BATTERY POWERED ENDOSCCOPIC LIGHT SOURCE

K960081 · Mitsubishi Cable America, Inc. · FCQ · Mar 12, 1996 · Gastroenterology, Urology

Device Facts

Record IDK960081
Device NameBATTERY POWERED ENDOSCCOPIC LIGHT SOURCE
ApplicantMitsubishi Cable America, Inc.
Product CodeFCQ · Gastroenterology, Urology
Decision DateMar 12, 1996
DecisionSESE
Submission TypeTraditional
Regulation21 CFR 876.1500
Device ClassClass 2

Indications for Use

The Mitsubishi Battery Powered Endoscopic Light Source is intended for use as a light source for diagnostic endoscopes.

Device Story

Lightweight, portable, battery-powered light source for diagnostic endoscopes; utilizes 3V lithium battery and 1.7W halogen bulb; manual on/off switch; connects via friction-fit adaptors to endoscope light cable posts; used by clinicians in diagnostic settings; provides illumination for target visualization; reusable design allows for sterilization and battery replacement.

Clinical Evidence

Bench testing only.

Technological Characteristics

Incandescent light source; 1.7-watt halogen bulb; 3-volt lithium battery; leakproof case; friction-fit connectivity; reusable; sterilizable.

Indications for Use

Indicated for use as a light source for diagnostic endoscopes in patients requiring endoscopic examination.

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} 510(k) Summary: #K960081 MAR 12 1996 # Battery Powered Endoscopic Light Source 1) **Name of Submitter:** Mitsubishi Cable America, Inc. **Address:** 520 Madison Avenue New York, NY 10022 **Telephone:** (212) 888-2270 **Contact Person:** Dr. Ronald J. Ehmsen (714) 771-7656 **Date Submitted:** January 4, 1996 2) **Name of Device:** Battery Powered Endoscopic Light Source **Proprietary/Trade Name:** (Not yet determined) **Common/Usual Name:** Battery Powered Light Source **Classification:** Class II **Classification Name:** Light Source, Incandescent, Diagnostic (78FCQ) 3) **Name of Predicate or Legally Marketed Device:** The Mitsubishi Battery Powered Endoscopic Light Source is substantially equivalent to the “Xomed-Treace E-Luminator™ II Battery Powered Disposable Endoscope Light Source” that was approved by FDA for marketing on August 24, 1994, under 510(k) No. K932771. 4) **Description of Device:** The Mitsubishi Battery Powered Endoscopic Light Source is a lightweight, portable, battery powered light source intended for use with diagnostic endoscopes. The light source is powered by one three-volt lithium battery contained within a leakproof case and controlled by a manual on/off switch. Illumination is provided by a 1.7-watt halogen bulb. The unit may be connected by friction-fit to most manufacturers’ endoscopes via adaptors (supplied separately) that attach to the endoscope light cable post. {1} 510(k) Summary: #K960081 Mitsubishi Cable America, Inc. Battery Powered Endoscopic Light Source January 4, 1996 Page 2 5) **Intended Use of Device:** The Mitsubishi Battery Powered Endoscopic Light Source is intended for use as a light source for diagnostic endoscopes. 6) **Comparison of Technological Characteristics:** The Mitsubishi Battery Powered Endoscopic Light Source is substantially equivalent¹ to the predicate or legally marketed Xomed-Treace E-Luminator™ II Battery Powered Disposable Endoscope Light Source. Mitsubishi’s device employs the same design considerations and operating principles. However, the Mitsubishi device can be sterilized and its battery can be replaced to allow the device to be reused. Any differences between the Mitsubishi and Xomed-Treace devices do not raise new questions regarding safety or effectiveness. Each device delivers incandescent light to the endoscope to illuminate the target under observation. ¹ The term, "substantially equivalent," is intended to reflect a determination of substantial equivalence under the Federal Food, Drug, and Cosmetic Act, and relates to the fact that the product can be marketed without premarket approval or reclassification. Such a determination is not intended to have any bearing on matters relating to patents.
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