K Number
K962395
Device Name
SPECIMEN RETRIEVAL BAG
Date Cleared
1996-07-05

(15 days)

Product Code
Regulation Number
876.1500
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Specimen Retrieval Bag is indicated for use as a receptacle for the collection and extraction of tissue, organs and calculi during general and laparoscopic surgical procedures.
Device Description
The Applied Medical Specimen Retrieval Bag consists of a stylet, an introducer sheath with a locking pneumoperitoneal seal at the proximal end and a retrieval bag sealed radially on the distal end. The locking seal serves as a mechanism for maintaining positive pressure in the peritoneal cavity during laparoscopic procedures. The sheath contains a dual lumen, where the larger of the two lumens acts as the working channel for the insertion and removal of grasping instruments while the second and smaller lumen contains the bag activation wire for positioning, opening and closing of the bag. The dual lumen design allows the use of a single trocar for placement and retrieval of tissue, organs and calculi.
More Information

Endopouch™ Specimen Retrieval Bag

Not Found

No
The device description and performance studies focus on mechanical and material properties, with no mention of AI/ML or related concepts like image processing, training/test sets, or performance metrics typically associated with AI/ML algorithms.

No.
The device is used for collecting and extracting tissue, organs, and calculi during surgical procedures, not for treating a disease or condition.

No

Explanation: The device is described as a "receptacle for the collection and extraction of tissue, organs and calculi during general and laparoscopic surgical procedures." Its function is to retrieve specimens, not to identify, monitor, or determine the presence of a disease or condition.

No

The device description clearly outlines physical components like a stylet, introducer sheath, and retrieval bag, indicating it is a hardware device.

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

Here's why:

  • Intended Use: The intended use is for the collection and extraction of tissue, organs, and calculi during surgical procedures. This is a surgical tool used in vivo (within the body) to handle specimens after they have been removed.
  • Device Description: The description details a physical device used for containing and removing specimens from the body. It does not describe a test or assay performed in vitro (outside the body) on a biological sample to diagnose a condition.
  • Lack of Diagnostic Function: There is no mention of the device being used to analyze or test the collected specimens for diagnostic purposes. Its function is purely for retrieval and containment.

IVD devices are used to examine specimens (like blood, urine, tissue) outside the body to provide information for diagnosis, monitoring, or screening. This device's function is entirely within the surgical procedure itself.

N/A

Intended Use / Indications for Use

The Specimen Retrieval Bag is indicated for use as a receptacle for the collection and extraction of tissue, organs and calculi during general and laparoscopic surgical procedures.

Product codes

Not Found

Device Description

The Applied Medical Specimen Retrieval Bag consists of a stylet, an introducer sheath with a locking pneumoperitoneal seal at the proximal end and a retrieval bag sealed radially on the distal end. The locking seal serves as a mechanism for maintaining positive pressure in the peritoneal cavity during laparoscopic procedures. The sheath contains a dual lumen, where the larger of the two lumens acts as the working channel for the insertion and removal of grasping instruments while the second and smaller lumen contains the bag activation wire for positioning, opening and closing of the bag. The dual lumen design allows the use of a single trocar for placement and retrieval of tissue, organs and calculi.

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

Mechanical and biocompatibility tests were performed to verify functional and structural integrity and material safety. All testing demonstrated the Applied Medical Specimen Retrieval Bag is comparable to the predicate devices and introduces no new safety and effectiveness issues when used as indicated.

Key Metrics

Not Found

Predicate Device(s)

Endopouch™ Specimen Retrieval Bag

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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.

0

K962395

JUL - 5 1996

APPENDIX VIII

510(k) SUMMARY

510(k) NUMBER:PENDING
SUBMITTED BY:Applied Medical Resources Corporation
26051 Merit Circle, Unit# 103
Laguna Hills, California 92653
(714) 582-6120 EXT. 310
CONTACT PERSON:Howard V. Rowe
DATE OF PREPARATION:June 19, 1996
NAME OF DEVICE:Applied Medical Specimen Retrieval Bag
CLASSIFICATION NAME:Organ bag
TRADE NAME:Not Determined

SUMMARY STATEMENT: The Applied Medical Specimen Retrieval Bag is substantially equivalent to the predicate device (Endopouch™ Specimen Retrieval Bag) manufactured by Ethicon. The Specimen Retrieval Bag is indicated for use as a receptacle for the collection and extraction of tissue, organs and calculi during general and laparoscopic surgical procedures. The Applied Medical Specimen Retrieval Bag consists of a stylet, an introducer sheath with a locking pneumoperitoneal seal at the proximal end and a retrieval bag sealed radially on the distal end. The locking seal serves as a mechanism for maintaining positive pressure in the peritoneal cavity during laparoscopic procedures. The sheath contains a dual lumen, where the larger of the two lumens acts as the working channel for the insertion and removal of grasping instruments while the second and smaller lumen contains the bag activation wire for positioning, opening and closing of the bag. The dual lumen design allows the use of a single trocar for placement and retrieval of tissue, organs and calculi. Mechanical and biocompatibility tests were performed to verify functional and structural integrity and material safety. All testing demonstrated the Applied Medical Specimen Retrieval Bag is comparable to the predicate devices and introduces no new safety and effectiveness issues when used as indicated.