K Number
K993749
Device Name
GYRUS HYSTEROSCOPIC RESECTOSCOPE
Manufacturer
Date Cleared
1999-12-03

(28 days)

Product Code
Regulation Number
884.1690
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Used to permit direct viewing of the cervical canal and the uterine Cavity for the purpose of performing diagnostic and surgical procedures. As used with the Gynecare Versapoint System, the indications for use include: Excision on intrauterine myomas Excision of intrauterine polyps Lysis of intrauterine adhesions Incision of uterine septa When used for resection of endometrial tissue with the G-VAP Electrode, the device is indicated for Endometrial Ablation.
Device Description
The Gyrus Hysteroscopic Resectoscope that we intend to market employs an electrode specific resectoscope-working element. All other sheaths, etc., are standard COMEG components. A "Quick Connection" feature is used to attach the working element to the sheath. Endoscopic electrosurgical instruments and accessories are described under "Endoscope and Accessories" in 21 CFR 876.1500, and Hysteroscopes and described in 21 CFR 884.1690. The Hysteroscopic Resectoscope is intended to enable the viewing of the cervical canal and the uterine cavity for the purpose of performing diagnostic and surgical procedures. The surgeon performs the examination through the cervical canal. The working elements are the devices that house and control various electrodes and lasers used to remove, cut, coagulate, and transect tissue. The surgeon controls the back and forth movement of the electrode using finger controls. The working elements also house a telescope for visualization. Current is transmitted to the electrode through a high frequency cable. These devices are composed of stainless steel, stainless steel chrome plated, plastic and brass chrome plated parts. The Gyrus Hysteroscopic Resectoscope as cleared in K982771, is identical to the COMEG Resectoscope cleared via K971882, with the working element modified to fit the Gyrus Medical Ltd. electrode. Endoscopic electrosurgical instruments and accessories are described in endoscope and accessories, 21 CFR 876.1500, and endoscope ESU units and accessories are described in 21 CFR 876.4300. Hysteroscopes are described in 21 CFR 884.1690. The Rotating Outer Sheath connection for the working element is of a "snap-on" construction, identical to the cleared device. The principal difference is in the rotating collar which allows 360 degree rotation of the fluid inlet. The Visual Obturator provides the same functionality as the standard obturator facilitating insertion to the uterus. In addition, the Visual Obturator allows use of the hysteroscope (telescope) during insertion, allowing visualization.
More Information

No
The description focuses on mechanical and electrical components for visualization and tissue manipulation, with no mention of AI or ML for image analysis, decision support, or automated control.

Yes.

The device is used for diagnostic and surgical procedures, including excision, lysis, incision, and endometrial ablation, which are therapeutic actions.

Yes

The "Intended Use / Indications for Use" states that the device is "Used to permit direct viewing of the cervical canal and the uterine Cavity for the purpose of performing diagnostic and surgical procedures." The "Device Description" also reiterates that it is "intended to enable the viewing of the cervical canal and the uterine cavity for the purpose of performing diagnostic and surgical procedures."

No

The device description explicitly details physical components made of stainless steel, plastic, and brass, and describes a working element that houses and controls electrodes and lasers, indicating it is a hardware device.

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

Here's why:

  • Intended Use: The intended use clearly states the device is used for "direct viewing of the cervical canal and the uterine Cavity for the purpose of performing diagnostic and surgical procedures." It is used in vivo (within the body) to visualize and perform procedures.
  • Device Description: The description details a surgical instrument used for visualization and tissue manipulation within the uterus. It describes components like sheaths, working elements, electrodes, and telescopes, all of which are used directly on the patient.
  • Lack of IVD Characteristics: An IVD is a medical device used to perform tests on samples taken from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening. This device does not perform tests on samples; it is a surgical tool used directly on the patient's anatomy.
  • Relevant Regulations: The device description references regulations for "Endoscope and Accessories" (21 CFR 876.1500), "Endoscope ESU units and accessories" (21 CFR 876.4300), and "Hysteroscopes" (21 CFR 884.1690). These are regulations for surgical and endoscopic devices, not IVDs.

Therefore, the Gyrus Hysteroscopic Resectoscope is a surgical device used for visualization and intervention within the uterine cavity, not an IVD.

N/A

Intended Use / Indications for Use

The Gyrus Hysteroscopic Resectoscope is intended to enable the viewing of the cervical canal and the uterine cavity for the purpose of performing diagnostic and surgical procedures. The surgical applications include tissue cutting, removal, and dissection as required or encountered in gynecologic hysteroscopic electrosurgical procedures for the treatment of intrauterine myomas, polyps, adhesions, and septa.

Used to permit direct viewing of the cervical canal and the uterine cavity for the purpose of performing diagnostic and surgical procedures. As used with the Gynecare Versapoint System, the indications for use include: Excision on intrauterine myomas, Excision of intrauterine polyps, Lysis of intrauterine adhesions, Incision of uterine septa. When used for resection of endometrial tissue with the G-VAP Electrode, the device is indicated for Endometrial Ablation.

Product codes

85HIH

Device Description

The Gyrus Hysteroscopic Resectoscope that we intend to market employs an electrode specific resectoscope-working element. All other sheaths, etc., are standard COMEG components. A "Quick Connection" feature is used to attach the working element to the sheath.

Endoscopic electrosurgical instruments and accessories are described under "Endoscope and Accessories" in 21 CFR 876.1500, and Hysteroscopes and described in 21 CFR 884.1690.

The Hysteroscopic Resectoscope is intended to enable the viewing of the cervical canal and the uterine cavity for the purpose of performing diagnostic and surgical procedures.

The surgeon performs the examination through the cervical canal. The working elements are the devices that house and control various electrodes and lasers used to remove, cut, coagulate, and transect tissue. The surgeon controls the back and forth movement of the electrode using finger controls. The working elements also house a telescope for visualization. Current is transmitted to the electrode through a high frequency cable.

These devices are composed of stainless steel, stainless steel chrome plated, plastic and brass chrome plated parts. The Gyrus Hysteroscopic Resectoscope as cleared in K982771, is identical to the COMEG Resectoscope cleared via K971882, with the working element modified to fit the Gyrus Medical Ltd. electrode. Endoscopic electrosurgical instruments and accessories are described in endoscope and accessories, 21 CFR 876.1500, and endoscope ESU units and accessories are described in 21 CFR 876.4300. Hysteroscopes are described in 21 CFR 884.1690. The Rotating Outer Sheath connection for the working element is of a "snap-on" construction, identical to the cleared device. The principal difference is in the rotating collar which allows 360 degree rotation of the fluid inlet. The Visual Obturator provides the same functionality as the standard obturator facilitating insertion to the uterus. In addition, the Visual Obturator allows use of the hysteroscope (telescope) during insertion, allowing visualization.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

cervical canal and the uterine cavity

Indicated Patient Age Range

Not Found

Intended User / Care Setting

surgeon

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

Preclinical as well as bench top testing has been performed to verify that The product meets the performance requirements described. This substantiates the efficacy of the resectoscope for the hysteroscopic usage.

Key Metrics

Not Found

Predicate Device(s)

COMEG Endoscopy Resectoscope

Reference Device(s)

K982771, K971882

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 884.1690 Hysteroscope and accessories.

(a)
Identification. A hysteroscope is a device used to permit direct viewing of the cervical canal and the uterine cavity by a telescopic system introduced into the uterus through the cervix. It is used to perform diagnostic and surgical procedures other than sterilization. This generic type of device may include obturators and sheaths, instruments used through an operating channel, scope preheaters, light sources and cables, and component parts.(b)
Classification. (1) Class II (performance standards).(2) Class I for hysteroscope accessories that are not part of a specialized instrument or device delivery system; do not have adapters, connectors, channels, or do not have portals for electrosurgical, laser, or other power sources. Such hysteroscope accessory instruments include: lens cleaning brush, cannula (without trocar or valves), clamp/hemostat/grasper, curette, instrument guide, forceps, dissector, mechanical (noninflatable), and scissors. The devices subject to this paragraph (b)(2) are exempt from the premarket notification procedures in subpart E of part 807 of this chapter, subject to the limitations in § 884.9.

0

DEC - 3 1999

GYRUS MEDICAL DOCUMENT No. 813740

K993749 page 1

Gyrus Medical Limited
Cardiff CF33 0LT, UK
510k Premarket Notification
November, 1999

510(k) Summary of Safety and Effectiveness
StatementInformation supporting claims of substantial equivalence, as defined under the Federal Food, Drug, and Cosmetic Act, respecting safety and effectiveness is summarized below. For the convenience of the Reviewer, this summary is formatted in accordance with the Agency's final rule "...510(k) Summaries and 510(k) Statements..." (21 CFR 807) and can be used to provide a substantial equivalence summary to anyone requesting it from the Agency.
MODIFIED DEVICE NAME: Gyrus Hysteroscopic Resectoscope
Accessories Visual Obturator and Rotating
Outer Sheath
PREDICATE DEVICE NAME: COMEG Endoscopy Resectoscope
Device
DescriptionThe Gyrus Hysteroscopic Resectoscope that we intend to market employs an electrode specific resectoscope-working element. All other sheaths, etc., are standard COMEG components. A "Quick Connection" feature is used to attach the working element to the sheath.
Endoscopic electrosurgical instruments and accessories are described under "Endoscope and Accessories" in 21 CFR 876.1500, and Hysteroscopes and described in 21 CFR 884.1690.
The Hysteroscopic Resectoscope is intended to enable the viewing of the cervical canal and the uterine cavity for the purpose of performing diagnostic and surgical procedures.
The surgeon performs the examination through the cervical canal. The working elements are the devices that house and control various electrodes and lasers used to remove, cut, coagulate, and transect tissue. The surgeon controls the back and forth movement of the electrode using finger controls. The working elements also house a telescope for visualization. Current is transmitted to the electrode through a high frequency cable.
Continued on next page

17

1

K993749

GYRUS MEDICAL DOCUMENT No. 813740

Gyrus Medical Limited
Cardiff CF3 0LT, UK
510k Premarket Notification
November, 1999

Device Description (Cont'd)These devices are composed of stainless steel, stainless steel chrome plated, plastic and brass chrome plated parts. The Gyrus Hysteroscopic Resectoscope as cleared in K982771, is identical to the COMEG Resectoscope cleared via K971882, with the working element modified to fit the Gyrus Medical Ltd. electrode. Endoscopic electrosurgical instruments and accessories are described in endoscope and accessories, 21 CFR 876.1500, and endoscope ESU units and accessories are described in 21 CFR 876.4300. Hysteroscopes are described in 21 CFR 884.1690. The Rotating Outer Sheath connection for the working element is of a "snap-on" construction, identical to the cleared device. The principal difference is in the rotating collar which allows 360 degree rotation of the fluid inlet. The Visual Obturator provides the same functionality as the standard obturator facilitating insertion to the uterus. In addition, the Visual Obturator allows use of the hysteroscope (telescope) during insertion, allowing visualization.
Intended UseThe Gyrus Hysteroscopic Resectoscope is intended to enable the viewing of the cervical canal and the uterine cavity for the purpose of performing diagnostic and surgical procedures. The surgical applications include tissue cutting, removal, and dissection as required or encountered in gynecologic hysteroscopic electrosurgical procedures for the treatment of intrauterine myomas, polyps, adhesions, and septa.
Indications StatementThe Gyrus Hysteroscopic Resectoscope is used to permit the direct Viewing of the cervical canal and the uterine cavity for the purpose of performing diagnostic and surgical procedures.
Technological CharacteristicsThe modified device has the same technological characteristics as the predicate devices. The form, fit and function is similar.
Performance DataPreclinical as well as bench top testing has been performed to verify that The product meets the performance requirements described. This substantiates the efficacy of the resectoscope for the hysteroscopic usage.

Continued on next page

2

K993749 page 3/3

GYRUS MEDICAL DOCUMENT No. 813740

Gyrus Medical Limited
Cardiff CF33 0LT, UK
510k Premarket Notification
November, 1999

| Conclusion | Based upon the 510(k) summaries and 510(k) statements (21 CFR 807)
and the information provided herein, we conclude that the new device is
substantially equivalent to the predicate devices under the Federal Food,
Drug, and Cosmetic Act. |
|------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Contact | David Kay
Director
Regulatory Affairs and Quality Assurance
Gyrus Medical Ltd.
Fortran Road
St. Mellons
Cardiff, CF3 OLT
United Kingdom |
| Date | November 4, 1999 |

3

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

  • 3 1999

Mr. David Kay Director, Regulatory Affairs & Quality Assurance Gyrus Medical Limited Fortran Road St Mellons Cardiff CF3 OLT nk

Re: K993749

Hysteroscopic Rotating Sheath and Visual Obturator Dated: November 4, 1999 Receive: November 5, 1999 Regulatory Class: II 21 CFR §884.1698/Procode: 85HIH

Dear Mr. Kay:

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 (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 (Premarket Approval), it may be subject to such additional controls. Existing major requlations 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 regult 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 requlations,

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 vitto diagnostic devices), piease 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

4

GYRUS MEDICAL DOCUMENT No. 813740

Gyrus Medical Limited
Cardiff CF33 0LT, UK
510k Premarket Notification
November, 1999

INDICATIONS FOR USE

510(k) Number (if known):K993749
Device Name:Gyrus Hysteroscopic Resectoscope
Indications for Use:Used to permit direct viewing of the cervical canal and the uterine
Cavity for the purpose of performing diagnostic and surgical
procedures. As used with the Gynecare Versapoint System, the
indications for use include:
Excision on intrauterine myomas
Excision of intrauterine polyps
Lysis of intrauterine adhesions
Incision of uterine septa

When used for resection of endometrial tissue with the G-VAP
Electrode, the device is indicated for Endometrial Ablation. |

(PLEASE DO NOT WRITE BELOW THIS LINE – CONTINE
ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription UseOROver-The-Counter Use
--------------------------------------------

(Optional Format 1-2-96)

(Division Sign-Off)

Division of Reproductive, Abdominal, ENT,
and Radiological Devices

510(k) Number: K993749