K Number
K152580
Device Name
rescuenet
Manufacturer
Date Cleared
2015-11-03

(54 days)

Product Code
Regulation Number
876.4300
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The retrieval net is intended for use in endoscopic retrieval of foreign objects, food bolus, tissue fragments and excised tissue such as polyps.
Device Description
The EndoChoice Retrieval Net is a disposable, single-use sterile device comprised of a flexible wire cable and snare loop with net which can be extended and retracted form the flexible outer sheath using a three ring handle. Objects are retrieved by advancing the finger rings of the handle to open the retracted net. The net is then endoscopically manipulated over the foreign object, food bolus, tissue fragment or excised tissue, in which the finger rings of the handle are retracted to close the net once the article has been retrieved.
More Information

Not Found

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

No
The device is used for retrieval of objects, not for treatment or therapy. Its function is purely mechanical removal.

No
Explanation: The device is used for the physical retrieval of objects, not for diagnosing conditions or diseases. Its function is interventional, not diagnostic.

No

The device description clearly outlines physical components like a flexible wire cable, snare loop with net, flexible outer sheath, and a three-ring handle, indicating it is a hardware device.

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

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to examine specimens taken from the human body (like blood, urine, tissue) to provide information about a person's health, such as diagnosing a disease or monitoring a condition.
  • Device Function: The description clearly states the device is a "retrieval net" intended for the "endoscopic retrieval of foreign objects, food bolus, tissue fragments and excised tissue". It's a tool for physically removing items from within the body during an endoscopic procedure.
  • No Specimen Analysis: The device itself does not analyze or test the retrieved material. It's a means of collection, not diagnosis.

The information provided describes a surgical/endoscopic accessory used for physical retrieval, which falls under a different category of medical devices than IVDs.

N/A

Intended Use / Indications for Use

The retrieval net is intended for use in endoscopic retrieval of foreign objects, food bolus, tissue fragments and excised tissue such as polyps.

Product codes

FDI, GCJ

Device Description

The EndoChoice Retrieval Net is a disposable, single-use sterile device comprised of a flexible wire cable and snare loop with net which can be extended and retracted form the flexible outer sheath using a three ring handle. Objects are retrieved by advancing the finger rings of the handle to open the retracted net. The net is then endoscopically manipulated over the foreign object, food bolus, tissue fragment or excised tissue, in which the finger rings of the handle are retracted to close the net once the article has been retrieved.

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

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 from various performance testing indicates that the EndoChoice Retrieval Net functions as intended.

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

Not Found

Predicate Device(s)

K122462

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 876.4300 Endoscopic electrosurgical unit and accessories.

(a)
Identification. An endoscopic electrosurgical unit and accessories is a device used to perform electrosurgical procedures through an endoscope. This generic type of device includes the electrosurgical generator, patient plate, electric biopsy forceps, electrode, flexible snare, electrosurgical alarm system, electrosurgical power supply unit, electrical clamp, self-opening rigid snare, flexible suction coagulator electrode, patient return wristlet, contact jelly, adaptor to the cord for transurethral surgical instruments, the electric cord for transurethral surgical instruments, and the transurethral desiccator.(b)
Classification. Class II (performance standards).

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Image /page/0/Picture/1 description: The image shows the logo for the Department of Health & Human Services - USA. The logo consists of a circular border with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" written around it. Inside the circle is an abstract symbol that resembles three human profiles facing to the right, stacked on top of each other.

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

November 3, 2015

Endochoice, Inc. Daniel Hoefer Regulatory Affairs Manager 11810 Wills Rd. Alpharetta, GA 30009

Re: K152580 Trade/Device Name: Rescuenet™ Regulation Number: 21 CFR 876.4300 Regulation Name: Endoscopic and electrosurgical unit and accessories Regulatory Class: II Product Code: FDI, GCJ Dated: September 9, 2015 Received: September 10, 2015

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

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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,

Herbert P. Lerner -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

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Indications for Use

510(k) Number (if known)

K152580

Device Name EndoChoice Retrieval Net

Indications for Use (Describe)

The retrieval net is intended for use in endoscopic retrieval of foreign objects, food bolus, tissue fragments and excised tissue such as polyps.

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)

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Traditional 510(k) Summary

1. Company Identification

EndoChoice, Inc. 11810 Wills Road Alpharetta, GA 30009 Telephone (678) 708 4743 FAX (678) 878 3373 Establishment Registration: 3007591333

2. Contact Person

Daniel Hoefer Regulatory Affairs Manager

3. Device Name

rescuenet™ Trade name: Common/Usual Name: Retrieval Net

4. Device Classification

Common Name:Retrieval Net
Classification:Endoscopic electrosurgical unit and accessories, 21CFR § 876.4300
Product Code:FDI, GCJ
Committee:Gastroenterology/Urology

5. Intended Use

The Retrieval Net is intended for use in endoscopic retrieval of foreign objects, food bolus, tissue fragments and excised tissue such as polyps.

6. Device Description

The EndoChoice Retrieval Net is a disposable, single-use sterile device comprised of a flexible wire cable and snare loop with net which can be extended and retracted form the flexible outer sheath using a three ring handle. Objects are retrieved by advancing the finger rings of the handle to open the retracted net. The net is then endoscopically manipulated over the foreign object, food bolus, tissue fragment or excised tissue, in which the finger rings of the handle are retracted to close the net once the article has been retrieved.

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7. Substantial Equivalence

7.1 Predicate devices

The EndoChoice retrieval net is substantially equivalent to the predicate device, the Roth Net retriever product line by United States Endoscopy Group, Inc. The intended use, design and materials and labeling are all substantially equivalent.

7.2 Intended Use

The indications for use of the EndoChoice retrieval net is substantially equivalent to the predicate device, the Roth Net® retrieval product line (K122462) manufactured United States Endoscopy Group, Inc. In each case, the nets are intended for use in endoscopic retrieval of objects.

7.3 Technical Characteristics

The device length is 230cm and the device catheter diameter is 2.5mm.

Image /page/4/Figure/8 description: The image shows a medical device with measurements labeled. The diameter of the circular part on the left is 30 mm. The length of the device is 230 cm and the diameter of the shaft is 2.5 mm.

7.4 Performance Characteristics

The steps for operator use of each of the devices are equivalent. The instructions for use describe how to use the device with a standard endoscope, in which the stepwise instructions are similar to that of the predicate device.

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Substantial Equivalence Comparison
EndoChoice Retrieval NetRoth Net® retrieverSubstantial
product line (K122462)Equivalence
Product CodeFDI, GCJFDI, GCJIdentical
Regulation No.21CFR § 876.430021CFR § 876.4300Identical
ClassificationEndoscopic electrosurgical unit
and accessoriesEndoscopic electrosurgical unit
and accessoriesIdentical
ManufacturerEndoChoice Inc.United States Endoscopy
Group, Inc.N/A
Supplied SterileYesYesIdentical
Sheath length230cm160cm, 230cmIdentical
Single useYesYesIdentical
Sheath diameter2.5mm2.5mm, 3.0mmIdentical
Compatibility2.8mm endoscope channel2.8mm, 3.2mm endoscope
channelEquivalent
Net Size3 x 6 cm3 x 6 cm
2 x 4.5 cm
4 x 5.5 cm
4 x 8 cmIdentical
ConfigurationOvalOval, Octagonal, HexagonalIdentical
Indications forThis device is intended for use in
endoscopic retrieval of foreign
objects, food boluses, tissue
fragments and excised tissue
such as polyps.The Roth Net® retriever
product line is intended to be
used to retrieve excised polyps,
tissue samples, foreign bodies
and calculi during flexible and
rigid endoscopy procedures.Equivalent
use
PackagingSingle-use pouchSingle-use pouchIdentical

7.5 Substantial Equivalence Table

8. Non-Clinical testing

8.1 Sterilization and Shelf-Life

The EndoChoice Retrieval Net is sterilized by Ethylene Oxide.

  • Validation has been completed in accordance with the following standards:
  • ISO 11135: 2014 Sterilization of Health-Care Products Ethylene Oxide Requirements for the ● Development, Validation and Routine Control of a Sterilization Process for Medical Devices
  • . AAMI ANSI ISO 11737-2: 2009 Sterilization of Medical Devices - Microbiological Methods -Part 2: Tests of Sterility Performed in the Definition, Validation and Maintenance of a Sterilization Process
  • . AAMI ANSI ISO 11138-1: 2006 Sterilization of Health Care Products - Biological Indicators -Part 1: General Requirements

The shelf life of the EndoChoice Retrieval Net is 1 year from date of manufacturing.

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8.2 Biocompatibility

Results of Biocompatibility testing in accordance with AAMI ANSI ISO 10993-1: 2009 Biological Evaluation of Medical Devices -- Part 1: Evaluation and Testing within a Risk Management Process demonstrates that the device meets the requirements.

8.3 Performance Testing

Results from various performance testing indicates that the EndoChoice Retrieval Net functions as intended.

9. Conclusion

Retrieval nets have been in use for over 20 years. A variety of retrieval net devices are available on the market from different manufacturers with various diameters and lengths. Based on the above information, the EndoChoice Retrieval Net is substantially equivalent to the predicate device listed. The information contained in this submission supports the fact that the EndoChoice Retrieval Net is as safe and effective as its predicate device.