BioGuard EUS Air/Water and Suction Valves

K202104 · STERIS Corporation · ODC · Jan 14, 2021 · Gastroenterology, Urology

Device Facts

Record IDK202104
Device NameBioGuard EUS Air/Water and Suction Valves
ApplicantSTERIS Corporation
Product CodeODC · Gastroenterology, Urology
Decision DateJan 14, 2021
DecisionSESE
Submission TypeTraditional
Regulation21 CFR 876.1500
Device ClassClass 2

Indications for Use

The BioGuard EUS Air/Water Valve is intended to be used to control the air/water function of an endoscope during a GI endoscopic procedure. The BioGuard EUS Suction Valve is intended to be used to control the suction function of an endoscope during a GI endoscopic procedure.

Device Story

BioGuard EUS Air/Water and Suction Valves are single-use, sterile accessories for echoendoscopes. The Air/Water valve controls air/CO2 insufflation, lens washing, and inflation of a distal balloon. The Suction valve controls suction through the accessory channel and balloon deflation. Operated manually by clinicians during GI endoscopic procedures. The device facilitates visualization and therapeutic access by managing fluid/gas flow and balloon state. Benefits include maintaining sterile field and proper endoscope function during EUS procedures.

Clinical Evidence

Bench testing only. Functional testing evaluated the air/water valve's ability to control air/CO2 and water supply, and the suction valve's ability to control evacuation. Simulated use testing confirmed performance in echoendoscope applications.

Technological Characteristics

Single-use, sterile (EtO, SAL 10^-6). Materials: PC-ABS, stainless steel, TPE, Ultem plastic, brass. Manual actuation; no energy delivered. Dimensions: Air/Water valve (46mm x 11mm), Suction valve (33mm x 3.8mm). Compatible with Olympus echoendoscopes featuring balloon channels.

Indications for Use

Indicated for patients undergoing GI endoscopic procedures requiring air/water insufflation or suction control via an echoendoscope.

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.

In combination with the general controls of the FD&C Act, the integrated operating table-electromechanical surgical system is subject to the following special controls: 1. (1) Premarket clinical performance testing, or a combination of premarket clinical performance testing and postmarket surveillance (in accordance with special control (2)), must include the following: 1. (i) Objective performance measures (e.g., rate and number of conversions to other surgical modalities, rate of device related adverse events (including tissue injury, hematoma, and increased blood loss), and their severity, cause, and outcomes) must be reported with relevant descriptive comparator performance measures. 2. (ii) The data must demonstrate the performance of the device for providing accurate and precise control of attached surgical instruments in range of clinical conditions relevant to the device's intended use. 3. (iii) The test dataset must include data collected from a patient population representative of the intended patient population under anticipated conditions of use. 2. (2) Data obtained from postmarket surveillance must demonstrate, in consideration of the premarket data obtained in accordance with special control (1), that the device performs in accordance with special control (1), unless FDA determines, based on the totality of the premarket data, that data from postmarket surveillance is not required to demonstrate that the device performs as intended. Such postmarket surveillance must be conducted per a protocol determined appropriate by FDA to demonstrate that the device performs as intended (in consideration of the premarket data obtained in accordance with special control (1)), and must include initiation, enrollment, and reporting requirements to ensure timely periodic updates to FDA on post-market surveillance progress and outcomes. 3. (3) Animal performance testing must evaluate the extent of port site trauma due to repositioning of table during surgical procedures when utilizing robotic minimally invasive and laparoscopic approaches 4. (4) The device manufacturer must develop, and update as necessary, a device-specific use training program that ensures proper device setup/use/shutdown, accurate control of instruments to perform the intended surgical procedures, troubleshooting and handling during unexpected events or emergencies, and safe practices to mitigate use error. 5. (5) The device manufacturer may only distribute the device to facilities that implement and maintain the device-specific use training program and ensure that users of the device have completed the device-specific use training program. (6) Human factors assessment must demonstrate that the user can correctly use the device system across all intended use environments with the provided instructions and training materials, including patient access during normal operating conditions and emergency situations, and effects arising from the integrated nature of the operating table and robotic surgical arms. (7) Labeling must include: (i) A detailed summary of clinical performance testing conducted with the device, including study population, results, adverse events, and comparisons to any comparator groups identified; (ii) A statement in the labeling that the safety and effectiveness for the representative specific procedures was based on evaluation of the device as a surgical tool and did not include evaluation of outcomes related to the treatment of the patient's underlying disease or condition, unless FDA determines that it can be removed or modified based on clinical performance data submitted to FDA; (iii) Identification of compatible devices; (iv) The list of surgical procedures for which the device has been determined to be safe with clinical justification; (v) Reprocessing instructions for reusable components; (vi) A shelf life for any sterile components; (vii) A description of the device-specific use training program; (viii) A statement that the device is only for distribution to facilities that implement and maintain the device-specific use training program and ensure that users of the device have completed the device-specific use training program; and (ix) A summary of any completed postmarket surveillance data collected as required by special control (2), including updated labeling to accurately reflect outcomes observed in postmarket surveillance. (8) Non-clinical performance testing must demonstrate that the device performs as intended under anticipated conditions of use and must include: (i) Device motion accuracy and repeatability; (ii) System testing; (iii) Instrument reliability; (iv) Crosstalk; (v) Table motion control; (vi) Thermal effects on tissue; (vii) User-device interface performance; (viii) Workspace access testing; and (ix) Performance testing with compatible devices. (9) Software verification, validation, and hazard analysis must be performed. (10) Electromagnetic compatibility and electrical, thermal, and mechanical safety testing must be performed. (11) Performance data must demonstrate the sterility of all patient-contacting device components. (12) Performance data must support the shelf life of the device components provided sterile by demonstrating continued sterility and package integrity over the labeled shelf life. (13) Performance data must validate the reprocessing instructions for the reusable components of the device. (14) Performance data must demonstrate that all patient-contacting components of the device are biocompatible. (15) Performance data must demonstrate that all patient-contacting components of the device are non-pyrogenic. (16) The device manufacturer must submit a report to the FDA annually on the anniversary of initial marketing authorization for the device, until such time as FDA may terminate such reporting, which comprises the following information: (i) Cumulative summary, by year, of complaints and adverse events since date of initial marketing authorization; and (ii) Identification and rationale for changes made to the device, labeling, or device specific use training program, which did not require submission of a premarket notification during the reporting period.

Predicate Devices

Submission Summary (Full Text)

{0}------------------------------------------------ Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue. January 13, 2021 Steris Corporation Carroll Martin Regulatory Affairs Director 5976 Heislev Road Mentor, OH 44060 Re: K202104 Trade/Device Name: BioGuard EUS Air/Water and Suction Valves Regulation Number: 21 CFR 876.1500 Regulation Name: Endoscope and accessories Regulatory Class: Class II Product Code: ODC, FDF Dated: December 4, 2020 Received: December 7, 2020 ### Dear Carroll Martin: 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. 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 {1}------------------------------------------------ 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 (QS) 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 mediation-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, for Shanil P. Haugen, Ph.D. Assistant Director DHT3A: Division of Renal, Gastrointestinal, Obesity and Transplant Devices OHT3: Office of GastroRenal, ObGyn, General Hospital and Urology Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health Enclosure {2}------------------------------------------------ ## Indications for Use 510(k) Number (if known) K202104 Device Name BioGuard EUS Air/Water and Suction Valves Indications for Use (Describe) The BioGuard EUS Air/Water Valve is intended to be used to control the air/water function on an endoscope during a GI endoscopic procedure. The BioGuard EUS Suction Valve is intended to be used to control the suction function on an endoscope during a GI endoscopic procedure. 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) ### CONTINUE ON A SEPARATE PAGE IF NEEDED. This section applies only to requirements of the Paperwork Reduction Act of 1995. ### *DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.* The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to: > Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff@fda.hhs.gov "An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number." {3}------------------------------------------------ K202104 Page 1 of 4 Image /page/3/Picture/1 description: The image shows the STERIS logo. The word STERIS is in all caps and in a serif font. Below the word STERIS is a graphic of several horizontal wavy lines in blue. # 510(k) Summary For the BioGuard EUS Air/Water and Suction Valves STERIS Corporation 5960 Heisley Road Mentor, OH 44060 Contact: Carroll Martin Regulatory Affairs Director Tel: 440-358-6259 Email: carroll_martin@steris.com January 4, 2021 Summary Date: STERIS Corporation ■ 5960 Heisley Road ■ Mentor, OH 44060-1834 USA ■ 440-354-2600 {4}------------------------------------------------ # STERIS Traditional 510(k) PREMARKET NOTIFICATION BioGuard EUS Air/Water and Suction Valves #### 1. Device Name | Device Name: | BioGuard EUS Air/Water and Suction Valves, P/N 00711780 | |------------------|---------------------------------------------------------| | Common Name: | Air/Water and Suction Valves | | Regulation Name: | Endoscopic Channel Accessory | #### Device Classification 2. | Regulatory Class: | II | |--------------------|--------------------------------------------------------------------------------------------| | Regulation Number: | 21 CFR 876.1500 | | Device Panel: | Gastroenterology/Urology | | Product Code: | ODC and FDF | | Product Code Name: | Endoscope Channel Accessory (ODC)<br>Colonoscope and Accessories, Flexible, Rigid<br>(FDF) | #### 3. Predicate Device K192059 BioGuard Air/Water Valve, BioGuard Suction Valve #### 4. Description of Device The BioGuard EUS Air/Water Valve and the BioGuard EUS Suction Valve are accessories to an echoendoscope. The EUS Air/Water valve allows the end user to control air or CO2 insufflation down the endoscope's accessory channel, control water used to wash the lens of the endoscope and insufflate a balloon at the distal end of the echoendoscope. The EUS Suction valve allows the user to control suction through the echoendoscope's accessory channel and suction to the balloon at the distal end of the echoendoscope. Both devices are single use devices, supplied sterile. #### 5. Intended Use The BioGuard EUS Air/Water Valve is intended to be used to control the air/water function of an endoscope during a GI endoscopic procedure. The BioGuard EUS Suction Valve is intended to be used to control the suction function of an endoscope during a GI endoscopic procedure. {5}------------------------------------------------ #### 6. Technological Characteristic Comparison Table The BioGuard EUS Air/Water and Suction valves are similar in design to the predicate and have exactly the same intended use. The differences between the proposed and predicate devices are the design of the valves and the particular type of endoscope on which the devices are used. The design is different than the predicate (see table below) because the BioGuard EUS Air/Water and Suction valves are used on echoendoscopes that have different dimensions than the endoscopes that are used with the predicate device. The echoendoscopes also have a balloon channel to allow the inflation and deflation of a balloon with water. These differences do not raise any new concerns of safety and effectiveness when compared to the predicate device. Table 1 summarizes the similarities/differences between the proposed device and the predicate. | Feature | BioGuard EUS Air/Water and<br>Suction Valve<br>(Proposed) | BioGuard Air/Water and<br>Suction Valve<br>(Predicate K192059) | Comparison | |----------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------| | Intended use | The BioGuard EUS Air/Water<br>Valve is intended to be used to<br>control the air/water function on<br>an endoscope during a GI<br>endoscopic procedure. The<br>BioGuard EUS Suction Valve is<br>intended to be used to control<br>the suction function on an<br>endoscope during a GI<br>endoscopic procedure. | The BioGuard Air/Water<br>Valve is intended to be used<br>to control the air/water<br>function on an endoscope<br>during a GI endoscopic<br>procedure. The BioGuard<br>Suction Valve is intended to<br>be used to control the<br>suction function on an<br>endoscope during a GI<br>endoscopic procedure. | Same | | Construction | Air/Water Valve:<br>Stem, gaskets, spring guide,<br>spring(s) and endcap with skirt | Air/Water Valve:<br>Stem, gaskets, spring and<br>valve base (skirt and<br>endcap) | Similar | | | Suction Valve:<br>Stem, spring guide, spring(s)<br>and endcap with skirt | Suction Valve:<br>Stem, spring and valve base<br>(skirt and endcap) | | | Sterile/Non-sterile | Sterile | Sterile | Same | | Sterilization<br>Method | EtO | EtO | Same | | Sterilization<br>Assurance Level | 10-6 | 10-6 | Same | | Usage | Single use | Single use | Same | ### Table 1. Proposed/Predicate Device Technological Characteristics Comparison Table {6}------------------------------------------------ | Feature | BioGuard EUS Air/Water and<br>Suction Valve<br>(Proposed) | BioGuard Air/Water and<br>Suction Valve<br>(Predicate K192059) | Comparison | |------------------------------------------|-----------------------------------------------------------|--------------------------------------------------------------------------|------------| | Materials | Air/Water Valve: | Air/Water Valve: | | | | PC-ABS, Stainless Steel, TPE | ABS Plastic, Stainless Steel,<br>Thermoplastic styrene<br>(Rabalon), TPE | Similar | | | Suction Valve: | Suction Valve: | | | | PC-ABS, Stainless Steel, Ultem<br>Plastic, TPE, Brass | ABS Plastic, Stainless Steel,<br>TPE, PC-ABS | Similar | | Device<br>Dimensions<br>(lengths/widths) | Air/Water Valve:<br>Length: 46 mm<br>Diameter: 11 mm | Air/Water Valve:<br>Length: 45.9 mm<br>Diameter: 10 mm | Similar | | | Suction Valve:<br>Length: 33 mm<br>Diameter: 3.8 mm | Suction Valve:<br>Length: 27.4 mm<br>Diameter: 5.6 mm | Similar | | Target<br>Population | Patients undergoing an<br>endoscopic procedure | Patients undergoing an<br>endoscopic procedure | Same | | Energy<br>Used/Delivered | None | None | Same | | Method of<br>Application | Manual actuation | Manual actuation | Same | | Compatible<br>Endoscopes | Olympus endoscope with a<br>balloon channel | Olympus endoscope without<br>a balloon channel | Similar | | Packaging | Sealed thermoform tray | Sealed thermoform tray | Same | ## STERIS Traditional 510(k) PREMARKET NOTIFICATION BioGuard EUS Air/Water and Suction Valves ## 7. Description of Safety and Substantial Equivalence Functional testing assessing the air/water valves ability to control the supply of air/CO2 and water to an endoscope was conducted via bench and simulated use testing. Functional testing assessing the suction valves ability to control the evacuation of air/CO2 and water through the endoscope was conducted via bench and simulated use testing. ## 8. Conclusion The proposed device, the BioGuard EUS Air/Water and Suction Valves, is substantially equivalent to its predicate device. The non-clinical testing demonstrates that the device is as safe, as effective and performs as well as the legally marketed device.
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