K Number
K050364
Date Cleared
2005-03-09

(23 days)

Product Code
Regulation Number
878.4400
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The MALIS 2000 Bipolar Electrosurgical system is indicated for use in micro, macro and endoscopic bipolar cutting and coagulation of tissue and sealing of blood vessels in all types of surgery.

Device Description

The Malis 2000 Bipolar Electrosurgical System includes the generator, a Bipedal footswitch for operating the cutting and coagulation functions, a connecting cable to allow the use of a MALIS irrigator with the MALIS 2000 generator. The unit incorporates the use of a LCD panel to make it easier for the surgeon to see the setting.

AI/ML Overview

The provided submission does not contain information about acceptance criteria or a study proving the device meets said criteria.

The document is a 510(k) Summary of Safety & Effectiveness for the Malis Bipolar 2000 Electrosurgical System, dated March 7, 2005. It focuses on demonstrating substantial equivalence to a predicate device (VFS 300) rather than presenting performance acceptance criteria or study results against such criteria.

The submission includes:

  • General Information: Date prepared, submittor, contact.
  • General Provisions: Trade name, classification, predicate device, intended use.
  • Device Description: Details of the Malis 2000 Bipolar Electrosurgical System components and features.
  • Substantial Equivalence Table: Compares the new device (Malis 2000) to the predicate device (VFS 300) across various attributes like intended use, control circuitry, method of operation, RF output range, blend cut/coag, activation, output power controls, power display, and sterilization. This table indicates that the new device has largely similar specifications to the predicate, with minor modifications in activation (additional finger-operated instruments) and user interface (rotary switches and LED display).
  • FDA Letter: A letter from the FDA (dated March 9, 2005) indicating that the device has been found substantially equivalent to legally marketed predicate devices.
  • Indications for Use: Page outlining the intended uses of the device.

None of these sections discuss predefined acceptance criteria or present data from a study designed to evaluate the device's performance against such criteria. The focus is entirely on comparing the new device's specifications and intended use to an existing, legally marketed device to establish substantial equivalence for regulatory clearance.

{0}------------------------------------------------

MAR 9 2005

K 050364

Summary of Safety & Effectiveness

This 510 K Summary is being submitted in accordance with the requirements of 1990 and 21CFR807.92.

General Information

Date Prepared:March 7, 2005
Submittor:Valley Forge Scientific Corp.P. O. Box 1179Oaks, PA 19456
Contact:Jerry Malis, M.D.(610) 666-7500Fax (610) 666-7565

General Provisions

Trade nameMalis Bipolar 2000 Electrosurgical System
Classification:Electro Surgical Device
Predicate Device:K955346, VFS 300
Classification:Class II
Performance Standard:Pursuant to Section 1990 CFR 870.92, noperformance standards have beenestablished for this device.
Intended Use:The Malis 2000 Electrosurgical Generator isindicated for use in micro, macro and endoscopicbipolar cutting and coagulation of tissue andsealing of blood vessels in all areas of surgery.

Page 19

ನ್ನ

{1}------------------------------------------------

Page 2 of 2

Device Description:

The Malis 2000 Bipolar Electrosurgical System includes the generator, a Bipedal footswitch for operating the cutting and coagulation functions, a connecting cable to allow the use of a MALIS irrigator with the MALIS 2000 generator. The unit incorporates the use of a LCD panel to make it easier for the surgeon to see the setting.

Substantial Equivalence: _

ItemExisting DeviceK 955346Modified Device
VFS 300 Bipolar Electro-surgical GeneratorMalis 2000 Bipolar Electro-surgical Generator
Intended UseThe Valley Forge ScientificMalis Bipolar Generator isindicated for use in surgicalprocedures for cuttingtissue and coagulatingblood vessels.The Valley Forge ScientificMalis Bipolar Generator isindicated for use in surgicalprocedures for cuttingtissue and coagulatingblood vessels.
Control CircuitryDigitalDigital
Method of OperationDelivery of RF power forcutting and coagulating.Delivery of RF power forcutting and coagulating.
RF Output Range5 watts to 300 watts5 watts to 300 watts
Blend Cut/CoagThree (3) levelsThree (3) levels
ActivationBy FootpedalBy footpedal and fingeroperated instruments.
Output power controlsUp/down rocker switchesRotary Switches
Power Display for OutputsSegmental digital indicatorsLED Display Screen
SterilizationNon sterileNon sterile

{2}------------------------------------------------

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the top half of the circle. Inside the circle is a stylized image of an eagle with its wings spread, with three wavy lines below the eagle.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

MAR 9 - 2005

Jerry L. Malis, M.D. President Valley Forge Scientific Corporation P.O. Box 1179 Oaks, Pennsylvania 19456

Re: K050364

Trade/Device Name: Malis Bipolar 2000 Electrosurgical System Regulation Number: 21 CFR 878.4400 Regulation Name: Electrosurgical cutting and coagulation device and accessories Regulatory Class: II Product Code: GEI Dated: February 8, 2005 Received: February 14, 2005

Dear Dr. Malis:

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 10 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 (IPMA). 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 clectronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

{3}------------------------------------------------

Page 2 - Jerry L. Malis, M.D.

This letter will allow you to begin marketing your device as described in your Section 510(k) I mis letter will and in yourse Fig. finding of substantial equivalence of your device to a legally premative notificated. " 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 If you desire specific auries 10. 90% (240) 276-0115. 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 other general 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/industry/support/index.html.

Sinccrely yours,

for Miriam C. Provost, Ph.D.

Miriam C. Provost, Ph.D. Acting Director Division of General, Restorative and Neurological Devices ()ffice of Device Evaluation Center for Devices and Radiological Health

Enclosure

{4}------------------------------------------------

Malis 2000 Bipolar Electrosurgical System

INDICATIONS FOR USE

510(k) Number (if known):_____________________________________________________________________________________________________________________________________________________

Device Name

Valley Forge Scientific MALIS ™ 2000 Bipolar Electrosurgical Generator.

Indications for Use

The MALIS 2000 Bipolar Electrosurgical system is indicated for use in micro, macro and endoscopic bipolar cutting and coagulation of tissue and sealing of blood vessels in all types of surgery.

Prescription Use:XAND/OROver-the-Counter Use:
(Per 21 CFR 801 Subpart D)(21 CFR 807 Subpart C)

(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

510(k) NumberK050364
------------------------

§ 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.