TROCAR CANNULA

K963115 · United States Surgical, A Division of Tyco Healthc · GCJ · Feb 12, 1997 · Gastroenterology, Urology

Device Facts

• Record ID: K963115
• Device Name: TROCAR CANNULA
• Applicant: United States Surgical, A Division of Tyco Healthc
• Product Code: GCJ · Gastroenterology, Urology
• Decision Date: Feb 12, 1997
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 876.1500
• Device Class: Class 2

Intended Use

Both the Auto Suture* Cannula** and the Auto Suture* Modified Versaport* Trocar (K954108) are intended for use in a variety of gynecologic, general, thoracic, and urologic endoscopic procedures to create and maintain a port of entry

Device Story

Two-piece device consisting of reusable sleeve and disposable plastic housing with seal adapter; used to create and maintain port of entry during endoscopic procedures; operated by surgeons in clinical settings; facilitates instrument access to body cavities.

Clinical Evidence

Bench testing only.

Technological Characteristics

Two-piece construction: reusable sleeve, disposable plastic housing with seal adapter. Materials compliant with ISO 10993-1.

Indications for Use

Indicated for patients undergoing gynecologic, general, thoracic, or urologic endoscopic procedures requiring a port of entry.

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.

Predicate Devices

• Auto Suture* Modified Versaport* Trocar (K954108)

Submission Summary (Full Text)

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United States Surgical Corporation
510(k) Premarket Notification
Auto Suture* Cannula**
K963115

# 510(k) SUMMARY OF INFORMATION:

**SUBMITTER:** United States Surgical Corporation
150 Glover Avenue
Norwalk, CT 06856
[phone]
FEB 13 1997

**CONTACT PERSON:** Janet G. Johnson

**DATE PREPARED:** August 9, 1996

**CLASSIFICATION NAME:** Manual Surgical Instrument for general use

**COMMON NAME:** Trocar Cannula

**PROPRIETARY NAME:** Trademark name not yet determined.

**PREDICATE DEVICE:** Auto Suture* Modified Versaport* Trocar (K954108)

**DEVICE DESCRIPTION:** The Auto Suture* Cannula** is a two piece device which consists of a reusable sleeve and a disposable plastic housing with seal adapter. While the Auto Suture* Modified Versaport* Trocar (K954108) is a totally disposable trocar with cannula.

**INTENDED USE:** Both the Auto Suture* Cannula** and the Auto Suture* Modified Versaport* Trocar (K954108) are intended for use in a variety of gynecologic, general, thoracic, and urologic endoscopic procedures to create and maintain a port of entry

**MATERIALS:** All component materials of the Auto Suture* Cannula** are comprised of materials which are in accordance with ISO Standard #10993-1.

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