K Number
K121579
Device Name
EK DELIVERY DEVICE
Manufacturer
Date Cleared
2012-10-03

(126 days)

Product Code
Regulation Number
886.4300
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The EK Delivery Device is to be used by ophthalmic surgeons trained in Endothelial Keratoplasty (EK) procedures and trained in the use of the EK Delivery Device as: - An aid facilitating the insertion of donor corneal posterior lamellar endothelial graft of 100 – 220 µm of thickness into the anterior chamber of the eye during endothelial keratoplasty. - For use in a 5.1 mm or larger incision and a maximum donor tissue diameter of ≤ 8.5 mm) - For loading and storage of donor tissue during transport to the surgeon by trained eye bank technicians, and for storage of donor tissue for up to a maximum of 72 hours.
Device Description
The Endothelial Keratoplasty Injector is a single-use, disposable device that allows an ophthalmic surgeon to insert a previously prepared disc of posterior donor cornea into the eye of a recipient patient through a small incision during a posterior comeal transplant surgical procedure. The function of the device is to insert the flat disc of donor comeal tissue within a cylindrical tube that is sized to fit into 5.1 mm or larger corneal or scleral incision, and to pull or push this donor corneal tissue into the anterior chamber of the eye as part of a Endothelial Keratoplasty procedure. This device was designed to insert donor posterior corneal tissue ≤ 8.5 mm in diameter, 100um to 220um in thickness, through a 5.1 mm or larger corneal incision. The EK Delivery device consists of four components: (1) the Trocar which is used to hold the graft material and introduce it into the anterior chamber of the recipient eye, (2) the Trocar Holder, which is used to close the proximal end of the Trocar and as an ergonomic handle to aid the surgeon handling the device, (3) the Injector Assembly, which is a plunger to push the endothelial keratoplasty tissue out of the Trocar and into the anterior chamber of the recipient eye, and (4) End Plug used during shipping. Delivers a circular endothelial tissue button in a rolled configuration.
More Information

No
The description focuses on the mechanical function of a surgical delivery device and does not mention any AI/ML components or capabilities.

No.
This device is an aid for inserting donor tissue during an ophthalmic surgical procedure, not a device that directly treats a medical condition or restores function.

No

The device is described as an aid for inserting donor corneal tissue during a surgical procedure, not for diagnosing conditions. Its function is to facilitate the physical transfer of tissue, not to inform a medical diagnosis.

No

The device description clearly outlines physical components (Trocar, Trocar Holder, Injector Assembly, End Plug) and describes a mechanical function (inserting and pushing donor tissue). There is no mention of software as a component or function.

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.
  • Device Function: The EK Delivery Device is a surgical instrument used to physically insert donor corneal tissue into the eye during a surgical procedure. It is a tool for performing a surgical intervention, not for analyzing a sample from the body to provide diagnostic information.
  • Intended Use: The intended use clearly describes the device as an aid for facilitating the insertion of donor tissue during surgery and for the loading and storage of that tissue. It does not mention any diagnostic purpose or analysis of biological samples.
  • Device Description: The description details the mechanical components and how they are used to manipulate and insert the donor tissue. There is no mention of any components or functions related to analyzing biological samples.

In summary, the EK Delivery Device is a surgical instrument used in a therapeutic procedure, not a diagnostic test performed on a biological sample.

N/A

Intended Use / Indications for Use

The EK Delivery Device is to be used by ophthalmic surgeons trained in Endothelial Keratoplasty (EK) procedures and trained in the use of the EK Delivery Device as:

  • An aid facilitating the insertion of donor corneal posterior lamellar endothelial graft of 100 - 220 um into the anterior chamber of the eve during endothelial keratoplasty.
  • For use in a 5.1 mm or larger incision and a maximum donor tissue diameter of . ≤ 8.5 mm).
  • For loading and storage of donor tissue during transport to the surgeon by trained eve bank technicians, and for storage of donor tissue for up to a maximum of 72 hours.

Product codes

OTZ

Device Description

The Endothelial Keratoplasty Injector is a single-use, disposable device that allows an ophthalmic surgeon to insert a previously prepared disc of posterior donor cornea into the eye of a recipient patient through a small incision during a posterior comeal transplant surgical procedure. The function of the device is to insert the flat disc of donor comeal tissue within a cylindrical tube that is sized to fit into 5.1 mm or larger corneal or scleral incision, and to pull or push this donor corneal tissue into the anterior chamber of the eye as part of a Endothelial Keratoplasty procedure. This device was designed to insert donor posterior corneal tissue ≤ 8.5 mm in diameter, 100um to 220um in thickness, through a 5.1 mm or larger corneal incision.

The EK Delivery device consists of four components: (1) the Trocar which is used to hold the graft material and introduce it into the anterior chamber of the recipient eye, (2) the Trocar Holder, which is used to close the proximal end of the Trocar and as an ergonomic handle to aid the surgeon handling the device, (3) the Injector Assembly, which is a plunger to push the endothelial keratoplasty tissue out of the Trocar and into the anterior chamber of the recipient eye, and (4) End Plug used during shipping.

Delivers a circular endothelial tissue button in a rolled configuration.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Eye

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Ophthalmic surgeons trained in Endothelial Keratoplasty (EK) procedures and trained in the use of the EK Delivery Device.
Trained eye bank technicians for loading and storage of donor tissue during transport.

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 has been completed showing the following:
Sterilization Validation
Shelf Life
Mechanical Strength
Tissue Handling and Stability
Biocompatibility
This testing shows that the predicate and TDAK device are equivalent and pose no new safety issues.

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

Not Found

Predicate Device(s)

K090626

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 886.4300 Intraocular lens guide.

(a)
Identification. An intraocular lens guide is a device intended to be inserted into the eye during surgery to direct the insertion of an intraocular lens and be removed after insertion is completed.(b)
Classification. Class I (general controls). Except when used as folders or injectors for soft or foldable intraocular lenses, the device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to § 886.9.

0

K121579

ОСТ

3 2012

510(k) Summary

TDAK Medical, Inc.

11575 Sorrento Valley Road Suite 214 San Diego, CA 92121

SUMMARY

Submitter's name:

TDAK Medical Inc. 11575 Sorrento Valley Road Suite 214 San Diego, CA 92121

Name of contact person:

Greg Holland Regulatory Specialists, Inc. 3722 Ave. Sausalito Irvine, CA 92606 Phone: 949-262-0411 Fax: 949-552-2821 greg@regulatoryspecialists.com

Date the summary was revised:

September 12, 2012

Name of the device: Trade or proprietary name Common or usual name Classification Panel

EK Delivery Device EK Delivery Device Endothelial Keratoplasty (EK) Injector Ophthalmic

Product CodeClassification RegulationClassification Name
OTZ886.4300Lens, Guide, Intraocular

The legally marketed devices to which we are claiming equivalence [807.92(a)(3)]:

1

510(k) NumberTrade or Proprietary or Model NameManufacturer
K090626EndoSerter ™Ocular Systems, Inc.

The Endothelial Keratoplasty Injector is a single-use, disposable device that allows an ophthalmic surgeon to insert a previously prepared disc of posterior donor cornea into the eye of a recipient patient through a small incision during a posterior comeal transplant surgical procedure. The function of the device is to insert the flat disc of donor comeal tissue within a cylindrical tube that is sized to fit into 5.1 mm or larger corneal or scleral incision, and to pull or push this donor corneal tissue into the anterior chamber of the eye as part of a Endothelial Keratoplasty procedure. This device was designed to insert donor posterior corneal tissue ≤ 8.5 mm in diameter, 100um to 220um in thickness, through a 5.1 mm or larger corneal incision.

Indications:

The EK Delivery Device is to be used by ophthalmic surgeons trained in Endothelial Keratoplasty (EK) procedures and trained in the use of the EK Delivery Device as:

  • · An aid facilitating the insertion of donor corneal posterior lamellar endothelial graft of 100 - 220 um into the anterior chamber of the eve during endothelial keratoplasty.
    · For use in a 5.1 mm or larger incision and a maximum donor tissue diameter of . ≤ 8.5 mm).

· For loading and storage of donor tissue during transport to the surgeon by trained eve bank technicians, and for storage of donor tissue for up to a maximum of 72 hours.

Comparison to Predicate: .

The EK Delivery Device is similar to its predicate in basic functionality of inserting corneal tissue during endothelial keratoplasty (EK) procedure. Both are intended to be an aid to delivering the corneal tissue in a convenient form for the ophthalmic physician.

The EK Delivery Device is to be used by ophthalmic surgeons trained in Endothelial Keratoplasty (EK) procedures and trained in the use of the EK Delivery Device as:

2

  • An aid facilitating the insertion of donor posterior lamellar endothelial graft of . 100µm to 220µm in thickness into the anterior chamber of the eye during endothelial keratoplasty.
  • For loading and storage of donor tissue during transport to the surgeon by . trained eye bank technicians, and for storage of donor tissue for up to a maximum of 72 hours.

3

.

: 上

|:

Product NameProposed:Predicate:
EK Delivery DeviceK090626
EndoSerter™
Indications for UseThe EK Delivery Device is to
be used by ophthalmic
surgeons trained in
Endothelial Keratoplasty (EK)
procedures and trained in the
use of the EK Delivery
Device as:
An aid facilitating the
insertion of donor posterior
lamellar endothelial graft of
100µm to 220µm in thickness
into the anterior chamber of
the eye during endothelial
keratoplasty. For use in a 5.1 mm or
larger incision and a
maximum donor tissue
diameter of ≤ 8.5 mm). For loading and storage of
donor tissue during transport
to the surgeon by trained
eye bank technicians, and
for storage of donor tissue
for up to a maximum of 72
hours.The EndoSerter™ is
used to insert corneal
endothelial allograft
tissue measuring less
than or equal to 8.5mm in
diameter and 175 micron
in central thickness into
the anterior chamber
through a minimum 4mm
incision during
endothelial keratoplasty
procedures
Product CodeOTZOTZ
Regulation Number886.4300886.4300
Class1, reserved1, reserved
Review Advisory
CommitteeOphthalmicOphthalmic
Target PopulationPatients requiring Endothelial
KeratoplastyPatients requiring
Endothelial Keratoplasty
Anatomical SiteEyeEye
Product NameProposed:Predicate:
EK Delivery DeviceK090626
EndoSerter™
DesignThe EK Delivery device
consists of four components:
(1) the Trocar which is used
to hold the graft material and
introduce it into the anterior
chamber of the recipient eye,
(2) the Trocar Holder, which
is used to close the proximal
end of the Trocar and as an
ergonomic handle to aid the
surgeon handling the device,
(3) the Injector Assembly,
which is a plunger to push
the endothelial keratoplasty
tissue out of the Trocar and
into the anterior chamber of
the recipient eye, and (4) End
Plug used during shipping.The EndoSerter®
consists of the
instrument's body and its
internal mechanism and
carrier. The EndoSerter®
is a sterile, disposable,
single use only device.
Delivers a circular endothelial
tissue button in a rolled
configuration.Delivers a circular
endothelial tissue button
in a rolled configuration.
SterilitySterile RadiationSterile Radiation
Storage CapabilityYes 72 hoursNo

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

and the comments of the comments of

:

4

Testing has been completed showing the following:

Sterilization Validation

Shelf Life

:

Mechanical Strength

Tissue Handling and Stability

Biocompatibility

This testing shows that the predicate and TDAK device are equivalent and pose no new safety issues.


__ and the other one is the same. I'm sorry.

__ and, and the list goes on.

lity

5

Image /page/5/Picture/1 description: The image shows the logo for the Department of Health & Human Services (HHS). The logo features a stylized eagle with its wings spread, symbolizing protection and service. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" is arranged in a circular pattern around the eagle, indicating the department's name and national affiliation.

Public Health Service

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room-WO66-G609 Silver Spring, MD 20993-0002

OCT

3 2012

TDAK Medical. Inc. c/o Mr. Greg Holland Regulatory Specialist, Inc. 3722 Ave. Sausalito Irvine, CA 92606

Re: K121579

Trade/Device Name: EK Delivery Device Regulation Number: 21 CFR 886.4300 Regulation Name: Graft Insertion Instrument for Endothelial Keratoplasty Regulatory Class: Class I (reserved) Product Code: OTZ Dated: September 12, 2012 Received: September 13, 2012

Dear Mr. Holland:

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

6

Page 2 – Mr. Greg Holland

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,
Kesia Alexander

Malvina B. Eydelman, M.D. Director Division of Ophthalmic, Neurological, and Ear, Nose and Throat Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

7

Indications for Use Statement Indications for Use

510(k) Number (if known): K121579

Device Name: EK Delivery Device

Indications for Use:

The EK Delivery Device is to be used by ophthalmic surgeons trained in Endothelial Keratoplasty (EK) procedures and trained in the use of the EK Delivery Device as:

  • · An aid facilitating the insertion of donor corneal posterior lamellar endothelial graft of 100 – 220 µm of thickness into the anterior chamber of the eye during endothelial keratoplasty.
    · For use in a 5.1 mm or larger incision and a maximum donor tissue diameter of ≤ 8.5 mm)

· For loading and storage of donor tissue during transport to the surgeon by trained eye bank technicians, and for storage of donor tissue for up to a maximum of 72 hours.

AND/OR Prescription Use X (Part 21 CFR 801 Subpart D)

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

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

(Division Sign-Off)

Division of Ophthalmic, Neurological and Ear, Nose and Throat Devices

510(k) Number K121579

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