(73 days)
The Ivalon® Eye Drain 80cc, Eye Drain 400cc, Surgical Spears, and Eye Wick 8-inch are used to absorb fluids from the operative field in ophthalmic surgery.
The Eye Drain 80cc, Eye Drain 400cc, Eye Wick 8-inch, and Surgical Spears are packaged individually as a sterile, dried and compressed sponge. They are used to absorb fluids from the operative field in ophthalmic surgery. M-PACT Eye Drain 80cc, Eye Drain 400cc, Eye Wick 8-inch, and Surgical Spears are made from formalized PVA sponge, which is a condensation product of polyvinyl alcohol and formaldehyde.
This is a 510(k) premarket notification for a medical device, not a study evaluating a device's performance against acceptance criteria. Therefore, most of the requested information regarding acceptance criteria, study design, and performance metrics is not available in the provided text.
The document states that the device is "substantially equivalent" to legally marketed predicate devices, meaning it has the same intended use and technological characteristics as a device that was on the market prior to May 28, 1976, or has been reclassified. This pathway focuses on equivalence rather than clinical performance studies demonstrating meeting specific acceptance criteria as you might find in a clinical trial for a novel device.
Here's what can be extracted based on the provided text, and where information is missing:
1. A table of acceptance criteria and the reported device performance
- Acceptance Criteria: Not explicitly defined or reported in the document. The basis for clearance is "substantial equivalence" to predicate devices.
- Reported Device Performance: Not reported in terms of specific metrics (e.g., accuracy, sensitivity, specificity). The claim is that the devices are "identical in size, shape, material composition and intended use" to the predicate devices.
| Acceptance Criteria | Reported Device Performance |
|---|---|
| Not specified (clearance based on substantial equivalence to predicate devices) | Not specified (performance implicitly similar to predicate devices due to substantial equivalence) |
2. Sample size used for the test set and the data provenance
- Sample size: Not applicable/not provided. This document is a premarket notification for substantial equivalence, not a clinical study report with a test set.
- Data provenance: Not applicable.
3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts
- Not applicable. Ground truth establishment for a test set is not part of a 510(k) substantial equivalence submission for this type of device.
4. Adjudication method for the test set
- Not applicable.
5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance
- Not applicable. This is not an AI-based device, and no MRMC study is mentioned.
6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done
- Not applicable. This is not an algorithm-based device.
7. The type of ground truth used
- Not applicable. For a 510(k) based on substantial equivalence for this type of device, the "ground truth" is essentially the established safety and effectiveness profile of the predicate device(s).
8. The sample size for the training set
- Not applicable. This is not an AI/machine learning device requiring a training set.
9. How the ground truth for the training set was established
- Not applicable.
Summary of Device and 510(k) Basis from the Text:
- Device Name: Ivalon® Eye Drain 80cc, Eye Drain 400cc, Surgical Spears, and Eye Wick 8-inch.
- Intended Use: To absorb fluids from the operative field in ophthalmic surgery.
- Material: Formalized PVA sponge.
- Regulatory Basis: Substantial equivalence (510(k)) to predicate devices (Merocel Eye Drain 80cc, Eye Drain 400cc, Eye Wick 8-inch, and Surgical Spears).
- Reason for Substantial Equivalence Claim: The M-PACT devices are "identical in size, shape, material composition and intended use" to the Merocel predicate devices. The only differences mentioned are in labeling and packaging.
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K97/832
SUMMARY STATEMENT
Barry Hale M-PACT Corporation 1040 OCL Parkway Eudora, KS 66025 913-542-2135 Contact Barry Hale May 14, 1997
Name of Product: Sponge, Opthalmic
M-PACT Corporation, registration number 1928508, wishes to file an intent to market
And Surgination Design 90cc, Eve Drain 400cc, Eve Wick 8-inch, and Surgico M-PACT Corporation, registration number 1928-06, Wiskes With & Margical
sterile, single-use Eye Drain 80cc, Eye Drain 400cc, Eye Wick Birghcal
Sterile, single-use for a forma sterle, single-use Eye Drain 80cc, Eye Drain 400cc, Eye Wick Sheet, Will market the Spears muractured from formalized PVA sponge material. The classification name for the devices
products under the trade name of TVALON®. The classification name for the de products under ale aic aic air and CFR 886.4790).
The Eye Drain 80cc, Bye Drain 400cc, Bye Wick 8-inch, and Surgical Spears are The Eye Drain 80cc, Eye Drain 400cc, Eye Wilks Punch, and compressed sponge. They are used to
packaged individually as a sterile, dried and compressed sponge. They are used t packaged individually as a sterne, drive the start of a progety.
M-PACT Eye Drain 80cc, Eye Drain 400cc, Eye Wick 8-inch, and Surgical Spears are M-PACT Eye Drain 80cc, Eye Drain 400cc, Lye W.R. 9 min and of polyviny!
made from formalized PVA sponge, which is a condensation product of polyviny! made from formalized TVA sponge, which is a condensands promote on the foam
alcohol and formaldehyde. Once the chemical reaction has taken place and the foam
in the formalia alcohol and formaldehyde. Once the cheined clean of any residual chemicals.
M-PACT Corporation is the manufacturer of the formalized PVA sponge. M-PACT has
s of the bearly BAX Compresson (Departs, Colorado) to complete the packaging M-PACT Corporation is the manufacturer on the formation and the packaging
contracted with IPAX Corporation (Denver, Colorado) to complete the packaging contracted with IPAA Corporation (Denver) 300 and 100 sterilization services.
Although this is a new product for M-PACT, it is a product which is substantially Although this is a new product for M-PAC. It is a production in Surgical Spears.
equivalent to Eye Drain 800cc, Eye Drain 400cc, Eye Wick Sunch, were on the market p equivalent to Eye Drain 80cc, bye United Commerce and which were on the market prior that are currently marketed in interstate commerce and when of 1976 (May 28, 1976).
to the date of the enactment of the Medical Device Amendrom of 1976 (May 28, 1976).
Commen to the data of the enactment of the Medical Device Alichesters or 11, 2017
The M-PACT Eye Drain 80cc, Eye Drain 400cc, Eye Wick 8-Inch, and Surgical Spears The M-PACT Eye Drain 80cc, Eye Drain 400cc, Eye Pristiended use as the Merocel I Bye
are identical in size, shape, material composition and intended use as the Merocel Bye are identical in size, shape, material composition and Surgical Spears currently marketed
Drain 80cc, Eye Drain 400cc, Eye Wick 8-inch, and Surgical Spears currently, Florida Drain 80cc, Eye Drain 400cc, Lye Wick o-nitity (Komed, Jicks opville, Florida). Since the
by Merocel Corporation, Mystic, Connecticut (Komed, Jacksonville, Florida). Since by Merocel Corporation, Mystic, Comecucar (Nick 8-inch, and Surgical Spears are
M-PACT Eye Drain 80cc, Eye Drain 400cc, Eye Wick 8-inch, and Surgical Spears are M-PACT Bye Drain 80cc, Lye Drain 400cc, Eye WiEk of Internal I
identical to product currently marketed by Merocel, the only changes will be in regard to labeling and packaging.
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Image /page/1/Picture/1 description: The image shows the logo for the Department of Health & Human Services (USA). The logo is circular and contains the department's name around the perimeter. In the center is a stylized image of an eagle.
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
JUL 3 | 1997
Mr. Barry Hale M-PACT Corp. 1040 OCL Parkway Fudora, KS 66025
Re: K971832
K971832
Trade Name: Ivalon PVA Surgical Spear; Ivalon Eye Drain, 80cc; Ivalon Eye Drain,
Trade Name: Ivalon PVA Surgical Spear; Ival 400cc; Ivalon Eye Wick
Regulatory Class: II Product Code: 86 HOZ Dated: May 14, 1997 Received: May 19, 1997
Dear Mr. Hale:
We have reviewed your Section 510(k) notification of intent to market the device referenced We have reviewed your Section 510(ts) nothleakter tially equivalent (for the indications for above and we have determined the devices marketed in interstate commerce prior to May 28, 1976, use stated in the enclosure) to device Amendments, or to devices that have been
the enactment date of the Medical Device Amendarel Food. Drug, and Cosme the enactment date of the Medical Device rine Federal Food, Drug, and Cosmetic Act
reclassified in accordance with the provisions of the Federal controls provisions of reclassified in accordance with the provisions or the general controls provisions of the (Act). You may, therefore, market the device, successes and groundents for annual registration,
Act. The general controls provisions of the Act include requirements mishrandi Act. The general controls provisions of the Actual requence requence in the randing and adulteration.
If your device is classified (see above) into either class II (Special Controls) or class III
n and the many and If your device is classified (see above) into exist additional controls. Existing major (Premarket Approval), it may be subject to sam ations of Federal Regulations, Title 21,
regulations affecting your device can be found in the Code of Federaliance with the regulations aftecting your device can be round as an assumes compliance with the Parts 800 to 895. A substantally couragents, as set forch in the Quality System
current Good Manufacturing Practice requirements, as set forch in the Right current Good Manufacturing Practice (General regulation (21 CFR Part 820) and than, through
Regulation (QS) for Medical Devices: (GDA) will verify such icegulation (QS) inspections, the Food Indian may result in regulation may result in regilatory ac periodic (QS) inspections, the Food and Drag Pressult in regulation may result in regulatory action. In
assumptions. Failure to comply with the GMP regulation may result an assumptions. Fallure to comply with the GMT regorifican whice in the Eederal addition, FDA may publish lurinel amour. Remarket notification submission does not affect
Register. Please note: this response to your premarket nonification submicres under Register. Please note: This response to your press. It through 542 of the Act for devices under any obligation you might have under sections or other Federal laws or regulations.
the Electronic Product Radiation Control provisions, or other Federal laws or regulations.
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Page 2 - Mr. Barry Hale
This letter will allow you to begin marketing your device as described in your 510(k)
Dremarket notification . The EDA findi 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 slevice to proceed to the marker. " --
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 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,
A. Raeyl lorenthal
A. Ralph Rosenthal, M.D Director Division of Ophthalmic Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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510(k) Number (if known): ____________________________________________________________________________________________________________________________________________________
Device Name: _________________________________________________________________________________________________________________________________________________________________
INDICATIONS FOR USE:
INDICATIONS FOX USE:
The Ivalon® Eye Drain 400cc, Surgical Spears, and Eye Wick 8-inch are =================================================================================== The Ivalon® Eye Drain 80cc, Eye Drain 400cc, Surgical Opens, 2007, 2007, 1
used to absorb fluids from the operative field in ophthalmic surgery.
(Please do not write below this line - use another page if needed.)
Concurrence of CDRH, Office of Device Evaluation (ODE)
| my-chen Shir of (Division Sign-Off) Division of Ophthalmic Devices | |
|---|---|
| 510(k) Number | K971832 |
| Prescription Use | ✓ | OR | Over-The-Counter Use |
|---|---|---|---|
| ------------------ | -------------- | ---- | ---------------------- |
§ 886.4790 Ophthalmic sponge.
(a)
Identification. An ophthalmic sponge is a device that is an absorbant sponge, pad, or spear made of folded gauze, cotton, cellulose, or other material intended to absorb fluids from the operative field in ophthalmic surgery.(b)
Classification. Class II (special controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 886.9.