CLARUS ENDOSCOPIC DISCECTOMY SYSTEM SITETRAC MODEL 6000

K980588 · Clarus Medical Systems, Inc. · GAD · Aug 18, 1998 · General, Plastic Surgery

Device Facts

• Record ID: K980588
• Device Name: CLARUS ENDOSCOPIC DISCECTOMY SYSTEM SITETRAC MODEL 6000
• Applicant: Clarus Medical Systems, Inc.
• Product Code: GAD · General, Plastic Surgery
• Decision Date: Aug 18, 1998
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 878.4800
• Device Class: Class 1
• Attributes: Therapeutic

Intended Use

The Clarus 6000 SITEtrac Discectomy System is intended for surgical use in the lumbar spine. It is supplied non-sterile and is intended for reuse. The Model 6020 Dilators and Model 6021 Retractors are intended to be used to dilate then retract the tissue in the region of the lumbar spine. This will provide an access point to apply surgical techniques through the tubular retractor under endoscopic visualization.

Device Story

Clarus 6000 SITEtrac Discectomy System consists of a set of reusable, gradually increasing dilators (4.67mm to 20mm) and tubular retractors; used in lumbar spine surgery. Device provides surgical access point to the spine; allows application of surgical techniques under endoscopic visualization. Operated by surgeons in an OR setting. System facilitates minimally invasive discectomy by creating a working channel through retracted tissue. Benefits include reduced tissue trauma compared to open procedures via endoscopic access.

Clinical Evidence

No clinical data provided; bench testing only.

Technological Characteristics

Reusable surgical dilators and retractors; dimensions range from 4.67mm to 20mm. Mechanical design for tissue dilation and retraction. Non-sterile; requires user-performed cleaning and sterilization.

Indications for Use

Indicated for surgical access to the lumbar spine for discectomy procedures. Intended for use by surgeons.

Regulatory Classification

Identification

A manual surgical instrument for general use is a nonpowered, hand-held, or hand manipulated device, either reusable or disposable, intended to be used in various general surgical procedures. The device includes the applicator, clip applier, biopsy brush, manual dermabrasion brush, scrub brush, cannula, ligature carrier, chisel, clamp, contractor, curette, cutter, dissector, elevator, skin graft expander, file, forceps, gouge, instrument guide, needle guide, hammer, hemostat, amputation hook, ligature passing and knot-tying instrument, knife, mallet, disposable or reusable aspiration and injection needle, disposable or reusable suturing needle, osteotome, pliers, rasp, retainer, retractor, saw, scalpel blade, scalpel handle, one-piece scalpel, snare, spatula, stapler, disposable or reusable stripper, stylet, suturing apparatus for the stomach and intestine, measuring tape, and calipers. A surgical instrument that has specialized uses in a specific medical specialty is classified in separate regulations in parts 868 through 892 of this chapter.

Predicate Devices

• Sofamor Danek MED MicroEndoscopic Discectomy System

Submission Summary (Full Text)

{0}------------------------------------------------

K980588

# AUG 1 8 1998

## 510K Summary

# Clarus Model 6000 Discectomy System

### General Information

Class II Classification Clarus Model 6000 Discectomy System Trade Name Clarus Medical Systems, Inc. Submitter 1000 Boone Avenue North Golden Vallev. Minnesota 55427 Dale Sappenfield Contact

Contact

VP. Operations [phone]

#### Predicate Devices

Sofamor Danek "MED(*tm) MicroEndoscopic Discectomy System

## INDICATIONS FOR USE:

The Clarus 6000 SITEtrac Discectomy System is intended for surgical use in the lumbar spine. It is supplied non-sterile and is intended for reuse. The Model 6020 Dilators and Model 6021 Retractors are intended to be used to dilate then retract the tissue in the region of the lumbar spine. This will provide an access point to apply surgical techniques through the tubular retractor under endoscopic visualization.

{1}------------------------------------------------

#### Device Description

The Model 6000 Discectomy System is a set of gradually increasing dilators and retractors (4.67mm to 20mm) that dilate then retract tissue in the region of the lumbar spine. This will provide as access point to apply surgical techniques through the tubular retractor under endoscopic visualization.

These reusable dilators and retractors are equivalent to those used in Sofamor Danek MED(****) MicroEndoscopic Discectomy System" The comparisons of these devices are shown in Table I These retractors and dilators will be sold as a kit (See Kit Certification- Attachment F).

Cleaning and sterilization procedures for the, dilators, retractors, and spinal needle, are contained in the Directions for Use ( See Attachment A).

#### Summary of Equivalence

The Clarus Model 6000 Discectomy System contains a set of dilators and retractors that is similar to the Sofamor Danek (K unknown) dilators and retractors in their MED MicroEndoscopic Discectomy System.

Clarus believes these products do not raise any new safety or effectiveness issues and are substantially equivalent to existing marketed devices.

{2}------------------------------------------------

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is a stylized symbol that resembles three human profiles facing right, with flowing lines beneath them.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

AUG 1 8 1998

Mr. Dale Sappenfield Vice President of Operations Clarus Medical Systems, Inc. 1000 Boone Avenue, North Minneapolis, Minnesota 55427

Re: K980588

Trade Name: Clarus 6000 SITEtrac Discectomy System Regulatory Class: II Product Code: KOG Dated: May 22, 1998 Received: May 26, 1998

Dear Mr. Sappenfield

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we 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). You may, therefore, market the device, subject to the general controls provisions of the Act. However, you are responsible to determine that the medical devices you use as components in the kit have either been determined as substantially equivalent under the premarket notification process (Section 510(k) of the act), or were legally on the market prior to May 28, 1976, the enactment date of the Medical Device Amendments. Please note: If you purchase your device components in bulk (i.e., unfinished) and further process (e.g., sterilize) you must submit a new 510(k) before including these components in your kit/tray. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, and labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval) it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the Current Good Manufacturing Practice requirements, as set forth in the Quality System Regulation (OS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic QS inspections. FDA will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory action. In addition, the Food and Drug

{3}------------------------------------------------

Mr. Dale Sappenfield Page - 2

Administration (FDA) may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal Laws or Regulations.

This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market. If you desire specific advice for your device on the labeling regulation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594- __ Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at [phone]. Also, please note the regulation entitled, "Misbranding by reference to premarket notification"(21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll free number [phone] or [phone], or at its internet address "http://www.fda.gov/cdrh/dsma/dsmamain.html".

Sincerely yours,

Mark N Milken

Celia M. Witten- Ph.D., M.D. --Director Division of General and ................................................................................................... Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

{4}------------------------------------------------

# K 980588

Clarus 6000 SITEtrac Discectomy System DEVICE NAME:

INDICATIONS FOR USE:

The Clarus 6000 SITEtrac Discectomy System is intended for surgical use in the lumbar spine. It is supplied non-sterile and is intended for reuse. The Model 6020 Dilators and Model 6021 Retractors are intended to be used to dilate then retract the tissue in the region of the lumbar spine. This will provide an access point to apply surgical techniques through the tubular retractor under endoscopic visualization.

#### (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED.)

| Concurrence of CDRH, Office of Device Evaluation (ODE) | |
|--------------------------------------------------------|--------------------------------------------------|
| | |
| (Division Sign-Off) | |
| Division of General Restorative Devices | |
| 510(k) Number | K980588 |
| Prescription Use<br>(Per 21 CFR 801.109) | OR |
| | Over-The-Counter-Use<br>(Optional Format 1-2-96) |

3