K Number
K243196
Manufacturer
Date Cleared
2024-12-13

(73 days)

Product Code
Regulation Number
876.1500
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Uro-G HD Flexible Cystoscope is intended for endoscopic diagnosis and infusion of irrigating fluids within the bladder and urethra.

Device Description

This Special 510(k) discloses the modifications to the steps to carry out surface disinfection of the model 4500 handle that was reviewed and cleared in K232837. The Uro-G HD Flexible Cystoscope is a handheld, battery- operated portable cystoscope consisting of a disposable steerable endoscopic cannula with a 2.2 mm channel for fluid infusion and instrument advancement, and a reusable handle with a video monitor. When fully assembled, the Uro-G HD Flexible Cystoscope- cannula and handle-has an overall length of 630 mm (approximately 25 inches). The disposable cannula's working length is 380.2 mm (approx. 15 inches) and a total length of 406 mm, from tip to connector. The cannula's maximum width is 5.6 mm and it has a connector for attaching and detaching to the handle.

AI/ML Overview

This document describes a Special 510(k) submission for the Uro-G HD Flexible Cystoscope, focusing on a minor modification to its surface disinfection process. There is NO mention of an AI/ML device or algorithm. Therefore, I cannot provide information on acceptance criteria and a study proving the device meets them in the context of AI/ML.

The provided text only discusses the equivalence of the modified device to its predicate, based on unchanged intended use, indications for use, and technological characteristics, except for the disinfection process.

Here's what I can extract regarding the device performance and the "study" mentioned, which is not an AI/ML study but rather microbiology testing for disinfection:

1. A table of acceptance criteria and the reported device performance:

Since the document focuses on a change in the disinfection process and asserts that other performance characteristics remain unchanged from the predicate, and does not provide specific acceptance criteria values for the disinfection, I cannot create a table with specific numbers. Instead, I can describe the nature of the change and the demonstrated outcome.

Acceptance Criteria CategoryAcceptance Criteria (Implicit)Reported Device Performance
Surface Disinfection• Efficacy: Achieve sufficient log reductions of tested pathogens. • Compatibility: Allow the use of Super Sani-Cloth or CaviWipe towelettes. • Process Efficiency: Potentially reduce contact and air-dry times while maintaining disinfection efficacy.Efficacy: "Testing found that 3 minutes contact with the disinfecting agent on the wipes was sufficient for log reductions of ≥ 3 and ≥ 6 of tested pathogens." • Compatibility: The Super Sani-Cloth is now an approved option in addition to CaviWipe. • Process Efficiency: Contact time reduced from 6 minutes to 3 minutes, and air dry time reduced from 20 minutes to 5 minutes. The document implies these reduced times are now sufficient for effective disinfection.
Other Performance(Implicitly aligned with Predicate Device's performance, as no changes were made) • Tip angulation • Tip angulation radius • Lever force for tip angulation • Rotation torque • Rotation angles • Distention flow rate • Cannula leaking • Tip temperature • Field of view • Direction of view • Image quality • Electrical Safety (IEC 60601-2-18 compliant) • EMC Safety (IEC 60601-1-2 and IEC 60601-2-18 compliant)"Performance tests reviewed in K232837 were not repeated for this submission since the minor change in the surface disinfection process of the handle does not affect device performance." The device "continues to meet the compliance requirements" for electrical safety and EMC.

Regarding the study that proves the device meets the acceptance criteria:

The study referenced is a microbiology testing study conducted to evaluate the effectiveness of the revised surface disinfection process for the reusable handle of the Uro-G HD Flexible Cystoscope.

2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

  • Sample size: Not specified in the provided text. The document refers to "testing" that "found" specific results for log reductions.
  • Data provenance: Not specified.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

  • This is not applicable to a microbiology disinfection study. The "ground truth" would be established by the standardized protocols and results of the microbiological tests themselves, rather than expert consensus on interpretation.

4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

  • Not applicable to a microbiology disinfection study.

5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

  • Not applicable. This is not an AI/ML device, and no MRMC study was performed or mentioned.

6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

  • Not applicable. This is not an AI/ML device.

7. The type of ground truth used (expert consensus, pathology, outcomes data, etc)

  • For the disinfection efficacy, the "ground truth" was established through microbiology testing results demonstrating "log reductions of ≥ 3 and ≥ 6 of tested pathogens." This is a quantitative measure of antimicrobial effectiveness.

8. The sample size for the training set

  • Not applicable. This is not an AI/ML device; there is no training set mentioned.

9. How the ground truth for the training set was established

  • Not applicable. This is not an AI/ML device.

In summary, the provided document describes a regulatory submission for a medical device (a cystoscope) focusing on a change in its disinfection instructions. The "study" mentioned is a microbiology test to validate the effectiveness of the new disinfection protocol. There is no information related to AI/ML or an algorithm in the provided text.

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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.

December 13, 2024

UroViu Corporation Thomas Lawson, Ph.D. Director, Regulatory Affairs 4546 El Camino Real, Suite 214 Los Altos, CA 94022

Re: K243196

Trade/Device Name: Uro-G HD Flexible Cystoscope Regulation Number: 21 CFR§ 876.1500 Regulation Name: Endoscope and accessories Regulatory Class: II Product Code: FAJ Dated: September 25, 2024 Received: October 1, 2024

Dear Thomas Lawson:

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).

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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 Rue"). 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.

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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 -S

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

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Indications for Use

510(k) Number (if known) K243196

Device Name Uro-G HD Flexible Cystoscope

Indications for Use (Describe)

The Uro-G HD Flexible Cystoscope is intended for endoscopic diagnosis and infusion of irrigating fluids within the bladder and urethra.

Type of Use (Select one or both, as applicable)
Prescription Use (Part 21 CFR 801 Subpart D)
Over-The-Counter Use (21 CFR 801 Subpart C)

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510(k) SUMMARY

General Information

SubmitterUroViu Corporation
AddressUroViu Corporation4546 El Camino RealSuite 214Los Altos, CA 94022
FDA Registration Number3015042209
Correspondence PersonThomas Lawson, PhD
Contact InformationEmail: thom@uroviu.comPhone: 510-206-1794
Date Prepared12 December 2024

Subject Device

Trade NameUro-G HD Flexible Cystoscope
Common NameUro-G HD
Regulation Number andClassification Name21 CFR§876.1500, Endoscope and Accessories
Product CodeFAJ
Regulatory ClassII
Note: This is the second submission for this model 4500 handle that is part of the Uro-GHD Flexible Cystoscope System.

Predicate Device

Trade NameUro-G HD Flexible Cystoscope
Common NameUro-G HD
Premarket NotificationK232837
Regulation Number andClassification Name21 CFR§876.1500, Endoscope and Accessories
Product CodeFAJ
Regulatory ClassII
Note: The predicate device has not been subject to a design-related recall.

Device Description

This Special 510(k) discloses the modifications to the steps to carry out surface disinfection of the model 4500 handle that was reviewed and cleared in K232837. The Uro-G HD Flexible Cystoscope is a handheld, battery- operated portable cystoscope consisting of a disposable steerable endoscopic

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cannula with a 2.2 mm channel for fluid infusion and instrument advancement, and a reusable handle with a video monitor. When fully assembled, the Uro-G HD Flexible Cystoscope- cannula and handle-has an overall length of 630 mm (approximately 25 inches). The disposable cannula's working length is 380.2 mm (approx. 15 inches) and a total length of 406 mm, from tip to connector. The cannula's maximum width is 5.6 mm and it has a connector for attaching and detaching to the handle.

Indications for Use

The indications for use statement for the Uro-G HD Flexible Cystoscope is:

The Uro-G HD Flexible Cystoscope is intended for endoscopic diagnosis and infusion of irrigating fluids within the bladder and urethra.

Comparison of Technological Characteristics with the Predicate Device

The focus of this Special 510(k) are the steps to follow to complete surface sterilization of the reusable handle component of the Uro-G HD Flexible Cystoscope. UroViu Corp. has identified the Uro-G HD Flexible Cystoscope (K232837, UroViu Corp.) as the predicate device. The Uro-G HD Flexible Cystoscope is substantially equivalent to the predicate device based upon the following similarities:

    1. The intended use of both devices is exactly the same.
    1. The indications for use of both the predicate device and the subject device are exactly the same: symptomatic voiding dysfunction, hematuria, bladder tumor surveillance, recurrent lower urinary tract infection, and pelvic pain syndromes;
    1. Both devices are introduced into the body via the urethra and then advanced to the bladder under visualization (that is, not a blind advancement):
    1. Both devices have illumination and optic components to permit visualization of the urethra and bladder;
    1. Both devices have the capability to view the urethra and bladder via the video monitor mounted on the handle of the device;
    1. Both devices have a working channel to allow infusion of fluids and introduction of instruments; and

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    1. Both devices are made from biocompatible materials.
      The specific topic of this Special 510(k) are the steps to take when surface disinfecting the model 4500 handle of the Uro-G HD Flexible Cystoscope. There are no changes to intended use, materials used in construction, software, biocompatibility of materials, EMC and electrical safety, or performance. The only change is in one paragraph in the instructions for use (IFU) concerning surface disinfection of the reusable handle.

Table 1. Summary of Indications for Use, Technological Characteristics,

Mechanisms of Action, Anatomical Sites of Use, Performance Testing, Manufacturing and Software of the Subject Device Compared to the Predicate

Subject DevicePredicate Device
Uro-G HDFlexibleCystoscope(UroViu Corp.)(K243196)Uro-G HDFlexibleCystoscope(UroViu Corp.)(K232837)Changed orNot Changed
Device Overview
Device ClassIIIINot Changed
FDA ProductCodeFAJFAJNot Changed
ProductClassification21 CFR 876.150021 CFR 876.1500Not Changed
Indication forUseThe Uro-G HDFlexibleCystoscope isintended forendoscopicdiagnosis andinfusion ofirrigating fluidswithin thebladder andurethraThe Uro-G HDFlexibleCystoscope isintended forendoscopicdiagnosis andinfusion ofirrigating fluidswithin thebladder andurethraNot Changed
Intended useEndoscopicdiagnosis andinfusion ofirrigating fluidswithin the bladderand urethraEndoscopicdiagnosis andinfusion ofirrigating fluidswithin the bladderand urethraNot Changed
Contraindications• Evidence ofongoing UTI• Overwhelmingcoagulopathy• Impassableurethralstructures• Evidence ofongoing UTI• Overwhelmingcoagulopathy• ImpassableurethralstructuresNot Changed
AnatomicalSite of UseLower urinarytract – urethra &bladderLower urinarytract – urethra &bladderNot Changed
Route ofAdvancementAdvanced to thebladder via theurethraAdvanced to thebladder via theurethraNot Changed
ComponentsReusable Handlewith a video screenintegrated intohandle's bodyReusable Handlewith a video screenintegrated into thehandle's bodyNot Changed
Disposable Cannulawith a workingchannel and anillumination sourceand camera at its tipDisposable Cannulawith a workingchannel and anillumination sourceand camera at its tipNot Changed
Technical Characteristics
Cannula
Device IdentityUro-G HDFlexibleCystoscopeUro-G HDFlexibleCystoscopeNot Changed
Cannulaworkinglength380.2 mm380.2 mmNot Changed
Total length (tip406 mm406 mmNot Changed
Working channel minimum width2.2 mm2.2 mmNot Changed
Maximum insertion width of the cannula5.6 mm5.6 mmNot Changed
Tip OD4 mm4 mmNot Changed
Camera
CMOS module0.7 million pixels0.7 million pixelsNot Changed
Focal length5 mm to 50 mm5 mm to 50 mmNot Changed
Field of view (in air)$100° ± 5°$$100° ± 5°$Not Changed
Direction of view from center axis$0°$ (Forward Viewing)$0°$ (Forward Viewing)Not Changed
Image resolution3 lp/mm on the 1551 USAF test chart in air3 lp/mm on the 1551 USAF test chart in airNot Changed
Image distortion< 15% at x and y direction< 15% at x and y directionNot Changed
Sensor on the CMOS camera1280 x 720 pixels1280 x 720 pixelsNot Changed
Tip angulation rangeUp $210° ± 5°$Down $130° ± 5°$Up $210° ± 5°$Down $130° ± 5°$Not Changed
Tip angulation radiusUp less than 15 mmDown less than 20 mmUp less than 15 mmDown less than 20 mmNot Changed
Lever force for angulation< 2.2 lbs< 2.2 lbsNot Changed
Rotation torque< 3.5 inch-lb< 3.5 inch-lbNot Changed
Rotation angleCannula torques when rotate clockwise and counter-clockwise less than $90°$Cannula torques when rotate clockwise and counter-clockwise less than $90°$Not Changed
Fluid lumen cross-section4.84 mm²4.84 mm²Not Changed
Distension flowthrough theworkingchannel>120 mL/min>120 mL/minNot Changed
Light sourceLEDLuminous flux at 25mm focal length:520 lumensLEDLuminous flux at 25mm focal length:520 lumensNot Changed
Tip temperaturewhen LEDs areon< 41° C< 41° CNot Changed
Power rating ofsource90 mW90 mWNot Changed
Provided SterileYesYesNot Changed
SterilizationmethodEthylene oxideEthylene oxideNot Changed
SterilityAssurance Levelof the Cannula10-610-6Not Changed
Biocompatibilityof MaterialsMeets ISO 10993requirements forexternalcommunicatingdevice with < 24hours of tissuecontactMeets ISO 10993requirements forexternalcommunicatingdevice with < 24hours of tissuecontactNot Changed
Single UseYesYesNot Changed
PackagingTyvek pouchTyvek pouchNot Changed
Handle
Device Identity45004500N/A
Length176 mm176 mmNot Changed
Diameter36 mm36 mmNot Changed
Weight264 g264 gNot Changed
Uro-G HD Flexible Cystoscope
Video MonitorScreen: 4.3 inchesdiagonalScreen: 4.3 inchesdiagonalNot Changed
Horizontal: 122.2mmHorizontal: 122.2mm
Vertical: 73.9 mmVertical: 73.9 mm
Input formatRGBRGBNot Changed
Effective pixels1280 x 7201280 x 720Not Changed
LCD resolution800 x 480800 x 480Not Changed
LCD displayresolution0.4 million pixels0.4 million pixelsNot Changed
Power supply18650 Lithium Ionrechargeable18650 Lithium IonrechargeableNot Changed
Voltage of fullycharged battery3.7 V3.7 VNot Changed
Operating timeafter fullycharged2 hours2 hoursNot Changed
Battery capacity3100 mA3100 mANot Changed
BiocompatibilityN/ADoes not contactthe patient & theuser wears gloveswhile using thedeviceN/ADoes not contactthe patient & theuser wears gloveswhile using thedeviceNot Changed
Operational Characteristics
Electrical SafetyIEC 60601-2-18compliantIEC 60601-2-18compliantNot Changed
EMCIEC 60601-1-2compliantIEC 60601-1-2compliantNot Changed
Adjustbrightness ofillumination ofthe LEDsAdjust bydepressing a buttonon the handle tochange settingsAdjust bydepressing a buttonon the handle tochange settingsNot Changed
Images or videocaptureCapture still images(photo) or videoduring a procedureby depressing thecamera button onthe handleCapture still images(photo) or videoduring a procedureby depressing thecamera button onthe handleNot Changed
Cleaning,disinfecting andsterilizationThe handle is notsterile.The handle is notsterile.Equivalent
The handle iscleaned anddisinfectedfollowingdirections in theinstructions for use(IFU):• Wipe the surfacewith a SuperSani-Cloth orCaviWipetowelette• Surface toremain visiblywet for 3minutes• After 3 minutesallow the handleto air dry for 5minutesThe handle iscleaned anddisinfectedfollowingdirections in theinstructions for use(IFU):• Wipe the surfacewith a CaviWipetowelette• Surface toremain visiblywet for 6minutes• After 6 minutesallow the handleto air dry for 20minutesThe use of a SuperSani-Cloth is anoption in additionto use of aCaviWipe indisinfecting thesurface.Testing found that3 minutes contactwith thedisinfecting agenton the wipes wassufficient for logreductions of ≥ 3and ≥ 6 of testedpathogens.The air dry timewas reduced from20 minutes to 5minutes
Wet a sterile padwith sterile waterand wipe allexposed surfacesof the handleWet a sterile padwith sterile waterand wipe allexposed surfacesof the handleNot Changed
The disposablecannula is providedsterile and is forsingle use. It isdeposed after theprocedureThe disposablecannula is providedsterile and is forsingle use. It isdeposed after theprocedureNot Changed
Frequency of useHandle is reusableCannula is singleuseHandle is reusableCannula is singleuseNot Changed
Duration of use< 24 hours< 24 hoursNot Changed
Site of UseHospitals and physician officesHospitals and physician officesNot Changed
Mechanism of Action
Operational PrinciplesHandle: Ratherthan run a cablefrom thecystoscope to aseparate videomonitor as isrequired of allother cystoscopes,an LCD display isintegrated into thehandle of UroViucystoscopes sothat the user cansee images of thetissue andanatomicalstructures directlyand in real time asthe cystoscope isbeing advanced toand while withinthe bladder.Cannula: the lightat the tipilluminates thefield so that thecamera cantransmit imagesback to the LCDdisplay on thehandle. It is aflexible shaft thatthe user canmanipulate toview the urethrabladder byrotating thecannula or bymodifying theangle of the tipmanually.Handle: Ratherthan run a cablefrom thecystoscope to aseparate videomonitor as isrequired of allother cystoscopes,an LCD display isintegrated into thehandle of UroViucystoscopes sothat the user cansee images of thetissue andanatomicalstructures directlyand in real time asthe cystoscope isbeing advanced toand while withinthe bladder.Cannula: the lightat the tipilluminates thefield so that thecamera cantransmit imagesback to the LCDdisplay on thehandle. It is aflexible shaft thatthe user canmanipulate toview the urethrabladder byrotating thecannula or bymodifying theangle of the tipmanually.Not Changed
Performance Testing
Testing for:• Tip angulation• Tip angulationradius• Lever force fortip angulation• Rotation torque• Rotation angles• Distention flowrate• Cannula leaking• Tip temperature• Field of view• Direction of view• Image qualityTesting for:• Tip angulation• Tip angulationradius• Lever force fortip angulation• Rotation torque• Rotation angles• Distention flowrate• Cannula leaking• Tip temperature• Field of view• Direction of view• Image qualityNot Changed
Manufacturing
Manufactured at acontractmanufacturer withdesign control atUroViu CorpManufactured at acontractmanufacturer withdesign control atUroViu CorpNot Changed
Software
SW version4.14.1Not Changed
Level ofConcernModerateModerateNot Changed
GeneralFunctions of theSoftware• Initialize andsetup videoprocessinghardware• Initialize LCDdisplay control• Initialize userinterface (menus,touch screen)• Initializesrecording,storage, andplayback ofvideo and stillimages• Initialize andsetup videoprocessinghardware• Initialize LCDdisplay control• Initialize userinterface (menus,touch screen)• Initializesrecording, storage,and playback ofvideo and stillimagesNot Changed

Device.

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to connector)

Number of ports

2

2

Not Changed

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K243196 Page 7 of 11

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UroViu Corporation

Special 510(k) Notification Uro-G HD Flexible Cystoscope

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Performance Data

Performance tests reviewed in K232837 were not repeated for this submission since the minor change in the surface disinfection process of the handle does not affect device performance. The device continues to meet the compliance requirements for electrical safety as specified in ISO 60601-1 including provisions for EMC safety in ISO 60601-1-2 and IEC 60601-2- 18 Medical electrical equipment -- Part 2-18: Particular requirements for the basic safety and essential performance of endoscopic equipment.

Animal Testing

No preclinical testing of the subject device for this minor modification to the disinfection process was necessary; the microbiology testing was sufficient to determine the performance of the device.

Clinical Studies

No clinical testing of the subject device was necessary.

Conclusion

The Uro-G HD Flexible Cystoscope (subject device) and Uro-G HD Flexible Cystoscope (predicate device) have the same intended use, the same indications for use, and the same technological characteristics. The minor difference in the surface disinfection process of the model 4500 handle proposed in this submission do not raise any new issues of safety or effectiveness.

Therefore, the Uro-G HD Flexible Cystoscope is substantially equivalent to the identified predicate device.

§ 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.