(41 days)
No
The 510(k) summary describes a kit of standard medical supplies for circumcision procedures and explicitly states that AI/ML is not mentioned.
No
The device is described as an "assemblage of medical materials" used during circumcision procedures. While these procedures may be therapeutic, the tray itself is a collection of instruments and supplies, rather than a device that directly treats a condition or restores function. It facilitates a procedure but is not a therapeutic device in itself.
No
Explanation: The document describes the device as an assemblage of medical materials for use during circumcision procedures. It does not mention any function related to diagnosing a condition or disease.
No
The device is described as an assemblage of physical medical materials and devices, not software.
Based on the provided information, this device is not an IVD (In Vitro Diagnostic).
Here's why:
- Intended Use: The intended use is for licensed physicians to use the assembled medical materials during circumcision procedures. This is a surgical procedure performed directly on a patient, not a test performed on a sample taken from the body to diagnose a condition.
- Device Description: The device is an assemblage of medical materials used during a medical procedure. It does not involve analyzing biological samples for diagnostic purposes.
- Lack of IVD Characteristics: The description does not mention any of the typical characteristics of an IVD, such as:
- Analyzing biological samples (blood, urine, tissue, etc.)
- Detecting or measuring substances in biological samples
- Providing information for diagnosis, monitoring, or screening of diseases or conditions
The device is a kit containing medical supplies for a surgical procedure. While the individual components within the kit might have their own classifications, the assembled tray itself, based on its intended use and description, falls under the category of a surgical kit or tray, not an IVD.
N/A
Intended Use / Indications for Use
Medline Circumcision Trays are intended for use by licensed physicians. The intended use of the medical products assembled in these kits will not be changed from the manufacturer's original intended use.
Product codes
Not Found
Device Description
Medline Circumcision Trays are an assemblage of medical materials to be used by medical professionals during circumcision procedures. The trays will be assembled using Medline and other manufacturer's materials, medical devices and/or drugs.
The devices are custom to our customers who specify the contents, quantity and placement of the individual items in the tray. The customer may also specific brand of similar items or minor variations of items.
Medline intends to assemble these kits in a class 10,000 clean room or controlled environment and to sterilize using either EtO or gamma radiation at a contracted sterilization facility.
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
licensed physicians
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 (study type, sample size, AUC, MRMC, standalone performance, key results)
Not Found
Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)
Not Found
Predicate Device(s)
Reference Device(s)
Not Found
Predetermined Change Control Plan (PCCP) - All Relevant Information
Not Found
§ 884.4530 Obstetric-gynecologic specialized manual instrument.
(a)
Identification. An obstetric-gynecologic specialized manual instrument is one of a group of devices used during obstetric-gynecologic procedures to perform manipulative diagnostic and surgical functions (e.g., dilating, grasping, measuring, and scraping), where structural integrity is the chief criterion of device performance. This type of device consists of the following:(1) An amniotome is an instrument used to rupture the fetal membranes.
(2) A circumcision clamp is an instrument used to compress the foreskin of the penis during circumcision of a male infant.
(3) An umbilical clamp is an instrument used to compress the umbilical cord.
(4) A uterine curette is an instrument used to scrape and remove material from the uterus.
(5) A fixed-size cervical dilator is any of a series of bougies of various sizes used to dilate the cervical os by stretching the cervix.
(6) A uterine elevator is an instrument inserted into the uterus used to lift and manipulate the uterus.
(7) A gynecological surgical forceps is an instrument with two blades and handles used to pull, grasp, or compress during gynecological examination.
(8) A cervical cone knife is a cutting instrument used to excise and remove tissue from the cervix.
(9) A gynecological cerclage needle is a looplike instrument used to suture the cervix.
(10) A hook-type contraceptive intrauterine device (IUD) remover is an instrument used to remove an IUD from the uterus.
(11) A gynecological fibroid screw is an instrument used to hold onto a fibroid.
(12) A uterine sound is an instrument used to determine the depth of the uterus by inserting it into the uterine cavity.
(13) A cytological cervical spatula is a blunt instrument used to scrape and remove cytological material from the surface of the cervix or vagina.
(14) A gynecological biopsy forceps is an instrument with two blades and handles used for gynecological biopsy procedures.
(15) A uterine tenaculum is a hooklike instrument used to seize and hold the cervix or fundus.
(16) An internal pelvimeter is an instrument used within the vagina to measure the diameter and capacity of the pelvis.
(17) A nonmetal vaginal speculum is a nonmetal instrument used to expose the interior of the vagina.
(18) A fiberoptic nonmetal vaginal speculum is a nonmetal instrument, with fiberoptic light, used to expose and illuminate the interior of the vagina.
(b)
Classification. (1) Class II (special controls). The device, when it is an umbilical clamp with or without a cutter, a uterine tenaculum which is sterile and does not use suction and is intended for single use, a nonmetal vaginal speculum, or a fiberoptic nonmetal vaginal speculum, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 884.9.(2) Class I for the amniotome, uterine curette, cervical dilator (fixed-size bougies), cerclage needle, IUD remover, uterine sound, and gynecological biopsy forceps. 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
Medline Industries, Inc.
One Medline Place Mundelein, Illinois 60060.4486 1.847.949.3109 1.800.950.0128 Fax 1.847.949.2643
Image /page/0/Picture/3 description: The image shows the text "Corporate Quality Assurance/Regulatory Affairs". The text is in a bold, sans-serif font. The text is centered on the image. The background is white.
SUMMARY OF SAFETY AND EFFECTIVENESS
January 22, 1997
Medline Industries, Inc. One Medline Place Mundelein, IL 60060 Registration #: 1417592 (847) 949-5500 x1131 Phone: (847) 949-2643 Fax: Christine M. Galea Corporate Regulatory Affairs
DEVICE NAME: PROPRIETARY NAME: COMMON NAME: PERFORMANCE STANDARDS: Circumcision Trays Medline Circumcision Trays Circumcision Trays None per Section 514
CLASSIFICATION NAME:
We have been unable to locate specific classifications for these devices. The contents of each tray are either Class I or Class II medical devices, drugs or non-medical materials (i.e. packaging, cartons and labels).
PRODUCT SPECIFICATIONS
Medline Circumcision Trays are an assemblage of medical materials to be used by medical professionals during circumcision procedures. The trays will be assembled using Medline and other manufacturer's materials, medical devices and/or drugs.
The devices are custom to our customers who specify the contents, quantity and placement of the individual items in the tray. The customer may also specific brand of similar items or minor variations of items.
Medline intends to assemble these kits in a class 10,000 clean room or controlled environment and to sterilize using either EtO or gamma radiation at a contracted sterilization facility.
INTENDED USE/INDICATIONS FOR USE
Medline Circumcision Trays are intended for use by licensed physicians. The intended use of the medical products assembled in these kits will not be changed from the manufacturer's original intended use.
110282
Pl92
MAR - 6 1997
MEDLI
1
Image /page/1/Picture/0 description: The image shows the logo for Medline. The logo features the word "MEDLINE" in a stylized, italicized font. A compass-like symbol is placed behind the text, with the top point extending above the word and the bottom point extending below. The logo is in black and white.
Medline Industries, Inc.
One Medline Place Mundelein. Illinois 60060.4486 1.847.949.3109 1.800.950.0128 Fax 1.847.949.2643
Corporate Quality Assurance/Regulatory Affairs
SUMMARY OF SAFETY AND EFFECTIVENESS (cont.)
SUBSTANTIAL EQUIVALENCE
K970282
p292
We certify that components or individual items of the assembled device have been on the market prior to May 28, 1976, or have been shown by their manufacturer to be substantially equivalent to preamendment devices, or to be exempt from 510(k) notification requirements.
The component list attached as Exhibit A includes the name and regulatory status of the intended components used in these trays. We do not expect this list to change, however, if additional components and/or manufacturers must be added, we will certify the regulatory compliance of the added devices, and keep the information in our Master Device Record.
Many companies assemble various medical devices into a kit or tray for specific medical procedures. Similar procedure specific kits, such as K884290, Baxter Disopsable Circumcision Tray, are in commercial distribution and are marketed by Baxter Healthcare, located in Waukegan, Illinois.
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