K Number
K242742
Device Name
DEFENDO Single Use Valve Kit AW/S Valves - 2pc for OLYMPUS EUS (00711900)
Manufacturer
Date Cleared
2024-10-11

(30 days)

Product Code
Regulation Number
876.1500
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The DEFENDO EUS Air/Water Valve is intended to be used to control the air/water function of an endoscope during an GI Endoscopic procedure. The DEFENDO EUS Suction Valve is intended to be used to control the suction function of an endoscope during a GI Endoscopic procedure.
Device Description
The DEFENDO EUS Air/Water Valve and the DEFENDO EUS Suction Valve are accessories to an echoendoscope. The EUS Air/Water valve allows the end user to control air or CO2 insufflation down the endoscope's accessory channel, control water used to wash the lens of the endoscope and insufflate a balloon at the distal end of the echoendoscope The DEFENDO EUS Suction valve allows the user to control suction through the echoendoscope's accessory channel and suction to the balloon at the distal end of the echoendoscope. Both devices are single-use devices, supplied sterile.
More Information

Not Found

No
The device description and performance studies focus on mechanical function and material properties, with no mention of AI/ML terms or data-driven analysis.

No
The device is described as an accessory (valve) that controls the functions of an endoscope (air/water and suction) during GI procedures. It does not directly provide therapeutic treatment itself but rather assists in the operation of another device.

No

The device is described as an accessory to an echoendoscope that controls air/water and suction functions during GI endoscopic procedures. It is a control mechanism, not a device that provides information for diagnosis.

No

The device description explicitly states that the devices are "valves" and "single-use devices, supplied sterile," indicating they are physical components, not software. The performance studies also describe testing of physical properties like leakage, flow, and tensile strength.

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

Here's why:

  • Intended Use: The intended use clearly states that the valves are used to control air/water and suction functions during a GI Endoscopic procedure. This is a direct interaction with the patient's body and the endoscope, not a test performed in vitro (outside the body) on a sample.
  • Device Description: The description reinforces that these are accessories to an echoendoscope used for controlling functions during the procedure.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), detecting specific analytes, or providing diagnostic information based on laboratory testing.

IVD devices are designed to perform tests on samples taken from the human body to provide information for diagnosis, monitoring, or screening. This device's function is purely procedural and instrumental.

N/A

Intended Use / Indications for Use

The DEFENDO EUS Air/Water Valve is intended to be used to control the air/water function of an endoscope during an GI Endoscopic procedure.

The DEFENDO EUS Suction Valve is intended to be used to control the suction function of an endoscope during a GI Endoscopic procedure.

Product codes (comma separated list FDA assigned to the subject device)

ODC, FDF

Device Description

The DEFENDO EUS Air/Water Valve and the DEFENDO EUS Suction Valve are accessories to an echoendoscope.

The EUS Air/Water valve allows the end user to control air or CO2 insufflation down the endoscope's accessory channel, control water used to wash the lens of the endoscope and insufflate a balloon at the distal end of the echoendoscope

The DEFENDO EUS Suction valve allows the user to control suction through the echoendoscope's accessory channel and suction to the balloon at the distal end of the echoendoscope.

Both devices are single-use devices, supplied sterile.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

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)

Non-clinical testing consisted of the following:

Air/Water Valve Testing:

  • Leakage: Valve shall not continuously leak water. Result: Pass.
  • Insertion: No damage shall occur to either the valve or the endoscope during insertion. Result: Pass.
  • Valve - Stationary: Valve shall remain in place on the endoscope after being fully seated. Result: Pass.
  • Flow (air/CO2): Minimum flows of predetermined levels of each air and CO2 shall be demonstrated. Result: Pass.
  • Flow (water): Minimum flow of predetermined rates of water shall be demonstrated during flow of each air and CO2. Result: Pass.
  • Flow (balloon): Minimum flow of predetermined rates of water shall fill the balloon during flow of each air and CO2. Result: Pass.
  • Tensile Strength (Stage 1 compression): Spring compression force shall fall within predetermined range in Stage 1 compression. Result: Pass.
  • Tensile Strength (Stage 2 compression): Spring compression force shall fall within predetermined range in Stage 2 compression. Result: Pass.
  • Cap - Torque: Torque force shall be above a predetermined threshold to ensure no separation of cap from the valve stem occurs. Result: Pass.

Suction Valve Testing:

  • Leakage: Valve shall not continuously leak water. Result: Pass.
  • Insertion: No damage shall occur to either the valve or the endoscope during insertion. Result: Pass.
  • Insertion: The valve must not be able to be inserted incorrectly into EUS scope suction port. Result: Pass.
  • Valve - Stationary: Valve shall remain in place on the endoscope after being fully seated. Result: Pass.
  • Tensile Strength (Stage 1 compression): Spring compression force shall fall within predetermined range in Stage 1 compression. Result: Pass.
  • Tensile Strength (Stage 2 compression): Spring compression force shall fall within predetermined range in Stage 2 compression. Result: Pass.
  • Cap - Torque: Torque force shall be above a predetermined threshold to ensure no separation of cap from the valve stem occurs. Result: Pass.

Packaging Testing:

  • Pouch Seal – Tensile Testing: Force to open sealed pouch shall be 0.57 lbs or greater. Result: Pass.

The three-year shelf life version of the device was tested, and the results demonstrate that the device functions as intended.

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.

K240098

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

§ 876.1500 Endoscope and accessories.

(a)
Identification. An endoscope and accessories is a device used to provide access, illumination, and allow observation or manipulation of body cavities, hollow organs, and canals. The device consists of various rigid or flexible instruments that are inserted into body spaces and may include an optical system for conveying an image to the user's eye and their accessories may assist in gaining access or increase the versatility and augment the capabilities of the devices. Examples of devices that are within this generic type of device include cleaning accessories for endoscopes, photographic accessories for endoscopes, nonpowered anoscopes, binolcular attachments for endoscopes, pocket battery boxes, flexible or rigid choledochoscopes, colonoscopes, diagnostic cystoscopes, cystourethroscopes, enteroscopes, esophagogastroduodenoscopes, rigid esophagoscopes, fiberoptic illuminators for endoscopes, incandescent endoscope lamps, biliary pancreatoscopes, proctoscopes, resectoscopes, nephroscopes, sigmoidoscopes, ureteroscopes, urethroscopes, endomagnetic retrievers, cytology brushes for endoscopes, and lubricating jelly for transurethral surgical instruments. This section does not apply to endoscopes that have specialized uses in other medical specialty areas and that are covered by classification regulations in other parts of the device classification regulations.(b)
Classification —(1)Class II (special controls). The device, when it is an endoscope disinfectant basin, which consists solely of a container that holds disinfectant and endoscopes and accessories; an endoscopic magnetic retriever intended for single use; sterile scissors for cystoscope intended for single use; a disposable, non-powered endoscopic grasping/cutting instrument intended for single use; a diagnostic incandescent light source; a fiberoptic photographic light source; a routine fiberoptic light source; an endoscopic sponge carrier; a xenon arc endoscope light source; an endoscope transformer; an LED light source; or a gastroenterology-urology endoscopic guidewire, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 876.9.(2) Class I for the photographic accessories for endoscope, miscellaneous bulb adapter for endoscope, binocular attachment for endoscope, eyepiece attachment for prescription lens, teaching attachment, inflation bulb, measuring device for panendoscope, photographic equipment for physiologic function monitor, special lens instrument for endoscope, smoke removal tube, rechargeable battery box, pocket battery box, bite block for endoscope, and cleaning brush for endoscope. The devices subject to this paragraph (b)(2) are exempt from the premarket notification procedures in subpart E of part 807of this chapter, subject to the limitations in § 876.9.

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Image /page/0/Picture/0 description: The image contains 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, which is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

October 11, 2024

STERIS Corporation Jackie Oliver Sr. Regulatory Affairs Specialist 5960 Heisley Road Mentor, Ohio 44060

Re: K242742

Trade/Device Name: DEFENDO Single Use Valve Kit AW/S Valves - 2pc for OLYMPUS EUS (00711900) Regulation Number: 21 CFR 876.1500 Regulation Name: Endoscope And Accessories Regulatory Class: Class II Product Code: ODC, FDF Dated: September 10, 2024 Received: September 11, 2024

Dear Jackie Oliver:

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.

1

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).

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 QS 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.

All medical devices, including Class I and unclassified devices and combination product device constituent parts are required to be in compliance with the final Unique Device Identification System rule ("UDI Rule"). The UDI Rule requires, among other things, that a device bear a unique device identifier (UDI) on its label and package (21 CFR 801.20(a)) unless an exception or alternative applies (21 CFR 801.20(b)) and that the dates on the device label be formatted in accordance with 21 CFR 801.18. The UDI Rule (21 CFR 830.300(a) and 830.320(b)) also requires that certain information be submitted to the Global Unique Device Identification Database (GUDID) (21 CFR Part 830 Subpart E). For additional information on these requirements, please see the UDI System webpage at https://www.fda.gov/medical-device-advicecomprehensive-regulatory-assistance/unique-device-identification-system-udi-system.

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 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-regulatory

2

assistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

Shanil P. Haugen -S

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

Enclosure

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Indications for Use

Submission Number (if known)

K242742

Device Name

DEFENDO Single Use Valve Kit AW/S Valves - 2pc for OLYMPUS EUS (00711900)

Indications for Use (Describe)

The DEFENDO EUS Air/Water Valve is intended to be used to control the air/water function of an endoscope during an GI Endoscopic procedure.

The DEFENDO EUS Suction Valve is intended to be used to control the suction function of an endoscope during a GI Endoscopic procedure.

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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Special 510(K) Summary For the

DEFENDO Single Use Valve Kit AW/S Valves -2pc for OLYMPUS EUS

1. Company Name and Address

1.1 Sponsor

STERIS Corporation 5960 Heisley Rd. Mentor, Ohio 44060

Jackie Oliver Contact: Senior Regulatory Affairs Specialist Telephone: (440) 358-6289 Email: Jackie Oliver@steris.com

1.2 Manufacturing Facility

US Endoscopy 5976 Heisley Road Mentor, Ohio 44060

2. Device Name

| Proprietary Name: | DEFENDO Single Use Valve Kit AW/S Valves - 2pc for
OLYMPUS EUS |
|--------------------|-------------------------------------------------------------------|
| Common Usual Name: | Endoscope channel accessory |

Classification Name: Endoscopic and accessories

3. Establishment Registration Number

STERIS Corporation 5960 Heisley Rd. Mentor, Ohio 44060 Registration number: 1527821

US Endoscopy 5976 Heisley Road Mentor, Ohio 44060 Registration number: 1528319

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4. Device Classification

Class: Classification Number: Classification Panel: FDA Review Product Code: II 21 CFR 876.1500 Gastroenterology/Urology ODC, FDF

ട. Predicate Devices

DEFENDO Single Use Valve Kit AW/S Valves – 2pc OLYMPUS EUS K240098

6. Device Description

The DEFENDO EUS Air/Water Valve and the DEFENDO EUS Suction Valve are accessories to an echoendoscope.

The EUS Air/Water valve allows the end user to control air or CO2 insufflation down the endoscope's accessory channel, control water used to wash the lens of the endoscope and insufflate a balloon at the distal end of the echoendoscope

The DEFENDO EUS Suction valve allows the user to control suction through the echoendoscope's accessory channel and suction to the balloon at the distal end of the echoendoscope.

Both devices are single-use devices, supplied sterile.

7. Intended Use/Indications for Use

The DEFENDO EUS Air/Water Valve is intended to be used to control the air/water function of an endoscope during a GI endoscopic procedure.

The DEFENDO EUS Suction Valve is intended to be used to control the suction function of an endoscope during a GI endoscopic procedure.

8. Device Comparison Table

The DEFENDO Single Use Valve Kit AW/S Valves – 2pc for OLYMPUS EUS are identical in design to the predicate and have the same intended use. The shelf life of the predicate device is 1 year while the subject device has a shelf life of 3 years (see comparison table below).

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FeaturesDEFENDO Single Use Valve Kit AW/S Valves – 2-pc for OLYMPUS EUS K240098 (Predicate Device)DEFENDO Single Use Valve Kit AW/S Valves - 2-pc for OLYMPUS EUS (Proposed Device)Comparison
Intended UseThe DEFENDO EUS Air/Water Valve is intended to be used to control the air/water function on an endoscope during a GI endoscopic procedure.

The DEFENDO EUS Suction Valve is intended to be used to control the suction function on an endoscope during a GI endoscopic procedure. | The DEFENDO EUS Air/Water Valve is intended to be used to control the air/water function on an endoscope during a GI endoscopic procedure.

The DEFENDO EUS Suction Valve is intended to be used to control the suction function on an endoscope during a GI endoscopic procedure. | Identical |
| Construction: | Air/Water Valve | | |
| | Stem, Gaskets, Spring Guide, Spring(s), and Endcap with Skirt

of Gaskets: 9

of Springs: 2 | Stem, Gaskets, Spring Guide, Spring(s), and Endcap with Skirt

of Gaskets: 9

of Springs: 2 | Identical |

| | Suction Valve | | |
| | Stem, Spring Guide, Spring(s), Endcap with Skirt, and Stainless-Steel Collar

of gaskets: 4

of springs: 2 | Stem, Spring Guide, Spring(s), Endcap with Skirt, and Stainless-Steel Collar

of gaskets: 4

of springs: 2 | Identical |

| Sterile/ Non-sterile | Sterile | Sterile | Identical |
| Sterilization Method | EtO | EtO | Identical |
| Sterilization Assurance Level | 10-6 | 10-6 | Identical |
| Usage | Single-Use | Single-Use | Identical |
| Materials: | Air/Water Valve | | |
| | Cap: PC-ABS
Spring(s): Stainless-Steel
Valve Stem: Top Half – Stainless-Steel / Bottom Half - PC-ABS
Spring Guide: PC-ABS
Gaskets: TPE
Skirt: TPE
Endcap: PC-ABS | | Identical |
| | Suction Valve | | |
| | Cap: PC-ABS
Spring(s): Stainless – Steel
Center Valve stem: Stainless-Steel
Offset Valve Stem: Ultem Plastic
Spring Guide: PC-ABS
Gaskets: TPE
Skirt: TPE
Endcap: Ultem
Cap Insert: Brass
Metal collar: Stainless-Steel | | Identical |
| | Cap: PC-ABS
Spring(s): Stainless-
Steel
Valve Stem: Top Half - Stainless-Steel / Bottom Half - PC-ABS
Spring Guide: PC-ABS
Gaskets: TPE
Skirt: TPE
Endcap: PC-ABS | | |
| | Cap: PC-ABS
Spring(s): Stainless – Steel
Center Valve stem: Stainless-Steel
Offset Valve Stem: Ultem Plastic
Spring Guide: PC-ABS
Gaskets: TPE
Skirt: TPE
Endcap: Ultem
Cap Insert: Brass
Metal collar: Stainless-Steel | | |
| Device
Dimensions
(lengths/widths) | Air/Water Valve: | | Identical |
| | Overall Length: 46 mm
Endcap Overmold Diameter: 11.25 mm | | |
| | Suction Valve: | | Identical |
| | Overall Length: 33 mm
Stem Diameter: 3.8 mm | | |
| | Overall Length: 46 mm
Endcap Overmold Diameter: 11.25 mm | | |
| | Overall Length: 33 mm
Stem Diameter: 3.8 mm | | |
| Target
Population | Patients undergoing an endoscopic procedure | Patients undergoing an endoscopic procedure | Identical |
| Energy Used/Delivered | None | None | Identical |
| Compatible Endoscopes | Olympus endoscope with a balloon channel | Olympus endoscope with a balloon channel | Identical |
| Packaging | Sealed thermoform tray | Sealed thermoform tray | Identical |
| *Shelf Life | 1 year shelf life | 3 year shelf life | Similar:
The DEFENDO
Single Use Valve
Kit AW/S Valves
– 2pc OLYMPUS
EUS has passed 3
year (accelerated)
age testing and
the device
functions as
intended. |

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9. Summary of Non-Clinical Performance Testing

(*Identical testing was conducted on both the predicate (cleared) 1 year version of the device and proposed 3 year shelf life version of the device. The three year shelf life summary is below.)

TestingAcceptance CriteriaResults
Air/Water Valve
LeakageValve shall not continuously leak
waterPass
InsertionNo damage shall occur to either the
valve or the endoscope during
insertionPass
Valve - StationaryValve shall remain in place on the
endoscope after being fully seatedPass
FlowMinimum flows of predetermined
levels of each air and CO2 shall be
demonstratedPass
FlowMinimum flow of predetermined
rates of water shall be demonstrated
during flow of each air and CO2Pass
FlowMinimum flow of predetermined
rates of water shall fill the balloon
during flow of each air and CO2Pass
Tensile StrengthSpring compression force shall fall
within predetermined range in Stage
1 compressionPass
Tensile StrengthSpring compression force shall fall
within predetermined range in Stage
2 compressionPass
Cap - TorqueTorque force shall be above a
predetermined threshold to ensure no
separation of cap from the valve stem
occurs.Pass

Non-clinical testing consisted of the following:

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TestingAcceptance CriteriaResults
Suction Valve
LeakageValve shall not continuously leak
waterPass
InsertionNo damage shall occur to either the
valve or the endoscope during
insertion.Pass
InsertionThe valve must not be able to be
inserted incorrectly into EUS scope
suction port.Pass
Valve - StationaryValve shall remain in place on the
endoscope after being fully seatedPass
Tensile StrengthSpring compression force shall fall
within predetermined range in Stage
1 compressionPass
Tensile StrengthSpring compression force shall fall
within predetermined range in Stage
2 compressionPass
Cap - TorqueTorque force shall be above a
predetermined threshold to ensure no
separation of cap from the valve stem
occurs.Pass
TestingAcceptance CriteriaResults
Packaging
Pouch Seal – Tensile
TestingForce to open sealed pouch shall be
0.57 lbs or greaterPass

10. Conclusion

Based on the intended use, technological characteristics, and non-clinical performance data, the subject device is as safe, and effective as the predicate. The differences between the proposed and predicate devices include extension of shelf life and additional statements in the Instructions for Use.

The non-clinical testing for the extension in shelf life from one year to three years demonstrates the proposed change is substantially equivalent to the predicate.

The additional statements in the Instructions for Use do not raise any new concerns of safety and effectiveness.