K Number
K981045
Device Name
EXMOOR TEFLON LOOP REPLACEMENT PROSTHESIS
Date Cleared
1998-05-20

(61 days)

Product Code
Regulation Number
874.3450
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
This prosthesis can be used to reconstruct an absent or defective stapes and incus.
Device Description
The Exmoor Teflon Loop will be offered in two sizes. Each comprises one element, the shaft of which is 6.0mm long and is either 0.4mm or 0.6mm in diameter. The loop has an internal dimension of 0.7mm to fit the malleus for the replacement of the stapes and the incus. Secure closure is provided by "plastic memory". The outside diameter of the loop is either 1.5mm or 1.9mm.
More Information

Not Found

No
The device description focuses on the physical characteristics and materials of a surgical prosthesis, with no mention of software, algorithms, or data processing that would indicate AI/ML.

Yes
This device is a prosthesis designed to reconstruct absent or defective stapes and incus, which directly treats a medical condition.

No
The device is a prosthesis intended for reconstruction, not for diagnosis. It replaces absent or defective anatomical structures rather than identifying or characterizing a medical condition.

No

The device description clearly describes a physical prosthesis made of Teflon with specific dimensions, indicating it is a hardware device, 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 to "reconstruct an absent or defective stapes and incus." This describes a surgical implant used within the body to replace or repair anatomical structures.
  • Device Description: The description details a physical prosthesis designed for surgical implantation in the ear.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens derived from the human body (like blood, urine, tissue, etc.) to provide information for diagnosis, monitoring, or screening.

IVD devices are used in vitro (outside the body) to analyze biological samples. This device is clearly intended for in vivo (within the body) use as a surgical implant.

N/A

Intended Use / Indications for Use

This prosthesis can be used to reconstruct defects of the stapes and the incus.
This prosthesis can be used to reconstruct an absent or defective stapes and incus.

Product codes

77 ETB

Device Description

The Exmoor Teflon Loop will be offered in two sizes. Each comprises one element, the shaft of which is 6.0mm long and is either 0.4mm or 0.6mm in diameter. The loop has an internal dimension of 0.7mm to fit the malleus for the replacement of the stapes and the incus. Secure closure is provided by "plastic memory". The outside diameter of the loop is either 1.5mm or 1.9mm.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

stapes and the incus

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)

a. Causse Tef-Piston - Xomed Treace, b. Cause Tef-Piston Large Loop - Xomed Treace, c. Shea Malleus Teflon Piston - Richards, d. Causse Modified Teflon Piston - Richards

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 874.3450 Partial ossicular replacement prosthesis.

(a)
Identification. A partial ossicular replacement prosthesis is a device intended to be implanted for the functional reconstruction of segments of the ossicular chain and facilitates the conduction of sound wave from the tympanic membrane to the inner ear. The device is made of materials such as stainless steel, tantalum, polytetrafluoroethylene, polyethylene, polytetrafluoroethylene with carbon fibers composite, absorbable gelatin material, porous polyethylene, or from a combination of these materials.(b)
Classification. Class II.

0

K981045

MAY 2 0 1998

ﺴﺘﺎﻧﻴﺎ ﺍﻟ

Image /page/0/Picture/2 description: The image contains the text "MB/PAS/DMR/1/C/20" on the left side. On the right side, there is some faded text that appears to be a date or time stamp. The numbers "90 15 18" are visible in the timestamp. The image quality is poor, and the text is not very clear.

Attachm

011073007102

Contact: Margaret Blackmore

10 March 1998

SUMMARY OF SAFETY AND EFFECTIVENESS

Trade Name:Exmoor Teflon Loop Replacement Prosthesis
Common Name:Teflon Loop
Classification Name:Prosthesis, Ear, Internal
Predicate Devices:a. Causse Tef-Piston - Xomed Treace
b. Cause Tef-Piston Large Loop - Xomed Treace
c. Shea Malleus Teflon Piston - Richards
d. Causse Modified Teflon Piston - Richards
Description of Device:The Exmoor Teflon Loop will be offered in two
sizes. Each comprises one element, the shaft of
which is 6.0mm long and is either 0.4mm or 0.6mm
in diameter. The loop has an internal dimension of
0.7mm to fit the malleus for the replacement of the
stapes and the incus. Secure closure is provided
by "plastic memory". The outside diameter of the
loop is either 1.5mm or 1.9mm.
Intended Use:This prosthesis can be used to reconstruct defects
of the stapes and the incus.
Comparison with Predicate
Devices:The Exmoor Teflon Loop is made of exactly the
same material as all four of the predicate devices
and is intended to perform exactly the same
function.

1

Image /page/1/Picture/0 description: The image is a black and white logo for the U.S. Department of Health & Human Services. The logo features a stylized image of three human profiles facing right, stacked on top of each other. The profiles are connected by a flowing line that resembles a ribbon or wave. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" is arranged in a circular pattern around the image.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

MAY 2 0 1998

Margaret Blackmore Regulatory Affairs Exmoor Plastics, Inc. Lisieux Way Taunton, TA1 2LB United Kingdom

Re:

K981045

Teflon Loop Replacement Prosthesis Dated: March 12, 1998 Received: March 20, 1998 Regulatory Class: II 21 CFR 874.3450/Procode: 77 ETB

Dear Ms. Blackmore:

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 (OS) 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.

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 vitto diagnostic devices), please contact the Office of Compliance at (301) 594-4613. Additionally, for question 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/cdrb/dsmaldsmam.html".

Sincerely yours,

Lillian Yi, Ph.D.

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

510(k) Number (if known): KAX | UYS

EXMOOR TEFLON LOOP REPLACEMENT PROSTHESIS Device Name:__________________________________________________________________________________________________________________________________________________________________

Indications for Use:

This prosthesis can be used to reconstruct an absent or defective stapes and incus.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Daniel h. Skjerm

(Division Sign-Off) Division of Reproductive, Abdominal, EN and Radiological Devic

Prescription Use (Per 21 CFR 801.109)

OR

510(k) Number .

Over-The-Counter Use _________________________________________________________________________________________________________________________________________________________

(Optional Format 1-2-96)