K Number
K211297
Device Name
SMARTRELEASE Endoscopic Soft Tissue Release System
Date Cleared
2021-06-24

(57 days)

Product Code
Regulation Number
888.1100
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The SMARTRELEASE® Endoscopic Soft Tissue Release System is indicated for use in minimally invasive ligament or fascia release: - Carpal tunnel release in the wrist - Cubital tunnel release in the elbow ● - Plantar fascia release in the foot - Gastrocnemius aponeurosis recession in the leg .
Device Description
MicroAire's SMARTRELEASE® Endoscopic Soft Tissue Release System is comprised of the following components: the SMARTRELEASE® Endoscope, the SMARTRELEASE® Handpiece, the SMARTRELEASE® Standard and Onyx Blade Assemblies. The system includes a set of Manual Surgical Instruments. The SMARTRELEASE® Handpiece, the SMARTRELEASE® Endoscope, and the Manual Surgical Instruments are reusable after cleaning and subsequent sterilization. The SMARTRELEASE® Blade Assemblies are gamma sterilized and intended for single-use only.
More Information

None

No
The summary does not mention AI, ML, or any related concepts like training/test sets, performance metrics typically associated with AI/ML, or image processing that might be indicative of AI-driven analysis. The device description focuses on mechanical components and manual surgical instruments.

Yes
The device is indicated for use in surgical procedures (ligament or fascia release) to treat specific conditions (carpal tunnel, cubital tunnel, plantar fascia, gastrocnemius aponeurosis recession), which falls under the definition of a therapeutic device.

No

This device is designed for surgical soft tissue release, which is a treatment procedure, not a diagnostic one.

No

The device description explicitly lists multiple hardware components including an endoscope, handpiece, blade assemblies, and manual surgical instruments.

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

Here's why:

  • Intended Use: The intended use clearly describes a surgical system for releasing ligaments and fascia within the body (in vivo procedures). IVDs are used to examine specimens taken from the body (in vitro).
  • Device Description: The components are surgical instruments designed for direct use on tissue.
  • Anatomical Site: The anatomical sites are internal body parts where surgical procedures are performed.
  • Intended User: The intended users are surgeons performing surgical procedures.

All the information points to a surgical device used for therapeutic purposes, not a diagnostic device used to analyze samples outside the body.

N/A

Intended Use / Indications for Use

The SMARTRELEASE® Endoscopic Soft Tissue Release System is indicated for use in minimally invasive ligament or fascia release:

  • Carpal tunnel release in the wrist
  • Cubital tunnel release in the elbow ●
  • Plantar fascia release in the foot
  • Gastrocnemius aponeurosis recession in the leg .

Product codes

HRX, KCT, EMF

Device Description

MicroAire's SMARTRELEASE® Endoscopic Soft Tissue Release System is comprised of the following components: the SMARTRELEASE® Endoscope, the SMARTRELEASE® Handpiece, the SMARTRELEASE® Standard and Onyx Blade Assemblies. The system includes a set of Manual Surgical Instruments. The SMARTRELEASE® Handpiece, the SMARTRELEASE® Endoscope, and the Manual Surgical Instruments are reusable after cleaning and subsequent sterilization. The SMARTRELEASE® Blade Assemblies are gamma sterilized and intended for single-use only.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

wrist, elbow, foot, leg

Indicated Patient Age Range

Not Found

Intended User / Care Setting

orthopedic and foot-specialist surgeons

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

A User Design Validation was conducted to evaluate the safety and effectiveness of the SMARTRELEASE Endoscopic Soft Tissue Release System when used according to the indications for use. The validation involved 15 orthopedic and foot-specialist surgeons in cadaver studies for both the plantar fascia and gastrocnemius releases. Results of the Design Validation support the indications for use of the SMARTRELEASE® Endoscopic Soft Tissue Release System and that the product meets the documented User Needs for the device. The Design Validation confirms that the device is safe and effective when used according to the instructions for use.
All testing demonstrated that the SMARTRELEASE® Endoscopic Soft Tissue Release System is as safe and effective as the predicate device.

Key Metrics

Not Found

Predicate Device(s)

K181819, K080133

Reference Device(s)

No reference devices were used in this submission.

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.

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June 24, 2021

Image /page/0/Picture/1 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). On the left, there is a seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged in a circular pattern around a stylized image of a human figure. To the right of the seal, there is the FDA logo in blue, with the words "U.S. FOOD & DRUG" stacked above the word "ADMINISTRATION".

MicroAire® Surgical Instruments Glenn Gerstenfeld Vice President, QA/RA and Compliance Officer 3590 Grand Forks Blvd Charlottesville, Virginia 22911

Re: K211297

Trade/Device Name: SMARTRELEASE® Endoscopic Soft Tissue Release System Regulation Number: 21 CFR 888.1100 Regulation Name: Arthroscope Regulatory Class: Class II Product Code: HRX, KCT, EMF Dated: April 27, 2021 Received: April 28, 2021

Dear Glenn Gerstenfeld:

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 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

1

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 mediation-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.

for

Laura C. Rose. Ph.D. Assistant Director DHT6C: Division of Restorative, Repair and Trauma Devices OHT6: Office of Orthopedic Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known)

K211297

Device Name

SMARTRELEASE® Endoscopic Soft Tissue Release System

Indications for Use (Describe)

The SMARTRELEASE® Endoscopic Soft Tissue Release System is indicated for use in minimally invasive ligament or fascia release:

  • · Carpal tunnel release in the wrist
  • · Cubital tunnel release in the elbow
  • · Plantar fascia release in the foot
  • · Gastrocnemius aponeurosis recession in the leg
Type of Use (Select one or both, as applicable)
---------------------------------------------------

|× Prescription Use (Part 21 CFR 801 Subpart D)

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

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510(k) Summary

SMARTRELEASE® Endoscopic Soft Tissue Release System

510(k) Number: K211297

1. Submission Sponsor

MicroAire® Surgical Instruments Inc. 3590 Grand Forks Blvd. Charlottesville VA, 22911 USA Contact: Glenn Gerstenfeld Title: VP, QA/RA and Compliance Officer Phone: +1 434 975 8344

2. Date Prepared

June 24, 2021

3. Device Identification

Trade/Proprietary Name: SMARTRELEASE® Endoscopic Soft Tissue Release System Common/Usual Name: SMARTRELEASE Classification Name: Arthroscope Regulation Number: 21 CFR 888.1100 Product Code: HRX, KCT, EMF Class: Class II Classification Panel: General & Plastic Surgery

4. Predicate Device(s)

The predicate devices for this submission are: MicroAire's SMARTRELEASE® Endoscopic Soft Tissue Release System (K181819, primary predicate device), and A.M. Surgical Mountable Endoscopic Blade (K080133, secondary predicate device). Neither of these predicates have been the subject to a designrelated recall. No reference devices were used in this submission.

5. Intended Use / Indication for Use Statement

The SMARTRELEASE® Endoscopic Soft Tissue Release System is indicated for use in minimally invasive ligament or fascia release:

  • Carpal tunnel release in the wrist
  • Cubital tunnel release in the elbow ●
  • Plantar fascia release in the foot

4

  • Gastrocnemius aponeurosis recession in the leg .

6. Device Description

MicroAire's SMARTRELEASE® Endoscopic Soft Tissue Release System is comprised of the following components: the SMARTRELEASE® Endoscope, the SMARTRELEASE® Handpiece, the SMARTRELEASE® Standard and Onyx Blade Assemblies. The system includes a set of Manual Surgical Instruments. The SMARTRELEASE® Handpiece, the SMARTRELEASE® Endoscope, and the Manual Surgical Instruments are reusable after cleaning and subsequent sterilization. The SMARTRELEASE® Blade Assemblies are gamma sterilized and intended for single-use only.

7. Substantial Equivalence Discussion

There have been no design changes between the originally cleared SMARTRELEASE® Endoscopic Soft Tissue Release System and the proposed device. Thus, the two SMARTRELEASE devices have the same technological characteristics as there have been no changes to the design, manufacturing, sterilization, or packaging of the device. Additionally, the proposed SMARTRELEASE® Endoscopic Soft Tissue Release System has minor differences in technological characteristics with the second predicate device, albeit same materials, blade material, and sterilization method. While the proposed Indications for Use differ between the initially cleared and proposed SMARTRELEASE device, the proposed Indications for Use is identical to the secondary predicate device. The use of Endoscopic blades in these expanded indications has been well-established and does not raise any new issues of safety and effectiveness.

8. Non-Clinical Performance Data

A User Design Validation was conducted to evaluate the safety and effectiveness of the SMARTRELEASE Endoscopic Soft Tissue Release System when used according to the indications for use. The validation involved 15 orthopedic and foot-specialist surgeons in cadaver studies for both the plantar fascia and gastrocnemius releases. Results of the Design Validation support the indications for use of the SMARTRELEASE® Endoscopic Soft Tissue Release System and that the product meets the documented User Needs for the device. The Design Validation confirms that the device is safe and effective when used according to the instructions for use.

All testing demonstrated that the SMARTRELEASE® Endoscopic Soft Tissue Release System is as safe and effective as the predicate device.

9. Statement of Substantial Equivalence

The SMARTRELEASE® Endoscopic Soft Tissue Release System has the same intended use as the A.M. Surgical Mountable Endoscopic Blade predicate device, and similar technological characteristics. The differences in technological characteristics do not raise new or different questions of safety and effectiveness. Performance testing has demonstrated the SMARTRELEASE® Endoscopic Soft Tissue Release System is as safe and effective as the predicate device. Therefore, the SMARTRELEASE® Endoscopic Soft Tissue Release System is substantially equivalent to the predicate devices.