K Number
K971115
Device Name
GE MEDICAL-NEEDLE GUIDE FOR SV, TR ANDATF, ACUSON-NEEDLE GUIDE
Date Cleared
1997-06-13

(78 days)

Product Code
Regulation Number
892.1570
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Used to assist doctors when performing a prostate biopsy. Used to guide a needle, biopsy or catheter into the prostate gland. Used as an accessory in conjunction with an ultrasound transducer (892.1570). Used to improve needle placement vs. guiding needle with the finger. Needle Guides for Rectal Ultrasound Transducers used in prostate biopsies.
Device Description
A tube, a cannula that is an accessory that snaps or rests (depending on configuration) onto an ultrasound transducer (892.1570). A disposable, single use, sterile tube that helps direct a needle, biopsy or catheter to a target working in conjunction with an ultrasound transducer and system. A stainless steel cannula or plastic tube with a small clip or bracket for locating and securing. Dimensions and designs vary and are specified with the original equipment manufacturer of ultrasound systems and transducers.
More Information

Not Found

No
The device description and intended use clearly describe a mechanical accessory for guiding a needle during a prostate biopsy using ultrasound. There is no mention of any software, algorithms, image processing, AI, or ML. The device is a physical tube/cannula.

No
The device is described as an accessory to guide a needle, biopsy, or catheter, assisting in diagnostic procedures rather than directly providing therapy.

No
This device is described as an accessory used to guide a needle, biopsy, or catheter during a prostate biopsy. Its function is to facilitate the procedure rather than to diagnose a condition. It assists in the performance of a biopsy, which is a diagnostic procedure, but the device itself doesn't analyze data or interpret findings to provide a diagnosis.

No

The device description clearly states it is a physical tube or cannula made of stainless steel or plastic, which is a hardware component.

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

Here's why:

  • IVD Definition: In Vitro Diagnostics are devices used to examine specimens (like blood, urine, or tissue) taken from the human body to provide information for diagnosis, monitoring, or screening.
  • Device Function: This device is a needle guide used during a prostate biopsy procedure. Its function is to physically guide a needle or catheter into the prostate gland within the patient's body, in conjunction with an ultrasound transducer.
  • Lack of Specimen Analysis: The description does not mention the device being used to analyze any biological specimens outside of the body. Its purpose is procedural guidance, not diagnostic testing of samples.

Therefore, this device falls under the category of a surgical accessory or procedural guidance device, not an In Vitro Diagnostic.

N/A

Intended Use / Indications for Use

    1. Used to assist doctors when performing a prostate biopsy
    1. Used to guide a needle, biopsy or catheter into the prostate gland.
    1. Used as an accessory in conjunction with an ultrasound transducer (892.1570)
    1. Used to improve needle placement vs. guiding needle with the finger
      Needle Guides for Rectal Ultrasound Transducers used in prostate biopsies.

Product codes (comma separated list FDA assigned to the subject device)

90 ITX

Device Description

A tube, a cannula that is an accessory that snaps or rests(depending on configuration) onto an ultrasound transducer(892.1570)
A disposable, single use, sterile tube that helps direct a needle, biopsy or catheter to a target working in conjunction with an ultrasound transducer and system
A stainless steel cannula or plastic tube with a small clip or bracket for locating and securing. Dimensions and designs vary and are specified with the original equipment manufacturer of ultrasound systems and transducers

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Ultrasound

Anatomical Site

prostate gland, Where Ultrasound is Used

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Doctors, Hospitals & Clinics

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): 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.

K875128/A

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.

Not Found

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).

Not Found

§ 892.1570 Diagnostic ultrasonic transducer.

(a)
Identification. A diagnostic ultrasonic transducer is a device made of a piezoelectric material that converts electrical signals into acoustic signals and acoustic signals into electrical signals and intended for use in diagnostic ultrasonic medical devices. Accessories of this generic type of device may include transmission media for acoustically coupling the transducer to the body surface, such as acoustic gel, paste, or a flexible fluid container.(b)
Classification. Class II.

0

K971115

6-1

1681 8 1 NUT

Document # 9-926-0005 Rev.3 FDA 510(k) Notification-Rectal Ultrasound Needle Guide

RODUCTS INC. 211 E. MARKET SURTE 291 IOWA CITY LA 319-358-8080 FAX 319-330-8258 USA 52245-2166

February 20, 1997

Document Mail Center (HFZ-401) Center for Devices and Radiological Health Food and Drug Administration 9200 Corporate Boulevard Rockville, Maryland 20850 USA

SUMMARY PREMARKET NOTIFICATION 510 (k) FOR TRANSRECTAL NEEDLE GUIDE an ULTRASOUND TRANSDUCER ACCESSORY

SUBMITTER: COMPANY: ADDRESS: CITY: STATE: COUNTRY: CONTACT: PHONE: FAX:

Rick L. Pruter PROTEK Medical Products Inc. 221 East Market Street Iowa City lowa USA Rick L. Pruter (319)358-8080 (319)339-8258

January 21, 1997 DATE SUMMARY PREPARED:

Trade Name:

.

Transrectal Needle/Biopsy Guide for Ultrasound Transducers Common Name:

Needle Guide, Puncher guide, Biopsy guide, Needle Guide system Classification Name:

Diagnostic Ultrasound Transducer Accessory 892.1570 ITX class 11

1

Document # 9-926-0005 Rev.3 FDA 510(k) Notification-Rectal Ultrasound Needle Guide

6-2

SUMMARY

COMMERCIALLY PRODUCED PRODUCTS OF EQUIVALENCE:

Substantial Equivalence Comparison:

These new devices are the same as devices being legally marketed by several companies.

The new devices design, manufacturing, labeling and its intended uses are the same as many existing devices currently being marketed by Civco Medical Instruments, and Amedic among others. The only deviation is in the size and shape. Owner of this new company is co-inventor of these products and was an officer at Civco, one of the companies we are claiming substantial equivalence.

The following is a cross reference of products that will be identical:

New Device
PROTEK Medical IncCivcoCivco's 510(k)
1-535-0001 Guide612-045K875128/A
1-535-0002 Guide612-035K875128/A
*Other part numbers vary only in size and shape

Commercially Produced Products of Equivalence:

There are several products of equivalence legally marketed by companies including the following:

Civco Medical from Iowa, USA Amedic of Sweden, . GE Medical Wis. USA,

Other known companies that legally market this device:

ATL Bothell Washington Siemens Medical Systems Isaque Washington Diasonics San Jose Calif. Toshiba Tustin, California among others

Comparison: (see Comparison Chart Appendix D-1)

These devices are similar to several predicate devices legally marketed in respect to the materials, packaging, distribution and intended use. There are several hundred different configurations that Civco and Amedic are currently legally marketing for the (OEM)original equipment manufacturers. The original equipment manufacturers also legally markets these devices. This notification compares our product with Civco,s and Amedic and GE Medical.

These new products have the same intended use as legally marketed devices. The same end users. The same material manufactures and the same people that tested and processed Civco's legally marketed devices.

2

6-3

SUMMARY

DEVICE DESCRIPTION:

Narrative Description:

A tube, a cannula that is an accessory that snaps or rests(depending on configuration) onto an ultrasound transducer(892.1570)

A disposable, single use, sterile tube that helps direct a needle, biopsy or catheter to a target working in conjunction with an ultrasound transducer and system

Device Physical Specifications:

A stainless steel cannula or plastic tube with a small clip or bracket for locating and securing. Dimensions and designs vary and are specified with the original equipment manufacturer of ultrasound systems and transducers

Intended use:

    1. Used to assist doctors when performing a prostate biopsy
    1. Used to guide a needle, biopsy or catheter into the prostate gland.
    1. Used as an accessory in conjunction with an ultrasound transducer (892.1570)
    1. Used to improve needle placement vs. guiding needle with the finger

TECHNOLOGICAL CHARACTERISTICS COMPARED TO PREDICATE DEVICE:

(SEE ATTACHED CHART - APPENDIX D)

3

6-4

Appendix D in SUMMARY

Substantially Equivalence Comparison Chart Yith Ciyco Medical 510(k) #K875128/A

DescriptionPROTEK Medical Products Inc.Civco Medical
Indications for useUltrasound transducer
needle guideUltrasound transducer
needle guide
Target PopulationDoctor'sDoctor's
Designed byOEM, Doctor, PROTEKOEM, Doctor, Civco
DesignSizes & Shapes VariesSizes & Shapes Varies
MaterialsStainless steel
Medical grade plasticStainless steel
Medical grade plastic
PerformanceTarget fixtures
Mil Std 105ETarget Fixtures
Mil Std 105E
SterilityETOETO
BiocompatibilityISO-10993ISO-10993
Mechanical Safetyend product testsend products tests
Chemical SafetyNo Hazardous Components
29CFR 1910,1200No Hazardous Components
29CFR 1910,1200
Anatomical SitesWhere Ultrasound is UsedWhere Ultrasound is Used
DispositionDisposableDisposable
Where UsedHospitals & ClinicsHospitals & Clinics
Standards MetMil Std 105E on voluntary
standardsMil Std 105E on voluntary
standards
Electrical SafetyNo Electrical ComponentsNo Electrical Components
Manufacturing
MethodInjection molded clips and
purchased surgical tubeInjection molded clips and
purchased surgical tube
PackagingTYVEK "Chevron Peel Pouch"TYVEK "Chevron Peel Pouch"
Human FactorNo Known Adverse EffectsNo Known Adverse Effects

*OEM definition: Original Equipment manufacturer of Ultrasound Transducer 892.1570

4

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUN 1 3 1997

Rick L. Pruter President/CEO PROTEK Medical Products, Inc. 221 E. Market, Suite 291 Iowa City, IA 52245-2166

Re: K971115

1-535-0001 Transrectal Needle Guide for GE Medical and 1-535-0002 Transrectal Needle guide for Acuson, Inc. Dated: February 20, 1997 Received: February 27, 1997 Regulatory Class: II 21 CFR 892.1570/Procode: 90 ITX

Dear Mr. Pruter:

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 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 Regulations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the Good Manufacturing Pracioc for Medical Devices: General (GMP) regulation (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 GMP regulation may result in regulatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register. this response to your premarket notification does not affect any obligation you might have under sections 51 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

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 predication 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 yitto diagnostic devices), please contact the Office of Compliance at (301) 594-4591 for Radiology devices, or 594-4613 for Ear, Nose and Throat devices. 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/dsmamain.html".

Sincerely yours.

Jillian
Lillian Xia, Ph.D.

Lillian Yin, Ph.D. Director, Division of Reproductive, Abdominal, Ear, Nose and Throat, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

5

Document # 9-926-0005 Rev.3 FDA 510(k) Notification-Rectal Ultrasound Needle Guide

4-4

510(k) Number K971115

Statement Indication For Use

  • I, Rick L. Pruter, President/CEO of PROTEK Medical Products Inc., certify that the devices in this notification are used for:
    Needle Guides for Rectal Ultrasound Transducers used in prostate biopsies.

Ric

Rick L. Pruter, President/CEO PROTEK Medical Products Inc.

6-11-97

Date

David A. Seymon

(Division Sign-Off) Division of Reproductive, Abdominal, ENT, and Radiological Devices 510(k) Number

Prescription Use
(Per 21 CFR 801.109)