K Number
K173070
Device Name
HSW Resection Instruments
Date Cleared
2018-06-08

(252 days)

Product Code
Regulation Number
884.1690
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Henke-Sass, Wolf Resection Instruments are intended to provide the user with the means for endoscopic diagnostic and therapeutic surgical procedures. Examples of use of the product include the visualization and manipulation of anatomy, ablation, incision, coagulation, cauterization of minor bleedings, resection of tissue, vaporization and enucleation, and as the surgeon deems appropriate. The instruments are intended for use in general urological and gynecological surgery through the minimally invasive approach, by utilizing natural orifices to access the surgical site. The system's use is intended for, but not limited to the following types of procedures: - . Dilation of the urethra, and cold-slitting of urethral strictures - . Trans-urethral incision and resection of the prostate - . Trans-urethral removal of bladder tumor - . Trans-cervical resection and ablation of the endometrium - . Trans-cervical resection of fibroids
Device Description
The Henke-Sass, Wolf Resection Instruments consist of various components that assemble into and/or work as a diagnostic and therapeutic resectoscopic system in urology and gynecology. This submission is comprised of rigid working elements (resectoscopes), sheaths, obturators, electrodes (bipolar and monopolar), and HF cables. With the exception of the electrodes, the subject devices are provided non-sterile and reusable. The electrodes are provided sterile and are single-use. Examples of use of the product include the visualization and manipulation of anatomy, biopsy, and as the surgeon deems appropriate.
More Information

Not Found

No
The document describes traditional surgical instruments for endoscopic procedures and does not mention any AI or ML components or functionalities.

Yes
The "Intended Use / Indications for Use" section explicitly states that the instruments are intended for "therapeutic surgical procedures" and lists several therapeutic examples like "ablation, incision, coagulation, cauterization of minor bleedings, resection of tissue, vaporization and enucleation." The "Device Description" also refers to it as a "diagnostic and therapeutic resectoscopic system."

Yes
The "Intended Use / Indications for Use" section explicitly states that the instruments are "intended to provide the user with the means for endoscopic diagnostic and therapeutic surgical procedures," and the "Device Description" also mentions they "assemble into and/or work as a diagnostic and therapeutic resectoscopic system."

No

The device description explicitly lists physical components such as rigid working elements, sheaths, obturators, electrodes, and HF cables, indicating it is a hardware-based medical device.

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

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens taken from the human body (like blood, urine, or tissue) outside of the body to provide information for diagnosis, monitoring, or screening.
  • Device Function: The Henke-Sass, Wolf Resection Instruments are used within the body during surgical procedures. They are tools for visualization, manipulation, cutting, and other surgical actions directly on tissue inside the patient.
  • Intended Use: The intended use clearly describes surgical procedures performed in vivo (within a living organism), not the analysis of samples in vitro (in a lab setting).
  • Device Description: The components listed (working elements, sheaths, obturators, electrodes, cables) are all instruments used for direct surgical intervention.

Therefore, the Henke-Sass, Wolf Resection Instruments are surgical instruments, not IVDs.

N/A

Intended Use / Indications for Use

The Henke-Sass, Wolf Resection Instruments are intended to provide the user with the means for endoscopic diagnostic and therapeutic surgical procedures. Examples of use of the product include the visualization of anatomy, ablation, incision, coagulation, cauterization of minor bleedings, resection of tissue, vaporization and enucleation, and as the surgeon deems appropriate. The instruments are intended for use in general urological and gynecological surgery through the minimally invasive approach, by utilizing natural orifices to access the surgical site. The system's use is intended for, but not limited to the following types of procedures:
. Dilation of the urethra, and cold-slitting of urethral strictures
. Trans-urethral incision and resection of the prostate
. Trans-urethral removal of bladder tumor
. Trans-cervical resection and ablation of the endometrium
. Trans-cervical resection of fibroids

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

HIH, FAS, FAJ

Device Description

The Henke-Sass, Wolf Resection Instruments consist of various components that assemble into and/or work as a diagnostic and therapeutic resectoscopic system in urology and gynecology.
This submission is comprised of rigid working elements (resectoscopes), sheaths, obturators, electrodes (bipolar and monopolar), and HF cables. With the exception of the electrodes, the subject devices are provided non-sterile and reusable. The electrodes are provided sterile and are single-use.
Examples of use of the product include the visualization and manipulation of anatomy, biopsy, and as the surgeon deems appropriate.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

urological and gynecological surgery

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)

Bench Testing was conducted to verify the performance of the Henke-Sass, Wolf Resection Instruments. Design verification testing was conducted to evaluate the functional and electrical performance of the subject devices, which included:
. Visual inspection
. Resection Setup Mechanical Functionality
. Leakage Test and Flow Measurement
. Functional Test (Monopolar and Bipolar electrodes)
Sterility and Shelf Life: For the sterile electrodes, EtO sterilization validation per ISO 11135:2014 and package integrity testing per ISO 11607-1:2014 - 11 were conducted. In addition, transport validation and accelerated aging testing were performed for the sterile electrodes in order to confirm the five-year shelf life.
In addition, the reusable Henke-Sass, Wolf Resection Instruments were validated for manual and automated cleaning with subsequent steam sterilization to provide a sterility assurance level of 10-6. The reprocessing validation was conducted in accordance with the 2015 FDA guidance document, "Reprocessing Medical Devices in Health Care Settings: Validation Methods and Labeling."

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.

K040390

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

§ 884.1690 Hysteroscope and accessories.

(a)
Identification. A hysteroscope is a device used to permit direct viewing of the cervical canal and the uterine cavity by a telescopic system introduced into the uterus through the cervix. It is used to perform diagnostic and surgical procedures other than sterilization. This generic type of device may include obturators and sheaths, instruments used through an operating channel, scope preheaters, light sources and cables, and component parts.(b)
Classification. (1) Class II (performance standards).(2) Class I for hysteroscope accessories that are not part of a specialized instrument or device delivery system; do not have adapters, connectors, channels, or do not have portals for electrosurgical, laser, or other power sources. Such hysteroscope accessory instruments include: lens cleaning brush, cannula (without trocar or valves), clamp/hemostat/grasper, curette, instrument guide, forceps, dissector, mechanical (noninflatable), and scissors. 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 § 884.9.

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Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). The FDA logo consists of two parts: the Department of Health & Human Services logo on the left and the FDA acronym and full name on the right. The FDA acronym is in a blue square, and the full name, "U.S. Food & Drug Administration," is in blue text.

June 8, 2018

Henke-Sass, Wolf GmbH Anna Reifschneider Regulatory Affairs Manager Keltenstrasse 1 Tuttlingen, 78532 Germany

Re: K173070

Trade/Device Name: HSW Resection Instruments Regulation Number: 21 CFR§ 884.1690 Regulation Name: Hysteroscope and accessories Regulatory Class: II Product Code: HIH, FAS, FAJ Dated: May 7, 2018 Received: May 11, 2018

Dear Anna Reifschneider:

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 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,

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) K173070

Device Name HSW Resection Instruments

Indications for Use (Describe)

The Henke-Sass, Wolf Resection Instruments are intended to provide the user with the means for endoscopic diagnostic and therapeutic surgical procedures. Examples of use of the product include the visualization of anatomy, ablation, incision, coagulation, cauterization of minor bleedings, resection of tissue, vaporization and enucleation, and as the surgeon deems appropriate. The instruments are intended for use in general urological and gynecological surgery through the minimally invasive approach, by utilizing natural orifices to access the surgical site. The system's use is intended for, but not limited to the following types of procedures:

  • . Dilation of the urethra, and cold-slitting of urethral strictures
  • . Trans-urethral incision and resection of the prostate
  • . Trans-urethral removal of bladder tumor
  • . Trans-cervical resection and ablation of the endometrium
  • . Trans-cervical resection of fibroids

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

Prescription Use (Part 21 CFR 201 Subpart D)
Over-The-Counter Use (21 CFR 201 Subpart C)

Prescription Use (Part 21 CFR 801 Subpart D)

| | Over-The-Counter Use (21 CFR 801 Subpart C)

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510(k) Number: K173070

1. Applicant Information

Date Prepared:June 5, 2018
Company Name and Address:Henke-Sass, Wolf GmbH
Keltenstrasse 1
78532 Tuttlingen
Germany
Ph: +49 (7462) 946-6147
Contact Person:Ms. Anna Reifschneider, RAC
Regulatory Affairs Manager

2. Device Information

Common Name:Resectoscopic Accessories
Regulation Name:Hysteroscope and accessories
Regulation Number:21 CFR 884.1690
Product Code:HIH (Hysteroscope (And Accessories)), FAJ (Cystoscope
Accessories, Flexible/Rigid), FAS (Electrode,
and
Electrosurgical, Active, Urological)
Device Class:II
Device Name:HSW Resection Instruments

3. Predicate Devices

The legally marketed devices to which substantial equivalence is being claimed are:

510(k) Number:K040390
Applicant:Stryker Endoscopy
Device Name:Stryker Urology and Gynecology Hardware System
Regulation Number:21 CFR 884.1690
Product Code:HIH, FAJ, FAS, and KQT
Device Class:II

The predicate device has not been subject to a design related recall.

4

4. Device Description

The Henke-Sass, Wolf Resection Instruments consist of various components that assemble into and/or work as a diagnostic and therapeutic resectoscopic system in urology and gynecology.

This submission is comprised of rigid working elements (resectoscopes), sheaths, obturators, electrodes (bipolar and monopolar), and HF cables. With the exception of the electrodes, the subject devices are provided non-sterile and reusable. The electrodes are provided sterile and are single-use.

Examples of use of the product include the visualization and manipulation of anatomy, biopsy, and as the surgeon deems appropriate.

The following table provides a descriptive list of each of the subject device components: Working Elements

Description (model)Model Number
Resectoscope working element active, for 2.9mm scope, handle open, monopolar8300032281
Resectoscope working element active, for 2.9mm scope, handle closed, monopolar8300032501
Resectoscope working element active, for 4.0mm scope, monopolar8300032481
Resectoscope working element active, for 4.0mm scope, monopolar8300032483
Resectoscope working element active, for 4.0mm scope, handle closed, monopolar8300032485
Resectoscope working element active, for 4.0mm scope, handle open, monopolar8300032486
Resectoscope working element passive, for 2.9mm scope, handle open, monopolar8300032280
Resectoscope working element passive, for 2.9mm scope, handle closed, monopolar8300032500
Resectoscope working element, passive, monopolar for 2.9mm scope8300032419
Resectoscope working element passive, for 4.0mm scope, monopolar8300032480
Resectoscope working element passive, for 4.0mm scope, monopolar8300032482
Resectoscope working element passive, for 4.0mm scope, handle closed, monopolar8300032484
Resectoscope working element passive, for4.0mm scope, handle open, monopolar8300032256
Resectoscope working element passive, for 2.0mm scope, monopolar8300032503
Resectoscope working element passive, for 2.7mm scope, monopolar8300032506
Resectoscope working element passive, for 2.9mm scope, bipolar (saline)8300032327
Resectoscope working element passive, for 4mm scope, bipolar (saline)8300032344
Resectoscope working element active, for 4mm scope, bipolar (saline)8300032345
Laser resectoscope working element passive, for 2.9mm scope, with guiding channel
for laser probe up to 0.8mm8300032254
Laser resectoscope working element passive, for 2.9mm scope, with guiding channel
for laser probe up to 1.2mm8300032255
Laser resectoscope working element passive, for 4mm scope, with guiding channel for
laser probe up to 0.8mm8300032240
Laser resectoscope working element passive, for 4mm scope, with guiding channel for
laser probe up to 1.2mm8300032241
Laser resectoscope working element passive, for 4mm scope, with interchangeable
guiding channel for laser probe8300035301
Laser resectoscope adapter for laser probe, rotatable8300032243
Laser resectoscope adapter for laser probe, rotatable, long8300032244
TB laser resectoscope adapter for laser probe8300039283
Laser resectoscope guiding channel for laser probe up to 0.8mm8300032246
Laser resectoscope guiding channel for laser probe up to 1.0mm8300032247
Laser resectoscope guiding channel for laser probe up to 1.2mm8300032248

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Laser resectoscope guiding channel for laser probe up to 1.4mm8300032249
Laser resectoscope guiding channel for laser probe up to 0.8mm with retractor8300032250
Laser resectoscope guiding channel for laser probe up to 1.0mm with retractor8300032251
Laser resectoscope guiding channel for laser probe up to 1.2mm with retractor8300032252
Laser resectoscope guiding channel for laser probe up to 1.4mm with retractor8300032253

Sheaths

Description (model)Model Number
Resectoscope standard sheath 11Fr.8300032502
Resectoscope standard sheath 13 Fr.8300032504
Resectoscope standard sheath 17.5 Fr.8300032323
Resectoscope standard sheath 19Fr.8300032282
Resectoscope standard sheath 24Fr.8300032260
Resectoscope standard sheath 27Fr.8300032261
Resectoscope standard sheath 24Fr. with central valve8300032489
Resectoscope standard sheath 27Fr. with central valve8300032490
Resectoscope inner sheath 17.5 Fr. quick lock8300032325
Resectoscope inner sheath 19Fr. with oblique distal tip, fixed stopcock8300032283
Resectoscope inner sheath 19Fr. with oblique distal tip, rotatablestopcocks8300032286
Resectoscope inner sheath 24Fr., fixed stopcock8300032262
Resectoscope inner sheath 27Fr., fixed stopcock8300032265
Resectoscope inner sheath 24Fr., rotatable stopcocks8300032270
Resectoscope inner sheath 27Fr., rotatable stopcocks8300032272
Resectoscope inner sheath 24 Fr., quick lock, rotatable stopcocks8300032335
Resectoscope outer sheath 22Fr., fixed stopcock, all aroundperforation8300032284
Resectoscope outer sheath 26Fr. fixed stopcock, all aroundperforation8300032263
Resectoscope outer sheath 26Fr. fixed stopcock, top and bottom perforation8300032495
Resectoscope outer sheath 26Fr. fixed stopcock, all around slot hole perforation8300032586
Resectoscope outer sheath 28.5Fr., fixed stopcock, all aroundperforation8300032266
Resectoscope outer sheath 18.5Fr. with rotatable stopcocks8300032324
Resectoscope outer sheath 22Fr., all around perforation, rotatable stopcocks8300032287
Resectoscope outer sheath 26Fr., all around perforation, rotatable stopcocks8300032271
Resectoscope outer sheath 26Fr., top and bottom perforation, rotatablestopcocks8300032496
Resectoscope outer sheath 26Fr., top perforation, rotatablestopcocks8300032497
Resectoscope outer sheath 26Fr., all around slot hole perforation, rotatable stopcocks8300032587
Resectoscope outer sheath 26Fr., top slot hole perforation, rotatablestopcocks8300032588
Resectoscope outer sheath 26Fr. quick lock, all around perforation, rotatable stopcocks8300032333
Resectoscope outer sheath 28.5 Fr. all around perforation, rotatablestopcocks8300032273

Electrodes

Description (model)Model Number
Loop electrode 11Fr., angled, monopolar, for 2.0mm scope8300039108
Loop electrode 11Fr., angled, monopolar, for 2.0mm 0°C scope, small8300039110
Ball electrode 11Fr., monopolar, for 2.0mm scope8300041000
Knife electrode 11Fr., monopolar, for 2.0mm scope8300039114
Hook-like electrode 11Fr., monopolar, for 2.0mm scope8300039116
Loop electrode 13Fr., angled, monopolar, for 2.7mm scope8300039109
Loop electrode 13Fr., angled, monopolar, for 2.7mm scope, small8300039111
Ball electrode 13Fr., monopolar, for 2.7mm scope8300039112
Knife electrode 13Fr., monopolar, for 2.7mm scope8300039115
Hook-like electrode 13Fr., monopolar, for 2.7mm scope8300039117
Loop electrode 19Fr. monopolar, for 2.9mm 12° scope8300039074
Loop electrode 19Fr. monopolar, straight, for 2.9mm scope8300039075
Knife electrode 19Fr. monopolar, for 2.9mm scope8300039076
Ball electrode 19Fr. monopolar, for 2.9mm scope8300039077
Roller electrode 19Fr. monopolar, for 2.9mm scope8300039078
HF roller electrode, 19Fr., monopolar scope, for 2.9mm scope8300039079
Loop electrode 24Fr. angled 30°, monopolar, for 4mm scope8300039081
Loop Electrode 24Fr. angled 30°, monopolar, cutting wire 0,40 mm8300039256
Loop electrode 24Fr. straight, monopolar, for 4mm scope8300039083
Knife electrode 24Fr. monopolar, for 4mm scope8300039088
Ball electrode 3mm 24Fr. monopolar, for 4mm scope8300039090
Ball electrode 5mm 24Fr. monopolar, for 4mm scope8300039092
Roller electrode 3mm 24Fr. monopolar, for 4mm scope8300039094
Roller electrode 5mm 24Fr. monopolar, for 4mm scope8300039096
Conical electrode 24Fr. monopolar, for 4mm scope8300039098
Loop electrode 24Fr. 90°, monopolar, for 4mm 0° scope8300039264
Spiked Vaporisation electrode 3mm, monopolar, for 4mm scope8300039099
Spiked Vaporisation electrode 5mm, monopolar, for 4mm scope8300039100
Vaporisation electrode 3mm, monopolar, for 4mm scope8300039101
Vaporisation electrode 5mm, monopolar, for 4mm scope8300039102
Band vaporisation electrode monopolar, for 4mm scope8300039106
Band electrode monopolar, for 4mm 0°scope8300039104
Band electrode monopolar, for 4mm 30°scope8300039476
Loop electrode 27Fr. angled 30°, monopolar, for 4mm scope8300039082
Loop electrode 27Fr. straight, monopolar, for 4mm scope8300039084
Knife electrode 27Fr. monopolar, for 4mm scope8300039089
Ball electrode 3mm 27Fr. monopolar, for 4mm scope8300039091
Ball electrode 5mm 27Fr. monopolar, for 4mm scope8300039093
Roller electrode 3mm 27Fr. monopolar, for 4mm scope8300039095
Roller electrode 5mm 27Fr. monopolar, for 4mm scope8300039097
Loop electrode 27Fr. 90°, monopolar, for 4mm 0° scope8300039086
Knife electrode 27Fr., monopolar, for 4mm scope8300039089
Spiked Vaporisation electrode 3mm, 27Fr. monopolar, for 4mm scope8300039268
Spiked Vaporisation electrode 5mm, 27Fr. monopolar, for 4mm scope8300039270
Vaporisation electrode 3mm, 27Fr. monopolar, for 4mm scope8300039272
Vaporisation electrode 5mm, 27Fr. monopolar, for 4mm scope8300039273
Loop electrode 17Fr., 30°, bipolar (saline), for 2.9mm8300039118
Loop electrode 17Fr., bipolar (saline), for 2.9mm scope8300039122
Knife electrode 17Fr., bipolar (saline), for 2.9mm scope8300039119
Ball electrode 2mm 17Fr., bipolar (saline), for 2.9mm scope8300039120
Roller electrode 2mm 17Fr., bipolar (saline), for 2.9mm scope8300039121
Loop electrode 24Fr., bipolar (saline), for 4mm scope8300039127
Knife electrode 24Fr., bipolar (saline), for 4mm scope8300039124
Coagulation ball electrode 24Fr., bipolar (saline), for 4mm scope8300039125
Coagulation roller electrode 24Fr., bipolar (saline), for 4mm scope8300039126
Loop electrode 90° 24Fr., bipolar (saline), for 4mm scope8300039128

6

Henke-Sass,WolfGmbH

HSW Resection Instruments

7

Henke-Sass, Wolf GmbH HSW Resection Instruments

Obturators

Description (model)Model number
Obturator for 13 Fr. Resectoscope sheath8300032505
Obturator for 11 Fr. Resectoscope sheath8300032422
Obturator for 17.5 Fr. Resectoscope sheath8300032326
Obturator for 19 Fr. Resectoscope sheath8300032285
Obturator for 24 Fr. Resectoscope sheath8300032264
Obturator for 24Fr. Resectoscope sheath, quick lock8300032343
Obturator for 27 Fr. Resectoscope sheath8300032267
Visual obturator for 19 Fr. Resectoscope sheath8300032288
Visual obturator for 24 Fr. Resectoscope sheath8300032279
Visual obturator for 27 Fr. Resectoscope sheath8300032276
Visual obturator with 6Fr. working channel for 24 Fr. Resectoscopesheath8300032277
Visual obturator with 9Fr. working channel for 27 Fr. Resectoscopesheath8300032278
Timberlake obturator for 24 Fr. Resectoscope sheath8300032274
Timberlake obturator for 27 Fr. Resectoscope sheath8300032275

HF Cables

Description (model)Model number
HF connection cable Martin, 3 m length8300040170
HF connection cable Storz/Erbe, 3 m length8300040172
HF connection cable Valleylab-Bovie, 3m length8300040171
HF connection cable, Valleylap, 4.5m length8300032353

5. Indications for Use

The Henke-Sass, Wolf Resection Instruments are intended to provide the user with the means for endoscopic diagnostic and therapeutic surgical procedures. Examples of use of the product include the visualization and manipulation of anatomy, ablation, incision, coagulation,

8

cauterization of minor bleedings, resection of tissue, vaporization and enucleation, and as the surgeon deems appropriate. The instruments are intended for use in general urological and gynecological surgery through the minimally invasive approach, by utilizing natural orifices to access the surgical site. The system's use is intended for, but not limited to the following types of procedures:

  • . Dilation of the urethra, and cold-slitting of urethral strictures
  • . Trans-urethral incision and resection of the prostate
  • . Trans-urethral removal of bladder tumor
  • . Trans-cervical resection and ablation of the endometrium
  • . Trans-cervical resection of fibroids

The subject and predicate devices have the same intended use and the same indications for use.

6. Comparison of Technological Characteristics

Device & Predicate Device(s):Subject Device (K173070)Predicate (K040390)
General Device Characteristics
ManufacturerHenke-Sass, Wolf GmbHSame
FeaturesResectoscope sheath, handle,
receptacles for HF cables, and
guiding tubes for electrodes/laser
fibersSame
Working Elements
MaterialsStainless steel, PTFESame
Diameter2.0 - 4.0 mm scopesSame
TypesActive, passiveSame
HF ports (#)2Same
Electrosurgical modeMonopolar and BipolarSame
Electrodes
ShapesLoops, Knives (needles), Balls, and
RollersSame
SterileProvided sterile (EtO)Provided non-sterile
MaterialsStainless steel, PTFESame
Insulation MaterialPTFESame
Diameter11 Fr. - 27 Fr.19 Fr. - 27 Fr.
Electrosurgical modeMonopolar and BipolarSame
Sheaths
MaterialsStainless steel, Ceramic (ZrO2)Same
Diameter19 Fr. - 27 Fr. (inner)
22 Fr. - 28.5 Fr. (outer)
11 Fr. - 27 Fr. (standard)22 Fr. - 27 Fr. (inner)
24 Fr. - 28 Fr. (outer)
24 Fr. - 27 Fr.
(standard)
Outer sheath tip designRound drilled flushing holesSame

9

Henke-Sass, Wolf GmbH HSW Resection Instruments

| | Stop Cocks | 2, above and below (outer)
1, below (standard) | Same |
|------------|------------|---------------------------------------------------|-----------------|
| Obturators | | | |
| | Materials | Stainless steel | Same |
| | Diameter | 11 Fr. - 27 Fr. | 22 Fr. - 27 Fr. |
| | Tip design | Rounded tip | Same |

The HSW Resection Instruments have differences in technological characteristics (see above table) when compared to the predicate device. These technological differences do not raise different questions of safety or effectiveness.

7. Non-Clinical Performance Data

The risk analysis was carried out in accordance with ISO 14971.

Bench Testing

Bench testing was conducted to verify the performance of the Henke-Sass, Wolf Resection Instruments. Design verification testing was conducted to evaluate the functional and electrical performance of the subject devices, which included:

  • . Visual inspection
  • Resection Setup Mechanical Functionality
  • Leakage Test and Flow Measurement
  • Functional Test (Monopolar and Bipolar electrodes)

Sterility and Shelf Life

For the sterile electrodes, EtO sterilization validation per ISO 11135:2014and package integrity testing per ISO 11607-1:2014 - 11 were conducted. In addition, transport validation and accelerated aging testing were performed for the sterile electrodes in order to confirm the five-year shelf life.

In addition, the reusable Henke-Sass, Wolf Resection Instruments were validated for manual and automated cleaning with subsequent steam sterilization to provide a sterility assurance level of 10-6. The reprocessing validation was conducted in accordance with the 2015 FDA guidance document, "Reprocessing Medical Devices in Health Care Settings: Validation Methods and Labeling."

10

Henke-Sass, Wolf GmbH HSW Resection Instruments

The subject devices demonstrate conformance with the following recognized standards:

Electrical Safety and performance requirements:

  • IEC 60601-1:2005 + A1:2012, C1:2009 + A2:2010 Medical Electrical Equipment Part 1.1 ● General requirements for safety and essential performance.
  • IEC 60601-2-2 Edition 5.0 2009-02 Medical electrical equipment Part 2-2: Particular ● requirements for the basic safety and essential performance of high frequency surgical equipment and high frequency surgical accessories [Including: Technical Corrigendum 1 (2014)]
  • IEC 60601-1-6:2010 (Third Edition) + A1:2013 Medical electrical equipment Part 1-6: ● Particular requirements for the basic safety and essential performance: Usability
  • IEC 60601-2-18 Edition 3.0 2009-08 Medical electrical equipment Part 2-18: Particular ● requirements for the basic safety and essential performance of endoscopic equipment.

Biocompatibility:

  • Cytotoxicity ISO 10993-5:2009 Biological evaluation of medical devices -- Part 5: Tests for ● in vitro cytotoxicity
  • Sensitization ISO10993-10:2010 Biological evaluation of medical devices -- Part 10: Tests ● for irritation and skin sensitization
  • . Irritation - ISO10993-10:2010 Biological evaluation of medical devices -- Part 10: Tests for irritation and skin sensitization

The results of the non-clinical performance testing demonstrated that the subject devices meet predefined design and performance criteria. Results of all non-clinical testing support the safety and effectiveness of the subject device.

8. Conclusion

The performance data support the safety and effectiveness of the subject device and demonstrate that the subject device is substantially equivalent to the predicate device.