard Specification for Wrought Stainless Steels for Surgical Instruments
Performance Data:
| Testing Performed | Results |
|---|---|
| Manual Cleaning Validation (Protein Analyses) per AAMI TIR30:2003. | Pass |
| Mechanical Cleaning Validation (Protein Analyses) per AAMI TIR30:2003. | Pass |
| Pre-Vacuum (wrapped) Steam Sterilization Validation per ANSI/AAMI ST79:2010 | |
| & A1:2010 and ANSI/AAMI/ISO 14937:2009 at 270°F (132°C) with an Exposure | |
| Time of 4 minutes. | Pass |
| Repeated Autoclave Testing, Boiling Water Testing, Copper Sulfate Corrosion | |
| Testing and Thermal Testing per ISO 13402 and ASTM F 1089-02. | Pass |
Substantial Equivalence:
Integra™ Jarit® Video Assisted Thoracic Surgery Instruments are substantially equivalent to the legally marketed predicate devices based on intended use, materials, and design.
2
DEPARTMENT OF HEALTH & HUMAN SERVICES
Image /page/2/Picture/1 description: The image shows the logo for the Department of Health & Human Services (HHS). The logo features a stylized eagle with three stripes representing the three branches of government. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" are arranged in a circular pattern around the eagle.
Public Health Service
Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring, MD 20993-0002
Integra LifeSciences Corporation % Integra York PA, Incorporated Ms. Stephanie Sheesley Senior Regulatory Affairs Manager 589 Davis Drive York, Pennsylvania 17402
SEP 11 2012
Re: K120012
Trade/Device Name: Integra™ Jarit® Video Assisted Thoracic Surgery Regulation Number: 21 CFR 876.1500 Regulation Name: Endoscope and accessories Regulatory Class: Class II Product Code: GCJ Dated: August 8, 2012 Received: August 10, 2012
Dear Ms. Sheesley:
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 note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.
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. Stephanie Sheesley
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,
for Datt in 71
Mark N. Melkerson Director Division of Surgical, Orthopedic and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
4
Indications For Use
K120012 510(k) Number (if known): __
Integra™ Jarit® Video Assisted Thoracic Surgery (VATS) Instruments Device Name: :
Indications for Use:
Integra™ Jarit® Video Assisted Thoracic Surgery (VATS) Instruments are manually operated instruments designed to perform specific functions such as cutting, grasping, clamping, dissecting, probing, draining, aspirating, suturing or ligating during open, mini-open, or thoracoscopic surgical procedures.
Prescription Use_ > (Part 21 CFR 801 Subpart D) AND/OR
Over-The-Counter-Use (Part 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)
Nulhe Siste formkn
Division Sign-C Division of Surgical, Orthopedic, and Restorative Devices
510(k) Number K120012
Page 1 of 1
Image /page/4/Picture/16 description: The image shows the word "INTEGRA" in all caps and in a sans-serif font. Below the word "INTEGRA" is a smaller word that is illegible. To the right of the word "INTEGRA" is a graphic of four squares of different sizes stacked on top of each other.