K Number
K210476
Device Name
EchoTip Ultra Endoscopic Ultrasound Needle, EchoTip ProCore HD Ultrasound Biopsy Needle, EchoTip Ultra Endobronchial High Definition Ultrasound Needle, EchoTip ProCore Endobronchial High Definition Ultrasound Biopsy Needle
Manufacturer
Date Cleared
2021-05-20

(90 days)

Product Code
Regulation Number
876.1075
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The EchoTip® Ultra Endoscopic Ultrasound Needle is used with an ultrasound endoscope for fine needle aspiration (FNA) of submucosal lesions, mediastinal masses, lymph nodes and intraperitoneal masses within or adjacent to the gastrointestinal tract. The EchoTip ProCore® HD Ultrasound Biopsy Needle is used with an ultrasound endoscope for fine needle biopsy (FNB), of submucosal lesions, mediastinal masses, lymph nodes and intraperitoneal masses within or adjacent to the gastrointestinal tract. Echotip® Ultra Endobronchial High Definition Ultrasound Needle for Olympus scopes: This device is used to sample targeted submucosal and extramural lesions within or adjacent to the tracheobronchial tree or gastrointestinal tract through the accessory channel of an ultrasound endoscope for Fine Needle Aspiration (FNA). Echotip® Ultra Endobronchial High Definition Ultrasound Needle for Pentax scopes: This device is used to sample targeted submucosal and extramural lesions within or adjacent to the tracheobronchial tree through the accessory channel of an ultrasound endoscope for Fine Needle Aspiration (FNA). Echotip Procore® Endobronchial High Definition Ultrasound Biopsy Needle for Olympus scopes: This device is used with an ultrasound endoscope for fine needle biopsy, (FNB), of submucosal and extramural lesions within or adjacent to the tracheobronchial tree or gastrointestinal tract. Echotip Procore® Endobronchial High Definition Ultrasound Biopsy Needle for Pentax scopes: This device is used with an ultrasound endoscope for fine needle biopsy, (FNB), of submucosal and extramural lesions within or adjacent to the tracheobronchial tree.
Device Description
EchoTip Ultra Endoscopic Ultrasound Needle: This Needle is used in conjunction with an ultrasound endoscope and is available in needle gauge sizes of 19, 22 and 25 Ga. The device comprises of a needle assembly and a syringe. The needle assembly consists of the needle cannula, stylet, sheath and handle. The stainless steel needle cannula has a dimpling pattern on the distal end to allow visualization of the needle tip under endoscopic ultrasound. The purpose of the needle cannula is for puncturing of the target site. The preloaded nitinol stylet is withdrawn from the needle when obtaining sample from the target site. The sheath covers the needle when it is not in use. The device handle allows for needle and sheath length adjustment. The syringe can aid in sample aspiration. The device is supplied sterile and is intended for single use. The device is for Rx use only. EchoTip ProCore HD Ultrasound Biopsy Needle: This Needle is used in conjunction with an ultrasound endoscope and is available in needle gauge sizes of 19, 20, 22 and 25 ga. The device comprises of a needle assembly and a syringe. The needle assembly consists of the needle cannula, stylet, sheath and handle. The stainless steel needle cannula has a dimpling pattern on the distal end to allow visualization of the needle tip under endoscopic ultrasound. The needle cannula has a bevelled tip design and a notch. The purpose of the needle cannula is for puncturing/biopsy of the target site. The preloaded nitinol stylet is withdrawn from the needle for biopsy. Some variants have a stylet that coils when not in the needle. The sheath covers the needle when it is not in use. The device handle allows for needle and sheath length adjustment. The syringe can aid in tissue aspiration. The device is supplied sterile and is intended for single use. The device is for Rx use only. EchoTip Ultra / ProCore Endobronchial High Definition Ultrasound Needle: These Needles are used in conjunction with an endobronchial ultrasound endoscope and is available with needle gauge sizes of 22 and 25 Ga. The device is composed of a needle assembly and a syringe. An adapter can also be supplied for use with endobronchial ultrasound endoscopes with metal non-Luer hubs. The needle assembly consists of the needle cannula, stylet, sheath and handle. The stainless steel needle cannula has a dimpling pattern on the distal end to allow visualization of the needle tip under endoscopic ultrasound. The needle cannula has a bevelled tip design and comes either with or without a notch. The purpose of the needle cannula is for puncturing/sampling of the target site. The needle is provided with a preloaded stylet which remains in place during advancement of the needle. The sheath covers the needle when the needle is retracted and not in use. The device handle allows for needle and sheath length adjustment. The stylet/syringe can aid in specimen retrieval. The device is supplied sterile and intended for single use only. The device is for Rx use only.
More Information

Not Found

No
The device description and intended use focus solely on the mechanical components and function of a biopsy/aspiration needle used with an ultrasound endoscope. There is no mention of any software, algorithms, or data processing that would indicate the presence of AI/ML.

No.
The device is described as an aspiration or biopsy needle used for sampling lesions, masses, and lymph nodes, which is a diagnostic purpose, not therapeutic.

Yes

The device is used for fine needle aspiration (FNA) and fine needle biopsy (FNB) of lesions, masses, and lymph nodes, which are procedures performed to obtain tissue samples for diagnostic purposes (e.g., pathology examination) to determine the nature of a disease.

No

The device description clearly details physical components such as needles, stylets, sheaths, handles, and syringes. It also mentions performance testing related to physical properties like tensile strength and crumple testing, indicating it is a hardware device.

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

Here's why:

  • IVDs are used to examine specimens outside the body. The intended use and device description clearly state that these needles are used within the body (gastrointestinal tract, tracheobronchial tree) to obtain samples (FNA/FNB).
  • IVDs are used to provide information about a patient's condition based on the analysis of the specimen. While the samples obtained by these needles will likely be used for subsequent in vitro diagnostic testing (e.g., pathology), the needles themselves are the tools for collecting the sample, not for performing the diagnostic test on the sample.

The device is a surgical/biopsy instrument used for obtaining tissue samples from within the body under ultrasound guidance. The diagnostic testing happens after the sample is collected, using other devices and procedures.

N/A

Intended Use / Indications for Use

The EchoTip® Ultra Endoscopic Ultrasound Needle is used with an ultrasound endoscope for fine needle aspiration (FNA) of submucosal lesions, mediastinal masses, lymph nodes and intraperitoneal masses within or adjacent to the gastrointestinal tract.

The EchoTip ProCore® HD Ultrasound Biopsy Needle is used with an ultrasound endoscope for fine needle biopsy (FNB), of submucosal lesions, mediastinal masses, lymph nodes and intraperitoneal masses within or adjacent to the gastrointestinal tract.

Echotip® Ultra Endobronchial High Definition Ultrasound Needle for Olympus scopes: This device is used to sample targeted submucosal and extramural lesions within or adjacent to the tracheobronchial tree or gastrointestinal tract through the accessory channel of an ultrasound endoscope for Fine Needle Aspiration (FNA).

Echotip® Ultra Endobronchial High Definition Ultrasound Needle for Pentax scopes: This device is used to sample targeted submucosal and extramural lesions within or adjacent to the tracheobronchial tree through the accessory channel of an ultrasound endoscope for Fine Needle Aspiration (FNA).

Echotip Procore® Endobronchial High Definition Ultrasound Biopsy Needle for Olympus scopes: This device is used with an ultrasound endoscope for fine needle biopsy, (FNB), of submucosal and extramural lesions within or adjacent to the tracheobronchial tree or gastrointestinal tract.

Echotip Procore® Endobronchial High Definition Ultrasound Biopsy Needle for Pentax scopes: This device is used with an ultrasound endoscope for fine needle biopsy, (FNB), of submucosal and extramural lesions within or adjacent to the tracheobronchial tree.

Product codes

FCG

Device Description

EchoTip Ultra Endoscopic Ultrasound Needle: This Needle is used in conjunction with an ultrasound endoscope and is available in needle gauge sizes of 19, 22 and 25 Ga. The device comprises of a needle assembly and a syringe. The needle assembly consists of the needle cannula, stylet, sheath and handle. The stainless steel needle cannula has a dimpling pattern on the distal end to allow visualization of the needle tip under endoscopic ultrasound. The purpose of the needle cannula is for puncturing of the target site. The preloaded nitinol stylet is withdrawn from the needle when obtaining sample from the target site. The sheath covers the needle when it is not in use. The device handle allows for needle and sheath length adjustment. The syringe can aid in sample aspiration. The device is supplied sterile and is intended for single use. The device is for Rx use only.

EchoTip ProCore HD Ultrasound Biopsy Needle: This Needle is used in conjunction with an ultrasound endoscope and is available in needle gauge sizes of 19, 20, 22 and 25 ga. The device comprises of a needle assembly and a syringe. The needle assembly consists of the needle cannula, stylet, sheath and handle. The stainless steel needle cannula has a dimpling pattern on the distal end to allow visualization of the needle tip under endoscopic ultrasound. The needle cannula has a bevelled tip design and a notch. The purpose of the needle cannula is for puncturing/biopsy of the target site. The preloaded nitinol stylet is withdrawn from the needle for biopsy. Some variants have a stylet that coils when not in the needle. The sheath covers the needle when it is not in use. The device handle allows for needle and sheath length adjustment. The syringe can aid in tissue aspiration. The device is supplied sterile and is intended for single use. The device is for Rx use only.

EchoTip Ultra / ProCore Endobronchial High Definition Ultrasound Needle: These Needles are used in conjunction with an endobronchial ultrasound endoscope and is available with needle gauge sizes of 22 and 25 Ga. The device is composed of a needle assembly and a syringe. An adapter can also be supplied for use with endobronchial ultrasound endoscopes with metal non-Luer hubs. The needle assembly consists of the needle cannula, stylet, sheath and handle. The stainless steel needle cannula has a dimpling pattern on the distal end to allow visualization of the needle tip under endoscopic ultrasound. The needle cannula has a bevelled tip design and comes either with or without a notch. The purpose of the needle cannula is for puncturing/sampling of the target site. The needle is provided with a preloaded stylet which remains in place during advancement of the needle. The sheath covers the needle when the needle is retracted and not in use. The device handle allows for needle and sheath length adjustment. The stylet/syringe can aid in specimen retrieval. The device is supplied sterile and intended for single use only. The device is for Rx use only.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Ultrasound

Anatomical Site

Gastrointestinal tract, tracheobronchial tree

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Prescription Use (Part 21 CFR 801 Subpart D), For professional use

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 was performed as per Cook Ireland's design control system; the following tests were conducted:

  • Tensile testing
  • Crumple testing
  • Joint strength testing
  • Finite element analysis
  • Simulated use and drop testing
    The non-clinical data supports the safety of the modified devices and demonstrates that the EchoTip Ultra Endoscopic Ultrasound Needle, the EchoTip ProCore HD Ultrasound Biopsy Needle and the EchoTip Ultra / ProCore Endobronchial High Definition Ultrasound Needle is safe and effective and should perform as intended in the specified use conditions. This nonclinical data supports the substantial equivalence of the EchoTip Ultra Endoscopic Ultrasound Needle, the EchoTip ProCore HD Ultrasound Biopsy Needle and the EchoTip Ultra / ProCore Endobronchial High Definition Ultrasound Needle to their respective predicate devices.

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

Not Found

Predicate Device(s)

K083330, K142688, K160229

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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.

0

Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health & Human Services logo on the left and the FDA logo on the right. The FDA logo is a blue square with the letters "FDA" in white, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue.

May 20, 2021

Cook Ireland Ltd. Jane Kennedy Senior Regulatory Affairs Specialist O'Halloran Road. National Technology Park Limerick, Ireland

Re: K210476

Trade/Device Name: EchoTip Ultra Endoscopic Ultrasound Needle, EchoTip ProCore HD Ultrasound Biopsy Needle, EchoTip Ultra Endobronchial High Definition Ultrasound Needle, EchoTip ProCore Endobronchial High Definition Ultrasound Biopsy Needle Regulation Number: 21 CFR 876.1075 Regulation Name: Gastroenterology-Urology Biopsy Instrument Regulatory Class: Class II Product Code: FCG Dated: February 12, 2021 Received: February 19, 2021

Dear Jane Kennedy:

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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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

1

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 of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; 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 https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). 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 (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

Shanil P. Haugen, Ph.D. Assistant Director DHT3A: Division of Renal, Gastrointestinal, Obesity and Transplant Devices OHT3: Office of GastroRenal, ObGyn, General Hospital and Urology Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

2

Indications for Use

510(k) Number (if known) K210476

Device Name

Echotip® Ultra Endoscopic Ultrasound Needle, Echotip Procore® HD Ultrasound Biopsy Needle Echotip® Ultra Endobronchial High Definition Ultrasound Needle Echotip Procore® Endobronchial High Definition Ultrasound Biopsy Needle

Indications for Use (Describe)

The EchoTip® Ultra Endoscopic Ultrasound Needle is used with an ultrasound endoscope for fine needle aspiration (FNA) of submucosal lesions, mediastinal masses, lymph nodes and intraperitoneal masses within or adjacent to the gastrointestinal tract.

The EchoTip ProCore® HD Ultrasound Biopsy Needle is used with an ultrasound endoscope for fine needle biopsy (FNB), of submucosal lesions, mediastinal masses, lymph nodes and intraperitoneal masses within or adjacent to the gastrointestinal tract.

Echotip® Ultra Endobronchial High Definition Ultrasound Needle for Olympus scopes: This device is used to sample targeted submucosal and extramural lesions within or adjacent to the tracheobronchial tree or gastrointestinal tract through the accessory channel of an ultrasound endoscope for Fine Needle Aspiration (FNA).

Echotip® Ultra Endobronchial High Definition Ultrasound Needle for Pentax scopes: This device is used to sample targeted submucosal and extramural lesions within or adjacent to the tracheobronchial tree through the accessory channel of an ultrasound endoscope for Fine Needle Aspiration (FNA).

Echotip Procore® Endobronchial High Definition Ultrasound Biopsy Needle for Olympus scopes: This device is used with an ultrasound endoscope for fine needle biopsy, (FNB), of submucosal and extramural lesions within or adjacent to the tracheobronchial tree or gastrointestinal tract.

Echotip Procore® Endobronchial High Definition Ultrasound Biopsy Needle for Pentax scopes: This device is used with an ultrasound endoscope for fine needle biopsy, (FNB), of submucosal and extramural lesions within or adjacent to the tracheobronchial tree.

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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510(k) Summary

I. SUBMITTER

Cook Ireland Ltd. O' Halloran Road National Technology Park Limerick, V94 N8X2 Ireland

Phone: +353 61 334440 Fax: +353 61 334441

Contact: Jane Kennedy, Senior Regulatory Affairs Specialist

Phone: +353 61 334440 Fax: +353 61 334441

Date Prepared: February 12th, 2021

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II. DEVICE

Trade Name of Device: EchoTip Ultra Endoscopic Ultrasound Needle

The model numbers are ECHO-19, ECHO-1-22, and ECHO-25.

Common or Usual Name: Endoscopic Ultrasound Needle (Biopsy Needle Kit)

Classification Name: Gastroenterology/Urology (21 CFR 876.1075)

Regulatory Class: II

Product Code: FCG

Trade Name of Device: EchoTip ProCore HD Ultrasound Biopsy Needle The model numbers are ECHO-HD-19-C. ECHO-HD-3-20-C. ECHO-HD-22-C. and ECHO-HD-25-C. Common or Usual Name: Endoscopic Ultrasound Needle (Biopsy Needle Kit) Classification Name: Gastroenterology/Urology (21 CFR 876.1075) Regulatory Class: II Product Code: FCG

Trade Name of Device: EchoTip Ultra Endobronchial High Definition Ultrasound Needle The model numbers are ECHO-HD-22-EBUS-O, ECHO-HD-22-EBUS-P, ECHO-HD-25-EBUS-O. and ECHO-HD-25-EBUS-P. (O = for use with Olympus scope, P = for use with Pentax scope) Common or Usual Name: Endoscopic Ultrasound Needle (Biopsy Needle Kit) Classification Name: Gastroenterology/Urology (21 CFR 876.1075) Regulatory Class: II

Product Code: FCG

Trade Name of Device: EchoTip ProCore Endobronchial High Definition Ultrasound Biopsy Needle

The model numbers are ECHO-HD-22-EBUS-O-C. ECHO-HD-22-EBUS-P-C, ECHO-HD-25-EBUS-O-C, and ECHO-HD-25-EBUS-P-C.

(O = for use with Olympus scope, P = for use with Pentax scope)

Common or Usual Name: Endoscopic Ultrasound Needle (Biopsy Needle Kit)

Classification Name: Gastroenterology/Urology (21 CFR 876.1075)

Regulatory Class: II

Product Code: FCG

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III. PREDICATE DEVICE

Endoscopic Ultrasound Needle, K083330 cleared on February 6th, 2009. EchoTip ProCore HD Ultrasound Biopsy Needle, K142688 cleared on December 194, 2014. EchoTip Ultra / ProCore Endobronchial High Definition Ultrasound Needle, K160229 cleared on March 21st, 2016.

The predicate devices detailed above have never been subject to a design related recall.

IV. DEVICE DESCRIPTION

EchoTip Ultra Endoscopic Ultrasound Needle

This Needle is used in conjunction with an ultrasound endoscope and is available in needle gauge sizes of 19, 22 and 25 Ga. The device comprises of a needle assembly and a syringe. The needle assembly consists of the needle cannula, stylet, sheath and handle. The stainless steel needle cannula has a dimpling pattern on the distal end to allow visualization of the needle tip under endoscopic ultrasound. The purpose of the needle cannula is for puncturing of the target site. The preloaded nitinol stylet is withdrawn from the needle when obtaining sample from the target site. The sheath covers the needle when it is not in use. The device handle allows for needle and sheath length adjustment. The syringe can aid in sample aspiration. The device is supplied sterile and is intended for single use. The device is for Rx use only.

EchoTip ProCore HD Ultrasound Biopsy Needle

This Needle is used in conjunction with an ultrasound endoscope and is available in needle gauge sizes of 19, 20, 22 and 25 ga. The device comprises of a needle assembly and a syringe. The needle assembly consists of the needle cannula, stylet, sheath and handle. The stainless steel needle cannula has a dimpling pattern on the distal end to allow visualization of the needle tip under endoscopic ultrasound. The needle cannula has a bevelled tip design and a notch. The purpose of the needle cannula is for puncturing/biopsy of the target site. The preloaded nitinol stylet is withdrawn from the needle for biopsy. Some variants have a stylet that coils when not in the needle. The sheath covers the needle when it is not in use. The device handle allows for needle and sheath length adjustment. The syringe can aid in tissue aspiration. The device is supplied sterile and is intended for single use. The device is for Rx use only.

6

EchoTip Ultra / ProCore Endobronchial High Definition Ultrasound Needle

These Needles are used in conjunction with an endobronchial ultrasound endoscope and is available with needle gauge sizes of 22 and 25 Ga. The device is composed of a needle assembly and a syringe. An adapter can also be supplied for use with endobronchial ultrasound endoscopes with metal non-Luer hubs. The needle assembly consists of the needle cannula, stylet, sheath and handle. The stainless steel needle cannula has a dimpling pattern on the distal end to allow visualization of the needle tip under endoscopic ultrasound. The needle cannula has a bevelled tip design and comes either with or without a notch. The purpose of the needle cannula is for puncturing/sampling of the target site. The needle is provided with a preloaded stylet which remains in place during advancement of the needle. The sheath covers the needle when the needle is retracted and not in use. The device handle allows for needle and sheath length adjustment. The stylet/syringe can aid in specimen retrieval. The device is supplied sterile and intended for single use only. The device is for Rx use only.

Subject DevicePredicate Device
The EchoTip Ultra Endoscopic Ultrasound
Needle is used with an ultrasound endoscope for
fine needle aspiration (FNA) of submucosal
lesions, mediastinal masses, lymph nodes and
intraperitoneal masses within or adjacent to the
gastrointestinal tract.EchoTip Ultra Ultrasound Needle
(K083330): This device is intended to be
used with an ultrasound endoscope for
delivery of injectable materials into
tissues during endoscopic procedures
and fine needle aspiration (FNA) of
submucosal lesions, mediastinal masses,
lymph nodes and intraperitoneal masses
within or adjacent to the gastrointestinal
tract.
There were no new risks introduced as
the intended use of the subject device
falls within the broader intended use of
the predicate device cleared under
K083330.
The EchoTip ProCore HD Ultrasound Biopsy
Needle is used with an ultrasound endoscope for
fine needle biopsy (FNB), of submucosal lesions,
mediastinal masses, lymph nodes and
intraperitoneal masses within or adjacent to the
gastrointestinal tract.Unchanged from EchoTip ProCore
HD Ultrasound Biopsy Needle,
K142688.

INDICATIONS FOR USE V.

7

Subject DevicePredicate Device
Echotip® Ultra Endobronchial High
Definition Ultrasound Needle for Olympus
scopes: This device is used to sample targeted
submucosal and extramural lesions within or
adjacent to the tracheobronchial tree or
gastrointestinal tract through the accessory
channel of an ultrasound endoscope for Fine
Needle Aspiration (FNA).Unchanged from EchoTip Ultra
Endobronchial High Definition
Ultrasound Needle, K160229.
Echotip® Ultra Endobronchial High
Definition Ultrasound Needle for Pentax
scopes: This device is used to sample targeted
submucosal and extramural lesions within or
adjacent to the tracheobronchial tree through the
accessory channel of an ultrasound endoscope for
Fine Needle Aspiration (FNA).Unchanged from EchoTip Ultra
Endobronchial High Definition
Ultrasound Needle, K160229.
Echotip Procore® Endobronchial High
Definition Ultrasound Biopsy Needle for
Olympus scopes: This device is used with an
ultrasound endoscope for fine needle biopsy,
(FNB), of submucosal and extramural lesions
within or adjacent to the tracheobronchial tree or
gastrointestinal tract.Unchanged from EchoTip ProCore
Endobronchial High Definition
Ultrasound Needle, K160229.
Echotip Procore® Endobronchial High
Definition Ultrasound Biopsy Needle for
Pentax scopes: This device is used with an
ultrasound endoscope for fine needle biopsy,
(FNB), of submucosal and extramural lesions
within or adjacent to the tracheobronchial tree.Unchanged from EchoTip ProCore
Endobronchial High Definition
Ultrasound Needle, K160229.

8

VI. COMPARISON OF TECHNOLOGICAL CHARACTERISTICS WITH A PREDICATE DEVICE

The modified devices are substantially equivalent to the currently marketed predicate devices, the Endoscopic Ultrasound Needle, K083330 cleared on February 6th, 2009, the EchoTip ProCore HD Ultrasound Biopsy Needle, K142688 cleared on December 19th, 2014 and the EchoTip Ultra / ProCore Endobronchial High Definition Ultrasound Needle, K160229 cleared on March 21st, 2016.

In brief, the modified devices are identical to their respective predicate devices with regard to the following:

  • | Needle gauge size
  • । Needle material
  • | Needle length extension range
  • Stylet wire material —
  • Sheath length extension range
  • -Sheath material
  • | Handle (method of needle and sheath adjustment)
  • Endoscope compatibility |
  • Syringe —
  • -Shelf life
  • -Sterility (Ethylene oxide, EO)
  • | For single use
  • For professional use
  • Principle of operation —

The following technological differences exist between the modified devices and the currently marketed predicate devices:

  • । Dimensional changes to inner components of the handle.
  • EchoTip Ultra / ProCore Endobronchial High Definition Ultrasound Needle: । Dimensional change to the Female Luer Lock Adaptor (FLLA) connector on the Olympus Adaptor.
  • । EchoTip Ultra Endoscopic Ultrasound Needle: The stylet distal tip for the 22 Ga needle is changed from a bevelled tip to a ball tip and the stylet wire for the 19 Ga and 22 Ga needles are slightly reduced.

These differences in technological characteristics do not raise different questions of safety and effectiveness.

9

VII. PERFORMANCE DATA

A biocompatibility evaluation for the proposed modifications was conducted in accordance with the FDA guidance document Use of International Standard ISO 10993-1, "Biological Evaluation of Medical Devices – Part 1: Evaluation and Testing within a Risk Management Process" issued on September 4, 2020 and the International Standard ISO 10993-1: 2018 "Biological evaluation of medical devices - Part 1: Evaluation and testing within a risk management process," as recognised by FDA.

The device specific guidance document was consulted in preparing this premarket submission, Guidance for the Content of Premarket Notifications for Biopsy Devices Used in Gastroenterology and Urology.

Performance testing was performed as per Cook Ireland's design control system; the following tests were conducted:

  • Tensile testing -
  • -Crumple testing
  • -Joint strength testing
  • Finite element analysis -
  • Simulated use and drop testing -

VIII. CONCLUSIONS

The non-clinical data supports the safety of the modified devices and demonstrates that the EchoTip Ultra Endoscopic Ultrasound Needle, the EchoTip ProCore HD Ultrasound Biopsy Needle and the EchoTip Ultra / ProCore Endobronchial High Definition Ultrasound Needle is safe and effective and should perform as intended in the specified use conditions. This nonclinical data supports the substantial equivalence of the EchoTip Ultra Endoscopic Ultrasound Needle, the EchoTip ProCore HD Ultrasound Biopsy Needle and the EchoTip Ultra / ProCore Endobronchial High Definition Ultrasound Needle to their respective predicate devices.