K Number
K073498
Device Name
LAPAROSCOPIC AND ELECTROSURGICAL INSTRUMENTS AND ACCESSORIES, LAPAROSCOPY RUDOLF SYSTEM
Date Cleared
2008-09-19

(281 days)

Product Code
Regulation Number
878.4400
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Rudolf's laparoscopic and electrosurgical instruments are designed for dissecting, cutting and optional monopolar or bipolar coagulation of tissue during general surgical procedures. These devices have not been shown to be effective for tubal sterilization or tubal coagulation for sterilization procedures and should not be used for these procedures.
Device Description
Laparoscopic and electrosurgical instruments are used in various surgical applications. Therefore they are varying in size and build-up, though the general principle remains unchanged. By using a suitable connecting cable, the monopolar and bipolar instruments can be connected to high-frequency electrosurgical generators.
More Information

Not Found

No
The summary describes standard laparoscopic and electrosurgical instruments and does not mention any AI or ML capabilities.

No
The device description states it is used for "dissecting, cutting and optional monopolar or bipolar coagulation of tissue during general surgical procedures," which describes a surgical tool used for modification of tissue, not a therapeutic treatment.

No
Explanation: The device description states its use for "dissecting, cutting and optional monopolar or bipolar coagulation of tissue," which are surgical treatment functions, not diagnostic ones.

No

The device description clearly states it is a physical instrument used for surgical procedures and connects to electrosurgical generators, indicating it is a hardware device.

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 instruments are for "dissecting, cutting and optional monopolar or bipolar coagulation of tissue during general surgical procedures." This describes a surgical tool used directly on the patient's body.
  • Device Description: The description reinforces this by detailing how the instruments are used in "various surgical applications" and connected to "high-frequency electrosurgical generators."
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens (like blood, urine, or tissue samples) in vitro (outside the body) to provide information about a patient's health status, diagnosis, or treatment.

IVD devices are specifically designed for testing samples outside the body to provide diagnostic information. This device is a surgical instrument used in vivo (within the body) during a procedure.

N/A

Intended Use / Indications for Use

Rudolf's laparoscopic and electrosurgical instruments are designed for dissecting, cutting and optional monopolar or bipolar coagulation of tissue during general surgical procedures.

These devices have not been shown to be effective for tubal sterilization or tubal coagulation for sterilization procedures and should not be used for these procedures.

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

GEI

Device Description

Laparoscopic and electrosurgical instruments are used in various surgical applications. Therefore they are varying in size and build-up, though the general principle remains unchanged. By using a suitable connecting cable, the monopolar and bipolar instruments can be connected to high-frequency electrosurgical generators.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

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

Not Found

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.

K062047, K051429, K042077, K010112, K001330

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

510(k) Premarket Notification
-------------------------------

Laparoscopic and Electrosurgical Instruments

Image /page/0/Picture/2 description: The image shows the logo for Rudolf Medical. The logo consists of a stylized letter "G" followed by the word "rudolf" in a slanted, sans-serif font. Below the word "rudolf" is the word "MEDICAL" in a smaller font. The logo is black and white.

K

SEP 1 9 2008

510(K) SUMMARY OF SAFETY AND EFFECTIVENESS IN ACCORDANCE WITH SMDA OF 1990

DATE: December 5, 2007

RUDOLF MEDICAL GmbH + Co. KG Submitted by: Zollerstr. 1 D-78567 Fridingen Germany Phone: +49 (7463) 9956-0 Fax: +49 (7463) 9956-56 Email: info@rudolf-med.com

Device Name 1.

Laparoscopic and Electrosurgical Instruments and Accessories Trade Name: Common Name: Laparoscopic and Electrosurgical Instruments and Accessories

Classification 2.

Our laparoscopic and electrosurgical Instruments can be classified according following Device Names and Product Codes:

Device:Device, Electrosurgical, Cutting & Coagulation & Accessories
Device description:Laparoscopic and electrosurgical cutting and coagulation device and
accessories.
Medical Specialty:Part 878, General & Plastic Surgery
Product Code:GEI
Regulation Number:878.4400
Device Class:2

1

273495
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510(k) Premarket Notification

Laparoscopic and Electrosurgical instruments

Image /page/1/Picture/23 description: The image shows the logo for Rudolf Medical. The logo consists of a stylized letter 'G' on the left, followed by the word 'rudolf' in a bold, sans-serif font. Below the word 'rudolf' is the word 'MEDICAL' in a smaller font. The logo is black and white.

3. Substantial Equivalence

Rudolf's Laparoscopic and Electrosurgical Instruments are substantial equivalent to

  • PAJUNK GMBH MEDIZINTECHNOLOGIE, K062047 N
  • . GUNTER BISSINGER MEDIZINTECHNIK GMBH, K051429
  • GUNTER BISSINGER MEDIZINTECHNIK GMBH, K042077
  • 피 ENABLE MEDICAL CORP., K010112
  • AESCULAP, INC., K001330

Description of the Device 4.

Laparoscopic and electrosurgical instruments are used in various surgical applications. Therefore they are varying in size and build-up, though the general principle remains unchanged. By using a suitable connecting cable, the monopolar and bipolar instruments can be connected to high-frequency electrosurgical generators.

5. Intended Use

Rudolf's laparoscopic and electrosurgical instruments are designed for dissecting, cutting and optional monopolar or bipolar coagulation of tissue during general surgical procedures. These devices have not been shown to be effective for tubal sterilization or tubal coagulation for sterilization procedures and should not be used for these procedures.

Performance Standards 6.

The devices are conforming to following international standards: ANSI/AAMI HF18, IEC 60601-1, IEC 60601-1-1, IEC 60601-2-2, IEC 60601-2-18

7. Sterilization

Rudolf's laparoscopic and electrosurgical instruments are supplied non-sterile and must be sterilized before every use by a steam sterilization (pre-vacuum) process at 134°C (273°F) and 5 minutes minimum holding time.

8. Conclusion

Based on the available 510(k) summaries and 510(k) statements (21 CFR 807) and the information provided herein, we conclude that Rudolf's Laparoscopic and Electrosurgical Instruments are substantially equivalent to the existing legally marketed devices under Federal Food, Drug and Cosmetic Act.

2

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is an abstract image of an eagle.

SEP 1 9 2008

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Rudolf Medical GmbH & Co., KG % Medagent GmbH & Co., KG Mr. Franz Menean Griesweg 47 Muhlheim, Baden-Wurttemberg Germany

Re: K073498

Trade/Device Name: Rudolf Laparoscopic and Electrosurgical Instruments Regulation Number: 21 CFR 878.4400 Regulation Name: Electrosurgical cutting and coagulation device and accessories Regulatory Class: II Product Code: GEI Dated: August 23, 2008 Received: August 27, 2008

Dear Mr. Menean:

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

3

Page 2 - Mr. Franz Menean

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.

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), please contact the Center for Devices and Radiological Health's (CDRH's) Office of Compliance at (240) 276-0115. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding postmarket surveillance, please contact CDRH's Office of Surveillance and Biometric's (OSB's) Division of Postmarket Surveillance at (240) 276-3474. For questions regarding the reporting of device adverse events (Medical Device Reporting (MDR)), please contact the Division of Surveillance Systems at (240) 276-3464. 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/industry/support/index.html.

Sincerely yours,

Mark N. Millman

Mark N. Melkerson Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

1073498 p. l -sf1

Indications for Use

510(k) Number: KO73498

Device Name: Rudolf Laparoscopic and Electrosurgical Instruments

Indications for Use:

Rudolf's laparoscopic and electrosurgical instruments are designed for dissecting, cutting and optional monopolar or bipolar coagulation of tissue during general surgical procedures.

These devices have not been shown to be effective for tubal sterilization or tubal coagulation for sterilization procedures and should not be used for these procedures.

Prescription Use YES (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use NO (21 SFR 801 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Mark A. Milheim

(Division Sign-Off) (Division Sign-On)
Division of Ceneral, Restorative, rological Devices 093498 and I

510(k) Number_

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