(27 days)
No
The summary describes a standard electrosurgical instrument with irrigation capabilities and makes no mention of AI or ML technology.
Yes
The device is used for "coagulation and irrigation of selected tissue," which are therapeutic actions designed to treat medical conditions (e.g., stopping bleeding, cleaning tissue).
No
Explanation: The device is described as "intended for use in electrosurgery for coagulation and irrigation of selected tissue." This describes a therapeutic or surgical function, not a diagnostic one. Diagnostic devices are used to identify or determine the nature of a disease or condition.
No
The device description clearly describes a physical medical device (forceps) with an irrigation channel and specific dimensions, indicating it is hardware, not software.
Based on the provided information, this device is not an IVD (In Vitro Diagnostic).
Here's why:
- Intended Use: The intended use is for "electrosurgery for coagulation and irrigation of selected tissue." This describes a surgical procedure performed directly on a patient's body, not a test performed on a sample taken from the body (which is the definition of an in vitro diagnostic).
- Device Description: The description details a surgical instrument (forceps) used for physical manipulation and energy delivery during surgery.
- Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue samples, etc.), reagents, or any other components typically associated with in vitro diagnostics.
The device is clearly intended for in vivo use (within a living organism) during a surgical procedure.
N/A
Intended Use / Indications for Use
Aesculap's Bipolar Irrigation Forceps are designed to be used with Aesculap's current Jet Irrigation System (#K971310) and Bipolar Coagulator (#K952524). The Bipolar Irrigation Forceps are intended for use in electrosurgery for coagulation and irrigation of selected tissue.
Product codes
79 GEI
Device Description
The bipolar irrigation forceps (GK842R, GK845R, and GK848R) are a "Bayonet" style forceps, similar to Aesculap's currently marketed bipolar irrigation forceps (#K971310). The irrigation channel runs inside the right-hand prong, with an outlet 2.5mm above the tip of the forceps. The new bipolar irrigation forceps are available in lengths ranging from 180mm - 230mm with a tip size of 1.3mm.
Mentions image processing
Not Found
Mentions AI, DNN, or ML
Not Found
Input Imaging Modality
Not Found
Anatomical Site
selected tissue
Indicated Patient Age Range
Not Found
Intended User / Care Setting
Not Found
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
No performance standards have been promulgated under Section 514 of the Food, Drug and Cosmetic Act for these devices. The new bipolar irrigation forceps conform to applicable ASTM and ISO standards. The bipolar irrigation forceps do meet the requirements of IEC 601-2-18 (Medical electrical equipment, Part 2. Particular requirements for the safety of endoscopic equipment).
Key Metrics
Not Found
Predicate Device(s)
K971310, K944955, pre-amendment devices
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
OCT - 3 2001
510(k) SUMMARY OF SAFETY AND EFFECTIVENESS
in Accordance with SMDA of 1990
BIPOLAR IRRIGATION FORCEPS
August 21, 2001
| COMPANY: | Aesculap®, Inc.
3773 Corporate Parkway
Center Valley, PA 18034 |
|----------------------------------|--------------------------------------------------------------------------------------------------------------------------------|
| CONTACT: | Lisa M. Millington, Regulatory Associate
800-258-1946 (phone)
610-231-3713 (fax)
lisa.millington@aesculap.com (email) |
| TRADE NAME: | Bipolar Irrigation Forceps |
| COMMON NAME: | Jet Irrigation Forceps |
| DEVICE CLASS: | Class II |
| PRODUCT CODE:
CLASSIFICATION: | 79 GEI
878.4400 -- Electrosurgical Cutting & Coagulation Device & Accessories |
| REVIEW PANEL: | General & Plastic Surgery |
INTENDED USE
Aesculap's Bipolar Irrigation Forceps are designed to be used with Aesculap's currentJet Irrigation System (#K971310) and Bipolar Coagulator (#K952524). The Bipolar Irrigation Forceps are intended for use in electrosurgery for coagulation and irrigation of selected tissue.
DEVICE DESCRIPTION
The bipolar irrigation forceps (GK842R, GK845R, and GK848R) are a "Bayonet" style forceps, similar to Aesculap's currently marketed bipolar irrigation forceps (#K971310). The irrigation channel runs inside the right-hand prong, with an outlet 2.5mm above the tip of the forceps. The new bipolar irrigation forceps are available in lengths ranging from 180mm - 230mm with a tip size of 1.3mm.
PERFORMANCE DATA
No performance standards have been promulgated under Section 514 of the Food, Drug and Cosmetic Act for these devices. The new bipolar irrigation forceps conform to applicable ASTM and ISO standards. The bipolar irrigation forceps do meet the requirements of IEC 601-2-18 (Medical electrical equipment, Part 2: Particular requirements for the safety of endoscopic equipment).
SUBSTANTIAL EQUIVALENCE
The new Bipolar Irrigation Forceps described in this premarket notification are substantially equivalent to those in Aesculap's current Bipolar Forceps product lines (subjected to K971310, K944955, and pre-amendment devices) with regard to intended use, fundamental scientific technology, design and material.
1
Image /page/1/Picture/1 description: The image is a black and white circular logo for the Department of Health & Human Services - USA. The logo features the department's name encircling a stylized eagle emblem. The eagle is depicted with three curved lines forming its wings and body, giving it a modern and abstract appearance.
OCT - 3 2001
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
Ms. Lisa M. Millington Regulatory Associate Aesculap, Inc. 3773 Corporate Parkway Center Valley, Pennsylvania 18034
Re: K012986
Trade/Device Name: Jet Irrigation Forceps Regulation Number: 878.4400 Regulation Name: Electrosurgical cutting and coagulation device and accessories Regulatory Class: II Product Code: GEI Dated: August 21, 2001 Received: September 6, 2001
Dear Ms. Millington:
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 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.
2
Page 2 - Ms. Lisa M. Millington
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 and additionally 21 CFR Part 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4659. 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" (21CFR Part 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers, 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,
Susan Walker, MD
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
3
INDICATIONS FOR USE STATEMENT
510(k) Number (if known):
/2986
Device Name: Jet Irrigation Forceps
Indication for Use:
Aesculap's Bipolar Irrigation Forceps are designed to be used with Aesculap's current Jet Irrigation System (#K971310) and Bipolar Coagulator (#K952524). The Bipolar Irrigation Forceps are intended for use in electrosurgery for coagulation and irrigation of selected tissue.
(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED) Concurrence of CDRH, Office of Device Evaluation (ODE)
(Division Sign-Off) Division of General, Restorative and Neurological Devices
Prescription Use
✓
510(k) Number_ko12986
or Over-the-Counter Use
(per 21 CFR 801.109)
(Optional Format 3-10-98)