K Number
K992983
Device Name
BAHO AUTOCLAVABLE CYSTOSCOPE
Date Cleared
1999-10-07

(34 days)

Product Code
Regulation Number
876.1500
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Like the predicate devices, the BAHO autoclavable Cystoscope is indicated for use in the visual examination of body cavities, hollow organs and canals and using additional accessories, to perform various diagnostic and therapeutic procedures.
Device Description
The BAHO autoclavable Cystoscope has a basic design similar to those legally available for sale in the U.S.A. Like others legally sold in the U.S.A.,it consists of an evepiece.body and insertion tube. The insertion tube is double walled surgical steel with illumination fibers in between. The insertion tube contains the optical rod lens system. ( identical to BAHO autoclavable Laparoscope 510(k) Number K982276 )
More Information

No
The summary describes a traditional optical cystoscope with no mention of AI/ML features, image processing, or data analysis capabilities typically associated with AI/ML medical devices.

Yes
The "Intended Use / Indications for Use" section explicitly states that the device can "perform various diagnostic and therapeutic procedures."

Yes

The device is indicated for "visual examination of body cavities, hollow organs and canals" and "to perform various diagnostic and therapeutic procedures." Visual examination of internal structures to identify abnormalities is a diagnostic procedure.

No

The device description explicitly states it consists of physical components like an eyepiece, body, and insertion tube made of surgical steel, which are hardware.

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

Here's why:

  • Intended Use: The intended use is for "visual examination of body cavities, hollow organs and canals and using additional accessories, to perform various diagnostic and therapeutic procedures." This describes a device used directly on or within the body for visualization and intervention.
  • Device Description: The description details a physical instrument with an eyepiece, body, and insertion tube containing optical components. This is consistent with an endoscope used for internal visualization.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens in vitro (outside the body), such as blood, urine, tissue samples, etc. IVDs are designed to analyze these types of samples to provide diagnostic information.

Therefore, the BAHO autoclavable Cystoscope, as described, is a medical device used for internal visualization and procedures, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

Like the predicate devices, the BAHO autoclavable Cystoscope is indicated for use in the visual examination of body cavities, hollow organs and canals and using additional accessories, to perform various diagnostic and therapeutic procedures.

Product codes

78 FAJ

Device Description

The BAHO autoclavable Cystoscope has a basic design similar to those legally available for sale in the U.S.A. Like others legally sold in the U.S.A.,it consists of an evepiece.body and insertion tube. The insertion tube is double walled surgical steel with illumination fibers in between. The insertion tube contains the optical rod lens system. ( identical to BAHO autoclavable Laparoscope 510(k) Number K982276 )

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Body cavities, hollow organs and canals

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)

K982276

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

OCT 7 1999

SUMMARY OF SAFETY AND EFFECTIVENESS

4992983

1

BAHO INNOVATIVE MEDIZINTECHNIK, GmbH Autoclavable Cystoscopes

1) Submitter Information :

| Name and Address : | Innovative Endoscopy Components, LLC
1112 Weston Road, PMB 227
Ft. Lauderdale, FL 33326 |
|----------------------|-----------------------------------------------------------------------------------------------|
| Telephone : | (954) 217-8780 |
| Fax : | (954) 217-8781 |
| E-mail : | IECflorida@aol.com |
| FDA Registration No. | 1064152 |

  1. Manufacturer Information : BAHO Innovative Medizintechnik GmbH
    Im Stoeckacker 7
    D- 79224 Umkirch
    Germany
Telephone :(011)49-7665-99094
Fax :(011)49-7665-99095
FDA Registration No.9615001
FDA Owner/Operator No.9026517
  1. Device Name :

| Classification Name | Cystoscope
Identical Materials,Components and Procedures as
BAHO autoclavable Laparoscope 510(k) Number K982276 |
|-----------------------|-----------------------------------------------------------------------------------------------------------------------|
| Classification Number | 876.1500 ( Class II Device ) |
| Proprietary Name | BAHO autoclavable Cystoscope |

  1. Predicate Device : Storz Model # 27005
    Wolf Model # 8650.../8660...
Manufacturer :Karl StorzRichard Wolf
Mittelstrasse 8Postfach 1164
Postfach 230D-75434 Knittlingen
D-4200 TuttlingenGermany
Germany

1

The above identified predicate devices have the basic design and technological features equivalent to those in the proposed BAHO autoclavable Cystoscope.

K992983
pg 2 of 2

    1. Description of Device :
      The BAHO autoclavable Cystoscope has a basic design similar to those legally available for sale in the U.S.A. Like others legally sold in the U.S.A.,it consists of an evepiece.body and insertion tube. The insertion tube is double walled surgical steel with illumination fibers in between. The insertion tube contains the optical rod lens system. ( identical to BAHO autoclavable Laparoscope 510(k) Number K982276 )
    1. Indication for use :
      Like the predicate devices the BAHO autoclavable Cystoscope is indicated for use in the visual examination of body cavities, hollow organs and using additional accessories, to perform various diagnostic and therapeutic procedures.
    1. Description of safety and substantial equivalence :
      The biological safety of the BAHO autoclavable Cystoscope has been defined through the selection of materials that demonstrated appropriate levels of biocompatibility which constitute the building blocks of the proposed device.

These materials are similar or identical to those used for the manufacturing of the predicate devices as well as other brands legally sold in the U.S.A. and other approved BAHO endoscopes ( Arthroscope, Laparoscope )

    1. Summary
      In summary : biocompatibility, function, indications and designs have been developed to ensure the safety of this device.It is substantially equivalent to commercially approved cystoscopes available for sale in the U.S.A.

2

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

7 1999 OCT

Mr. Gerald Goigitzer Managing Director Innovative Endoscopy Components, LLC 1112 Weston Road. Suite 227 Ft. Lauderdale, Florida 33326

Re: K992983 BAHO Autoclavable Cystoscope Dated: August 21, 1999 Received: September 3, 1999 Regulatory Class: II 21 CFR §876.1500/Procode: 78 FAJ

Dear Mr. Goigitzer:

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). 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 vour device is classified (see above) into either 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 requlation 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 requlation (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

3

of Page /

510(k) Number (if known): K992983

Device Name: BAHO AUTOCLAVABLE CYSTOSCOPE

Indications For Use:

Like the predicate devices, the BAHO autoclavable Cystoscope is indicated for use in the visual examination of body cavities, hollow organs and canals and using additional accessories, to perform various diagnostic and therapeutic procedures.

(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)

OR

Over-The-Counter Use

(Optional Format 1-2-96)

Yhird le. Sypm
(Division Sign-Off)

Division of Reproductive, Abdominal, ENT, and Radiological Devic

510(k) Number.