K Number
K992760
Date Cleared
1999-10-25

(69 days)

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

The Select-Sutter Micro-Bipolar Forceps are intended for use by a physician familiar with electrosurgery in bipolar coagulation for general surgery where coagulation of soft tissue is needed. This product is used with bipolar output of standard electrosurgical generators. The types of surgery intended are:

General sugery
Laparoscopic procedures
Endoscopic procedures
Laryngeal coagulation
Orthopedic coagulation
Thorascopic coagulation
Neurosurgical coagulation
Gynecological coagulation, (except for use in female sterilization)
Ear, Nose and Throat coagulation

Device Description

The Micro-Bipolar Forceps Device is a laparoscopic and endoscopic device used for the grasping and general coagulation/cutting and pinpoint coagulation of tissue using electrosurgical energy under visualization. The device is used with bipolar outputs of electrosurgical generators and has reusuable probes for grasping/coagulation and pinpoint coagulation.

AI/ML Overview

This 510(k) summary (K992760) describes the Select-Sutter Micro-Bipolar Forceps. However, it does not contain any information regarding acceptance criteria or a study proving the device meets acceptance criteria.

The document provided is a 510(k) summary for a medical device cleared by the FDA. Such summaries primarily focus on demonstrating substantial equivalence to a predicate device rather than detailing specific performance studies with acceptance criteria in the manner you've requested for AI/software devices. For hardware devices like these electrosurgical forceps, the "proof" of meeting acceptance criteria typically comes from a series of engineering tests (e.g., electrical safety, mechanical strength, biocompatibility), which are usually referenced in the full 510(k) submission but not elaborated in the publicly available summary.

Therefore, I cannot populate the table or answer the subsequent questions based on the provided text. The document describes the device, its intended use, and its substantial equivalence to a predicate device, but it does not include performance data, study designs, or ground truth establishment relevant to an AI/software device evaluation.

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K992 760

DA 11

Select Medizin-Technik Hermann Sutter GmbH

510(k) SUMMARY OF SAFETY AND EFFECTIVENESS

Submitter:Select Medizin-Technik Hermann Sutter GmbHTullastr, 8779108 Freiburg, GermanyTel: +49 (0) 761-51 551- 0Fax: +49 (0) 761-51 551 - 30
Contact Person:Bert Sutter, Vice-President. Sales/Marketing and ProductManagement
Date Prepared:July 21, 1999
Classification Name:Electrosurgical Cutting and Coagulation Device andAccessories, Laparoscopic
Common/Usual Name:Micro Bipolar Forceps
Proprietary Name:Select-Sutter Micro-Bipolar Forceps
Predicate Device:MiniSite® Bipolar Forceps, U.S. Surgical Corporation(K972415)
Device Description:The Micro-Bipolar Forceps Device is a laparoscopic andendoscopic device used for the grasping and generalcoagulation/cutting and pinpoint coagulation of tissue usingelectrosurgical energy under visualization. The device isused with bipolar outputs of electrosurgical generators andhas reusuable probes for grasping/coagulation and pinpointcoagulation.

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Image /page/1/Picture/1 description: The image shows the seal of the U.S. Department of Health and Human Services. The seal features a stylized eagle with three heads, representing the department's focus on health, human services, and science. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" are arranged in a circular pattern around the eagle.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

OCT 2 5 1999

Select Medizin-Technik Hermann Sutter GmbH c/o Ms. Anita Thibeault Anita Thibeault & Associates 9070 Bluffview Trace Roswell, Georgia 30076

Re: K992760

Trade Name: Select-Sutter Micro-Bipolar Forceps Regulatory Class: II Product Code: GEI Dated: August 12, 1999 Received: August 17, 1999

Dear Ms. Thibeault:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to 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). 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 (Premarket Approval), 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 895. A substantially equivalent determination assumes compliance with the current Good Manufacturing Practice requirement, as set forth in the Quality System Regulation (QS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic (QS) inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

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Page 2 -- Ms. Anita Thibeault

This letter will allow you to begin marketing your device as described in your 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 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4595. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its internet address "http://www.fda.gov/cdrh/dsmamain.html".

Sincerely yours,

-Celia M. Witten, Ph.D., M.D. Director Division of General and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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K992760

Select Medizin-Technik Hermann Sutter GmbH

INDICATIONS FOR USE

The Select-Sutter Micro-Bipolar Forceps are intended for use by a physician familiar with electrosurgery in bipolar coagulation for general surgery where coagulation of soft tissue is needed. This product is used with bipolar output of standard electrosurgical generators. The types of surgery intended are:

General sugery Laparoscopic procedures Endoscopic procedures Laryngeal coagulation Orthopedic coagulation Thorascopic coagulation Neurosurgical coagulation Gynecological coagulation, (except for use in female sterilization) Ear, Nose and Throat coagulation

Paitella

vision Sien-Off) ivision of General Restorative Devic 510(k) Number

Prescription Use
(Per 21 CFR 801.109)

§ 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.