K Number
K982599
Device Name
THE FREMSTAD RING
Date Cleared
1999-02-16

(204 days)

Product Code
Regulation Number
886.4790
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Ophthalmic sponge, used to absorb fluids from the surgical area during ophthalmic procedures, not intended to contact the cornea.
Device Description
The Ophthalmic Solutions, LLC, The Fremstad Ring™ is used as a sponge. The device material consists of cellulosic and synthetic fibers. 14mm diameter, round, inner diameter 11mm, thickness 0.1 mm.
More Information

Not Found

Not Found

No
The device is a simple ophthalmic sponge with no mention of any computational or analytical capabilities.

No
The device is described as an ophthalmic sponge used to absorb fluids during surgical procedures, which is a supportive function and does not directly treat or prevent a medical condition.

No

Explanation: The device is an ophthalmic sponge used to absorb fluids during surgical procedures. Its purpose is to assist in surgery, not to diagnose medical conditions or provide diagnostic information. The performance studies listed are for biocompatibility, not diagnostic accuracy.

No

The device is a physical ophthalmic sponge made of cellulosic and synthetic fibers, 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 "absorb fluids from the surgical area during ophthalmic procedures." This is a physical function performed in vivo (on a living organism) during surgery.
  • Device Description: The description details a physical sponge made of fibers, designed for absorption.
  • Lack of IVD Characteristics: IVD devices are used to examine specimens (like blood, urine, tissue) in vitro (outside the body) to provide information about a patient's health status, diagnose conditions, or monitor treatment. This device does not perform any such analysis or testing of biological samples.
  • Anatomical Site: The device is used directly on the "Ophthalmic" anatomical site during a procedure.

Therefore, this device is a surgical accessory used during ophthalmic procedures, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

For use as an ophthalmic sponge, used to absorb fluids from the surgical area during ophthalmic procedures, not intended to contact the cornea.

Product codes

HOZ

Device Description

The Ophthalmic Solutions, LLC, The Fremstad Ring™ is used as a sponge. The device material consists of cellulosic and synthetic fibers. 14mm diameter, round, inner diameter 11mm, thickness 0.1 mm.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

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)

Not Found

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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.

0

3/16/99

K982599

Premarket Notification [510(k)] Summary

Submitter: Ophthalmic Solutions, LLC 2179 Northlake Parkway Building 5, Suite 115 Tucker, Georgia 30084 Telephone: (770) 939-9040 Fax: (770) 934-4084

Official Correspondent: Daria Ann Fremstad

Trade Name: Ophthalmic Solutions, LLC, The Fremstad Ring™

Common Name: Sponge, Ophthalmic

Registration Number: We have registered but have not received our application back as of this date.

Class: Class II

Class Name: 886.4790

Panel: Ophthalmic

Product Code: HOZ

1

Device Description: The Ophthalmic Solutions, LLC, The Fremstad Ring™ is used as a sponge. The device material consists of cellulosic and synthetic fibers. 14mm diameter, round, inner diameter 11mm, thickness 0.1 mm.

Statement of indications for use. - For use as an ophthalmic sponge, used to absorb fluids from the surgical area during ophthalmic procedures, not intended to contact the cornea.

Substantial Equivalence Comparison
Ophthalmic
Solutions, LLCVisi-Spear Eyc
Sponge by VisitecCellulose Surgical
Spear Distributed
by Akorn
SterileXXX
Material Cellulosic
and Synthetic FibersX
Material CelluloseXX
Sterilization ETOX
SpongeXXX

atial Paulvalènce Com

Sterility

The Device will be ETO Sterilized.

The method used to validate the sterilization cycle is ANSI/AAMI Overkill, ISO 11135-1994.

Packaging material: Tyvek Pouch with a Polymylar Sheath.

The SAL is 10 to the -6.

2

Biocompatibility:

Test Facility:

North American Science Associates. Inc. 2261 Tracy Road Coad Commend College Northwood, OH 43619-1397

Study Title:

  1. Cytotoxicity Study- Using The ISO Elution Method:

Test Article: Fremstad Ring™ Identification No: Lot 1000

Conclusion: Under the conditions of this study, the MEM test extracts showed no evidence of causing cell lysis or toxicity. The MEM test extracts were not cytotoxic and met the requirements of the test. The negative controls, reagent controls, and the positive controls performed as anticipated.

Study Title:

  1. ISO Ocular Irritation Study In The Rabbit: (Single Exposure)

Test Article: Fremstad RingTM Identification No: Lot 1000

Conclusion: Under the conditions of this study, the SC and CSO test article extracts would not be considered irritants to the ocular tissue of the rabbit.

Study Title:

  1. ISO Sensitization Study in the Guinea Pig (Maximization Method)

Test Article: Fremstad Ring TM Identification No: Lot 1000

Conclusion: Under the conditions of this study, the SC and CSO test article extracts showed no evidence of causing delayed dermal contact sensitization in Carlos and Children Children Children the guinea pig. In

3

Image /page/3/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 coiled around it. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the caduceus symbol. The logo is black and white.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

FEB 1 6 1999

Ms. Daria Ann Fremstad Official Correspondent Ophthalmic Solutions, LLC 2179 Northlake Parkway Building 5, Suite 115 Tucker, GA 30084

Re: K982599 Trade Name: The Fremstad Ring™ Regulatory Class: II Product Code: HOZ Dated: January 27, 1999

Received: January 29, 1999

Dear Ms. Fremstad:

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 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 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 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.

4

Page 2 - Ms. Daria Ann Fremstad

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) 594-4613. 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. Ralph Rosenthal

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

Enclosure

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Page_ 1 of_1

510(k) Number (if known): K982599

Device Name: The Fremstad Ring™

Indications For Use: Ophthalmic sponge, used to absorb fluids from the surgical area during ophthalmic procedures, not intended to contact the cornea.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Kavin F. Walbank

(Division Sign-Off)
Division of Ophthalmic Devices
510(k) Number K982599

$\mathcal{JS}$

Prescription Use_ X (Per 21 CFR 801.109) OR

Over-The-Counter Use__________________________________________________________________________________________________________________________________________________________

(Optional Format 1-2-96)