K Number
K973499
Device Name
XPS STRAIGHTSHOT MICROBRIDER SYSTEM OR TREBAY SHAVER SYSTEM
Manufacturer
Date Cleared
1998-01-30

(136 days)

Product Code
Regulation Number
888.1100
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Xomed XPS StraightShot Microdebrider System is intended for the cutting and removal of soft and hard tissue or bone in otorhinolaryngology, head and neck, and orthopedic surgery. It is indicated for use in orthopedic surgical procedures where the cutting and removal of soft and hard tissue or bone is needed. These include spinal and small and large joint arthroscopic procedures.
Device Description
The XPS System remains essentially the same as originally described in K963246. There is a Power Control Unit, a footswitch, reusable handpieces and various interchangeable, disposable burs and blades. The system can operate one or two handpieces (one at a time) with suction and irrigation, depending on the handpiece. Xomed now proposes to market the XPS System for the same intended use in orthopedic surgery, including spinal and small and large joint procedures. In order to best meet the needs of the orthopedic surgeons, we have added to the original system, a larger handpiece and additional blades and burs. Other than the larger motor with additional speed and torque, the principle of operation and Power Control Unit remain essentially the same as described in K963246.
More Information

Not Found

No
The description focuses on mechanical components (motor, handpieces, blades, burs) and operational principles (speed, torque, suction, irrigation). There is no mention of software, algorithms, data processing, or any terms related to AI/ML.

No.
The device is used for cutting and removing tissue/bone during surgical procedures, which is an interventional or surgical action rather than a therapeutic one aiming to treat or cure a disease.

No

The device is described as a system for "cutting and removal of soft and hard tissue or bone," indicating it is a surgical tool, not a diagnostic device.

No

The device description clearly outlines hardware components such as a Power Control Unit, footswitch, handpieces, burs, and blades. It is a physical surgical system, not software only.

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

Here's why:

  • Intended Use: The intended use clearly states the device is for the "cutting and removal of soft and hard tissue or bone in otorhinolaryngology, head and neck, and orthopedic surgery." This describes a surgical procedure performed directly on the patient's body.
  • Device Description: The description details a system with handpieces, burs, and blades used for physical tissue removal.
  • Lack of IVD Characteristics: There is no mention of analyzing samples (like blood, urine, or tissue) in vitro (outside the body) to diagnose a condition. IVD devices are used to provide information about a patient's health status through the examination of these samples.

This device is a surgical tool used for physical intervention, not for diagnostic testing of samples.

N/A

Intended Use / Indications for Use

The Xomed XPS StraightShot Microdebrider System is intended for the cutting and removal of soft and hard tissue or bone in otorhinolaryngology, head and neck, and orthopedic surgery. It is indicated for use in orthopedic surgical procedures where the cutting and removal of soft and hard tissue or bone is needed. These include spinal and small and large joint arthroscopic procedures.

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

87HWE, 87HRX

Device Description

The XPS System remains essentially the same as originally described in K963246. There is a Power Control Unit, a footswitch, reusable handpieces and various interchangeable, disposable burs and blades. The system can operate one or two handpieces (one at a time) with suction and irrigation, depending on the handpiece. Xomed now proposes to market the XPS System for the same intended use in orthopedic surgery, including spinal and small and large joint procedures. In order to best meet the needs of the orthopedic surgeons, we have added to the original system, a larger handpiece and additional blades and burs. Other than the larger motor with additional speed and torque, the principle of operation and Power Control Unit remain essentially the same as described in K963246.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

soft and hard tissue or bone in otorhinolaryngology, head and neck, and orthopedic surgery, including spinal and small and large joint arthroscopic procedures.

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 (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.

Linvatec Apex, Stryker SE5, S&N Dyonics PS3500EP, S&N Dyonics Arthroscopic MicroDiscectomy (AMD) System, Sofamor Danek Tissue Resecting System

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

§ 888.1100 Arthroscope.

(a)
Identification. An arthroscope is an electrically powered endoscope intended to make visible the interior of a joint. The arthroscope and accessories also is intended to perform surgery within a joint.(b)
Classification. (1) Class II (performance standards).(2) Class I for the following manual arthroscopic instruments: cannulas, currettes, drill guides, forceps, gouges, graspers, knives, obturators, osteotomes, probes, punches, rasps, retractors, rongeurs, suture passers, suture knotpushers, suture punches, switching rods, and trocars. 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 § 888.9.

0

JAN 30 1998

K973499

510(k) Summary

  • 1.0 Date Prepared September 15, 1997
  • 2.0 Submitter (Contact) David Timlin Xomed Surgical Products Jacksonville, FL (904) 279-7532

3.0 Device Name

| Proprietary Name: | XPS StraightShot Microdebrider System or TreBay
Shaver System (The proposed product tradename has
not been finalized and may be changed at a later date) |
|-----------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Common Name(s): | Electrical surgical shavers, electrical debriders, drill
handpieces and cutting blades and burs |
| Classification Name: | Surgical instrument, AC powered motors and
accessories / attachments or Arthroscopes and
accessories |
| Device Classification | |

5.0

Surgical instrument, AC powered motors and accessories / attachments Class II : 21 CFR 878.4820 Tier 1 Procode 87HWE

Arthroscopes and accessories

Class II ; 21CFR 888.1100 Tier 2 Procode 87HRX

6.0 Device Description

The XPS System remains essentially the same as originally described in K963246. There is a Power Control Unit, a footswitch, reusable handpieces and various interchangeable, disposable burs and blades. The system can operate one or two handpieces (one at a time) with suction and irrigation, depending on the handpiece. Xomed now proposes to market the XPS System for the same intended use in orthopedic surgery, including spinal and small and large joint procedures. In order to best meet the needs of the orthopedic surgeons, we have added to the original system, a larger handpiece and additional blades and burs. Other than the larger motor with additional speed and torque, the principle of operation and Power Control Unit remain essentially the same as described in K963246.

64

1

7.0 Intended Use

The Xomed XPS StraightShot Microdebrider System is intended for the cutting and removal of soft and hard tissue or bone in otorhinolaryngology, head and neck, and orthopedic surgery. Orthopedic use is now added to the original intended use for otorhinolaryngology and head and neck surgery.

It is indicated for use in orthopedic surgical procedures where the cutting and removal of soft and hard tissue or bone is needed. These include spinal and small and large joint arthroscopic procedures.

8.0 Substantial Equivalence

All of the predicate devices (Linvatec Apex, Stryker SE5, S&N Dyonics PS3500EP, S&N Dyonics Arthroscopic MicroDiscectomy (AMD) System, Sofamor Danek Tissue Resecting System) have similar designs with equivalent characteristics. Most importantly all of the predicate devices are marketed for arthroscopic orthopedic uses. Information on labeling of the predicate devices was included.

2

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle or bird symbol in black, with three curved lines forming its body and wings. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" is arranged in a circular fashion around the bird symbol.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JAN 3 0 1998

Mr. David Timlin Manager, Regulatory Affairs Xomed, Incorporated 6743 Southpoint Drive, North Jacksonville, Florida 32216-0980

K973499 Re:

Trade Name: XPS StraightShot Microdebrider System or TreBay Shaver System Regulatory Class: II Product Code: HRX Dated: December 1, 1997 Received: December 2, 1997 ..

Dear Mr. Timlin:

We have reviewed your Section 510(k) notification of intent to market the devices referenced above and we have determined the devices are 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 devices, 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 devices are classified (see above) into either class II (Special Controls) or class III (Premarket Approval), they may be subject to such additional controls. Existing major regulations affecting your devices 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 requirements , 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. In addition, FDA may publish further announcements concerning your devices in the Federal Register. Please note: this response to your premarket notification submissions does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

3

Page 2 - Mr. Timlin

This letter will allow you to begin marketing your devices as described in your 510(k) premarket notification. The FDA finding of substantial equivalence of your devices to a legally marketed predicate device results in a classification for your devices and thus, permits your devices to proceed to the market.

If you desire specific advice for your devices 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) 594-4595. Additionally, for questions on the promotion and advertising of your devices, 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,

Celia M. Witten, Ph.D., M.D.

Director Division of General and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

K973499 510(k) Number (if known): ____________________________________________________________________________________________________________________________________________________

Device Name: XPS StraightShot Microdebrider System

Indications for Use:

The Xomed XPS StraightShot Microdebrider System is intended for the cutting and removal of soft and hard tissue or bone in otorhinolaryngology, head and neck, and orthopedic surgery.

It is indicated for use in orthopedic surgical procedures where the cutting and removal of soft and hard tissue or bone is needed. These include spinal and small and large joint arthroscopic procedures.

(Please do not write below this line - continue on another page if needed)

Concurrence of CDRH, Office of Device Evaluation (ODE)

(Division Sign-Off)
Division of General Restorative Devices
510(k) Number K973499
Or Over-the-Counter Use

Prescription Use (Per 21 CFR 801.109)

(Optional Format 1-2-96)

revised 3/97