K110305 · Brymill Cryogenic Cystems · FQZ · Jan 13, 2012 · General Hospital
Device Facts
Record ID
K110305
Device Name
CRY-ACTRACKERCAM
Applicant
Brymill Cryogenic Cystems
Product Code
FQZ · General Hospital
Decision Date
Jan 13, 2012
Decision
SESE
Submission Type
Special
Regulation
21 CFR 880.2900
Device Class
Class 1
Indications for Use
The Cry-Ac Tracker Cam is a device that measures the temperature of the skin when attached to a cryosurgical delivery system to the selected skin lesion using the latest infrared censoring technology.
Device Story
Device attaches to cryosurgical delivery system; utilizes infrared sensor technology to measure skin temperature at site of lesion during cryosurgery. Provides real-time temperature feedback to clinician; assists in monitoring cryosurgical application. Used in clinical settings by physicians; aids in clinical decision-making regarding duration and intensity of cryotherapy. Benefits patient by providing objective temperature data to ensure appropriate treatment of skin lesions.
Clinical Evidence
Bench testing only.
Technological Characteristics
Infrared temperature sensing technology; attaches to cryosurgical delivery system; Class II device (21 CFR 878.4350).
Indications for Use
Indicated for measuring skin temperature during cryosurgical procedures on skin lesions.
Regulatory Classification
Identification
A clinical color change thermometer is a disposable device used to measure a patient's oral, rectal, or axillary (armpit) body temperature. The device records body temperature by use of heat sensitive chemicals which are sealed at the end of a plastic or metal strip. Body heat causes a stable color change in the heat sensitive chemicals.
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Submission Summary (Full Text)
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Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring, MD 20993-0002
Brymill Cryogenic Systems % Mr. Claudio Russo CEO Building 2, 105 Windermere Avenue Ellington, Connecticut 06029
JAN 1 3 2012
Re: K110305
Trade/Device Name: Cry-Ac Tracker Cam Regulation Number: 21 CFR 878.4350 Regulation Name: Cryosurgical unit and accessories Regulatory Class: Class II Product Code: FQZ Dated: December 5, 2011 Received: December 14, 2011
Dear Mr. Russo:
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.
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
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Page 2 - Mr. Claudio Russo
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.gov/MedicalDevices/Resourcesfor You/Industry/default.htm.
Sincerely yours,
For Rob
Mark N. Melke Director Division of Surgical, Orthopedic and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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## Indications for Use
510(k) Number (if known):_K110305
Device Name:_Cry-Ac Tracker Cam
Indications For Use:
Prescription Use
(Part 21 CFR 801 Subpart D)
The Cry-Ac Tracker Cam is a device that measures the temperature of the skin when The Cry-Ac Tracker Outh to a dones Ralivery system to the selected skin lesion using the latest infrared censoring technology.
YES
AND/OR
Over-The-Counter Use (21 CFR 801 Subpart.C)
NO
(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)
> H. Office of Device Evaluation (ODE) Concurrence of O
> > (Division Sign-Off) Division of Surgical, Orthopedic, and Restorative Devices
510(k) Number K110305
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## (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Page 1 of ____________________________________________________________________________________________________________________________________________________________________
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(Division Sign-Off) (Division Sign-Off)
Division of Surgical, Orthopedic.
Division of Surgical, Orthopedic.
Det Bentorative Devices Division of Surgious
and Restorative Devices
K110305
510(k) Number .
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