BLADEWORKS MICROKERATOME BLADE, MODEL 7061

K020079 · Blade Works, Inc. · HNO · Apr 19, 2002 · Ophthalmic

Device Facts

• Record ID: K020079
• Device Name: BLADEWORKS MICROKERATOME BLADE, MODEL 7061
• Applicant: Blade Works, Inc.
• Product Code: HNO · Ophthalmic
• Decision Date: Apr 19, 2002
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 886.4370
• Device Class: Class 1
• Attributes: Therapeutic

Intended Use

The Blade Works 7061 microkeratome blades are to be used as replacement blades for the Moria LSK-One microkeratome, to perform lamellar keratectomy procedures.

Device Story

BladeWorks Microkeratome Blade (Model 7061) functions as a replacement cutting component for the Moria LSK-One microkeratome system. Used by ophthalmologists during lamellar keratectomy procedures to create corneal flaps. Device provides the mechanical cutting edge required for the microkeratome to excise corneal tissue. Benefits include enabling precise corneal resection during refractive surgery.

Clinical Evidence

No clinical data provided; bench testing only.

Technological Characteristics

Mechanical microkeratome blade; stainless steel construction; designed for compatibility with Moria LSK-One microkeratome system; non-powered, manual-surgical accessory.

Indications for Use

Indicated for use as replacement blades for the Moria LSK-One microkeratome to perform lamellar keratectomy procedures in patients undergoing ophthalmic surgery.

Regulatory Classification

Identification

A keratome is an AC-powered or battery-powered device intended to shave tissue from sections of the cornea for a lamellar (partial thickness) transplant.

Reference Devices

• Moria LSK-One microkeratome

Submission Summary (Full Text)

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APR 1 9 2002

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Blade Works, Inc. c/o Mr. Mark Moyer Mover Enterprises 1816 Towhee Street San Marcos, CA 92069

Re: K020079

Trade/Device Name: BladeWorks Microkeratome Blade, Model 7061 Regulation Number: 21 CFR 886.4370 Regulation Name: Keratome Regulatory Class: I Product Code: HNO Dated: March 15, 2002 Received: March 19, 2002

Dear Mr. Moyer:

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 for the basic is 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.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), 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 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); 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.

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## Page 2 - Mr. Mark Moyer

This letter will allow you to begin marketing your device as described in your Section 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 our labeling regulation (21 CFR Part 801 and additionally 21 CFR Part 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at [phone]. 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" (21CFR Part 807.97). Other general information on your responsibilities under the Act may be obtained 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/cdrh/dsma/dsmamain.html

Sincerely yours,

A. Ralph Rosenthal

A. Ralph Rosenthal, M.D. Director Division of Ophthalmic and Ear, Nose and Throat Devices Office of Device Evaluation Center for Devices and Radiological Health

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| 510(k) Notification | |
|---------------------|--------------------------------|
| | Page 4 |
| BLADE WORKS | Model 7061 Microkeratome Blade |
| PNS 500-0101 | File Document |

INDICATIONS FOR USE FORM

| 510(k) number (if known): | K020079 |
|---------------------------|---------------------|
| Device Name: | Microkeratome Blade |

Indications for Use:

The Blade Works 7061 microkeratome blades are to be used as replacement blades for the Moria LSK-One microkeratome, to perform lamellar keratectomy procedures.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

| | (Division Sign-Off) |
|---------------|-----------------------------|
| | Division of Ophthalmic Ear, |
| | Nose and Throat Devises |
| 510(k) Number | K020079 |

| Prescription Use | X | OR | Over-the-Counter Use |
|--------------------|---|----|--------------------------|
| Per 21 CFR 801.109 | | | (Optional Format 1-2-96) |

For Use By Affiliates Of Blade Works, Inc.

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