Habib EndoHPB

K231533 · Boston Scientific Corporation · KNS · Jun 21, 2023 · Gastroenterology, Urology

Device Facts

• Record ID: K231533
• Device Name: Habib EndoHPB
• Applicant: Boston Scientific Corporation
• Product Code: KNS · Gastroenterology, Urology
• Decision Date: Jun 21, 2023
• Decision: SESE
• Submission Type: Special
• Regulation: 21 CFR 876.4300
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

The Habib EndoHPB is a radiofrequency (RF) catheter which provides bipolar energy to perform partial or complete ablation of tissue in the pancreatic and biliary tracts. The Habib EndoHPB is also intended for use to ablate malignant or benign tissue, notably to perform endoscopic biliary drainage or decompression, prior to stent placement or afterwards, to clear occluded stent.

Device Story

Habib EndoHPB is 8F bipolar radiofrequency (RF) catheter; introduced via endoscope biopsy channel. Device connects to external RF generator via attached cable. Principle of operation: bipolar RF energy delivered to two ring electrodes at catheter tip; generates heat to ablate surrounding tissue. Used in clinical settings by physicians (gastroenterologists/endoscopists) for pancreatic/biliary tract procedures. Output is thermal energy for tissue ablation; enables biliary drainage, decompression, or clearing of occluded stents. Benefits include minimally invasive management of biliary obstructions.

Clinical Evidence

Bench testing only. Performance data evaluated using methods from predicate 510(k) to validate new generator settings.

Technological Characteristics

8F bipolar RF catheter; two ring electrodes; connects to external RF generator. Identical to predicate device. No changes in materials or design.

Indications for Use

Indicated for patients requiring partial or complete tissue ablation in pancreatic and biliary tracts, including ablation of malignant or benign tissue for biliary drainage, decompression, or clearing of occluded stents.

Regulatory Classification

Identification

An endoscopic electrosurgical unit and accessories is a device used to perform electrosurgical procedures through an endoscope. This generic type of device includes the electrosurgical generator, patient plate, electric biopsy forceps, electrode, flexible snare, electrosurgical alarm system, electrosurgical power supply unit, electrical clamp, self-opening rigid snare, flexible suction coagulator electrode, patient return wristlet, contact jelly, adaptor to the cord for transurethral surgical instruments, the electric cord for transurethral surgical instruments, and the transurethral desiccator.

Predicate Devices

• Habib EndoHPB (K180165)

Submission Summary (Full Text)

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June 21, 2023

Boston Scientific Corporation Carter Navarro Fellow, Regulatory Affairs 100 Boston Scientific Way Marlborugh, MA 01752

K231533 Re:

> Trade/Device Name: Habib EndoHPB Regulation Number: 21 CFR 876.4300 Regulation Name: Endoscopic electrosurgical unit and accessories Regulatory Class: Class II Product Code: KNS Dated: May 26, 2023 Received: May 26, 2023

Dear Carter Navarro:

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

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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-safetyreporting-combination-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-devices/medical-device-safety/medicaldevice-reporting-mdr-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/medical-devices/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-devices/device-advicecomprehensive-regulatory-assistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email ([e-mail]) or phone [phone] or 301-796-7100).

Sincerely,

# Glenn B. Bell -S

Glenn B. Bell, Ph.D. 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

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# Indications for Use

510(k) Number (if known) K231533

Device Name Habib EndoHPB

Indications for Use (Describe)

The Habib EndoHPB is a radiofrequency (RF) catheter which provides bipolar energy to perform partial or complete ablation of tissue in the pancreatic and biliary tracts.

The Habib EndoHPB is also intended for use to ablate malignant or benign tissue, notably to perform endoscopic biliary drainage or decompression, prior to stent placement or afterwards, to clear occluded stent.

| Type of Use (Select one or both, as applicable) | |
|-------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------|
| <div> <span> <span style="text-decoration: overline;">☑</span> Prescription Use (Part 21 CER 801 Subpart D) </span> </div> | <div> <span> ☐ Over-The-Counter Use (21 CER 801 Subpart C) </span> </div> |

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Image /page/3/Picture/0 description: The image shows the logo for Boston Scientific. The words "Boston Scientific" are written in a blue, sans-serif font. The word "Boston" is on the top line, and the word "Scientific" is on the bottom line. The logo is simple and clean, and it is easily recognizable.

Boston Scientific Corporation Endoscopy Division 100 Boston Scientific Way Marlborough, MA 01752 [phone] www.bostonscientific.com

## 510(k) Summary for Habib EndoHPB

#### 1. Submitter

Boston Scientific Corporation 100 Boston Scientific Way Marlborough, MA 01752

Carter Navarro Contact: Fellow, Regulatory Affairs Phone: [phone] E-mail: [e-mail]

Date Prepared: May 26, 2023

## 2. Device

| Trade Name: | Habib EndoHPB |
|----------------------------|------------------------------------------------------------------|
| Common Name: | Unit, Electrosurgical, Endoscopic (With Or Without Accessories) |
| Product Code: | KNS |
| Device Class: | Class II |
| Device Panel: | Gastroenterology/Urology |
| Classification Regulation: | 21 CFR 876.4300, Endoscopic electrosurgical unit and accessories |

#### 3. Predicate Device

| Trade Name: | Habib EndoHPB |
|----------------------------|------------------------------------------------------------------|
| 510(k) Number: | K180165 |
| Common Name: | Unit, Electrosurgical, Endoscopic (With Or Without Accessories) |
| Product Code: | KNS |
| Device Class: | Class II |
| Device Panel: | Gastroenterology/Urology |
| Classification Regulation: | 21 CFR 876.4300, Endoscopic electrosurgical unit and accessories |

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#### 4. Device Description

The Habib EndoHPB is an 8F RF bipolar catheter that consists of a catheter with 2 ring electrodes, introduced via an endoscope's biopsy channel. It has an attached cable which connects the device to an RF Generator. RF is applied to the two electrodes at the top of the catheter so that heat is applied to tissue surrounding the catheter.

#### 5. Indications for Use

The Habib EndoHPB is a radiofrequency (RF) catheter which provides bipolar energy to perform partial or complete ablation of tissue in the pancreatic and biliary tracts. The Habib EndoHPB is also intended for use to ablate malignant or benign tissue, notably to perform endoscopic biliary drainage or decompression, prior to stent placement or afterwards, to clear occluded stent.

#### 6. Technological Characteristics

The technological characteristics of the proposed Habib EndoHPB are identical to those of the predicate device.

#### 7. Substantial Equivalence

The proposed Habib EndoHPB is identical to the predicate device, with no changes in technology, engineering, performance, or materials. The only difference is the recommended generator settings for using the Habib EndoHPB with the Erbe VIO 3 electrosurgical unit. These settings do not raise new questions of safety or effectiveness, and the subject device is considered substantially equivalent to the predicate device.

#### 8. Performance Data

The new settings have been evaluated using the same methods described in the predicate device 510(k), with additional controls, and the resulting performance data show substantial equivalence.

#### 9. Conclusion

Boston Scientific has demonstrated that the proposed Habib EndoHPB is substantially equivalent to the currently marketed predicate device.