K Number
K073613
Device Name
REPROCESSED SCISSOR TIPS
Manufacturer
Date Cleared
2008-02-12

(53 days)

Product Code
Regulation Number
878.4400
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The reprocessed scissor tips are intended to be used with a reusable hand piece and are designed for use in mininally invasive and/or open surgical procedures to facilitate cutting, preparation, mobilization and coagulation of tissue.
Device Description
SterilMed's reprocessed scissor tips are laparoscopic electric devices that are inserted into a reusable hand piece and are designed to be used in laparoscopic and open surgical procedures to facilitate coagulation, preparation, mobilization and cutting of tissue. The devices are monopolar and have a cautery connector on the handle or a connector cable. These devices were originally manufactured by Aesculap (Braun), Encision, Microline, and Snowden Pencer. Note: Only the scissor tip is the subject of this submission, the reusable hand piece, the cautery cable and the generator are not included in the scope of this submission.
More Information

Not Found

Not Found

No
The document describes reprocessed surgical scissor tips and their intended use and testing. There is no mention of AI, ML, image processing, or any other technology typically associated with AI/ML functionality. The focus is on the physical characteristics and reprocessing of the device.

No
The device is described as a surgical tool used for cutting, preparing, mobilizing, and coagulating tissue during procedures, rather than for treating or preventing a disease or condition.

No

The device is described as surgical reprocessed scissor tips intended for cutting, preparation, mobilization, and coagulation of tissue during surgical procedures, not for diagnosing conditions.

No

The device described is a physical medical device (reprocessed scissor tips) used in surgical procedures, not a software-only device. The submission focuses on the reprocessing and functional testing of the physical tips.

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

Here's why:

  • Intended Use: The intended use clearly states the device is for use in surgical procedures to facilitate cutting, preparation, mobilization, and coagulation of tissue. This is a direct surgical intervention on the patient's body.
  • Device Description: The description reinforces its use in laparoscopic and open surgical procedures for tissue manipulation.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens derived from the human body (like blood, urine, tissue samples) to provide information for diagnosis, monitoring, or screening.

IVD devices are used outside the body to analyze samples for diagnostic purposes. This device is used inside the body during surgery.

N/A

Intended Use / Indications for Use

The reprocessed scissor tips are intended to be used with a reusable hand piece and are designed for use in minimally invasive and open surgical procedures to facilitate coagulation, preparation, mobilization, and cutting of tissue.
The reprocessed scissor tips are intended to be used with a reusable hand piece and are designed for use in mininally invasive and/or open surgical procedures to facilitate cutting, preparation, mobilization and coagulation of tissue.

Product codes

NUJ

Device Description

SterilMed's reprocessed scissor tips are laparoscopic electric devices that are inserted into a reusable hand piece and are designed to be used in laparoscopic and open surgical procedures to facilitate coagulation, preparation, mobilization and cutting of tissue. The devices are monopolar and have a cautery connector on the handle or a connector cable. These devices were originally manufactured by Aesculap (Braun), Encision, Microline, and Snowden Pencer. Note: Only the scissor tip is the subject of this submission, the reusable hand piece, the cautery cable and the generator are not included in the scope of this submission.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

tissue

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)

Representative samples of reprocessed scissor tips were tested to demonstrate appropriate functional characteristics. Process validation testing was performed to validate the cleaning and sterilization procedures as well as device packaging. In addition, the manufacturing process includes visual and validated functional testing of all products produced.

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

Not Found

Predicate Device(s)

Snowden Pencer Switchblade®, Microline Eversharp®, Aesculap Disposable Scissor Insert, Encision AEM® Scissor Insert

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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.

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Image /page/0/Picture/0 description: The image shows the logo for SterilMed INC. The logo is in black and white and features the company name in a bold, sans-serif font. Below the company name, there is smaller text that reads "Medical Device Reprocessing" and "Small Equipment & Instrument Repair."

FEB 1 2 2008 510(K) PREMARKET NOTIFICATION SUBMISSION DECEMBER 20, 2007

For Reprocessed Scissor Tips (Laparoscopic Electric Instrument Accessories)

II. SUMMARY AND CERTIFICATION

A. 510(k) Summary

Submitter:SterilMed, Inc.
Contact Person:Joshua Clarin
11400 73rd Avenue North
Maple Grove, MN 55369
Ph: 763-488-3483
Fax: 763-488-3350
Date Prepared:December 17, 2007
Trade Name:Reprocessed Scissor Tips
Classification Name:Electrosurgical Cutting and Coagulation Accessory
Classification Number:Class II, 21 CFR 878.4400
Product Code:NUJ

| Predicate
Devices: | The reprocessed scissor tips are substantially equivalent to Snowden Pencer Switchblade®,
Microline Eversharp®, Aesculap Disposable Scissor Insert, and Encision AEM® Scissor Insert
sterile electrosurgical scissors. |
|-----------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Device
Description: | SterilMed's reprocessed scissor tips are laparoscopic electric devices that are inserted into a
reusable hand piece and are designed to be used in laparoscopic and open surgical procedures
to facilitate coagulation, preparation, mobilization and cutting of tissue. The devices are
monopolar and have a cautery connector on the handle or a connector cable. These devices
were originally manufactured by Aesculap (Braun), Encision, Microline, and Snowden Pencer.
Note: Only the scissor tip is the subject of this submission, the reusable hand piece, the cautery
cable and the generator are not included in the scope of this submission. |
| Intended Use: | The reprocessed scissor tips are intended to be used with a reusable hand piece and are
designed for use in minimally invasive and open surgical procedures to facilitate coagulation,
preparation, mobilization, and cutting of tissue. |
| Functional and
Safety Testing: | Representative samples of reprocessed scissor tips were tested to demonstrate appropriate
functional characteristics. Process validation testing was performed to validate the cleaning and
sterilization procedures as well as device packaging. In addition, the manufacturing process
includes visual and validated functional testing of all products produced. |
| Conclusion: | The reprocessed Scissor Tips are substantially equivalent to Snowden Pencer Switchblade®,
Microline Eversharp®, Aesculap Disposable Scissor Insert, and Encision AEM® Scissor Insert
sterile electrosurgical scissors.
This conclusion is based upon the devices' similarities in functional design (principle of
operation), materials, indications for use and methods of construction. |

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Image /page/1/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" arranged around the perimeter. Inside the circle is a stylized image of an eagle with its wings spread, symbolizing the department's mission to protect the health of all Americans.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

FEB 1 2 2008

SterilMed, Inc. % Mr. Joshua Clarin Senior Regulatory Affairs Specialist 11400 73td Avenue North, Suite 100 Maple Grove, Minnesota 55369

Re: K073613

Trade/Device Name: Reprocessed Scissor Tips Regulation Number: 21 CFR 878.4400 Regulation Name: Electrosurgical cutting and coagulation device and accessories Regulatory Class: II Product Code: NUJ Dated: December 20, 2007 Received: December 21, 2007

Dear Mr. Clarin:

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

2

Page 2 – Mr. Joshua Clarin

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 acre ventures (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 Assistances of 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 M. Millman

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

Enclosure

3

STERILMED, INC.
Medical Device Reprocessing
Small Equipment & Instrument Repair

510(K) PREMARKET NOTIFICATION SUBMISSION DECEMBER 20, 2007

For Reprocessed Scissor Tips (Laparoscopic Electric Instrument Accessories)

K0 73613

Indications for Use

510(k) Number (if known):

Device Name: Reprocessed Scissor Tips

Indications for Use:

The reprocessed scissor tips are intended to be used with a reusable hand piece and are designed for use in mininally invasive and/or open surgical procedures to facilitate cutting, preparation, mobilization and coagulation of tissue.

Prescription Use. X (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (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 of General Restorative. and Neurological Devices

510(k) Number L073613

CONFIDENTIAL & PROPRIETARY INFORMATION OF STERILMED, INC.

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ManufacturerModel #Description
Aesculap
(Braun)PO886Hook Scissor Tip, 5mm diameter,
31 cm long
PO887Mini-Metzenbaum Scissor Tip,
5mm diameter, 31 cm long
PO888Metzenbaum Scissor Tip, 5mm
diameter, 31 cm long
PO889Metzenbaum Scissor Tip, 5mm
diameter, 42 cm long
EncisionES0101Curved Scissor Tip ½", 35cm long
ES0102Curved Scissor Tip ¾, 35cm long
ES0110Hook Scissor Tip. 35cm long
Microline3112Scissor Tip Metzenbaum 13.46 mm long
3122Scissor Tip Micro 9.4 mm long
3132Scissor Tip Hook 12.7 mm long
3142Scissor Tip Endocut 16.51 mm long
3152Scissor Tip Mini Endocut 11.42
mm long
Snowden
Pencer89-5100Scissor Tip Curved
89-5200Scissor Tip Hook
89-5300Scissor Tip Curved Mini-
Metzenbaum Micro

:

:

100 - 100 - 100

The following table displays the list of the fifteen (15) Reprocessed Scissors included in this subject K073613 submission: Tips

: