K Number
K132362
Device Name
WECK EFX ENDO FASCIAL CLOSURE SYSTEM
Date Cleared
2013-10-08

(70 days)

Product Code
Regulation Number
876.1500
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The WECK® EFx™ Endo Fascial Closure System has application in laparoscopic procedures for approximation of tissues and percutaneous suturing for closing incision sites.
Device Description
Laparoscopic ports are used to establish a port of entry into the abdominal cavity and gain access to the surgical site. Ports are positioned into patients during minimally invasive surgical procedures by trained surgeons in order to provide a pathway for the insertion and removal of surgical devices and removal of specimens. Following the laparoscopic procedure the injury to the abdominal wall defects at the site of the port entry puncture must be repaired and often entails suturing to prevent future complications and particularly herniation. The WECK® EFx™ Endo Fascial Closure System is designed to maintain pneumoperitoneum and facilitate placement and withdrawal of suture loops to perform these repairs.
More Information

Not Found

No
The description focuses on a mechanical device for surgical closure and does not mention any AI/ML components or functions.

No

Explanation: A therapeutic device is used to treat, cure, or mitigate a disease or condition. This device is used for approximation of tissues and percutaneous suturing for closing incision sites after laparoscopic procedures, which is a surgical tool/accessory rather than a direct therapeutic intervention.

No
The device is used for suturing and tissue approximation during and after laparoscopic procedures, which are interventional rather than diagnostic.

No

The device description clearly describes a physical system ("Laparoscopic ports," "surgical devices," "suturing") and the performance studies focus on material and mechanical properties, indicating it is a hardware device.

Based on the provided information, the WECK® EFx™ Endo Fascial Closure System is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is for "approximation of tissues and percutaneous suturing for closing incision sites" during laparoscopic procedures. This is a surgical procedure performed on the patient's body, not a test performed on a sample taken from the patient's body.
  • Device Description: The device is described as facilitating the placement and withdrawal of suture loops to repair abdominal wall defects after laparoscopic port entry. This is a surgical tool used for physical repair.
  • Lack of IVD Characteristics: There is no mention of the device being used to analyze biological samples (blood, urine, tissue, etc.) or to provide diagnostic information about a patient's health condition.

IVD devices are specifically designed to perform tests on samples taken from the human body to provide information for diagnosis, monitoring, or screening. The WECK® EFx™ Endo Fascial Closure System does not fit this description.

N/A

Intended Use / Indications for Use

The WECK® EFxTM Endo Fascial Closure System has application in laparoscopic procedures for approximation of tissues and percutaneous suturing for closing incision sites.

Product codes (comma separated list FDA assigned to the subject device)

OCW, GCJ, HCF

Device Description

Laparoscopic ports are used to establish a port of entry into the abdominal cavity and gain access to the surgical site. Ports are positioned into patients during minimally invasive surgical procedures by trained surgeons in order to provide a pathway for the insertion and removal of surgical devices and removal of specimens. Following the laparoscopic procedure the injury to the abdominal wall defects at the site of the port entry puncture must be repaired and often entails suturing to prevent future complications and particularly herniation. The WECK® EFx™ Endo Fascial Closure System is designed to maintain pneumoperitoneum and facilitate placement and withdrawal of suture loops to perform these repairs.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

abdominal wall

Indicated Patient Age Range

Not Found

Intended User / Care Setting

trained surgeons

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)

The bench testing has been performed to verify that the performance of the proposed WECK® EFx™ Endo Fascial Closure System is substantially equivalent to the predicate device. The proposed material and dimensional modification was tested according to the scheme and specifications summarized below.

Qualitative Test Specification: Material Verification. Result: PASS Materials were found to meet pre-established specifications.
Qualitative Test Specification: Visual Inspection for Defects and Cleanliness. Result: PASS All devices passed the inspections for defects and cleanliness.
Quantitative Test Specification: Dimensional Inspection. Result: PASS Dimensions were found to meet pre-established specifications.
Qualitative and Quantitative Test Specification: Mechanical Inspection. Result: PASS Function of the device was verified against pre-established specifications.
Qualitative and Quantitative Test Specification: Suture Retention. Result: PASS Function of the device was verified against pre-established specifications.
Qualitative and Quantitative Test Specification: Destructive Testing of Failure Modes. Result: PASS The device exceeded the maximum working load of the pre-established specifications.

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.

K103412

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

§ 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

K132-362

Traditional 510(k) Section 7 - 510(k) SUMMARY

1 2 t

WECK® EFx™ Endo Fascial Closure System

510(k) SUMMARY WECK® EFx™ Endo Fascial Closure System

A. Name, Address, Phone and Fax Number of Applicant

Teleflex Medical, Incorporated 2917 Weck Drive Research Triangle Park, NC 27709 USA Phone: 919-361-4071 919-433-4996 Fax:

B. Contact Person

Natalie Hichak Regulatory Affairs Specialist

ОСТ 0 8 2013

Manager RA/QE Surgical C. Date Prepared

Lorraine DeLong

July 16, 2013

D. Device Name

Trade Name: WECK® EFx™ Endo Fascial Closure System

Common Name: Endoscopic tissue approximation device

Classification Name: Endoscope and accessories

E. Device Description

Laparoscopic ports are used to establish a port of entry into the abdominal cavity and gain access to the surgical site. Ports are positioned into patients during minimally invasive surgical procedures by trained surgeons in order to provide a pathway for the insertion and removal of surgical devices and removal of specimens. Following the laparoscopic procedure the injury to the abdominal wall defects at the site of the port entry puncture must be repaired and often entails suturing to prevent future complications and particularly herniation. The WECK® EFx™ Endo Fascial Closure System is designed to maintain pneumoperitoneum and facilitate placement and withdrawal of suture loops to perform these repairs.

Teleflex Medical, Inc.

1

F. Indications for Use

The WECK® EFxTM Endo Fascial Closure System has application in laparoscopic procedures for approximation of tissues and percutaneous suturing for closing incision sites.

G. Contraindications

Do not use where laparoscopic techniques are generally contraindicated

H. Substantial Equivalence

The proposed WECK® EFx™ Endo Fascial Closure System is substantially equivalent to the predicate devices:

Predicate DeviceManufacturer510(k) No.Date Cleared
Axiom Fascial Closure SystemAxiom Technology
PartnersK103412December 30, 2010

I. Comparison To Predicate Devices

The proposed WECK® EFx™ Endo Fascial Closure System has the same technology, indications for use and functional characteristics as the predicate system. This submission is notification to the agency of the transfer in ownership of the 510(k).K 103412 from Axiom Technology Partners LLC to Teleflex Medical Incorporated and to update material and dimensional modifications incorporated subsequent to the clearance of 510(k) K103412 and prior to the transfer of ownership to Teleflex Medical Inc.

J. Materials

All patient contacting materials are in compliance with ISO10993-1.

K. Technological Characteristics

A comparison of the technological characteristics of the proposed WECK® EFx™ Endo Fascial Closure System and the predicate has been performed. The results of this comparison demonstrate that the WECK® EFx™ Endo Fascial Closure System is equivalent to the marketed predicate devices in performance characteristics.

L. Performance Data

The bench testing has been performed to verify that the performance of the proposed WECK® EFx™ Endo Fascial Closure System is substantially equivalent to the

2

Traditional 510(k) Section 7 - 510(k) SUMMARY

י י

predicate device. The proposed material and dimensional modification was tested according to the scheme and specifications summarized below.

Performance Data Results Summary
Response TypeTest SpecificationResult
QualitativeMaterial VerificationPASS
Materials were found to meet pre-established
specifications.
QualitativeVisual Inspection for
Defects and
CleanlinessPASS
All devices passed the inspections for defects
and cleanliness.
QuantitativeDimensional
InspectionPASS
Dimensions were found to meet pre-
established specifications.
Qualitative and
QuantitativeMechanical
InspectionPASS
Function of the device was verified against
pre-established specifications.
Qualitative and
QuantitativeSuture RetentionPASS
Function of the device was verified against
pre-established specifications.
Qualitative and
QuantitativeDestructive Testing
of Failure ModesPASS
The device exceeded the maximum working
load of the pre-established specifications.

L. Conclusion

Based upon the comparative test results, the proposed WECK® EFx™ Endo Fascial Closure System is substantially equivalent in performance to the predicate devices cleared to market via 510(k) K 103412. The modifications made to the proposed WECK® EFxTM Endo Fascial Closure System do not introduce any new issues of safety and effectiveness.

3

Image /page/3/Picture/0 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo features a stylized eagle with three lines representing its wings and body. The eagle is encircled by the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" in a circular arrangement.

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WObo-Goos Silver Spring, MD 20993-0002

October 8, 2013

Teleflex Medical. Incorporated Ms. Natalie Hichak Regulatory Affairs Specialist 2917 Weck Drive Research Triangle Park, North Carolina 27709

Rc: K132362

Trade/Device Name: WECK* EFx" Endo Fascial Closure System Regulation Number: 21 CFR 876.1500 Regulation Name: Endoscope and Accessories Regulatory Class: Class II Product Codes: OCW. GCJ, HCF Dated: July 29, 2013 Received: July 30, 2013

Dear Natalie Hichak.

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 10 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 device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set

4

Page 2 - Ms. Natalie Hichak

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 contact the Division of Small Manufacturers, International and Consumer Assistance at its tollfree number (800) 638-2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. 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.

Mark N. Melkerson -S

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

Enclosure

5

Indications for Use

Page 1 of 1

510(k) Number:

K132362

Device Name:

WECK® EFx™ Endo Fascial Closure System

Indications for Use:

The WECK® EFx™ Endo Fascial Closure System has application in laparoscopic procedures for approximation of tissues and percutaneous suturing for closing incision sites.

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

Over-the-counter use_ (21 CFR 807 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Jiyoung Dang -S