K Number
K963160
Device Name
HX-5/6-1 ENDOSCOPIC CLIPPING DEVICE
Date Cleared
1997-06-27

(317 days)

Product Code
Regulation Number
876.4400
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Olympus HX-5/6-1 Endoscopic Clipping Device is intended for endoscopic clip placement within the gastrointestinal (GI) tract for the purpose of endoscopic marking, hemostasis in the upper GI tract for mucosal/submucosal defects <3 cm, bleeding ulcers and arteries <2 mm, polyps <1.5 cm in diameter, and anchoring to affix jejunal feeding tubes to the wall of the small bowel. This device is not intended for the repair of GI tract lumenal perforations.
Device Description
The Olympus HX-5/6-1 Endoscopic Clipping Device is specifically designed for endoscopic clipping for marking, hemostasis, and temporary anchoring within the GI tract. The Olympus HX-5/6-1 Endoscopic Clipping Device is based on the design of predicate clipping devices and is substantially equivalent in design, method of operation, and safety to these predicate devices.
More Information

Not Found

Not Found

No
The summary describes a mechanical endoscopic clipping device and makes no mention of AI or ML capabilities.

Yes
The intended use explicitly states purposes like hemostasis for bleeding ulcers and arteries, and anchoring feeding tubes, which are therapeutic actions within the gastrointestinal tract.

No
The device is described as an "Endoscopic Clipping Device" intended for "clip placement" and "marking, hemostasis, and temporary anchoring within the GI tract." These are interventional and therapeutic functions, not diagnostic ones.

No

The device description explicitly states it is an "Endoscopic Clipping Device," which is a physical, hardware-based medical device used within the GI tract. There is no mention of software as the primary or sole component.

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

Here's why:

  • Intended Use: The intended use clearly describes a device used within the gastrointestinal tract for mechanical actions (marking, hemostasis, anchoring). This is a therapeutic and procedural use, not a diagnostic test performed in vitro (outside the body) on biological samples.
  • Device Description: The description reinforces its use for "endoscopic clipping for marking, hemostasis, and temporary anchoring within the GI tract."
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, tissue, etc.), detecting biomarkers, or providing diagnostic information based on laboratory analysis.

IVD devices are used to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. This device does not fit that description.

N/A

Intended Use / Indications for Use

The Olympus HX-5/6-1 Endoscopic Clipping Device is intended for endoscopic clip placement within the gastrointestinal (GI) tract for the purpose of endoscopic marking, hemostasis in the upper GI tract for mucosal/submucosal defects

§ 876.4400 Hemorrhoidal ligator.

(a)
Identification. A hemorrhoidal ligator is a device used to cut off the blood flow to hemorrhoidal tissue by means of a ligature or band placed around the hemorrhoid.(b)
Classification. Class II (special controls). Except for a hemostatic metal clip intended for use in the gastrointestinal tract, 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.

0

JUN 27 1997

K 963160

ાના વિ

Device Name:Olympus HX-5/6-1 Endoscopic Clipping Device
Common/Usual Name:Endoscopic Clipping Device
Classification Name:Endoscopes and Accessories
21 CFR 876.1500
Predicate Devices:Olympus HX-2, HX-3, and HX-4 Clipping Devices
Contact Person:Subhash R. Patel
Olympus America, Inc.
Endoscope Division
2 Corporate Center Drive
Melville, NY 11747-3157
(516) 844-5481
Summary Preparation Date:March 26, 1997
Statement of Intended Use:The Olympus HX-5/6-1 Endoscopic Clipping Device is intended for
endoscopic clip placement within the gastrointestinal (GI) tract for the
purpose of endoscopic marking, hemostasis in the upper GI tract for
mucosal/submucosal defects