K Number
K020067
Device Name
GYRUS ENT SOMNOPLASTY GENERATOR
Manufacturer
Date Cleared
2002-04-04

(85 days)

Product Code
Regulation Number
878.4400
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Gyrus ENT Somnoplasty Generator, in combination with Gyrus ENT Somnoplasty Electrodes, is intended for use in the coagulation of soft tissue. This device is intended for use by qualified medical personnel trained in the use of electrosurgery. The Gyrus ENT Somnoplasty Generator with the Gyrus ENT Soft Tissue Coagulating Electrodes is indicated for the coagulation of soft tissue. The system is intended for use by qualified medical personnel trained in the use of electrosurgical equipment.
Device Description
The Gyrus ENT Somnoplasty Generator has controls for maximum temperature, energy delivered and time of energy delivery. The unit readouts for total energy delivered, has temperature for two impedance. and thermocouples. Connectors on the front panel include connector for active electrode and dispersive electrode. The foot pedal is connected on the back panel. Accessories included with the generator are a power cable and a footswitch.
More Information

Somnus Model S1 (K000501)

Not Found

No
The device description and intended use focus on electrosurgical coagulation with controls for temperature, energy, and time, without mentioning any AI/ML capabilities or data processing for decision-making.

Yes
The device is described as a 'Generator' intended for 'coagulation of soft tissue,' which is a medical intervention to treat tissue, fitting the definition of a therapeutic device.

No
The device is described as a generator used for coagulation of soft tissue, with controls for energy delivery and temperature, indicating a therapeutic rather than diagnostic function.

No

The device description explicitly details hardware components such as a generator, controls, readouts, connectors, a foot pedal, and accessories like a power cable and footswitch. This indicates it is a hardware device, not software-only.

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

Here's why:

  • Intended Use: The intended use is for the "coagulation of soft tissue" using electrosurgery. This is a therapeutic procedure performed directly on a patient's tissue.
  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body (like blood, urine, tissue samples) to provide information about a person's health. This device does not perform such tests.
  • Device Description: The description details a generator and electrodes used for delivering energy to tissue, not for analyzing biological samples.

The device is clearly intended for a surgical or therapeutic application, not for diagnostic testing of samples outside the body.

N/A

Intended Use / Indications for Use

The Gyrus ENT Somnoplasty Generator, in combination with Gyrus ENT Somnoplasty Electrodes, is intended for use in the coagulation of soft tissue.

This device is intended for use by qualified medical personnel trained in the use of electrosurgery.

Product codes (comma separated list FDA assigned to the subject device)

GEI

Device Description

The Gyrus ENT Somnoplasty Generator has controls for maximum temperature, energy delivered and time of energy delivery. The unit readouts for total energy delivered, has temperature for two impedance. and thermocouples. Connectors on the front panel include connector for active electrode and dispersive electrode. The foot pedal is connected on the back panel.

Accessories included with the generator are a power cable and a footswitch.

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

qualified medical personnel trained in the use of electrosurgery.

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 (study type, sample size, AUC, MRMC, standalone performance, key results)

Performance validation testing has been done to validate the performance of the device. The comparison and validation results presented in this 510(k) notification to the FDA show that the device is substantially equivalent to predicate devices and is safe and effective in its intended use.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

Somnus Model S1 (K000501)

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

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

Gyrus ENT, Memphis, TN January 8, 2002

APR = 4 2002

KO20067 510(k) Summary of Safety and Effectiveness

Gyrus ENT Somnoplasty Generator

Submitted by:

Contact Person:

Gyrus ENT 2925 Appling Rd. Bartlett, TN 38133

Jeffrev W. Cobb Vice President Regulatory Affairs

901-373-2673 Telephone: 901-373-0220 Facsimile:

Date Summary Prepared:

January 7, 2002

Name of the Device:

Proprietary Name:

Proprietary Name:

Common/Usual Name:

Classification Name:

Predicate Device:

Description:

Gyrus ENT Somnoplasty Generator

COGENT 1

Electrosurgical Generator and Accessories

Electrosurgical Device (per 21 CFR 878.4400)

Somnus Model S1 (K000501)

The Gyrus ENT Somnoplasty Generator has controls for maximum temperature, energy delivered and time of energy delivery. The unit readouts for total energy delivered, has temperature for two impedance. and thermocouples. Connectors on the front panel include connector for active electrode and dispersive electrode. The foot pedal is connected on the back panel.

Accessories included with the generator are a power cable and a footswitch.

P51

1

Gyrus ENT, Memphis, TN January 8, 2002

Statement of Intended Use:

The Gyrus ENT Somnoplasty Generator, in combination with Gyrus ENT Somnoplasty Electrodes, is intended for use in the coagulation of soft tissue.

This device is intended for use by qualified medical personnel trained in the use of electrosurgery.

Comparison to Predicate Devices:

The Gyrus ENT Somnoplasty Generator has been carefully compared to legally marketed devices with respect to intended use and technological characteristics. In addition, performance validation testing has been done to validate the performance of the device. The comparison and validation results presented in this 510(k) notification to the FDA show that the device is substantially equivalent to predicate devices and is safe and effective in its intended use.

2

DEPARTMENT OF HEALTH & HUMAN SERVICES

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mr. Jeffrey W. Cobb Vice President Regulatory Affairs Gyrus ENT 2925 Appling Road Bartlett, TN 38133

Re: K020067

Trade/Device Name: Gyrus ENT Somnoplasty Generator Regulation Number: 878.4400 Regulation Name: Electrosurgical cutting and coagulation device and accessories Regulatory Class: II Product Code: GEI Dated: January 8, 2002 Received: January 9, 2002

Dear Mr. Cobb:

We have reviewed your Section 510(k) premarket notification of intent to market the device we nave reviewed your becamed the device is substantially equivalent (for the indications ferenced above and harrsure) to legally marketed predicate devices marketed in interstate for use stated in the encrosale) to 10gary to 10gaily of the Medical Device American by D conninered phor to they 2019 103 103 103 100 100 100 100 100 100 100 1000 1000 1000 de necs that have been require approval of a premarket approval application (PMA). allu Cosmetic Treef, that to hevice, subject to the general controls provisions of the Act. The r ou may, diereleve, mains of the Act include requirements for annual registration, listing of general controls provision 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 If your device is classined controls. Existing major regulations affecting your device can may or buyer to back as assist as a submit ons, 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 I toase of actives and I Drivision that your device complies with other requirements of the Act that I Dri has intatutes and regulations administered by other Federal agencies. You must or any I vatha bathe 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 Of R Part 807); accems (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. Jeffrey W. Cobb

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 premaince nevice 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,

Muriam C. Provost

for 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

Gyrus ENT, Memphis, TN January 8, 2002

510(k) Premarket Notification Gyrus ENT Somnoplasty Generator

Indications for Use

510(k) Number (if known):

Device Name:

Indications For Use:

Not Yet Assigned

K02 0067

Gyrus ENT Somnoplasty Generator ELECTROSURGICAL GENERATOR

The Gyrus ENT Somnoplasty Generator with the Gyrus ENT Soft Tissue Coagulating Electrodes is indicated for the coagulation of soft tissue.

The system is intended for use by qualified medical personnel trained in the use of electrosurgical equipment.

Contraindications for Use:

The use of the Gyrus ENT Somnoplasty Generator is contraindicated when, in the judgment of the physician, electrosurgical procedures would be contrary to the best interests of the patient.

Somnoplasty may be contraindicated in patients with a compromised immune system.

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use X (Per 21 CFR 801.109) 1-2-96)

Over-The-Counter Use (Optional Format

uriam C. Provost

OR

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

X020067 510(k) Number.