K Number
K983878
Device Name
CZAJA-MCCAFFREY RIGID STENT INTRODUCER/ENDOSCOPE
Date Cleared
1999-01-29

(88 days)

Product Code
Regulation Number
874.4680
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
A Rigid Stent Introducer/Endoscope is a device used by a physician to insert Tracheal Stents.
Device Description
Rigid Stent Introducer / Endose.ope
More Information

Not Found

Not Found

No
The summary describes a rigid mechanical device for inserting stents and contains no mention of AI, ML, image processing, or data sets typically associated with AI/ML applications.

No
The device, a Rigid Stent Introducer/Endoscope, is used to insert Tracheal Stents. Its function is to facilitate the placement of a therapeutic device (the stent), not to provide therapy itself.

No
Explanation: The device is described as a tool for inserting tracheal stents, which is a therapeutic or interventional procedure, not a diagnostic one. It helps in the delivery of another device (the stent) rather than gathering information about a medical condition.

No

The device description explicitly states "A Rigid Stent Introducer/Endoscope," which are physical hardware components used in medical procedures. There is no mention of software as the primary or sole component.

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

Here's why:

  • Intended Use: The intended use is to "insert Tracheal Stents." This is a procedure performed directly on a patient's body.
  • Device Description: The device is described as a "Rigid Stent Introducer/Endoscope." This is a surgical or procedural instrument.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens (like blood, urine, tissue) outside of the body to provide information about a physiological state, health, or disease.

IVDs are devices used in vitro (outside the body) to perform tests on biological samples. This device is used in vivo (inside the body) for a surgical procedure.

N/A

Intended Use / Indications for Use

A Rigid Stent Introducer/Endoscope is a device used by a physician to insert Tracheal Stents.

Product codes

77 EOQ

Device Description

Rigid Stent Introducer / Endose.ope

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

physician

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

§ 874.4680 Bronchoscope (flexible or rigid) and accessories.

(a)
Identification. A bronchoscope (flexible or rigid) and accessories is a tubular endoscopic device with any of a group of accessory devices which attach to the bronchoscope and is intended to examine or treat the larynx and tracheobronchial tree. It is typically used with a fiberoptic light source and carrier to provide illumination. The device is made of materials such as stainless steel or flexible plastic. This generic type of device includes the rigid ventilating bronchoscope, rigid nonventilating bronchoscope, nonrigid bronchoscope, laryngeal-bronchial telescope, flexible foreign body claw, bronchoscope tubing, flexible biopsy forceps, rigid biopsy curette, flexible biopsy brush, rigid biopsy forceps, flexible biopsy curette, and rigid bronchoscope aspirating tube, but excludes the fiberoptic light source and carrier.(b)
Classification. Class II.

0

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JAN 2 9 1999

Anthony M. Sacchetti Quality Manager E. Benson Hood Laboratories 575 Washington Street Pembroke, MA 02359

Re:

K983878

Rigid Stent Introducer/Endoscope Dated: October 30, 1998 Received: November 2, 1998 Regulatory class: II 21 CFR 874.4680/Procode: : 77 EOQ

Dear Mr. Sacchetti:

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 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 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/dsma/dsmamain.html".

Sincerely yours,

Capt. Daniel G. Schultz, M.D. Acting Director, Division of Reproductive, Abdominal, Ear, Nose and Throat, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

1

Page ol

510(k) Number (if known): K983878

Device Name: Rigid Stent Introducer / Endose.ope

Indications For Use:

A Rigid Stent Introducer/Endoscope is a device used by a physician to insert Tracheal Stents.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Elavid A. Segenm


(Division Sign-Off)

(Division Sign-Off) Division of Reproductive, Abdominal, EN and Radiological Devices 510(k) Number

Prescription الاقع (Per 21 CFR 801.109)

OR

Over-The-Counter Use_

(Optional Format 1-2-96)