BRAIN PORT

K120691 · Nico Corporation · GZT · Jun 5, 2012 · Neurology

Device Facts

Record IDK120691
Device NameBRAIN PORT
ApplicantNico Corporation
Product CodeGZT · Neurology
Decision DateJun 5, 2012
DecisionSESE
Submission TypeTraditional
Regulation21 CFR 882.4800
Device ClassClass 2
Attributes3rd-Party Reviewed

Intended Use

To provide for access and allow for visualization of the surgical field during brain and spinal surgery.

Device Story

NICO Brain Port is a self-retaining neurosurgical retractor system. It consists of a reusable anodized aluminum obturator and a single-use, sterile cyclic olefin copolymer (COC) sheath. In the OR, the obturator is inserted into the sheath; the assembly is manually placed through intracranial or spinal tissue to the target site. The obturator is then removed, leaving the transparent/translucent sheath in place as a portal for surgical visualization and instrument access. A manual manipulation tool is provided to adjust sheath positioning. The device is intended for use by neurosurgeons in an OR setting. The obturator includes a cavity and set screw to interface with third-party surgical instruments. The system benefits patients by providing a stable, visualized access path to neurological tissues, facilitating surgical procedures.

Clinical Evidence

No clinical data. Evidence consists of bench testing, including biocompatibility (ISO 10993-1), sterilization validation (gamma for disposables, autoclave/gas plasma for reusables), packaging/shelf-life validation, and simulated use testing in a medium representative of brain tissue to confirm efficacy and safety of the circular design, depth markings, and manipulation tool.

Technological Characteristics

System components: Reusable obturator (anodized aluminum, 316 stainless steel), single-use sheath (cyclic olefin copolymer, medical grade ink), and manipulation tool (316 stainless steel). Sterilization: Gamma (sheath), autoclave/hydrogen peroxide gas plasma (reusables). Design: Circular cross-section, incremental depth markings, knurled ring with suture holes. Interface: Cavity/set screw for third-party instruments. Biocompatibility: Externally communicating, limited duration contact with tissue/bone/dentin.

Indications for Use

Indicated for patients undergoing brain or spinal surgery requiring surgical field access and visualization. No specific age or gender contraindications stated.

Regulatory Classification

Identification

A self-retaining retractor for neurosurgery is a self-locking device used to hold the edges of a wound open during neurosurgery.

Predicate Devices

Related Devices

Submission Summary (Full Text)

{0}------------------------------------------------ Image /page/0/Picture/0 description: The image shows the logo for NICO Neuro and Spine. The word "NICO" is in large, bold, sans-serif font. Below the word "NICO" is the phrase "NEURO AND SPINE" in a smaller, sans-serif font. K120691 JUN - 5 2012 ## 510(k) Summary per 807.92(a)(1) Date Prepared: January 24, 2012 #### Submitter's Information Owner/Operator: NICO Corporation 9190 Priority Way West Dr. Suite 203 Indianapolis, IN 46240 Phone: 317-660-7118 Fax: 317-682-0305 #### Submission Contact Information | Name: | Jack Slovick | | |--------|------------------------|--| | Title: | Quality and Regulatory | | | Phone: | (763) 639-0238 | | | Email: | jack_slovick@yahoo.com | | #### Proposed Device Device Proprietary Name: Common Name: Classification name: Class: Product Code: Brain Port Self-retaining retractor for neurosurgery, Brain Retractor, Retractor Self-retaining retractor for neurosurgery Class II /21CFR 882.4800 GZT, HRX #### Indications for Use To provide for access and allow for visualization of the surgical field during brain and spinal surgery. #### Description of Device The NICO Brain Port is a family of products that consists of multiple sized reusable and re-sterilizable obturators with coordinating single patient use, disposable sheaths- see Table 1 below. The obturator and sheath are assembled in the OR immediately prior to use. These two components are held together by an interference fit. The device when used as intended is designed to provide access to neurological tissues. {1}------------------------------------------------ Image /page/1/Picture/0 description: The image shows the logo for NICO Neuro and Spine. The word "NICO" is in large, bold, sans-serif font. Below the word "NICO" is the phrase "NEURO AND SPINE" in a smaller, sans-serif font. The logo is black and white. The Brain Port system also includes a "manipulation tool", which is similar to a dental probe and is used for manipulating the position of the sheath after it has been placed. Finally, the Brain Port includes a custom sterilization tray which houses all reusable components (obturators and manipulation tools). | Brain Port Component | Provided Sterile or Non-Sterile | Single Use or Reusable | |------------------------|---------------------------------|------------------------| | Sheath (all sizes) | Sterile | Single Use | | Obturators (all sizes) | Non-sterile | Reusable | | Manipulation Tool | Non-sterile | Reusable | | Sterilization Tray | Non-sterile | Reusable | ## Table 1: NICO Brain Port Sterile and Reusable Components #### Product Materials - o Obturator: Anodized Aluminum - Obturators available in three sizes which correspond to each sheath D - Thumb Screw: 316 Stainless Steel (part of obturator) o - Pin: 316 Stainless Steel (part of obturator) o - Sheath: Cyclic Olefin Copolymer o - 1 Available sheath diameter is 13.5 mm (inner diameter). - . Available sheath lengths are 50 mm, 60 mm, and 75 mm. - Medical Grade Ink (part of sheath) o - Manipulator: 316 Stainless Steel o - Reusable Tray: 304 Stainless Steel, Silicone o #### Predicate Device Vycor ViewSite™ Access System by Vycor Medical, LLC. (K060973) ### Summary of Technical Characteristics The Brain Port Device was compared to the predicate device in areas of components, packaging and compatibility with third party instruments, material, design, and size range. The Brain Port device is considered to be sustainably equivalent to the predicate device. Per 21 CFR Part 807.92(a)(5), the following shows where the Brain Port device is similar and different in terms of technological characteristics. {2}------------------------------------------------ Image /page/2/Picture/0 description: The image shows the word "NICO" in large, bold, sans-serif font. Below the word "NICO" are the words "NEURO AND SPINE" in a smaller, sans-serif font. The text is black and the background is white. | Feature/ | NICO Brain Port | Vycor ViewSite | Comparison | |-----------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------| | Characteristic | | Surgical Access<br>System | | | 510(k) # | TBD | K060973 | | | Intended Use/<br>Indications | To provide for access<br>and allow for<br>visualization of the<br>surgical field during<br>brain and spinal | To provide for access<br>and allow for<br>visualization of the<br>surgical field during<br>brain and spinal | Identical | | | surgery. | surgery. | | | Principles of<br>Use | Device consists of an<br>obturator component<br>and a sheath (or<br>"sleeve") component.<br>These two components<br>are assembled (the<br>sheath is slid over the<br>obturator) and then<br>inserted into and<br>through intracranial<br>neurological tissue<br>(brain). The obturator<br>is then removed while<br>the sheath is left in<br>place, providing access<br>or as is often referred to<br>as a "portal" to the<br>desired site for surgical<br>purposes | Device consists of an<br>obturator component<br>and a sheath (or<br>"sleeve") component.<br>These two components<br>are assembled (the<br>sheath is slid over the<br>obturator) and then<br>inserted into and<br>through intracranial<br>neurological tissue<br>(brain). The obturator<br>is then removed while<br>the sheath is left in<br>place, providing access<br>or as is often referred to<br>as a "portal" to the<br>desired site for surgical | Identical | | Fundamental<br>Technology | "Sheath-like"<br>component<br>transparent/translucent<br>for visualization of<br>surrounding tissue | purposes<br>"Sheath-like"<br>component<br>transparent/translucent<br>for visualization of<br>surrounding tissue | ldentical | | Configuration /<br>System<br>Components. | Two components: one<br>reusable obturator and<br>one sterile, disposable<br>sheath. Sterilization<br>tray offered for onsite<br>sterilization of reusable<br>obturator. | Two components<br>(obturator and sheath),<br>both disposable and<br>packaged sterile. | Different: NICO<br>provides one single<br>use sterile component<br>(sheath) and one<br>reusable non-sterile<br>component<br>(obturator). Both of<br>the predicate<br>components are<br>provided sterile for<br>single use.<br>Sterility validation for<br>reusable component<br>(including tray)<br>demonstrates safety<br>(TPR-3551; see<br>Appendix B). | | Feature/<br>Characteristic | NICO Brain Port | Vycor ViewSite<br>Surgical Access<br>System | Comparison | | Shipping<br>configuration | Obturator and sheath<br>packaged and shipped<br>separately and paired<br>during surgical case. | Obturator and Sheath<br>are paired and shipped<br>together within the<br>same packaging. | Simulated Use<br>Testing of reusable<br>component<br>demonstrates efficacy<br>(TPR-3549; see<br>Appendix B).<br>Different: Brain Port<br>sheath is sterile<br>single use and is<br>stocked within the<br>OR. Brain Port<br>Obturator must be<br>sterilized onsite prior<br>to each case and is<br>paired with sheath in<br>OR immediately prior<br>to case. Predicate<br>components are<br>paired prior to<br>packaging by the<br>manufacturer and are<br>stored in the OR in<br>this configuration.<br>Instructions for Use<br>(LL-5918; see<br>Appendix E) cover<br>safety and efficacy.<br>Instruct user to<br>confirm that obturator<br>and sheath are paired<br>accurately (i.e. 50<br>mm sheath used with<br>a 50 mm obturator).<br>Packaging Validation<br>for reusables covered<br>by TPR-3552, Brain<br>Port Packaging and<br>Shelf Life Validation. | | Reusable or<br>Single Patient<br>Use | Single Patient Use and<br>Reusable | Single Patient Use Only | Different: Brain Port<br>contains reusable<br>obturator and<br>manipulation tool and<br>single use sheath; the<br>predicate<br>components are<br>single use only. | | Method of<br>Sterilization | Gamma for disposable<br>component (sheath) | Gamma | Different: Both the<br>Brain Port and<br>predicate sheath are | | Feature/<br>Characteristic | NICO Brain Port | Vycor ViewSite<br>Surgical Access<br>System | Comparison | | | Autoclave/ hydrogen<br>peroxide gas plasma for<br>reusable components | | sterilized via gamma<br>irradiation. However,<br>the Brain Port Sheath<br>is sterilized via<br>autoclave or<br>hydrogen peroxide<br>gas plasma while the<br>predicate sheath is<br>sterilized via gamma<br>irradiation.<br><br>See TPR-3551 for<br>evidence that the<br>difference in sterility<br>method for the<br>obturator does not<br>affect safety or<br>efficacy. | | Biocompatible | Externally<br>Communicating Device<br>in Direct Contact with<br>Tissue/Bone/Dentin,<br>Limited Duration | Extemally<br>Communicating Device<br>in Direct Contact with<br>Tissue/Bone/Dentin,<br>Limited Duration | Identical | | Device design | Consists of an<br>"obturator-like"<br>component and a<br>"sheath-like"<br>component which are<br>assembled, inserted<br>into tissue, and<br>disassembled to<br>provide access. | Consists of an<br>"obturator-like"<br>component and a<br>"sheath-like"<br>component which are<br>assembled, inserted<br>into tissue, and<br>disassembled to<br>provide access. | Identical | | Obturator and<br>Sheath<br>materials | Obturator is aluminum<br>(reusable). Sheath<br>(disposable) is Cyclic<br>Olefin Copolymer<br>(COC). | Sheath and obturator<br>are both polycarbonate<br>(disposable). | Different: Brain Port<br>obturator and sheath<br>materials are<br>aluminum and COC,<br>respectively.<br>Predicate obturator<br>and sheath are both<br>polycarbonate.<br><br>Biocompatibility<br>Testing to cover<br>safety for this<br>difference (TPR-<br>3553; see Appendix<br>B).<br><br>Simulated Use<br>Testing to cover<br>efficacy for this<br>difference (TPR- | | Feature/<br>Characteristic | NICO Brain Port | Vycor ViewSite<br>Surgical Access<br>System | Comparison | | Cross<br>Sectional<br>analysis of<br>Obturator/<br>Sheath | Obturator/Sheath<br>combination has a<br>circular cross section. | Obturator/Sheath<br>combination has an<br>ovular cross section. | 3549; see Appendix<br>B).<br>Different: Brain Port<br>sheath/obturator have<br>a circular cross<br>section while<br>predicate has an<br>ovular cross section.<br><br>Simulated Use<br>Testing to prove that<br>a circular cross<br>section safely and<br>effectively displaces<br>(retracts) brain tissue<br>(TPR-3549; see<br>Appendix B). | | Depth<br>markings | Incremental depth<br>markings on both<br>sheath and obturator. | No depth markings. | Different: Brain Port<br>has incremental<br>depth markings while<br>predicate has no<br>markings.<br><br>Biocompatibility<br>Testing to address<br>safety of markings<br>(TPR-3553; see<br>Appendix B). No<br>impact on efficacy.<br>Depth markings are<br>for reference only and<br>do not impact<br>functionality of<br>device. | | Sheath<br>diameter<br>dimensions | Available sheath<br>diameter is $*13.5$ mm<br>(inner diameter).<br>Maximum tissue<br>displacement as a<br>result of diameter of<br>sheath $*15.8$ mm (outer<br>diameter).<br><br>$*13.5$ mm dimension<br>reflects inner diameter<br>of sheath. Outer<br>diameter, which is<br>correlated with tissue<br>displacement, is 15.8<br>mm. Device size is<br>designated by inner | Range of available<br>sheath diameters is $*12$<br>mm to $*28$ mm.<br>Maximum tissue<br>displacement as a<br>result of diameter of<br>sheath is approximately<br>$*28$ mm.<br><br>$*All$ dimensions listed<br>above reflect inner<br>diameter of sheath and<br>are slightly smaller than<br>the outer diameter,<br>which is most relevant<br>for tissue displacement.<br>Device size is | Different: Brain Port<br>only available in one<br>diameter (13.5 mm)<br>while predicate is<br>available in a range of<br>diameters (12mm –<br>28mm).<br><br>Safety is addressed<br>by the fact that the<br>diameter of largest<br>available version of<br>predicate sheath<br>exceeds the largest<br>version of the Brain<br>Port sheath.<br>Therefore, the | | NEURO AND SPINE | | | | | Feature/<br>Characteristic | NICO Brain Port | Vycor ViewSite<br>Surgical Access<br>System | Comparison | | | diameter because this<br>reflects the size of the<br>opening through which<br>the physician has<br>access during surgery. | designated by inner<br>diameter because this<br>reflects the size of the<br>opening through which<br>the physician has<br>access during surgery. | predicate will displace<br>more tissue than the<br>Brain Port.<br>Efficacy relative to<br>diameter addressed<br>by Simulated Use<br>Testing (TPR-3549;<br>see Appendix B). | | Sheath lengths | Available sheath<br>lengths are *5 cm, *6<br>cm, and *7.5 cm.<br>*The sheath length is<br>called out on the<br>labeling and is most<br>relevant to the end user<br>from a clinical<br>perspective. This<br>dimension represents<br>the length of the port<br>through which surgery<br>will occur. The<br>obturator is longer than<br>the sheath by<br>approximately 1.0 cm. | Available sheath<br>lengths are *3 cm, *5<br>cm, and *7 cm.<br>*The sheath length is<br>called out on the<br>labeling and is most<br>relevant to the end user<br>from a clinical<br>perspective. This<br>dimension represents<br>the length of the port<br>through which surgery<br>will occur. The<br>obturator is longer than<br>the sheath by<br>approximately 0.75 cm. | Different: Brain Port<br>available in lengths of<br>5 cm, 6 cm and 7.5<br>cm while predicate is<br>available in lengths of<br>3 cm, 5 cm, and 7<br>cm.<br>Additional length of<br>proposed device does<br>not cause new issues<br>of safety relative to<br>predicate. The<br>placement of both the<br>predicate and the<br>proposed device is<br>entirely dependent<br>upon the location of<br>diseased tissue, not<br>the length of the<br>devices.<br>Efficacy relative to<br>length addressed by<br>Simulated Use<br>Testing (TPR-3549;<br>see Appendix B). | | Manipulation<br>Tool | "Manipulation Tool"<br>offered for manipulating<br>the position of the<br>sheath. Reusable<br>device that will be<br>sterilized onsite within<br>the tray. | No "Manipulation Tool"<br>offered. | Different: Brain Port<br>System includes<br>manipulation tool<br>while predicate does<br>not.<br>The Manipulation<br>Tool is a class I<br>device (product code<br>GEN) which is<br>exempt from<br>premarket notification<br>requirements.<br>Although the same<br>"manipulation tool" | | Feature/<br>Characteristic | NICO Brain Port | Vycor ViewSite<br>Surgical Access<br>System | Comparison | | | | | can be used with the<br>Vycor sheath, it would<br>be difficult since the<br>Vycor sheath does<br>not have a ring at the<br>top with suture holes.<br>The tip of the<br>manipulation tool is<br>sized so that it will fit<br>into these suture<br>holes to make<br>positioning<br>adjustments easier.<br><br>Simulated Use testing<br>to prove that tool is<br>effective and does not<br>affect efficacy of<br>Brain Port. | | Handheld<br>manual<br>operation and<br>placement | Yes | Yes | Identical | | Proximal End<br>of Sheath | Knurled ring on sheath<br>includes holes for<br>securing to surrounding<br>tissue via sutures after<br>insertion. | Sheath does not<br>include knurled ring or<br>mechanism for securing<br>placement after<br>insertion. | Different: Brain Port<br>includes knurled ring<br>with holes for easier<br>handling and<br>securement to<br>surrounding tissue (if<br>desired). Predicate<br>does not include<br>knurled ring or suture<br>holes.<br><br>Simulated Use<br>Testing to prove<br>presence of knurled<br>ring and suture holes<br>do not affect the<br>ability of the Brain<br>Port to effectively be<br>inserted into and<br>retract tissue. (TPR-<br>3549; see Appendix<br>B). | | Shape of distal<br>end of<br>obturator | Distal end of obturator<br>has a conical shape<br>with a rounded tip at its<br>end and no opening. | Distal end of obturator<br>has a rounded shape<br>with an opening at its<br>end. | Different: Brain Port<br>obturator has a distal<br>end which is conical<br>in shape with a<br>rounded tip and no<br>opening. Predicate<br>obturator has a distal | | Feature/<br>Characteristic | NICO Brain Port | Vycor ViewSite<br>Surgical Access<br>System | Comparison | | | | | end which is rounded<br>in shape and has an<br>opening. | | | | | The obturators for<br>both the predicate<br>and the proposed<br>device displace brain<br>tissue during<br>insertion. The conical<br>shape of the<br>proposed device<br>enables predictable<br>and gradual serial<br>dilation of brain tissue<br>during its insertion. | | | | | Simulated Use<br>Testing to cover<br>efficacy (TPR-3549;<br>see Appendix B). | | 3rd party<br>instrumentation | Obturator component<br>interfaces with third<br>party instruments. | Obturator component<br>not designed to<br>interface with third party<br>instruments. | Different: Brain Port<br>obturator is<br>compatible with 3rd<br>party instruments<br>while predicate is not.<br><br>Obturator includes a<br>cavity for receiving<br>third party<br>instruments (if<br>desired) and set<br>screw for securing<br>those instruments.<br>These design aspects<br>(cavity and set screw)<br>do not affect the<br>ability of the end user<br>to safely achieve the<br>indications for use.<br><br>Simulated Use<br>Testing to cover | ## Table 2: Brain Port and Vycor (predicate) Comparison {3}------------------------------------------------ Image /page/3/Picture/0 description: The image shows the word "NICO" in large, bold, black letters. Below the word "NICO" are the words "NEURO AND SPINE" in smaller, black letters. The words "NEURO AND SPINE" are centered below the word "NICO". The image appears to be a logo or branding for a medical practice. {4}------------------------------------------------ # NEURO AND SPINE {5}------------------------------------------------ Image /page/5/Picture/0 description: The image shows the logo for NICO Neuro and Spine. The word "NICO" is in large, bold, sans-serif font. Below the word "NICO" is the phrase "NEURO AND SPINE" in a smaller, sans-serif font. The logo is black and white. ) . {6}------------------------------------------------ Image /page/6/Picture/0 description: The image shows the logo for NICO Neuro and Spine. The word "NICO" is in large, bold, sans-serif font. Below the word "NICO" is the phrase "NEURO AND SPINE" in a smaller, sans-serif font. {7}------------------------------------------------ ## NIC NEURO AND SPINE {8}------------------------------------------------ Image /page/8/Picture/0 description: The image shows the logo for NICO Neuro and Spine. The word "NICO" is in large, bold, sans-serif font. Below it, in a smaller font, are the words "NEURO AND SPINE". The logo is simple and professional. {9}------------------------------------------------ Image /page/9/Picture/0 description: The image shows the logo for NICO Neuro and Spine. The word "NICO" is in large, bold, sans-serif font. Below the word "NICO" is the phrase "NEURO AND SPINE" in a smaller, sans-serif font. The logo is black and white. #### Summary of Non-Clinical Testing/Statement of Equivalence Multiple tests conceming product functionality, biocompatibility, packaging and sterilization have been performed to ensure that the Brain Port device is as safe and as effective as the predicate device. Specific testing included radiation sterilization validation on sterile components supplied, a cleaning method and sterilization validation of re-usable components supplied, packaging drop testing, simulated shipping, aging and environmental stress testing, In Vitro Cytotoxicity testing, Irritation and Delayed-Type Hypersensitivity biocompatibility testing, general functional, mechanical, dimensional and performance testing against pre-determined specifications and finally simulated use testing consisting of inserting the Brain Port into a medium representative of brain tissue. The Brain Port system is very similar to the predicate device as both are considered "self-retaining retractors for neurosurgery" with identical indications for use. The Brain Port has very similar technological characteristics as both have the same general shape, size and identical principles of use. Both devices consist of an obturator type component that is paired with a sheath or sleeve and then inserted into the neurological tissue. The obturator component is then removed leaving the sheath in place which provides access to targeted tissues for surgery. Also, both are handheld manually placed devices and both have a means of securing the sheath and obturator so that they remain assembled during insertion. The minor technological differences such as shape, size, and compatibility with third party instruments have been evaluated through multiple verification and validation activities as well as critical analyses. Results of these evaluations demonstrate that these differences do not affect the ability of the Brain Port to achieve the indications for use. Concerning sterilization, the sheaths for both the Brain Port and the predicate are gamma-irradiated single use devices. Finally, both have identical patient contact per ISO 10993-1. #### Conclusion In conclusion, the data and information provided in this submission demonstrate that the Brain Port device is substantially equivalent to the predicate. {10}------------------------------------------------ Image /page/10/Picture/0 description: The image shows the text "DEPARTMENT OF HEALTH & HUMAN SERVICES". The text is in black and is in all caps. There is a logo to the left of the text that is made up of three diagonal lines. Image /page/10/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle with three stripes forming its body and wings. The eagle is facing right. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the eagle. #### Public Health Service Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring, MD 20993-0002 NICO Corporation c/o Mr. Ned Devine Sr. Staff Engineer Underwriters Laboratories, Inc. 333 Pfingsten Road Northbrook, IL 60062 Re: K120691 Trade/Device Name: Brain Port Regulation Number: 21 CFR 882.4800 Regulation Name: Self-retaining Retractor for Neurosurgery Regulatory Class: Class II Product Code: GZT, HRX Dated: March 4, 2012 Received: March 7, 2012 Dear Mr. Devine: 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. - 5 2012 {11}------------------------------------------------ #### Page 2 - Mr. Ned Devine 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/ReportalProblem/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/ResourcesforYou/Industry/default.htm. Sincerely yours, Kesia Alexander Image /page/11/Picture/8 description: The image shows a signature in black ink on a white background. The signature appears to be stylized, with looping strokes and a flourish at the end. The signature is vertically oriented and takes up most of the frame. The overall impression is that of a quick, practiced signature. Malvina B. Evdelman, M.D. Director Division of Ophthalmic, Neurological, and Ear, Nose and Throat Devices: Office of Device Evaluation Center for Devices and Radiological Health Enclosure {12}------------------------------------------------ ## Indications for Use 510(k) Number (if known): __ K120691 Brain Port Device Name:_ Indications For Use: To provide for access and allow for visualization of the surgical field during brain and spinal surgery. 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) Quỳnh Hoang (Division Sign-Off) Division of Ophthalmic, Neurological and Ear, Nose and Throat Devices Page 1 of 1 510(k) Number K120691
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