K Number
K171794
Device Name
Smith & Nephew 25 Fluid Management System
Date Cleared
2017-06-27

(11 days)

Product Code
Regulation Number
888.1100
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Smith & Nephew DYONICS 25 Fluid Management System is indicated for use during arthroscopic joint surgery to regulate flow of irrigation fluids in the knee, shoulder, hip, and small joints to maintain intra-articular pressure for uniform distension and clear visualization of the surgical site.
Device Description
The Smith & Nephew DYONICS 25 Fluid Management System is a centrifugal fluid management pump used in arthroscopic surgery to regulate the flow of irrigation fluids through the joint to maintain intra-articular pressure for distension and visualization of the surgical site. This is accomplished using an electronic pressure control feedback loop between the control unit and the tube set cassettes. The Smith & Nephew DYONICS 25 Fluid Management System includes - - . control unit - . inflow tube set - . inflow /outflow tube set - inflow/outflow tube set with forked suction lines - . day-tube set - . patient tube set - . wired/wireless (IR) remote control (optional) - . Luer to colder Connector (optional) Additionally, the Smith & Nephew LEVELERT II Fluid Level Sensors (K060123) as well as a shaver system interface cable, U.S. and international power cords can be used with the Smith & Nephew DYONICS 25 Fluid Management System (DYONICS 25).
More Information

No
The description focuses on an electronic pressure control feedback loop and standard performance testing, with no mention of AI or ML terms or concepts.

No.
The device is used to regulate fluids and maintain intra-articular pressure during surgical procedures for visualization, not to directly treat a medical condition or disease.

No

The device is a fluid management pump used during surgery to maintain pressure and visualization, not to diagnose a medical condition.

No

The device description explicitly lists multiple hardware components including a control unit, tube sets, remote control, and optional connectors and sensors. While software verification and validation are mentioned, the device is clearly a system with significant hardware components.

Based on the provided information, the Smith & Nephew DYONICS 25 Fluid Management System is not an IVD (In Vitro Diagnostic) device.

Here's why:

  • Intended Use: The intended use is to regulate the flow of irrigation fluids during arthroscopic joint surgery to maintain intra-articular pressure for visualization. This is a surgical support function, not a diagnostic test performed on samples taken from the body.
  • Device Description: The device is a centrifugal fluid management pump used in arthroscopic surgery. It manages fluids within the joint during the procedure.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens derived from the human body (like blood, urine, tissue, etc.) to provide information for diagnosis, monitoring, or screening.

IVD devices are specifically designed to perform tests on biological samples to provide diagnostic information. The DYONICS 25 system's function is to facilitate a surgical procedure by managing fluids within the surgical site.

N/A

Intended Use / Indications for Use

The Smith & Nephew DYONICS 25 Fluid Management System is indicated for use during arthroscopic joint surgery to regulate flow of irrigation fluids in the knee, shoulder, hip, and small joints to maintain intra-articular pressure for uniform distension and clear visualization of the surgical site.

Product codes

HRX

Device Description

The Smith & Nephew DYONICS 25 Fluid Management System is a centrifugal fluid management pump used in arthroscopic surgery to regulate the flow of irrigation fluids through the joint to maintain intra-articular pressure for distension and visualization of the surgical site. This is accomplished using an electronic pressure control feedback loop between the control unit and the tube set cassettes.

The Smith & Nephew DYONICS 25 Fluid Management System includes -

  • . control unit
  • . inflow tube set
  • . inflow /outflow tube set
  • inflow/outflow tube set with forked suction lines
  • . day-tube set
  • . patient tube set
  • . wired/wireless (IR) remote control (optional)
  • . Luer to colder Connector (optional)

Additionally, the Smith & Nephew LEVELERT II Fluid Level Sensors (K060123) as well as a shaver system interface cable, U.S. and international power cords can be used with the Smith & Nephew DYONICS 25 Fluid Management System (DYONICS 25).

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

knee, shoulder, hip, and small joints

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)

Testing demonstrated that the Smith & Nephew DYONICS 25 Fluid Management System has met the performance specifications and therefore, is substantially equivalent to the predicate device cleared in K051326.

The following performance data and validations were conducted:

  • Package/Performance Testing
  • . Environmental Testing
  • Fluids Testing
  • EMC Testing
  • Safety Testing
  • Software Verification & Validation ●

The Smith & Nephew DYONICS 25 Fluid Management System meets the following FDA recognized consensus standards:

  • IEC 60601-1-2:2015 Part 1-2: General requirements for basic safety and essential ● performance -Collateral Standard: Electromagnetic disturbances - Requirements and tests
  • IEC 60601-1 Medical Electrical Equipment Part 1: General Requirements for Safety ●
  • IEC 62304 Medical Device Software - Lifecycle:2006

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

Not Found

Predicate Device(s)

Smith & Nephew DYONICS 25 Fluid Management System-K051326

Reference Device(s)

K060123

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 888.1100 Arthroscope.

(a)
Identification. An arthroscope is an electrically powered endoscope intended to make visible the interior of a joint. The arthroscope and accessories also is intended to perform surgery within a joint.(b)
Classification. (1) Class II (performance standards).(2) Class I for the following manual arthroscopic instruments: cannulas, currettes, drill guides, forceps, gouges, graspers, knives, obturators, osteotomes, probes, punches, rasps, retractors, rongeurs, suture passers, suture knotpushers, suture punches, switching rods, and trocars. 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 § 888.9.

0

Image /page/0/Picture/2 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 image of three human profiles facing to the right, with flowing lines representing hair or clothing.

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

June 27, 2017

Smith & Nephew, Inc. Ms. Kathleen Solomon Senior Regulatory Affairs Specialist 150 Minuteman Road Andover, Massachusetts 01810

Re: K171794

Trade/Device Name: Smith & Nephew DYONICS 25 Fluid Management System Regulation Number: 21 CFR 888.1100 Regulation Name: Arthroscope Regulatory Class: Class II Product Code: HRX Dated: June 14, 2017 Received: June 16, 2017

Dear Ms. Solomon:

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 Actinclude 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 device

1

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 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,

Jennifer R. Stevenson -S3

For Binita S. Ashar, M.D., M.B.A., F.A.C.S. Director Division of Surgical Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

2

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

510(k) Number (if known)

K171794

Device Name Smith & Nephew DYONICS 25 Fluid Management System

Indications for Use (Describe)

The Smith & Nephew DYONICS 25 Fluid Management System is indicated for use during arthroscopic joint surgery to regulate flow of irrigation fluids in the knee, shoulder, hip, and small joints to maintain intra-articular pressure for uniform distension and clear visualization of the surgical site.

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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K171794 p 1/3

Endoscopy
Smith & Nephew, Inc.
150 Minuteman Road
Andover, MA 01810
USA

nith-nenhew com

We are smith&nephew

510(k) SUMMARY OF SAFETY AND EFFECTIVENESS INFORMATION

as required by the Safe Medical Devices Act of 1990 and codified in 21 CFR 807.92 upon which the substantial equivalence is based.

Smith & Nephew DYONICS 25 Fluid Management System Date Prepared: June 26, 2017

Submitter's Name:

Smith & Nephew, Inc., Endoscopy Division 150 Minuteman Road, Andover MA. 01810

Company Contact:

Kathleen Solomon Sr. Regulatory Affairs Specialist T 978-749-1605 F 978-749-1443

Device Name

Trade Name:Smith & Nephew DYONICS 25 Fluid Management System
Common Name:Arthroscopic Fluid Management System
Classification Name:Arthroscope
Regulatory class:II
Product Code:HRX

Predicate Devices

The Smith & Nephew DYONICS 25 Fluid Management System is substantially equivalent in Intended Use and Fundamental Scientific Technology to the following legally marketed device in commercial distribution: Smith & Nephew DYONICS 25 Fluid Management System-K051326.

4

Description of Device

The Smith & Nephew DYONICS 25 Fluid Management System is a centrifugal fluid management pump used in arthroscopic surgery to regulate the flow of irrigation fluids through the joint to maintain intra-articular pressure for distension and visualization of the surgical site. This is accomplished using an electronic pressure control feedback loop between the control unit and the tube set cassettes.

The Smith & Nephew DYONICS 25 Fluid Management System includes -

  • . control unit
  • . inflow tube set
  • . inflow /outflow tube set
  • inflow/outflow tube set with forked suction lines
  • . day-tube set
  • . patient tube set
  • . wired/wireless (IR) remote control (optional)
  • . Luer to colder Connector (optional)

Additionally, the Smith & Nephew LEVELERT II Fluid Level Sensors (K060123) as well as a shaver system interface cable, U.S. and international power cords can be used with the Smith & Nephew DYONICS 25 Fluid Management System (DYONICS 25).

Intended Use

The Smith & Nephew DYONICS 25 Fluid Management System is intended for use during arthroscopic joint surgery to regulate flow of irrigation fluids to maintain intra-articular pressure for uniform distension and clear visualization of the surgical site.

Comparison of Technological Characteristics

The design changes to the modified Smith & Nephew DYONICS 25 Fluid Management System include updated printed circuit boards (PCBs), new touch-screen LCD display, updated operating system, drivers and software updates. The modified Smith & Nephew DYONICS 25 Fluid Management System has the following similarities as the predicate device cleared in K151326. In that:

  • The same indications for use/intended use.
  • Utilizes the same principle of operation and fundamental scientific technology
  • Incorporates the same basic design
  • Incorporates the same material

There are no major differences between the modified Smith & Nephew DYONICS 25 Fluid Management System and the currently cleared predicate.

5

K171794 p 3/3

Endoscopy
Smith & Nephew, Inc.
150 Minuteman Road
Andover, MA 01810
USA

T 978-749-1000
F 978-749-1443
www.smith-nephew.com

We are smith&nephew

Performance Data

Testing demonstrated that the Smith & Nephew DYONICS 25 Fluid Management System has met the performance specifications and therefore, is substantially equivalent to the predicate device cleared in K051326.

The following performance data and validations were conducted:

  • Package/Performance Testing
  • . Environmental Testing
  • Fluids Testing
  • EMC Testing
  • Safety Testing
  • Software Verification & Validation ●

The Smith & Nephew DYONICS 25 Fluid Management System meets the following FDA recognized consensus standards:

  • IEC 60601-1-2:2015 Part 1-2: General requirements for basic safety and essential ● performance -Collateral Standard: Electromagnetic disturbances - Requirements and tests
  • IEC 60601-1 Medical Electrical Equipment Part 1: General Requirements for Safety ●
  • IEC 62304 Medical Device Software - Lifecycle:2006

Conclusion:

The Smith & Nephew DYONICS 25 Fluid Management System met all specified criteria and did not raise new safety or effectiveness questions. The substantial equivalence of the modified device is based on same indications for use, fundamental technology including design, and operational principles. Based on the similarities to the predicates and the performance data, the Smith & Nephew DYONICS 25 Fluid Management System is substantially equivalent to its predicate (K051326).