ONEPORT SURGICAL TROCAR SYSTEM

K073009 · Conmed Corporation · GCJ · Dec 7, 2007 · Gastroenterology, Urology

Device Facts

• Record ID: K073009
• Device Name: ONEPORT SURGICAL TROCAR SYSTEM
• Applicant: Conmed Corporation
• Product Code: GCJ · Gastroenterology, Urology
• Decision Date: Dec 7, 2007
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 876.1500
• Device Class: Class 2
• Attributes: 3rd-Party Reviewed

Intended Use

The CONMED OnePort® Surgical Trocar System has applications in a variety of endoscopic procedures to provide a means of abdominal entry and access for endoscopic instruments.

Device Story

OnePort® Surgical Trocar System provides abdominal access for endoscopic instruments during laparoscopic and thoracoscopic surgery. System configurations include fully disposable (bladed or dilating) and reposable (reusable cannula with disposable trocar/seal or reusable cannula/obturator with disposable seal). Available in various diameters and lengths with smooth or ribbed cannulae for retention. Used in clinical settings by surgeons. Device facilitates entry; allows passage of instruments. Benefits include versatile access options for endoscopic procedures.

Clinical Evidence

Bench testing only. The device passed all required functional and biocompatibility testing.

Technological Characteristics

System includes disposable and reposable components (cannulae, trocars, obturators, seals). Available in various diameters/lengths; smooth or ribbed cannula designs. Reusable components require sterilization. Mechanical access device; no energy source or software.

Indications for Use

Indicated for patients undergoing endoscopic procedures requiring abdominal entry and access for endoscopic instruments.

Regulatory Classification

Identification

An endoscope and accessories is a device used to provide access, illumination, and allow observation or manipulation of body cavities, hollow organs, and canals. The device consists of various rigid or flexible instruments that are inserted into body spaces and may include an optical system for conveying an image to the user's eye and their accessories may assist in gaining access or increase the versatility and augment the capabilities of the devices. Examples of devices that are within this generic type of device include cleaning accessories for endoscopes, photographic accessories for endoscopes, nonpowered anoscopes, binolcular attachments for endoscopes, pocket battery boxes, flexible or rigid choledochoscopes, colonoscopes, diagnostic cystoscopes, cystourethroscopes, enteroscopes, esophagogastroduodenoscopes, rigid esophagoscopes, fiberoptic illuminators for endoscopes, incandescent endoscope lamps, biliary pancreatoscopes, proctoscopes, resectoscopes, nephroscopes, sigmoidoscopes, ureteroscopes, urethroscopes, endomagnetic retrievers, cytology brushes for endoscopes, and lubricating jelly for transurethral surgical instruments. This section does not apply to endoscopes that have specialized uses in other medical specialty areas and that are covered by classification regulations in other parts of the device classification regulations.

Special Controls

*Classification* —(1)*Class II (special controls).* The device, when it is an endoscope disinfectant basin, which consists solely of a container that holds disinfectant and endoscopes and accessories; an endoscopic magnetic retriever intended for single use; sterile scissors for cystoscope intended for single use; a disposable, non-powered endoscopic grasping/cutting instrument intended for single use; a diagnostic incandescent light source; a fiberoptic photographic light source; a routine fiberoptic light source; an endoscopic sponge carrier; a xenon arc endoscope light source; an endoscope transformer; an LED light source; or a gastroenterology-urology endoscopic guidewire, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 876.9.(2) Class I for the photographic accessories for endoscope, miscellaneous bulb adapter for endoscope, binocular attachment for endoscope, eyepiece attachment for prescription lens, teaching attachment, inflation bulb, measuring device for panendoscope, photographic equipment for physiologic function monitor, special lens instrument for endoscope, smoke removal tube, rechargeable battery box, pocket battery box, bite block for endoscope, and cleaning brush for endoscope. The devices subject to this paragraph (b)(2) are exempt from the premarket notification procedures in subpart E of part 807of this chapter, subject to the limitations in § 876.9.

Predicate Devices

• Reflex STR Trocar System (K924761)
• ConMed TroGard™ Blunt Tip Trocar System (K933456)
• SABRE™ Multi-Use Trocar System (K952977)
• ConMed TroGARD® Finesse™ Trocar System (K001697)

Submission Summary (Full Text)

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## 510(k) Summary of Safety and Effectiveness

DEC 0 7 2007

# OnePort® Surgical Trocar System

K073009

This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirements of 21 CFR 807.92.

### Submitter

ConMed Corporation (Registration # 1320894) 525 French Road Utica, NY 13502 USA

### Contact Person

Brian Killoran Manager, Regulatory Affairs ConMed Corporation 525 French Road Utica, NY 13502 USA

Phone: [phone] Fax: [phone] e-mail: [e-mail]

### Date Prepared

August 31, 2007

#### Name of Device

OnePort® Surgical Trocar System

#### Classification Names

Endoscope and accessories

#### Device Classification

| Regulatory Class: | Class II |
|-----------------------|----------------------------------------------------|
| Product Code: | GCJ |
| Classification Panel: | General & Plastic Surgery<br>Obstetrics/Gynecology |
| Regulation Number: | 21 CFR 876.1500 |

#### Predicate Devices

| K924761 | Reflex STR Trocar<br>System | Richard-Allan Medical Industries |
|---------|--------------------------------------------|----------------------------------|
| K933456 | ConMed TroGard™ Blunt<br>Tip Trocar System | ConMed Corporation |
| K952977 | SABRE™ Multi-Use Trocar<br>System | Endoscopic Concepts, Inc. |
| K001697 | ConMed TroGARD®<br>Finesse™ Trocar System | ConMed Corporation |

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## Description of Device

The OnePort® Surgical Trocar System is a range of surgical trocars and accessories intended for use as a means of providing abdominal access for various instruments during laparoscopic, and thoracoscopic surgery. The OnePort® Surgical Trocar System is available in four configurations:

- . Fully disposable with Bladed Trocar
- Fully disposable with Dilating Trocar .
- Reposable Cannula with Bladed Trocar (reusable cannula, disposable . trocar and seal)
- Reposable Cannula with Dilating Trocar (reusable cannula & obturator, . disposable seal)

Each configuration is made available in numerous diameters and lengths with either smooth or ribbed cannula for additional abdominal retention. Reusable cannulae and dilating obturators are supplied non-sterile and must be sterilized prior to use (Refer to "Reprocessing of Multi-use Components" in the Directions for Use). Also, see OnePort® Surgical Trocar System sales literature for a complete list of available sizes.

## Indications for Use

The OnePort® Surgical Trocar System has applications in a variety of endoscopic procedures to provide a means of abdominal entry and access for endoscopic instruments.

## Nonclinical Performance

The OnePort® Surgical Trocar System was tested and passed all required functional and biocompatibility testing.

## Conclusion

The OnePort® Surgical Trocar System is substantially equivalent to the following 510(k) cleared devices:

| K924761 | Reflex STR Trocar<br>System | Richard-Allan Medical Industries |
|---------|--------------------------------------------|----------------------------------|
| K933456 | ConMed TroGard™ Blunt<br>Tip Trocar System | ConMed Corporation |
| K952977 | SABRE™ Multi-Use Trocar<br>System | Endoscopic Concepts, Inc. |
| K001697 | ConMed TroGARD®<br>Finesse™ Trocar System | ConMed Corporation |

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### DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/2/Picture/1 description: The image is a black and white logo for the Department of Health & Human Services USA. The logo consists of a stylized eagle with three lines forming its body and wings. The eagle is facing to the right. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" is arranged in a circular pattern around the eagle.

#### Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

ConMed Corporation % Intertek Testing Services Mr. Jay Y. Kogoma Senior Staff Engineer 2307 East Aurora Road Twinsburg, Ohio 44087

DEC - 7 2007

Re: K073009

Trade/Device Name: ConMed OnePort® Surgical Trocar System Regulation Number: 21 CFR 876.1500 Regulation Name: Endoscope and accessories Regulatory Class: Class II Product Code: GCJ Dated: November 16, 2007 Received: November 19, 2007

Dear Mr. Kogoma:

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. Jay Y. Kogoma

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 [phone]. 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 [phone]. For questions regarding the reporting of device adverse events (Medical Device Reporting (MDR)), please contact the Division of Surveillance Systems at [phone]. You may obtain other general information on your responsibilitics under the Act 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/industry/support/index.html.

Sincerely yours.

Mark N. Mullens

Mark N. Melkerson Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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### Indications for Use

510(k) Number (if known) _ _ _ _ " _ _ _ _ " _ _

Device Name: _________________________________________________________________________________________________________________________________________________________________ ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Indications for use:

The CONMED OnePort® Surgical Trocar System has applications in a variety of endoscopic procedures to provide a means of abdominal entry and access for endoscopic instruments.

Prescription Use_ X (per 21 CFR 801.109)

and/or

Over-the-counter Use _________________________________________________________________________________________________________________________________________________________

PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED

Concurrence of CDRH, Office of Device Evaluation (ODE)

Division of General, Restorative, and Neurological Devices

510(k) N