K Number
K994363
Device Name
INSTRUMENTS FOR MINIMALLY INVASIVE SPINAL SURGERY (MISS)
Date Cleared
2000-03-06

(70 days)

Product Code
Regulation Number
888.1100
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The MISS instrument set is designed for transthoracic and transabdominal approaches to the spine. Hand instruments, such as osteotome, elevator, hook probe, spoon, curette, punch, compunction tube with obturator, and plug applicator are used for endoscopically controlled dissection, exploration, and manipulation of tissue through natural or surgically created passages. Rongeurs and punches are used under endoscopic control, to grasp, manipulate, and cut, as well as for the dissection and biopsy of tissue, organs, or foreign bodies. Suction irrigation punches are used for endoscopically controlled punching and removal of tissue through natural or surgically created passages. For examination, diagnosis, and / or therapy by personnel trained and qualified in connection with endoscopically used accessories in various medical disciplines, such as orthopedic and spinal surgery.
Device Description
MISS is an acronym for Minimally Invasive Spinal Surgery. The operating technique is comparable to laparoscopic and thorascopic procedures. Punches, rongeurs, osteotomes, elevators, spoons, curettes, probes, bone pusher, block applicator, compaction tube, and swivel arm are primarily used for transthoracic and transabdominal approaches to the spine.
More Information

Not Found

No
The document describes a set of manual surgical instruments and does not mention any software, algorithms, or data processing capabilities that would indicate the use of AI or ML.

Yes
The device is used for therapy by manipulating, dissecting, and removing tissue as described in the "Intended Use / Indications for Use" section.

No

The "Intended Use / Indications for Use" section states that the device is for "examination, diagnosis, and / or therapy." However, the subsequent description of the hand instruments (osteotome, elevator, hook probe, spoon, curette, punch, etc.) and their uses (dissection, exploration, manipulation, grasping, cutting, biopsy) primarily points to therapeutic and interventional procedures, not diagnostic interpretation. While biopsy can be part of diagnosis, the primary function described here is acquiring the sample, not analyzing it for a diagnosis. The device description reinforces its use in "Minimally Invasive Spinal Surgery."

No

The device description explicitly lists physical instruments like punches, rongeurs, osteotomes, etc., which are hardware components used in surgical procedures.

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

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices intended for use in vitro for the examination of specimens, including blood, tissue, and urine, from the human body to provide information for diagnostic, monitoring, or compatibility purposes.
  • Device Description and Intended Use: The description clearly states that the MISS instrument set is a collection of surgical tools (osteotomes, elevators, rongeurs, punches, etc.) used for surgical procedures on the spine, specifically for dissection, exploration, manipulation, cutting, and biopsy of tissue during surgery.
  • Lack of Specimen Examination: There is no mention of the device being used to examine specimens outside of the body. The actions described are performed directly on tissue within the patient during a surgical procedure.

Therefore, the MISS instrument set falls under the category of surgical instruments, not In Vitro Diagnostics.

N/A

Intended Use / Indications for Use

The MISS instrument set is designed for transthoracic and transabdominal approaches to the spine.

Hand instruments, such as osteotome, elevator, hook probe, spoon, curette, punch, compunction tube with obturator, and plug applicator are used for endoscopically controlled dissection, exploration, and manipulation of tissue through natural or surgically created passages.

Rongeurs and punches are used under endoscopic control, to grasp, manipulate, and cut, as well as for the dissection and biopsy of tissue, organs, or foreign bodies.

Suction irrigation punches are used for endoscopically controlled punching and removal of tissue through natural or surgically created passages.

Indications and Application:
For examination, diagnosis, and / or therapy by personnel trained and qualified in connection with endoscopically used accessories in various medical disciplines, such as orthopedic and spinal surgery.

Product codes

HRX

Device Description

MISS is an acronym for Minimally Invasive Spinal Surgery. The operating technique is comparable to laparoscopic and thorascopic procedures.

Punches, rongeurs, osteotomes, elevators, spoons, curettes, probes, bone pusher, block applicator, compaction tube, and swivel arm are primarily used for transthoracic and transabdominal approaches to the spine.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Spine

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Personnel trained and qualified in connection with endoscopically used accessories in various medical disciplines, such as orthopedic and spinal surgery.

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

No performance standards are known.

Clinical tests were not performed.

Key Metrics

Not Found

Predicate Device(s)

K973405, K960222

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 888.1100 Arthroscope.

(a)
Identification. An arthroscope is an electrically powered endoscope intended to make visible the interior of a joint. The arthroscope and accessories also is intended to perform surgery within a joint.(b)
Classification. (1) Class II (performance standards).(2) Class I for the following manual arthroscopic instruments: cannulas, currettes, drill guides, forceps, gouges, graspers, knives, obturators, osteotomes, probes, punches, rasps, retractors, rongeurs, suture passers, suture knotpushers, suture punches, switching rods, and trocars. 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 § 888.9.

0

353 Corporate Woods Parkway Vernon Hills, Illinois 60061 Phone: 847.913.1113 Fax: 847.913.1488

MAR - 6 2000

RICHARD WO

MEDICAL INSTRUMENTS CORPORATION

K994363

510(k) Summary of Safety and Effectiveness

Company / Institution name:RICHARD WOLF MEDICAL INSTRUMENTS CORP.FDA establishment registration number:14 184 79
Division name (if applicable):N.A.Phone number (include area code):(847) 913-1113
Street address:353 Corporate Woods ParkwayFAX number (include area code):(847) 913-0924
City:Vernon HillsState/Province:IllinoisCountry:USAZIP / Postal Code:60061
Contact name:Mr. Robert L. Casarsa
Contact title:Quality Assurance Manager

Product Information:

Trade name:Minimally Invasive Spinal Surgery SetModel number:8972.xxx, 8973.xxx, and others
Common name:Spinal Arthroscopic SetClassification name:Arthroscope and Accessories

Information on devices to which substantial equivalence is claimed:

510(k) NumberTrade or proprietary or model nameManufacturer
1 K9734051 Yeung Endoscopic Spine System1 Richard Wolf
2 K9602222 Instruments for Percutane Discetomy2 Richard Wolf
33 Endoscopic Spine Instruments3 Sofamor Danek
44 Miaspas Mini ALIF Instrument Set for Fusion4 Aesculap

1.0 Description

MISS is an acronym for Minimally Invasive Spinal Surgery. The operating technique is comparable to laparoscopic and thorascopic procedures.

1

Punches, rongeurs, osteotomes, elevators, spoons, curettes, probes, bone pusher, block applicator, compaction tube, and swivel arm are primarily used for transthoracic and transabdominal approaches to the spine.

2.0 Intended Use

The MISS instrument set is designed for transthoracic and transabdominal approaches to the spine.

3.0 Technological Characteristics

The devices are comparable to existing devices by Richard Wolf, Sofamor Danek, and Aesculap.

4.0 Substantial Equivalence

The submitted devices pose the same type of questions about safety or effectiveness as the compared devices. The new technological characteristics have not diminished safety or effectiveness. The submitted devices are substantially equivalent to existing devices sold by Richard Wolf, Sofamor Danek, and Aesculap.

5.0 Performance Data

No performance standards are known. The conformity assessement relevant to provisions of European Device Directive 93/42/EEC is pending.

6.0 Clinical Tests

Clinical tests were not performed.

7.0 Conclusions Drawn

These devices are designed and tested to assure their safety and effectiveness when used according to the corresponding instruction manual.

By: Robert L. Casassa

Date: Dec 21, 1999

Robert L. Casarsa Quality Assurance Manager

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 circle with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is an abstract symbol that resembles a stylized human figure or a bird in flight, composed of three curved lines.

Public Health Service

MAR - 6 2000

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mr. Robert L. Casarsa Quality Assurance Manager Richard Wolf Medical Instruments Corporation 353 Corporate Woods Parkway Vernon Hills, Illinois 60061

K994363 Re: Trade Name: Minimally Invasive Spinal Surgery Set Regulatory Class: II Product Code: HRX Dated: December 22, 1999 Received: December 27, 1999

Dear Mr. Casarsa:

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 (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.

3

Page 2 - Mr. Robert L. Casarsa

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,

Stypd. Rluidis

or James E. Dillard III Acting Director Division of General and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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510(k) Number (if known): ____________________________________________________________________________________________________________________________________________________

Minimally Invasive Spinal Surgery Set (MISS) Device Name:__________________________________________________________________________________________________________________________________________________________________

Intended Use:

The MISS instrument set is designed for transthoracic and transabdominal approaches to the spine.

Hand instruments, such as osteotome, elevator, hook probe, spoon, curette, punch, compunction tube with obturator, and plug applicator are used for endoscopically controlled dissection, exploration, and manipulation of tissue through natural or surgically created passages.

Rongeurs and punches are used under endoscopic control, to grasp, manipulate, and cut, as well as for the dissection and biopsy of tissue, organs, or foreign bodies.

Suction irrigation punches are used for endoscopically controlled punching and removal of tissue through natural or surgically created passages.

Indications and Application:

For examination, diagnosis, and / or therapy by personnel trained and qualified in connection with endoscopically used accessories in various medical disciplines, such as orthopedic and spinal surgery.

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

Stypt Rhodes

Division Sign-Off Division of General Restorative Devices 510(k) Number . K994363

Prescription Use Per 21 CFR 801.109

Over-The Counter_

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Contraindications:

Contraindications directly related to the product are currently unknown.

The attending physician must determine if the intended application is appropriate based on the general condition of the patient.

For further instructions, please refer to the current technical literature.

Combinations:

The endoscopes are used in connection with endoscopes and endoscopic accessories.

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