KSEA URETERO-RENO-FIBERSCOPE AND NEPHRO-FIBERSCOPE

K970427 · Karl Storz Endoscopy · FGB · Mar 11, 1997 · Gastroenterology, Urology

Device Facts

Record IDK970427
Device NameKSEA URETERO-RENO-FIBERSCOPE AND NEPHRO-FIBERSCOPE
ApplicantKarl Storz Endoscopy
Product CodeFGB · Gastroenterology, Urology
Decision DateMar 11, 1997
DecisionSESE
Submission TypeTraditional
Regulation21 CFR 876.1500
Device ClassClass 2
AttributesTherapeutic

Intended Use

The KSEA Uretero-Reno-Fiberscope and Nephro-Fiberscope is designed to be used by qualified surgeons and physicians for examination of the upper urinary tract including the ureter and kidney and, using additional accessories, to perform various diagnostic and therapeutic procedures.

Device Story

Flexible fiberoptic telescopes; manually operated. Input: visual observation of upper urinary tract via fiber-optic technology. Output: direct visualization for surgeon. Used in clinical/surgical settings by physicians/surgeons. Facilitates diagnostic and therapeutic procedures in ureter and kidney. Benefit: enables minimally invasive access and visualization of upper urinary tract.

Clinical Evidence

No clinical data provided; bench testing only.

Technological Characteristics

Flexible fiberoptic telescope; medical grade polyurethane body contact materials; manual operation; fiber-optic imaging technology.

Indications for Use

Indicated for qualified surgeons and physicians performing examination of the upper urinary tract (ureter and kidney) and associated diagnostic or therapeutic procedures.

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.

Related Devices

Submission Summary (Full Text)

{0} K970427 MAR 11 1997 # 510(k) SUMMARY OF SAFETY AND EFFECTIVENESS This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirements of the Safe Medical Devices Act (SMDA) of 1990 and 21 CFR 807.92. All data included in this document is accurate and complete to the best of KSEA’s knowledge. ## Applicant: Karl Storz Endoscopy - America, Inc. 600 Corporate Pointe Drive Culver City, CA 90230 (310) 558-1500 ## Contact: Kevin Kennan Regulatory Affairs Specialist ## Device Identification: **Common Name:** Flexible Urology Scopes **Trade Name:** (optional) Karl Storz Uretero-Reno-Fiberscope and Nephro-Fiberscope ## Indication: The KSEA Uretero-Reno-Fiberscope and Nephro-Fiberscope is designed to be used by qualified surgeons and physicians for examination of the upper urinary tract including the ureter and kidney and, using additional accessories, to perform various diagnostic and therapeutic procedures. ## Device Description: The KSEA Uretero-Reno-Fiberscope and Nephro-Fiberscope are manually operated surgical devices. The KSEA Uretero-Reno-Fiberscope and Nephro-Fiberscope are flexible fiberoptic telescopes which utilize fiber-optic technology. The body contact portions of the KSEA Intubation Laryngoscope are composed of medical grade polyurethane. ## Substantial Equivalence: The KSEA Uretero-Reno-Fiberscope and Nephro-Fiberscope are substantially equivalent to the predicate devices since the basic features, design and intended uses are the same. The minor differences between the KSEA Uretero-Reno-Fiberscope and Nephro-Fiberscope and the predicate devices raise no new issues of safety and effectiveness, as these design differences have no affect on the performance, function or intended use of the devices. Signed: Kevin Kennan Regulatory Affairs Specialist 000097
Innolitics
510(k) Summary
Decision Summary
Classification Order
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