K Number
K993704
Device Name
GASTRO-INTESTINAL SYSTEM EN-410WM
Manufacturer
Date Cleared
2000-02-11

(101 days)

Product Code
Regulation Number
876.1500
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
This video enteroscope is for the optical visualization of the upper gastrointestinal tract. This includes the Esophagus, Stomach, Duodeum and Small Bowel. It is intended for observation, diagnosis and endoscopic treatment.
Device Description
Not Found
More Information

Not Found

Not Found

No
The provided text does not contain any mention of AI, ML, deep learning, or related concepts. The description focuses solely on the device's function for optical visualization.

Yes
The device is described as being intended for "observation, diagnosis and endoscopic treatment," indicating a therapeutic use in addition to diagnostic capabilities.

Yes
Explanation: The "Intended Use / Indications for Use" section explicitly states that the device is "intended for observation, diagnosis and endoscopic treatment."

No

The device is described as a "video enteroscope," which is a hardware device used for optical visualization. The description of its intended use and anatomical site further confirms it is a physical instrument.

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

Here's why:

  • IVD devices are used to examine specimens obtained from the human body (like blood, urine, tissue) outside of the body. They are used to provide information about a person's health status, diagnose conditions, or monitor treatment.
  • This device is a video enteroscope used for direct visualization of the upper gastrointestinal tract inside the body. It's an endoscopic device, not a device that analyzes samples in a lab setting.

The intended use clearly describes a procedure performed in vivo (within the living body) for observation, diagnosis, and treatment, which is characteristic of an endoscopic device, not an IVD.

N/A

Intended Use / Indications for Use

This video enteroscope is for the optical visualization of the upper gastrointestinal tract. This includes the Esophagus, Stomach, Duodeum and Small Bowel. It is intended for observation, diagnosis and endoscopic treatment.

Product codes

78 FDA

Device Description

Video enteroscope

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Optical visualization

Anatomical Site

Upper gastrointestinal tract: Esophagus, Stomach, Duodeum and Small Bowel.

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): 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

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

Image /page/0/Picture/1 description: The image shows a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" written around the edge. Inside the circle is a stylized image of an eagle with three stripes across its body. The eagle appears to be in flight or poised for flight, with its wings slightly raised. The image is in black and white and has a somewhat grainy quality.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

FEB 1 1 2000

Fujinon, Inc. c/o Mr. Gary Adler Bingham Dana Murase Counselors at Law 399 Park Avenue New York, NY 10022-4689 Re: K993704 Gastro-Intestinal System EN-410WM Dated: January 12, 2000 Received: January 13, 2000 Regulatory Class: II Regulatory of 1500/Procode: 78 FDA

Dear Mr. Adler:

Bour and wed your Section 510(k) notification of intent to market the device referenced above and we have have have We have reviewed your Section 510(k) noticeations for use stated in the endosure) to legally
delemined the device is substantially equivals (for the indications for use the e delemined the device is substantialy equivalent (or toe states , to rast see and many , and the enation , and of the of the marketed predicate devices markets in high in they 20, 1070, movel the provisions of the provisions of the
Medical Device Amendments, or to devices that have been reviews, su Medical Device Amendments, or to devices hat have been estimation in the more of the consisted on the collections.
Federal Food, Drum and waters and the ecting market for ann Federal Food, Drug, and Cosmelic Act (Ad). You may, the Act include requirements for annual registration, listing of
provisions of the Act. The general controls provised mi provisions of the Act. The general controls provisions of the Accorner of the management of the manufaction.

If your device is classified (see above) into either class III (Special Controls) or class III (Premarket Approval), it may
n the Code of lf your device is classified (see above) into einer class in (species on be love (v r che invel in the Code of the Code of the Code of be subject to such additional controls. Existing major regulation assumes ompliance with
Federal Regulations, Title 21, Parts 800 to 895. A substantially equivalion (OS) fo Fegulations, Title 21, Parts out o oss. A substantely cyterialth Cuality System Regulation (OS) for the Current Good Manufacturing Practice requirements as through periodic CS inspections, the Food and Medical Devices: General regulation (CFR Fall Dell the Comply with the GM regulation may result in
Drug Administration (FDA) will verify such assumply with the GM regulation Drug Administration (FDA) will vehily such assumplier in annumer oncerning your device in the Eederal
regulatory action. In addition, FDA may publish further announcement of regulatory action. In addition, FDA nier announcements on the onlines on offect any obligation your a
Register. Please note: this response to your premarke notiscination d Register. Please note: this response to your premarket nomically dos model the election of the may be of the provisions, or other Federal laws or regulations.

This letter will allow you to begin marketing your device as described in your 500(k) premately notification for I his letter will allow your nativeling 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 labeling regulation (21 CFR Pat 801 and additionally for not in il you desire specific dovice for your device of our aboung rance at (301) 554-4613. Additionally for questions on viro diagnosic devices), please contact the Office of Compliance at (301) 594-4639. Also, Also, Also, Also, Also, Also, Allas, the promotion and adventising of your defices, problem of the contriction" (21 CFR 807.97). Other please note tre regulation entiled, "Misfrancing of relating to potained 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 3/20

S10(k) NUMBER (IF KNOWN): K993704

DEVICE NAME: GASTRO INTES TINALSYSTEM

INDICATIONS FOR USE: EN-410WM

This video enteroscope is for the optical visualization of the upper gastrointestinal tract. This includes the Esophagus, Stomach, Duodeum and Small Bowel. It is intended for observation, diagnosis and endoscopic treatment.

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

Concurrence of CDRH, Office of Device Evaluation (OI

Prescription Use
(Per 21 CFR 801.109)
OR

Over-The-Counte (Optional For

r

(Division Sign-Off)
Division of Reproductive, Abdominal, ENT,
and Radiological Devices
510(k) Number K993704