NURSE'S ASSISTANT 1.7 O.R. CONTROL SYSTEM

K052740 · Conmed Integrated Systems (Cmis) · GCJ · Oct 17, 2005 · Gastroenterology, Urology

Device Facts

• Record ID: K052740
• Device Name: NURSE'S ASSISTANT 1.7 O.R. CONTROL SYSTEM
• Applicant: Conmed Integrated Systems (Cmis)
• Product Code: GCJ · Gastroenterology, Urology
• Decision Date: Oct 17, 2005
• Decision: SESE
• Submission Type: Special
• Regulation: 21 CFR 876.1500
• Device Class: Class 2

Intended Use

The Nurse's Assistant® 1.7 O.R. Control System is a computerized control system that is intended to provide operating room (OR) staff with a simple, centralized user interface from which to activate, adjust and monitor certain settings of equipment located in the OR and to route video from multiple sources to multiple destinations. The Nurse's Assistant® 1.7 O.R. Control System is indicated for use in an operating room for video assisted surgery. This includes minimally invasive procedures in all surgical specialties, as an adjunct display of interventional techniques and traditional open procedures. The Nurse's Assistant 1.7 O.R. Control System indicated for use with ConMed Linvatec IM3300 Endoscopic Camera, ConMed Linvatec LS7500 Xenon Light Source, ConMed Linvatec GS1002 40L Insufflator, ConMed Electrosurgery System 5000 Electrosurgery Unit (ESU), ConMed Linvatec VP-1500 Digital Capture Device, Getinge ALM Surgical Lamp Energix WPS, Getinge ALM PrismaVision PRV3 Surgical Light Camera, Berchtold Chromophare D-Series Surgical Lamps, Berchtold ChromoVision HR24 Surgical Light Camera, National Display Systems 15" & 18" Vector III and 19" Radiance flat panel displays, Sony LMD-2140MD 21" flat panel display, Sony UP-51MD or Sony UP-51MDU video printers, Sony SVO-9500MD VCR, and ProVation™ procedure documentation device. The Nurse's Assistant® 1.7 O.R. Control System is indicated for use in general, cardiovascular, ENT, gastroenterology, urology, plastic, obstetrics, gynecology, and orthopedic surgery, and general thoracoscopy, general cardiothoracic surgery, general laparoscopy, arthroscopy, laparoscopy, nasopharyngoscopy, ear endoscopy and sinusoscopy.

Device Story

Computerized control system providing centralized interface for OR staff; enables activation, adjustment, and monitoring of connected surgical equipment; routes video signals from multiple sources to multiple displays/recorders. Used in ORs by surgical staff; facilitates workflow by consolidating control of cameras, light sources, insufflators, electrosurgical units, and documentation devices. Benefits patient by streamlining equipment management during surgery, potentially reducing procedure time and improving coordination of surgical team.

Clinical Evidence

Bench testing only.

Technological Characteristics

Computerized control system; centralized user interface; video routing and equipment control functionality. Integrates with various endoscopic cameras, light sources, insufflators, ESU, and display/recording peripherals. Standalone control unit architecture.

Indications for Use

Indicated for use in operating rooms for video-assisted surgery, including minimally invasive procedures, interventional techniques, and traditional open procedures across general, cardiovascular, ENT, gastroenterology, urology, plastic, obstetrics, gynecology, and orthopedic surgical specialties.

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.

Predicate Devices

• ConMed Integrated Systems Nurse's Assistant 1.7 O.R. Control System (K050829)
• Computer Motion, Inc. HERMES O.R. Control Center (K030240)

Submission Summary (Full Text)

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Nurse's Assistant® 1.7B O.R. Control System 510(k) #: __ Kosz740

September 29, 2005

Page 1 of 2

# SUMMARY OF SAFETY AND EFFECTIVENESS

In accordance with the requirements of the Safe Medical Device Act of 1990 and 21 CFR 807.92, ConMed Integrated Systems is hereby submitting a Special 510(k) Summary of Safety and Effectiveness for the Nurse's Assistant 9 1.7B O.R. Control System.

#### A. Submitter:

ConMed Integrated Systems Registration Number: 3031835

#### B. Company Contact:

C. Jeff Lipps Director of Regulatory Affairs and Quality Assurance 1815 NW 169th Place, Suite 4020 Beaverton, OR 97006 503-614-1106 Phone [phone] Fax

#### ். Device Name:

| Proprietary Name: | Nurse's Assistant® 1.7 O.R. Control System |
|------------------------|--------------------------------------------|
| Trade Name: | Nurse's Assistant® 1.7 |
| Common Name: | Surgical Control Center |
| Classification Names: | 876.1500 - Endoscope and accessories |
| Proposed Class/Device: | Class II |
| Product Codes: | GCJ |

#### D. Predicate/Legally Marketed Devices:

- 1. ConMed Integrated Systems Nurse's Assistant 1.7 O.R. Control System - K050829
- 2. Computer Motion, Inc. HERMES O.R. Control Center K030240

## CONFIDENTIAL 0014

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#### Intended Use / Indications for Use: E.

The Nurse's Assistant® 1.7 O.R. Control System is a computerized control system that is intended to provide operating room (OR) staff with a simple, centralized user interface from which to activate, adjust and monitor certain settings of equipment located in the OR and to route video from multiple sources to multiple destinations.

The Nurse's Assistant® 1.7 O.R. Control System is indicated for use in an operating room for video assisted surgery. This includes minimally invasive procedures in all surgical specialties, as an adjunct display of interventional techniques and traditional open procedures.

The Nurse's Assistant 1.7 O.R. Control System indicated for use with ConMed Linvatec IM3300 Endoscopic Camera, ConMed Linvatec LS7500 Xenon Light Source, ConMed Linvatec GS1002 40L Insufflator, ConMed Electrosurgery System 5000 Electrosurgery Unit (ESU), ConMed Linvatec VP-1500 Digital Capture Device, Getinge ALM Surgical Lamp Energix WPS, Getinge ALM PrismaVision PRV3 Surgical Light Camera, Berchtold Chromophare D-Series Surgical Lamps, Berchtold ChromoVision HR24 Surgical Light Camera, National Display Systems 15" & 18" Vector III and 19" Radiance flat panel displays, Sony LMD-2140MD 21" flat panel display, Sony UP-51MD or Sony UP-51MDU video printers, Sony SVO-9500MD VCR, and ProVation™ procedure documentation device.

The Nurse's Assistant® 1.7 O.R. Control System is indicated for use in general, cardiovascular, ENT, gastroenterology, urology, plastic, obstetrics, gynecology, and orthopedic surgery, and general thoracoscopy, general cardiothoracic surgery, general laparoscopy, arthroscopy, laparoscopy, nasopharyngoscopy, ear endoscopy and sinusoscopy.

### Substantial Equivalence / Device Technological Characteristics and ட் Comparison to Predicate Device(s):

The Modification to Nurse's Assistant® 1.7 O.R. Control System has the same intended use and similar indications for use as the predicate device ConMed Integrated Systems Nurse's Assistant 1.7 O.R. Control System (K050829) and Computer Motion's HERMES O.R. Control Center (K030240)..

The technological characteristics of the Modification to Nurse's Assistant® 1.7 O.R. Control System are equivalent to the predicate devices listed above.

Tests performed on the Modification to Nurse's Assistant® 1.7 O.R. Control System demonstrate substantial equivalence to the predicate devices listed above.

The Modification to Nurse's Assistant® 1.7 O.R. Control System is substantially equivalent to the predicate devices in terms of safety, effectiveness, and performance.

> Page 2 of 2 0015

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Image /page/2/Picture/1 description: The image shows the seal of the Department of Health and Human Services (HHS) of the United States. The seal features the department's name in a circular arrangement around a symbol. The symbol consists of four stylized human figures, representing the department's mission to protect the health of all Americans and provide essential human services.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

0CT 17 2005

C. Jeff Lipps Director, RA/QA ConMed Integrated Systems 1815 NW 169th Place, Suite 4020 Beaverton, Oregon 97006

Re: K052740

R032740
Trade/Device Name: Modification to Nurse's Assistant® 1.7 O.R. Control System Regulation Number: 21 CFR 876.1500 Regulation Name: Endoscope and accessories Regulatory Class: II Product Code: GCJ Dated: September 29, 2005 Received: September 30, 2005

Dear Mr. Lipps:

We have reviewed your Section 510(k) premarket notification of intent to market the device we nave reviewed your been mined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate for use black in the May 28, 1976, the enactment date of the Medical Device Amendments, or to conniner of the corner of Hay 2011 de need that have been that do not require approval of a premarket approval application (PMA). and Cosmetic For (110) interest the device, subject to the general controls provisions of the Act. The r ou may) attress, sinces, and include requirements for annual registration, listing of general one profice profice, 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 r 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- C. Jeff Lipps

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), please contact the Office of Compliance at [phone]. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). 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/cdrh/industry/support/index.html

Sincerely yours,

2

Mark N. Melkerson Acting Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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# Indications for Use

# 510(K) # (if known): K052740

Device Name: Modification to Nurse's Assistant® 1.7 O.R. Control System

### Indications for Use:

:

The Nurse's Assistant® 1.7 O.R. Control System is a computerized control system that is intended to provide operating room (OR) staff with a simple, centralized user interface from intendou to provide open and monitor certain settings of equipment located in the OR and to route video from multiple sources to multiple destinations.

The Nurse's Assistant® 1.7 O.R. Control System is indicated for use in an operating room The Nurse's Assisted surgery. This includes minimally invasive procedures in all surgical for video abonot cargenct display of interventional techniques and traditional open procedures.

The Nurse's Assistant® 1.7 O.R. Control System indicated for use with ConMed Linvatec The Natise S Assiblant - 1. Port ConMed Linvatec LS7500 Xenon Light Source, ConMed IM000 Endoooplo CanMed Electrosurgery System 5000 Electrosurgery System 5000 Electrosurgery Unit (ESU), ConMed Linvatec VP-1500 Digital Capture Device, Getinge ALM Surgical Lamp (ESO), OonMod Entration PRV3 Surgical Light Camera, Berchtold Chromophare D-Series Surgical Lamps, Berchtold ChromoVision HR24 Surgical Light Chromophare D Centre D Connell Land Systems 15 & 18 Vector III and 19 Radiance flat panel Oamera, Nationar Dioplay Of flat panel display, Sony UP-51MD or Sony UP-51MDU displays, Jony EMD END ENR, and ProVation™ procedure documentation device.

The Nurse's Assistant® 1.7 O.R. Control System is indicated for use in general, cardiovascular, ENT, gastroenterology, urology, plastic, obstetrics, gynecology, and cardiovasoular, ENT, gastronal thoracoscopy, general cardiothoracic surgery, general laparoscopy, arthroscopy, laparoscopy, nasopharyngoscopy, ear endoscopy and sinusoscopy.

Prescription Use
(Part 21 CFR 801 Subpart D)

AND/OR 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)

signature

Division of General, Restorative, and Neurological Devices

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**510(k) Number** K 052740