K Number
K992222
Device Name
FLUOROPLASTIC VENTILATION TUBES
Manufacturer
Date Cleared
1999-08-26

(56 days)

Product Code
Regulation Number
874.3880
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
- Chronic otitis media with effusion (serous, mucoid, or purulent) . - Recurrent episodes of acute otitis media despite conventional medical treatment . - A record of persistent high negative middle ear pressure associated with one or more of the . following system: - 1. Conductive hearing loss that is symptomatic - 2. Persistent or recurrent otalgia - 3. Persistent or recurrent vertigo, tinnitus, or both - Retraction pocket of the tympanic membrane .
Device Description
The Fluoroplastic Ventilation Tubes are substantially equivalent to the current fluoroplastic tubes marketed by Smith & Nephew, Inc., ENT Division, and the fluoroplastic tubes marketed by Xomed.
More Information

Not Found

Not Found

No
The summary describes a physical medical device (ventilation tubes) and does not mention any software, algorithms, or data processing that would indicate the use of AI or ML.

Yes
The device is used to treat conditions such as chronic otitis media, recurrent acute otitis media, and persistent negative middle ear pressure, all of which are medical conditions, and thus the device provides therapy.

No
Explanation: The document describes "Fluoroplastic Ventilation Tubes" which are used for treatment (e.g., ventilation for chronic otitis media), not for diagnosis. The "Intended Use / Indications for Use" section lists conditions that the device treats or manages, not conditions it detects or diagnoses.

No

The device description explicitly states "Fluoroplastic Ventilation Tubes," which are physical hardware devices, not software.

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

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Device Description and Intended Use: The description clearly states that the device is a "Fluoroplastic Ventilation Tube" intended for insertion into the middle ear to treat conditions like chronic otitis media. This is a surgical implant or device used directly on the patient's body, not a test performed on a sample outside the body.

Therefore, this device falls under the category of a medical device, but not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The Fluoroplastic Ventilation Tubes are indicated to ventilate the middle ear subsequent to otitis media.

Details regarding specific indications:

  • Chronic otitis media with effusion (serous, mucoid, or purulent) .
  • Recurrent episodes of acute otitis media despite conventional medical treatment .
  • A record of persistent high negative middle ear pressure associated with one or more of the . following system:
      1. Conductive hearing loss that is symptomatic
      1. Persistent or recurrent otalgia
      1. Persistent or recurrent vertigo, tinnitus, or both
  • Retraction pocket of the tympanic membrane .

Product codes

77 ETD

Device Description

Not Found

Mentions image processing

Not Found

Mentions AI, DNN, or ML

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Input Imaging Modality

Not Found

Anatomical Site

Middle ear

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Prescription Use (Per 21 CFR 801.109)

Description of the training set, sample size, data source, and annotation protocol

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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

§ 874.3880 Tympanostomy tube.

(a)
Identification. A tympanostomy tube is a device that is intended to be implanted for ventilation or drainage of the middle ear. The device is inserted through the tympanic membrane to permit a free exchange of air between the outer ear and middle ear. A type of tympanostomy tube known as the malleous clip tube attaches to the malleous to provide middle ear ventilation. The device is made of materials such as polytetrafluoroethylene, polyethylene, silicon elastomer, or porous polyethylene.(b)
Classification. Class II.

0

AUG 26 1999

992222

510(k) Summary of Safety and Effectiveness

Trade Name:Fluoroplastic Ventilation Tubes
Common Name:Tympanostomy Tubes
Classification Name:Tympanostomy Tubes (CFR 21 § 874.3880)
Official Contact:Alicia E. Farage
Senior Regulatory Affairs Specialist
Smith & Nephew, Inc.
ENT Division
2925 Appling Road
Bartlett, TN 38133
Telephone:(901) 373-0200
Telefax:(901) 373-0242
Date Prepared:July 2, 1999

The Fluoroplastic Ventilation Tubes are substantially equivalent to the current fluoroplastic tubes marketed by Smith & Nephew, Inc., ENT Division, and the fluoroplastic tubes marketed by Xomed.

These devices have the same indications for use: to ventilate the middle ear subsequent to otitis media.

Differences between the Fluoroplastic Ventilation Tubes and the predicate devices should not affect the safety or effectiveness.

1

Image /page/1/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 in flight, composed of three curved lines representing the human profile.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

AUG 26 1999

Ms. Alicia E. Farage Sr. Regulatory Affairs Specialist Smith & Nephew, Inc. ENT Division 2925 Appling Road Barlett, TN 38133

Re: K992222 Trade Name: Fluoroplastic Ventilation Tubes Regulatory Class: II Product Code: 77 ETD Dated: June 30, 1999 Received: July 1, 1999

Dear Ms. Farage:

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 requirements, 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 .

2

Page 2 - Ms. Alicia E. Farage

· · 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 Robert Rosenthal

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

Enclosure

3

Food and Drug Administration 510(k) Notification - Fluoroplastic Ventilation Tubes June 30, 1999

510(k) Number: Device Name:

K9999922 Fluoroplastic Ventilation Tubes

Indications for Use:

  • Chronic otitis media with effusion (serous, mucoid, or purulent) .
  • Recurrent episodes of acute otitis media despite conventional medical treatment .
  • A record of persistent high negative middle ear pressure associated with one or more of the . following system:
      1. Conductive hearing loss that is symptomatic
      1. Persistent or recurrent otalgia
      1. Persistent or recurrent vertigo, tinnitus, or both
  • Retraction pocket of the tympanic membrane .

Prescription Use
(Per 21 CFR 801.109)

ﺎ ﻣ

8/20/99
(Division Sign-Off)

(Division Sign-Off Division of Ophthalmic Devices 510(k) Number _ E 992229