K Number
K970658
Device Name
LUMBAR DRAINAGE ACCESSORY KIT
Date Cleared
1997-05-19

(87 days)

Product Code
Regulation Number
882.5550
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The major indication of external drainage is the management of hydrocephalic shunt infections. External drainage of cerebrospinal fluid (CSF) to control increased intercranial pressure may also be indicated if an internal shunt is not indicated or during the treatment of other cerebral conditions such as pre-operative drainage, intraventricular hemorrhage and post-operative pressure monitoring. This device should only be used by a physician or qualified personnel under the direction of a physician.
Device Description
Lumbar Drainage Accessory Kit
More Information

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No
The summary describes a lumbar drainage accessory kit for managing hydrocephalic shunt infections and other cerebral conditions. There is no mention of AI, ML, image processing, or any other technology typically associated with AI/ML in the provided text.

Yes
The device is used to manage hydrocephalic shunt infections and control increased intracranial pressure, which are medical treatments for conditions.

No
The text describes the device's use for managing hydrocephalic shunt infections, controlling increased intracranial pressure, and treating other cerebral conditions, including pre-operative drainage, intraventricular hemorrhage, and post-operative pressure monitoring. These are all therapeutic or monitoring applications, not diagnostic ones.

No

The device description explicitly states "Lumbar Drainage Accessory Kit," which implies hardware components are included. The intended use also describes a procedure involving external drainage, which requires physical equipment.

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

Here's why:

  • Intended Use: The intended use describes the management of hydrocephalic shunt infections and controlling intracranial pressure by draining cerebrospinal fluid. This is a therapeutic or diagnostic procedure performed directly on the patient, not a test performed on a sample of bodily fluid or tissue outside the body to diagnose a condition.
  • Device Description: The device is a "Lumbar Drainage Accessory Kit," which aligns with the intended use of draining fluid from the lumbar region of the spine.
  • Lack of IVD Characteristics: The description does not mention any analysis of biological samples, reagents, or laboratory procedures typically associated with IVD devices.

Therefore, this device falls under the category of a medical device used for a therapeutic or diagnostic procedure performed on a patient, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The major indication of external drainage is the management of hydrocephalic shunt infections. External drainage of cerebrospinal fluid (CSF) to control increased intercranial pressure may also be indicated if an internal shunt is not indicated or during the treatment of other cerebral conditions such as pre-operative drainage, intraventricular hemorrhage and post-operative pressure monitoring. This device should only be used by a physician or qualified personnel under the direction of a physician.

Care must be taken to ensure compliance with the manufacturer's procedures for use.

Prescription Use Only (Per 21 CFR 801.109)

Product codes

84JXG

Device Description

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Mentions image processing

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Mentions AI, DNN, or ML

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Input Imaging Modality

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Anatomical Site

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Indicated Patient Age Range

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Intended User / Care Setting

physician or qualified personnel under the direction of a physician

Description of the training set, sample size, data source, and annotation protocol

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Description of the test set, sample size, data source, and annotation protocol

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Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

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Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

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Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

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Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

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Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

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§ 882.5550 Central nervous system fluid shunt and components.

(a)
Identification. A central nervous system fluid shunt is a device or combination of devices used to divert fluid from the brain or other part of the central nervous system to an internal delivery site or an external receptacle for the purpose of relieving elevated intracranial pressure or fluid volume (e.g., due to hydrocephalus). Components of a central nervous system shunt include catheters, valved catheters, valves, connectors, and other accessory components intended to facilitate use of the shunt or evaluation of a patient with a shunt.(b)
Classification. Class II (performance standards).

0

Image /page/0/Picture/2 description: The image shows a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the edge. Inside the circle is a stylized image of an eagle with three stripes above its head. The seal appears to be from a government agency related to health and human services in the United States.

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Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

MAY 1 9 1997

Terry N. Layton, Ph.D. Vice President, Chief Operations and Technical Officer Heyer-Schulte NeuroCare™, L.P. 8401 102nd Street Suite 200 -- P.O. Box 390 '' Pleasant Prairie, Wisconsin 53158-0390

K970658 Re : Trade Name: Lumbar Drainage Accessory Kit Regulatory Class: II Product Code: 84JXG February 19, 1997 Dated: Received: February 21, 1997

Dear Dr. Layton:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Requlations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the Good Manufacturing Practice for Medical Devices: General (GMP) requlation (21 CFR Part 820) and that, through periodic GMP inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GM2 regulation may result in regulatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

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Page 2 - Terry N. Layton, Ph.D.

This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market. .

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4648. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its internet address "http://www.fda.gov/cdrh/dsmamair..html".

Sincerely yours,

Thomas J. Callahan

Thomas J. Callahan, Ph.D Director Division of Cardiovascular, Respiratory, and Neuroloqical Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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SECTION 8 - DEVICE INDICATIONS FOR USE

510(k) Number (if known):_____________________________________________________________________________________________________________________________________________________

Device Name: Lumbar Drainage Accessory Kit

Indications for Use: The major indication of external drainage is the management of hydrocephalic shunt infections. External drainage of cerebrospinal fluid (CSF) to control increased intercranial pressure may also be indicated if an internal shunt is not indicated or during the treatment of other cerebral conditions such as pre-operative drainage, intraventricular hemorrhage and post-operative pressure monitoring. This device should only be used by a physician or qualified personnel under the direction of a physician.

Care must be taken to ensure compliance with the manufacturer's procedures for use.

Prescription Use Only (Per 21 CFR 801.109)

Thomas J. Callahon

(Division Sign-Off) Division of Cardiovascular and Neurological Device 510(k) Number