K Number
K082279
Manufacturer
Date Cleared
2008-09-16

(36 days)

Product Code
Regulation Number
878.4400
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Epicor Ablation System is intended for the ablation of cardiac tissue during cardiac surgery.

Device Description

The Epicor Ablation System is designed to deliver ultrasound energy to tissue in order to create an ablation lesion. Specifically, the system is intended for the ablation of cardiac tissue during cardiac surgery. The Ablation System consists of the Ablation Control System instrument, a reusable connecting cable, a family of sterile, disposable ablation devices, and accessories.

AI/ML Overview

The provided text is a 510(k) summary for the Epicor Ablation System, indicating that its changes were reviewed and found substantially equivalent to a previously marketed predicate device (K080292). Crucially, this document does not contain information on acceptance criteria for a device, nor does it detail a study that proves the device meets specific performance criteria. Instead, it focuses on demonstrating equivalence to another marketed device through non-clinical (bench and user) testing.

Therefore, I cannot provide the requested information in the specified format because the input document does not contain the details of acceptance criteria or a study proving those criteria are met for the Epicor Ablation System.

The summary states:

  • "The changes made to the Epicor Ablation System underwent a battery of bench and user tests. Device validation testing was conducted in accordance with in-house procedures."
  • "An evaluation of the device changes indicates that the devices are as safe and effective as the previously marketed device to which they are being compared and do not raise any new issues of safety and effectiveness."

These statements suggest that studies were performed, but the document does not elaborate on:

  1. Specific acceptance criteria: What quantitative or qualitative metrics were used to determine "safe and effective" or "as safe and effective"?
  2. Reported device performance: What were the results of these bench and user tests?
  3. Sample sizes, data provenance, ground truth, experts, adjudication, MRMC studies, or standalone performance: None of this information regarding study design or results is present in the 510(k) summary.
  4. Training set information: As this is a 510(k) for an updated physical device, not an AI/ML algorithm, the concepts of training sets and ground truth for training are not applicable in this context.

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510(k) Summary for Public DisclosureSEP 1 6 2008
Submitter:St. Jude Medical240 Santa Ana CourtSunnyvale, CA 94085-4512 USAPhone: 651-632-9454 ext. 2024Fax: 651-644-7897
Contact:Donna R. LunakRegulatory Specialist II
Date Prepared:August 6, 2008
Trade Name:The Epicor™ Ablation System
Common Name:Ultrasonic Surgical Instrument
Classification Name:System, Ablation, Ultrasound and Accessories(21 CFR 878.4400)
Predicate Device:
Product510(k) Number
Epicor Ablation SystemK080292
Device Description:The Epicor Ablation System is designed to deliver ultrasoundenergy to tissue in order to create an ablation lesion.Specifically, the system is intended for the ablation of cardiactissue during cardiac surgery. The Ablation System consists ofthe Ablation Control System instrument, a reusable connectingcable, a family of sterile, disposable ablation devices, andaccessories.
Epicor AblationSystemIntended use:The Epicor Medical Ablation Control System is intended for theablation of cardiac tissue during cardiac surgery
TechnologicalCharacteristics:The new device has the same technological characteristics as thelegally marketed predicate device.
Non-clinicalPerformance Data:The changes made to the Epicor Ablation System underwent abattery of bench and user tests. Device validation testing wasconducted in accordance with in-house procedures.
Conclusion:An evaluation of the device changes indicates that the devicesare as safe and effective as the previously marketed device towhich they are being compared and do not raise any new issuesof safety and effectiveness.

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

Image /page/2/Picture/2 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized caduceus, which is a symbol often associated with medicine and healthcare. The caduceus is depicted with three intertwined strands and a pair of wings at the top. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the caduceus.

SEP 1 6 2008

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

St. Jude Medical c/o Ms. Donna R. Lunak Regulatory Specialist II 1350 Energy Lane, Suite 110 St. Paul, MN 55108

Re: K082279

Trade/Device Name: Epicor™ Ablation System Regulation Number: 21 CFR 878.4400 Regulation Names: Ultrasound Ablation System and Accessories Regulatory Class: Class II Product Code: OCL Dated: August 8, 2008 Received: August 11, 2008

Dear Ms. Lunak:

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.

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

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Page 2 - Ms. Donna R. Lunak

comply with all the Act's requirements, including, but not limited to: registration and lisung (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. 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 Center for Devices and Radiological Health's (CDRH's) Office of Compliance at (240) 276-0120. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding postmarket surveillance, please contact CDRH's Office of Surveillance and Biometric's (OSB's) Division of Postmarket Surveillance at 240-276-3474. For questions regarding the reporting of device adverse events (Medical Device Reporting (MDR)), please contact the Division of Surveillance Systems at 240-276-3464. 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 (800) 638-2041 or (240) 276-3150 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

[signature]

Bram D. Zuckerman, M.D. Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Indications for Use 9.0

510(k) Number (if known): N/A

Device Name: The Epicor™ Ablation System

Indications for Use:

The Epicor Ablation System is intended for the ablation of cardiac tissue during cardiac surgery.

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 OF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

(Division Sign-Off) B Zuckerman
9/16/08

vision of Cardiovascular Device

St. Jude Medical

510(k) Number_ K082279

§ 878.4400 Electrosurgical cutting and coagulation device and accessories.

(a)
Identification. An electrosurgical cutting and coagulation device and accessories is a device intended to remove tissue and control bleeding by use of high-frequency electrical current.(b)
Classification. Class II.