(52 days)
In the treatment of:
- otitis media with effusion (glue ear)
- eustachian tube dysfunction
- other condition requiring ventilation of the middle ear cleft, e.g. retraction pockets in the tympanic membrane, adhesive otitis media, where long-term ventilation is indicated.
A middle ear ventilation tube, fabricated in silicone rubber and featuring a single, circular, bevelled flange.
I am sorry, but the provided text does not contain the detailed information necessary to complete the acceptance criteria table and the study description as requested. The document is a 510(k) Pre-Market Notification Summary for a medical device (Shah Permavent Tympanostomy Tube) and an FDA clearance letter.
While it specifies the device's intended use and compares it to predicate devices, it does not include any performance data, acceptance criteria, details of a study with sample sizes, ground truth establishment, or expert involvement. The document focuses on regulatory equivalence rather than a clinical or performance study report.
Therefore, I cannot extract the following information from the provided text:
- A table of acceptance criteria and reported device performance.
- Sample size for the test set or data provenance.
- Number of experts or their qualifications for ground truth.
- Adjudication method for the test set.
- Information on a multi-reader multi-case (MRMC) comparative effectiveness study.
- Whether a standalone (algorithm only) performance study was done.
- The type of ground truth used.
- Sample size for the training set.
- How ground truth for the training set was established.
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Image /page/0/Picture/2 description: The image contains two logos. The logo on the left is a seal that says "Quality Assured Firm ISO 9001." The logo on the right has a crown on top of a check mark inside of a square. There is some illegible text below the check mark.
Image /page/0/Picture/3 description: The image shows the logo for Exmoor Plastics. On the left side of the logo is a drawing of a deer head with large antlers. To the right of the deer head is the company name, with "Exmoor" on the top line and "Plastics" on the bottom line. The text is in a bold, sans-serif font.
ﺃﺷﺨﺎ
ﻧﻴﺔ ﺍﻟﻤﺘﺤﺪﺓ
Your Ref:
Our Ref:
MB/PAS/A.8756100
Contact: Margaret Blackmore
14 October 1997
510K Pre-Market Notification Summary
Trade Name:
Common Name:
Classification Name:
Predicate Devices:
Description of Device:
Intended Use:
Comparison with Predicate Devices:
Shah Permavent
Permavent
Tympanostomy Tube
Richards Shah Perma-vent Tube, Cat. No. 24-0012 54-0002 24-0026 Richards Per-Lee Drain Tube, Cat. No. 24-0026
Xomed-Treace Per-Lee Vent Tube, Cat. No. 10-25025
A middle ear ventilation tube, fabricated in silicone rubber and featuring a single, circular, bevelled flange.
The device is intended to ventilate the middle ear cleft.
The Richards Shah Permavent Ventilation Tube has very similar form, except for the mesh a reinforcement of the flange. Its fit and function are exactly similar.
The Richards, Per-Lee drain tube has an exactly similar fit and function. The form is very similar but is larger overall.
The Xomed-Treace, Per-Lee vent tube is exactly similar in all respects to the Richards version.
noor Plastics Ltd., Lisieux Way, Taunton, TA1 2LB, U.K.
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Image /page/1/Picture/0 description: The image shows the seal of the Department of Health and Human Services (DHHS). The seal features the words "OF HEALTH & HUMAN SERVICES - USA" arranged in a semi-circle around a stylized eagle-like symbol. The symbol consists of three curved lines that resemble the wings of a bird, with a wavy line below them.
DEPARTMENT OF HEALTH & HUMAN SERVICES
Re:
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
DEC I 2 1997
Margaret Blackmore Regulatory Affairs Exmoor Plastics Ltd. Lisieux Way Tauton, TA1 2LB, U.K.
1974007 K973273 Exmoor Shah Permavent Tympanostomy Tube Dated: October 14, 1997 Received: October 21, 1997 Regulatory class: II 21 CFR 874.3880/Procode: 77 ETD
Dear Ms. Blackmore:
We have reviewed your Section 5100k) 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, which 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 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 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 Pederal Register. Please note: this response to your premarket notification does not affect any obligation you might have under sections 531 the Act for devices under the Electronic Product 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 predication 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 vite diagnostic devices), please contact the Office of Compliance at (301) 594-4613. Additionally, for questions 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.
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
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A STATE STATE FOR FORMATION FOR
510(k) Number (if known): كاك14 6974 ك
Device Name:_
SHAH PERMAVENT
Indications for Use:
In the treatment of:
- otitis media with effusion (glue ear) 1.
- eustachian tube dysfunction 2.
- other condition requiring ventilation of the middle 3. ear cleft, e.g. retraction pockets in the tympanic membrane, adhesive otitis media, where long-term ventilation is indicated.
(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
David le. Seymm
Division Sign-Off) sion of Reproductive, Abdominal
510(k) Number R911807
Prescription Use
(Per 21 CFR 801.109)
OR
Over-The-Counter Use_
(Optional Format 1-2-96)/
§ 874.3880 Tympanostomy tube.
(a)
Identification. A tympanostomy tube is a device that is intended to be implanted for ventilation or drainage of the middle ear. The device is inserted through the tympanic membrane to permit a free exchange of air between the outer ear and middle ear. A type of tympanostomy tube known as the malleous clip tube attaches to the malleous to provide middle ear ventilation. The device is made of materials such as polytetrafluoroethylene, polyethylene, silicon elastomer, or porous polyethylene.(b)
Classification. Class II.