(148 days)
Not Found
Not Found
No
The device description details a simple mechanical syringe and mixing container with no mention of software, algorithms, or data processing that would indicate AI/ML.
No
The device is intended for nasal and sinus irrigation, which is a therapeutic action, but a syringe used for lavage is generally considered a medical device for hygiene or symptomatic relief, not a therapeutic device that directly treats a disease. It facilitates the delivery of a substance (irrigant) that may have therapeutic effects, but the device itself is a delivery mechanism, not the therapeutic agent.
No
The device is described as a lavage system for nasal and sinus irrigation and flushing, not for identifying or investigating a disease, injury, or other condition.
No
The device description clearly outlines physical components: a syringe, plunger, silicone tip, mixing container, and screw top. These are hardware components, not software.
Based on the provided information, the SinuFlush Lavage System is not an IVD (In Vitro Diagnostic).
Here's why:
- Intended Use: The intended use is for "nasal and sinus irrigation in patients". This is a therapeutic or procedural use, not a diagnostic one. IVDs are used to examine specimens (like blood, urine, tissue) in vitro (outside the body) to provide information for diagnosis, monitoring, or screening.
- Device Description: The device is a syringe and mixing container used for delivering a solution into the nasal passages. This is a physical delivery system, not a device that analyzes biological samples.
- Lack of Diagnostic Elements: There is no mention of analyzing biological samples, detecting biomarkers, or providing diagnostic information.
The SinuFlush Lavage System is a medical device used for a therapeutic procedure (irrigation), not for in vitro diagnostic testing.
N/A
Intended Use / Indications for Use
The SinuFlush Lavage System is intended for nasal and sinus irrigation in patients who are under the care of a physician. The SinuFlush Lavage System is a prescription use product that is to be used by adults in either the physician's office or in the home after obtaining instructions from a health care provider.
Product codes (comma separated list FDA assigned to the subject device)
KAR
Device Description
The SinuFlush Lavage System is a hand held 25 cc syringe with a plunger to control the force of delivery and volume markings on its side in order to measure the amount of irrigant to be delivered. The tip consists of soft silicone to occlude the nasal ostium during irrigation. The mixing container consists of a 25 cc container with markings on its side for volume measurement in cc, and a plastic screw top to secure the contents of the container during shaking.
Mentions image processing
Not Found
Mentions AI, DNN, or ML
Not Found
Input Imaging Modality
Not Found
Anatomical Site
nasal and sinus
Indicated Patient Age Range
adults
Intended User / Care Setting
used by adults in either the physician's office or in the home after obtaining instructions from a health care provider.
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): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.
Not Found
Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.
Not Found
Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).
Not Found
§ 874.4420 Ear, nose, and throat manual surgical instrument.
(a)
Identification. An ear, nose, and throat manual surgical instrument is one of a variety of devices intended for use in surgical procedures to examine or treat the bronchus, esophagus, trachea, larynx, pharynx, nasal and paranasal sinus, or ear. This generic type of device includes the esophageal dilator; tracheal bistour (a long, narrow surgical knife); tracheal dilator; tracheal hook; laryngeal injection set; laryngeal knife; laryngeal saw; laryngeal trocar; laryngectomy tube; adenoid curette; adenotome; metal tongue depressor; mouth gag; oral screw; salpingeal curette; tonsillectome; tonsil guillotine; tonsil screw; tonsil snare; tonsil suction tube; tonsil suturing hook; antom reforator; ethmoid curette; frontal sinus-rasp; nasal curette; nasal rasp; nasal rongeur; nasal saw; nasal scissors; nasal snare; sinus irrigator; sinus trephine; ear curette; ear excavator; ear rasp; ear scissor, ear snare; ear spoon; ear suction tube; malleous ripper; mastoid gauge; microsurgical ear chisel; myringotomy tube inserter; ossici holding clamp; sacculotomy tack inserter; vein press; wire ear loop; microrule; mirror; mobilizer; ear, nose, and throat punch; ear, nose and throat knife; and ear, nose, and throat trocar.(b)
Classification Class I (general controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to § 874.9.
0
510(k) Summary
510(k) Number: K131177
Device Name: SinuFlush Lavage System
This summary of 510(k) safety and effectiveness is being submitted in accordance with the requirements of 21 CFR 807.92.
Submitter's Name and Address
HedgePath, LLC Suite 350 324 S. Hyde Park Ave Tampa, FL 33606
Contact: Frank E. O'Donnell, Jr MD. Acting Director of Regulatory Affairs (314) 258-6446 (941) 387-9150
Device Name
| Trade Name: | SinuFlush Lavage System |
|---|---|
| Common Name: | Ear, nose, and throat manual surgical instrument |
| Classification Name: | Ear, nose, and throat manual surgical instrument |
| (21 CFR 874.4420) | |
| Product Code: | KAR |
1
Predicate Device
| New Device | Predicate | |
|---|---|---|
| Device Name | SinuFlush Lavage System | Sinusense Nasal Rinse |
| Manufacturer | HedgePath, LLC | Water Pik, Inc. |
| Regulation | ||
| Number/ | ||
| Product Code | 874.4420, KAR (Proposed) | 874.4420, KAR (Exempt) |
| Indication for | ||
| Use | The SinuFlush Lavage System is | |
| intended for nasal and sinus | ||
| irrigation in patients who are under | ||
| the care of a physician. The | ||
| SinuFlush Lavage System is a | ||
| prescription use product that is to be | ||
| used by adults in either the | ||
| physician's office or in the home after | ||
| obtaining instructions from a health | ||
| care provider. | Sinusense Nasal Rinse: "Sinus wash | |
| has been used for centuries as a natural | ||
| daily routine to keep sinus passages | ||
| clear of congestion, allergens and | ||
| everyday debris. It's an all-natural | ||
| approach to better breathing that makes | ||
| perfect sense when you consider all of | ||
| the other remedies on the market. The | ||
| Waterpik® SinuSenseTM Sinus Wash | ||
| products and the uniquely formulated | ||
| Soothing Saline Easy- Pour Packs clear | ||
| sinuses to make breathing easier." | ||
| Principle of | ||
| Operation | Irrigant is delivered by pushing the | |
| plunger of the 25 cc syringe under the | ||
| manual control of the patient. | Irrigant is delivered by manual pressure | |
| by the user. | ||
| Nose contact | ||
| mechanism | The nose is occluded by be | |
| specifically designed silicon tip. | The nose is occluded by a specifically | |
| designed non-rubber, non-latex tip. |
Device Description
The SinuFlush Lavage System is a hand held 25 cc syringe with a plunger to control the force of delivery and volume markings on its side in order to measure the amount of irrigant to be delivered. The tip consists of soft silicone to occlude the nasal ostium during irrigation. The mixing container consists of a 25 cc container with markings on its side for volume measurement in cc, and a plastic screw top to secure the contents of the container during shaking.
The SinuFlush Lavage System is substantially equivalent to the Sinusense Nasal Rinse.
Intended Use
The SinuFlush Lavage System is intended for nasal and sinus irrigation in patients who are under the care of a physician. The SinuFlush Lavage System is a prescription use product that is to be used by adults in either the physician's office or in the home after obtaining instructions from a health care provider.
2
Image /page/2/Picture/1 description: The image is a black and white logo for the U.S. Department of Health and Human Services. The logo features a stylized caduceus, a symbol often associated with medicine and healthcare. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" are arranged in a circular pattern around the caduceus.
Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002
February 25, 2014
HedgePath, LLC c/o Frank E. O'Donnell, Jr., M.D. Acting Director of Regulatory Affairs 324 S. Hyde Park Avenue, Suite 350 Tampa, FL 33606
Re: K131177
Trade/Device Name: SinuFlush Lavage System Regulation Number: 21 CFR 874.4420 Regulation Name: Ear, Nose, and Throat Manual Surgical Instrument Regulatory Class: Class 1 Product Code: KAR Dated: August 7, 2013 Received: August 8, 2013
Dear Dr. O'Donell:
This letter corrects our substantially equivalent letter of September 20, 2013.
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.
3
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 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/ResourcesforYou/Industry/default.htm.
Sincerely yours,
Eric A. Mann -S
for Malvina B. Eydelman, M.D. Director Division of Ophthalmic and Ear, Nose and Throat Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
4
Indications for Use Form (Text Version) Indications for Use
510(k) Number (if known): ___K131177 Device Name: SinuFlush Lavage System Indications for Use:
The SinuFlush Lavage System is intended for nasal and sinus irrigation in patients who are under the care of a physician. The SinuFlush Lavage System is a prescription use product that is to be used by adults in either the physician's office or in the home after obtaining instructions from a health care provider.
× Over-The-Counter Use Prescription Use AND/OR (21 CFR 801 Subpart C) (Part 21 CFR 801 Subpart D) (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE OF NEEDED) Concurrence of CDRH, Office of Device Evaluation (ODE)
Page ___ of __________________________________________________________________________________________________________________________________________________________________
Vasant G. Malshet
Digitally signed by Vasant G. Malshet DN: c=US, o=U.S. Government, ou=HHS, ou=FDA, ou=People, cn=Vasant G. Malshet, 0.9.2342.19200300.100.1.1=130008785
Date: 2013.09.19 10:23:31 -04'00'