K Number
K021777
Device Name
GYRUS ENT COGENT 2/G2 SYSTEM (GENERATOR,ACCESSORIES SOMNOPLASTY ELECTRODES AND PLASMACISION ELECTRODES)
Manufacturer
Date Cleared
2002-08-26

(88 days)

Product Code
Regulation Number
878.4400
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The PlasmaKinetic Generator section of the GII RF Workstation is indicated for ablation of coagulation of soft tissue and hemostasis of blood vessels in otorhinolaryngology (Head and Neck) surgery including: Adenoidectomy, Cysts, Head, Neck, Oral, and Sinus Surgery, Mastoidectomy, Myringotomy with effective Hemorrhage Control, Nasal Airway Obstruction by Reduction of Hypertrophic Nasal Turbinates, Nasopharyngeal / Laryngeal indications including Tracheal Procedures, Laryngeal Polypectomy, and Laryngeal Lesion Debulking, Neck Mass, Papilloma Keloids, Submucosal Palatal Shrinkage, Tonsillectomy, Traditional Uvulopalatoplasty (RAUP), Tumors, Tissue in the Uvula/Soft Palate for the Treatment of Snoring. The Gyrus ENT Somnoplasty TCRF Generator section of the GII RF Workstation with the Temperature Controlled Radio-frequency (Somnoplasty®) Electrodes is indicated for coagulation of soft tissue including: The coagulation of enlarged tonsils in patients 13 years of age and older; the reduction of the incidence of airway obstructions, e.g., base of tongue, soft palate, etc., in patients suffering from UARS or OSAS; tissue coagulation in the inferior turbinates; and tissue coagulation in the uvula/soft palate which may reduce the severity of snoring in some individuals.
Device Description
The Gyrus ENT G II RF Workstation is a combination of two previously cleared radio-frequency generators: 1. The Gyrus ENT Somnoplasty Temperature-Controlled Radio-frequency Generator -K020067, and 2. The Gyrus Medical Inc. (formerly Everest Medical Corporation) PlasmaKinetic™ Generator - K003060. The Gyrus ENT G II Radio-frequency Workstation has two modes of operation: The monopolar mode has controls for maximum temperature and energy delivered. The unit has readouts for total energy delivered, impedance, temperature for two thermocouples and time of energy delivery. The bipolar mode has controls for output waveform type and power. The unit has readouts for set power and waveform. Connectors on the front panel include the monopolar connector for active electrode and dispersive electrode and separate dual bipolar connectors for PlasmaCision electrodes and bipolar instruments. The foot pedal is connected on the back panel. Accessories included with the G II Radiofrequency Workstation include the PlasmaCision electrodes, bipolar instruments, connector cable, footswitch and a power cable.
More Information

No
The device description and intended use focus on radio-frequency energy delivery and control based on temperature, impedance, power, and waveform. There is no mention of AI, ML, image processing, or data sets for training or testing.

Yes
The device is indicated for ablation, coagulation, and hemostasis of soft tissue and blood vessels in various surgical procedures, which are therapeutic interventions aimed at treating conditions or diseases.

No
The document describes the Gyrus ENT G II RF Workstation as a combination of two radio-frequency generators intended for surgical procedures involving ablation, coagulation, and hemostasis of soft tissue in otorhinolaryngology. Its primary function is therapeutic and surgical, not diagnostic. While it has readouts for parameters like temperature, impedance, energy, and time, these are for monitoring and controlling the therapeutic delivery of energy, not for diagnosing a medical condition.

No

The device description clearly states it is a "combination of two previously cleared radio-frequency generators" and describes hardware components like controls, readouts, connectors, and a foot pedal. It also mentions accessories like electrodes and cables. This indicates it is a hardware device with associated software for control and operation, not a software-only medical device.

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

Here's why:

  • Intended Use: The intended use clearly describes the device's function as a surgical tool for ablation, coagulation, and hemostasis of soft tissue and blood vessels within the body during ENT procedures. This is an in vivo application.
  • Device Description: The description details a radio-frequency generator and associated electrodes/instruments used for applying energy directly to tissue. This is consistent with a surgical device, not a device that analyzes samples outside the body.
  • Lack of IVD Characteristics: There is no mention of the device being used to test or analyze biological samples (blood, urine, tissue samples, etc.) in vitro (outside the living body). The device's purpose is to directly interact with and modify tissue within the patient.

Therefore, the Gyrus ENT G II RF Workstation is a surgical device, not an In Vitro Diagnostic.

N/A

Intended Use / Indications for Use

The PlasmaKinetic Generator section of the GII RF Workstation is indicated for ablation of coagulation of soft tissue and hemostasis of blood vessels in otorhinolaryngology (Head and Neck) surgery including:

· Adenoidectomy

  • Cysts
  • · Head, Neck, Oral, and Sinus Surgery
  • · Mastoidectomy
  • · Myringotomy with effective Hemorrhage Control
  • · Nasal Airway Obstruction by Reduction of Hypertrophic Nasal Turbinates
  • · Nasopharyngeal / Laryngeal indications including Tracheal Procedures, Laryngeal Polypectomy, and Laryngeal Lesion Debulking
  • · Neck Mass
  • Papilloma Keloids
  • · Submucosal Palatal Shrinkage
  • · Tonsillectomy
  • · Traditional Uvulopalatoplasty (RAUP)
  • Tumors
  • · Tissue in the Uvula/Soft Palate for the Treatment of Snoring

The Gyrus ENT Somnoplasty TCRF Generator section of the GII RF Workstation with the Temperature Controlled Radio-frequency (Somnoplasty®) Electrodes is indicated for coagulation of soft tissue including:

The coagulation of enlarged tonsils in patients 13 years of age and older; the reduction of the incidence of airway obstructions, e.g., base of tongue, soft palate, etc., in patients suffering from UARS or OSAS; tissue coagulation in the inferior turbinates; and tissue coagulation in the uvula/soft palate which may reduce the severity of snoring in some individuals.

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

GEI

Device Description

The Gyrus ENT G II RF Workstation is a combination of two previously cleared radio-frequency generators:

    1. The Gyrus ENT Somnoplasty Temperature-Controlled Radio-frequency Generator -K020067, and
    1. The Gyrus Medical Inc. (formerly Everest Medical Corporation) PlasmaKinetic™ Generator - K003060.

The Gyrus ENT G II Radio-frequency Workstation has two modes of operation:

  • The monopolar mode has controls for maximum temperature and energy delivered. The unit ﮯ has readouts for total energy delivered, impedance, temperature for two thermocouples and time of energy delivery.
  • -The bipolar mode has controls for output waveform type and power. The unit has readouts for set power and waveform.

Connectors on the front panel include the monopolar connector for active electrode and dispersive electrode and separate dual bipolar connectors for PlasmaCision electrodes and bipolar instruments. The foot pedal is connected on the back panel. Accessories included with the G II Radiofrequency Workstation include the PlasmaCision electrodes, bipolar instruments, connector cable, footswitch and a power cable.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

soft tissue, enlarged tonsils, base of tongue, soft palate, inferior turbinates, uvula/soft palate, Head, Neck, Oral, Sinus, Mastoid, Nasal Airway, Hypertrophic Nasal Turbinates, Nasopharyngeal, Laryngeal, Tracheal, Neck Mass

Indicated Patient Age Range

The coagulation of enlarged tonsils in patients 13 years of age and older

Intended User / Care Setting

This device is intended for use by qualified medical personnel trained in the use of electrosurgery.
The system is intended for use by qualified medical personnel trained in the use of electrosurgical equipment and familiar with potential complications that may arise during or following Head and Neck surgery.

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 testing has been done to validate the performance of the device. The comparison and validation results presented 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.

K020067, K003060, K973478, K014290, K011279, K002021, K982717, K973618, K971450, K020778

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.

K013463, K000228

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

R.O.A.T.Y.

510(k) Summary of Safety and Effectiveness

G II Radio-frequency Workstation & Accessories

| Submitted by: | Gyrus ENT
2925 Appling Rd.
Bartlett, TN 38133 |
|------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Contact Person: | Jeffrey W. Cobb |
| | Vice President, Regulatory/Clinical Affairs & Quality |
| Telephone: | 901-373-2673 |
| Facsimile: | 901-373-0242 |
| Date Summary Prepared: | August 19, 2002 |
| Name of the Device: | G II Radio-frequency Workstations |
| Common/Usual Name: | Electrosurgical Generator and Accessories |
| Classification Name: | Electrosurgical Cutting & Coagulation Device and
Accessories (per 21 CFR 878.4400) |
| Predicate Devices: | - Gyrus ENT Somnoplasty Generator (K020067)

  • Gyrus Medical Inc PlasmaKinetic Generator
    (K003060)
  • Arthrocare Sinus Electrosurgery Generator (K973478)
  • Arthrocare ENTec Plasma Wands (K014290)
  • ENTec EVac Plasma Wands (K011279)
  • Gyrus ENT (Smith & Nephew) Hemostatix Scalpel
    (K002021)
  • Gyrus ENT TCRF Somnoplasty Electrodes
    (K982717), (K973618), (K971450), & (K020778) |

Description:

The Gyrus ENT G II RF Workstation is a combination of two previously cleared radio-frequency generators:

    1. The Gyrus ENT Somnoplasty Temperature-Controlled Radio-frequency Generator -K020067, and
    1. The Gyrus Medical Inc. (formerly Everest Medical Corporation) PlasmaKinetic™ Generator - K003060.

1

Somnoplasty TCRF Generator Section of the GII RF Workstation

Statement of Intended Use: The Gyrus ENT Somnoplasty Generator section of the G II Radiofrequency Workstation is indicated for coagulation of soft tissue including:

IndicationPredicate Device 510(k)
1.The coagulation of enlarged tonsils in patients 13 years of age and olderK020778
2.The reduction of the incidence of airway obstructions, e.g., base of tongue, soft
palate, etc., in patients suffering from UARS or OSASK982717
K971450
3.Tissue coagulation in the inferior turbinatesK973618
4.Tissue coagulation in the uvula/soft palate which may reduce the severity of
snoring in some individualsK982717
K971450

PlasmaKinetic Generator Section of the GII RF Workstation

The PlasmaKinetic Generator section of the GII RF Workstation uses those bipolar and PlasmaCision instruments described in our original submission (K021777) dated May 29, 2002, and subsequent correspondence related to K021777 dated July 10, 2002, and July 19, 2002.

As stated in the original submission, K021777, the PlasmaKinetic Generator section of the GII RF Workstation is substantially equivalent to the ArthroCare ENTec Plasma Wand cleared under 510(k) Nos. K014290, K013463, K011279, K000228, and K973478. Testing was presented in our July 19, 2002, supplement to K021777 that demonstrated the The PlasmaKinetic Generator section of the GII RF Workstation performed similarly to the ArthroCare ENTec Plasma Wand.

Statement of Intended Use: The PlasmaKinetic Generator section of the GII RF Workstation is indicated for ablation, resection and coagulation of soft tissue and hemostasis of blood vessels in otorhinolaryngology (ENT) surgery including:

IndicationPredicate Device 510(k)
1.AdenoidectomyK014290
2.CystsK014290
3.Head, Neck, Oral, and Sinus SurgeryK014290
4.MastoidectomyK014290
5.Myringotomy with effective Hemorrhage ControlK014290
6.Nasal Airway Obstruction by Reduction of Hypertrophic Nasal TurbinatesK014290
7.Nasopharyngeal / Laryngeal indications including Tracheal Procedures,
Laryngeal Polypectomy, and Laryngeal Lesion DebulkingK014290
8.Neck MassK014290
9.Papilloma KeloidsK014290
10.Submucosal Palatal ShrinkageK014290
11.TonsillectomyK014290
12.Traditional Uvulopalatoplasty (RAUP)K014290
13.TumorsK014290
14.Tissue in the Uvula/Soft Palate for the Treatment of SnoringK014290

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

2

The Gyrus ENT G II Radio-frequency Workstation has two modes of operation:

  • The monopolar mode has controls for maximum temperature and energy delivered. The unit ﮯ has readouts for total energy delivered, impedance, temperature for two thermocouples and time of energy delivery.
  • -The bipolar mode has controls for output waveform type and power. The unit has readouts for set power and waveform.

Connectors on the front panel include the monopolar connector for active electrode and dispersive electrode and separate dual bipolar connectors for PlasmaCision electrodes and bipolar instruments. The foot pedal is connected on the back panel. Accessories included with the G II Radiofrequency Workstation include the PlasmaCision electrodes, bipolar instruments, connector cable, footswitch and a power cable.

Comparison to Predicate Devices:

The Gyrus ENT G II Radio-frequency Workstation has been carefully compared to legally marketed devices with respect to intended use and technological characteristics. In addition, performance testing has been done to validate the performance of the device. The comparison and validation results presented show that the device is substantially equivalent to predicate devices and is safe and effective in its intended use.

3

Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular border with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" arranged around it. Inside the circle is an abstract symbol resembling an eagle or a stylized human profile, composed of three curved lines.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

AUG 2 6 2002

Gyrus ENT Jeffrey W. Cobb Vice-President, Regulatory/Clinical Affairs & Quality 2925 Appling Road Bartlett, Tennessee 38133

Re: K021777

Trade/Device Name: Gyrus G II Radio-frequency Workstation & Accessories Regulation Number: 878.4400 Regulation Name: Electrosurgical cutting & coagulation device and accessories Regulatory Class: Class II Product Code: GEI Dated: May 29, 2002 Received: May 30, 2002

Dear Mr. Cobb:

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. Iisting 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.

4

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 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" (21 CFR 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,

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

5

Exhibit A

Indications for Use

510(k) Number (if known):

K021777

Device Name:

G II Radio-frequency Workstation & Accessories

Indications For Use:

The PlasmaKinetic Generator section of the GII RF Workstation is indicated for ablation of coagulation of soft tissue and hemostasis of blood vessels in otorhinolaryngology (Head and Neck) surgery including:

· Adenoidectomy

  • Cysts
  • · Head, Neck, Oral, and Sinus Surgery
  • · Mastoidectomy
  • · Myringotomy with effective Hemorrhage Control
  • · Nasal Airway Obstruction by Reduction of Hypertrophic Nasal Turbinates
  • · Nasopharyngeal / Laryngeal indications including Tracheal Procedures, Laryngeal Polypectomy, and Laryngeal Lesion Debulking
  • · Neck Mass
  • Papilloma Keloids
  • · Submucosal Palatal Shrinkage
  • · Tonsillectomy
  • · Traditional Uvulopalatoplasty (RAUP)
  • Tumors
  • · Tissue in the Uvula/Soft Palate for the Treatment of Snoring

The Gyrus ENT Somnoplasty TCRF Generator section of the GII RF Workstation with the Temperature Controlled Radio-frequency (Somnoplasty®) Electrodes is indicated for coagulation of soft tissue including:

The coagulation of enlarged tonsils in patients 13 years of age and older; the reduction of the incidence of airway obstructions, e.g., base of tongue, soft palate, etc., in patients suffering from UARS or OSAS; tissue coagulation in the inferior turbinates; and tissue coagulation in the uvula/soft palate which may reduce the severity of snoring in some individuals.

The system is intended for use by qualified medical personnel trained in the use of electrosurgical equipment and familiar with potential complications that may arise during or following Head and Neck surgery.

Contraindications for Use:

There are no known absolute contraindications to the use of radio-frequency surgery. The use of the GNT G II Radio-frequency Workstation is contraindicated when, in the physician, electrosurgical procedures would be contrary to the best interests of the patient. The use of the system is also contraindicated for patients with heart pacemakers or other electronic device implants.

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

| Prescription Use X
(Per 21 CFR 801.109) | OR | Over-The-Counter Use
(Optional Format 1-2-96) |

--------------------------------------------------------------------------------------------------

Concurrence of CDRH, Office of Device Evaluation (ODE)

(Division Sign-Off)

Division of General, Restorative and Neurological Devices

510(k) NumberK021777
------------------------