K Number
K974313
Device Name
HYDROFERA SURGICAL SPEAR
Manufacturer
Date Cleared
1998-03-02

(105 days)

Product Code
Regulation Number
886.4790
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Hydrofera TM ophthalmic sponges are intended as external wicking device for use in local management of fluids during cataract surgery.
Device Description
Ophthalmic Sponge
More Information

Not Found

Not Found

No
The summary describes a simple ophthalmic sponge for fluid management and contains no mention of AI, ML, or related concepts like image processing or performance metrics associated with algorithmic analysis.

No
The device is described as an external wicking device for fluid management during surgery, which is a supportive function and not directly therapeutic in the sense of treating a disease or condition.

No
The device is described as an "external wicking device for use in local management of fluids during cataract surgery," which indicates a therapeutic or procedural function rather than a diagnostic one.

No

The device description clearly states it is an "Ophthalmic Sponge," which is a physical, hardware component, 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 "as external wicking device for use in local management of fluids during cataract surgery." This describes a device used during a surgical procedure on a patient's eye, not a device used to test samples outside the body to diagnose or monitor a condition.
  • Device Description: "Ophthalmic Sponge" further supports its use in a surgical setting.
  • Lack of IVD Characteristics: The description does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing biological samples (blood, urine, tissue, etc.)
    • Detecting or measuring substances in samples
    • Providing information for diagnosis, monitoring, or screening

IVDs are devices used to perform tests on samples taken from the human body to provide information about a person's health. This device's function is purely mechanical and procedural, managing fluids during surgery.

N/A

Intended Use / Indications for Use

Hydrofera TM ophthalmic sponges are intended as external wicking device for use in local management of fluids during cataract surgery.

Product codes

86 HOZ

Device Description

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Mentions image processing

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Mentions AI, DNN, or ML

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Input Imaging Modality

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Anatomical Site

Not Found

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.

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

§ 886.4790 Ophthalmic sponge.

(a)
Identification. An ophthalmic sponge is a device that is an absorbant sponge, pad, or spear made of folded gauze, cotton, cellulose, or other material intended to absorb fluids from the operative field in ophthalmic surgery.(b)
Classification. Class II (special controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 886.9.

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Image /page/0/Picture/2 description: The image is a black and white seal for the Department of Health & Human Services - USA. The seal is circular with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. In the center of the seal is a stylized image of three human profiles facing right, with flowing lines beneath them.

Food and Drug Administration 9200 Corporate Boulevard MAR - 2 1998 Rockville MD 20850

Ms. Heather S. Bond Director Polymer Technology Hydrofera LLC 322 Main Street Willimantic CT 06226

Re: K974313 Trade Name: Hydrofera Surgical Spear Regulatory Class: II Product Code: 86 HOZ Dated: December 19, 1997 Received: January 2, 1998

Dear Ms. Bond:

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 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 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 (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 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. 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 submission 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.

1

Page 2 - Ms. Heather Bond

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,

A. Raerl. Rosenthal

A. Ralph Rosenthal, M.D. Director Division of Ophthalmic Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

2

510(k) Number (if known): K974313
Device Name: Ophthalmic Sponge
Indications For Use:
Hydrofera
TM
ophthalmic sponges are intended as
external wicking device for use in local management
of fluids during cataract surgery.

(PLEASE DO NOT WRIDE BELOW THIS LINE-COMPLINE ON AMOTHER PAGE IF NERDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

mue Chuer S

(Division Sign-Off)

Division of Ophthalmic Devices

510(k) Number K974313

OR

Prescription Use

(Per 21 CFR 801.109)

Over-The-Counter Us

(Optional Format 1-2.96)