K Number
K953355
Manufacturer
Date Cleared
1996-04-04

(262 days)

Product Code
Regulation Number
876.4300
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The intended use of the GIP Medi-Globe Hot Biopsy Forceps is identical to the Wilson-Cook device for removal of small polyps in the GI track.

Device Description

The GIP/Medi-Globe Hot Biopsy Forceps are similar in design, composition (stainless steel and Teflon), and function and performance to the Wilson-Cook GI Hot Biopsy Forceps. The device is designed to be used in conjunction with numerous FDA Approved endoscopes. The entire device can be autoclaved or ETO gas sterilized. The Hot Biopsy Forceps are shipped assembled and sterile in a peel-open package. The working lengths of all of the GIP/Medi-Globe Hot Biopsy Forceps range from 1,200, 1,800, 2,300.

AI/ML Overview

This document does not describe an AI/ML powered medical device. It describes a hot biopsy forceps, a physical medical instrument used for tissue sampling. Therefore, the requested information regarding acceptance criteria, study design, ground truth, and expert involvement for an AI/ML model is not applicable.

The document discusses the safety and effectiveness of the GIP/Medi-Globe Hot Biopsy Forceps by comparing it to a previously cleared device (Wilson-Cook GI Hot Biopsy Forceps, K874314). The assessment is based on design, materials, intended use, method of operation, cleaning/sterilization, and biological reactivity, rather than algorithmic performance.

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K953355

Summary of Safety and Effectiveness

This summary of safety and effectiveness information is being submitted with the requirements of SMDA 1990.

The GIP/Medi-Globe Hot Biopsy Forceps are similar in design, composition (stainless steel and Teflon), and function and performance to the Wilson-Cook GI Hot Biopsy Forceps.

Gastroenterology Urology biopsy through the use of a forceps is an effective, well-known and safe procedure. The GIP/Medi-Globe Hot Biopsy Forceps is designed to be used in conjunction with numerous FDA Approved endoscopes (reference Pentax's FDA registered endoscope K792215 and K792267, Olympus' endoscope K790071).

The 510(k) number for the Wilson Cook Hot Biopsy Forceps is K874314. A detailed list of GIP/Medi-Globe Hot Biopsy Forceps is presented in Exhibit D for comparison. The intended use of the GIP Medi-Globe Hot Biopsy Forceps is identical to the Wilson-Cook device for removal of small polyps in the GI track. The method of operation is the same when used in coninction with the referenced endoscopes and power supply units.

The cleaning of the GIP/Medi-Globe Hot Bionsy Forceps is identical to the Wilson-Cook Hot Bionsy Forceps. The entire device can be autoclaved or ETO gas sterilized, which are both safe, effective and widely used cleaning methods. The validation protocol for the sterilization of the Hot Biopsy Forceps is included in Exhibit C in the 510 (k) package.

The Hot Biopsy Forceps are shipped assembled and sterile in a peel-open package, similiar to the packaging of the Wilson Cook Hot Biopsy Forceps.

Summary data of all of the tests performed on the materials of the Hot Biopsy Forceps were tested for biological reactivity including: Implantation test, Intracutaneous test, and Systemic Injection test. In summary each test meets the requirements for biological reactivity for class VI plastics.

All materials that comprise the Hot Biopsy Forceps are similiar in specification and design to the Wilson Cook Hot Biopsy Forceps.

A detailed listing of both GIP/Medi-Globe's and Wilson Cook's Hot biopsy forceps' size and characteristics are included in Exhibits G and H. The working lengths of all of the GIP/Medi-Globe Hot Biopsy Forceps range from 1,200, 1,800, 2,300. The sizes and characteristics of the compared devices are identical with the GIP/Medi-Globe line offering a greater range.

The GIPMedi-Globe manufacturing facility has been awarded the TUV Award for Good Manufacturing (GMP) and operates in accordance with ISO

For any questions regarding the GIP/Medi-Globe biopsy forcep, please contact Gina Gallegos at (602)897-2772, 6202 S. Maple Ave, Suite 131, Tempe, AZ 85283 .

§ 876.4300 Endoscopic electrosurgical unit and accessories.

(a)
Identification. An endoscopic electrosurgical unit and accessories is a device used to perform electrosurgical procedures through an endoscope. This generic type of device includes the electrosurgical generator, patient plate, electric biopsy forceps, electrode, flexible snare, electrosurgical alarm system, electrosurgical power supply unit, electrical clamp, self-opening rigid snare, flexible suction coagulator electrode, patient return wristlet, contact jelly, adaptor to the cord for transurethral surgical instruments, the electric cord for transurethral surgical instruments, and the transurethral desiccator.(b)
Classification. Class II (performance standards).