K Number
K990414
Device Name
SMITH & NEPHEW HANDPORT SYSTEM
Date Cleared
1999-04-14

(63 days)

Product Code
Regulation Number
876.1500
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Smith & Nephew HandPort System is intended to provide abdominal access to the surgeon's hand while preserving pneumoperitoneum during laparoscopic surgery. The retractor may also be used independently to provide incision retraction and to protect the wound from contamination. The Smith & Nephew HandPort System is indicated for use in laparoscopic procedures, where entry of the surgeon's hand may facilitate the procedure, and for extraction of large specimens.
Device Description
The HandPort System provides access to the abdominal cavity while maintaining pneumoperitoneum; the laparoscopic surgeon regains the tactile sense and feedback along with the increased hand-eye and instrumentation manipulation capacity of open surgery. The standard HandPort System device consists of the following components: 1. Base retractor, 2. Sleeve, 3. Bracelet, 4. Retractor Cap, with or without Instrument Portal, and 5. Sterile Lubricant
More Information

Not Found

No
The summary describes a mechanical device for surgical access and does not mention any software, algorithms, or data processing that would indicate AI/ML.

No
The device facilitates surgical procedures by providing access and maintaining pneumoperitoneum. It does not exert a therapeutic effect on the patient.

No

The device is an access port for surgeons' hands during laparoscopic surgery, allowing for manual manipulation and specimen extraction. It is not used to diagnose medical conditions.

No

The device description explicitly lists multiple hardware components (Base retractor, Sleeve, Bracelet, Retractor Cap, Sterile Lubricant) and the intended use involves physical interaction with the body during surgery.

Based on the provided information, the Smith & Nephew HandPort System is not an IVD (In Vitro Diagnostic) device.

Here's why:

  • Intended Use: The intended use is to provide abdominal access and maintain pneumoperitoneum during laparoscopic surgery, and for incision retraction and wound protection. This is a surgical access and retraction device, not a device used to examine specimens derived from the human body to provide information for diagnosis, monitoring, or screening.
  • Device Description: The device components are physical tools for surgical access and manipulation. There is no mention of reagents, calibrators, controls, or any components typically associated with in vitro testing.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples, generating diagnostic results, or providing information for medical decision-making based on in vitro analysis.

The device is clearly intended for use during a surgical procedure to facilitate the surgeon's access and manipulation, which falls under the category of surgical instruments or accessories, not in vitro diagnostics.

N/A

Intended Use / Indications for Use

The Smith & Nephew HandPort System is intended to provide abdominal access to the surgeon's hand while preserving pneumoperitoneum during laparoscopic surgery. The retractor may also be used independently to provide incision retraction and to protect the wound from contamination.

The Smith & Nephew HandPort System is indicated for use in laparoscopic procedures, where entry of the surgeon's hand may facilitate the procedure, and for extraction of large specimens.

Product codes

GCJ

Device Description

The HandPort System provides access to the abdominal cavity while maintaining pneumoperitoneum; the laparoscopic surgeon regains the tactile sense and feedback along with the increased hand-eye and instrumentation manipulation capacity of open surgery. The standard HandPort System device consists of the following components: 1. Base retractor, 2. Sleeve, 3. Bracelet, 4. Retractor Cap, with or without Instrument Portal, and 5. Sterile Lubricant

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

abdominal cavity

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

Testing Summary: Bench testing confirmed that the HandPort System reliably maintains pneumoperitoneum under simulated use conditions. Simulated use testing in an animal series confirmed that the HandPort System provides sufficient hand access to anatomical structures while maintaining pneumoperitoneum for the duration of the surgical procedure. A prospective, multicenter clinical trial confirmed the capability of the HandPort System in facilitating hand-assisted surgery in a range of surgical procedures.

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Bench testing confirmed that the HandPort System reliably maintains pneumoperitoneum under simulated use conditions.
Simulated use testing in an animal series confirmed that the HandPort System provides sufficient hand access to anatomical structures while maintaining pneumoperitoneum for the duration of the surgical procedure.
A prospective, multicenter clinical trial confirmed the capability of the HandPort System in facilitating hand-assisted surgery in a range of surgical procedures.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K962147

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 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.

0

K990414

Section 9- 510k Summary of Safety and Effectiveness


| 9.1
Statement | This summary of 510k safety and effectiveness information is being submitted in
accordance with the requirements of SMDA 1990 and CFR 807.92 |
|---------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| 9.2
Submitter | Smith and Nephew Endoscopy, Inc.
Endoscopy Division
130 Forbes Boulevard
Mansfield, Ma. 02048 |
| 9.3
Company
Contact | Amy Walters
Group Manager, RA/QA/Clinical
(508) 261-3776 |
| 9.4
Device
Name | Proprietary Name: HandPort System
Common Name: Extended Laparoscopic Device and Accessories
Classification Name: Endoscopic accessories(78 GCJ)
Laparoscopic accessories (85 HET) |
| 9.5
Predicate
Legally
Marketed
Device | Dexterity PneumoSleeve (K962147), cleared on July 9, 1996 |
| 9.6
Device
Description | The HandPort System provides access to the abdominal cavity while maintaining
pneumoperitoneum; the laparoscopic surgeon regains the tactile sense and
feedback along with the increased hand-eye and instrumentation manipulation
capacity of open surgery.
The standard HandPort System device consists of the following components:

  1. Base retractor,
  2. Sleeve,
  3. Bracelet,
  4. Retractor Cap, with or without Instrument Portal, and
  5. Sterile Lubricant |
    | 9.7
    Intended Use | The Smith & Nephew HandPort System is intended to provide abdominal access
    to the surgeon's hand while preserving pneumoperitoneum during laparoscopic
    surgery. The retractor may be used independently to provide incision retraction
    and to protect the wound from contamination. |
    | 9.8 Device
    Indications | The Smith & Nephew HandPort System is indicated for use in laparoscopic
    procedures, where entry of the surgeon's hand may facilitate the procedure, and
    for extraction of large specimens. |
    | 9.9
    Substantial
    Equivalence | Predicate Device Comparison:
    The HandPort System is substantially equivalent to the currently marketed
    Extended Laparoscopic Device: Dexterity PneumoSleeve. The devices are similar
    in materials, design, intended use, and indications for use:
    Both devices are sterile, and intended for single use. Both devices are intended to provide abdominal access to the surgeon's
    hand while preserving pneumoperitoneum during laparoscopic surgery. With both devices, the retractor may also be used independently to
    provide incision retraction and to protect the wound from
    contamination during both laparoscopic and open surgery. Testing Summary:
    Bench testing confirmed that the HandPort System reliably maintains
    pneumoperitoneum under simulated use conditions.
    Simulated use testing in an animal series confirmed that the HandPort System
    provides sufficient hand access to anatomical structures while maintaining
    pneumoperitoneum for the duration of the surgical procedure.
    A prospective, multicenter clinical trial confirmed the capability of the HandPort
    System in facilitating hand-assisted surgery in a range of surgical procedures. |

1

Applicant Amy Walters
Date 3/29/99

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 words "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" arranged around the perimeter. Inside the circle is a stylized image of three human profiles facing right, with flowing lines representing hair or clothing.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

APR 1 4 1939

Ms. Amy L. Walters Group Manager, Regulatory Affairs, Quality Assurance and Clinical Smith & Nephew, Inc. Endoscopy Division 130 Forbes Boulevard Mansfield, Massachusetts 02048

Re: K990414

Trade Name: Smith & Nephew HandPort System Regulatory Class: II Product Code: GCJ Dated: February 5, 1999 Received: February 10, 1999

Dear Ms. Walter:

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 (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.

3

Page 2 - Ms. Amy L. Walters

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

4

510 (k) Number (If Known): K990414

Device Name: Smith & Nephew HandPort System

Indications For Use:

The Smith & Nephew HandPort System is indicated for use in laparoscopic procedures, where entry of the surgeon's hand may facilitate the procedure, and for extraction of large specimens.

Intended Use:

The Smith & Nephew HandPort System is intended to provide abdominal access to the surgeon's hand while preserving pneumoperitoneum during laparoscopic surgery. The retractor may also be used independently to provide incision retraction and to protect the wound from contamination.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use (Per 21 CFR 801.109)

Over-The-Counter Use

(Division Division of General Re 510(k) Number