← Product Code [EOB](/submissions/EN/subpart-e%E2%80%94surgical-devices/EOB) · K983123

# POC ENT ENDOSCOPE - SINUSCOPE (K983123)

_Precision Optics Corp. · EOB · Sep 25, 1998 · Ear, Nose, Throat · SESE_

**Canonical URL:** https://fda.innolitics.com/submissions/EN/subpart-e%E2%80%94surgical-devices/EOB/K983123

## Device Facts

- **Applicant:** Precision Optics Corp.
- **Product Code:** [EOB](/submissions/EN/subpart-e%E2%80%94surgical-devices/EOB.md)
- **Decision Date:** Sep 25, 1998
- **Decision:** SESE
- **Submission Type:** Traditional
- **Regulation:** 21 CFR 874.4760
- **Device Class:** Class 2
- **Review Panel:** Ear, Nose, Throat

## Indications for Use

Precision Optics Corporation's ENT Endoscopes - Sinuscopes are indicated for use to Precision Optics Corporation 3 22 x 22.3 x 22.3 x 25.5 x 12.0 x 11.0 mination and visualization of these regions.

## Device Story

ENT Endoscope (Sinuscope) used for examination and visualization of ENT regions. Device is a rigid endoscope; functions via optical visualization of internal anatomy. Operated by physicians in clinical settings. Design is identical to manufacturer's previously cleared laparoscopes and arthroscopes regarding materials and operational principles, with variations in tube diameter and insertion length.

## Clinical Evidence

No clinical data provided; bench testing only.

## Technological Characteristics

Rigid endoscope. Materials and construction identical to predicate laparoscopes and arthroscopes. Variations in tube diameter and insertion length. Optical visualization principle.

## Regulatory 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.

## Predicate Devices

- Precision Optics Corporation Laparoscope ([K914084](/device/K914084.md))
- Precision Optics Corporation Arthroscope ([K945684](/device/K945684.md))

## Submission Summary (Full Text)

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Section 7

K483123

#### 2 2 1998 510(k) SUMMARY

## SUBMITTERS INFORMATION

Name and Address

Precision Optics Corporation 22 E. Broadway Gardner, MA 01440 Telephone 978.630.1800

Contact Person James A. Reilly, Quality Assurance Manager

Date of Summary 26 June 1998

## DEVICE NAME

Proprietary Name: Common Name: Classification Name: ENT Endoscope - Sinuscope Sinuscope Sinuscope

## PREDICATE DEVICE IDENTIFICATION

Predicate devices referenced include Precision Optics Corporation's endoscopes (Laparoscope and Arthroscope).

### SUBSTANTIAL EQUIVALENCE

Precision Optics Corporation's ENT Endoscope is substantially equivalent to cited predicate Endoscope devices since the basic features, design, and primary functions are the same. Any minor differences in design and dimensions between the Precision Optics Corporation's ENT Endoscope - Sinuscope and the predicate devices raise no new issues of safety and effectiveness as these differences have no effect on the safety, performance and function of the ENT Endoscopes.

This device will be identical with respect to external materials, construction, and fundamental operational principles to Precision Optics Corporation's current line of cleared Laparoscopes (K914084) and Arthroscopes (K945684) except for variations of tube diameter and insertion length.

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Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

SEP 2 5 1998

James A. Reilly Manager, Quality Assurance Precision Optics Corporation 22 East Broadway Gardner, MA 01240

Re:

K983123 POC ENT Endoscope - Sinuscope Dated: June 30, 1998 Received: July 1, 1998 Regulatory class: II 21 CFR 874.4760/Procode: 77 EOB

Dear Mr. Reilly:

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 (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 (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.

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) 594-4613. 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/cdch/dsmaldsmamain.html".

Sincerely yours,
Kilian Yin

Lillian Yin, Ph.D. Director, Division of Reproductive Abdominal, Ear, Nose and Throa and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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# STATEMENT OF INDICATIONS FOR USE

Intended Use:

Precision Optics Corporation's ENT Endoscopes - Sinuscopes are indicated for use to Precision Optics Corporation 3 22 x 22.3 x 22.3 x 25.5 x 12.0 x 11.0 mination and visualization of these regions.

Vinit C. Sejpm
(Division Sign-Off)

(Division of Reproductive, Abdominal, ENT,
and Radiological Devices Provision of Reproductive, and Radiological Devices 510(k) Number . 4983123

**Prescription Use**
(Per 21 CFR 801.109)

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**Source:** [https://fda.innolitics.com/submissions/EN/subpart-e%E2%80%94surgical-devices/EOB/K983123](https://fda.innolitics.com/submissions/EN/subpart-e%E2%80%94surgical-devices/EOB/K983123)

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