ENDOSCOPIC FIBEROPTIC CABLE

K021931 · Gulf Medical Fiberoptics · HBI · Sep 6, 2002 · General, Plastic Surgery

Device Facts

• Record ID: K021931
• Device Name: ENDOSCOPIC FIBEROPTIC CABLE
• Applicant: Gulf Medical Fiberoptics
• Product Code: HBI · General, Plastic Surgery
• Decision Date: Sep 6, 2002
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 878.4580
• Device Class: Class 2

Intended Use

The Endoscopic Fiberoptic Cable is used to conduct visible light from a light source to an endoscope during a surgical procedure.

Device Story

Device is a fiberoptic cable designed to transmit visible light from an external light source to an endoscope. Used in surgical settings by clinicians to provide illumination for endoscopic visualization. Operates as a passive light transmission conduit; no active electronic or algorithmic components. Benefits patient by enabling clear visualization of internal anatomy during minimally invasive procedures.

Clinical Evidence

No clinical data; bench testing only.

Technological Characteristics

Fiberoptic cable for light transmission. Passive device; no energy source, software, or electronic components. Dimensions and materials consistent with standard surgical fiberoptic accessories.

Indications for Use

Indicated for use in surgical procedures to conduct visible light from a light source to an endoscope.

Regulatory Classification

Identification

A surgical lamp (including a fixture) is a device intended to be used to provide visible illumination of the surgical field or the patient.

Special Controls

*Classification.* Class II (special controls). The device, when it is an operating room lamp, a surgical instrument light, a surgical floor standing light, an endoscopic surgical light, a surgical light connector, a ceiling mounted surgical light, a surgical light carrier, surgical light accessories, a surgical lamp, a remote illuminator, or an incandescent surgical lamp, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 878.9.

Submission Summary (Full Text)

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## Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

6 2002 SEP

Mr. Marcelino Afanador Vice President Gulf Medical Fiberoptics 376 Douglas Road, Unit D Oldsmar, FL 34677

Re: K021931

Trade/Device Name: Endoscopic Fiberoptic Cable Regulation Number: 878.4580, 876.1500 Regulation Name: Surgical Lamp, Endoscope and accessories Regulatory Class: II Product Code: HBI, FFS Dated: June 6, 2002 Received: June 12, 2002

Dear Mr. Afanador:

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. Marcelino Afanador

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 and additionally 21 CFR Part 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at [phone]. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at [phone]. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number [phone] or [phone] or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html

Sincerely yours,

Stip Pluder

Celia M. Witten, Ph.D., M.D. Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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510(k) Number (if known): KO2193/

Device Name: Endosegoir Fiberaptic Sable

Indications For Use:

The Endoscopic Fiberoptic Cable is used to conduct visible light from a light source to an endoscope during a surgical procedure.

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Concurrence of CDRH, Office of Device Evaluation (ODE)

(Optional Format 3-10-08)

Stut Olividia

(Division Sign-Off) Division of General, Restorative and Neurological Devices

510(k) Number_________________________________________________________________________________________________________________________________________________________________