K080740 · Invotec International, Inc. · EOB · Dec 31, 2008 · Ear, Nose, Throat
Device Facts
Record ID
K080740
Device Name
CLEARVIEW ENDOSCOPE COVER
Applicant
Invotec International, Inc.
Product Code
EOB · Ear, Nose, Throat
Decision Date
Dec 31, 2008
Decision
SESE
Submission Type
Traditional
Regulation
21 CFR 874.4760
Device Class
Class 2
Intended Use
The ClearView™ Endoscope Cover System is indicated as a one time use sterile jacket, placed over a medical Otolaryngology or Rhinological endoscope, during examination procedures, conducted by trained medical professional. It is designed and sized to fit on to specific manufactures' endoscope models.
Device Story
ClearView Endoscope Cover System functions as a single-use sterile protective jacket for Otolaryngology or Rhinological endoscopes. Device is placed over the endoscope prior to clinical examination procedures to provide a barrier between the instrument and the patient. Operated by trained medical professionals in clinical settings. Primary benefit is the reduction of cross-contamination risk during endoscopic procedures by providing a disposable sheath that is discarded after a single use. Does not alter the optical or mechanical function of the underlying endoscope.
Clinical Evidence
Bench testing only.
Technological Characteristics
Sterile, single-use polymer jacket/sheath. Designed for specific endoscope geometries. Non-powered, passive accessory. No electronic or software components.
Indications for Use
Indicated for use by trained medical professionals during Otolaryngology or Rhinological endoscopic examination procedures. Designed as a single-use sterile barrier for specific endoscope models.
Regulatory Classification
Identification
A nasopharyngoscope (flexible or rigid) and accessories is a tubular endoscopic device with any of a group of accessory devices which attach to the nasopharyngoscope and is intended to examine or treat the nasal cavity and nasal pharynx. It is typically used with a fiberoptic light source and carrier to provide illumination. The device is made of materials such as stainless steel and flexible plastic. This generic type of device includes the antroscope, nasopharyngolaryngoscope, nasosinuscope, nasoscope, postrhinoscope, rhinoscope, salpingoscope, flexible foreign body claw, flexible biopsy forceps, rigid biopsy curette, flexible biospy brush, rigid biopsy forceps and flexible biopsy curette, but excludes the fiberoptic light source and carrier.
Related Devices
K950809 — VISION-SCIENCES DISPOSABLE ENDOSHEATH FOR FLEXIBLE NASOPHARYNGO-LARYNGOSCOPES · Vision-Sciences, Inc. · Aug 5, 1996
K012543 — VISION SCIENCES ENDOSHEATH SYSTEM · Vision-Sciences, Inc. · Jul 15, 2002
K961591 — DISPOSABLE ENDOSHEATH FOR E-F100 FLEXIBLE NASOPHARYNGOSCOPE · Vision-Sciences, Inc. · Jul 2, 1996
K964100 — VISION-SCIENCES MODEL SS-U32 ENDO SHEATH FOR USE WITH THE VSI S-F100 FLEXIBLE FIBEROPTIC SIGMOIDOSCOPE AND VSI S-V100 · Vision-Sciences, Inc. · Dec 16, 1996
K024095 — MODIFICATION TO VISION SCIENCES ENDOSHEATH SYSTEM · Vision-Sciences, Inc. · Jan 9, 2003
Submission Summary (Full Text)
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DEPARTMENT OF HEALTH & HUMAN SERVICES
Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle or bird-like symbol with flowing lines, representing the department's mission. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES. USA" is arranged in a circular pattern around the symbol. The logo is presented in black and white.
Public Health Service
DEC 3 1 2008
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
Invotec International, Inc. c/o Jeffrey Aull 6833 Phillips Industrial Blvd. Jacksonville, Florida 32256-3029
Rc: K080740
Trade/Device Name: Clearview Endoscope Cover Regulation Number: 21 CFR 874.4760 Regulation Name: Nasopharyngoscope (flexible or rigid) and accessories Regulatory Class: Class, II Product Code: EOB Dated: December 16, 2008 Received: December 18, 2008
Dear Mr. Aull:
We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and 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) that do not require approval of a premarket approval application (PMA). 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 (PMA), 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 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.
Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.
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Page 2 – Mr. Jeffrey Aull
This letter will allow you to begin marketing your device as described in your Section 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), please contact the Center for Devices and Radiological Health's (CDRH's) Office of Compliance at (240) 276-0115. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding postmarket surveillance, please contact CDRH's Office of Surveillance and Biometric's (OSB's) Division of Postmarket Surveillance at 240-276-3474. For questions regarding the reporting of device adverse events (Medical Device Reporting (MDR)), please contact the Division of Surveillance Systems at 240-276-3464. You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (240) 276-3150 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.
Sincerely yours,
Malvina B. Eggleston, us
Malvina B. Evdelman, M.I Director Division of Ophthalmic and Ear, Nose and Throat Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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K080740
## Indications for Use
510(k) Number (if known): K K080740
Device Name:____Flexible Endoscope Barrier Sheath.
Indications For Use: The ClearView™ Endoscope Cover System is indicated as a one time use sterile jacket, placed over a medical Otolaryngology or Rhinological endoscope, during examination procedures, conducted by trained medical professional. It is designed and sized to fit on to specific manufactures' endoscope models.
Prescription Use ×
AND/OR
Over-The-Counter Use
(Part 21 CFR 801 Subpart D)
(21 CFR 801 Subpart C) .
(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Karen H. Baker
(Division Sign-Off) Division of Ophthalmic and Ear, Nose and Throat Devices
510(k) Number K080740
Panel 1
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