K Number
K201224
Manufacturer
Date Cleared
2020-09-18

(135 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 Electrosurgical Generator 8070 is indicated for monopolar or bipolar surgery to achieve cut or coagulation for the tissue. It is intended to be used with monopolar handpiece and dispersive electrode or bipolar handpiece and footswitches.

Device Description

8070 is an Electrosurgical Generator with Monopolar Pure cut, Monopolar Bland Cut, Bipolar function. 8070 consists of HF generator and accessories. The device generates HF power, which is transmitted to the tissue through the output Pencil. Operator selects the output function and power with the front panel. The indicator is used to indicate the setup status and output status of the output is controlled by foot or hand switch.

AI/ML Overview

The provided document is a 510(k) premarket notification for an Electrosurgical Generator and Accessories. This type of submission focuses on demonstrating substantial equivalence to a legally marketed predicate device rather than fulfilling specific acceptance criteria for a novel device's performance in a clinical setting like an AI algorithm would.

Therefore, the document does not contain the information requested regarding acceptance criteria for an AI device, a study proving it meets those criteria, sample sizes for test/training sets, expert adjudication methods, MRMC studies, or specific ground truth establishment for AI.

Instead, the document details:

  • Acceptance Criteria (for this device's type): Demonstrated safety and effectiveness through compliance with recognized standards for electromedical devices (IEC 60601-1, IEC 60601-1-2, IEC 60601-2-2) and FDA guidance for electrosurgical devices.
  • Study Proving Acceptance: Non-clinical (bench) performance testing, electrical safety testing (IEC 60601-1), electromagnetic compatibility testing (IEC 60601-1-2), high-frequency safety testing (IEC 60601-2-2), and usability testing (IEC 60601-1-6). The document states these tests were "successfully completed."
  • Performance Comparison: The subject device's technological characteristics (e.g., maximum power, voltage output, waveforms for different modes) are compared in a table to its predicate device (Medrange Corporation MB 8010). The differences are presented, and the conclusion is that these differences "do not raise new questions of safety and effectiveness."

In summary, the information requested in your prompt (especially points 2-9) is typical for AI/ML device submissions, which often involve clinical performance studies. The provided document is for an electrosurgical generator, a hardware device, and thus the basis for its clearance is non-clinical testing and comparison to a predicate device, not in-depth clinical studies with human readers or AI ground truth establishment.

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Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

September 18, 2020

Medrange Corporation Helen Xie RA Assistant 480 Apollo Street, Suite D. Brea. California 92821

Re: K201224

Trade/Device Name: Electrosurgical Generator and Accessories Regulation Number: 21 CFR 878.4400 Regulation Name: Electrosurgical Cutting and Coagulation Device and Accessories Regulatory Class: Class II Product Code: GEI. Dated: August 19, 2020 Received: August 19, 2020

Dear Helen Xie:

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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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 of medical device-related adverse events) (21 CFR 803) for

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devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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 https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely.

Long Chen, Ph.D. Assistant Director DHT4A: Division of General Surgery Devices OHT4: Office of Surgical and Infection Control Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K201224

Device Name

8070 Electrosurgical Generator and Accessories

Indications for Use (Describe)

The Electrosurgical Generator 8070 is indicated for monopolar or bipolar surgery to achieve cut or coagulation for the tissue. It is intended to be used with monopolar handpiece and dispersive electrode or bipolar handpiece and footswitches.

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

☒ Prescription Use (Part 21 CFR 801 Subpart D)
☐ Over-The-Counter Use (21 CFR 801 Subpart C)

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Image /page/3/Picture/1 description: The image shows the title "510(k) Summary" in a large font. Below the title is a horizontal line, and below the line is the text "Traditional 510(k) Submission" in a smaller font. To the left of the title is a black graphic that resembles a stylized check mark or swoosh.

Section
Version1.1f
Pages3
DateSeptember 16, 2020

1. Submitter Information

Company:Medrange Corporation
Address:Suite D, 480 Apollo Street, Brea CA 92821
Contact:Helen Xie
Phone:1(909) 859 - 9055
Email:hx9055@gmail.com

2. Device Identification

Common name:Electrosurgical Generator and Accessories
Classification name:Electrosurgical, Cutting & Coagulation & Accessories
Trade name:Accsurg™ Electrosurgical Workstation and Accessories
Model:8070
Device Class:Class II
Product Code:GEI
21CFR Regulation Number:878.4400

3. Predicate Device

Product MB 8010 Electrosurgical Unit 510(K) K102114

4. Device Description

8070 is an Electrosurgical Generator with Monopolar Pure cut, Monopolar Bland Cut, Bipolar function. 8070 consists of HF generator and accessories. The device generates HF power, which is transmitted to the tissue through the output Pencil. Operator selects the output function and power with the front panel. The indicator is used to indicate the setup status and output status of the output is controlled by foot or hand switch.

5. Indication for use

The Electrosurgical Generator 8070 is indicated for monopolar or bipolar surgery to achieve cut or coagulation for the tissue. It is intended to be used with Monopolar, handpiece and dispersive electrode or bipolar handpiece and footswitches.

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6. Substantial Equivalence Discussion

Technological characteristics

DeviceSubject devicePredicate device
ManufacturerMedrange CorporationMedrange Corporation
Model8070MB 8010
510(k) NumberK201224K102114
ClassIIII
Product CodeGEIGEI
Regulation Number21 CFR 878.440021 CFR 878.4400
Mechanism of ActionThe device generates highFrequency current400-600 kHzThe device generates highFrequency current416-1050 kHz
System Voltage100-240VAC- 50/60Hz100-240VAC- 50/60Hz
4 Monopolar Cut Modes
Max. Power320 W (at 300Ω)300 W (at 300Ω)
Max. Voltage Output38002200
Crest Factor1.5-2.51.8-2.5
Wave FormsSinusoidal constant / modulatedCut / Coag Pulse PhasesSinusoidal constant / modulated
8 Monopolar Coagulation Modes
Max. Power120 W (at 500Ω)100 W (at 500Ω)
Max. Voltage Output58009000
Crest Factor4.4-8.77.0
Wave FormsSinusoidal constant / modulatedCut / Coag Pulse PhasesSinusoidal constant / modulated
4 Bipolar Modes
Max. Power240 W (at 100Ω)50 W (at 50Ω)
Max. Voltage Output900280
Crest Factor1.7-91.5-12.1
Wave FormsSinusoidal constant / modulatedPause PhasesSinusoidal constant / modulated

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7. Non-Clinical Performance Data

To demonstrate safety and effectiveness of the 8070 and to show substantial equivalence to the predicate device (8070), Medrange completed successfully the following non-clinical performance tests:

General Safety TestingIEC 60601-1:2005+C1+C2+A1:2012 Medical electrical equipment, Part1General requirements for basic safety and essential performance
EMC Safety TestingIEC 60601-1-2:2014 (Edition 4.0) Medical electrical equipment, Part1-2General requirements for basic safety and essential performanceCollateral Standard: Electromagnetic disturbances – Requirements andtests
HF Safety TestingIEC 60601-2-2:2017 Medical electrical equipment, Part 2-2Particular requirements for the basic safety and essential performance ofhigh frequency - Surgical equipment and high frequency surgicalaccessories
Performance TestingApplicable parts of FDA Guidance Document “Premarket Notification(510(k)) Submissions for Electrosurgical Devices for General Surgery”,May 2016
Usability TestingIEC 60601-1-6:2010, AMD1:2013 Medical electrical equipment Part1-6General requirements for safety - Collateral Standard: Usability

8. Statement of Substantial Equivalence

The 8070 has the same intended use as the 8010, and the same technological characteristics. The non-clinical test results, such as performance data, electrical safety and electromagnetic compatibility data have demonstrated the 8070 is as safe and effective as the predicate device. Therefore it is concluded, that the 8070 fulfills the requirements of a substantially equivalent device and that no new questions of safety and effectiveness were raised.

§ 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.