K Number
K960299
Device Name
PYRAMID TROCAR, 10MM W/SPRING RET. PROTECTIVE SLEEVE OR TROCAR W/SPRING LOADED PROTECTION SLEEVE
Date Cleared
1996-10-28

(280 days)

Product Code
Regulation Number
884.1720
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The pyramidal trocars with spring-return protective sleeve are designed for establishing access by piercing a vessel or chamber to facilitate insertion of the trocar sleeve (cannula) to carry out diagnostic and therapeutic measures.
Device Description
Trocars are made of medical grade stainless steel and brass (satin chromeplated).
More Information

Not Found

Not Found

No
The summary describes a purely mechanical device (trocars) and makes no mention of AI, ML, image processing, or any data-driven algorithms.

Yes
The 'Intended Use / Indications for Use' section states that the device is designed "to carry out diagnostic and therapeutic measures."

Yes
The "Intended Use / Indications for Use" section explicitly states that the device is designed "to carry out diagnostic and therapeutic measures."

No

The device description explicitly states it is made of medical grade stainless steel and brass, indicating it is a physical hardware device, not software-only.

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

Here's why:

  • Intended Use: The intended use is to establish access by piercing a vessel or chamber to facilitate insertion of a trocar sleeve for diagnostic and therapeutic measures. This describes a surgical or procedural tool used in vivo (within the body), not a device used to examine specimens in vitro (outside the body).
  • Device Description: The description of the device as made of stainless steel and brass, and its function as a piercing tool, aligns with surgical instruments, not IVDs which typically involve reagents, test strips, or analytical equipment for examining biological samples.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples, detecting substances, or providing diagnostic information based on testing samples outside the body.

Therefore, this device is a surgical instrument used for access during procedures, not an IVD.

N/A

Intended Use / Indications for Use

The pyramidal trocars with spring-return protective sleeve are designed for establishing access by piercing a vessel or chamber to facilitate insertion of the trocar sleeve (cannula) to carry out diagnostic and therapeutic measures.

Product codes

Not Found

Device Description

Trocars are made of medical grade stainless steel and brass (satin chromeplated).

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

Trocars have been tested and found to be safe when used in accordance with the intended use as outlined in the Instruction for Use Manual, No clinical tests performed.

Key Metrics

Not Found

Predicate Device(s)

Not Found

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 884.1720 Gynecologic laparoscope and accessories.

(a)
Identification. A gynecologic laparoscope is a device used to permit direct viewing of the organs within the peritoneum by a telescopic system introduced through the abdominal wall. It is used to perform diagnostic and surgical procedures on the female genital organs. This generic type of device may include: Trocar and cannula, instruments used through an operating channel, scope preheater, light source and cables, and component parts.(b)
Classification. (1) Class II (performance standards).(2) Class I for gynecologic laparoscope accessories that are not part of a specialized instrument or device delivery system, do not have adapters, connector channels, or do not have portals for electrosurgical, lasers, or other power sources. Such gynecologic laparosope accessory instruments include: the lens cleaning brush, biopsy brush, clip applier (without clips), applicator, cannula (without trocar or valves), ligature carrier/needle holder, clamp/hemostat/grasper, curette, instrument guide, ligature passing and knotting instrument, suture needle (without suture), retractor, mechanical (noninflatable), snare, stylet, forceps, dissector, mechanical (noninflatable), scissors, and suction/irrigation probe. The devices subject to this paragraph (b)(2) are exempt from the premarket notification procedures in subpart E of part 807 of this chapter, subject to the limitations in § 884.9.

0

Richard Wolf Medical Instruments Corporation

T . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

OC1ービーニンコロ

OCT 28 1996

Image /page/0/Picture/2 description: The image shows handwritten text. The top line reads 'K960299'. The bottom line reads 'P142'.

353 Corporate Woods Park Vernon Hills, Illinois 60061 Telephone: 847.913.1113 Fax: 847.913.1488

11 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

510(k) Summary of Safety and Effectiveness

  • 1.0 Classification Name: Trocar and Trocar sleeve
  • 2.0 Common/Usual Name: Trocar and Trocar sleeve
  • Trade Name: 3.0 Pyramidal Trocar with spring-return protective sleeve

4.0 Equivalence:

These devices are equivalent to existing Richard Wolf Pre-enactment Devices and substantially equivalent to existing competitor devices on the market today.

  • 5.0 Description:
    Trocars are made of medical grade stainless steel and brass (satin chromeplated).

  • 6.0 Intended Use:
    The pyramidal trocars with spring-return protective sleeve are designed for establishing access by piercing a vessel or chamber to facilitate insertion of the trocar sleeve (cannula) to carry out diagnostic and therapeutic measures.

  • 7.0 Technological Characteristics:
    The trocar was specially designed to shield the tip from exposure after introduction.

8.0 Performance Data:

Trocars have been tested and found to be safe when used in accordance with the intended use as outlined in the Instruction for Use Manual,

  • 9.0 Clinical Tests: No clinical tests performed.
    Image /page/0/Picture/19 description: The image shows the words "RICHARD WOLF" in a bold, sans-serif font. The word "RICHARD" is stacked on top of the word "WOLF". To the right of the words is a logo that appears to be two letters inside of a rounded square. The letters in the logo are stylized and difficult to read.

1

ﺇﻣﺔ ﺃ

Richard Wolf Medical Instruments Corporation

960299

PL012

  • 10.0 Data Conclusion
    Trocars from Richard Wolf are substantially equivalent to existing instruments on the market.

By: Robert. Ca

Roberto J. Casasa

ースレームーー

Date: October 22 1996

Robert L. Casarsa Quality Assurance Manager