K Number
K971836
Device Name
VERRESCOPE, LIGHT CABLE - LIGHT SOURCE ADAPTOR
Date Cleared
1997-11-07

(172 days)

Product Code
Regulation Number
884.1720
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
For laparoscopic minimally invasive surgery to provide sight access for use with operative and diagnostic instrumentation.
Device Description
The VerreScope is intended for use during laparoscopic minimally invasive surgery to provide access for use of operative and diagnostic instrumentation. It is made of Stainless Steel and uses Fiber Optics.
More Information

Not Found

Not Found

No
The description focuses on the mechanical and optical components (Stainless Steel, Fiber Optics) and does not mention any computational or analytical capabilities that would suggest AI/ML. The "Mentions AI, DNN, or ML" and "Mentions image processing" fields are explicitly marked as "Not Found".

No
Explanation: The device is intended to provide sight access and introduce surgical instrumentation during laparoscopic procedures, not to treat or cure a disease or condition.

No

The device description states its purpose is to provide access for operative and diagnostic instrumentation, not to perform diagnostics itself.

No

The device description explicitly states it is made of Stainless Steel and uses Fiber Optics, indicating it is a physical hardware device, not software-only.

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

Here's why:

  • Intended Use: The intended use is for providing sight access during laparoscopic surgery for operative and diagnostic instrumentation. This is a surgical tool used in vivo (within the body) for visualization and access, not for testing samples in vitro (outside the body).
  • Device Description: The description focuses on its physical components (Stainless Steel, Fiber Optics) and its function in surgery. There is no mention of analyzing biological samples or providing diagnostic information based on such analysis.
  • Lack of IVD Characteristics: The document lacks any information typically associated with IVDs, such as:
    • Analysis of biological samples (blood, urine, tissue, etc.)
    • Measurement of analytes
    • Diagnostic claims based on sample analysis
    • Performance metrics like sensitivity, specificity, etc., related to diagnostic accuracy.

The VerreScope is clearly described as a surgical instrument used for visualization and access during a surgical procedure.

N/A

Intended Use / Indications for Use

The VerreScope is intended for use during laparoscopic minimally invasive surgery to provide access for use of operative and diagnostic instrumentation.
For laparoscopic minimally invasive surgery to provide sight access for use with operative and diagnostic instrumentation.

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

85 HET

Device Description

Not Found

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

Physician / Laparoscopic minimally invasive surgery

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.

Not Found

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

§ 884.1720 Gynecologic laparoscope and accessories.

(a)
Identification. A gynecologic laparoscope is a device used to permit direct viewing of the organs within the peritoneum by a telescopic system introduced through the abdominal wall. It is used to perform diagnostic and surgical procedures on the female genital organs. This generic type of device may include: Trocar and cannula, instruments used through an operating channel, scope preheater, light source and cables, and component parts.(b)
Classification. (1) Class II (performance standards).(2) Class I for gynecologic laparoscope accessories that are not part of a specialized instrument or device delivery system, do not have adapters, connector channels, or do not have portals for electrosurgical, lasers, or other power sources. Such gynecologic laparosope accessory instruments include: the lens cleaning brush, biopsy brush, clip applier (without clips), applicator, cannula (without trocar or valves), ligature carrier/needle holder, clamp/hemostat/grasper, curette, instrument guide, ligature passing and knotting instrument, suture needle (without suture), retractor, mechanical (noninflatable), snare, stylet, forceps, dissector, mechanical (noninflatable), scissors, and suction/irrigation probe. 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

E ATTACHMENT

SUMMARY OF SAFETY AND EFFECTIVENESS COOPER VERRESCOPE

NOV - 7 1997

(971836

PIGI

The Summary of Safety and Effectiveness on VerreScope reflects data available and presented at the time the submission was prepared, but caution should be exercised in interpreting the data. The results of future studies may require alterations of the conclusions or recommendations set forth.

Intended Use

The VerreScope is intended for use during laparoscopic minimally invasive surgery to provide access for use of operative and diagnostic instrumentation.

Caution

Federal law (U.S.A.) restricts this device to sale by or on the order of a physician.

Substantial Equivalency Information

The VerreScope is similar to the Gynescope Laparoscopes.

| | Gynescope
Laparoscopes | VerreScope |
|-----------|---------------------------|-----------------|
| Material: | Stainless Steel | Stainless Steel |
| Optics: | Rod Lens | Fiber Optics |

The intended use and technological characteristics of these devices do not vary significantly. The safety and effectiveness of the CooperSurgical's VerreScope are comparable to that of the Gynescope Laparoscope.

1

Image /page/1/Picture/0 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle with three stripes representing the three branches of government. The eagle is encircled by the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA".

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Image /page/1/Picture/4 description: The image shows the date November 7, 1997. The month is abbreviated to NOV. The day is 7 and the year is 1997. The text is in bold font.

Ms. Debra A. Pekar Manager of Quality Assurance and Regulatory Affairs CooperSurgical 15 Forest Parkway Shelton, Connecticut 06484

Re: K971836

VerreScope Light Cable - Light Source Adaptor Dated: October 6, 1997 Received: October 7, 1997 Regulatory class: II 21 CFR §884.1720/Product code: 85 HET

Dear Ms. Pekar:

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, 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 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 Current Good Manufacturing Practice requirement, as set forth in the Quality System Regulation (QS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic QS 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 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 marked 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 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.

W. Liao 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

ATTACHMENT C

ol Page

510(k) Number (if known): _ K971836 VerreScope Device Namc:

Indications For Usc:

For laparoscopic minimally invasive surgery to provide sight access for use with operative and diagnostic instrumentation.

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED) -

Concurrence of CDRH, Office of Device Evaluation (ODE)

Deler D. Suthuy
(Division Sign-Off)

Division of Reproductive, Abdominal, ENT, and Radiological Devices

510(k) Number K971836

Prescription Use
(Per 21 CFR 801.109)

OR

Over-The-Counter Use

(Optional Formal 1-2-96)