K Number
K012684
Device Name
REPROCESSED ELECTROSURGICAL ELECTRODE
Manufacturer
Date Cleared
2002-01-18

(157 days)

Product Code
Regulation Number
878.4400
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Reprocessed electrosurgical electrodes are intended for precision cutting, dissecting and cauterizing soft tissue. These devices are most commonly used in surgical procedures for which minimal tissue necrosis, bleeding, and surgical field smoke is desired.
Device Description
SterilMed's reprocessed electrosurgical electrodes are a monopolar electrosurgical instruments consisting of a tungsten tip, stainless steel housing, and several layers of insulation.
More Information

Not Found

No
The summary describes a reprocessed electrosurgical electrode, a physical surgical instrument, and focuses on its reprocessing, materials, and functional testing. There is no mention of AI, ML, image processing, or data-driven algorithms.

No
The device is used for cutting, dissecting, and cauterizing tissue during surgical procedures, which are interventional actions rather than therapeutic.

No
Explanation: The device is described as an electrosurgical instrument used for cutting, dissecting, and cauterizing tissue during surgical procedures. Its purpose is therapeutic intervention (cutting, cauterizing) rather than diagnosing conditions.

No

The device description clearly states it is a physical instrument consisting of a tungsten tip, stainless steel housing, and insulation, indicating it is a hardware device.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is for "precision cutting, dissecting and cauterizing soft tissue" during surgical procedures. This is a direct intervention on the patient's body, not a test performed on a sample taken from the body.
  • Device Description: The description details a surgical instrument used for electrosurgery.
  • Lack of IVD Characteristics: There is no mention of analyzing samples (blood, urine, tissue, etc.), detecting substances, or providing diagnostic information based on in vitro testing.

IVD devices are used to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. This device is a surgical tool used directly on the patient.

N/A

Intended Use / Indications for Use

Reprocessed electrosurgical electrodes are intended for precision cutting or dissecting and cauterizing soft tissue. These devices are most commonly used in surgical procedures for which minimal tissue necrosis, bleeding, and surgical field smoke is desired.

Product codes

JOS, GEI

Device Description

SterilMed's reprocessed electrosurgical electrodes are a monopolar electrosurgical instruments consisting of a tungsten tip, stainless steel housing, and several layers of insulation.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

soft tissue

Indicated Patient Age Range

Not Found

Intended User / Care Setting

surgical procedures

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies

Representative samples of reprocessed electrosurgical electrodes underwent bench testing to demonstrate appropriate functional characteristics. Process validation testing was done to validate the cleaning and sterilization procedures as well as the device's packaging. In addition, the manufacturing process includes visual and functional testing of all products produced.

Key Metrics

Not Found

Predicate Device(s)

K000348

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 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.

0

SECTION 2. SUMMARY AND CERTIFICATION

012684

510(k) Summary A.

Submitter:SterilMed, Inc..
Contact Person:Patrick Fleischhacker
11400 73rd Avenue North
Minneapolis, MN 55369
Ph: 888-856-4870
Fax: 763-488-3350
Date Prepared:August 11, 2001
Trade Name:SterilMed Reprocessed Electrosurgical Electrodes
Classification Name
and Number:Electrosurgical Device, Class II, 21 CFR 878.4400
Product Code:JOS
Predicate Device(s):SterilMed's Reprocessed electrosurgical electrodes are
substantially equivalent to:
• The Colorado Micro-Dissection Needle manufactured
by Stryker Leibinger / Colorado Biomedical Inc
(K000348)
• Similar devices from other manufacturers
Device Description:SterilMed's reprocessed electrosurgical electrodes are a
monopolar electrosurgical instruments consisting of a
tungsten tip, stainless steel housing, and several layers of
insulation.
Intended Use:Reprocessed electrosurgical electrodes are intended for
precision cutting or dissecting and cauterizing soft tissue.
These devices are most commonly used in surgical
procedures for which minimal tissue necrosis, bleeding,
and surgical field smoke is desired.
Functional and
Safety Testing:Representative samples of reprocessed electrosurgical
electrodes underwent bench testing to demonstrate
appropriate functional characteristics. Process validation
testing was done to validate the cleaning and sterilization
procedures as well as the device's packaging. In addition,

:

Premarket Notification

1

the manufacturing process includes visual and functional testing of all products produced.

Conclusion:

The electrosurgical electrodes reprocessed by SterilMed are substantially equivalent to:

  • The Colorado Micro-Dissection Needle manufactured . by Stryker Leibinger / Colorado Biomedical Inc. (K000348)
  • Similar devices from other manufacturers .

This conclusion is based upon the fact that the subject device is identical to their predicate device in terms of functional design, materials, indications for use, and principles of operation.

2

OF HEALTH & HUMAN SERVICES.USA
DEPARTMENT

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JAN 1 8 2002

Mr. Patrick Fleischhacker Vice President, Regulatory and Quality Control SterilMed, Inc. 11400 73ª Avenue North Maple Grove, Minnesota 55369

Re: K012684

Trade/Device Name: Reprocessed Electrosurgical Electrodes Regulation Number: 878.4400 Regulation Name: Electrosurgical cutting and coagulation device and accessories Regulatory Class: II Product Code: GEI Dated: December 6, 2001 Received: December 7, 2001

Dear Mr. Fleischhacker:

We have reviewed your Section 510(k) premarket notification of intent to market the device wo nave roviewed your betermined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate for association 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 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.

3

Page 2 - Mr. Patrick Fleischhacker

This letter will allow you to begin marketing your device as described in your Section 510(k) This lotter will and w yourse ought finding of substantial equivalence of your device to a legally premated 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 11 you assile by controlary 21 for in vitro diagnostic devices), please contact the Office of additionally 21 Of It For 4659. Additionally, for questions on the promotion and advertising of Compliance at (301) 594-461 the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). Other general information on your responsibilities under the Act may be obtained from the Oiner general information turers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html

Sincerely yours,

Sincerely, yours,

L. Mark M. Milliken

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

Enclosure

4

Indications for use Page

012684

Device Name: Reprocessed electrosurgical electrodes, or reprocessed electrosurgical electrodes.

Indications for Use:

Reprocessed electrosurgical electrodes are intended for precision cutting, dissecting and reprocesson crocirous grounds are most commonly used in surgical procedures for which minimal tissue necrosis, bleeding, and surgical field smoke is desired.

Concurrence of CDRH, Office of Device Evaluation (ODE)

Ro Mark N Millersen

Division Sign-Off Division of General, Restorative and Neurological Devices

51(c) Number K012684