K Number
K171637
Device Name
OpClear System
Date Cleared
2018-02-26

(269 days)

Product Code
Regulation Number
876.1500
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The OpClear® System consists of a reusable control unit and a range of disposable sterile single-use accessories intended to remove visual obstructions such as condensation, blood and other tissue particulates from the distal lens of a laparoscope during surgery and therefore maintaining a clear image of the surgical site.
Device Description
OpClear® System is a laparoscopic lens cleaning device which is intended to be used during any laparoscopic surgical procedure where there is a potential for contamination of the distal lens. Consisting of a reusable control unit and a range of sterile, invasive, single use disposables, it is intended to maintain surgical vision by removing contaminants such as condensation, blood, peritoneal fluid, smoke, fat and tissue smears that have contaminated the distal lens of the laparoscope during surgical procedures. OpClear® System is composed of a control unit and a range of disposable accessories as shown below.
More Information

No
The device description and performance studies focus on mechanical cleaning and environmental simulation, with no mention of image processing, AI, or ML.

No
The device is described as a laparoscopic lens cleaning device intended to remove visual obstructions from the distal lens of a laparoscope during surgery. Its purpose is to maintain a clear image of the surgical site, not to treat or diagnose a disease or condition.

No

The device is designed to clean the lens of a laparoscope to maintain a clear image during surgery, not to diagnose medical conditions or provide diagnostic information.

No

The device description explicitly states it consists of a reusable control unit and disposable accessories, indicating hardware components are integral to its function.

Based on the provided information, the OpClear® System is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is to remove visual obstructions from a laparoscope lens during surgery to maintain a clear image of the surgical site. This is a mechanical action performed on a surgical instrument, not a test performed on a biological sample to provide diagnostic information.
  • Device Description: The description reinforces that it's a laparoscopic lens cleaning device used during surgical procedures.
  • Lack of Diagnostic Information: There is no mention of the device analyzing biological samples, providing diagnostic results, or being used to identify diseases or conditions.
  • Anatomical Site: The device is used within the peritoneal cavity, but its function is to clean the lens, not to interact with or analyze tissues or fluids for diagnostic purposes.

IVD devices are specifically designed to perform tests on samples taken from the human body (like blood, urine, tissue) to provide information for the diagnosis, monitoring, or treatment of diseases or conditions. The OpClear® System does not fit this description.

N/A

Intended Use / Indications for Use

The OpClear® System consists of a reusable control unit and a range of disposable sterile single-use accessories intended to remove visual obstructions such as condensation, blood and other tissue particulates from the distal lens of a laparoscope during surgery and therefore maintaining a clear image of the surgical site.

Product codes

OCX, FEQ

Device Description

OpClear® System is a laparoscopic lens cleaning device which is intended to be used during any laparoscopic surgical procedure where there is a potential for contamination of the distal lens. Consisting of a reusable control unit and a range of sterile, invasive, single use disposables, it is intended to maintain surgical vision by removing contaminants such as condensation, blood, peritoneal fluid, smoke, fat and tissue smears that have contaminated the distal lens of the laparoscope during surgical procedures.

OpClear® System is composed of a control unit and a range of disposable accessories as shown below.

DescriptionPart Number
OpClear Control UnitCS-CU15-03

OpClear® Disposables

DescriptionPart Number
OpClear 314mm x 10mm x 30°CS-SZ10-30
OpClear 314mm x 10mm x 0°CS-SZ10-00
OpClear 328mm x 10mm x 30°CS-SR10-30
OpClear 328mm x 10mm x 0°CS-SR10-00
OpClear 300mm x 10mm x 0°CS-OS10-00

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

peritoneal cavity

Indicated Patient Age Range

all adult patients

Intended User / Care Setting

professional use in a theatre environment / Hospital Operating Theatre

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 Device has been developed in the laboratory using a simulated human abdominal cavity environment which includes the ability to set pressure, atmospheric composition (CO2 rather than air), temperature, humidity and operational lighting environment. The suitability of this test chamber (as a simulation of the operating environment for the device) has been validated. The performance of OpClear® System has been optimised using this bench model. Performance validation has been performed following improvement in the operating parameters for the Device.

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

Not Found

Predicate Device(s)

K080613

Reference Device(s)

K153513, K962863

Predetermined Change Control Plan (PCCP) - All Relevant Information

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.

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February 26, 2018

Cipher Surgical Ltd David Bentley Regulatory Consultant The Venture Centre, Sir William Lyons Road Coventry, West Midlands CV4 7EZ UK

Re: K171637

Trade/Device Name: OpClear® System Regulation Number: 21 CFR& 876.1500 Regulation Name: Endoscope and accessories Regulatory Class: II Product Code: OCX, FEQ Dated: June 18, 2017 Received: June 23, 2017

Dear David Bentley:

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.

1

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 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.

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.

For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (http://www.fda.gov/DICE) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

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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DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

510(k) Number (if known) K171637

Device Name

OpClear® System

Indications for Use (Describe)

The OpClear® System consists of a reusable control unit and a range of disposable sterile single-use accessories intended to remove visual obstructions such as condensation, blood and other tissue particulates from the distal lens of a laparoscope during surgery and therefore maintaining a clear image of the surgical site.

☑ Prescription Use (Part 21 CFR 801 Subpart D) ☐ Over-The-Counter Use (21 CFR 801 Subpart C)
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

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510(k) SUMMARY

Date Prepared: Feb 26, 2018

Submitters Information:

Submitters NameCipher Surgical Limited
AddressThe Venture Centre
Sir William Lyons Road
Coventry CV4 7EZ
UK
Contact PersonJustin Buch
Operations Director
Tel: +44 2477 170700
jbuch@ciphersurgical.com

Product Name:

Trade or Proprietary Name OpClear® System
Common NameEndoscope lens cleaning and defogging device
Classification NameLaparoscope, General and Plastic Surgery
ClassificationClass II
Classification Regulation:21 CFR 876.1500 (Endoscope and accessories)
Product code:FEQ, OCX

Predicate Devices:

The predicate device for the OpClear® System along with its 510(k) number is provided below:

Device NameManufacturer510(k) Number
Clear-Vu SystemMinimally Invasive
Devices LLCK080613

Traditional 510(k)- OpClear Cipher Surgical Ltd.

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Device Description:

OpClear® System is a laparoscopic lens cleaning device which is intended to be used during any laparoscopic surgical procedure where there is a potential for contamination of the distal lens. Consisting of a reusable control unit and a range of sterile, invasive, single use disposables, it is intended to maintain surgical vision by removing contaminants such as condensation, blood, peritoneal fluid, smoke, fat and tissue smears that have contaminated the distal lens of the laparoscope during surgical procedures.

OpClear® System is composed of a control unit and a range of disposable accessories as shown below.

DescriptionPart Number
OpClear Control UnitCS-CU15-03

OpClear® Control Unit

OpClear® Disposables

DescriptionPart Number
OpClear 314mm x 10mm x 30°CS-SZ10-30
OpClear 314mm x 10mm x 0°CS-SZ10-00
OpClear 328mm x 10mm x 30°CS-SR10-30
OpClear 328mm x 10mm x 0°CS-SR10-00
OpClear 300mm x 10mm x 0°CS-OS10-00

OpClear® System is for professional use in a theatre environment, during all Laparoscopic procedures. It is suitable for use in all adult patients who have been selected by their physician / surgeon for laparoscopic surgery using 10mm laparoscopes of a compatible length / type.

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Indications for use:

The OpClear® System consists of a reusable control unit and a range of disposable sterile single-use accessories intended to remove visual obstructions such as condensation, blood and other tissue particulates from the distal lens of a laparoscope during surgery and therefore maintaining a clear image of the surgical site.

Operating Principle:

During MIS, the laparoscope lens window is the surgeon's eyes and it can become covered in body fluids: peritoneal fluid, blood, and fat as well as tissue particulate or condensation impairing the surgeon's vision (via an external monitor/screen). Traditionally, cleaning the lens window of the laparoscope as a result of soiling required its removal of the laparoscope from the patient's abdomen which results in increased risk of infection, increased surgical duration, compromised surgeon workflow and compromised vision.

The OpClear® System uses carefully controlled timed flows of CO2 and saline delivered to the lens surface to maintain a clear vision and remove/reduce the need to remove the laparoscope during a surgical procedure.

OpClear® Control Unit

The OpClear® Control Unit is a mains powered medical device which is connected to the electrical mains supply and to either a CO2 bottle or CO2 wall supply.

It supplies, on demand, CO2 to the distal lens of the laparoscope (via the OpClear® Disposable) and CO2 to operate the plunger of the sterile disposable wash cartridge.

The surgeon makes the selection of either demist function or wash function by operating a pneumatic foot switch control as and when required. Full details of the operation of the device are given in the instructions for use.

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OpClear® Disposable

The OpClear® Disposable is a sterile, invasive, single use accessory to the OpClear® control unit, which is fitted to a compatible laparoscope immediately prior to the start of the surgical procedure. The disposable directs the CO2 and saline directly to the distal lens of the laparoscope in response to the surgeon's requirements. The CO2 supply from the control unit is used to propel the plunger of the refillable 0.9% saline cartridge (which forms part of the disposable) and deliver the saline at the desired time and position.

Materials:

OpClear® Control Unit

The OpClear® control unit consists of a painted aluminium enclosure containing a power supply, control circuitry and an anodised aluminium manifold which supplies CO2.

OpClear® Disposable

The OpClear® disposable consists of a co-polyester moulding which is bonded to the extruded PVC CO2 and saline supply tubes. The wash cartridge is formed of a polypropylene barrel with a polyethylene piston.

The co-polyester moulding is the only invasive part of the disposable.

OpClear® Control Unit Specifications:

Applicable Gas: CO2 medical grade gas

  • Maximum delivery pressure to OpClear® Control Unit less than 100bar ●
  • Max delivery pressure from OpClear® Control Unit 1.25bar +/- 0.1bar. .

Weight and Dimensions OpClear® Control Unit

  • Weight 4.8 kg. ●
  • Height 70mm maximum, Width 330mm maximum, Depth 300mm maximum. ●

Footswitch

  • Pneumatic switch with 3m tube

Alarm

  • The OpClear® System alarms comply with IEC 60601-1-8. .

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Predicate Device and Reference Device Comparison Table:

DevicePredicate DeviceReference Devices
Device NameOpClear® SystemClear-Vu SystemWOM Insufflator 50L264305-20 electronic
FM134endoflator
Manufacturer
NameCipher Surgical LtdMinimally Invasive
Devices LLCWorld of Medicines
GmbHKarl Storz
Device
Classification
Regulation21 CFR 876.150021 CFR 876.150021 CFR 884.173021 CFR 884.1730
Common NameEndoscope lens
cleaning and
defogging deviceEndoscope lens
cleaning and defogging
deviceCarbon Dioxide
Insufflator for
Laparoscopy and
Vessel HarvestingLaparoscopic Insufflator
Classification
NameAccessory,
EndoscopeAccessory, EndoscopeInsufflator LaparoscopicInsufflator,
Laparoscopic
Product Code(s)FEQ, OCXGCJ, KOGHIF, OSVHIF
510(k)-K080613K153513K962863
DevicePredicate DeviceReference Devices
Device NameOpClear® SystemClear-Vu SystemWOM Insufflator 50L
FM134264305-20 electronic
endoflator
Intended Use /
Indications for
UseThe OpClear® system
consists of a reusable
control unit and a
range of disposable
sterile single-use
accessories intended
to remove visual
obstructions such as
condensation, blood
and other tissue
particulates from the
distal lens of a
laparoscope during
surgery and therefore
maintaining a clear
image of the surgical
site.The Clear-Vu System is
a single-use,
disposable
laparoscopic accessory
device that is intended
to facilitate intra-
operative defogging
and cleaning of the lens
of a laparoscope during
minimally-invasive
surgery while
maintaining
visualization of the
surgical site.Intended for use during
diagnostic and/or
therapeutic endoscopic
procedures to distend a
cavity by filling it with
gas. The Standard,
Paediatric and Bariatric
operating modes of the
device are indicated to
fill and distend a
peritoneal cavity with
gas during a
laparoscopic procedure.Designed to facilitate
the use of laparoscopes
by distending the
abdomen with CO2 gas
during laparoscopic
surgical and diagnostic
procedures.
Environment of
UseHospital Operating
TheatreHospital Operating
TheatreHospital Operating
TheatreHospital Operating
Theatre
Max CO2 flow
rate2.5 l/min continuous
6.4 l/min pulseDependent upon
concomitant insufflator50 l/min20 l/min
Max CO2
pressure27 mmHgDependent upon
concomitant insufflator30 mmHg30 mmHg

8

9

DevicePredicate DeviceReference Devices
Device NameOpClear® SystemClear-Vu SystemWOM Insufflator 50L
FM134264305-20 electronic
endoflator
Cleaning
SolutionSaline 0.9% NaClSaline 0.9% NaClN/AN/A
Compatible
DevicesSelected standard
rigid 10mm
laparoscopes with 0°
and 30° angle tipsStandard rigid 10mm
laparoscopes with 0°,
30° and 45° angle tipsN/AN/A
SterilitySingle use
disposables -
Ethylene Oxide
sterilisation validated
in accordance with
ISO 11135-2014Radiation sterilisation -
ANSI / AAMI / ISO
11137-1:2006Ethylene Oxide
sterilisation validated in
accordance with ISO
11135-2007Reusable tubing
suitable for steam
sterilisation at 134°C
Electrical SafetyIndependently tested
to IEC 60601-1:2005N/AIndependently tested to
IEC 60601-1:2005Complies with IEC
60601-1
Electromagnetic
CompatibilityIndependently tested
to
IEC 60601-1-2:2007N/AIndependently tested to
IEC 60601-1-2:2007Complies with IEC
60601-1
Software
ControlledDeveloped , tested
and verified to IEC
62304:2006N/ADeveloped , tested and
verified to IEC
62304:2006Software controlled

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Summary of Non Clinical Testing:

The Device has been developed in the laboratory using a simulated human abdominal cavity environment which includes the ability to set pressure, atmospheric composition (CO2 rather than air), temperature, humidity and operational lighting environment. The suitability of this test chamber (as a simulation of the operating environment for the device) has been validated. The performance of OpClear® System has been optimised using this bench model. Performance validation has been performed following improvement in the operating parameters for the Device.

Traditional 510(k)- OpClear Cipher Surgical Ltd.

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