K Number
K971188
Device Name
SMITH & NEPHEW IMAGES ENDOSCOPES AND ACCESSORIS/SEMI-RIGID AND FLEXIBLE MANUAL INSTRUMENTS
Date Cleared
1997-06-27

(88 days)

Product Code
Regulation Number
884.1690
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Smith & Nephew Images Hysteroscopes and accessories are used to permit viewing of the cervial canal and the uterine cavity for the purpose of performing diagnostic and surgical procedures. Smith & Nephew Semi-rigid and Flexible Manual Instruments are indicated for endoscopic examination and treatment of the cerivcal canal and uterine cavity.
Device Description
The Images Endoscopes and accessories transfer light to the surgical site via glass fiber optics and allow visualization of the surgical site through a series of optical lenses and prisms. Hysteroscopic sheaths are used to access and maintain an opening into the uterus for introduction of the endoscope and surgical instruments. Sheaths also allow access for gas or liquid distention of the uterus. Semi-rigid and flexible manual instruments are utilized for examination and treatment of cervical and uterine tissues.
More Information

No
The description focuses on traditional optical and mechanical components for visualization and manipulation, with no mention of AI/ML terms or functionalities.

Yes
The device is used for diagnostic and surgical procedures within the cervical canal and uterine cavity, which are therapeutic actions.

Yes
Explanation: The "Intended Use / Indications for Use" section explicitly states that the device is used "for the purpose of performing diagnostic and surgical procedures."

No

The device description explicitly mentions hardware components such as glass fiber optics, optical lenses, prisms, hysteroscopic sheaths, and manual instruments.

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

Here's why:

  • Intended Use: The intended use is for "viewing of the cervical canal and the uterine cavity for the purpose of performing diagnostic and surgical procedures" and "endoscopic examination and treatment of the cervical canal and uterine cavity." This describes a device used directly on the patient for visualization and intervention within the body.
  • Device Description: The description details how the device works by transferring light and allowing visualization through optical lenses and prisms, and how it's used to access and work within the uterus. This aligns with a surgical or diagnostic instrument used in vivo.
  • Lack of IVD Characteristics: There is no mention of analyzing samples (like blood, urine, tissue) outside the body, which is the defining characteristic of an IVD. The device is used for direct visualization and manipulation within the patient.

Therefore, this device falls under the category of a surgical or diagnostic instrument used in vivo, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

Smith & Nephew Images Endoscopes are used to permit viewing of the cervical canal and the uterine cavity for the purpose of performing diagnostic and surgical procedures,

Smith & Nephew Semi-rigid and Flexible Manual Instruments are indicated for endoscopic examination and treatment of the cervical canal and uterine cavity.

Product codes

85 HIH

Device Description

The Images Endoscopes and accessories transfer light to the surgical site via glass fiber optics and allow visualization of the surgical site through a series of optical lenses and prisms. Hysteroscopic sheaths are used to access and maintain an opening into the uterus for introduction of the endoscope and surgical instruments. Sheaths also allow access for gas or liquid distention of the uterus. Semi-rigid and flexible manual instruments are utilized for examination and treatment of cervical and uterine tissues.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

cervical canal and the uterine cavity

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

Not Found

Key Metrics

Not Found

Predicate Device(s)

K971188, Karl Storz Endoscopy Telescopes and accessories, Hysteroscopes and accessories offered by Henke-Sass Wolf, Semi-rigid and Flexible Manual Instruments offered by Circon ACMI and Richard Wolfe

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 884.1690 Hysteroscope and accessories.

(a)
Identification. A hysteroscope is a device used to permit direct viewing of the cervical canal and the uterine cavity by a telescopic system introduced into the uterus through the cervix. It is used to perform diagnostic and surgical procedures other than sterilization. This generic type of device may include obturators and sheaths, instruments used through an operating channel, scope preheaters, light sources and cables, and component parts.(b)
Classification. (1) Class II (performance standards).(2) Class I for hysteroscope accessories that are not part of a specialized instrument or device delivery system; do not have adapters, connectors, channels, or do not have portals for electrosurgical, laser, or other power sources. Such hysteroscope accessory instruments include: lens cleaning brush, cannula (without trocar or valves), clamp/hemostat/grasper, curette, instrument guide, forceps, dissector, mechanical (noninflatable), and scissors. 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

JUN 27 1997

K971188

Endoscopy Division

Smith & Nenhew, Inc. 160 Dascomb Road, Andover, MA 01810 U.S.A. Telephone: 508-749-1000 Telefax: 508-749-1599

510(k) Summary Smith & Nenhew. Inc., Endoscopy Division Images Endoscopes and Accessories for Use in Hysteroscopic Surgical Procedures

Substantial Equivalence:

The Smith & Nephew, Inc. Images Endoscopes and accessories for use in hysteroscopic surgical procedures are substantially equivalent in design, materials, function, and intended use to telescopes and accessories offered by Karl Storz Endoscopy and hysteroscopes and accessories offered by Henke-Sass Wolf. Smith & Nephew Semi-rigid and Flexible Manual Instruments are substantially equivalent in design, materials, function, and intended use to hysteroscopic semi-rigid and flexible manual instruments offered by Circon ACMI and Richard Wolfe

Predicate Device:

The predicate devices for this submission are the Karl Storz Endoscopy Telescopes and accessories indicated for use in hysteroscopic surgical procedures, the Hysteroscopes and accessories offered by Henke-Sass Wolf and Semi-rigid and Flexible Manual Instruments offered by Circon ACMI and Richard Wolfe.

Summary of Device Function:

The Images Endoscopes and accessories transfer light to the surgical site via glass fiber optics and allow visualization of the surgical site through a series of optical lenses and prisms. Hysteroscopic sheaths are used to access and maintain an opening into the uterus for introduction of the endoscope and surgical instruments. Sheaths also allow access for gas or liquid distention of the uterus. Semi-rigid and flexible manual instruments are utilized for examination and treatment of cervical and uterine tissues.

Intended Use of Device:

Smith & Nephew Images Endoscopes are used to permit viewing of the cervical canal and the uterine cavity for the purpose of performing diagnostic and surgical procedures,

Smith & Nephew Semi-rigid and Flexible Manual Instruments are indicated for endoscopic examination and treatment of the cervical canal and uterine cavity.

Comparison of Technological Characteristics of Predicate Device:

The basic technologies, design and function of the Smith & Nephew Semi-rigid and Flexible Manual Instruments and Images Endoscopes and accessories is substantially equivalent in materials, design and function to the Circon ACMI and Richard Wolfe Semi-rigid and Flexible Manual Instruments, the Karl Storz Endoscopy Telescopes and accessories for use in hysteroscopic procedures and to Henke-Sass Wolf Hysteroscopes and accessories. These devices present no new safety or effectiveness concerns.

Elizabeth Ci Ryan

Elizabeth A. Rvan Regulatory Affairs Specialist

mith - Nenhew

1

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/1/Picture/1 description: The image is a black and white logo for the Department of Health & Human Services - USA. The logo features a stylized eagle or bird-like symbol with flowing lines, representing the department's mission. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the symbol.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUN 27 1997

Re: K971188 . . .. Images Hysteroscopes and Accessories . Dated: March 28, 1997 Received: March 31, 1997 Regulatory class: II 21 CFR §884.1690/Product code: 85 HIH

Ms. Deborah Connors Regulatory Affairs Specialist Smith & Nephew, Inc. 160 Dascomb Road Andover, Massachusetts 01810

Dear Ms. Connors:

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 (Premarket Approval), it may be subject to such additional controls. Existing major regulations affecting vour device can be found in the Code of Federal Regulations. Title 21. Parts 800 to 895. A substantially equivalion assumes compliance with the Current Good Manufacturing Practice requirement, as set forth in the Quality System Regulation (OS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic OS 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. 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 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 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) 594-4613. Additionally, for question 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 iis internet address http://www.fda.gov/cdch/dsmamain.html".

Sincerely vours.

h.J. liau Yu

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

2

K971188 510(k) Number :

Device Name : Smith & Nephew Images Hysteroscopes and accessories

Indications for Use :

Smith & Nephew Images Hysteroscopes and accessories are used to permit viewing of the cervial canal and the uterine cavity for the purpose of performing diagnostic and surgical procedures.

Smith & Nephew Semi-rigid and Flexible Manual Instruments are indicated for endoscopic examination and treatment of the cerivcal canal and uterine cavity.

(PLEASE DO WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE) Dater (Division Sign-Off) Division of Reproductive, Abdominal, ENT, and Radiological Devices 510(k) Number_________________________________________________________________________________________________________________________________________________________________ Over-the-Counter ___________ OR Prescription Use (Per 21 CFR 801,109) (Optional Format 1-2-96)