K Number
K974007
Device Name
SHAH PERMAVENT
Date Cleared
1997-12-12

(52 days)

Product Code
Regulation Number
874.3880
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
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.
Device Description
A middle ear ventilation tube, fabricated in silicone rubber and featuring a single, circular, bevelled flange.
More Information

24-0012, 54-0002, 24-0026, 24-0026, 10-25025

Not Found

No
The device description is purely mechanical and there is no mention of AI/ML terms, image processing, or data-driven performance metrics.

Yes
The device is intended for the long-term ventilation of the middle ear cleft to treat conditions like otitis media with effusion, which is a therapeutic intervention.

No
Explanation: The device is a middle ear ventilation tube used for treating conditions like otitis media with effusion, not for diagnosing them. It is a therapeutic device designed for ventilation rather than diagnosis.

No

The device description explicitly states it is a "middle ear ventilation tube, fabricated in silicone rubber," which is a physical hardware component.

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

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to examine specimens taken from the human body (like blood, urine, or tissue) to provide information about a person's health.
  • Device Description and Intended Use: The description clearly states this is a "middle ear ventilation tube" used for "ventilation of the middle ear cleft" in the treatment of conditions like "otitis media with effusion" and "eustachian tube dysfunction." This is a device that is surgically implanted or placed within the body to perform a physical function.
  • Lack of Specimen Analysis: There is no mention of this device being used to analyze any biological specimens. Its function is mechanical ventilation.

Therefore, this device falls under the category of a surgical or implantable medical device, not an In Vitro Diagnostic.

N/A

Intended Use / Indications for Use

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.

Product codes

77 ETD

Device Description

A middle ear ventilation tube, fabricated in silicone rubber and featuring a single, circular, bevelled flange.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

middle ear cleft

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

Not Found

Key Metrics

Not Found

Predicate Device(s)

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

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 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.

0

K974007

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

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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.

1

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

2

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)/