← Product Code [EOQ](/submissions/EN/subpart-e%E2%80%94surgical-devices/EOQ) · K122535

# FUJINON/FUJIFILM EB-530 SERIES BRONCHOSCOPES (EB-530S, EB-530T AND EB-530H (K122535)

_Fujifilm Medical System U.S.A., Inc. · EOQ · Dec 13, 2012 · Ear, Nose, Throat · SESE_

**Canonical URL:** https://fda.innolitics.com/submissions/EN/subpart-e%E2%80%94surgical-devices/EOQ/K122535

## Device Facts

- **Applicant:** Fujifilm Medical System U.S.A., Inc.
- **Product Code:** [EOQ](/submissions/EN/subpart-e%E2%80%94surgical-devices/EOQ.md)
- **Decision Date:** Dec 13, 2012
- **Decision:** SESE
- **Submission Type:** Traditional
- **Regulation:** 21 CFR 874.4680
- **Device Class:** Class 2
- **Review Panel:** Ear, Nose, Throat
- **Attributes:** Therapeutic, 3rd-Party Reviewed

## Indications for Use

The Fujinon/Fujifilm EB-530 Series Bronchoscopes are intended for the observation, diagnosis, and endoscopic treatment of the trachea and bronchial tree.

## Device Story

Fujinon/Fujifilm EB-530 Series Bronchoscopes are flexible endoscopes used for visualization and treatment of the trachea and bronchial tree. The system includes three models: EB-530S (Standard), EB-530T (Treatment, with 2.8mm forceps channel), and EB-530H (High resolution). Devices connect to a video processor, light source, monitor, and peripheral equipment. Operated by physicians in clinical settings, the bronchoscope transmits visual data to the processor for display on a monitor, enabling real-time observation and guidance for endoscopic instruments. The device facilitates diagnostic and therapeutic interventions, potentially improving patient outcomes by allowing minimally invasive access to the airway.

## Clinical Evidence

No clinical data. Bench testing only, including electrical safety (IEC 60601-1, IEC 60601-1-1, IEC 60601-2-18), electromagnetic compatibility (IEC 60601-1-2), and biocompatibility (ISO 10993-1).

## Technological Characteristics

Flexible bronchoscope with fiber-optic/video imaging. Models: EB-530S, EB-530T, EB-530H. Distal end diameters: 4.9mm to 5.8mm. Field of view: 120-140 degrees. Bending: 180 degrees up, 130 degrees down. Forceps channel: 2.0mm or 2.8mm. Connectivity: Video processor, light source, monitor. Sterilization: Reprocessing instructions validated for reusable components; pre-sterilized suction button (SB-602) used.

## Regulatory Identification

A bronchoscope (flexible or rigid) and accessories is a tubular endoscopic device with any of a group of accessory devices which attach to the bronchoscope and is intended to examine or treat the larynx and tracheobronchial tree. It is typically used with a fiberoptic light source and carrier to provide illumination. The device is made of materials such as stainless steel or flexible plastic. This generic type of device includes the rigid ventilating bronchoscope, rigid nonventilating bronchoscope, nonrigid bronchoscope, laryngeal-bronchial telescope, flexible foreign body claw, bronchoscope tubing, flexible biopsy forceps, rigid biopsy curette, flexible biopsy brush, rigid biopsy forceps, flexible biopsy curette, and rigid bronchoscope aspirating tube, but excludes the fiberoptic light source and carrier.

## Predicate Devices

- Fujinon G5 Bronchoscopes ([K050907](/device/K050907.md))

## Submission Summary (Full Text)

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# FUJIFILM

FUJIFILM Medical Systems U.S.A., Inc. 10 High Paint Drive Vayne: NJ 07470 Tel. (973) 533-5600

## 510(k) Summary

DEC 1 3 2012

,

Date: November 1, 2012

K Number: K122535

### Submitter's Information:

FUJIFILM Medical Systems U.S.A., Inc. 10 High Point Drive Wayne, NJ 07470 USA FDA Establishment Registration Number: 2431293

### Contact Person:

Name: Gina Walljasper Title: Director, Quality and Regulatory Compliance Telephone: (973) 633-5600 Ext. 484 Facsimile: (973) 633-8818 E-Mail: gwalljasper@fujifilm.com

### Identification of the Proposed Device:

Fuiinon/Fuiifilm EB-530 Series Bronchoscopes Proprietary/Trade Name: Bronchoscopes Common Name: Device Class: Class 2 Review Panel: Ear Nose & Throat Classification Information:

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#### l. INDICATIONS FOR USE

The Fujinon/Fujifilm EB-530 Series Bronchoscopes are intended for the observation, diagnosis, and endoscopic treatment of the trachea and bronchial tree.

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K122535'

# FUJKFILM

FUJIFILM Medical Systems U.S.A., Inc. 10 High Pors Ony ame NJ 07470 8 1973 6325800

#### DEVICE DESCRIPTION II.

Fulinon/Fuilfilm EB-530 Series Bronchoscopes are intended for the observation, diagnosis and endoscopic treatment of the trachea and bronchial tree. The Fujinon/Fujifilm EB-530 Series Bronchoscopes are used in combination with the Fujinon/Fujifilm's video endoscope processors, light source, monitor, cart, foot switch, endoscopic accessories, other peripheral devices (e.g. printer, keyboard, etc.), and the legally marketed electrosurgical instruments.

There are three models included in this submission:

- EB-530S Standard Type •
- EB-530T Treatment Type (includes 2.8mm forceps channel) .
- EB-530H Super Image Type (High resolution) .

#### lll. SUMMARY OF STUDIES

The subject device has been subjected to and passed electrical safety and EMC test requirements.

Fujinon/Fujifilm EB-530 Series Bronchoscopes were evaluated in accordance with the following safety and performance requirements in addition the applicable quality requlations:

| IEC 60601-1   | Medical electrical equipment - Part 1: General requirements for<br>safety                                                                                    |
|---------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------|
| IEC60601-1-1  | Medical electrical equipment - Part 1-1: General requirements<br>for<br>safety - Collateral standard: Safety requirements for medical<br>electrical systems  |
| IEC60601-1-2  | Medical electrical equipment - Part 1-2: General Requirements<br>for Safety - Collateral standard: Electromagnetic Compatibility -<br>Requirements and tests |
| IEC60601-2-18 | Medical electrical equipment - Part 2-18: Particular<br>requirements for the safety of endoscopic equipment                                                  |
| ISO10993-1    | Biological evaluation of medical devices                                                                                                                     |

New pre-sterilized suction button SB-602 conforms to the applicable internal and international ISO testing requirements for Sterility.

The reprocessing instructions were updated and validated. No clinical testing was conducted.

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# FUJIFILM

FUJIFILM Medical Systems U.S.A., Inc. 0 High Point Drive Wavne, NJ 07470 1. (973) 833-5600

#### SUBSTANTIAL EQUIVALENCE IV.

Fuilnon/Fujifilm EB-530 Series Bronchoscopes are substantially equivalent to the following device:

| Legally Marketed Device(s) | 510(k) # |
|----------------------------|----------|
| Fujinon G5 Bronchoscopes   | K050907  |

Comparison is outlined in the table below.

|                                | Legally marketed<br>Fujinon G5<br>Bronchoscope<br>EB-470S (K050907) | Proposed Device<br>Model EB-530S | Proposed Device<br>Model EB-530T | Proposed Device<br>Model EB-530H |
|--------------------------------|---------------------------------------------------------------------|----------------------------------|----------------------------------|----------------------------------|
| Viewing<br>direction           | Forward/0degree                                                     | Forward/0degree                  | Forward/0degree                  | Forward/0degree                  |
| Observation<br>range           | 3-100mm                                                             | 3-100mm                          | 3-100mm                          | 3-100mm                          |
| Field of view                  | 120 degrees                                                         | 120 degrees                      | 120 degrees                      | 140 degrees                      |
| Distal end<br>diameter         | 4.9mm                                                               | 4.9mm                            | 5.8mm                            | 5.4mm                            |
| Flexible portion<br>diameter   | 4.9mm                                                               | 4.9mm                            | 5.9mm                            | 4.9mm                            |
| Bending                        | Up: 180 degrees                                                     | Up: 180 degrees                  | Up: 180 degrees                  | Up: 180 degrees                  |
| capability                     | Down: 130 degrees                                                   | Down: 130<br>degrees             | Down: 130<br>degrees             | Down: 130<br>degrees             |
| Forceps<br>channel<br>diameter | 2.0mm                                                               | 2.0mm                            | 2.8mm                            | 2.0mm                            |
| Working length                 | 600 mm                                                              | 600 mm                           | 600 mm                           | 600 mm                           |
| Total length                   | 870mm                                                               | 870mm                            | 870mm                            | 870mm                            |

All patient contact materials used in the proposed EB-530 Series Bronchoscopes remain the same as the legally marketed device.

#### V. CONCLUSION

Fujinon/Fujifilm EB-530 Series Bronchoscopes are substantially equivalent to the legally marketed device and conform to applicable medical device safety and performance: standards.

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## DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

Image /page/3/Picture/2 description: The image shows the seal of the Department of Health & Human Services - USA. The seal is circular, with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the top half of the circle. The bottom half of the circle contains a stylized image of three overlapping human figures.

December 13, 2012

Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-002

FUJIFILM Medical Systems U.S.A., Inc. % Mr. Mark Job Regulatory Technology Services, LLC 1394 25th Street, NW. Buffalo, MN 55313

Re: K122535

Trade/Device Name: Fujinon/Fujifilm EB-530 Series Bronchoscopes (EB-530S, EB-530T and EB-530H) Regulation Number: 21 CFR 874.4680 Regulation Name: Bronchoscope (flexible or rigid) and accessories Regulatory Class: Class II Product Code: EOQ Dated: November 1, 2012 Received: November 2, 2012

Dear Mr. Job:

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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to 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.

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Page 2 - Mr. Mark Job

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); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); 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.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

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 (301) 796-7100 or at its Internet address http://www.fda.goy/MedicalDevices/Resourcesfor You/Industry/default.htm.

Sincerely yours,

Eric A. Mann

Malvina B. Eydelman, M.D. 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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K122535

## Indications for Use

## 510(k) Number (if known): K122535

Device Name: Fujinon/Fujifilm EB-530 Series Bronchoscopes (EB-530S, EB-530T AND EB-230H)

Indications for Use: This device is intended for the observation, diagnosis, and endoscopic treatment of the frachea and bronchial tree.

X Prescription Use _ . (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (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)

Signature

(Division Sign-Off) Division of Ophthalmic, Neurological and Ear, Nose and Throat Devices

510(k) Number __

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

K122535; Fujinon/Fujifilm EB-530 Series Bronchoscopes

---

**Source:** [https://fda.innolitics.com/submissions/EN/subpart-e%E2%80%94surgical-devices/EOQ/K122535](https://fda.innolitics.com/submissions/EN/subpart-e%E2%80%94surgical-devices/EOQ/K122535)

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