(167 days)
Not Found
No
The device description and performance studies focus on mechanical and material properties, with no mention of AI/ML algorithms or data processing.
No.
The device's purpose is to supply sterile water to an endoscope during procedures, which is a supportive function for a diagnostic or interventional procedure rather than providing direct therapeutic action.
No
The device is described as a water bottle cap system that supplies sterile water to an endoscope during procedures. Its function is to facilitate the delivery of water, not to diagnose any condition or disease.
No
The device description clearly outlines physical components (water bottle cap, tubing, clip, connector) and their mechanical function in delivering sterile water. There is no mention of software as a component or function of the device.
Based on the provided information, the EndoChoice water bottle cap system is not an IVD (In Vitro Diagnostic).
Here's why:
- Intended Use: The intended use is to supply sterile water to an endoscope during endoscopic procedures. This is a supportive function for a medical procedure performed on a patient, not a test performed on a sample taken from the body (in vitro).
- Device Description: The device description focuses on its mechanical function of delivering water under pressure to the endoscope. It does not describe any components or processes related to analyzing biological samples.
- Lack of IVD Characteristics: The description does not mention any of the typical characteristics of an IVD, such as:
- Analyzing biological samples (blood, urine, tissue, etc.)
- Detecting or measuring substances in biological samples
- Providing diagnostic information about a patient's health status
- Using reagents or calibrators
The device is clearly designed to facilitate a medical procedure (endoscopy) by providing a necessary supply (sterile water) to the instrument used in that procedure. This falls under the category of a medical device, but not specifically an in vitro diagnostic device.
N/A
Intended Use / Indications for Use
The EndoChoice water bottle cap system is intended to be used with an air source or carbon dioxide (CO2) with the purpose of supplying sterile water to the endoscope during endoscopic procedures. It is compatible with commercially available sterile water bottles.
Product codes (comma separated list FDA assigned to the subject device)
FEQ
Device Description
The EndoChoice water bottle cap system is a sterile disposable device designed to fit commercially available sterile water bottles for providing sterile water during endoscopic procedures. The water bottle cap system is designed with a clip that is placed on the tubing to stop water flow from the water bottle when the endoscope is not in use.
The device attaches via a connector to the air/water port of an endoscope. The water bottle cap itself is attached to a standard sterile water bottle. Air supplied from the processor unit then pressurizes the water bottle, providing water flow when then air/water valve of the endoscope is depressed. Some models provide a feature that provides an option to use a CO2 air source.
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
Instructions state that the device is to be used by trained endoscopy professionals.
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)
Non-clinical testing has been performed on the device. Specifically, the following has been completed on the water bottle cap and tubing set:
- Benchtop functional performance testing .
- Laboratory validation testing of sterilization
- Biocompatibility testing in conformance with ISO 10993-1. .
All test results passed, demonstrating that the device is safe and effective in comparison with the predicate device.
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.
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
Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized caduceus symbol, which is often associated with healthcare. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" are arranged in a circular pattern around the caduceus symbol. The logo is simple and recognizable, and it is used to represent the U.S. Department of Health & Human Services.
Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002
January 20, 2015
Endochoice, Inc. Daniel Hoefer. Regulatory Affairs Manager 11810 Wills Rd. Alpharetta, GA 30009
Re: K142155
Trade/Device Name: Endochoice Water Bottle Cap System Regulation Number: 21 CFR 876.1500 Regulation Name: Endoscope and accessories Regulatory Class: II Product Code: FEQ Dated: December 9, 2014 Received: December 10, 2014
Dear Daniel Hoefer,
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 devicerelated adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in
1
the quality systems (OS) 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 Industry and Consumer Education 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. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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 Industry and Consumer Education 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,
Benjamin R. Fisher -S
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
2
INDICATIONS FOR USE
| 510(k) Number (if known): | K142155 |
|---|---|
| --------------------------- | --------- |
Device Name: Water Bottle cap system
Indications for Use
The EndoChoice water bottle cap system is intended to be used with an air source or carbon dioxide (CO2) with the purpose of supplying sterile water to the endoscope during endoscopic procedures. It is compatible with commercially available sterile water bottles.
(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED) -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Concurrence of CDRH, Office of Device Evaluation (ODE)
Prescription Use (Part 21 CFR 801 Subpart D)
AND/OR
Over-The-Counter Use (21 CFR 801 Subpart C)
3
510(k) Summary EndoChoice Water Bottle Cap System
1. Company Identification
Applicant:
EndoChoice, Inc. 11810 Wills Road Alpharetta, GA 30009 Establishment Registration: 300759133
2. Contact Person
Daniel Hoefer Regulatory Affairs Manager EndoChoice, Inc.
3. Device Name
| Trade name: | EndoChoice Water Bottle Cap System |
|---|---|
| Common/Usual Name: | Water bottle cap system |
| Classification name: | FEQ; Endoscope and Accessories |
4. Device Classification
| Classification | Endoscope and accessories, 21CFR 876.1500 |
|---|---|
| Product Code: | FEQ |
| Committee: | Gastroenterology/Urology |
5. Intended Use
The EndoChoice water bottle cap system is intended to be used with an air or CQ2 source from an endoscope with the purpose of supplying sterile water to the endoscope during endoscopic procedures. It is compatible with commercially available sterile water bottles.
6. Device Description
The EndoChoice water bottle cap system is a sterile disposable device designed to fit commercially available sterile water bottles for providing sterile water during endoscopic procedures. The water bottle cap system is designed with a clip that is placed on the tubing to stop water flow from the water bottle when the endoscope is not in use.
The device attaches via a connector to the air/water port of an endoscope. The water bottle cap itself is attached to a standard sterile water bottle. Air supplied from the processor unit then pressurizes the water bottle, providing water flow when then air/water valve of the endoscope is depressed. Some models provide a feature that provides an option to use a CO2 air source. Instructions state that the device is to be used by trained endoscopy professionals.
4
7. Substantial Equivalence
The modified EndoChoice Water Bottle Cap System is substantially equivalent to the legally marketed Aquashield system CO2 (K120123, United States Endoscopy). A feature comparison of the two devices is shown below.
Based on the intended use, technological characteristics and overall performance of the devices, EndoChoice, Inc. believes that the EndoChoice water bottle cap system is substantially equivalent to the predicate and that the differences between the devices do not raise new issues of safety or effectiveness.
| Comparison Table | ||
|---|---|---|
| Aquashield System CO2 | EndoChoice Water Bottle Cap System | |
| 510(k) number | K120123 | 142155 |
| Manufacturer | United States Endoscopy | EndoChoice, Inc. |
| Compatibility with currently available endoscopes | Olympus 140, 160, 180 and 190 Endoscopes | Olympus 140, 160, 180 And Fuse Endoscopes |
| Sterilization | Provided sterile | Provided sterile via Ethylene Oxide |
| Compatibility with commercially available sterile water bottles | Compatible with standard commercially available sterile water bottles | Same |
| Indications for use statement | The Aquashield System CO2 is intended to be used with an air or carbon dioxide (CO2) source with the purpose of supplying sterile water to the endoscope during endoscopic procedure. It is compatible with U.S. commercially available sterile water bottles. | The EndoChoice water bottle cap system is intended to be used with an air source or carbon dioxide (CO2) with the purpose of supplying sterile water to the endoscope during endoscopic procedures. It is compatible with U.S. commercially available sterile water bottles. |
| Contraindications | Those specific to any endoscopic procedure | Those specific to any endoscopic procedure |
| Materials (patient contacting) | PC-1100, Stainless Steel, PVC | PC-1100, Stainless Steel, PVC, TPE 8597N |
| Materials (no patient contact) | Polymers, PVC, stainless steel | TPE-2102-501, Polypropylene Y2600, HDPE 530 ST, LDPE 2426H, Adhesive Paper, NBR |
| Packaging | Individually packaged in Tyvek Peel Pouch | Individually packaged in Tyvek Peel Pouch |
| Use | Disposable, maximum use 24 hours | Disposable, maximum use 24 hours |
5
8. Non-clinical testing
Non-clinical testing has been performed on the device. Specifically, the following has been completed on the water bottle cap and tubing set:
- Benchtop functional performance testing .
- Laboratory validation testing of sterilization
- Biocompatibility testing in conformance with ISO 10993-1. .
All test results passed, demonstrating that the device is safe and effective in comparison with the predicate device.
9. Conclusion
The modified EndoChoice Water Bottle Cap System is equivalent to the legally marketed predicate device. It is the same or equivalent in terms of design, intended use, materials, and labeling.