(86 days)
The intended use of the ENDOPATH® OPTIVIEW® Optical Surgical Obturator and Sleeve is to establish a path of entry for endoscopic instruments.
The ENDOPATH® OPTIVIEW® Optical Surgical Obturator and Sleeve has applications in abdominal, gynecologic, and thoracic minimally invasive surgical procedures as well as endoscopic surgery of superficial veins and fascia of the lower extremities to establish a path of entry or to gain access through tissue planes and/or potential spaces for endoscopic instruments. The trocar may be used without visualization for primary and secondary insertions.
The ENDOPATH® OPTIVIEW® Optical Surgical Obturator and Sleeve consists of an obturator and a 5mm, 11mm, or 12mm sleeve.
The clear, tapered optical element, when used with an endoscope, provides visibility of individual tissue layers during insertion. The blunt tip maysupplied, is compatible with standard luer lock fittings and provides for insufflation of the abdominal cavity. The ENDOPATH® OPTIVIEW® Optical Surgical Obturator and Sleeve has a sealing range that accommodates appropriately sized instruments. The obturator accommodates an appropriately sized zero degree endoscope. There are two obturator ergonomic options: O designated codes without a handle, and H designated codes with an integral pistol grip handle which aids in the insertion of the device.
The provided text describes a 510(k) summary for the ENDOPATH® OPTIVIEW® Optical Surgical Obturator and Sleeve. It focuses on demonstrating substantial equivalence to a predicate device rather than providing a detailed study proving performance against specific acceptance criteria for a novel device.
Therefore, many of the requested categories for a study proving device acceptance criteria cannot be extracted from this document, as the document's purpose is different.
Here's a breakdown of what can and cannot be answered based on the provided text:
1. A table of acceptance criteria and the reported device performance
| Acceptance Criteria (Implied by equivalence to predicate) | Reported Device Performance |
|---|---|
| Mating obturator with sleeve | Acceptable performance |
| Insertion into operative cavity (with/without visualization) | Acceptable performance |
| Removal of obturator from sleeve | Acceptable performance |
| Security of sleeve in tissue | Acceptable performance |
| Maintenance of pneumoperitoneum | Acceptable performance |
Reasoning: The "Performance data" section states, "Pre-clinical laboratory evaluations were performed to ensure that the device can be used as designed. These studies demonstrated acceptable performance to the predicate device in mating the obturator with the sleeve, insertion into the operative cavity with or without visualization, removal of the obturator from the sleeve, security of the sleeve in tissue, and maintenance of pneumoperitoneum of the operative space." This implies that the 'acceptable performance to the predicate device' for these specific functions served as the acceptance criteria for those tests.
2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)
- Sample size used for the test set: Not specified.
- Data provenance: "Pre-clinical laboratory evaluations." The country of origin and whether it was retrospective or prospective is not mentioned.
3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)
- Not applicable. The document does not describe studies involving expert-established ground truth. The "performance data" describes pre-clinical laboratory evaluations against a predicate device, which typically involves engineering or technical assessment rather than expert evaluation of diagnostic accuracy.
4. Adjudication method (e.g. 2+1, 3+1, none) for the test set
- Not applicable. No adjudication method is mentioned as it relates to expert review.
5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance
- This is not an AI device. No MRMC study was performed or mentioned.
6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done
- This is not an AI device. No standalone algorithm performance was assessed.
7. The type of ground truth used (expert consensus, pathology, outcomes data, etc)
- The "ground truth" implicitly used was the performance of the legally marketed predicate device. The study aimed to show "acceptable performance to the predicate device" across several functional aspects.
8. The sample size for the training set
- Not applicable. This is not an AI device, so there is no concept of a training set as would be used in machine learning. If this refers to samples used in general pre-clinical testing, it is not specified.
9. How the ground truth for the training set was established
- Not applicable. This is not an AI device.
{0}------------------------------------------------
Image /page/0/Picture/0 description: The image shows the date 4/1/99 at the top. Below the date is the logo for Ethicon Endo-Surgery, Inc., a Johnson & Johnson company. The logo includes a graphic of several lines in the shape of a fan.
K990028
4545 CREEK ROAD CINCINNATI, OH 45242-2839
Appendix A - 510(k) Summary of Safety and Effectiveness
| Device | Trade Name/Proprietary Name: ENDOPATH® OPTIVIEW® Optical Surgical Obturator and Sleeve Classification Name: Endoscope and Accessories Common Name: Surgical Trocar |
|---|---|
| Legallymarketeddevice | ENDOPATH® OPTIVIEW® Optical Surgical Obturator and Sleevemanufactured by Ethicon Endo-Surgery, Inc. |
| Devicedescription | The ENDOPATH® OPTIVIEW® Optical Surgical Obturator and Sleeveconsists of an obturator and a 5mm, 11mm, or 12mm sleeve.The clear, tapered optical element, when used with an endoscope, providesvisibility of individual tissue layers during insertion. The blunt tip maysupplied, is compatible with standard luer lock fittings and provides forinsufflation of the abdominal cavity. The ENDOPATH® OPTIVIEW® OpticalSurgical Obturator and Sleeve has a sealing range that accommodatesappropriately sized instruments. The obturator accommodates anappropriately sized zero degree endoscope. There are two obturatorergonomic options:O designated codes without a handle, and H designated codes with an integral pistol grip handle which aids in theinsertion of the device. |
| Continued on next page | |
| Intended use | The intended use of the ENDOPATH® OPTIVIEW® Optical SurgicalObturator and Sleeve is to establish a path of entry for endoscopicinstruments. |
| Indications foruse | The ENDOPATH® OPTIVIEW® Optical Surgical Obturator and Sleeve hasapplications in abdominal, gynecologic, and thoracic minimally invasivesurgical procedures as well as endoscopic surgery of superficial veins andfascia of the lower extremities to establish a path of entry or to gain accessthrough tissue planes and/or potential spaces for endoscopic instruments. Thetrocar may be used without visualization for primary and secondaryinsertions. |
| Technologicalcharacteristics | The technological characteristics of the subject device are the same as thepredicate device. |
| Performancedata | Pre-clinical laboratory evaluations were performed to ensure that the devicecan be used as designed. These studies demonstrated acceptable performanceto the predicate device in mating the obturator with the sleeve, insertion intothe operative cavity with or without visualization, removal of the obturatorfrom the sleeve, security of the sleeve in tissue, and maintenance ofpneumoperitoneum of the operative space. |
| Conclusion | Based on the 510(k) summaries and 510(k) statements (21 CFR §807) and theinformation provided herein, we conclude that the subject device issubstantially equivalent to the predicate device under the Federal Food, Drugand Cosmetic Act. |
| Contact | Chuck Tabri, Regulatory Affairs AssociateEthicon Endo-Surgery, Inc.4545 Creek RoadCincinnati, Ohio 45242Telephone (513) 483-3532Fax (513) 786-7134 |
| Date | December 31, 1998 |
{1}------------------------------------------------
510(k) Summary of Safety and Effectiveness, Continued
:
{2}------------------------------------------------
Image /page/2/Picture/1 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 an abstract symbol resembling an eagle or bird with three stylized lines forming its body and head.
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
APR 1 1999
Mr. Chuck Tabri Regulatory Affairs Associate Ethicon Endo-Surgery, Inc. 4545 Creek Road Cincinnati, Ohio 45242
Re: K990028
Trade Name: ENDOPATH® OPTIVIEW® Optical Surgical Obturator and Sleeve Regulatory Class: II Product Code: GCJ Dated: December 31, 1998 Received: January 5, 1999
Dear Mr. Tabri:
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 (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.
{3}------------------------------------------------
Page 2 - Mr. Chuck Tabri
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 vour 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
Director Division of General and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
{4}------------------------------------------------
Page of
510(k) NUMBER (IF KNOWN): K990028
ENDOPATH* OPTIVIEW* Optical Surgical Obturator and Sleeve DEVICE NAME:
INDICATIONS FOR USE:
The ENDOPATH* OPTIVIEW* Optical Surgical Obturator and Sleeve has applications in abdominal, gynecologic, and thoracic minimally invasive = " surgical procedures as well as endoscopic surgery of superficial veins and fascia of the lower extremities to establish a path of entry or to gain access through tissue planes and/or potential spaces for endoscopic instruments. The trocar may be used without visualization for primary and secondary insertions.
(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED.)
Concurrence of CORH, Office of Device Evaluation (ODE)
Prescription Use (Per 21 CFR 801.109
| OR | |
|---|---|
| Over-The-Counter-Use | |
| (Optional Format 1.) | |
| coll |
(Division Sig Division of G 510(k) Numb
§ 876.1500 Endoscope and accessories.
(a)
Identification. An endoscope and accessories is a device used to provide access, illumination, and allow observation or manipulation of body cavities, hollow organs, and canals. The device consists of various rigid or flexible instruments that are inserted into body spaces and may include an optical system for conveying an image to the user's eye and their accessories may assist in gaining access or increase the versatility and augment the capabilities of the devices. Examples of devices that are within this generic type of device include cleaning accessories for endoscopes, photographic accessories for endoscopes, nonpowered anoscopes, binolcular attachments for endoscopes, pocket battery boxes, flexible or rigid choledochoscopes, colonoscopes, diagnostic cystoscopes, cystourethroscopes, enteroscopes, esophagogastroduodenoscopes, rigid esophagoscopes, fiberoptic illuminators for endoscopes, incandescent endoscope lamps, biliary pancreatoscopes, proctoscopes, resectoscopes, nephroscopes, sigmoidoscopes, ureteroscopes, urethroscopes, endomagnetic retrievers, cytology brushes for endoscopes, and lubricating jelly for transurethral surgical instruments. This section does not apply to endoscopes that have specialized uses in other medical specialty areas and that are covered by classification regulations in other parts of the device classification regulations.(b)
Classification —(1)Class II (special controls). The device, when it is an endoscope disinfectant basin, which consists solely of a container that holds disinfectant and endoscopes and accessories; an endoscopic magnetic retriever intended for single use; sterile scissors for cystoscope intended for single use; a disposable, non-powered endoscopic grasping/cutting instrument intended for single use; a diagnostic incandescent light source; a fiberoptic photographic light source; a routine fiberoptic light source; an endoscopic sponge carrier; a xenon arc endoscope light source; an endoscope transformer; an LED light source; or a gastroenterology-urology endoscopic guidewire, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 876.9.(2) Class I for the photographic accessories for endoscope, miscellaneous bulb adapter for endoscope, binocular attachment for endoscope, eyepiece attachment for prescription lens, teaching attachment, inflation bulb, measuring device for panendoscope, photographic equipment for physiologic function monitor, special lens instrument for endoscope, smoke removal tube, rechargeable battery box, pocket battery box, bite block for endoscope, and cleaning brush for endoscope. The devices subject to this paragraph (b)(2) are exempt from the premarket notification procedures in subpart E of part 807of this chapter, subject to the limitations in § 876.9.