K Number
K040219
Device Name
COBRA SURGICAL PROBE
Date Cleared
2004-02-24

(22 days)

Product Code
Regulation Number
878.4400
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The intended use for the Cobra Surgical Probes is as follows: The Probe (Probe) is intended for the coagulation of cardiac tissue using radiofrequency (RF) energy during cardiac surgery. The Probe can be used during general surgery to coagulate soft tissues. The Probe may also be used to coagulate blood and soft tissue to produce hemostasis.
Device Description
The Cobra Surgical Probes are Electrosurgical Probes, with either a malleable or flexible shaft, used in conjunction with the Cobra Electrosurgical Unit (ESU). The system is intended for use by surgeons for the coagulation of cardiac and soft tissues during open surgical procedure.
More Information

Not Found

No
The document describes a standard electrosurgical probe for tissue coagulation and hemostasis. There is no mention of AI, ML, image processing, or any data-driven decision-making components. The performance studies focus on meeting design inputs and safety/effectiveness for the intended use, not on evaluating algorithmic performance.

Yes.
The device is intended for the coagulation of cardiac and soft tissues using RF energy to produce hemostasis, which directly treats a medical condition (e.g., bleeding) within the body.

No

This device is intended for coagulation and hemostasis of tissues during surgery, which are therapeutic actions, not diagnostic ones. It does not mention any function for identifying or analyzing medical conditions.

No

The device description explicitly states it is an "Electrosurgical Probe" with a "malleable or flexible shaft" used in conjunction with an "Electrosurgical Unit (ESU)," indicating it is a hardware device that delivers RF energy.

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

Here's why:

  • Intended Use: The intended use clearly states the device is for the coagulation of cardiac and soft tissues during surgery. This is a direct intervention on the patient's body.
  • Device Description: The description confirms it's an electrosurgical probe used in conjunction with an electrosurgical unit for coagulation during open surgical procedures.
  • Lack of In Vitro Activity: There is no mention of the device being used to examine specimens (like blood, tissue samples, etc.) outside of the body to provide information about a patient's health. IVDs are designed for testing samples in vitro (in glass or in a lab setting).

Therefore, the Cobra Surgical Probes are a surgical device used for therapeutic purposes (coagulation and hemostasis) directly on the patient, not for diagnostic testing of samples outside the body.

N/A

Intended Use / Indications for Use

The Probe (Probe) is intended for the coagulation of cardiac tissue using radiofrequency (RF) energy during cardiac surgery. The Probe can be used during general surgery to coagulate soft tissues. The Probe may also be used to coagulate blood and soft tissue to produce hemostasis.

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

OCL, GEI

Device Description

The Cobra Surgical Probes are Electrosurgical Probes, with either a malleable or flexible shaft, used in conjunction with the Cobra Electrosurgical Unit (ESU). The system is intended for use by surgeons for the coagulation of cardiac and soft tissues during open surgical procedure.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

cardiac tissue, soft tissues

Indicated Patient Age Range

Not Found

Intended User / Care Setting

surgeons / during open surgical procedure

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)

Specifically, non-clinical tests conducted for the Device showed the device met its design-input criteria, and was safe and effective for 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.

K013873

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

Page ① of ③

SPECIAL 510(K) SUBMISSION Cobra Surgical Probes

K040219

510(k) Summary of Safety and Effectiveness 3.

a. General Information

Modified Device Information

Category:Comments:
Sponsor:Boston Scientific Corporation
2710 Orchard Parkway
San Jose, Ca 95134
Correspondent:April I. Malmborg
Senior Specialist, Regulatory Affairs
Boston Scientific Corporation
2710 Orchard Parkway
San Jose, Ca 95134
Contact Information:E-mail: malmbora@bsci.com
Phone: (408) 895-3637
Fax: (408) 895-2202
Device Common Name:Electrosurgical Probe
Device Proprietary Name:Cobra Surgical Probe
Device Classification:21 CFR §878.4400

Predicate Device Information h.

Predicate Device:Cobra Surgical Probe (K013873)
Predicate Device Manufacturer:Boston Scientific Corporation
Predicate Device Common NameElectrosurgical Probe
Predicate Device Classification:21 CFR §878.4400
Predicate Device Classification Number:Class II

Confidential

1

Page ② of ③

Date Summary Prepared C.

January 30, 2004

d. Description of Device

The Cobra Surgical Probes are Electrosurgical Probes, with either a malleable or flexible shaft, used in conjunction with the Cobra Electrosurgical Unit (ESU). The system is intended for use by surgeons for the coagulation of cardiac and soft tissues during open surgical procedure.

Intended Use e.

The intended use for the Cobra Surgical Probes is as follows:

The Probe (Probe) is intended for the coagulation of cardiac tissue using radiofrequency (RF) energy during cardiac surgery. The Probe can be used during general surgery to coagulate soft tissues. The Probe may also be used to coagulate blood and soft tissue to produce hemostasis.

Comparison to Predicate Device f.

See Table I- Comparison of Device Characteristics to Predicate on the following page.

Confidential

2

Page ③ 3 ③

| | Cobra® Surgical Probe(s) | Cobra® Surgical
Probe(s) |
|-------------------------------|-----------------------------------------------------------------------------------------------------------------------|-----------------------------|
| Device Manufacturer
& Name | Boston Scientific Corporation | Same |
| Device Description | Electrosurgical Probe | Same |
| 510(k) Number | K013873 | TBD |
| Regulatory Class | II | Same |
| Device Classification | 21 CFR §878.4400 | Same |
| Intended Use | Coagulation of Cardiac Tissue
during Cardiac surgery and Soft
Tissue during General Open
Surgical Procedures | Same |
| Mode(s) | Monopolar | Same |
| Single Use? | Yes | Same |
| EO Sterilized? | Yes | Same |
| Shaft Size | 8F | Same |
| Tip Material | Stainless Steel | Same |
| Length | 15cm-35cm | Same |
| Electrode Size | 6mm to 12.5 mm | Same |
| Electrode Number | 2 to 7 | Same |

Table 1 - Comparison of Device Characteristics to Predicate

Summary of the Non-clinical Data g.

Where appropriate, testing conformed to the requirements of 21 CTR Part 58 (Good Laboratory Practices (GLP)). Specifically, non-clinical tests conducted for the Device showed the device met its design-input criteria, and was safe and effective for its intended use.

Confidential

3

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/3/Picture/2 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle with its wings outstretched, symbolizing protection and care. Encircling the eagle is the text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA". The logo is simple, using only black and white, and is designed to be easily recognizable.

FEB 2 1 2008

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Boston Scientific Corporation c/o Ms. April M. Malmborg Senior Specialist, Regulatory Affairs 2710 Orchard Parkway San Jose, CA 95134

Re: K040219

Trade/Device Name: Cobra Surgical Probe Regulation Number: 21 CFR 878.4400 Regulation Name: Electrosurgical cutting and coagulation device and accessories Regulatory Class: II (two) Product Code: OCL, GEI Dated: January 30, 2004 Received: February 2, 2004

Dear Ms. Malmborg:

This letter corrects our substantially equivalent letter of February 24, 2004.

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 (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 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.

4

Page 2 - Ms. April M. Malmborg

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 (OS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (sections 531-542 of the Act); 21 CFR 1000-1050.

This letter will allow you to continue 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), please contact the Office of Compliance at (240) 276-0120. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (240) 276-3150 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html

Sincerely yours,

El. Mall

Bram D. Zuckerman, M.D. Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

5

4. Premarket Notification -Indication for Use Statement

KO40219

Device Name:

Cobra Surgical Probes

Indication for Use:

The intended use for Cobra Surgical Probes is as follows:

The Probe is intended for the coagulation of cardiac tissue using radiofrequency (RF) energy during cardiac surgery. The Probe can be used during general surgery to coagulate soft tissues. The Probe may also be used to coagulate blood and soft tissue to produce hemostasis.

(PLEASE DO NOT WRITE BELOW THIS LINE – CONTINUE ON ANOTHER PAGE IS NEEDED

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use

OR Over-the-Counte
(Per 21 CFR §801109)

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

510(k) Number. K040219

Boston Scientific Corporation Special 510(k) Submission

CONFIDENTIAL