K Number
K983199
Device Name
FIBRA SONICS ULTRASONIC SURGICAL ASPIRATOR SYSTEM, MODEL 1000 CONSOLE MODEL
Manufacturer
Date Cleared
1998-12-14

(91 days)

Product Code
Regulation Number
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Fibra Sonics Ultrasonic Surgical Aspirator System has been designed or use in the The Flora Somes Offication and aspiration of soft tissues as used in the following surgical areas: NEUROSURGERY For the ablation and aspiration of various intracranial and spinal cord soft tissue tumors, which may include but are not necessarily limited to the following: Astrocytoma Pituitary adeonoma Acoustic neuroma Meningioma Glioma Brain stem tumors Spinal cord tumors. GASTROENTEROLOGY Various Gastroenterological and General surgery procedures along the GI tract , which may include, but are not necessarily limited to the following: Hepatic resection Liver trauma Hepatic cysts Colon cancer Rectal Tumor Bowel tumor Retropertioneal turnor ORTHOPEDICS Various orthopedic procedures which may include, but are not necessarily limited to the following: Discectomy
Device Description
Fibra Sonics Ultrasonic Surgical Aspirator Model 1000
More Information

Not Found

Not Found

No
The document does not mention AI, ML, or any related concepts in the device description, intended use, or performance studies sections.

Yes
The device is identified as a "Surgical Aspirator System" used for the "ablation and aspiration of soft tissues" in various surgical procedures, which are therapeutic interventions.

No
Explanation: The device is described as an "Ultrasonic Surgical Aspirator System" used for the "ablation and aspiration of soft tissues" in various surgical areas. Its function is to remove tissue during surgery, not to diagnose conditions.

No

The device is described as an "Ultrasonic Surgical Aspirator System" and "Model 1000," which strongly implies a physical hardware device used in surgical procedures, not a software-only application.

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

Here's why:

  • Intended Use: The intended use describes the device as being used for the "ablation and aspiration of soft tissues" during surgical procedures. This is a direct surgical intervention on the patient's body.
  • IVD Definition: In Vitro Diagnostics are devices used to examine specimens (like blood, urine, or tissue samples) taken from the human body to provide information about a person's health. They are used outside of the body (in vitro).

This device is used within the body during surgery, making it a surgical device, not an IVD.

N/A

Intended Use / Indications for Use

The Fibra Sonics Ultrasonic Surgical Aspirator System has been designed or use in the The Flora Somes Offication and aspiration of soft tissues as used in the following surgical areas: NEUROSURGERY For the ablation and aspiration of various intracranial and spinal cord soft tissue tumors, which may include but are not necessarily limited to the following: Astrocytoma Pituitary adeonoma Acoustic neuroma Meningioma Glioma Brain stem tumors Spinal cord tumors. GASTROENTEROLOGY Various Gastroenterological and General surgery procedures along the GI tract , which may include, but are not necessarily limited to the following: Hepatic resection Liver trauma Hepatic cysts Colon cancer Rectal Tumor Bowel tumor Retropertioneal turnor ORTHOPEDICS Various orthopedic procedures which may include, but are not necessarily limited to the following: Discectomy

Product codes

LFL

Device Description

Not Found

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

soft tissues, intracranial, spinal cord, GI tract

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

N/A

0

Image /page/0/Picture/2 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is a stylized image of a caduceus, a symbol often associated with healthcare, featuring a staff with a serpent entwined around it.

DEC | 4 1998

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mr. Robert Brohm Director of Quality Systems and Regulatory Affairs Fibra-Sonics, Incorporated 5312 North Elston Avenue Chicago, Illinois 60630

K983199 Re: Trade Name: Fibrasonics Ultrasonic Surgical Aspirator System Model 1000 Regulatory Class: II Product Code: LFL Dated: September 11, 1998 Received: September 14, 1998

Dear Mr. Brohm:

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 requirement, 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.

1

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) 594-4595. 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,

Celia M. Witten, Ph.D., M.D. Director Division of General and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

2

510 (k) Number K983199

Device Name: Fibra Sonics Ultrasonic Surgical Aspirator Model 1000

Indications For Use:

The Fibra Sonics Ultrasonic Surgical Aspirator System has been designed or use in the The Flora Somes Offication and aspiration of soft tissues as used in the following surgical areas:

NEUROSURGERY

For the ablation and aspiration of various intracranial and spinal cord soft tissue tumors, which may include but are not necessarily limited to the following:

Astrocytoma Pituitary adeonoma Acoustic neuroma Meningioma Glioma Brain stem tumors Spinal cord tumors.

Indications for use continued on next page.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

bcoolefo

(Division Sign-Off)
Division of General Restorative Devices
510(k) Number K983199

Image /page/2/Picture/15 description: The image shows the words "Prescription Use" and the phrase "(Per 21 CFR 801.109)" in a bold, sans-serif font. There is a large check mark to the right of the text. The text is left-aligned and the check mark is slightly offset to the right.

or

Over-The-Counter Use (Optional Format 1-2-96)

response Indicafor use statement.doc

3

510 (k) Number K983199

Device Name: Fibra Sonics Ultrasonic Surgical Aspirator Model 1000

Indications For Use Statement Continued:

GASTROENTEROLOGY

Various Gastroenterological and General surgery procedures along the GI tract , which may include, but are not necessarily limited to the following:

Hepatic resection Liver trauma Hepatic cysts Colon cancer Rectal Tumor Bowel tumor Retropertioneal turnor

ORTHOPEDICS

Various orthopedic procedures which may include, but are not necessarily limited to the following:

Discectomy

bessett

on Sign-Off

Prescription Use
(Per 21 CFR 801.109)