BONETRAP

K120189 · Berni Farns Incorporated · KNW · Feb 22, 2012 · Gastroenterology, Urology

Device Facts

• Record ID: K120189
• Device Name: BONETRAP
• Applicant: Berni Farns Incorporated
• Product Code: KNW · Gastroenterology, Urology
• Decision Date: Feb 22, 2012
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 876.1075
• Device Class: Class 2

Intended Use

This biopsy instrument is used for drawing of osteomedullary substance and or for explantation of bone marrow.

Device Story

BONETRAP is a disposable, single-use biopsy needle. It is used by clinicians to extract bone marrow or osteomedullary substance. The device functions as a manual surgical instrument for tissue sampling. No electronic, software, or algorithmic components are involved.

Technological Characteristics

Disposable, single-use manual biopsy needle. No energy source, connectivity, or software components.

Indications for Use

Indicated for patients requiring the collection of osteomedullary substance or bone marrow explantation.

Regulatory Classification

Identification

A gastroenterology-urology biopsy instrument is a device used to remove, by cutting or aspiration, a specimen of tissue for microscopic examination. This generic type of device includes the biopsy punch, gastrointestinal mechanical biopsy instrument, suction biopsy instrument, gastro-urology biopsy needle and needle set, and nonelectric biopsy forceps. This section does not apply to biopsy instruments that have specialized uses in other medical specialty areas and that are covered by classification regulations in other parts of the device classification regulations.

Submission Summary (Full Text)

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### PREMARKET NOTIFICATION SUBMISSION -- 510k

### BONETRAP

anuary 18, 2012

Page | ्द्र

# FEB 2 2 2012

### 510(k) Summary

| * | Applicant | : Berni Farms Inc. |
|---|---------------------|----------------------------------------------------------------------------------------------------------------------|
| * | Contact Person | : Mr. Nicola Berni<br>P.O.Box 139- Fernandina Beach, FL- 32035<br>Phone [phone]<br>Email: [e-mail] |
| * | Submission Date: | : January 18, 2012 |
| * | Trade Name | : BONETRAP Bone Marrow Biopsy Needle |
| * | Common Name | : Bone Marrow Biopsy Needle |
| * | Classification Name | : 876.1075 - Biopsy instrument |

#### Indications for use: .

This biopsy instrument is used for drawing of osteomedullary substance and or for explantation of bone marrow.

#### Device Description: o

A disposable single use Biopsy Needle

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## DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/1/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle with its wings spread, symbolizing protection and care. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" are arranged in a circular pattern around the eagle.

#### Public Health Service

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -- WO66-G609 Silver Spring, MD 20993-0002

Berni Farns Incorporated % Mr. Nicola Berni P.O. Box 139 Fernandina Beach, Florida 32035

FEB 2 2 2012

Re: K120189 Trade/Device Name: BONETRAP Regulation Number: 21 CFR 876.1075 Regulation Name: Gastroenterology-urology biopsy instrument Regulatory Class: II Product Code: KNW Dated: January 18, 2012 Received: January 23, 2012

Dear Mr. Berni:

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. 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 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

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Page 2 - Mr. Nicola Berni

CFR Part 807); labeling (21 CFR Part 801); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number [phone] or [phone] or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm.

Sincerely yours

Sincerely yours,
Mark A. Millican

Mark N. Melkerson Director Division of Surgical, Orthopedic and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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# Indications for Use

510(k) Number (if known): K120189

Device Name: BONETRAP

Indications For Use: This biopsy instrument is used for drawing of osteomedullary substance and or for explantation of bone marrow.

Prescription Use × (Part 21 CFR 801 Subpart D) AND/OR

Over-The-Counter Use (21 CFR 801 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

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(Division Sign-Off) Division of Surgical, Orthopedic, and Restorative Devices

510(k) Number K120189

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