K Number
K103508
Device Name
UNMIAX LAPAROSCOPIC INSTRUMENT
Date Cleared
2011-12-20

(386 days)

Product Code
Regulation Number
878.4400
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Unimax Laparoscopic Instrument is a family of instruments which includes forceps, scissors, and probes which are intended to be used in general laparoscopic surgical procedures requiring the use of Monopolar electrosurgical cutting and/or coagulation.
Device Description
The Unimax Laparoscopic Instrument includes Grasping Forceps, Monopolar Scissors, and Monopolar Probe/Electrodes. The devices are disposable, single use, individually packaged devices that are composed of biocompatible materials. Scissors and forceps have a handle with rotating wheel attached to an insulated shaft with different tips, which allows the shaft and tip to rotate. They include a male cautery connector when attached to standard monopolar cautery cables and their generators. Probes/Electrodes have an insulated shaft with a thermally conductive metal tip electrode. The proximal end of the shaft is attached to a handle made of an injection molded, medical grade plastic.
More Information

Not Found

No
The summary describes a family of standard laparoscopic surgical instruments (forceps, scissors, probes) used with monopolar electrosurgery. There is no mention of AI, ML, image processing, or any software-driven analytical capabilities. The performance studies focus on physical, mechanical, and biocompatibility testing, not algorithmic performance.

No.
The device is described as surgical instruments (forceps, scissors, and probes) used for electrosurgical cutting and coagulation in laparoscopic procedures, which are tools used during a therapeutic procedure but are not therapeutic in themselves.

No
The device is described as an instrument used in surgical procedures for cutting and coagulation, not for diagnosing conditions or diseases. Its performance studies focus on mechanical and biocompatibility tests, not diagnostic accuracy.

No

The device description clearly outlines physical components like handles, shafts, tips, and connectors, indicating it is a hardware device used in surgical procedures.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use clearly states the device is for "general laparoscopic surgical procedures requiring the use of Monopolar electrosurgical cutting and/or coagulation." This describes a surgical tool used directly on a patient during a procedure.
  • Device Description: The description details surgical instruments like forceps, scissors, and probes used for cutting and coagulation. These are physical tools for surgical intervention.
  • Lack of IVD Characteristics: An IVD device is used to examine specimens derived from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening. This device does not interact with such specimens in this manner.

The information provided consistently points to a surgical device used in vivo (within the living body), not an in vitro diagnostic device used to test samples outside the body.

N/A

Intended Use / Indications for Use

The Unimax Laparoscopic Instrument is a family of instruments which includes forceps, scissors, and probes which are intended to be used in general laparoscopic surgical procedures requiring the use of Monopolar clectrosurgical cutting and/or coagulation.

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

GEI

Device Description

The Unimax Laparoscopic Instrument includes Grasping Forceps, Monopolar Scissors, and Monopolar Probe/Electrodes. The devices are disposable, single use, individually packaged devices that are composed of biocompatible materials. Scissors and forceps have a handle with rotating wheel attached to an insulated shaft with different tips, which allows the shaft and tip to rotate. They include a male cautery connector when attached to standard monopolar cautery cables and their generators. Probes/Electrodes have an insulated shaft with a thermally conductive metal tip electrode. The proximal end of the shaft is attached to a handle made of an injection molded, medical grade plastic.

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)

A series of in vitro and in vivo preclinical physical, mechanical and biocompatibility tests were performed to assess the safety and effectiveness of the Unimax Laparoscopic Instrument. The comparative performance testing was conducted on the subject device and the predicate device including the items listed below:

  • Drop Testing
  • · Bending Test
  • Pulling Test
  • · Torque Test
  • · Jaw Clamping Test
  • · Blade Sharpness Test
  • Arcing Test
  • · Charring Test
  • · Thermal Spread Test

All the test results demonstrate the performance of Unimax Laparoscopic Instrument meets the requirements of its pre-defined acceptance criteria and intended uses.

The results of the non-clinical testing demonstrate that the Unimax Laparoscopic Instrument is as safe and effective as the predicate devices.

The result of bench testing indicates that the new device is as safe and effective as the predicate device.

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.

K081503

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.

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Unimax Laparoscopic Instrument

510(k) Summary

5.1 Type of Submission:Traditional
--------------------------------------
5.2 Submitter:Unimax Medical Systems Inc.
Address:8F-2, No. 127, Lane 235, Pao Chiao Rd., Hsin Tien City,
Taipei, Taiwan
Phone:886-2-89191698
Fax:886-2-89191528
Contact:Sophia Chiu
Establishment Registration Number:

5.3 Identification of the Device:

Proprietary/Trade name:Unimax Laparoscopic Instrument
Common Name:Electrosurgical, Cutting & Coagulation & Accessories
Classification Name:Electrosurgical, Cutting & Coagulation & Accessories
Device Classification:II
Regulation Number:878.4400
Panel:General & Plastic Surgery
Product Code:GEI

5.4 Identification of the Predicate Device:

Predicate Device Name:AED Monopolar Lap Accessories
Manufacturer:National Advanced Eedoscopy Devices, INC.
510(k) Number or Clearance Information:K081503

5.5 Intended Use and Indications for Use of the subject device.

The Unimax Laparoscopic Instrument is a family of instruments which includes forceps, scissors, and probes which are intended to be used in general laparoscopic surgical procedures requiring the use of Monopolar clectrosurgical cutting and/or coagulation.

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K10 3508
pg 2 of 5

Unimax Laparoscopic Instrument

5.6 Device Description

The Unimax Laparoscopic Instrument includes Grasping Forceps, Monopolar Scissors, and Monopolar Probe/Electrodes. The devices are disposable, single use, individually packaged devices that are composed of biocompatible materials. Scissors and forceps have a handle with rotating wheel attached to an insulated shaft with different tips, which allows the shaft and tip to rotate. They include a male cautery connector when attached to standard monopolar cautery cables and their generators. Probes/Electrodes have an insulated shaft with a thermally conductive metal tip electrode. The proximal end of the shaft is attached to a handle made of an injection molded, medical grade plastic.

5.7 Non-clinical Testing

A series of in vitro and in vivo preclinical physical, mechanical and biocompatibility tests were performed to assess the safety and effectiveness of the Unimax Laparoscopic Instrument. The safety tests were conducted in accordance with IEC 60601-1 Medical Electrical Equipment - Part 1: General Requirements for Safety, 1988; Amendment 1, 1991-11, Amendment 2, 1995, IEC 60601-1-2: 2001 Medical Electrical Equipment - Part 1-2: General Requirements for Safety - Collateral standard: Electromagnetic Compatibility -Requirements and Tests (Edition 2:2001 with Amendment 1:2004; Edition 2.1 (Edition 2:2001 consolidated with Amendment 1:2004)), IEC 60601-1-2:2007 Medical electrical equipment - Part 1-2: General requirements for basic safety and essential performance -Collateral standard: Electromagnetic compatibility - Requirements and tests (Edition 3), ISO 10993-5 Biological evaluation of medical devices -- Part 5: Tests for In Vitro cytotoxicity, ISO 10993-7 Biological Evaluation of Medical Devices - Part 7: Ethylene Oxide Sterilization Residuals, ISO 10993-10 Biological evaluation of medical devices -Part 10: Tests for irritation and delayed-type hypersensitivity, ISO 10993-11 Biological evaluation of medical devices -- Part 11: Tests for systemic toxicity, ISO 10993-12 Biological evaluation of medical devices -- Part 12: Sample preparation and reference materials, and ISO 11135-1 Sterilization of health care products - Ethylene oxide - Part 1: Requirements for the development, validation, and routine control of a sterilization process for medical devices.

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Unimax Laparoscopic Instrument

The comparative performance testing was conducted on the subject device and the predicate device including the items listed below:

  • Drop Testing
  • · Bending Test
  • Pulling Test
  • · Torque Test
  • · Jaw Clamping Test
  • · Blade Sharpness Test
  • Arcing Test
  • · Charring Test
  • · Thermal Spread Test

All the test results demonstrate the performance of Unimax Laparoscopic Instrument meets the requirements of its pre-defined acceptance criteria and intended uses.

The results of the non-clinical testing demonstrate that the Unimax Laparoscopic Instrument is as safe and effective as the predicate devices.

5.8 Safety and Effectiveness

The result of bench testing indicates that the new device is as safe and effective as the predicate device.

5.9 Substantial Equivalence Determination

The Unimax Laparoscopic Instrument submitted in this 510(k) file is substantially equivalent in intended use, design, technology/principles of operation, materials and performance to the cleared AED Monopolar Lap Accessories which is the subject of K081503. Differences between the devices cited in this section do not raise any new issues of safety or effectiveness.

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K103508


Pg 4 of 5

.

Unimax Laparoscopic Instrument

| Item | Proposed Device
(Unimax Medical Systems Inc.
Laparoscopic Instrument) | Predicate Device
(National Advanced Endoscopy
Devices, Inc. AED Monopolar Lap
Accessories) |
|--------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Intended Use | The Unimax Laparoscopic Instrument is
a family of instruments which includes
forceps, scissors, and probes which are
intended to be used in general
laparoscopic surgical procedures
requiring the use of Monopolar
electrosurgical cutting and/or
coagulation. | AED Monopolar Lap Accessories are
reusable devices (forceps and
electrodes) intended to be used in
general laparoscopic surgical
procedures requiring the use of
electrosurgical cutting and/or
coagulation. |
| Consisted
Instruments | - Standard insulated monopolar handles

  • Insulated Shafts
  • Class I inserts (forceps, scissors)
  • Electrodes | - Standard insulated monopolar handles
  • Insulated Shafts
  • Class I inserts (forceps, scissors)
  • Probes/Electrodes |
    | Models | Grasping Forceps:
  • Straight grasping forceps
  • Babcock grasping forceps
  • Clinch grasping forceps
  • Maryland dissecting forceps
  • Rat tooth grasping forceps
  • Duckbill grasping forceps
  • Johan grasping forceps
    Scissors
    Probe/Electrode:
  • Monopolar J hook probe
  • Monopolar L hook probe
  • Monopolar Spatula probe | Grasping Forceps:
  • Graspers, with spoon
  • Babcock Grasping Forceps
  • Endo Clinch Forceps
  • Maryland Forceps
  • Cobra Style Toothed Grasper
  • Duckbill Forceps
  • Johan Grasping Forceps
    Scissors
    Probe/Electrode:
  • J hook
  • L hook |
    | Dimension | 5mm/33cm
    5mm/26cm
    5mm/45cm | 5mm/33cm
    5mm/26cm
    5mm/45cm |

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Unimax Laparoscopic Instrument

SterilizationEO SterilityEO Sterility
SafetyIEC 60601-1IEC 60601-1
standardsIEC 60601-1-2IEC 60601-1-2
IEC 60601-2-2IEC 60601-2-2
ISO 10993-5ISO 10993-5
ISO 10993-10ISO 10993-10
ISO 10993-11ISO 10993-11
ISO 10993-12ISO 10993-12
ISO 10993-7ISO 14937
ISO 11135-1
PerformanceNo performance standardsNo performance standards
standards
ComparedDrop TestingDrop Testing
performanceBending TestBending Test
testingPulling TestPulling Test
Torque TestTorque Test
Jaw Clamping TestJaw Clamping Test
Blade Sharpness TestBlade Sharpness Test
Arcing TestArcing Test
Charring TestCharring Test
Thermal Spread TestThermal Spread Test

5.10 Conclusion

After analyzing bench tests, electrical safety testing data, it can be concluded that Unimax Laparoscopic Instrument is as safe and effective as the predicate device.

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Image /page/5/Picture/1 description: The image shows the seal of the Department of Health & Human Services (HHS) of the United States. The seal features a stylized eagle with its wings spread, symbolizing protection and service. Encircling the eagle is the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA", indicating the department's name and national affiliation.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring, MD 20993-0002

DEC 20 2011

Unimax Medical Systems, Inc. % AcmeBiotechs Co., Ltd. Mr. Michael Lee No. 45, Minshen Rd. Danshui Town Taipei County China (Taiwan) 251

Re: K103508

Trade/Device Name: Unimax Laparoscopic Instrument Regulation Number: 21 CFR 878.4400 Regulation Name: Electrosurgical cutting and coagulation device and accessories Regulatory Class: Class II Product Code: GEI Dated: December 16, 2011 Received: December 16, 2011

Dear Mr. Lee:

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

6

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); 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 yours.

for Dlo. Dacus

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

Enclosure

7

K103508

Unimax Laparoscopic Instrument

Indications for Use

510(k) Number (if known):

Device Name: Unimax Laparoscopic Instrument

Indications for Use:

The Unimax Laparoscopic Instrument is a family of instruments which includes forceps, scissors, and probes which are intended to be used in general laparoscopic surgical procedures requiring the use of Monopolar electrosurgical cutting and/or coagulation.

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

AND/OR

Over-The-Counter Use_ (21 CFR 801 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

signature

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

.510(k) Number K103508

Page 1 of __

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