K Number
K101413
Device Name
EUROMI EVA SP6
Manufacturer
Date Cleared
2010-12-16

(210 days)

Product Code
Regulation Number
878.5040
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The device is intended to be used for aesthetic body contouring.
Device Description
The subject device is used in conjunction with the Lipomatic Handpiece. The Lipomatic Handpiece is a motorized pneumatic handle with interchangeable canulae. The Lipomatic handpiece can be used with readily available air sources at the hospital or clinic. The EVA sp6 is an aspiration system that can be used with the Lipomatic handpiece for the purposes of aesthetic body contouring. The EVA sp6 can be in continuous operation or can be controlled by a foot pedal. The device has two modes; infiltration and aspiration. Syringes are used for infiltration. The EVA sp6 has wheels to allow it to move around the clinical or hospital as needed. The list of accessories include: - Pedal . - . Hospital Grade Power Cord and Plug - Replacement Fuses . - Tubing (5 kits) . - Twisted Pipe of 5 meter with one connector . - Aspiration Jars (2 jars) .
More Information

No
The description focuses on mechanical and pneumatic operation, with no mention of AI/ML terms, data processing, or performance metrics typically associated with AI/ML devices.

No
The device is described as being used for "aesthetic body contouring" and not for treating or diagnosing a disease or condition.

No

The device is intended for aesthetic body contouring through aspiration and infiltration, not for diagnosing medical conditions.

No

The device description clearly outlines hardware components such as a motorized pneumatic handle, canulae, aspiration system, foot pedal, power cord, fuses, tubing, twisted pipe, and aspiration jars. It also mentions electrical safety and EMC testing, which are relevant to hardware.

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

Here's why:

  • Intended Use: The stated intended use is "aesthetic body contouring." This is a procedure performed directly on the patient's body for cosmetic purposes.
  • Device Description: The description details a system for liposuction (using a handpiece and aspiration system) and infiltration (using syringes). These are all procedures performed on the living body.
  • Lack of In Vitro Activity: There is no mention of the device being used to examine specimens (like blood, urine, tissue) outside of the body to provide information about a person's health or condition. IVDs are specifically designed for testing samples in vitro (in glass or in a lab).

The device is clearly intended for a surgical or procedural application on the patient, not for diagnostic testing of samples.

N/A

Intended Use / Indications for Use

The device is intended to be used for aesthetic body contouring.

Product codes

QPB, MUU

Device Description

The subject device is used in conjunction with the Lipomatic Handpiece. The Lipomatic Handpiece is a motorized pneumatic handle with interchangeable canulae. The Lipomatic handpiece can be used with readily available air sources at the hospital or clinic.
The EVA sp6 is an aspiration system that can be used with the Lipomatic handpiece for the purposes of aesthetic body contouring.
The EVA sp6 can be in continuous operation or can be controlled by a foot pedal. The device has two modes; infiltration and aspiration. Syringes are used for infiltration.
The EVA sp6 has wheels to allow it to move around the clinical or hospital as needed.
The list of accessories include:

  • Pedal .
  • . Hospital Grade Power Cord and Plug
  • Replacement Fuses .
  • Tubing (5 kits) .
  • Twisted Pipe of 5 meter with one connector .
  • Aspiration Jars (2 jars) .

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

The subject device has been subjected to non-clinical testing including biocompatibility testing, electrical safety, EMC testing, FCC Part 15, and accuracy testing. The subject device has been tested and passed electrical safety and EMC requirements utilizing IEC 60601-1, 60601-1-2, and FCC Part 15. Clinical studies were not performed with regards to this device. However, this device has been used internationally and published studies were included in the 510(k). Clinical data was not required to demonstrate substantial equivalence.

Key Metrics

Not Found

Predicate Device(s)

Byron Medical, PSI-Tec Liposuction, K981215

Reference Device(s)

Byron Medical, PSI-Tec Infiltration Pump, K040149

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 878.5040 Suction lipoplasty system.

(a)
Identification. A suction lipoplasty system is a device intended for aesthetic body contouring. The device consists of a powered suction pump (containing a microbial filter on the exhaust and a microbial in-line filter in the connecting tubing between the collection bottle and the safety trap), collection bottle, cannula, and connecting tube. The microbial filters, tubing, collection bottle, and cannula must be capable of being changed between patients. The powered suction pump has a motor with a minimum of1/3 horsepower, a variable vacuum range from 0 to 29.9 inches of mercury, vacuum control valves to regulate the vacuum with accompanying vacuum gauges, a single or double rotary vane (with or without oil), a single or double diaphragm, a single or double piston, and a safety trap.(b)
Classification. Class II (special controls). Consensus standards and labeling restrictions.

0

Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

Euromi Sa Curtis Raymond Sr Regulatory & Quality Consultant 80 Shelton Technology Center Shelton, Connecticut 06484

June 9, 2021

Re: K101413

Trade/Device Name: Euromi Eva Sp6 Regulation Number: 21 CFR 878.5040 Regulation Name: Suction lipoplasty system Regulatory Class: Class II Product Code: QPB

Dear Curtis Raymond:

The Food and Drug Administration (FDA) is sending this letter to notify you of an administrative change related to your previous substantial equivalence (SE) determination letter dated December 16, 2010. Specifically, FDA is updating this SE Letter because FDA has created a new product code to better categorize your device technology.

Please note that the 510/k) submission was not re-reviewed. For questions regarding this letter please contact Cindy Chowdhury, OHT4: Office of Surgical and Infection Control Devices, 240-402-6647, Cindy.Chowdhury@fda.hhs.gov.

Sincerely,

Cindy Chowdhury -S

Cindy Chowdhury, Ph.D., M.B.A. Assistant Director DHT4B: Division of Infection Control and Plastic Surgery Devices OHT4: Office of Surgical and Infection Control Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

1

Image /page/1/Picture/1 description: The image is a black and white logo for the U.S. Department of Health & Human Services. The logo consists of a circular arrangement of text that reads "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA". Inside the circle is a stylized symbol that resembles a bird or a wing-like shape, composed of several curved lines. The overall design is simple and conveys a sense of official government branding.

Public Health Service

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room W-066-0609 Silver Spring, MD 20993-0002

DEC 16 2010

Euromi SA % Orchid Design Mr. Curtis Raymond 80 Shelton Technology Center Shelton, Connecticut 06484

Re: K101413

· Trade/Device Name: Euromi EVA sp6 Lipoplasty Suction System Regulation Number: 21 CFR 878.5040 Regulation Name: Suction lipoplasty system Regulatory Class: II Product Code: MUU Dated: October 18, 2010 Received: October 20, 2010

Dear Mr. Raymond:

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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

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.

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

2

Page 2 - Mr. Curtis Raymond

CFR Part 807); labeling (21 CFR Part 801); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); 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.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to .

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

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 (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm.

Sincerely vours.

Fon Pithan

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

Enclosure

3

Indications for Use

510(k) Number (if known):

Device Name: Euromi EVA sp6 Lipoplasty Suction System

Indications For Use:

The device is intended to be used for aesthetic body contouring.

Prescription Use × (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)

Page 1 of 1

Daniel Kruce for Mxm

(Division Sign-Off) Division of Surgical, Orthopedic, and Restorative Devices

.510(k) Number K101413

Page 12

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K101413
page 1/1

510 (k) Summary

Date Prepared: [21 CFR 807.92(a)(1)]

December 1. 2010

DFC 1 6 2010

Submitter's Information: [21 CFR 807.92(a)(1)]

This 510(k) is being submitted by Orchid Design on behalf of Euromi SA.

Sponsor / Manufacturer: Euromi S.A. Zoning Industriel de Lambermont Rue des Ormes 151 B-4800 Verviers - BELGIUM

Regulatory Contact / Consultant: Curtis Ravmond Orchid Design 80 Shelton Technology Center - Shelton, CT 06484 Tel: (203) 922-0105 - Fax: (203) 922-0130 Email: joseph.azary@orchid-orthopedics.com

Trade Name, Common Name, Classification [21 CFR 807.92(a)(2)]

Device Trade or Proprietary Name:

The device trade names are:

  • Euromi EVA sp6 Lipoplasty Suction System

Common, Usual, or Classification Name:

  • Lipoplasty Suction System .
  • Liposuction Suction System ●

Classification: Class II, 21 CFR 878.5040, MUU

Predicate Device [21 CFR 807.92(a)(3)] Byron Medical, PSI-Tec Liposuction, K981215 Byron Medical, PSI-Tec Infiltration Pump, K040149

Description of the Device [21 CFR 807.92(a)(4)]

The subject device is used in conjunction with the Lipomatic Handpiece. The Lipomatic Handpiece is a motorized pneumatic handle with interchangeable canulae. The Lipomatic handpiece can be used with readily available air sources at the hospital or clinic.

5

The EVA sp6 is an aspiration system that can be used with the Lipomatic handpiece for the purposes of aesthetic body contouring.

The EVA sp6 can be in continuous operation or can be controlled by a foot pedal. The device has two modes; infiltration and aspiration. Syringes are used for infiltration.

The EVA sp6 has wheels to allow it to move around the clinical or hospital as needed.

The list of accessories include:

  • Pedal .
  • . Hospital Grade Power Cord and Plug
  • Replacement Fuses .
  • Tubing (5 kits) .
  • Twisted Pipe of 5 meter with one connector .
  • Aspiration Jars (2 jars) .

Intended Use [21 CFR 807.92(a){5)]

This device is intended to be used for aesthetic body contouring.

Technological Characteristics [21 CFR 807.92(a)(6)]

The device relies on an external source of compressed air for operation.

The EVA sp6 does not make direct contact with the patient. The device is connected to the Lipomatic Handpieces / Cannulas that were cleared under K010311.

The device has the same technological characteristics as the predicate device including electrical power, use with sterile cannulas, indications for use, and aspiration and infiltration modes.

The main difference between the subject device and predicate device is that the devices are specific to the cannulas from each manufacturer.

Performance Data [21 CFR 807.92(b)(1) and (2)]

The subject device has been subjected to non-clinical testing including biocompatibility testing, electrical safety, EMC testing, FCC Part 15, and accuracy testing. The subject device has been tested and passed electrical safety and EMC requirements utilizing IEC 60601-1, 60601-1-2, and FCC Part 15.

CharacteristicSpecification
Electrical110-120 V
Power250 W
Noise Level57 dB
Weight10 Kg
Final Vacuum
(mb relative)-850

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page 3/3

Clinical studies were not performed with regards to this device. However, this device has been used internationally and published studies were included in the 510(k).

Clinical data was not required to demonstrate substantial equivalence.

Conclusion [21 CFR 807.92(b)(3)]

The conclusions drawn from the nonclinical tests as well as the comparison to the predicate device demonstrate that the changes are minor and conclude that the subject devices are as safe and effective as the predicate device.