K Number
K240200
Device Name
HYDROS Robotic System; HYDROS TRUS Probe; HYDROS Handpiece
Date Cleared
2024-08-20

(208 days)

Product Code
Regulation Number
876.4350
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The HYDROS™ 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.
Device Description
The HYDROS™ Robotic System has three components - the HYDROS Robotic System, HYDROS TRUS Probe, and HYDROS Handpiece. 1. HYDROS Robotic System: consists of the HYDROS Tower, Touchscreen Interfaces Monitor, HYDROS Software, HYDROS Operating System, Embedded Software, Motorpack, Handpiece Arm, TRUS Probe Arm, and Foot Pedal. It is provided non-sterile and reprocessed per instructions. It does not contact patients during the procedure. 2. HYDROS TRUS Probe: a biplane transrectal ultrasound probe used with the HYDROS Robotic System and HYDROS Handpiece to provide ultrasound imaging for the AQUABLATION procedure. It is re-usable, provided non-sterile, and reprocessed prior to each use. 3. HYDROS Handpiece: a single-use sterile surgical device introduced through the urethra to visualize, resect and remove prostatic tissue. It is integrated with a digital CMOS Scope and terminally sterilized by EtO.
More Information

Not Found

Yes
The summary explicitly mentions an "Optional FirstAssist AI feature" and describes its function in providing nozzle position, prostate capsule boundary, and landmark placement. It also includes an "AI/ML section in Non-Clinical Performance Data table."

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 is a therapeutic intervention.

No

The device is a surgical robotic system intended for the resection and removal of prostate tissue. While it uses imaging and has an optional AI feature to assist with planning, its primary function is therapeutic (surgical tissue removal), not diagnostic (identifying or characterizing disease).

No

The device is a complex robotic system with multiple hardware components (tower, arms, handpiece, probe, foot pedal, etc.) in addition to software. While software is a critical part of the system, it is not a standalone software-only medical device.

Based on the provided information, the HYDROS™ Robotic System is not an IVD (In Vitro Diagnostic) device.

Here's why:

  • Intended Use: The intended use is for the resection and removal of prostate tissue in males with LUTS due to BPH. This is a surgical procedure performed on the patient's body, not a test performed on a sample taken from the patient.
  • Device Description: The components are described as a robotic system, a TRUS probe for imaging, and a surgical handpiece for tissue resection. These are all tools used in a surgical intervention.
  • Function: The system facilitates a surgical procedure (resection and removal of tissue) using imaging guidance and robotic assistance. It does not perform any diagnostic testing on biological samples.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue samples, etc.) to provide diagnostic information. The imaging is used for guidance during the surgical procedure, not for diagnosing the condition itself.

While the device uses imaging and potentially AI for planning and guidance during the surgical procedure, its primary function is a therapeutic intervention (tissue removal), not a diagnostic test performed on a sample.

No
The letter does not state that the FDA has reviewed and approved or cleared a Predetermined Change Control Plan (PCCP) for this specific device. The 'Control Plan Authorized (PCCP) and relevant text' section explicitly states 'Not Found'.

Intended Use / Indications for Use

The HYDROS™ 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 HYDROS™ Robotic System has three components - the HYDROS Robotic System, HYDROS TRUS Probe, and HYDROS Handpiece.

  1. HYDROS Robotic System
    The HYDROS Robotic System, consists of the following nine components:

    • HYDROS Tower
    • Touchscreen Interfaces Monitor that supports the Tower Monitor (Tmon) and Surgeon Monitor (Smon)
    • HYDROS Software
    • HYDROS Operating System
    • Embedded Software
    • Motorpack
    • Handpiece Arm
    • TRUS Probe Arm
    • Foot Pedal
      The HYDROS Robotic System is provided non-sterilization is required prior to each use. The Tower, Foot Pedal, Roll Stand, Articulating Arms, and Motorpack are reprocessed per instructions provided with the device after each use. The HYDROS Robotic System does not come in contact with the patients during the procedure.
  2. HYDROS TRUS Probe
    The HYDROS TRUS Probe is a biplane transrectal ultrasound probe that is used in the conjunction with the HYDROS Robotic System and HYDROS Handpiece to provide ultrasound imaging to deliver the AQUABLATION procedure. The HYDROS TRUS Probe is re-usable and provided non-sterile. It is reprocessed prior to each use as per the instructions provided in the IFU.

  3. HYDROS Handpiece
    The HYDROS Handpiece is the single-use sterile surgical device introduced to the surgical site within the prostate through the urethra to visualize, resect and remove prostatic tissue. The HYDROS Handpiece is integrated with a digital CMOS Scope and is terminally sterilized by EtO.

Mentions image processing

Yes, "The CMOS scope connects to the HYDROS Robotic System and specifically the camera control unit (CCU) located within the tower infrastructure of the device for cystoscope image processing."

Mentions AI, DNN, or ML

Yes, "Optional FirstAssist AI feature available during the PLAN step. FirstAssist AI, Transverse: When the FirstAssist AI toggle button is enabled in the transverse view at the angle and depth step, the software provides the handpiece nozzle position and the prostate capsule boundary. FirstAssist AI, Sagittal: When the FirstAssist AI toggle button is enabled at the profile landmark step the software will place the 4 landmarks - treatment start (TS), bladder neck (BN), mid-prostate (MP) and treatment end (TE). The surgeon has the option to adjust the landmarks as needed."

Input Imaging Modality

Ultrasound, Cystoscope Imaging

Anatomical Site

Prostate

Indicated Patient Age Range

Not Found

Intended User / Care Setting

The intended user shall be a urologist, supported by OR staff, trained and familiar with performing endoscopic surgical procedures for BPH, such as TURP, and in recognizing and managing their complications. The intended user shall also be trained and familiar with TRUS imaging.

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)

Design validation included simulated use testing and cadaver testing.
Summary of non-clinical testing in accordance with applicable standards and guidance documents listed in the table provided. All tests passed.

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.

K231024

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.

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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 in blue, with the words "U.S. FOOD & DRUG ADMINISTRATION" in blue as well. The FDA is a federal agency responsible for regulating and supervising the safety of food, drugs, and other products.

August 20, 2024

Procept BioRobotics Sara Muddell Sr. Director, Global Regulatory Affairs 150 Bavtech Drive San Jose, California 95134

Re: K240200

Trade/Device Name: HYDROS™ Robotic System: HYDROS™ Handpiece: HYDROS™ TRUS Probe Regulation Number: 21 CFR 876.4350 Regulation Name: Fluid jet system for prostate tissue removal Regulatory Class: II Product Code: PZP Received: July 19, 2024

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 (the 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 available 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.

Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device" (https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software Change to an Existing Device" (https://www.fda.gov/media/99785/download).

1

Your device is also subject to, among other requirements, the Quality System (QS) regulation (21 CFR Part 820), which includes, but is not limited to, 21 CFR 820.30, Design controls; 21 CFR 820.90, Nonconforming product; and 21 CFR 820.100, Corrective and preventive action. Please note that regardless of whether a change requires premarket review. the OS regulation requires device manufacturers to review and approve changes to device design and production (21 CFR 820.30 and 21 CFR 820.70) and document changes and approvals in the device master record (21 CFR 820.181).

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 Part 803) for devices or postmarketing safety reporting (21 CFR Part 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 Part 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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

2

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,

Sharon M. Andrews -S

for 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

3

Indications for Use

510(k) Number (if known) K240200

Device Name HYDROS™ Robotic System HYDROS™ Handpiece HYDROS™ TRUS Probe

Indications for Use (Describe)

The HYDROS™ 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)
-------------------------------------------------

X Prescription Use (Part 21 CFR 801 Subpart D)

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

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Image /page/4/Picture/0 description: The image shows the logo for Procept BioRobotics. The word "PROCEPT" is written in large, bold, blue letters. The "O" in "PROCEPT" is replaced by a blue water drop symbol. Below the word "PROCEPT" is the word "BioRobotics" in smaller, blue letters.

510(k) SUMMARY

Date Prepared: August 19, 2024

| Owner/Sponsor | PROCEPT BioRobotics Corporation
150 Baytech Drive,
San Jose, 95134
USA |
|---------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Submitter | Contact Name: Sara Muddell
Title: Sr. Director of Global Regulatory Affairs
Address: 150 Baytech Drive, San Jose, CA 95134, USA
Telephone: (650) 232-7217
Cell: (669) 220-8583
Email: s.muddell@procept-biorobotics.com |
| Trade Name | 1. HYDROS™ Robotic System
2. HYDROS™ TRUS Probe
3. HYDROS™ Handpiece |
| Classification | Class II |
| Classification Name | Fluid jet system for prostate tissue removal |
| Product Code | PZP |
| Regulation Number | 21 CFR 876.4350 |

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Image /page/5/Picture/0 description: The image shows the logo for Procept BioRobotics. The word "PROCEPT" is in large, bold, dark blue letters. The "O" in "PROCEPT" is replaced with a stylized image of a water droplet in shades of blue. Below the word "PROCEPT" is the word "BioRobotics" in smaller, dark blue letters.

Predicate Device

    1. Primary Predicate1
      Trade Name - AQUABEAM ROBOTIC System 510(k) Number - K231024 cleared on August 30, 2023. Product Code - PZP Regulation Number: 876. 4350 Device Classification - Class II

Device Description

The HYDROS™ Robotic System has three components - the HYDROS Robotic System, HYDROS TRUS Probe, and HYDROS Handpiece.

1. HYDROS Robotic System

The HYDROS Robotic System, consists of the following nine components:

  • HYDROS Tower ●
  • Touchscreen Interfaces Monitor that supports the Tower Monitor (Tmon) and ● Surgeon Monitor (Smon)
  • HYDROS Software ●
  • HYDROS Operating System
  • Embedded Software
  • Motorpack
  • Handpiece Arm
  • TRUS Probe Arm
  • Foot Pedal .

The HYDROS Robotic System is provided non-sterilization is required prior to each use. The Tower, Foot Pedal, Roll Stand, Articulating Arms, and Motorpack are reprocessed per instructions provided with the device after each use. The HYDROS Robotic System does not come in contact with the patients during the procedure.

2. HYDROS TRUS Probe

The HYDROS TRUS Probe is a biplane transrectal ultrasound probe that is used in the conjunction with the HYDROS Robotic System and HYDROS Handpiece to provide ultrasound imaging to deliver the AQUABLATION procedure. The HYDROS TRUS Probe is re-usable and provided non-sterile. It is reprocessed prior to each use as per the instructions provided in the IFU.

3. HYDROS Handpiece

The HYDROS Handpiece is the single-use sterile surgical device introduced to the surgical site within the prostate through the urethra to visualize, resect and remove prostatic tissue. The HYDROS Handpiece is integrated with a digital CMOS Scope and is terminally sterilized by EtO.

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

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Image /page/6/Picture/0 description: The image shows the logo for Procept BioRobotics. The word "PROCEPT" is in large, bold, dark blue letters. The "O" in Procept is a stylized water droplet. Below the word "PROCEPT" is the phrase "BioRobotics" in a smaller, dark blue font.

Intended Use/Indications for Use

The HYDROS Robotic System is indicated 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 is males suffering from LUTS resulting from benign prostatic hyperplasia (BPH).

Intended Users

The intended user shall be a urologist, supported by OR staff, trained and familiar with performing endoscopic surgical procedures for BPH, such as TURP, and in recognizing and managing their complications. The intended user shall also be trained and familiar with TRUS imaging.

Technological Comparison as compared to the Predicate Device

COMPARISON ELEMENTSUBJECT DEVICEPREDICATE DEVICE
HYDROS ROBOTIC SYSTEM
Device Trade NameHYDROS® Robotic
SystemAQUABEAM® Robotic
System (P1G2)
ManufacturerPROCEPT BioRobotics
CorporationPROCEPT BioRobotics
Corporation
REF/Model NumberHY1000AB2000
Pre-Market Notification TypeTraditional 510(k)Traditional 510(k)
510(k) numberK240200K231024
Regulation Number21 CFR 876.435021 CFR 876.4350
Regulation NameFluid jet system for
prostate tissue removalFluid jet system for prostate
tissue removal
Product ClassificationClass IIClass II
Product CodePZPPZP
Intended Use/Indications for UseThe HYDROS Robotic
System is indicated for the
resection and removal of
prostate tissue in males
suffering from lower
urinary tract symptoms
(LUTS) due to benign
prostatic hyperplasia.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 UserThe intended user shall be
a urologist supported byUrologists and support staff
who are trained and familiar
COMPARISON ELEMENTSUBJECT DEVICEPREDICATE DEVICE
HYDROS ROBOTIC SYSTEM
OR staff, trained and
familiar with performing
endoscopic surgical
procedures for BPH, such
as TURP, and in
recognizing and managing
their complications. The
intended user shall also be
trained and familiar with
TRUS imaging.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.
Patient PopulationMales suffering from
LUTS resulting from
benign prostatic
hyperplasia (BPH).Males suffering from LUTS
resulting from benign
prostatic hyperplasia (BPH).
Intended Body/Tissue InteractionThe HYDROS Robotic
System is not patient
contacting.The AquaBeam Robotic
System is not patient
contacting.
Operating EnvironmentTemperature: 10° to 30° C
Humidity: 20% to 80%,
non-condensing
Atmospheric Pressure: 70
kPA to 101 kPATemperature: 0° to 35° C
Humidity: 0% to 90%, non-
condensing
Atmospheric Pressure: 70
kPA to 107 kPA
Storage EnvironmentTemperature: 10° to 30°
Humidity: 20% to 80%,
non-condensing
Atmospheric Pressure: 70
kPA to 101 kPATemperature: 0° to 35° C
Humidity: 0% to 90%, non-
condensing
Atmospheric Pressure: 70
kPA to 107 kPA
Transportation EnvironmentTemperature: -18° to 60°
C
Humidity: 15% to 90%,
non-condensing
Atmospheric Pressure: 60
kPA to 106 kPATemperature: -18° to 60° C
Humidity: 15% to 90%,
non-condensing
Atmospheric Pressure: 60
kPA to 106 kPA
Cleaning and Disinfection MethodClean using quaternary
ammonium -based cleaner
and disinfect usingClean using quaternary
ammonium -based cleaner
and disinfect using
COMPARISON ELEMENTSUBJECT DEVICEPREDICATE DEVICE
HYDROS ROBOTIC SYSTEM
Use Lifeintermediate level
disinfectant.
1 yearintermediate level
disinfectant.
3 Years
Surgeon InterfaceTwo monitors for display – one surgeon
monitor (Smon) for use in the sterile
environment and the tower monitor (Tmon)
which can be used by support staff.
  • Portrait view
  • Interaction is through
    touchscreen.
  • Physician authorization
    is enabled only on the
    surgeon monitor. | Single monitor for display for use by both
    the surgeon and the support staff
  • landscape view
  • Interaction is through
    the keyboard and the
    trackball on the
    keyboard.
  • Physician authorization
    is enabled by pressing
    the “+” button on the
    motorpack. |
    | Ultrasound | Integrated ultrasound and a
    compatible TRUS probe is
    provided with the
    HYDROS Robotic
    System. | A third-party ultrasound
    system and a third-party
    compatible ultrasound probe
    is used with the AquaBeam
    Robotic System per its
    indications for use. |
    | Cystoscope Imaging | The CMOS scope connects
    to the HYDROS Robotic
    System and specifically
    the camera control unit
    (CCU) located within the
    tower infrastructure of the
    device for cystoscope
    image processing. | The AquaBeam Scope
    which is part of the
    AquaBeam Robotic System
    was connected to a third-
    party cystoscopy unit for
    providing the live
    cystoscope imaging during
    the Aquablation therapy. |
    | Maximum angle rotation | 225 degrees | 225 degrees |
    | Maximum depth of penetration | 24.3 mm | 24.3 mm |
    | Network Connection Capability | The HYDROS Robotic
    System component (PC)
    includes a Wi-Fi card that
    creates network connection
    capability. | The AquaBeam Robotic
    System and its components
    do not include a Wi-Fi card
    and there is no network
    connection capability. |
    | Cloud Connection + Wi-Fi
    connection | The software allows
    enabling and disabling the | AquaBeam Robotic
    Systems do not provide any
    options for connected |
    | COMPARISON ELEMENT | SUBJECT DEVICE | PREDICATE DEVICE |
    | | HYDROS ROBOTIC SYSTEM | |
    | | cloud connection on the
    Wi-Fi connected systems.
    Users have the option to
    choose a disconnected
    system. | systems and/or options for
    connection to Cloud servers. |
    | FirstAssist AI™ (previously Assisted
    Planning) Feature | Optional FirstAssist AI
    feature available during
    the PLAN step.
    FirstAssist AI ,
    Transverse: When the
    FirstAssist AI toggle
    button is enabled in the
    transverse view at the
    angle and depth step, the
    software provides the
    handpiece nozzle position
    and the prostate capsule
    boundary.
    FirstAssist AI , Sagittal:
    When the FirstAssist AI
    toggle button is enabled at
    the profile landmark step
    the software will place the
    4 landmarks - treatment
    start (TS), bladder neck
    (BN), mid-prostate (MP)
    and treatment end (TE).
    The surgeon has the option
    to adjust the landmarks as
    needed. | No Optional FirstAssist AI
    feature present in the PLAN
    step |
    | Workflow Enhancement | GUI Steps:
    • Setup – includes
    TRUS, Handpiece and
    Align
    • Plan -includes Manual
    and optional
    FirstAssist AI
    Transverse Angle and
    Depth planning | GUI Steps:
    • Setup - includes TRUS,
    Handpiece and Align
    • Plan -includes Manual
    Transverse Angle and
    Depth planning,
    registration, Manual
    profile for Sagittal Plane |
    | COMPARISON ELEMENT | SUBJECT DEVICE | PREDICATE DEVICE |
    | HYDROS ROBOTIC SYSTEM | | |
    | | Manual and Optional
    FirstAssist AI profile
    options for Sagittal
    Plane and Contour.
    Treat – includes treatment with the options for starting an additional pass or completing the procedure. | Treat - includes treatment with the options for starting an additional pass or completing the procedure. |
    | Manual Aspiration Flow Rate | During Resection:
    Nominal Waterjet Flow +
    10ml/min
    Manual: $360\pm75$ ml/min =
    [285, 435] | During Resection: Nominal
    Waterjet Flow + 10ml/min
    Manual: 317ml/min +/- 10%
    = [285,349] |
    | Verumontanum protection
    orientation | Transverse Plane - The user cannot modify the default orientation of the verumontanum protection zone. Sagittal Plane - The user has the ability to modify the length of the verumontanum protection zone. | Transverse Plane - The user has the ability to modify the default orientation of the verumontanum protection zone. Sagittal Plane - The user has the ability to modify the length of the verumontanum protection zone. |
    | COMPARISON
    ELEMENT | SUBJECT DEVICE | PREDICATE DEVICE |
    | Device Trade Name | HYDROS TRUS Probe | AQUABEAM ROBOTIC SYSTEM |
    | Manufacturer | PROCEPT BioRobotics
    Corporation | PROCEPT BioRobotics
    Corporation |
    | REF/Model Number | HU1000 | AB2000 |
    | Pre-Market
    Notification
    Information | Traditional 510(k) | Traditional 510(k) |
    | 510(k) number | K240200 | K231024 |
    | Regulation Number | 21 CFR 876.4350 | 21 CFR 876.4350 |
    | Regulation Name | Fluid jet system for prostate
    tissue removal | Fluid jet system for prostate tissue
    removal |
    | Product Classification | Class II | Class II |
    | Product Code | PZP | PZP |
    | Intended
    Use/Indications for Use | The HYDROS Robotic System is
    indicated for the resection and
    removal of prostate tissue in
    males suffering from lower
    urinary tract symptoms (LUTS)
    due to benign prostatic
    hyperplasia. | The AquaBeam Robotic System is
    indicated for the resection and
    removal of prostate tissue in males
    suffering from lower urinary tract
    symptoms (LUTS) due to benign
    prostatic hyperplasia. |
    | Intended User | The intended user shall be a
    urologist, supported by OR staff,
    trained and familiar with
    performing endoscopic surgical
    procedures for BPH, such as
    TURP, and in recognizing and
    managing their complications.
    The intended user shall also be
    trained and familiar with TRUS
    imaging. | 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 |
    | Patient Population | Males suffering from LUTS
    resulting from benign prostatic
    hyperplasia (BPH). | Males suffering from LUTS
    resulting from benign prostatic
    hyperplasia (BPH). |
    | COMPARISON
    ELEMENT | SUBJECT DEVICE | PREDICATE DEVICE |
    | HYDROS TRUS Probe | | |
    | Intended Body/Tissue
    interaction | The HYDROS TRUS probe may
    come in contact with the rectal
    tissue.
    Tissue/Bone/Dentin per ISO
    10993-1:2018, Table A.1 | The AquaBeam Robotic System
    uses a third-party ultrasound probe,
    SIUI'S ECBP-1 and the intended
    body/tissue interaction is identical
    between the subject device and
    predicate device. |
    | Duration of Contact | The HYDROS TRUS probe is
    considered an Externally
    communicating medical device.
    The HYDROS TRUS probe is
    used as part of the Aquablation
    procedure which lasts about 30
    minutes, so the TRUS probe has
    Limited Exposure (≤24hr). | The AquaBeam Robotic System
    uses a third-party ultrasound probe,
    SIUI'S ECBP-1 and the duration of
    contact is the same as the subject
    device as the manner in which the
    TRUS probe is used remains
    identical between subject device
    and predicate device. |
    | Mode of Action | B mode | The AquaBeam Robotic System
    uses a third-party ultrasound probe,
    SIUI'S ECBP-1 and the mode of
    action is the same as the subject
    device as the manner in which the
    TRUS probe is used remains
    identical between subject device
    and predicate device. |
    | Surface Area (patient
    contacting portion of
    the probe only) | ~276 Sq.cm | The AquaBeam Robotic System
    uses a third-party ultrasound probe,
    SIUI'S ECBP-1 and the surface
    area of ECBP-1 is 264 Sq. cm. |
    | Plane Switching | The handle interface of the
    HYDROS TRUS probe provides
    a button to switch ultrasound
    visualization planes between
    transverse and sagittal planes | The AquaBeam Robotic System
    uses a third-party ultrasound probe,
    SIUI'S ECBP-1 which does not
    include a plane switching button. |
    | Connection | Probe is plugged into the
    HYDROS Robotic System with
    one connector | The AquaBeam Robotic System
    uses a third-party ultrasound
    system, SIUI's Apogee 2300 and
    ultrasound probe, SIUI's ECBP-1.
    The ultrasound system connects to
    the AquaBeam Robotic System via
    an ethernet cable and the
    ultrasound probe connects to the |
    | COMPARISON
    ELEMENT | SUBJECT DEVICE | PREDICATE DEVICE |
    | HYDROS TRUS Probe | | |
    | Length of the connector
    cable | ~220 cm | ultrasound system with two
    connectors.
    The AquaBeam Robotic system
    uses a third-party ultrasound probe,
    SIUI's ECBP-1 and the length of
    the connector cable is ~220 cm
    which is identical to the subject
    device. |
    | Materials | HYDROS TRUS probe material
    information:
  • Hard Shell: ABS Plastic
  • Transducer portion of the
    probe: Silicone
  • Plane Switching Button:
    Silicone | The AquaBeam Robotic
    System uses a third-party
    ultrasound probe, SIUI's
    ECBP-1 and the material of
    this probe is identical to the
    subject device and
    additionally manufactured
    by the same company, SIUI |
    | Reprocessing | Reprocessing is required prior to
    each use and instructions are
    provided in the instructions for
    use (IFU) shipped with device. | The AquaBeam Robotic system
    uses a third-party ultrasound
    system, SIUI's Apogee 2300 and
    ultrasound probe, SIUI's ECBP-1
    and has its individual IFU with the
    reprocessing instructions provided
    by SIUI. |
    | Operating
    Environment | Temperature: 10° to 30° C
    Humidity: 20% to 80%, non-
    condensing
    Atmospheric Pressure: 70kPA to
    101kPA | The AquaBeam Robotic system
    uses a third-party ultrasound probe,
    SIUI's ECBP-1 and the operating
    environment for subject device and
    ECBP-1 are similar since the
    intended use environment of the
    subject and predicate devices are
    identical. |
    | Storage Environment | Temperature: 10° to 30° C
    Humidity: 20% to 80%, non-
    condensing
    Atmospheric Pressure: 70kPA to
    101kPA | The AquaBeam Robotic system
    uses a third-party ultrasound probe,
    SIUI's ECBP-1 and the storage
    environment for subject device and
    ECBP-1 are similar since the
    intended use environment of the
    subject and predicate devices are
    identical. |
    | COMPARISON
    ELEMENT | SUBJECT DEVICE | PREDICATE DEVICE |
    | HYDROS TRUS Probe | | |
    | Transportation
    Environment | Temperature: -18° to 60° C
    Humidity: 15% to 90%, non-
    condensing
    Atmospheric Pressure: 60kPA to
    106kPA | The AquaBeam Robotic system
    uses a third-party ultrasound probe,
    SIUI's ECBP-1 and the
    transportation environment for
    subject device and ECBP-1 are
    similar since the intended use
    environment of the subject and
    predicate devices are identical. |
    | Use Life | The users are instructed to
    perform visual and functional
    inspection post reprocessing and
    prior to each use however, the
    device is validated for 25 cycles
    of reprocessing. | The AquaBeam Robotic system
    uses a third-party ultrasound probe,
    SIUI's ECBP-1 and has a use life
    of 100 cycles. The use-life of the
    subject device falls within the use
    life of the ultrasound probe used
    with the predicate device. |

HYDROS ROBOTIC SYSTEM

7

Image /page/7/Picture/1 description: The image shows the logo for Procept BioRobotics. The word "PROCEPT" is written in large, bold, dark blue letters. The "O" in "PROCEPT" is replaced by a stylized image of a water droplet. Below the word "PROCEPT" is the word "BioRobotics" in a smaller, less bold font.

8

Image /page/8/Picture/1 description: The image shows the logo for Procept BioRobotics. The word "PROCEPT" is written in large, bold, blue letters. The "O" in "PROCEPT" is stylized as a water droplet. Below the word "PROCEPT" is the word "BioRobotics" in a smaller font.

9

Image /page/9/Picture/1 description: The image shows the logo for Procept BioRobotics. The word "PROCEPT" is written in large, bold, blue letters. The "O" in "PROCEPT" is replaced with a blue water droplet. Below the word "PROCEPT" is the word "BioRobotics" in smaller, blue letters.

10

Image /page/10/Picture/1 description: The image shows the logo for Procept BioRobotics. The logo is in dark blue and features the word "PROCEPT" in large, bold letters. The "O" in "PROCEPT" is stylized to look like a water droplet. Below the word "PROCEPT" is the word "BioRobotics" in a smaller font.

11

Image /page/11/Picture/0 description: The image shows the logo for Procept BioRobotics. The word "PROCEPT" is written in large, bold, blue letters. The "O" in "PROCEPT" is replaced with a blue water droplet. Below the word "PROCEPT" is the word "BioRobotics" in smaller, blue letters.

HYDROS TRUS PROBE

12

Image /page/12/Picture/1 description: The image shows the logo for Procept BioRobotics. The word "PROCEPT" is written in a large, bold, sans-serif font, with a stylized water droplet replacing the "O". Below "PROCEPT" is the word "BioRobotics" in a smaller, sans-serif font. The logo is clean and modern, with a focus on the company's name and branding.

13

Image /page/13/Picture/1 description: The image shows the logo for Procept BioRobotics. The word "PROCEPT" is written in a bold, sans-serif font, with a stylized water droplet replacing the "O". Below the main wordmark, in a smaller font, is the word "BioRobotics".

14

Image /page/14/Picture/1 description: The image shows the logo for Procept BioRobotics. The word "PROCEPT" is written in large, bold, blue letters. The "O" in "PROCEPT" is replaced with a blue water droplet. Below the word "PROCEPT" is the word "BioRobotics" in smaller, blue letters.

HYDROS HANDPIECE

| COMPARISON

ELEMENTSUBJECT DEVICEPREDICATE DEVICE
HYDROS HANDPIECE
Device Trade NameHYDROS HandpieceAQUABEAM® Robotic System
ManufacturerPROCEPT BioRobotics
CorporationPROCEPT BioRobotics Corporation
REF/Model NumberHH1000HP2000
SC2000
Pre-Market
Notification
InformationTraditional 510(k)Traditional 510(k)
510(k) numberK240200K231024
Regulation Number21 CFR 876.435021 CFR 876.4350
Regulation NameFluid jet system for prostate
tissue removalFluid jet system for prostate tissue
removal
Product ClassificationClass IIClass II
Product CodePZPPZP
Intended
Use/Indications for
UseThe HYDROS Robotic System
is indicated for the resection
and removal of prostate tissue
in males suffering from lower
urinary tract symptoms (LUTS)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.
COMPARISON
ELEMENTSUBJECT DEVICEPREDICATE DEVICE
HYDROS HANDPIECE
due to benign prostatic
hyperplasia.
Intended UserThe intended user shall be a
urologist, supported by OR
staff, trained and familiar with
performing endoscopic surgical
procedures for BPH, such as
TURP, and in recognizing and
managing their complications.
The intended user shall also be
trained and familiar with TRUS
imaging.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
Patient PopulationMales suffering from LUTS
resulting from benign prostatic
hyperplasia (BPH)Males suffering from LUTS resulting
from benign prostatic hyperplasia
(BPH)
Intended Body/Tissue
InteractionThe HYDROS Handpiece shall
be used endoscopically
accessing the prostate via the
urethra (external
communicating device,
tissue/bone/dentin, with limited
exposure (80% contrast at 80 lp/ph (8
lp/mm object space) @5mm
• >80% contrast at 80 lp/ph
(5.3 lp/mm object space)
@8mm(USAF 1951 target)
Group 3 Element 6 on axis at 5mm and
Group 3 Element 2 on axis at 8mm
Field of ViewMinimum of 60° FoVMinimum of 60° FoV
Working Length24.5cm ≥ working length ≤
27.0cm
Maximum = 24 Fr24.5cm ≥ working length ≤ 27.0cm
Maximum = 24 Fr
PackagingHYDROS Handpiece will be
packaged in a thermoformed
Tray and Retainer
manufactured using PETG.
The tray and the retainer are
heat sealed using a Tyvek lid.The AQUABEAM Handpiece is
packaged on a White high-density
polyethylene (HDPE) packaging card
in Tyvek pouch. The sealed pouches
are then placed into shelf cartons

15

Image /page/15/Picture/1 description: The image shows the logo for Procept BioRobotics. The word "PROCEPT" is written in large, bold, blue letters. The "O" in "PROCEPT" is replaced by a blue water droplet. Below the word "PROCEPT" is the word "BioRobotics" in smaller, blue letters.

16

Image /page/16/Picture/1 description: The image shows the logo for Procept BioRobotics. The word "PROCEPT" is written in a dark blue sans-serif font, with a stylized water droplet in place of the "O". Below the word "PROCEPT" is the word "BioRobotics" in a smaller, dark blue sans-serif font with a trademark symbol.

17

Image /page/17/Picture/0 description: The image shows the logo for Procept BioRobotics. The word "PROCEPT" is written in large, bold, blue letters. The "O" in "PROCEPT" is replaced by a blue water droplet. Below the word "PROCEPT" is the word "BioRobotics" in smaller, blue letters.

Non-Clinical Performance Data

Design validation included simulated use testing and cadaver testing.

Please see table below for testing conducted in accordance with applicable standards and guidance documents on the HYDROS Robotic System and its components.

Summary of non-clinical testing in accordance with applicable standards and guidance documents

| Non-Clinical

Bench TestsGuidance/Standard IDGuidance/Standard NameResults
System
VerificationFDA GuidanceGuidance for the Non-
Clinical and Clinical
Investigation of Devices
Used for the Treatment of
Benign Prostatic Hyperplasia
(BPH)Pass
UsabilityIEC 62366-
1:2015/COR1:2016

ANSI/AAMI
HE75:2009 (R2018) | Medical devices - Part 1:
Application of usability
engineering to medical
devices

Human Factors Engineering

  • Design Of Medical Devices | Pass |
    | Electromagnetic
    Compatibility | IEC60601-1-2:2020

IEC TR 60601-4-2 | Medical electrical equipment

  • Part 1-2: General
    requirements for basic safety
    and essential performance -
    Collateral standard:
    Electromagnetic disturbances
  • Requirements and tests

Medical electrical equipment

  • Part 4-2: Guidance and
    interpretation -
    Electromagnetic immunity:
    performance of medical
    electrical equipment and
    medical electrical systems | Pass |
    | Basic Safety | IEC 60601-1:2020

IEC 60601-2-37 Edition
2.1 2015 | Medical electrical equipment

  • Part 1: General
    requirements for basic safety
    and essential performance

Medical electrical equipment

  • Part 1: General
    requirements for basic safety
    and essential performance | Pass |
    | Non-Clinical
    Bench Tests | Guidance/Standard ID | Guidance/Standard Name | Results |
    | | EC 60601-1-6:2020 | Medical electrical equipment
    Part 1-6: General
    requirements for basic safety
    and essential performance –
    Collateral standard:Usability | |
    | | IEC 60601-2-18: 2009 | Medical electrical equipment - Part 2-18: Particular
    requirements for the basic
    safety and essential
    performance of endoscopic
    equipment | |
    | | IEC 80601-2-77: 2019 | Medical electrical equipment - Part 2-77: Particular
    requirements for the Basic
    Safety and essential
    performance of Robotically
    Assisted Surgical Equipment
    (RASE) | |
    | | Wireless | AAMI
    TIR69:2017/(R2020) | Technical Information
    Report Risk Management of
    radio-frequency wireless
    coexistence for medical
    devices and systems |
    | | | FDA Guidance | Radio Frequency Wireless
    Technology in Medical
    Devices |
    | | Sterilization | EN ISO 11135:2014 +
    AMD 1: 2019 | Sterilization of health-care
    products — Ethylene oxide
    — Requirements for the
    development, validation and
    routine control of a
    sterilization process for
    medical devices |
    | | ISO 10993-7:2008 +
    AMD 1:2019 | Biological evaluation of
    medical devices — Part 7:
    Ethylene oxide sterilization
    residuals | |
    | | ISO 11138-1: 2017 | Sterilization of health care
    products — Biological
    indicators — Part 1: General
    requirements | |
    | | ISO 11138-2: 2017 | Sterilization of health care
    products — Biological | |
    | Non-Clinical
    Bench Tests | Guidance/Standard ID | Guidance/Standard Name | Results |
    | | BS EN 556-1: 2001 | indicators – Part 2:
    Biological indicators for
    ethylene oxide sterilization
    processes | |
    | | | Sterilization of medical
    devices – Requirements for
    medical devices to be
    designated “STERILE” –
    Part 1: Requirements for
    terminally sterilized medical
    devices | |
    | | ISO11737-1:
    2018+AMD1:2021 | Sterilization of health care
    products — Microbiological
    methods — Part 1:
    Determination of a
    population of
    microorganisms on products | |
    | | ISO 11737-2: 2019 | Sterilization of health care
    products — Microbiological
    methods — Part 2: Tests of
    sterility performed in the
    definition, validation, and
    maintenance of a sterilization
    process | |
    | | ISO 11139: 2018 | Sterilization of health care
    products — Vocabulary of
    terms used in sterilization
    and related equipment and
    process standards | |
    | | ISO 14937:2009 | Sterilization of health care
    products - General
    requirements for
    characterization of a
    sterilizing agent and the
    development, validation, and
    routine control of a
    sterilization process for
    medical devices | |
    | | AAMI TIR 14: 2016 | Contract sterilization using
    ethylene oxide | |
    | | AAMI TIR 15: 2016 | Physical aspects of ethylene
    oxide sterilization | |
    | Non-Clinical
    Bench Tests | Guidance/Standard ID | Guidance/Standard Name | Results |
    | | AAMI TIR 16: 2017 | Microbiological aspects of
    ethylene oxide sterilization | |
    | | ISO 14937:2009 | Sterilization of health care
    products - General
    requirements for
    characterization of a
    sterilizing agent and the
    development, validation and
    routine control of a
    sterilization process for
    medical devices | |
    | | AAMI TIR 28:
    2016/(R)2020 | Product adoption and process
    equivalence for ethylene
    oxide sterilization | |
    | | ISO 11135 Second
    edition 2014-07-15 | Sterilization of health-care
    products - Ethylene oxide -
    Requirements for the
    development, validation and
    routine control of a
    sterilization process for
    medical devices [Including:
    Amendment 1 (2018)] | |
    | | ISO 11737-2 Third
    edition 2019-12 | Sterilization of medical
    devices - Microbiological
    methods - Part 2: Tests of
    sterility performed in the
    definition, validation and
    maintenance of a sterilization
    process | |
    | | Biocompatibility | ISO 10993-1:2018 | Biological evaluation of
    medical devices - Part1:
    Evaluation and testing within
    a risk management process |
    | | | ISO 10993-4:2017 | Biological evaluation of
    medical devices - Part 4:
    Selection of tests for
    interactions with blood |
    | | | ISO 10993-5:2009 | Biological evaluation of
    medical devices - Part5:
    Tests for in vitro cytotoxicity |
    | | | ISO 10993-9: 2019 | Biological evaluation of
    medical devices – Part 9:
    Framework for identification |
    | Non-Clinical
    Bench Tests | Guidance/Standard ID | Guidance/Standard Name | Results |
    | | | and quantification of
    potential degradation
    products | |
    | | ISO 10993-10:2021 | Biological evaluation of
    medical devices - Part 10:
    Tests for irritation and skin
    sensitization | |
    | | ISO 10993-11: 2017 | Biological evaluation of
    medical devices - Part 11:
    Tests for Systemic Toxicity | |
    | | ISO 10993-12:2021 | Biological evaluation of
    medical devices - Part 12:
    Sample preparation and
    reference materials | |
    | | ISO 10993-13:2010 | Biological evaluation of
    medical devices - Part 13:
    Identification and
    quantification of degradation
    products from polymeric
    medical devices | |
    | | ISO 10993-14:2001 | Biological evaluation of
    medical devices - Part 14:
    Identification and
    quantification of degradation
    products from ceramics | |
    | | ISO 10993-15:2019 | Biological evaluation of
    medical devices - Part 15:
    Identification and
    quantification of degradation
    products from metals and
    alloys | |
    | | ISO 10993-18:2020 | Biological evaluation of
    medical devices - Part 18:
    Chemical characterization of
    medical device materials
    within a risk management
    process | |
    | | ISO 10993-23:2021 | Biological evaluation of
    medical devices - Part 23:
    Tests for Irritation | |
    | Packaging and
    Transit | ISTA 3B: 2017 | Packaged-Products for Less-
    Than-Truckload (LTL)
    Shipment | Pass |
    | Non-Clinical
    Bench Tests | Guidance/Standard ID | Guidance/Standard Name | Results |
    | | ASTM D4332-22 | Standard Practice for
    Conditioning Containers,
    Packages, or Packaging
    Components for Testing | |
    | | ASTM D4169-22 | Standard Practice for
    Performance Testing of
    Shipping Containers and
    Systems | |
    | | ASTM F1886/F1886M-
    16 | Standard test method for
    determining integrity of seals
    for flexible packaging visual
    inspection | |
    | | ASTM F2096-11 (2019) | Standard test method for
    detecting gross leaks in
    packaging by internal
    pressurization (bubble test) | |
    | | ISO 11607-1: 2019 | Packaging for terminally
    sterilized medical devices —
    Part 1: Requirements for
    materials, sterile barrier
    systems and packaging
    systems | |
    | | ISO 11607-2: 2019 | Packaging for terminally
    sterilized medical devices —
    Part 2: Validation
    requirements for forming,
    sealing and assembly
    processes | |
    | Shelf Life | ASTM F88/F88-2023 | Standard test method for seal
    strength of flexible barrier
    materials | Pass |
    | | ASTM F1980-21 | Standard guide for
    Accelerated Aging of Sterile
    Barrier Systems and Medical
    Devices | |
    | Reliability | MIL-STD-721C | Military Standards
    Definitions of Terms for
    Reliability and
    Maintainability | Pass |
    | Labeling | ISO 15223-1:2021 | Medical devices - Symbols
    to be used with medical
    device labels, labelling and | Pass |
    | Non-Clinical
    Bench Tests | Guidance/Standard ID | Guidance/Standard Name | Results |
    | | | information to be supplied - | |
    | | | Part 1: General requirements | |
    | | ISO 20417:2021 | Medical devices - | |
    | | | Information to be provided | |
    | | | by the manufacturer | |
    | | ISO 7000:2019 | Graphical symbols for use on | |
    | | | equipment - Registered | |
    | | | symbols | |
    | | ISO 7010 Third edition | Graphical symbols - Safety | |
    | | 2019-07 | colours and safety signs - | |
    | | | Registered safety signs | |
    | | ISO 17664-2 First | Processing of health care | |
    | | edition 2021-02 | products - Information to be | |
    | | | provided by the medical | |
    | | | device manufacturer for the | |
    | | | processing of medical | |
    | | | devices - Part 2: Non-critical | |
    | | | medical devices. | |
    | | IEC/TR 60878 Ed. 4.0 | Graphical symbols for | |
    | | 2022-11 | electrical equipment in | |
    | | | medical practice | |
    | | ISO 17664-1:2021 | Processing of health care | |
    | | | products - Information to be | |
    | | | provided by the medical
    device manufacturer for the | |
    | | | processing of medical | |
    | | | devices | |
    | | | Part 1: Critical and semi- | |
    | | | critical medical devices | |
    | | FDA Guidance | Device Labeling Guidance | |
    | | | #G91-1 (Blue Book Memo) | |
    | | FDA Guidance | Labeling - Regulatory | |
    | | | Requirements for Medical | |
    | | | Devices (FDA 89-4203) | |
    | Reprocessing | ANSI AAMI ST98:2022 | Cleaning validation of health | Pass |
    | | | care products - Requirements | |
    | | | for development and | |
    | | | validation of a cleaning | |
    | | | process for medical devices | |
    | | AAMI TIR 12:2020 | Designing, Testing, And | |
    | | | Labeling Medical Devices | |
    | | | Intended For Processing By | |
    | | | Health Care Facilities: A | |
    | Non-Clinical
    Bench Tests | Guidance/Standard ID | Guidance/Standard Name | Results |
    | | ASTM F3208-20 | Guide For Device
    Manufacturers | |
    | | | Standard Guide for Selecting
    Test Soils for Validation of
    Cleaning Methods for
    Reusable Medical Devices | |
    | | | AAMI TIR 99:2024 | Processing of dilators,
    transesophageal and
    ultrasound probes in health
    care facilities |
    | | Corrosion | ASTM F1089-18 | Standard Test Method for
    Corrosion of Surgical
    Instruments |
    | | Cystoscope
    Imaging | ISO 8600-5:2020 | Optics and photonics -
    Medical endoscopes and
    endotherapy devices - Part 5:
    Determination of optical
    resolution of rigid
    endoscopes with optics |
    | | | ISO 8600-3:2019 | Endoscopes - Medical
    endoscopes and endotherapy
    devices - Part 3:
    Determination of field of
    view and direction of view of
    endoscopes with optics |
    | | | ISO 8600-1: 2015 | Endoscopes – medical and
    endotherapy devices – Part
    1: General Requirements |
    | | | ISO 80369-7:2021 | Small-bore connectors for
    liquids and gases in
    healthcare applications – Part
    7: Connectors for
    intravascular or hypodermic
    applications |
    | | | ISO CIE 11664-4, First
    Edition 2019-06 | Colorimetry - Part 4: CIE
    1976 Lab colour space |
    | | | ISO CIE 11664-6, First
    Edition 2014-02-01 | Colorimetry - Part 6:
    CIEDE2000 colour
    difference formula |
    | | | IEC 61966-2-1:1999-10 | Multimedia systems and
    equipment - Colour
    measurement and
    management - Part 2-1: |
    | Non-Clinical
    Bench Tests | Guidance/Standard ID | Guidance/Standard Name | Results |
    | | | Colour management -
    Default RGB colour space -
    sRGB | |
    | Ultrasound
    Imaging | IEC 62127-1:2022 | Ultrasonics - Hydrophones -
    Part 1: Measurement and
    characterization of medical
    ultrasonic fields | Pass |
    | | IEC 61391-
    1:2006+AMD1:2017 | CSV Consolidated version
    Ultrasonics - Pulse-echo
    scanners - Part 1: Techniques
    for calibrating spatial
    measurement systems and
    measurement of point-spread
    function response | |
    | | FDA Guidance | Marketing Clearance of
    Diagnostic Ultrasound
    Systems and Transducers | |
    | Cybersecurity | ISO IEC 29147 First
    edition 2014-02-15 | Information technology -
    Security techniques -
    Vulnerability disclosure | Pass |
    | | IEC 80001-1 Edition
    1.0 2010-10 | Application of risk
    management for IT-networks
    incorporating medical
    devices - Part 1: Roles,
    responsibilities and activities | |
    | | AAMI TIR57:2016 | Principles for medical device
    security - Risk management. | |
    | | ANSI NEMA HN 1-
    2019 | American National Standard
    Manufacturer Disclosure
    Statement for Medical
    Device Security | |
    | | FDA Guidance | Cybersecurity in Medical
    Devices: Quality System
    Considerations and Content
    of Premarket Submissions | |
    | | FDA Guidance | Cybersecurity for Networked
    Medical Devices Containing
    Off-the-Shelf (OTS)
    Software | |
    | Software | FDA Guidance | Guidance for the Content of
    Premarket Submissions for
    Software Contained in
    Medical Devices | Pass |
    | Non-Clinical
    Bench Tests | Guidance/Standard ID | Guidance/Standard Name | Results |
    | | Draft FDA Guidance | Draft Guidance - Content of
    Premarket Submissions for
    Device Software Functions | |
    | | FDA Guidance | General Principles of
    Software Validation | |
    | AI/ML | FDA Guidance | Clinical Performance
    Assessment: Considerations
    for Computer-Assisted
    Detection Devices Applied
    to Radiology Images and
    Radiology Device Data in
    Premarket Notification
    (510(k)) Submissions | Pass |
    | | FDA Guidance | Computer-Assisted Detection
    Devices Applied to Radiology
    Images and Radiology Device
    Data - Premarket Notification
    [510(k)] Submissions | |
    | | FDA Guidance | Good Machine Learning
    Practice for Medical Device
    Development: Guiding
    Principles | |

18

Image /page/18/Picture/1 description: The image shows the logo for Procept BioRobotics. The word "PROCEPT" is written in large, bold, blue letters. The "O" in "PROCEPT" is replaced with a blue water droplet. Below the word "PROCEPT" is the word "BioRobotics" in smaller, blue letters.

19

Image /page/19/Picture/1 description: The image shows the logo for Procept BioRobotics. The word "PROCEPT" is in large, bold, dark blue letters. The "O" in Procept is a stylized water droplet. Below the word "PROCEPT" is the word "BioRobotics" in a smaller font.

20

Image /page/20/Picture/1 description: The image shows the logo for Procept BioRobotics. The word "PROCEPT" is written in a dark blue 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 clean and modern, and the water droplet suggests a connection to water or fluids.

21

Image /page/21/Picture/1 description: The image shows the logo for Procept BioRobotics. The word "PROCEPT" is written in large, bold, blue letters. The "O" in "PROCEPT" is replaced with a blue water droplet. Underneath "PROCEPT" is the word "BioRobotics" in smaller, blue letters.

22

Image /page/22/Picture/1 description: The image shows the logo for Procept BioRobotics. The word "PROCEPT" is in large, bold, dark blue letters. The "O" in Procept is stylized as a water droplet. Underneath the word "PROCEPT" is the word "BioRobotics" in a smaller, dark blue font.

23

Image /page/23/Picture/1 description: The image shows the logo for Procept BioRobotics. The word "PROCEPT" is in large, bold, blue letters. The "O" in Procept is replaced with a blue water droplet. Underneath the word "PROCEPT" is the phrase "BioRobotics" in smaller, blue letters.

24

Image /page/24/Picture/0 description: The image shows the logo for Procept BioRobotics. The word "PROCEPT" is written in large, bold, blue letters. The "O" in "PROCEPT" is replaced with a blue water droplet. Below the word "PROCEPT" is the word "BioRobotics" in smaller, blue letters.

25

Image /page/25/Picture/1 description: The image shows the logo for Procept BioRobotics. The word "PROCEPT" is in large, bold, blue letters, with a stylized water droplet in place of the "O". Below the main wordmark, in smaller letters, is the phrase "BioRobotics" with a registered trademark symbol.

26

Image /page/26/Picture/1 description: The image shows the logo for Procept BioRobotics. The word "PROCEPT" is written in large, bold, dark blue letters. To the left of the "C" is a stylized water droplet design in shades of blue. Below the word "PROCEPT" is the phrase "BioRobotics" in a smaller, lighter font.

Conclusion:

The overall performance data in this submission supports that the HYDROS Robotic System and its components are substantially equivalent to the predicate device when utilized for its intended use.