BIOSEARCH SYRING FLUSHING/CLEANING PUMP FOR BIOSEARCH ENDOSCOPIC INSTRUMENTS

K964871 · Biosearch Medical Products, Inc. · FEB · Mar 3, 1997 · Gastroenterology, Urology

Device Facts

Record IDK964871
Device NameBIOSEARCH SYRING FLUSHING/CLEANING PUMP FOR BIOSEARCH ENDOSCOPIC INSTRUMENTS
ApplicantBiosearch Medical Products, Inc.
Product CodeFEB · Gastroenterology, Urology
Decision DateMar 3, 1997
DecisionSESE
Submission TypeTraditional
Regulation21 CFR 876.1500
Device ClassClass 2

Indications for Use

The Syringe Flushing/Cleaning Pump is intended to clean the Biosearch Endoscopic Instruments. The Syringe Flushing/Cleaning Pump is a device that helps remove debris that may get trapped inside the Biosearch Endoscopic Instrument.

Device Story

Device is a manual syringe-based flushing/cleaning pump for Biosearch endoscopic instruments. Input is cleaning fluid/water via a syringe; device transforms input by directing fluid through a threaded connector into the instrument's flushing port. Dual check valve ensures efficient fluid transfer and prevents leakage. Used in clinical settings by healthcare professionals to remove debris from endoscopic instruments, facilitating sanitary cleaning. Device has no patient contact.

Clinical Evidence

Bench testing only. Materials underwent USP Class VI biological reactivity testing, including systemic injection, intracutaneous injection, implantation, MEM elution, cytotoxicity, and hemolysis tests. All materials met the requirements for their respective USP classifications.

Technological Characteristics

Constructed from medical-grade plastics including PolyVinyl Chloride, Polyurethane (Tecothane TT-1080A, Pellethane 2363), Polycarbonate (HPS2-1125), Silastic (RX50, 7-4735, 7-4750, 7-4765, Q-7-480, 6860), Cyrolite (G20-300-001, G20-100-001), and Radel R-5100. Features a threaded connector for port attachment and a dual check valve for fluid management. Manual operation.

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.

In combination with the general controls of the FD&C Act, the integrated operating table-electromechanical surgical system is subject to the following special controls: 1. (1) Premarket clinical performance testing, or a combination of premarket clinical performance testing and postmarket surveillance (in accordance with special control (2)), must include the following: 1. (i) Objective performance measures (e.g., rate and number of conversions to other surgical modalities, rate of device related adverse events (including tissue injury, hematoma, and increased blood loss), and their severity, cause, and outcomes) must be reported with relevant descriptive comparator performance measures. 2. (ii) The data must demonstrate the performance of the device for providing accurate and precise control of attached surgical instruments in range of clinical conditions relevant to the device's intended use. 3. (iii) The test dataset must include data collected from a patient population representative of the intended patient population under anticipated conditions of use. 2. (2) Data obtained from postmarket surveillance must demonstrate, in consideration of the premarket data obtained in accordance with special control (1), that the device performs in accordance with special control (1), unless FDA determines, based on the totality of the premarket data, that data from postmarket surveillance is not required to demonstrate that the device performs as intended. Such postmarket surveillance must be conducted per a protocol determined appropriate by FDA to demonstrate that the device performs as intended (in consideration of the premarket data obtained in accordance with special control (1)), and must include initiation, enrollment, and reporting requirements to ensure timely periodic updates to FDA on post-market surveillance progress and outcomes. 3. (3) Animal performance testing must evaluate the extent of port site trauma due to repositioning of table during surgical procedures when utilizing robotic minimally invasive and laparoscopic approaches 4. (4) The device manufacturer must develop, and update as necessary, a device-specific use training program that ensures proper device setup/use/shutdown, accurate control of instruments to perform the intended surgical procedures, troubleshooting and handling during unexpected events or emergencies, and safe practices to mitigate use error. 5. (5) The device manufacturer may only distribute the device to facilities that implement and maintain the device-specific use training program and ensure that users of the device have completed the device-specific use training program. (6) Human factors assessment must demonstrate that the user can correctly use the device system across all intended use environments with the provided instructions and training materials, including patient access during normal operating conditions and emergency situations, and effects arising from the integrated nature of the operating table and robotic surgical arms. (7) Labeling must include: (i) A detailed summary of clinical performance testing conducted with the device, including study population, results, adverse events, and comparisons to any comparator groups identified; (ii) A statement in the labeling that the safety and effectiveness for the representative specific procedures was based on evaluation of the device as a surgical tool and did not include evaluation of outcomes related to the treatment of the patient's underlying disease or condition, unless FDA determines that it can be removed or modified based on clinical performance data submitted to FDA; (iii) Identification of compatible devices; (iv) The list of surgical procedures for which the device has been determined to be safe with clinical justification; (v) Reprocessing instructions for reusable components; (vi) A shelf life for any sterile components; (vii) A description of the device-specific use training program; (viii) A statement that the device is only for distribution to facilities that implement and maintain the device-specific use training program and ensure that users of the device have completed the device-specific use training program; and (ix) A summary of any completed postmarket surveillance data collected as required by special control (2), including updated labeling to accurately reflect outcomes observed in postmarket surveillance. (8) Non-clinical performance testing must demonstrate that the device performs as intended under anticipated conditions of use and must include: (i) Device motion accuracy and repeatability; (ii) System testing; (iii) Instrument reliability; (iv) Crosstalk; (v) Table motion control; (vi) Thermal effects on tissue; (vii) User-device interface performance; (viii) Workspace access testing; and (ix) Performance testing with compatible devices. (9) Software verification, validation, and hazard analysis must be performed. (10) Electromagnetic compatibility and electrical, thermal, and mechanical safety testing must be performed. (11) Performance data must demonstrate the sterility of all patient-contacting device components. (12) Performance data must support the shelf life of the device components provided sterile by demonstrating continued sterility and package integrity over the labeled shelf life. (13) Performance data must validate the reprocessing instructions for the reusable components of the device. (14) Performance data must demonstrate that all patient-contacting components of the device are biocompatible. (15) Performance data must demonstrate that all patient-contacting components of the device are non-pyrogenic. (16) The device manufacturer must submit a report to the FDA annually on the anniversary of initial marketing authorization for the device, until such time as FDA may terminate such reporting, which comprises the following information: (i) Cumulative summary, by year, of complaints and adverse events since date of initial marketing authorization; and (ii) Identification and rationale for changes made to the device, labeling, or device specific use training program, which did not require submission of a premarket notification during the reporting period.

Predicate Devices

Submission Summary (Full Text)

{0} K964871 MAR - 3 1997 bi@search MEDICAL PRODUCTS INC. > 510(k) SUMMARY < > SAFFETY & EFFECTIVENESS SUMMARY # BIOSEARCH SYRINGE ## FLUSHING/CLEANING PUMP FOR ## BIOSEARCH ENDOSCOPIC INSTRUMENTS Manufactured / Sold by: Biosearch Medical Products, Inc. 35 Industrial Parkway P.O. Box 1700 Somerville, NJ. 08876 {USA} Telephone: 1-908-722-5000 Fax: 1-908-722-5024 Contact Person: R. Soubia ROLAN SOUBRA Assistant to the Vice President of New Product Development Coordinator 12/2/96 date submitted Biosearch Medical Products, Inc. P.O. Box 1700 Somerville, NJ. 08876-1276 (USA) TEL: 908-722-5000 FAX: 908-722-5024 1 {1} Biosearch Medical Products, Inc. – 510(k) submission for: BIOSEARCH SYRINGE FLUSHING/CLEANING PUMP FOR BIOSEARCH ENDOSCOPIC INSTRUMENTS INTENDED USE STATEMENT: The Syringe Flushing/Cleaning Pump is intended to clean the Biosearch Endoscopic Instruments. The Syringe Flushing/Cleaning Pump is a device that helps remove debris that may get trapped inside the Biosearch Endoscopic Instrument. ## DESCRIPTION OF THE DEVICE: The Disposable Syringe Flushing/Cleaning Pump for Biosearch Endoscopic Instruments, is a similar design to an existing legally marketed device. It is composed of a variety of medical grade plastics. The threaded connector is especially designed to fit the flushing port of the Biosearch Endoscopic device which impedes water leakage during the cleaning process. The dual check valve is an important feature because it provides an efficient transfer of the water, and/or cleaning fluid. This will provide a sanitary environment for the medical health professional to perform the extensive cleaning of the Biosearch Endoscopic Instruments. ![img-0.jpeg](img-0.jpeg) {2} Biosearch Medical Products, Inc. – 510(k) submission for: BIOSEARCH SYRINGE FLUSHING/CLEANING PUMP FOR BIOSEARCH ENDOSCOPIC INSTRUMENTS # EQUIVALENCE MATRIX ## (COMPARING CLEANING ADAPTERS FUNCTIONS) | NAME & 510(K) No. | For Cleaning Endoscopic Instruments | Connects to the proximal port | Uses a syringe to pump cleaning fluid | | --- | --- | --- | --- | | BIOSEARCH "BiosearchFlushing/Cleaning Pump for Biosearch Endoscopic Instruments" {This submission} | YES | YES | YES | | MILL-ROSE "Cleaning Adapter" {k922204} | YES | YES | YES | {3} PAGE 1 SAFETY & EFFECTIVENESS SUMMARY Biosearch Medical Products, Inc. BIOSEARCH SYRINGE FLUSHING/CLEANING PUMP FOR BIOSEARCH ENDOSCOPIC INSTRUMENTS ## NO PATIENT CONTACT | MATERIAL | TEST DATE | TEST PERFORMED | RESULTS | | --- | --- | --- | --- | | PolyVinyl Chloride | Vendor Supplied | USP tests for Systemic Injection Test,Intracutaneous Injection Test, Implantation test | Meets the requirements of USP Class VI Plastic | | Polyurethane Tecothane™ TT-1080A | 6/26/91-6/28/91 | MEM Elution Test | Meets the requirements of the Elution Test, USP XXII for the Elution Test | | Polyurethane Tecothane™ TT-1080A | 6/14/91-6/29/91 | Biological Test for Plastics Class VI | Meets the requirements of the USP XXII for the Biological Test of Plastic | | Polyurethane Pellethane2363 Series | Vendor Supplied | Acute Systemic Toxicity, Intracutaneous Toxicity, Implantation Test | Meets the requirements of the USP Class XI | | Polycarbonate HPS2-1125 | Vendor Supplied | Cytotoxicity,Hemolysis, Implantation,USP Class V Extractables, USP Physicochemical-Plastics | Meets the requirements of Class VI in Vivo & in Vitro Biological Reactivity,USP Physicochemical-Plastic | | Dow Corning RX50 CT Silastic Ribbon | | Cytotoxicity,Hemolysis, Implantation,USP Class V Extractables, USP Physicochemical-Plastics | Meets the requirements of Class VI in Vivo & in Vitro Biological Reactivity,USP Physicochemical-Plastic | 4 {4} PAGE 2 SAFETY & EFFECTIVENESS SUMMARY Biosearch Medical Products, Inc. BIOSEARCH SYRINGE FLUSHING/CLEANING PUMP FOR BIOSEARCH ENDOSCOPIC INSTRUMENTS # NO PATIENT CONTACT | MATERIAL | TEST DATE | TEST PERFORMED | RESULTS | | --- | --- | --- | --- | | Alpha PVC 2212/7 118 RSI Clear | 6/20/88 6/18/84-6/25/84 6/20/84 | USPXX Systemic Injection Test USPXX Intramuscular implantation, USP XX Intracutaneous Test, Direct Exposure Cytoxicity Test | Meets the USP Class VI requirements | | Cyrolite® G20-300-001 | Vendor Supplied | Systemic Toxicity, Intracutaneous Toxicity, MEM Elution, Hemolysis, Pyrogen, Guinea Pig Max. Implantation Test | Meets the USP Class VI requirements | | Cyrolite® G20-100-001 | Vendor Supplied | Systemic Toxicity, Intracutaneous Toxicity, Implantation Test Hemolysis, MEM Elution Pyrogen, Guinea Pig Max. | Meets the USP Class VI requirements Meets the USP Class VI requirements | | Radel R-5100 | Vendor Supplied | Systemic Toxicity, Intracutaneous Toxicity, Implantation Test | Meets the USP Class VI requirements | | Silastic Medical Grade{7-4735, 7-4750, 7-4765} | Vendor Supplied | Hemolysis, Intracutaneous Injection, Systemic Injection Intramuscular Implant | Meets the USP Class VI Plastic Tests | | Silastic Biomedical Grade Liquid {Q-7-480,6860} | Vendor Supplied | Hemolysis, Skin Sensitization USP Class V Extractables | Passes the Hemolysis Skin Sensitization,& USP Class V Extractables Tests | 5
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