(149 days)
No
The description focuses on mechanical and electrical components, software for motor control, and performance testing against predicate devices. There is no mention of AI or ML algorithms for image processing, data analysis, or decision-making.
Yes
The device is intended for cutting, debriding, and removal of thin bone and soft tissue in general ENT and Sinus/Rhinology procedures, which are therapeutic interventions.
No.
The Celeris System is described as being "intended for cutting, debriding, and removal of thin bone and soft tissue," which indicates its function as a surgical tool, not a diagnostic device.
No
The device description clearly outlines hardware components including a reusable power pack, disposable handpiece with a motor and blade, and connections for power and suction. While software is mentioned for motor control within the power pack, the device is fundamentally a physical system for surgical procedures.
Based on the provided information, the Celeris System is not an In Vitro Diagnostic (IVD) device.
Here's why:
- Intended Use: The intended use clearly states that the device is for "cutting, debriding, and removal of thin bone and soft tissue in general ENT and Sinus/Rhinology procedures." This describes a surgical tool used directly on the patient's body.
- Device Description: The description details a handpiece with a blade, motor, and optional bipolar function, designed for physical interaction with tissue.
- 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 samples) to provide information for diagnosis, monitoring, or screening.
IVD devices are specifically designed to perform tests on samples taken from the body, not to perform procedures on the body itself. The Celeris System is a surgical instrument.
N/A
Intended Use / Indications for Use
The Celeris System (reusable power pack and Disposable Sinus Debrider) is intended for cutting, debriding, and removal of thin bone and soft tissue in general ENT and Sinus/Rhinology procedures and applications would include:
- FESS (Functional Endoscopic Sinus Surgery) – Including Endoscopic approaches for: Polypectomy, Sphenoidectomy, Maxillary Antrostomy, Uncinectomy, Frontal Sinusotomy
- Turbinate Reduction / Turbinoplasty, including sub-mucosal resection.
Product codes
ERL
Device Description
The Gyrus ACMI Disposable Sinus Debrider (DSD) Celeris System is similar in form and function to the Gyrus ACMI blades and handpieces found within the predicate Diego Elite System cleared under K123429, and its predicate PK Diego cleared under K034004.
The Celeris DSD handpiece is a single-use disposable debrider handle and blade permanently combined with a built-in motor that plugs into a reusable power pack that contains a power supply for motor control. The power pack is also part of the subject system. The power supply is able to auto-adapt to any voltage via the universal power cord connection. Motor control requires software on a controller board inside the power pack.
The handpiece incorporates a rotatable blade and attached RF cable for bipolar models. The blades are either standard, bipolar, or malleable. The bipolar function requires a separate electrosurgical generator (not part of this system), connected via a cable. The cutting performance is equivalent to the current Gyrus ACMI predicate models.
A trigger style button on the DSD handle, or analog footswitch (sold separately) connected to the power pack, activates the blade oscillation and a standard electrosurgical unit footswitch (sold separately) powers the binolar effect for bipolar blades. The electrosurgical generator and footswitch alone will control the RF energy delivery.
A nosecone on the DSD handpiece allows the blade cutting window to rotate left or right. The blades are offered in 2mm and 4mm variants, either straight or malleable, and standard or bipolar. The malleable blade angle is flexible, and the design allows the blade to be bent with the provided bending fixture up to 60° at the user's discretion.
A standard suction tube (sold separately) is attached to the DSD handpiece proximal suction port and a clip attaches the tubing to the power cable. The handpiece power cable plugs directly into the power pack. The non-sterile power pack plugs into a standard power outlet and only provides power to the connected DSD handpiece. When the handpiece is activated power is sent to the motor which oscillates a gear which in turn oscillates the inner blade. For bipolar models, the energy lead from the cable is connected directly to the blade and energy is provided by the separate electrosurgical generator footswitch. For bipolar models, insulation around the cutting window limits energy delivery to the surgical site.
Mentions image processing
Not Found
Mentions AI, DNN, or ML
Not Found
Input Imaging Modality
Not Found
Anatomical Site
general ENT and Sinus/Rhinology
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)
The following non-clinical, preclinical tests and usability studies were conducted:
- Non-Clinical / Preclinical Performance: Evidence of safety and effectiveness was obtained from two primary areas:
- non-clinical (electrical, mechanical, functional, stability) performance testing
- preclinical (bench tissue, simulated use) evaluations and testing
- The bipolar device thermal performance has been tested per FDA guidance document, "FDA Guidance for Industry and FDA Staff, Premarket Notification (510(k)) Submissions for Electrosurgical Devices for General Surgery', Mar 2020.
- The power pack has been tested per FDA guidance document, "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices", issued on May 11, 2005.
- Electrical safety and EMC compatibility: Basic safety and performance testing was performed in accordance with IEC 60601-1, IEC 60601-1-2, and IEC 60601-2-2.
- Mechanical and Functional: Verification and comparison bench studies were conducted to evaluate the mechanical and functional performance as compared to the predicate.
- Stability: Representative samples were subjected to accelerated aging to confirm that the device maintains functionality and continues to meet specifications over time. The results of the accelerated age testing demonstrate that the device will be stable for the stated shelf-life. In addition, real time age testing will confirm the results of the accelerated age testing. Representative samples were also subjected to distribution testing.
- Preclinical: Evidence obtained from preclinical bench tissue (ex vivo) and simulated use studies demonstrate that the DSD performs substantially equivalent to the predicate devices in relevant aspects associated with usability, cutting, coagulation, and removal of tissue.
- Bench tissue - evaluated ex vivo using bovine tissue:
- Thermal margin
- -Thermal impact
- Visual comparison of coagulation
- Microscopic measurement of thermal margin and impact
- Software: Device software development and validation were completed per the level of concern and guidance.
- Biocompatibility testing: The disposable handpieces are classified in accordance with ISO 10993-1, as an External Communication Device, Tissue/Bone/Dentin, for limited exposure (
§ 874.4250 Ear, nose, and throat electric or pneumatic surgical drill.
(a)
Identification. An ear, nose, and throat electric or pneumatic surgical drill is a rotating drilling device, including the handpiece, that is intended to drive various accessories, such as an ear, nose, and throat bur (§ 874.4140), for the controlled incision or removal of bone in the ear, nose, and throat area.(b)
Classification. Class II.
0
Image /page/0/Picture/0 description: The image contains 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 acronym with the full name of the agency on the right. The FDA part of the logo is in blue, with the acronym in a square and the full name written out to the right of the square.
January 19, 2022
Gyrus ACMI, Inc. Dolan Mills Program Manager, Regulatory Affairs 800 West Park Drive Westborough, Massachusetts 01581
Re: K212650
Trade/Device Name: Celeris, Disposable Sinus Debrider Regulation Number: 21 CFR 874.4250 Regulation Name: Ear, nose, and throat electric or pneumatic surgical drill Regulatory Class: Class II Product Code: ERL Dated: December 17, 2021 Received: December 20, 2021
Dear Dolan Mills:
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
1
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,
for Shu-Chen Peng Assistant Director DHT1B: Division of Dental and ENT Devices OHT1: Office of Ophthalmic, Anesthesia, Respiratory, ENT and Dental Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health
Enclosure
2
Indications for Use
510(k) Number (if known) K212650
Device Name
Celeris Disposable Sinus Debrider Model numbers: DSDPP100, DSD4000BA, DSD4000SA, DSD2000BA, DSD40MMSC
Indications for Use (Describe)
The Celeris System (reusable power pack and Disposable Sinus Debrider) is intended for cutting, debriding, and removal of thin bone and soft tissue in general ENT and Sinus/Rhinology procedures and applications would include:
· FESS (Functional Endoscopic Sinus Surgery) – Including Endoscopic approaches for: Polypectomy, Sphenoidectomy, Maxillary Antrostomy, Uncinectomy, Frontal Sinusotomy
· Turbinate Reduction / Turbinoplasty, including sub-mucosal resection.
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) |
CONTINUE ON A SEPARATE PAGE IF NEEDED.
This section applies only to requirements of the Paperwork Reduction Act of 1995.
DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.
The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:
Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff(@fda.hhs.gov
"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."
3
K212650 510(k) Summary
General Information
| Manufacturer: | Gyrus ACMI, Inc., an Olympus company
9600 Louisiana Ave. North
Brooklyn Park, MN 55445 USA
Phone: 1-763-416-3000 |
|------------------------------------|---------------------------------------------------------------------------------------------------------------------------|
| Establishment Registration Number: | 3011050570 |
| 510(k) Submitter: | Gyrus ACMI, Inc.
800 West Park Dr. |
| Establishment Registration Number: | Westborough, MA 01581
3003790304 |
| Contact Person: | Dolan Mills
Program Manager, Regulatory Affairs |
| Date Prepared: | Jan 14, 2022 |
| Device Description | |
| Classification Name: | ENT Electric or Pneumatic Surgical Drill |
| Regulatory Class | Class 2 |
R Regulation Number Review Panel Product Code
Project Name:
Trade Name(s):
Generic/Common Name: Model Numbers:
21 CFR 874.4250 Ear, Nose, & Throat Panel ERL
Gyrus ACMI DSD - Desoto
Celeris, Disposable Sinus Debrider
Electrical Surgical Drill / Shaver DSDPP100, DSD4000SA, DSD4000BA, DSD2000BA, DSD40MMSC
4
Predicate Device
Gyrus ACMI Inc. Diego® Elite:
Device Description and Technological Characteristics
The Gyrus ACMI Disposable Sinus Debrider (DSD) Celeris System is similar in form and function to the Gyrus ACMI blades and handpieces found within the predicate Diego Elite System cleared under K123429, and its predicate PK Diego cleared under K034004.
The Celeris DSD handpiece is a single-use disposable debrider handle and blade permanently combined with a built-in motor that plugs into a reusable power pack that contains a power supply for motor control. The power pack is also part of the subject system. The power supply is able to auto-adapt to any voltage via the universal power cord connection. Motor control requires software on a controller board inside the power pack.
The handpiece incorporates a rotatable blade and attached RF cable for bipolar models. The blades are either standard, bipolar, or malleable. The bipolar function requires a separate electrosurgical generator (not part of this system), connected via a cable. The cutting performance is equivalent to the current Gyrus ACMI predicate models.
A trigger style button on the DSD handle, or analog footswitch (sold separately) connected to the power pack, activates the blade oscillation and a standard electrosurgical unit footswitch (sold separately) powers the binolar effect for bipolar blades. The electrosurgical generator and footswitch alone will control the RF energy delivery.
A nosecone on the DSD handpiece allows the blade cutting window to rotate left or right. The blades are offered in 2mm and 4mm variants, either straight or malleable, and standard or bipolar. The malleable blade angle is flexible, and the design allows the blade to be bent with the provided bending fixture up to 60° at the user's discretion.
A standard suction tube (sold separately) is attached to the DSD handpiece proximal suction port and a clip attaches the tubing to the power cable. The handpiece power cable plugs directly into the power pack. The non-sterile power pack plugs into a standard power outlet and only provides power to the connected DSD handpiece. When the handpiece is activated power is sent to the motor which oscillates a gear which in turn oscillates the inner blade. For bipolar models, the energy lead from the cable is connected directly to the blade and energy is provided by the separate electrosurgical generator footswitch. For bipolar models, insulation around the cutting window limits energy delivery to the surgical site.
5
Intended Use / Indications
The Celeris System (reusable power pack and Disposable Sinus Debrider) is intended for cutting, coagulation, debriding, and removal of thin bone and soft tissue in general ENT and Sinus/Rhinology procedures. Specific procedures and applications would include:
- FESS (Functional Endoscopic Sinus Surgery) - Including Endoscopic approaches for: Polypectomy, Ethmoidectomy, Sphenoidectomy, Maxillary Antrostomy, Uncinectomy, Frontal Sinusotomy
- . Turbinate Reduction / Turbinoplasty, including sub-mucosal resection.
Compliance to Standards
The following standards were used during the design and testing of the DSD:
IEC 60601-1: 2005 IEC 60601-1-2: 2014 IEC 60601-2-2: 2017 ISO 10993-1: 2018 ISO 10993-5: 2009 ISO 10993-7: 2008 ISO 10993-10: 2010 ISO 11135: 2014 ISO 11607-1: 2019 ISO 11737-2: 2019 ISO 15223-1: 2016 IEC 62304: 2015 ASTM F88/F88M - 2016 ASTM F1886: 2016 ASTM D4169-14: 2016
Risk analysis was carried out in accordance with established in-house acceptance criteria based on ISO 14971. Design verification sample sizes and tests were identified and performed as a result of risk analysis assessment.
Summary of Performance Testing
The following non-clinical, preclinical tests and usability studies were conducted:
6
Non-Clinical / Preclinical Performance
Evidence of safety and effectiveness was obtained from two primary areas:
-
- non-clinical (electrical, mechanical, functional, stability) performance testing
-
- preclinical (bench tissue, simulated use) evaluations and testing
The bipolar device thermal performance has been tested per FDA guidance document, "FDA Guidance for Industry and FDA Staff, Premarket Notification (510(k)) Submissions for Electrosurgical Devices for General Surgery', Mar 2020.
The power pack has been tested per FDA guidance document, "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices", issued on May 11, 2005.
Electrical safety and EMC compatibility: Basic safety and performance testing was performed in accordance with IEC 60601-1, IEC 60601-1-2, and IEC 60601-2-2.
Mechanical and Functional: Verification and comparison bench studies were conducted to evaluate the mechanical and functional performance as compared to the predicate.
Stability: Representative samples were subjected to accelerated aging to confirm that the device maintains functionality and continues to meet specifications over time. The results of the accelerated age testing demonstrate that the device will be stable for the stated shelf-life. In addition, real time age testing will confirm the results of the accelerated age testing. Representative samples were also subjected to distribution testing.
Preclinical: Evidence obtained from preclinical bench tissue (ex vivo) and simulated use studies demonstrate that the DSD performs substantially equivalent to the predicate devices in relevant aspects associated with usability, cutting, coagulation, and removal of tissue.
Bench tissue - evaluated ex vivo using bovine tissue:
- Thermal margin -
- -Thermal impact
- Visual comparison of coagulation -
- Microscopic measurement of thermal margin and impact -
Software: Device software development and validation were completed per the level of concern and guidance.
Biocompatibility testing: The disposable handpieces are classified in accordance with ISO 10993-1, as an External Communication Device, Tissue/Bone/Dentin, for limited exposure (