K Number
K972302
Device Name
POCKET COUNT OR SAFETCOUNT
Date Cleared
1997-07-25

(36 days)

Product Code
Regulation Number
880.2740
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Containment and Counting of Sponges in the Operating Room or a hospital setting.
Device Description
Pocket Count: Transparent, compartmentalized, disposable bag which allows visual confirmation of sponge count and visual estimate of absorbed fluid. Pocket Count provides partial containment of contaminated sponges, thereby, decreasing worker exposure to contents. SafeTCount: Transparent, disposable hand shaped covering which is used to collect sponges. When the covering is turned inside out it contains the contaminated sponges thereby decreasing worker exposure to contents. The SafeTCount allows visual confirmation of sponge count and visual estimate of absorbed fluid.
More Information

Not Found

Not Found

No
The device description and intended use are purely mechanical/physical containment and counting aids. There is no mention of any computational or analytical capabilities that would suggest AI/ML.

No
The device is described as a containment and counting system for sponges, which is a logistical and safety tool rather than something that treats or diagnoses a medical condition.

No
The devices, Pocket Count and SafeTCount, are described as tools for containing and counting surgical sponges and estimating absorbed fluid. They do not perform any diagnostic function, such as detecting, diagnosing, or monitoring a disease or condition in a patient.

No

The device description clearly describes physical, disposable bags and coverings, which are hardware components, not software.

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

Here's why:

  • Intended Use: The intended use is "Containment and Counting of Sponges in the Operating Room or a hospital setting." This is a physical process related to surgical procedures and waste management, not a diagnostic test performed on samples taken from the human body.
  • Device Description: The device descriptions focus on physical containment, visual counting, and visual estimation of fluid. These are not diagnostic procedures.
  • Lack of Diagnostic Elements: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), detecting specific analytes, or providing information about a patient's health status or disease.

IVD devices are specifically designed to perform tests on samples from the human body to provide information for diagnosis, monitoring, or screening. This device does not fit that description.

N/A

Intended Use / Indications for Use

Containment and Counting of Sponges in the Operating Room or a hospital setting.

Product codes

LWH

Device Description

Pocket Count: Transparent, compartmentalized, disposable bag which allows visual confirmation of sponge count and visual estimate of absorbed fluid. Pocket Count provides partial containment of contaminated sponges, thereby, decreasing worker exposure to contents.

SafeTCount: Transparent, disposable hand shaped covering which is used to collect sponges. When the covering is turned inside out it contains the contaminated sponges thereby decreasing worker exposure to contents. The SafeTCount allows visual confirmation of sponge count and visual estimate of absorbed fluid.

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

OR/Hospital

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)

Not Found

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 880.2740 Surgical sponge scale.

(a)
Identification. A surgical sponge scale is a nonelectrically powered device used to weigh surgical sponges that have been used to absorb blood during surgery so that, by comparison with the known dry weight of the sponges, an estimate may be made of the blood lost by the patient during surgery.(b)
Classification. Class I (general controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter, subject to the limitations in § 880.9. The device also is exempt from the current good manufacturing practice requirements of the quality system regulation in part 820 of this chapter, with the exception of § 820.180, with respect to general requirements concerning records, and § 820.198, with respect to complaint files.

0

Image /page/0/Picture/1 description: The image shows the seal of the Department of Health and Human Services (HHS). The seal features a stylized eagle with three stripes representing the three branches of government. The eagle is surrounded by the words "DEPARTMENT OF HEALTH AND HUMAN SERVICES - USA" in a circular arrangement. The seal is black and white and appears to be a scanned image.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

MAR 2 1 2006

SAGE Products, Inc. c/o Ms. Karen Pinto Regulatory Affairs Manager 815 Tek Drive, P.O. Box 9693 Crystal Lake, Illinois 60039-9693

Re: K972302 Trade/Device Name: Pocket Count or SafeTCount Regulation Number: 21 CFR 880.2740 Regulation Name: Surgical sponge scale Regulatory Class: I Exempt Product Code: LWH Dated: June 18, 1997 Received: June 19, 1997

Dear Ms. Pinto:

This letter corrects our substantially equivalent letter of July 25, 1997.

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate 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) that do not require approval of a premarket approval (PMA). 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 (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations. Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act`s requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21

1

Page 2 – Ms. Karen Pinto

CFR Part 820); and if applicable, the electronic product radiation control provisions (sections 531-542 of the Act); 21 CFR 1000-1050.

This letter will allow you to continue marketing your device as described in your Section 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), please contact the Office of Compliance at (240) 276-0115. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html

Sincerely vours,

l.mll.

Mark N. Melkerson Acting Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

2

Image /page/2/Picture/0 description: The image shows the logo for SAGE PRODUCTS INC. The word "SAGE" is in large, bold, black letters. Below the word "SAGE" is the word "PRODUCTS INC" in smaller, black letters. Above the logo is the number "K972302" in black handwriting.

JUL 25 1997

17510(k) Summary
Company NameSage Products Inc.
Street Address815 Tek Drive, Crystal Lake, IL 60014
Date of Summary PreparationJune 18, 1997
Device Name
Trade or Proprietary NamePocket Count or SafeTCount
Common NameSurgical Sponge Counter (CFR designation does not exist)
Classification NameSponge Counter
Intended UseContainment and Counting of Sponges
Description
Pocket CountTransparent, compartmentalized, disposable bag which allows
visual confirmation of sponge count and visual estimate of
absorbed fluid. Pocket Count provides partial containment of
contaminated sponges, thereby, decreasing worker exposure to
contents.
SafeTCountTransparent, disposable hand shaped covering which is used to
collect sponges. When the covering is turned inside out it
contains the contaminated sponges thereby decreasing worke

Section 17, page 12 of 13 of Submission

Page 1 of 2 of Summary

"Innovative health care products since 1971"

fluid.

exposure to contents. The SafeTCount allows visual

confirmation of sponge count and visual estimate of absorbed

3

Image /page/3/Picture/0 description: The image shows the logo for SAGE PRODUCTS INC. The word "SAGE" is written in large, bold, sans-serif font, with each letter having a slightly futuristic or stylized design. Below "SAGE", the words "PRODUCTS INC" are written in a smaller, sans-serif font. A horizontal line spans the length of the words "PRODUCTS INC".

510(K)

Substantial Equivalence Comparison

ﻟﻤﺴﺘﻌﻤﻞ

ﺔ ﻣﻦ ﺍﻟ

Product NamePocket CountBag-ItSafeTCountMulti-Mitt
ManufacturerSage ProductsDevonSage ProductsDevon
Intended Use of ProductContainment and counting of spongesContainment and counting of spongesContainment and counting of spongesContainment and counting of sponges
Designcompartmentalized pocketscompartmentalized pocketshand shaped hand coveringrectangular hand covering
Pull TabsAvailableNot availableN/AN/A
MaterialPolyethylenePolyethylenePolyethylenePolyethylene
ClarityTransparentTransparentTransparentTransparent
SterilityNon-SterileNon-SterileNon-SterileNon-Sterile
Target PopulationOR/HospitalOROR/HospitalHospital
Compliance with StandardsN/AN/A21 CFR 800.2021 CFR 800.20
PerformanceHolds up to 5 lap sponges or 10 - 4x4'sHolds up to 5 lap sponges or 10 - 4x4'sHolds up to 5 lap sponges or 10 - 4x4'sNo Claim Made
Accessories AvailableBracket for mountingBracket for mountingBracket for mountingBracket for mounting

Section 17, page 13 of 13 of Submission

Page 2 of 2 of Summary

"Innovative health care products since 1971"

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510(k) Number (if known):K97 23 02
--------------------------------------

Device Name: Sponge Counter_

Indications For Use:

Containment and Counting of Sponges in the Operating Room or a hospital setting.

Section 16, page 11 of 13 of submission

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use (Per 21 CFR 801.109)

OR

Over-The-Counter Use X

(Optional Format 1-2-96)