K Number
K960173
Device Name
INFRA VISION BOUGIE KIT, INFRA VISION ESOPHAGEAL KIT
Date Cleared
1996-06-27

(163 days)

Product Code
Regulation Number
876.5365
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The InfraVision™ Bougie is intended to aid in the identification of the esophagus, rectum, rectosigmoid, other structures, and surgically produced cavities using infrared transillumination during laparoscopy, thoracoscopy, or open procedures. The indications for use are detailed below: a. Infrared transillumination of the esophagus to assist in the identification and location of the esophagus and its surrounding tissues during laparoscopic, thoracoscopic, and open procedures; b. Infrared transillumination of the rectum and rectosigmoid to assist in the identification and location of these structures and surrounding tissues during gynecological and colorectal laparoscopic and open procedures; and C. Infrared transillumination of other organs or provide transillumination or illumination to other natural or surgically produced cavities.
Device Description
The InfraVision™ Bougie is intended to aid in the identification of the esophagus, rectum, rectosigmoid, other structures, and surgically produced cavities using infrared transillumination during laparoscopy, thoracoscopy, or open procedures. The InfraVision™ Bougie is a disposable device ranging in diameters from 13 Fr to 60 Fr, all having bougie sheath lengths of 80 cm. The overall length of the Infra Vision™ Bougies is 250 cm. The Infra Vision™ Bougie has a translucent tip that is either tapered or rounded in shape and varies in length.
More Information

Not Found

No
The device description and intended use focus solely on infrared transillumination for visualization. There is no mention of any computational analysis, pattern recognition, or learning algorithms applied to the infrared data. The performance studies also focus on physical properties (tissue heating) rather than algorithmic performance.

No
The device is used for identification and location of structures using infrared transillumination and does not provide therapy.

No

The device is intended to aid in the identification and location of structures using infrared transillumination, which is a method of visualization to assist in surgical procedures, not to diagnose a disease or condition. While "identification" and "location" are often associated with diagnostics, the context here is for surgical guidance, similar to an endoscope, which is typically considered an interventional or visualization tool rather than a diagnostic one based on its primary intended use.

No

The device description explicitly states it is a "disposable device" with physical dimensions (diameters, lengths) and a "translucent tip," indicating it is a physical hardware device, not software only.

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

Here's why:

  • IVD devices are used to examine specimens derived from the human body. The InfraVision™ Bougie is used in vivo (within the living body) to transilluminate structures during surgical procedures. It does not analyze blood, tissue samples, or other bodily fluids in vitro (outside the body).
  • The intended use is for surgical guidance and identification of anatomical structures. This is a surgical tool, not a diagnostic test performed on a sample.
  • The device description and performance studies focus on the physical characteristics and tissue heating during use. There is no mention of analyzing biological markers or performing diagnostic tests on specimens.

Therefore, the InfraVision™ Bougie falls under the category of a surgical instrument or device used for visualization and guidance during procedures, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The InfraVision™ Bougie is intended to aid in the identification of the esophagus, rectum, rectosigmoid, other structures, and surgically produced cavities using infrared transillumination during laparoscopy, thoracoscopy, or open procedures. The indications for use are detailed below:

  • a. Infrared transillumination of the esophagus to assist in the identification and location of the esophagus and its surrounding tissues during laparoscopic, thoracoscopic, and open procedures;
  • b. Infrared transillumination of the rectum and rectosigmoid to assist in the identification and location of these structures and surrounding tissues during gynecological and colorectal laparoscopic and open procedures; and
  • C. Infrared transillumination of other organs or provide transillumination or illumination to other natural or surgically produced cavities.

Product codes

Not Found

Device Description

The InfraVision™ Bougie is intended to aid in the identification of the esophagus, rectum, rectosigmoid, other structures, and surgically produced cavities using infrared transillumination during laparoscopy, thoracoscopy, or open procedures. The InfraVision™ Bougie is a disposable device ranging in diameters from 13 Fr to 60 Fr, all having bougie sheath lengths of 80 cm. The overall length of the Infra Vision™ Bougies is 250 cm. The Infra Vision™ Bougie has a translucent tip that is either tapered or rounded in shape and varies in length.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

esophagus, rectum, rectosigmoid, other structures, surgically produced cavities, other organs

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

Testing was performed using simulated test tissue to measure heating of tissues using the InfraVision™ Bougie Emitting Fiber and the EndoLumina predicate device. There was significantly less tissue heating observed using the InfraVision™ System dual fiber emitters compared to the EndoLumina energized with a Cabot Medical System 3000 Xenon Videolap Light set to full power.

Key Metrics

Not Found

Predicate Device(s)

K934084, K945088, K945297

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 876.5365 Esophageal dilator.

(a)
Identification. An esophageal dilator is a device that consists of a cylindrical instrument that may be hollow and weighted with mercury or a metal olive-shaped weight that slides on a guide, such as a string or wire and is used to dilate a stricture of the esophagus. This generic type of device includes esophageal or gastrointestinal bougies and the esophageal dilator (metal olive).(b)
Classification. Class II (special controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 876.9.

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K960173

510(k) Summary Gabriel Medical, Incorporated Infra Vision™ Bougie

JUN 2 7 1996

1. SUBMITTER NAME AND ADDRESS

Dr. Mark Fontenot Gabriel Medical, Incorporated 2014 West Pinhook Road Suite 604 Lafayette, LA 70508 Telephone: (318) 237-3600 Facsimile: (318) 237-3634

2. DEVICE NAME

। ਜ

Proprietary Name:InfraVision™ Bougie, InfraVision™ Esophageal Kit
Common/Usual:Esophageal Dilator, Rectal Dilator
Classification Name:Esophageal and Gastrointestinal Bougie
Urological Bougie

3. PREDICATE DEVICES

BioEnterics Corp. EndoLumina Illuminated Bougie (K934084) Gabriel Medical Ureteral Illuminator System II(K945088) Infra Vision™ Imaging System(K945297).

4. INTENDED USE

The InfraVision™ Bougie is intended to aid in the identification of the esophagus, rectum, rectosigmoid, other structures, and surgically produced cavities using infrared transillumination during laparoscopy, thoracoscopy, or open procedures.

5. DEVICE DESCRIPTION

The InfraVision™ Bougie is intended to aid in the identification of the esophagus, rectum, rectosigmoid, other structures, and surgically produced cavities using infrared

1

transillumination during laparoscopy, thoracoscopy, or open procedures. The indications for use are detailed below:

  • a. Infrared transillumination of the esophagus to assist in the identification and location of the esophagus and its surrounding tissues during laparoscopic, thoracoscopic, and open procedures;
  • b. Infrared transillumination of the rectum and rectosigmoid to assist in the identification and location of these structures and surrounding tissues during gynecological and colorectal laparoscopic and open procedures; and
  • C. Infrared transillumination of other organs or provide transillumination or illumination to other natural or surgically produced cavities.

TECHNOLOGICAL CHARACTERISTICS 6.

The InfraVision™ Bougie is a disposable device ranging in diameters from 13 Fr to 60 Fr, all having bougie sheath lengths of 80 cm. The overall length of the Infra Vision™ Bougies is 250 cm. The Infra Vision™ Bougie has a translucent tip that is either tapered or rounded in shape and varies in length.

7. TESTING

ﺍﻟﻤﺴﺘﻘﻠﺔ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘ

Testing was performed using simulated test tissue to measure heating of tissues using the InfraVision™ Bougie Emitting Fiber and the EndoLumina predicate device . There was significantly less tissue heating observed using the InfraVision™ System dual fiber emitters compared to the EndoLumina energized with a Cabot Medical System 3000 Xenon Videolap Light set to full power.