K Number
K171596
Device Name
ECHO-3-22: Echotip Ultra and EUSN-1, EUSN-3: Echotip Ultrasound Needle
Date Cleared
2017-08-04

(65 days)

Product Code
Regulation Number
876.1075
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
This device is used to sample targeted submucosal gastrointestinal lesions through the accessory channel of an ultrasound endoscope. The target population is adult use only.
Device Description
The ECHO-3-22: Echotip Ultra and the EUSN-1, EUSN-3: Echotip Ultrasound Needles are sterile, single use devices. The Ultrasound Needles consist of an adjustable luer slip handle, an outer and an inner catheter with a needle, extension locks (ECHO-3-22) or spacers (EUSN-1, EUSN-3), a stylet, and a syringe with a stopcock. All devices are compatible with ultrasound endoscopes with a minimum accessory channel of 2.8 mm. The catheter is made of polyether ether ketone, PEEK (ECHO-3-22), or polytetrafluoroethylene, PTFE (EUSN-1, EUSN-3), while the needle of all devices is stainless steel, and the stylet is nitinol. The tips of the needles are dimpled for echogenicity.
More Information

Not Found

No
The description focuses on the mechanical components and materials of a biopsy needle and does not mention any AI or ML capabilities.

No
This device is for sampling targeted lesions, which is a diagnostic procedure, not a therapeutic one. It collects samples rather than treating a condition.

Yes
The device is used to sample targeted submucosal gastrointestinal lesions, which implies collecting tissue for analysis, a diagnostic purpose.

No

The device description clearly outlines physical components such as needles, catheters, handles, and syringes, indicating it is a hardware medical device.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is to sample targeted submucosal gastrointestinal lesions. This is a procedure to obtain a sample from the body.
  • Device Description: The device is a needle used for sampling. It is a tool for a medical procedure.
  • Lack of IVD Characteristics: An IVD device is used to examine specimens derived from the human body in vitro (outside the body) to provide information for diagnostic purposes. This device is used in vivo (inside the body) to collect the sample. There is no mention of analyzing the collected sample with this device.

The device is a tool for obtaining a sample, which might then be used in an in vitro diagnostic test, but the device itself is not the IVD.

N/A

Intended Use / Indications for Use

This device is used to sample targeted submucosal gastrointestinal lesions through the accessory channel of an ultrasound endoscope. The target population is adult use only.

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

FCG

Device Description

The ECHO-3-22: Echotip Ultra and the EUSN-1, EUSN-3: Echotip Ultrasound Needles are sterile, single use devices. The Ultrasound Needles consist of an adjustable luer slip handle, an outer and an inner catheter with a needle, extension locks (ECHO-3-22) or spacers (EUSN-1, EUSN-3), a stylet, and a syringe with a stopcock. All devices are compatible with ultrasound endoscopes with a minimum accessory channel of 2.8 mm. The catheter is made of polyether ether ketone, PEEK (ECHO-3-22), or polytetrafluoroethylene, PTFE (EUSN-1, EUSN-3), while the needle of all devices is stainless steel, and the stylet is nitinol. The tips of the needles are dimpled for echogenicity.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Ultrasound

Anatomical Site

submucosal gastrointestinal lesions

Indicated Patient Age Range

adult use only.

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)

Performance testing consisting of non-clinical bench testing demonstrates that the Ultrasound Needles meet the performance requirements to fulfill the intended use of the device. Results from design validation and/or verification testing provide reasonable assurance that the modifications to the device do not raise any new questions of safety or effectiveness.

Summary of non-clinical testing:
The following non-clinical testing was conducted to demonstrate the performance of the subject device and confirmed that the subject devices perform as intended.

  • Functional Testing
  • Shelf Life Testing
  • Packaging Validation
  • Needle Verification and Validation Testing
  • Biocompatibility testing was performed in accordance with the FDA Guidance, Use of International Standard ISO 10993-1, "Biological evaluation of medical devices-Part 1: Evaluation and testing within a risk management process."

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.

K934356

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

§ 876.1075 Gastroenterology-urology biopsy instrument.

(a)
Identification. A gastroenterology-urology biopsy instrument is a device used to remove, by cutting or aspiration, a specimen of tissue for microscopic examination. This generic type of device includes the biopsy punch, gastrointestinal mechanical biopsy instrument, suction biopsy instrument, gastro-urology biopsy needle and needle set, and nonelectric biopsy forceps. This section does not apply to biopsy instruments 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 (performance standards).(2) Class I for the biopsy forceps cover and the non-electric biopsy forceps. 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.

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Image /page/0/Picture/2 description: The image is a black and white seal for the Department of Health & Human Services - USA. The seal is circular, with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the top half of the circle. In the center of the seal is a stylized image of three faces in profile, stacked on top of each other. The faces are facing to the right.

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

August 4, 2017

Wilson-Cook Medical, Inc. Tiffanny A. Thomas Global Regulatory Affairs Specialist 4900 Bethania Station Road Winston-Salem, NC 27105

Re: K171596

Trade/Device Name: ECHO-3-22: Echotip Ultra and EUSN-1, EUSN-3: Echotip Ultrasound Needle Regulation Number: 21 CFR 876.1075 Regulation Name: Gastroenterology-Urology Biopsy Instrument Regulatory Class: II Product Code: FCG Dated: June 2, 2017 Received: June 5, 2017

Dear Tiffanny A. Thomas:

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.

1

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 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 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,

Charles Viviano -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)

K171596

Device Name

ECHO-3-22: Echotip Ultra and EUSN-1, EUSN-3: Echotip Ultrasound Needle

Indications for Use (Describe)

This device is used to sample targeted submucosal gastrointestinal lesions through the accessory channel of an ultrasound endoscope. The target population is adult use only.

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

Prescription Use (Part 21 CFR 801 Subpart D)Over-The-Counter Use (21 CFR 801 Subpart C)
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510(k) Summary

Submission Information
Type:Traditional 510(k) Premarket Notification
Applicant Name:Wilson-Cook Medical, Inc./ Cook Endoscopy
Applicant Address:4900 Bethania Station Road
Winston-Salem, North Carolina 27105
Contact:Tiffanny A. Thomas, Global Regulatory Affairs Specialist
Contact Phone:336.744.0157
Contact Fax:336.201.5994
Date:May 31, 2017
Subject Device
Trade Name:ECHO-3-22: Echotip Ultra; EUSN-1, EUSN-3: Echotip
Common/Usual Name:Ultrasound Needle
Biopsy Needle
Classification:Gastroenterology-Urology Biopsy Instrument
21 CFR §876.1075, Class II
Procode:FCG – Biopsy Needle
Predicate Device
Name:Endoscopic Ultrasound Needle
510(k) Number:K934356
Date Cleared:January 30, 1995

Device Description:

The ECHO-3-22: Echotip Ultra and the EUSN-1, EUSN-3: Echotip Ultrasound Needles are sterile, single use devices. The Ultrasound Needles consist of an adjustable luer slip handle, an outer and an inner catheter with a needle, extension locks (ECHO-3-22) or spacers (EUSN-1, EUSN-3), a stylet, and a syringe with a stopcock. All devices are compatible with ultrasound endoscopes with a minimum accessory channel of 2.8 mm. The catheter is made of polyether ether ketone, PEEK (ECHO-3-22), or polytetrafluoroethylene, PTFE (EUSN-1, EUSN-3), while the needle of all devices is stainless steel, and the stylet is nitinol. The tips of the needles are dimpled for echogenicity.

Intended Use

This device is used to sample targeted submucosal gastrointestinal lesions through the accessory channel of an ultrasound endoscope. The target population is adult use only.

Comparison to Predicate Device:

Design changes were made to the predicate Endoscopic Ultrasound Needle cleared to market via K934356. Changes to the device include: catheter length, material, needle dimple area extension length, gauge size, new handle designs and inclusion of a syringe with a stopcock. The subject Ultrasound Needles are equivalent to the predicate device with respect to intended use, key operating principles, and technological characteristics.

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Performance Data:

Performance testing consisting of non-clinical bench testing demonstrates that the Ultrasound Needles meet the performance requirements to fulfill the intended use of the device. Results from design validation and/or verification testing provide reasonable assurance that the modifications to the device do not raise any new questions of safety or effectiveness.

Summary of non-clinical testing:

The following non-clinical testing was conducted to demonstrate the performance of the subject device and confirmed that the subject devices perform as intended.

  • Functional Testing
  • Shelf Life Testing
  • Packaging Validation
  • Needle Verification and Validation Testing ●

Biocompatibility testing was performed in accordance with the FDA Guidance, Use of International Standard ISO 10993-1, "Biological evaluation of medical devices-Part 1: Evaluation and testing within a risk management process."

Conclusions:

We believe that the subject device is substantially equivalent to the predicate device in terms of intended use, key operating principles, materials and technological characteristics. We consider the risks associated with the modifications to the subject device to have been adequately addressed through our Design Control Processes and do not affect safety or effectiveness of the device.