K Number
K140441
Device Name
BI-FLEX URETERAL ACCESS SHEATH
Manufacturer
Date Cleared
2014-06-17

(116 days)

Product Code
Regulation Number
876.5130
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Bi-Flex Ureteral Access Sheath is intended to be a conduit for passage of endoscopes and other urological devices for the purpose of performing ureteroscopy procedures. The dual working lumen dilator with luer lock connections allows the user to insert guidewires and fluids.
Device Description
The Bi-Flex Ureteral Access Sheath is designed to create a conduit for urological procedural instruments. The device consists of two components: a flexible, coil reinforced sheath and a semirigid dual lumen dilator catheter with tapered distal tip. Both components are radiopaque and have hydrophilic coating. This device is sold in two sizes, 10/12 and 12/14 FR, and two lengths, 35 and 45 cm.
More Information

Not Found

No
The description focuses on the physical components and function of a ureteral access sheath, with no mention of AI, ML, image processing, or data-driven analysis.

No
The device acts as a conduit for other instruments used in procedures, rather than directly treating a condition itself.

No

The device is described as an access sheath to create a conduit for urological procedural instruments, not to diagnose a condition. Its function is to facilitate procedures, not to provide diagnostic information.

No

The device description clearly outlines physical components (flexible, coil reinforced sheath, semirigid dual lumen dilator catheter) and materials (radiopaque, hydrophilic coating), indicating it is a hardware medical device.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use clearly states it's a conduit for passage of endoscopes and other urological devices for performing ureteroscopy procedures. This is a surgical/interventional procedure performed directly on the patient's body.
  • Device Description: The description details a physical device (sheath and dilator) used to create a passage within the ureter.
  • Lack of IVD Characteristics: IVD devices are used to examine specimens (like blood, urine, tissue) outside the body to provide information about a patient's health. This device does not interact with specimens in this way.

The device described is a surgical access tool used in vivo (within the living body).

N/A

Intended Use / Indications for Use

The Bi-Flex Ureteral Access Sheath is intended to be a conduit for passage of endoscopes and other urological devices for the purpose of performing ureteroscopy procedures. The dual working lumen dilator with luer lock connections allows the user to insert guidewires and fluids.

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

KNY

Device Description

The Bi-Flex Ureteral Access Sheath is designed to create a conduit for urological procedural instruments. The device consists of two components: a flexible, coil reinforced sheath and a semirigid dual lumen dilator catheter with tapered distal tip. Both components are radiopaque and have hydrophilic coating. This device is sold in two sizes, 10/12 and 12/14 FR, and two lengths, 35 and 45 cm.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Ureter

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)

Results of physical and functional testing support a determination of substantial equivalents for the Bi-Flex Ureteral Acces Sheath when compared to the predicate device.

The Bi-Flex Ureteral Access Sheath is substantially equivalent to devices currently market approved in terms of intended use, technology, principles of operation and materials.

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.

ROCAMED RocaUS Platinum (K120160)

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

§ 876.5130 Urological catheter and accessories.

(a)
Identification. A urological catheter and accessories is a flexible tubular device that is inserted through the urethra and used to pass fluids to or from the urinary tract. This generic type of device includes radiopaque urological catheters, ureteral catheters, urethral catheters, coudé catheters, balloon retention type catheters, straight catheters, upper urinary tract catheters, double lumen female urethrographic catheters, disposable ureteral catheters, male urethrographic catheters, and urological catheter accessories including ureteral catheter stylets, ureteral catheter adapters, ureteral catheter holders, ureteral catheter stylets, ureteral catheterization trays, and the gastro-urological irrigation tray (for urological use).(b)
Classification. (1) Class II (performance standards).(2) Class I for the ureteral stylet (guidewire), stylet for gastrourological catheter, ureteral catheter adapter, ureteral catheter connector, and ureteral catheter holder. 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 § 876.9.

0

Submitter . Promepla SAM

JUN 1 7 2014

K140441 Pg. 1 of 3 Bi-Flex Ureteral Access Sheath Traditional 510 (k)

510 (k) Summary

A. Submitter Information:

Submitter's Name:PROMEPLA SAM
Address:9 Avenue Prince Albert II
"LE COPORI"
MC 98000 MONACO (Principality of)
Contact Person:Mohamed Rekik
Contact Person's Number:(377) 97984233
Contact Person's Fax:(377) 92056150
Date of Preparation:January 23, 2014

B. Device Name:

Trade Name:Bi-Flex Ureteral Access Sheath
Common Name:Ureteral Access Sheath
Classification Name(s):Accessories, Catheter, G-U
Produce Code:KNY
CFR Reference:21 CFR 876.5130

C. Predicate Device Name:

Trade Name:

ROCAMED RocaUS Platinum (K120160)

D. Device Description:

The Bi-Flex Ureteral Access Sheath is designed to create a conduit for urological procedural instruments. The device consists of two components: a flexible, coil reinforced sheath and a semirigid dual lumen dilator catheter with tapered distal tip. Both components are radiopaque and have hydrophilic coating. This device is sold in two sizes, 10/12 and 12/14 FR, and two lengths, 35 and 45 cm.

E. Intended Use:

The Bi-Flex Ureteral Access Sheath is intended to be a conduit for passage of endoscopes and other urological devices for the purpose of performing ureteroscopy procedures. The dual working lumen dilator with luer lock connections allows the user to insert guidewires and fluids.

F. Technological Characteristics Summary:

The Bi-Flex Ureteral Access Sheath is flexible coil reinforced sheath with hydrophilic coating. The device can be inserted by placing the dilator/sheath assembly over a guidewire, inserting it into the patient and unclipping the dilator from the sheath and removing the sheath in place. The sheath allows for safe passage of endoscopes, injection of fluids and other related instruments.

Table 1 provides a comparison summary of the technological characteristics of the Bi-Flex Ureteral Access Sheath versus the predicate devices.

Section 5

.

1

Table 1


Proposed DevicePredicate Device
Product NameBi-Flex Ureteral Access
SheathROCAMED RocaUS
Platinum
510(k) Number
Product Code, Regulation #,
NameKNY
21 CFR 876.5130,
Urological catheter and
accessories.KNY
21 CFR 876.5130,
Urological catheter and
accessories.
ManufacturerPromepla SAMPromepla SAM
Intended UseThe Bi-Flex Ureteral
Access Sheath is
intended to be a conduit
for passage of
endoscopes and other
urological devices for the
purpose of performing
ureteroscopy procedures.
The dual working lumen
dilator with luer lock
connections allows the
user to insert guidewires
and fluids.The ROCAMED RocaUS
Platinum is intended to be
a conduit for passage of
endoscopes and other
urological devices for the
purpose of performing
ureteroscopy procedures.
The dual working lumen
dilator with luer lock
connections allows the
user to insert guidewires
and fluids.
Reuse StatusDisposable. For single
patient use onlyDisposable. For single
patient use only
SterileYesYes
Lumen22
Dilator MaterialLDPE+BaSO4LDPE+BaSO4
Sheath MaterialPebax-SST-PTFEPebax-SST-PTFE
X-Ray OpaqueYesYes
Coil ReinforcedYesYes
Fr Size10/12,12/1410/12,12/14
Length35, 45 cm35 cm
Guide wire Compatibility0.032", 0.035"0.032", 0.035"
Atraumatic TipYesYes
Tapered DilatorYesYes
Radiopaque MarksYesYes
Hydrophilic CoatingYesYes
Injection of Contrast MediaYesYes
Proximal End FunnelYesYes

Section 5

2

G. Performance Data:

Results of physical and functional testing support a determination of substantial equivalents for the Bi-Flex Ureteral Acces Sheath when compared to the predicate device.

The Bi-Flex Ureteral Access Sheath is substantially equivalent to devices currently market approved in terms of intended use, technology, principles of operation and materials.

3

Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized symbol that resembles an abstract caduceus or a bird-like figure, composed of three curved lines.

Public Health Service

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

June 17, 2014

Promepla SAM Mohamed Rekik Quality Manager 9 Avenue Albert II, "Le Copori" MC 98000 MONACO

K140441 Re:

Trade/Device Name: Bi-Flex Ureteral Access Sheath Regulation Number: 21 CFR§ 876.5130 Regulation Name: Urological catheter and accessories Regulatory Class: II Product Code: KNY Dated: January 23, 2014 Received: February 21, 2014

Dear Mohamed Rekik,

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 for use sured in the enorther. 776, the enactment date of the Medical Device Amendments, or to conninered province 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). and Cosmetic rice, its (110) has the device, subject to the general controls provisions of the Act. The rou may, alores 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 If your device is blackling a 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 r least of advised that I Drin based that your device complies with other requirements of the Act that I DA has made a continegulations administered by other Federal agencies.

4

Page 2 - Mohamed Rekik

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/Resourcesfor You/Industry/default.htm.

Sincerely yours,

JoyceMDang-S

for

Benjamin R. Fisher, Ph.D. Director Division of Reproductive, Gastro-Renal, and Urological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

5

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

Form Approved: OMB No. 0910-0120 Expiration Date: January 31, 2017 See PRA Statement on last page.

510(k) Number (if known) K140441

Device Name Bi-Flex Ureteral Access Sheath

Indications for Use (Describe)

The Bi-Fies: Ureteral Access Sheath is intended to be a conduit for passage of endoscopes and other urological devices for the purpose The DPF fest Offerent Needs onean is the dual working lumen dilator with luer lock connections allows the user to insert guidewires and fluids.

Type of Use (Select one or both, as applicable)

[x] Prescription Use (Part 21 CFR 801 Subpart D)

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

PLEASE DO NOT WRITE BELOW THIS LINE – CONTINUE ON A SEPARATE PAGE IF NEEDED.

THE FOR FOR FOR FOR FOR FOR FOR FOR FOR the first the rest Concurrence of Center for Devices and Radiological Health (CDRH) (Signalure)

FORM FDA 3881 (1/14)

150 Publishing Services (301) 433-6740

6

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