(29 days)
Not Found
No
The description focuses on a robotic system controlled by the user for waterjet resection, with no mention of AI or ML in the device description, intended use, or performance studies. The control is described as manual adjustment and pre-condition parameter setting by the user.
Yes
The device is intended for the resection and removal of prostate tissue in males suffering from lower urinary tract symptoms due to benign prostatic hyperplasia, which directly treats a medical condition.
No
The AQUABEAM® Robotic System is described as a surgical device for the resection and removal of prostate tissue using a high-velocity waterjet. It is used for treatment, not for diagnosing conditions or diseases.
No
The device description clearly lists multiple hardware components (Console, Motorpack, Foot pedal, Planning Unit, Roll Stand, Articulating Arms, Handpiece, Scope) that are integral to the device's function. While software likely controls these components, the device itself is a complex hardware system.
No, this device is not an IVD (In Vitro Diagnostic).
Here's why:
- Intended Use: The intended use is for the resection and removal of prostate tissue in males suffering from LUTS due to BPH. This is a surgical procedure, not a diagnostic test performed on samples outside the body.
- Device Description: The description details a robotic system designed for surgical resection using a waterjet. It describes components like a handpiece, scope, console, and pump, all related to performing a physical intervention on the body.
- Lack of Diagnostic Function: There is no mention of the device analyzing biological samples (like blood, urine, or tissue) to provide diagnostic information about a patient's condition. The imaging mentioned (TRUS) is used for guiding the surgical procedure, not for in vitro diagnosis.
IVD devices are specifically designed to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. The AQUABEAM Robotic System is a surgical device used for treatment.
N/A
Intended Use / Indications for Use
The AQUABEAM Robotic System is intended for the resection and removal of prostate tissue in males suffering from lower urinary tract symptoms (LUTS) due to benign prostatic hyperplasia.
Product codes (comma separated list FDA assigned to the subject device)
PZP
Device Description
The AQUABEAM® Robotic System is intended for use in patients suffering from lower urinary tract symptoms (LUTS) resulting from benign prostatic hyperplasia (BPH). The AQUABEAM Robotic System is designed for resecting of prostate tissue during minimally invasive surgical procedures. The AQUABEAM Handpiece and AQUABEAM Scope are inserted via transurethral approach and advanced into the prostatic urethra.
The AQUABEAM Robotic System is designed to utilize a high-velocity sterile saline waterjet as the cutting medium which is projected through a nozzle positioned within the prostatic urethra. The nozzle assembly motion is driven by a motor system, controlled by the user. The pressure is generated by a highpressure pump system controlled by the AQUABEAM Console. The user is allowed to adjust the desired flow rates manually. All functions are displayed on the AQUABEAM Conformal Planning Unit. Precondition parameters are set on the AQUABEAM Conformal Planning Unit before operation.
The AQUABEAM Robotic System, consists of the following nine components:
- . AQUABEAM Console
- . AQUABEAM Motorpack
- AQUABEAM Foot pedal .
- . AQUABEAM Conformal Planning Unit
- AQUABEAM Roll Stand
- . AQUABEAM Handpiece Articulating Arm
- AQUABEAM TRUS Articulating Arm
- AQUABEAM Handpiece •
- . AQUABEAM Scope
The AQUABEAM Console, Motorpack, Conformal Planning Unit, Foot Pedal, Roll Stand, Handpiece Articulating Arm and TRUS Articulating Arm are provided non-sterilization is required prior to each use. The Console, Conformal Planning Unit, Foot Pedal, Roll Stand, Articulating Arms, and Motorpack are cleaned after each use. The Console, Conformal Planning Unit, Foot Pedal, Roll Stand, Articulating Arms, and Motorpack are not designed to come in contact with the patient during the Aquablation procedure.
The Conformal Planning Unit is a reusable component of the AQUABEAM Robotic System, and it serves as the primary user interface of the System. The CPU is connected to the Console via a USB cable.
The AQUABEAM Console is a reusable component of the AquaBeam Robotic System that controls the functionality of the high-velocity waterjet delivered by the Handpiece.
The AQUABEAM Motorpack is a reusable component of the AQUABEAM Robotic System designed to dock, via a mechanical linkage, and connect with the disposable Handpiece. The Motorpack provides mechanical power to the Handpiece by means of DC motors, which enable both rotational and longitudinal movement of the Handpiece probe providing controlled and precise resection of the prostatic tissue in accordance with the CPU treatment plan.
The AQUABEAM Foot Pedal is a reusable, purchased component of the AQUABEAM Robotic System that contains three foot-activated momentary switches. It is connected to the Console with a flexible cable. The Aquablate Pedal is the large center switch which must be depressed to enable Aquablation.
The AQUABEAM Roll Stand provides the main power source, via the isolation transformer, to the Console and serves as the chassis for the AQUABEAM Robotic System.
The AQUABEAM Handpiece Articulating Arm fixes the Handpiece/Motorpack assembly in position relative to the patient. The AQUABEAM TRUS Articulating Arm fixes the TRUS probe and stepper in position relative to the patient. The AQUABEAM Handpiece is a terminally sterilized, single-use disposable component of the AQUABEAM Robotic System.
The AquaBeam Scope, a re-usable component of the AquaBeam Robotic System, needs to be reprocessed prior to each use per the AquaBeam Scope Reprocessing Instructions. The Scope is inserted into the central lumen of the Handpiece enabling direct visualization within the prostatic urethra during treatment.
Mentions image processing
Not Found
Mentions AI, DNN, or ML
Not Found
Input Imaging Modality
Not Found
Anatomical Site
prostate, prostatic urethra
Indicated Patient Age Range
Not Found
Intended User / Care Setting
urologists and support staff who are trained and familiar with Transrectal Ultrasound (TRUS) and performing endoscopic surgical benign prostatic hyperplasia procedures and in recognizing and managing their complications.
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)
Non-Clinical Performance Testing:
- Sterilization Validation testing for AQUABEAM Scope
- Conforming Standard and Guidance: EN ISO 14937: 2009, ISO 10993-5, ISO 10993-12, ISO 17664:2017
- AQUABEAM scope Reliability testing (None listed for conforming standard and guidance)
Testing performed on the predicate device still applicable to the subject device:
- Biocompatibility
- Clinical Trial data
- Design Verification and Design Validation testing
Conclusion: "The overall performance data in this submission supports that the AQUABEAM Robotic System is safe, effective, and substantially equivalent to the predicate device when utilized for its intended use."
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.
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
§ 876.4350 Fluid jet system for prostate tissue removal.
(a)
Identification. A fluid jet system for prostate tissue removal is a prescription device intended for the resection and removal of prostatic tissue for the treatment of benign prostatic hyperplasia. The device cuts tissue by using a pressurized jet of fluid delivered to the prostatic urethra. The device is able to image the treatment area, or pairs with an imaging modality, to monitor treatment progress.(b)
Classification. Class II (special controls). The special controls for this device are:(1) Clinical performance testing must evaluate the following:
(i) All adverse events associated with the device, and
(ii) Improvement in lower urinary tract symptoms (LUTS).
(2) Physician training must be provided that includes:
(i) Information on key aspects and use of the device, and
(ii) Information on how to override or stop resection.
(3) Animal testing must demonstrate that the device resects targeted tissue in a controlled manner without injury to adjacent non-target tissues.
(4) Non-clinical performance data must demonstrate that the device performs as intended under anticipated conditions of use. The following performance characteristics must be tested:
(i) Measurement of targeting accuracy and reproducibility of high velocity fluid jet, and
(ii) High pressure fluid jet verification testing at target and non-target tissues.
(5) Software verification, validation, and hazard analysis must be performed.
(6) The patient-contacting elements of the device must be demonstrated to be biocompatible.
(7) Performance data must demonstrate the electrical safety and electromagnetic compatibility of the device.
(8) Performance data must demonstrate the sterility of the patient-contacting components of the device.
(9) Performance data must support the shelf life of the device by demonstrating continued sterility, package integrity, and device functionality over the identified shelf life.
(10) Performance data must validate the instructions for reprocessing and reliability of reusable components.
(11) Labeling must include the following:
(i) A section that summarizes the clinical testing results, including the adverse event profile and improvement in LUTS;
(ii) A shelf life for single use components;
(iii) A use life for reusable components; and
(iv) Reprocessing instructions for reusable components.
0
Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, with the letters "FDA" in a blue square. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.
October 6, 2021
PROCEPT BioRobotics Corporation Sara Muddell Director. Global Regulatory Affairs 900 Island Drive. Suite 101 Redwood City, CA 94065
Re: K212835
Trade/Device Name: AQUABEAM® Robotic System Regulation Number: 21 CFR§ 876.4350 Regulation Name: Fluid Jet System For Prostate Tissue Removal Regulatory Class: II Product Code: PZP Dated: September 3, 2021 Received: September 7, 2021
Dear Sara Muddell:
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.
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) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatoryinformation/postmarketing-safety-reporting-combination-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,
Mark J. Antonino, M.S. Assistant Director DHT3B: Division of Reproductive. Gynecology and Urology 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) K212835
Device Name AQUABEAM® Robotic System
Indications for Use (Describe)
The AQUABEAM Robotic System is intended for the resection and removal of prostate tissue in males suffering from lower urinary tract symptoms (LUTS) due to benign prostatic hyperplasia.
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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3
Image /page/3/Picture/0 description: The image shows the logo for Procept BioRobotics. The logo consists of the word "PROCEPT" in a sans-serif font, with a stylized water droplet replacing the "O". Below the word "PROCEPT" is the word "BioRobotics" in a smaller sans-serif font. The logo is simple and modern, and the water droplet suggests that the company is involved in water-related technologies.
510(k) SUMMARY
Date Prepared
September 30, 2021
Owner/Sponsor
| Owner/Sponsor | PROCEPT BioRobotics Corporation
900 Island Drive,
Suite 101
Redwood City, 94065
USA |
|---------------|-------------------------------------------------------------------------------------------------|
| Contact Name: | Sara Muddell |
| Title: | Director of Global Regulatory Affairs |
| Address: | 900 Island Drive, Suite 101, Redwood City, CA, 94065, USA |
| Telephone: | (650) 232-7217 |
| Cell: | (669) 220-8583 |
| Fax: | (650) 232-5782 |
| Email: | s.muddell@procept-biorobotics.com |
Device Trade Name
AQUABEAM® Robotic System
Common Name
- AQUABEAM ●
- AQUABEAM Robotic System ●
- . Fluid jet system for prostate tissue removal
Classification and Classification Name
Class II
Product Code: PZP
21 CFR 876. 4350. Fluid jet system for prostate tissue removal
A fluid jet system for prostate tissue removal is a prescription device intended for the resection and removal of prostatic tissue for the treatment of benign prostatic hyperplasia (BPH). The device cuts tissue by using a pressurized jet of fluid delivered to the prostatic urethra. The device is able to image the treatment area, or pairs with an imaging modality, to monitor treatment progress.
Predicate Device
AQUABEAM Robotic System 510(k) Number: K202961 on November 04, 2020. Product Code: PZP Regulation Number: 876. 4350 Class II
4
Device Description
The AQUABEAM® Robotic System is intended for use in patients suffering from lower urinary tract symptoms (LUTS) resulting from benign prostatic hyperplasia (BPH). The AQUABEAM Robotic System is designed for resecting of prostate tissue during minimally invasive surgical procedures. The AQUABEAM Handpiece and AQUABEAM Scope are inserted via transurethral approach and advanced into the prostatic urethra.
The AQUABEAM Robotic System is designed to utilize a high-velocity sterile saline waterjet as the cutting medium which is projected through a nozzle positioned within the prostatic urethra. The nozzle assembly motion is driven by a motor system, controlled by the user. The pressure is generated by a highpressure pump system controlled by the AQUABEAM Console. The user is allowed to adjust the desired flow rates manually. All functions are displayed on the AQUABEAM Conformal Planning Unit. Precondition parameters are set on the AQUABEAM Conformal Planning Unit before operation.
The AQUABEAM Robotic System, consists of the following nine components:
- . AQUABEAM Console
- . AQUABEAM Motorpack
- AQUABEAM Foot pedal .
- . AQUABEAM Conformal Planning Unit
- AQUABEAM Roll Stand
- . AQUABEAM Handpiece Articulating Arm
- AQUABEAM TRUS Articulating Arm
- AQUABEAM Handpiece •
- . AQUABEAM Scope
The AQUABEAM Console, Motorpack, Conformal Planning Unit, Foot Pedal, Roll Stand, Handpiece Articulating Arm and TRUS Articulating Arm are provided non-sterilization is required prior to each use. The Console, Conformal Planning Unit, Foot Pedal, Roll Stand, Articulating Arms, and Motorpack are cleaned after each use. The Console, Conformal Planning Unit, Foot Pedal, Roll Stand, Articulating Arms, and Motorpack are not designed to come in contact with the patient during the Aquablation procedure.
The Conformal Planning Unit is a reusable component of the AQUABEAM Robotic System, and it serves as the primary user interface of the System. The CPU is connected to the Console via a USB cable.
The AQUABEAM Console is a reusable component of the AquaBeam Robotic System that controls the functionality of the high-velocity waterjet delivered by the Handpiece.
The AQUABEAM Motorpack is a reusable component of the AQUABEAM Robotic System designed to dock, via a mechanical linkage, and connect with the disposable Handpiece. The Motorpack provides mechanical power to the Handpiece by means of DC motors, which enable both rotational and longitudinal movement of the Handpiece probe providing controlled and precise resection of the prostatic tissue in accordance with the CPU treatment plan.
5
The AQUABEAM Foot Pedal is a reusable, purchased component of the AQUABEAM Robotic System that contains three foot-activated momentary switches. It is connected to the Console with a flexible cable. The Aquablate Pedal is the large center switch which must be depressed to enable Aquablation.
The AQUABEAM Roll Stand provides the main power source, via the isolation transformer, to the Console and serves as the chassis for the AQUABEAM Robotic System.
The AQUABEAM Handpiece Articulating Arm fixes the Handpiece/Motorpack assembly in position relative to the patient. The AQUABEAM TRUS Articulating Arm fixes the TRUS probe and stepper in position relative to the patient. The AQUABEAM Handpiece is a terminally sterilized, single-use disposable component of the AQUABEAM Robotic System.
The AquaBeam Scope, a re-usable component of the AquaBeam Robotic System, needs to be reprocessed prior to each use per the AquaBeam Scope Reprocessing Instructions. The Scope is inserted into the central lumen of the Handpiece enabling direct visualization within the prostatic urethra during treatment.
Intended Use/Indications for Use
The intended use of the subject device is identical to the intended use of the predicate device.
The AQUABEAM Robotic System is intended for the resection and removal of prostate tissue in males suffering from lower urinary tract symptoms (LUTS) due to benign prostatic hyperplasia.
Intended Patient Population
The intended patient population of the subject device is identical to the intended use of the predicate device.
The intended patient population is males suffering from benign prostatic hyperplasia (BPH).
Intended Users
The intended users of the subject device is identical to the intended use of the predicate device.
The intended users are urologists and support staff who are trained and familiar with Transrectal Ultrasound (TRUS) and performing endoscopic surgical benign prostatic hyperplasia procedures and in recognizing and managing their complications.
Technological Characteristics as Compared to the Predicate Device
The technological characteristics of the AQUABEAM Robotic System such as design, material and chemical composition of patient contacting components and energy source remain equivalent to the predicate device, AQUABEAM System. The table below summarizes the comparison between the subject device and the predicate device -
| COMPARISON
| ELEMENT | SUBJECT DEVICE | PREDICATE DEVICE | CHANGE |
|---|---|---|---|
| Device Class | Class II | Class II | Same |
| Product Code | PZP | PZP | Same |
| Product Regulation | |||
| Number | 21 CFR 876.4350 | 21 CFR 876.4350 | Same |
| Intended | |||
| Use/Indications for | |||
| Use | The AQUABEAM System is | ||
| intended for the resection and | |||
| removal of prostate tissue in | |||
| males suffering from lower | |||
| urinary tract symptoms | |||
| (LUTS) due to benign prostatic | |||
| hyperplasia. | The AQUABEAM System | ||
| is intended for the resection | |||
| and removal of prostate | |||
| tissue in males suffering | |||
| from lower urinary tract | |||
| symptoms (LUTS) due to | |||
| benign prostatic hyperplasia. | Same | ||
| Intended Patient | |||
| Population | The intended patient | ||
| population is males | |||
| suffering from LUTS | |||
| resulting from benign | |||
| prostatic hyperplasia (BPH). | The intended patient | ||
| population is males | |||
| suffering from LUTS | |||
| resulting from benign | |||
| prostatic hyperplasia | |||
| (BPH). | Same | ||
| Intended User | Urologists and support staff | ||
| who are trained and familiar | |||
| with performing endoscopic | |||
| surgical benign prostatic | |||
| hyperplasia procedures and in | |||
| recognizing and managing | |||
| their complications. Users | |||
| must possess a thorough | |||
| understanding of the technical | |||
| principles, clinical application, | |||
| and risks associated with the | |||
| AQUABEAM Robotic System | |||
| and complete the PROCEPT | |||
| BioRobotics Corporation | |||
| training program prior to use | Urologists and support staff | ||
| who are trained and familiar | |||
| with performing endoscopic | |||
| surgical benign prostatic | |||
| hyperplasia procedures and | |||
| in recognizing and managing | |||
| their complications. Users | |||
| must possess a thorough | |||
| understanding of the | |||
| technical principles, clinical | |||
| application, and risks | |||
| associated with the | |||
| AQUABEAM Robotic | |||
| System and complete the | |||
| PROCEPT BioRobotics | |||
| Corporation training | |||
| program prior to use | Same | ||
| Patient Contact | The AQUABEAM Robotic | ||
| System shall be used | |||
| endoscopically accessing the | |||
| prostate via the urethra | |||
| (external communicating | |||
| device, tissue/bone/dentin, | |||
| with limited exposure ( |