Stryker Neptune 3 Waste Management System

K153407 · Stryker Corporation · JCX · Apr 25, 2016 · General, Plastic Surgery

Device Facts

• Record ID: K153407
• Device Name: Stryker Neptune 3 Waste Management System
• Applicant: Stryker Corporation
• Product Code: JCX · General, Plastic Surgery
• Decision Date: Apr 25, 2016
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 878.4780
• Device Class: Class 2

Intended Use

The Neptune 3 Waste Management System is intended to be used in the operating room, pathology, surgical centers and doctor's offices to collect and dispose of surgical fluid waste as well as collect smoke generated from electrocautery or laser devices.

Device Story

Mobile suction and smoke evacuation system; collects surgical fluid waste and smoke via vacuum. Inputs: surgical fluids/smoke via tubing/manifolds. Operation: motorized suction pump; HEPA/ULPA filtration; RFID manifold authentication; touchscreen interface; motorized IV pole. Output: suction/smoke evacuation; fluid volume measurement; visual status on touchscreen. Used in OR/surgical settings by clinical staff. Benefits: maintains surgical site visibility; manages biohazardous waste; removes surgical smoke. Integrates with Neptune 2 docking station for waste disposal.

Clinical Evidence

Bench testing only. No clinical data provided. Performance validated via electrical safety (IEC 60601-1), EMC (IEC 60601-1-2), suction performance, ISO 10079-1 compliance, smoke blower flow rates, IV pole actuation, docking compatibility, and ULPA filtration efficiency (IEST-RP-CC007). Human factors/usability testing conducted per IEC 62366-1.

Technological Characteristics

Materials: steel, aluminum, glass, TPE, thermoplastics, PCB assemblies. Energy: 120VAC, 60Hz, 12A. Class I, Type CF applied part. Features: motorized suction pump, HEPA/ULPA filtration, RFID, touchscreen, motorized IV pole. Connectivity: RFID for manifold tracking. Software: Major level of concern.

Indications for Use

Indicated for use in operating rooms, pathology labs, surgical centers, and doctor's offices for collection/disposal of surgical fluid waste and collection of surgical smoke from electrocautery or laser devices. Contraindicated for connection to chest tubes or closed wound drainage systems.

Regulatory Classification

Identification

A powered suction pump is a portable, AC-powered or compressed air-powered device intended to be used to remove infectious materials from wounds or fluids from a patient's airway or respiratory support system. The device may be used during surgery in the operating room or at the patient's bedside. The device may include a microbial filter.

Predicate Devices

• Stryker Neptune 2 Rover (K132671)

Reference Devices

• Dornoch Ultra Suction System (K133786)
• Buffalo Filter Porta Plumesafe (K924732)
• Valleylab OptiMumm Smoke Evacuator System (K980915)

Submission Summary (Full Text)

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Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & 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 image of three human profiles facing to the right, stacked on top of each other.

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

April 25, 2016

Stryker Corporation Division: Stryker Instruments Kim Wiersema Staff Regulatory Affairs Specialist 4100 E. Milham Ave Kalamazoo, Michigan 49001

Re: K153407

Trade/Device Name: Neptune 3 Waste Management System Regulation Number: 21 CFR 878.4780 Regulation Name: Powered Suction Pump Regulatory Class: Class II Product Code: JCX, FYD Dated: March 23, 2016 Received: March 24, 2016

Dear Kim Wiersema:

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 CFR Part 807); labeling (21 CFR Part 801); medical device reporting (reporting of medical devicerelated adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in

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the quality systems (OS) 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 contact the Division of Industry and Consumer Education at its toll-free number [phone] or [phone] or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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 Industry and Consumer Education at its toll-free number [phone] or [phone] or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours,

*Tejashri Purohit-Sheth, M.D.*

Teiashri Purohit-Sheth, M.D. Clinical Deputy Director DAGRID/ODE/CDRH FOR

Erin I. Keith, M.S. Director Division of Anesthesiology, General Hospital. Respiratory. Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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# Indications for Use

510(k) Number (if known) K153407

# Device Name

Neptune 3 Waste Management System

Indications for Use (Describe)

The Neptune 3 Waste Management System is intended to be used in the operating room, pathology, surgical centers and doctor's offices to collect and dispose of surgical fluid waste as well as collect smoke generated from electrocautery or laser devices.

| Type of Use (Select one or both, as applicable) | |
|-------------------------------------------------|--|
|-------------------------------------------------|--|

X Prescription Use (Part 21 CFR 801 Subpart D)

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

# CONTINUE ON A SEPARATE PAGE IF NEEDED.

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Prepared: 22 April 2016

### I. SUBMITTER

Stryker Instruments 4100 E. Milham Avenue Kalamazoo, MI 49001 Phone: [phone]

Contact: Kim Wiersema

#### II. DEVICE

| Name of Device: | Neptune 3 Waste Management System |
|-----------------------|----------------------------------------------------------------------------------------------------------------------------------------|
| Common/Usual Name: | Portable suction and smoke evacuation device |
| Regulation Numbers: | 21 CFR 878.4780 and 21 CFR 878.5070 |
| Regulation Name: | Powered Suction Pump<br>Apparatus, exhaust, surgical |
| Regulatory Class: | II |
| Product Codes: | JCX and FYD |
| III. PREDICATE DEVICE | |
| Predicate Device | Stryker Neptune 2 Rover, K132671 |
| Reference Devices | Dornoch Ultra Suction System, K133786<br>Buffalo Filter Porta Plumesafe, K924732<br>Valleylab OptiMumm Smoke Evacuator System, K980915 |

#### IV. DEVICE DESCRIPTION

The Neptune 3 Waste Management System provides fluid waste management, fluid volume measurement and surgical smoke evacuation capabilities and is also equipped with a motorized IV pole. The Stryker Neptune 3 Rover (Model Number 0703-001-000) is a mobile device used to suction and collect waste fluids and evacuate smoke during surgical procedures. The Stryker Neptune 3 Rover collects surgical waste fluid within a closed suction system and is paired with a compatible Stryker Neptune 2 Docking Station (0702-014-000) to facilitate disposal. The Stryker Neptune 3 Rover functions together with existing Neptune 2 components as follows:

| Stryker Neptune 2 Manifolds:<br>Product Code: JCX<br>510k: K132671 | Component providing an interface between the Rover and<br>suction tubing along with backflow prevention. May also<br>incorporate specimen collection capability (model<br>dependent). |
|-------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Fluid Suction High Efficiency<br>Particulate Air (HEPA) Filter:<br>Product Code: JCX<br>510k: K132671 | Component providing filtration of air drawn out of the fluid<br>collection canister. |

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| Smoke Evacuation Ultra Low<br>Penetration Air (ULPA) Filter:<br>Product Code: FYD<br>510k: K132671 | Component providing filtration of evacuated smoke and air as<br>it passes through the Rover. The filter also provides an<br>interface to connect smoke evacuation accessories (1/4 inch,<br>3/8 inch, or 7/8 inch). |
|----------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|----------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

### V. INDICATIONS FOR USE

The Neptune 3 Waste Management System is intended to be used in the operating room, pathology, surgical centers and doctor's offices to collect and dispose of surgical fluid waste as well as collect smoke generated from electrocautery or laser devices.

#### CONTRAINDICATIONS

The Neptune 3 Waste Management System is contraindicated against:

- Connection directly to chest tubes.
- . Connection to closed wound drainage systems.

The Indications for Use are identical to the predicate device.

#### VI. COMPARISON OF TECHNOLOGICAL CHARACTERISTICS WITH THE PREDICATE DEVICE

The following table identifies technological characteristics shared between the Predicate and Subject device:

| | Predicate Device | Subject Device |
|---------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------|
| Indications for Use | Intended to be used in the operating<br>room, pathology, surgical centers, and<br>doctor's offices to collect and dispose of<br>surgical fluid waste, as well as, collect<br>smoke generated from electrocautery or<br>laser devices. | Same |
| Contraindications | Contraindicated against<br>• Connection directly to chest tubes.<br>• Connection to closed wound drainage<br>systems. | Same |
| For use with | • Neptune 2 Docking Station<br>• Neptune 2 Manifolds<br>• Stryker HEPA & ULPA Filters<br>• Compatible Smoke Evacuation<br>accessories<br>• Compatible suction tubing and<br>accessories | Same |
| Patient Contact | No direct or indirect patient contact | Same |

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| | Predicate Device | Subject Device |
|---------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------|
| Materials of Construction | Steel, aluminum, glass, insulation, TPE, thermoplastics, printed circuit board assemblies and electronic/wiring components<br>HEPA, ULPA and carbon filter media | Same |
| Energy Used | 120VAC, 60Hz, 12 A | Same |
| Electrical Isolation Type | Class I, Type CF Applied Part | Same |
| Electrical Safety & EMC | Tested and compliant with IEC 60601-1, IEC 60601-1-2 | Same |
| Design Features | <b>Suction Characteristics</b> Continuous suction Two independently operated suction levels Electronic regulator Electric pump HEPA filtration (exhaust) Low, Medium, High Vacuum Range Indicators <b>Fluid Collection</b> 24L collection capacity 2 canisters: 1 @ 20L, 1 @ 4L Fluid volume measurement <b>Smoke Evacuation</b> ULPA filtration Voltage-controlled motor Adjustable in 10% increments Manual and Automatic Modes 80 hour filter life <b>IV Pole</b> 4 hooks, powered actuation | Same |

The following differences between the subject and predicate device were considered in relation to the substantial equivalence determination:

- Disposables management the Neptune 3 Rover incorporates RFID technology to ● authenticate and track manifold use.
- The Neptune 3 Rover incorporates a touchscreen display
- . The Neptune 3 Rover has a higher maximum suction setting
- The Neptune 3 Rover incorporates a 4L canister illumination feature ●
- . The available smoke evacuation power range of the Neptune 3 Rover is expanded and provides a wider range of smoke evacuation flow rates

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# VII. PERFORMANCE DATA

The following performance data were provided in support of the substantial equivalence determination:

# Electrical safety and electromagnetic compatibility (EMC)

Electrical safety and EMC testing were conducted on the Stryker Neptune 3 Rover. Testing included assessment of RF wireless performance. The device complies with the IEC 60601-1 standard for safety and the IEC 60601-1-2 standard for EMC.

#### Software Verification and Validation Testing

Software verification and validation testing was conducted and documentation was provided as recommended by FDA's Guidance for Industry and FDA Staff, "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices." The software for this device was considered as a "major" level of concern.

#### Mechanical Testing

#### Suction Performance

Rover fluid suction flow rate was evaluated simulating an emergent situation when clinicians might need to quickly aspirate fluids to provide surgical site visibility as well as worst case simulated use. Neptune 3 Waste Management System met all identified acceptance criteria, demonstrating passing results.

#### ISO 10079-1 Electrically-powered suction safety

The Rover was evaluated against the minimum safety and performance requirements for medical and surgical suction equipment as defined in this international standard. Neptune 3 Waste Management System met all identified acceptance criteria, demonstrating passing results.

#### Smoke Blower Performance

Smoke evacuation minimum and maximum flow rates were evaluated against predetermined acceptance criteria. Neptune 3 Waste Management System met all identified acceptance criteria, demonstrating passing results.

#### IV Pole Performance

IV pole extension and retraction times were evaluated against predetermined acceptance criteria. Neptune 3 Waste Management System met all identified acceptance criteria, demonstrating passing results.

#### Docking Performance

Evaluation of the Neptune 3 Rover compatibility with the Neptune 2 Docking Station included demonstration of waste off-load after worst-case clinical use conditions. The Neptune 3

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Waste Management System met all identified acceptance criteria, demonstrating passing results.

# ULPA Filtration

Evaluation of the Neptune 3 Rover compatibility with the Neptune 2 ULPA filter included evaluation of UPLA rating in accordance with IEST-RP-CC007 under worst case flow and vacuum conditions. Neptune 3 Waste Management System met identified acceptance criteria, demonstrating passing results.

# Human Factors Evaluation

Human factors analysis and usability testing was performed in support of the Substantial Equivalence determination and in accordance with FDA's Guidance for Industry and FDA Staff, "Applying Human Factors and Usability Engineering to Optimize Medical Device Design" and IEC 62366-1 "Medical Devices - Application of Usability Engineering to Medical Devices."

# Biocompatibility

Biocompatibility data is not required to support a Substantial Equivalence determination as the Neptune 3 Rover is identical to the predicate device in that there are no components with direct or indirect patient contact.

# Animal Study

Not Applicable - data from animal studies was not provided to support the Substantial Equivalence determination. Animal studies are not required to demonstrate safety or feasibility of the Neptune 3 Rover.

# Clinical Studies

Not Applicable - data from clinical studies was not provided to support the Substantial Equivalence determination. Clinical studies are not required to demonstrate safety or feasibility of the Neptune 3 Rover.

# VIII. CONCLUSIONS

The differences that exist between the Neptune 3 Rover and its predicate do not raise different questions of safety or effectiveness. The results of non-clinical performance testing demonstrate that the Neptune 3 Rover will perform as intended and is substantially equivalent to the predicate device.