K Number
K974769
Device Name
COSGROVE CLAMP
Date Cleared
1998-06-12

(172 days)

Product Code
Regulation Number
870.4450
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Used to occlude a blood vessel temporarily. Used in pulmonary and gastrointestinal procedures and can be used to clamp over indwelling catheters. Also used in minimally invasive and standard open cardiovascular procedures for temporary occlusion of a blood vessel.
Device Description
The Allegiance Cosgrove™ Clamp is a reusable device which features a stainless steel handle, flexible shaft and jaws. The Cosgrove™ Clamp is designed to be used with a variety of inserts which gently surround blood vessels and offer differing degrees of atraumatic occlusion. Following the clamping of the blood vessel, the shaft of the device can be bent out of the way to enhance visualization of and access to the operative field.
More Information

Not Found

No
The device description and intended use describe a mechanical surgical clamp with no mention of AI or ML capabilities. The "Mentions AI, DNN, or ML" field is explicitly marked as "Not Found".

No.
The device is used to temporarily occlude blood vessels during surgical procedures, which is a supportive function rather than a therapeutic one like treating a disease or condition. It facilitates a medical procedure rather than directly providing therapy.

No
The device is described as a surgical clamp used to temporarily occlude blood vessels during procedures, which is a therapeutic rather than diagnostic function.

No

The device description clearly states it is a reusable device with a stainless steel handle, flexible shaft, and jaws, indicating it is a physical hardware device.

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 used to "occlude a blood vessel temporarily" during surgical procedures. This is a direct intervention on the patient's body, not a test performed on a sample taken from the body.
  • Device Description: The description details a surgical clamp used to physically manipulate blood vessels. This aligns with a surgical instrument, not a diagnostic device.
  • Lack of IVD Characteristics: There is no mention of analyzing samples (blood, tissue, etc.), detecting analytes, or providing diagnostic information about a patient's condition.

IVD devices are used to examine specimens derived from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening. This device is a surgical tool used during a procedure on the patient.

N/A

Intended Use / Indications for Use

The Allegiance Cosgrove™ Clamp is intended to be used for the temporary occlusion of blood vessels and other delicate vessels during surgery. Surgical applications include pulmonary and gastrointestinal procedures, peripheral clamping, minimally invasive and standard open cardiovascular and cardiothoracic procedures such as occlusion of the aorta and vena cava, cross-clamping of the aorta, etc.

Used to occlude a blood vessel temporarily. Used in pulmonary and gastrointestinal procedures and can be used to clamp over indwelling catheters. Also used in minimally invasive and standard open cardiovascular procedures for temporary occlusion of a blood vessel.

Product codes

DXC

Device Description

The Allegiance Cosgrove™ Clamp is a reusable device which features a stainless steel handle, flexible shaft and jaws. The Cosgrove™ Clamp is designed to be used with a variety of inserts which gently surround blood vessels and offer differing degrees of atraumatic occlusion. Following the clamping of the blood vessel, the shaft of the device can be bent out of the way to enhance visualization of and access to the operative field.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

blood vessels and other delicate vessels

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)

All materials used in the composition of the Cosgrove™ Clamp were subjected to performance and physical tests to evaluate the safety, effectiveness and reliability of the device. All test results were acceptable.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K951413

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 870.4450 Vascular clamp.

(a)
Identification. A vascular clamp is a surgical instrument used to occlude a blood vessel temporarily.(b)
Classification. Class II (performance standards).

0

Ka74769

Image /page/0/Picture/1 description: The image shows the word "Allegiance" in a bold, stylized font. To the left of the word is a symbol resembling a plus sign, but it is made up of many small squares. The word "Allegiance" is written in a slightly slanted, cursive-like style, with the letters connected to each other. The overall impression is that of a logo or brand name.

Allegiance Healthcare corporation

JUN 1 2 1998

1500 Waukegan Road McGaw Park, IL 60085 847 473 1500 FAX: 847.785.2461

SUMMARY OF SAFETY AND EFFECTIVENESS Appendix F

Manufacturer:

Allegiance Healthcare Corporation V. Mueller Business Unit 1435 Lake Cook Road Deerfield, IL 60015

Patricia Sharpe-Gregg 1500 Waukegan Road McGaw Park, Illinois 60085

(847) 578-3636

December 19, 1997

Cosgrove™ Clamp

Vascular Clamp

Vascular Clamp

Allegiance Fogarty-Hydragrip® Surgical Clamp

The Allegiance Cosgrove™ Clamp is a reusable device which features a stainless steel handle, flexible shaft and jaws. The Cosgrove™ Clamp is designed to be used with a variety of inserts which gently surround blood vessels and offer differing degrees of atraumatic occlusion. Following the clamping of the blood vessel, the shaft of the device can be bent out of the way to enhance visualization of and access to the operative field.

Telephone:

Date Summary Prepared:

Regulatory Affairs Contact

Product Trade Name:

Common Name: 游--

Classification:

Predicate Device: (K951413)

Description:

1

The Allegiance Cosgrove™ Clamp is intended Intended Use: to be used for the temporary occlusion of blood vessels and other delicate vessels during surgerv. Surqical applications include pulmonary and gastrointestinal procedures, peripheral clamping, minimally invasive and standard open cardiovascular and cardiothoracic procedures such as occlusion of the aorta and vena cava, cross-clamping of the aorta, etc. Substantial Equivalence: The Allegiance Cosgrove™ Clamp is substantially equivalent to the Fogarty-Hydragrip® Surgical Clamps and the Applied Vascular Atraumax™ Surgical Clamps in that: Intended use is the same ● Performance attributes are the same ● Atraumatic Jaw design characteristic is the . same Summary of Testing: All materials used in the composition of the Cosgrove™ Clamp were subjected to performance and physical tests to evaluate the safety, effectiveness and reliability of the device. All test results were acceptable.

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 caduceus symbol, which is a staff with two snakes entwined around it. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" are arranged in a circular pattern around the symbol.

Public Health Service

JUN 1 2 1998

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Ms. Patricia Sharpe-Gregg Manager, Regulatory Affairs Allegiance Healthcare Corporation 1500 Waukeqan Road, Bldg. MPWM McGaw Park, IL 60085

Re: K974769 Trade Name: Cosgrove Clamp Requlatory Class: II Product Code: DXC Dated: May 30, 1998 Received: June 14, 1998

Dear Ms. Sharpe-Gregg:

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 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). 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 Requlations, 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 Requlation (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 requlatory action. In addition, FDA may publish further announcements concerning your device in the Federal Reqister. Please note: this response to your premarket notification submission does not affect any

3

Page 2 - Ms. Sharpe-Gregg

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.

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 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) 594-4618. 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" (21CFR 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/dsma/dsmamain.html".

Sincerely yours,

Thomas J. Callahan

Thomas J. Callahan, Ph.D. Division of Cardiovascular, Respiratory and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

Image /page/4/Picture/0 description: The image shows the word "Allegiance" in a bold, sans-serif font. To the left of the word is a square made up of many small circles. The circles are arranged in a grid pattern, and the square is slightly tilted.

Allegiance Healthcare Corporation 1500 Waukegan Road McGaw Park, Illinois 60085 USA 847-473-1500 FAX: 847-785-2461

510(k) Notification Cosgrove™ Clamp V. Mueller Business Unit Page 1 of 1

510(k) Number (if known):

Unknown

Device Name:

Indications For Use:

Used to occlude a blood vessel temporarily. Used in pulmonary and gastrointestinal procedures and can be used to clamp over indwelling catheters. Also used in minimally invasive and standard open cardiovascular procedures for temporary occlusion of a blood vessel.

Allegiance Cosgrove™ Clamp

Tatt

(Division Sign-Off) Division of Cardiovascular, Respira and Neurological Devices 510(k) Number

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use (Per 21 CFR 801.109)

or

Over-The Counter Use _________________________________________________________________________________________________________________________________________________________