CENEFOM PVA SURGICAL SPEAR

K082460 · Longtek Scientific Co., Ltd. · HOZ · Dec 15, 2008 · Ophthalmic

Device Facts

• Record ID: K082460
• Device Name: CENEFOM PVA SURGICAL SPEAR
• Applicant: Longtek Scientific Co., Ltd.
• Product Code: HOZ · Ophthalmic
• Decision Date: Dec 15, 2008
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 886.4790
• Device Class: Class 2

Intended Use

The Cenefom PVA Surgical Spear is indicated for short-term transient use in ophthalmic surgical procedures for absorbing excess fluids from the operative field.

Device Story

Cenefom PVA Surgical Spear is a sterile, single-use ophthalmic sponge. Device consists of polyvinyl alcohol (PVA) material designed for high fluid absorption capacity. Used by surgeons during ophthalmic procedures to clear excess fluids from the operative field. Operates via passive capillary action to absorb and retain fluids. Provides visualization and maintains clear surgical site. Intended for short-term transient use.

Clinical Evidence

No clinical data provided; bench testing only.

Technological Characteristics

Material: Polyvinyl alcohol (PVA) sponge. Form factor: Surgical spear. Principle: Passive capillary fluid absorption. Sterilization: Sterile.

Indications for Use

Indicated for patients undergoing ophthalmic surgical procedures requiring absorption of excess fluids from the operative field.

Regulatory Classification

Identification

An ophthalmic sponge is a device that is an absorbant sponge, pad, or spear made of folded gauze, cotton, cellulose, or other material intended to absorb fluids from the operative field in ophthalmic surgery.

Special Controls

*Classification.* Class II (special controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 886.9.

Submission Summary (Full Text)

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#### DEPARTMENT OF HEALTH & HUMAN SERVICES

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#### Public Health Service

Longtek Scientific Co., Ltd. c/o Joseph J. Chang, PhD, PE Innomedtech, LLC 7128 Staffordshire Street Houston, TX 77030

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

# Re: K082460

Trade/Device Name: Longtek Cenefom PVA Surgical Spear Regulation Number: 21 CFR 886.4790 Regulation Name: Ophthalmic sponge Regulatory Class: Class II Product Code: HOZ Dated: November 17, 2008 Received: November 19, 2008

#### Dear Dr. Chang:

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.

FC 1 5 2008

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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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 240-276-3474. For questions regarding the reporting of device adverse events (Medical Device Reporting (MDR)), please contact the Division of Surveillance Systems at 240-276-3464. 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 [phone] or [phone] or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

M. B. Egleston, m.D.

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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## Indications for Use

510(k) Number (if known):

K082466

Device Name: Cenefom PVA surgical spear

### Indication for Use:

The Cenefom PVA Surgical Spear is indicated for short-term transient use in ophthalmic surgical procedures for absorbing excess fluids from the operative field.

Prescription Use X (Part 21 CFR 801 Subpart D) AND/OR

Over-The-Counter Use (21 CFR 807 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Kew-Warhank 10/12/08

ivision of Ophthalmic and Ear, se and Throat Devices

510(k) Number K082460

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