Luminelle DTx Hysteroscopy System, Luminelle Dx 360 Rotatable Disposable Sheath (Diagnostic)
K192278 · Uvision360, Inc. · HIH · Nov 1, 2019 · Obstetrics/Gynecology
Device Facts
| Record ID | K192278 |
| Device Name | Luminelle DTx Hysteroscopy System, Luminelle Dx 360 Rotatable Disposable Sheath (Diagnostic) |
| Applicant | Uvision360, Inc. |
| Product Code | HIH · Obstetrics/Gynecology |
| Decision Date | Nov 1, 2019 |
| Decision | SESE |
| Submission Type | Special |
| Regulation | 21 CFR 884.1690 |
| Device Class | Class 2 |
| Attributes | Therapeutic |
Intended Use
Hysteroscopy: The LUMINELLE DTx Hysteroscopy System is used to permit viewing of the cervical canal and uterine cavity for the purpose of performing diagnostic and surgical procedures. NOTE: Hysteroscopes are used as tools to access the uterine cavity and are not, in and of themselves, a method of surgery. When LUMINELLE DTx Hysteroscopy System is specifically used with the LUMINELLE Dx 360 Rotatable Disposable Sheath (Diagnostic), the system is limited to performing diagnostic procedures only. Generally recognized indications for diagnostic hysteroscopy include: - Abnormal bleeding - Infertility and pregnancy wastage - Evaluation of abnormal hysterosalpingogram - Intrauterine foreign body - Amenorrhea - Pelvic Pain Generally recognized indications for use for operative hysteroscopy include: - Directed endometrial biopsy - Polypectomy - Submucous myomectomy - Transection of intrauterine adhesions - Transection of intrauterine septa - Endometrial ablation Cystoscopy: The LUMINELLE DTx Hysteroscopy System is intended for use in endoscopic access to and examination of the lower urinary tract, including the blader. When combined with accessory instruments, the user to perform various diagnostic and therapeutic procedures. NOTE: When LUMINELLE DTx Hysteroscopy System is specifically used with the LUMINELLE Dx 360 Rotatable Disposable Sheath (Diagnostic), the system is limited to performing diagnostic procedures only.
Device Story
LUMINELLE DTx Hysteroscopy System; endoscopic visualization tool for cervical canal, uterine cavity, and lower urinary tract. System comprises hysteroscope, control hub, and rotatable disposable sheaths. New accessory: LUMINELLE Dx 360 Rotatable Disposable Sheath (Diagnostic); features single fluid inflow channel and combined scope/fluid channel; lacks operative channel. Used by physicians in clinical settings. Provides direct visualization to assist in diagnostic and therapeutic procedures. New sheath limits system to diagnostic-only use. Benefits include thinner profile for diagnostic procedures. System connects to external distending medium (gravity-fed or pressurized bag).
Clinical Evidence
Bench testing only. Includes sterilization adoption (AAMI TIR28:2016), accelerated aging (ASTM F1980-16), distribution simulation (ASTM D4169-16), seal strength (ASTM F88-15), bubble leak (ASTM F2096-11), usability/design validation in in vivo models, and biocompatibility (ISO 10993-10:2016 sensitization/irritation, ISO 10993-5:2009 cytotoxicity).
Technological Characteristics
Endoscopic system with rigid/flexible sheaths. Rigid sheaths use 304 stainless steel; flexible sheaths use PEEK hypotube. Single-use disposable sheaths provided sterile. Connectivity via communication cable to control hub. No software algorithm described.
Indications for Use
Indicated for diagnostic and surgical hysteroscopy (abnormal bleeding, infertility, pregnancy wastage, abnormal hysterosalpingogram, foreign body, amenorrhea, pelvic pain, biopsy, polypectomy, myomectomy, adhesion/septum transection, ablation) and endoscopic access/examination of the lower urinary tract/bladder. When used with the LUMINELLE Dx 360 Diagnostic Sheath, limited to diagnostic procedures only.
Regulatory Classification
Identification
A hysteroscope is a device used to permit direct viewing of the cervical canal and the uterine cavity by a telescopic system introduced into the uterus through the cervix. It is used to perform diagnostic and surgical procedures other than sterilization. This generic type of device may include obturators and sheaths, instruments used through an operating channel, scope preheaters, light sources and cables, and component parts.
Predicate Devices
- LUMINELLE DTx Hysteroscopy System (K190827)
Related Devices
- K190827 — Luminelle DTx Hysteroscopy System, Luminelle 360 Rotatable Sterile Disposable Sheath Rigid · Uvision360, Inc. · Jun 6, 2019
- K181909 — Luminelle DTx Hysteroscopy System · Uvision360, Inc. · Aug 16, 2018
- K210512 — LUMINELLE DTx System · Uvision360, Inc. · Jun 30, 2021
- K081070 — INTERLACE MEDICAL OPERATIVE HYSTEROSCOPY SYSTEM · Interlace Medical, Inc. · Jul 23, 2008
- K141515 — AED HYSTEROSCOPE AND ACCESSORIES · National Advanced Endoscopy Devices, Inc. · Jan 7, 2015
Submission Summary (Full Text)
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November 1, 2019
UVision360 Inc. Rita King CEO MethodSense, Inc. 1 Copley Pkwy. Ste. 410 Morrisville, NC 27560
Re: K192278
> Trade/Device Name: LUMINELLE DTx Hysteroscopy System Regulation Number: 21 CFR 884.1690 Regulation Name: Hysteroscope And Accessories Regulatory Class: II Product Code: HIH, FAJ Dated: September 26, 2019 Received: October 2, 2019
Dear Rita King:
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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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.
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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 of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.
Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.
For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).
Sincerely.
Sharon Andrews Assistant Director DHT3B: Division of Reproductive, Gynecology and Urology Devices OHT3: Office of GastroRenal, ObGyn, General Hospital and Urology Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health
Enclosure
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# Indications for Use
510(k) Number (if known)
#### K192278
Device Name
LUMINELLE DTx Hysteroscopy System
#### Indications for Use (Describe)
Hysteroscopy: The LUMINELLE DTx Hysteroscopy System is used to permit viewing of the cervical canal and uterine cavity for the purpose of performing diagnostic and surgical procedures.
NOTE: Hysteroscopes are used as tools to access the uterine cavity and are not, in and of themselves, a method of surgery. When LUMINELLE DTx Hysteroscopy System is specifically used with the LUMINELLE Dx 360 Rotatable Disposable Sheath (Diagnostic), the system is limited to performing diagnostic procedures only.
Generally recognized indications for diagnostic hysteroscopy include:
- · Abnormal bleeding
- · Infertility and pregnancy wastage
- · Evaluation of abnormal hysterosalpingogram
- · Intrauterine foreign body
- · Amenorrhea
- Pelvic Pain
Generally recognized indications for use for operative hysteroscopy include:
- · Directed endometrial biopsv
- · Polypectomy
- · Submucous myomectomy
- · Transection of intrauterine adhesions
- · Transection of intrauterine septa
- Endometrial ablation
Cystoscopy: The LUMINELLE DTx Hysteroscopy System is intended for use in endoscopic access to and examination of the lower urinary tract, including the blader. When combined with accessory instruments, the user to perform various diagnostic and therapeutic procedures.
NOTE: When LUMINELLE DTx Hysteroscopy System is specifically used with the LUMINELLE Dx 360 Rotatable Disposable Sheath (Diagnostic), the system is limited to performing diagnostic procedures only.
Type of Use (Select one or both, as applicable)
✔ | Prescription Use (Part 21 CFR 801 Subpart D)
| Over-The-Counter Use (21 CFR 801 Subpart C)
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# 510(k) Summary
# UVision360 Inc.
This 510(k) Summary is in conformance with 21CFR 807.92
| Submitter: | UVision360 Inc.<br>158 Wind Chime Ct.<br>Suite 201<br>Raleigh, NC 27615<br>Phone: 888-855-9360 |
|--------------------------------|--------------------------------------------------------------------------------------------------------------------|
| Primary Contact: | Rita King, CEO<br>MethodSense, Inc.<br>Email: ritaking@methodsense.com<br>Phone: 919-313-3961<br>Fax: 919-313-3979 |
| Company Contact: | Allison London Brown<br>CEO |
| Date Prepared: | October 9, 2019 |
| Device Name and Classification | |
| Trade Name: | LUMINELLE DTx Hysteroscopy System |
|-----------------------|-------------------------------------------------------------------------------------------|
| Common Name: | Hysteroscope and accessories, Endoscope and accessories |
| Classification: | Class II |
| Regulation Number: | 21 CFR 884.1690 Hysteroscope and accessories<br>21 CFR 876.1500 Endoscope and accessories |
| Classification Panel: | Obstetrics/Gynecology<br>Gastroenterology/Urology |
| Product Code: | HIH Hysteroscope (And Accessories)<br>FAJ Cystoscope And Accessories; Flexible/Rigid |
### Predicate Device:
| | Predicate Device | |
|---------------------------|-------------------------------------------------------------------------------------------|--|
| Trade Name | LUMINELLE DTx Hysteroscopy System | |
| Common Name | Hysteroscope (and accessories); Cystoscope<br>(and accessories) | |
| 510(k) Submitter / Holder | UVision360 Inc. | |
| 510(k) Number | K190827 | |
| Regulation Number | 21 CFR 884.1690 Hysteroscope and accessories<br>21 CFR 876.1500 Endoscope and accessories | |
| Classification Panel | Gastroenterology/Urology<br>Obstetrics/Gynecology | |
| Product Code | HIH Hysteroscope (And Accessories)<br>FAJ Cystoscope And Accessories; Flexible/Rigid | |
The predicate device has not been subject to a design-related recall.
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### Device Description
The LUMINELLE DTx Hysteroscopy System originally received 510(k) clearance in 2018 as a hvsteroscopic and cvstoscopic svstem (K181909). In addition, LUMINELLE DTx Hysteroscopy System received 510(k) clearance in 2019 for the addition of a sheath component, LUMINELLE DTx 360° Rotatable Disposable Sheath Rigid to the system (K190827).
Based on user feedback for a thinner option for the disposable sheath for only diagnostic use, UVision360, Inc. (hereafter UVision) proposes the addition of a new accessory, the LUMINELLE Dx 360° Rotatable Disposable Sheath (Diagnostic), as part of an engineering performance change.
The LUMINELLE DTx Hysteroscopy System indications for use is identical to the previously cleared indications for use for the system. However, when the system is used with the LUMINELLE Dx 360° Rotatable Disposable Sheath (Diagnostic), the indications for use are limited to diagnostic use only.
No changes are proposed for the previously cleared components of the LUMINELLE DTx Hysteroscopy System. The new LUMINELLE Dx 360° Rotatable Disposable Sheath (Diagnostic) accessory is a modification of the LUMINELLE DTx 360° Rotatable Disposable Sheath Rigid component of the previously cleared LUMINELLE DTx Hysteroscopy System (K190827) with the following main changes:
- . The new accessory has one fluid line rather than the two fluid lines of the previously cleared component.
- . The new accessory has a combined channel for the scope and the fluid line rather than the separate channels of the previously cleared component.
- The new accessory has no operative channel available unlike the previously cleared . component, due to the fact that it is for diagnostic use only.
### Indications for Use
Hysteroscopy: The LUMINELLE DTx Hysteroscopy System is used to permit viewing of the cervical canal and uterine cavity for the purpose of performing diagnostic and surgical procedures.
NOTE: Hysteroscopes are used as tools to access the uterine cavity and are not, in and of themselves, a method of surgery. When LUMINELLE DTx Hysteroscopy System is specifically used with the LUMINELLE Dx 360° Rotatable Disposable Sheath (Diagnostic), the system is limited to performing diagnostic procedures only.
Generally recognized indications for diagnostic hysteroscopy include:
- Abnormal bleeding ●
- Infertility and pregnancy wastage
- . Evaluation of abnormal hysterosalpingogram
- . Intrauterine foreign body
- . Amenorrhea
- Pelvic Pain
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Generally recognized indications for use for operative hysteroscopy include:
- . Directed endometrial biopsy
- Polypectomy
- Submucous myomectomy
- . Transection of intrauterine adhesions
- . Transection of intrauterine septa
- . Endometrial ablation
Cystoscopy: The LUMINELLE DTx Hysteroscopy System is intended for use in endoscopic access to and examination of the lower urinary tract, including the bladder. When combined with accessory instruments, the System allows the user to perform various diagnostic and therapeutic procedures.
NOTE: When LUMINELLE DTx Hysteroscopy System is specifically used with the LUMINELLE Dx 360° Rotatable Disposable Sheath (Diagnostic), the system is limited to performing diagnostic procedures only.
### Substantial Equivalence
The table below provides a detailed comparison of the LUMINELLE DTx Hysteroscopy System to the predicate device.
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## Detailed Comparison of the Subject and Predicate Devices
| Item | Subject Device | Predicate Device | Comparison |
|--------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| | LUMINELLE DTx<br>Hysteroscopy System | LUMINELLE DTx Hysteroscopy System (K190827)<br>General | |
| Indications for Use | Hysteroscopy:<br>The LUMINELLE DTx<br>Hysteroscopy System is used to<br>permit viewing of the cervical<br>canal and uterine cavity for the<br>purpose of performing<br>diagnostic and surgical<br>procedures.<br><br>NOTE: Hysteroscopes are used<br>as tools to access the uterine<br>cavity and are not, in and of<br>themselves, a method of<br>surgery. When LUMINELLE<br>DTx Hysteroscopy System is<br>specifically used with the<br>LUMINELLE Dx 360° Rotatable<br>Disposable Sheath (Diagnostic),<br>the system is limited to<br>performing diagnostic<br>procedures only. | Hysteroscopy:<br>The LUMINELLE DTx<br>Hysteroscopy System is used to<br>permit viewing of the cervical canal<br>and uterine cavity for the purpose<br>of performing diagnostic and<br>surgical procedures.<br><br>NOTE: Hysteroscopes are used<br>as tools to access the uterine<br>cavity and are not, in and of<br>themselves, a method of surgery.<br><br>Generally recognized indications<br>for diagnostic hysteroscopy include:<br>Abnormal bleeding Infertility and pregnancy wastage Evaluation of abnormal hysterosalpingogram Intrauterine foreign body Amenorrhea Pelvic Pain | The Indications for Use of<br>the LUMINELLE DTx<br>Hysteroscopy System are<br>identical to the Indications<br>for Use of the previously<br>cleared LUMINELLE DTX<br>Hysteroscopy System<br>(K190827), except that<br>when specifically used with<br>the LUMINELLE Dx 360°<br>Rotatable Disposable<br>Sheath (Diagnostic), the<br>system is limited to<br>performing diagnostic<br>procedures only. |
| Item | Subject Device | Predicate Device | Comparison |
| | LUMINELLE DTx Hysteroscopy System | LUMINELLE DTx Hysteroscopy System (K190827) | |
| | Generally recognized indications for diagnostic hysteroscopy include:<br>Abnormal bleeding Infertility and pregnancy wastage Evaluation of abnormal hysterosalpingogram Intrauterine foreign body Amenorrhea Pelvic Pain Generally recognized indications for use for operative hysteroscopy include:<br>Directed endometrial biopsy Polypectomy Submucous myomectomy Transection of intrauterine adhesions Transection of intrauterine septa Endometrial ablation Cystoscopy: The LUMINELLE DTx Hysteroscopy System is intended for use in endoscopic access to | Generally recognized indications for use for operative hysteroscopy include:<br>Directed endometrial biopsy Polypectomy Submucous myomectomy Transection of intrauterine adhesions Transection of intrauterine septa Endometrial ablation Cystoscopy: The LUMINELLE DTx Hysteroscopy System is intended for use in endoscopic access to and examination of the lower urinary tract, including the bladder. When combined with accessory instruments, the System allows the user to perform various diagnostic and therapeutic procedures. | |
| Item | Subject Device | Predicate Device | Comparison |
| | LUMINELLE DTx<br>Hysteroscopy System<br>and examination of the lower<br>urinary tract, including the bladder.<br>When combined with accessory<br>instruments, the System allows the<br>user to perform various diagnostic<br>and therapeutic procedures.<br>NOTE: When LUMINELLE DTx<br>Hysteroscopy System is<br>specifically used with the<br>LUMINELLE Dx 360° Rotatable<br>Disposable Sheath (Diagnostic),<br>the system is limited to<br>performing diagnostic<br>procedures only. | LUMINELLE DTx Hysteroscopy<br>System (K190827) | |
| Intended Use | Hysteroscopy Intended Use:<br>The LUMINELLE DTx<br>Hysteroscopy System is used to<br>permit direct viewing of the<br>cervical canal and uterine cavity<br>for the purpose of performing<br>diagnostic and surgical<br>procedures.<br>NOTE: When LUMINELLE DTx<br>Hysteroscopy System is<br>specifically used with the | Hysteroscopy Intended Use:<br>The LUMINELLE DTx<br>Hysteroscopy System is used to<br>permit direct viewing of the cervical<br>canal and uterine cavity for the<br>purpose of performing diagnostic<br>and surgical procedures.<br>Cystoscopy Intended Use:<br>The LUMINELLE DTx Hysteroscopy<br>System is intended for use in<br>endoscopic access to the examination<br>of the lower urinary tract, including the | The Intended Use of the<br>LUMINELLE DTx<br>Hysteroscopy System is<br>identical to the Intended<br>Use of the previously<br>cleared LUMINELLE DTx<br>Hysteroscopy System<br>(K181909), except that<br>when specifically used with<br>the LUMINELLE Dx 360°<br>Rotatable Disposable<br>Sheath (Diagnostic), the |
| Item | Subject Device | Predicate Device | Comparison |
| | LUMINELLE DTx<br>Hysteroscopy System | LUMINELLE DTx Hysteroscopy System (K190827) | |
| | LUMINELLE Dx 360° Rotatable Disposable Sheath (Diagnostic), the system is limited to performing diagnostic procedures only. | bladder. When combined with accessory instruments, the System allows the user to perform various diagnostic and therapeutic procedures. | system is limited to performing diagnostic procedures only. |
| | Cystoscopy Intended Use:<br>The LUMINELLE DTx Hysteroscopy System is intended for use in endoscopic access to the examination of the lower urinary tract, including the bladder. When combined with accessory instruments, the System allows the user to perform various diagnostic and therapeutic procedures. | | |
| | NOTE: When LUMINELLE DTx Hysteroscopy System is specifically used with the LUMINELLE Dx 360° Rotatable Disposable Sheath (Diagnostic), the system is limited to performing diagnostic procedures only. | | |
| Product Code | HIH (Hysteroscope and Accessories)<br>FAJ (Cystoscope and Accessories) | HIH (Hysteroscope and Accessories)<br>FAJ (Cystoscope and Accessories) | The Product Codes of the LUMINELLE DTx Hysteroscopy System are identical to the product codes of the previously |
| ltem | Subject Device | Predicate Device | Comparison |
| | LUMINELLE DTx<br>Hysteroscopy System | LUMINELLE DTx Hysteroscopy<br>System (K190827) | |
| | | | cleared LUMINELLE DTx<br>Hysteroscopy System<br>(K190827). |
| Patient<br>Contacting<br>Materials<br>(Biocompatibilit<br>y) | ISO 10993 Compliant | ISO 10993 Compliant | The biocompatibility<br>compliance of patient<br>contacting materials of the<br>LUMINELLE DTx<br>Hysteroscopy System is<br>identical to the compliance<br>of the previously cleared<br>LUMINELLE DTx<br>Hysteroscopy System<br>(K190827). |
| Components | LUMINELLE DTx<br>●<br>Hysteroscope<br>LUMINELLE DTx 360°<br>●<br>Rotatable Disposable<br>Sheath<br>LUMINELLE DTx 360°<br>●<br>Rotatable Disposable<br>Sheath Rigid<br>LUMINELLE<br>●<br>Communication Cable<br>LUMINELLE Control Hub<br>●<br>LUMINELLE Dx 360°<br>●<br>Rotatable Disposable<br>Sheath (Diagnostic) | LUMINELLE DTx<br>●<br>Hysteroscope<br>LUMINELLE DTx 360°<br>●<br>Rotatable Disposable<br>Sheath<br>LUMINELLE DTx 360°<br>Rotatable Disposable<br>Sheath Rigid<br>LUMINELLE<br>●<br>Communication Cable<br>LUMINELLE Control Hub<br>● | The main components of<br>the LUMINELLE DTx<br>Hysteroscopy System are<br>mainly the same as the<br>main components of the<br>previously cleared<br>LUMINELLE DTx<br>Hysteroscopy System<br>(K190827). The only<br>difference is the addition of<br>a new accessory. This<br>difference only limits the<br>intended use and does not<br>raise different questions of<br>safety and effectiveness. |
| ltem | Subject Device | Predicate Device | Comparison |
| | LUMINELLE DTx<br>Hysteroscopy System | LUMINELLE DTx Hysteroscopy<br>System (K190827) | |
| | | | This difference does not<br>alter the intended use. |
| | | Sheath | |
| Rigid/Flexible<br>Sheath | Flexible and rigid sheaths<br>available:<br>Flexible sheath (LUMINELLE<br>●<br>DTx 360° Rotatable<br>Disposable Sheath) contains<br>a PEEK<br>(polyetheretherketone)<br>hypotube for flexibility.<br>Rigid sheath (LUMINELLE<br>●<br>DTx 360° Rotatable<br>Disposable Sheath Rigid and<br>LUMINELLE Dx 360°<br>Rotatable Disposable Sheath<br>(Diagnostic)) contains a 304<br>stainless steel inner tube for<br>rigidity. | Flexible and rigid sheaths<br>available:<br>Flexible sheath (LUMINELLE<br>●<br>DTx 360° Rotatable Disposable<br>Sheath) contains a PEEK<br>(polyetheretherketone)<br>hypotube for flexibility.<br>Rigid sheath (LUMINELLE DTx<br>●<br>360° Rotatable Disposable<br>Sheath Rigid) contains a 304<br>stainless steel inner tube for<br>rigidity. | The rigidity of the<br>LUMINELLE DTx<br>Hysteroscopy System is<br>identical to the rigidity of<br>the LUMINELLE DTx 360°<br>Rotatable Diagnostic<br>Sheath Rigid of the<br>previously cleared<br>LUMINELLE DTx<br>Hysteroscopy System<br>(K190827). |
| Sheath | Rotatable sheath with a curved | Rotatable sheath with a curved tip | The sheath manipulation of |
| manipulation | tip | | the LUMINELLE DTx<br>Hysteroscopy System is<br>identical to the sheath<br>manipulation of the<br>previously cleared<br>LUMINELLE DTx<br>Hysteroscopy System<br>(K190827). |
| Item | Subject Device | Predicate Device | Comparison |
| Sheath<br>Channels | LUMINELLE DTx<br>Hysteroscopy System<br>LUMINELLE DTx 360°<br>Rotatable Disposable Sheath<br>and LUMINELLE DTx 360°<br>Rotatable Disposable Sheath<br>Rigid - 4 Channels; one for the<br>scope, two for fluid<br>management, and one for<br>operative instruments.<br><br>LUMINELLE Dx 360° Rotatable<br>Disposable Sheath<br>(Diagnostic) - 2 Channels that<br>merge into a single channel; one<br>for the scope and one for fluid<br>management that merge<br>through a funnel to become a<br>single channel. | LUMINELLE DTx Hysteroscopy<br>System (K190827)<br>4 Channels; one for the scope, two<br>for fluid management, and one for<br>operative instruments. | The sheath channels of the<br>LUMINELLE DTx<br>Hysteroscopy System are<br>different from the sheath<br>channels of the previously<br>cleared LUMINELLE DTx<br>Hysteroscopy System<br>(K190827). This difference<br>only limits the intended use<br>and does not raise different<br>questions of safety and<br>effectiveness. This<br>difference does not alter<br>the intended use. |
| Instrument<br>Channel<br>Diameter | LUMINELLE DTx 360°<br>Rotatable Disposable Sheath<br>and LUMINELLE DTx 360°<br>Rotatable Disposable Sheath<br>Rigid - 5 Fr (1.7 mm)<br><br>LUMINELLE Dx 360° Rotatable<br>Disposable Sheath<br>(Diagnostic) - Not applicable.<br>There is no instrument channel. | 5 Fr. (1.7 mm) | There is no instrument<br>channel in the LUMINELLE<br>DTx Hysteroscopy System<br>compared to the 5 Fr.<br>instrument channel<br>diameter of the previously<br>cleared LUMINELLE DTx<br>Hysteroscopy System<br>(K190827). This difference<br>only limits the intended use<br>and does not raise different |
| Item | Subject Device | Predicate Device | Comparison |
| | LUMINELLE DTx<br>Hysteroscopy System | LUMINELLE DTx Hysteroscopy<br>System (K190827) | |
| | | | questions of safety and<br>effectiveness. This<br>difference does not alter<br>the intended use. |
| Sheath Fluid<br>Management | LUMINELLE DTx 360°<br>Rotatable Disposable Sheath<br>and LUMINELLE DTx 360°<br>Rotatable Disposable Sheath<br>Rigid - 2 fluid channels (inflow<br>and outflow), with manual<br>manipulation of fluid flow by<br>attaching gravity-fed or<br>pressurized bag of distending<br>medium<br>LUMINELLE Dx 360° Rotatable<br>Disposable Sheath<br>(Diagnostic) - 1 fluid channel<br>(inflow), with manual<br>manipulation of fluid flow by<br>attaching gravity-fed or<br>pressurized bag of distending<br>medium | 2 fluid channels (inflow and<br>outflow), with manual manipulation<br>of fluid flow by attaching gravity-<br>fed or pressurized bag of<br>distending medium | The sheath fluid<br>management of the<br>LUMINELLE DTx<br>Hysteroscopy System is<br>different from that of the<br>previously cleared<br>LUMINELLE DTx<br>Hysteroscopy System<br>(K190827). This difference<br>only limits the intended use<br>and does not raise different<br>questions of safety and<br>effectiveness. This<br>difference does not alter<br>the intended use. |
| Sheath<br>Reprocessing | No reprocessing required - the<br>LUMINELLE DTx 360°<br>Rotatable Disposable Sheath,<br>LUMINELLE DTx 360°<br>Rotatable Disposable Sheath | No reprocessing required - the<br>LUMINELLE DTx 360° Rotatable<br>Disposable Sheath and<br>LUMINELLE DTx 360° Rotatable<br>Disposable Sheath Rigid are | The sheath reprocessing of<br>the LUMINELLE DTx<br>Hysteroscopy System is<br>identical to the sheath<br>reprocessing of the |
| Item | Subject Device | Predicate Device | Comparison |
| | LUMINELLE DTx<br>Hysteroscopy System | LUMINELLE DTx Hysteroscopy<br>System (K190827) | |
| | Rigid, and LUMINELLE Dx 360°<br>Rotatable Disposable Sheath<br>(Diagnostic) are single-use<br>disposable and are provided<br>sterile. | single-use disposable and are<br>provided sterile. | previously cleared<br>LUMINELLE DTx<br>Hysteroscopy System<br>(K190827). |
| Scope and<br>Sheath<br>Connection | LUMINELLE DTx 360°<br>Rotatable Disposable Sheath<br>and LUMINELLE DTx 360°<br>Rotatable Disposable Sheath<br>Rigid - The Insertion Tube of<br>the Scope inserts through the<br>scope channel of the Operative…