K Number
K123310
Device Name
FINESSE 3RD GENERATION (MODELS FINESSE+ AND FINESSEII+)
Date Cleared
2013-01-23

(90 days)

Product Code
Regulation Number
878.4400
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The FINESSE+ and FINESSE II+ are intended to deliver high frequency electrical current for surgical procedures that can be performed with monopolar cutting and/or coagulation of tissue. One intended use of the FINESSE+ and FINESSE II+ systems is Loop Excision of the Transformation Zone (LETZ®).
Device Description
The Finesse 3rd Generation combines a high-quality, class I type BF electrosurgical generator and a smoke evacuation system into a single compact unit. This integrated system is designed to perform low-power excision and coagulation procedures of short duration. The Finesse 3rd Generation is comprised of two models: FINESSE+ and FINESSE II+. The FINESSE II+ is identical to the FINESSE+, but does not have as many user adjustable features.
More Information

Not Found

No
The summary describes a standard electrosurgical generator and smoke evacuation system with no mention of AI or ML capabilities. The performance studies focus on electrical safety and compliance with standards, not algorithmic performance.

Yes
The device is described as an "electrosurgical generator" intended to "deliver high frequency electrical current for surgical procedures that can be performed with monopolar cutting and/or coagulation of tissue." These functions are therapeutic as they directly treat tissue.

No

The device is described as an electrosurgical generator intended to deliver high-frequency electrical current for surgical procedures involving cutting and/or coagulation of tissue, not for diagnosis.

No

The device description explicitly states it is an "electrosurgical generator and a smoke evacuation system into a single compact unit," which are hardware components.

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 device is for "surgical procedures that can be performed with monopolar cutting and/or coagulation of tissue." This describes a surgical tool used directly on a patient's body.
  • Device Description: The description details an "electrosurgical generator and a smoke evacuation system" designed for "low-power excision and coagulation procedures." This further reinforces its use in surgical settings.
  • 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 for diagnosis, monitoring, or screening.

IVD devices are specifically designed to perform tests on biological samples to provide diagnostic information. This device is designed to perform surgical procedures directly on the patient.

N/A

Intended Use / Indications for Use

The FINESSE+ and FINESSE II+ are intended to deliver high frequency electrical current for surgical procedures that can be performed with monopolar cutting and/or coagulation of tissue. One intended use of the FINESSE+ and FINESSE II+ systems is Loop Excision of the Transformation Zone (LETZ®).

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

GEI, HGI

Device Description

The Finesse 3rd Generation combines a high-quality, class I type BF electrosurgical generator and a smoke evacuation system into a single compact unit. This integrated system is designed to perform low-power excision and coagulation procedures of short duration. The Finesse 3rd Generation is comprised of two models: FINESSE+ and FINESSE II+. The FINESSE II+ is identical to the FINESSE+, but does not have as many user adjustable features.

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)

Laboratory testing was conducted to certify the Finesse 3rd Generation's compliance with the requirements of ANSI / AAMI ES 60601-1:2005, AAMI / ANSI / IEC 60601-1-2:2007, and ANSI / AAMI / IEC 60601-2-2:2009. The operating principle of the Finesse 3rd Generation is identical to 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.

Finesse I (K951032), Finesse IEC/601 (K941251)

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

Image /page/0/Picture/0 description: The image shows the logo for Utah Medical Products Inc. The logo consists of the company name in uppercase letters, with the words "UTAH MEDICAL" stacked on top of "PRODUCTS INC." A horizontal line is placed above the company name. Below the name is a large, stylized symbol that appears to be a combination of the letters 'U' and 'M'.

K123310

JAN 23 2013

Utah Medical Products, Inc.

. "

ﻣﺮﯾ

Finesse 3rd Generation

Traditional 510(k) Submission

8.0 510(k) Summary

510(k) Owner:Utah Medical Products, Inc.
Address:7043 South 300 West
Midvale, UT 84047 USA
Telephone No.:(801) 566-1200
Fax No.:(801) 566-2062
Contact:Ben Shirley, VP of Quality Assurance & Product Development
Date:20 November 2012
Trade Name:FINESSE
Common Name:Electrosurgical and Suction Unit
Classification:Electrosurgical cutting and coagulation device and accessories (21 CFR 878.4400, Product Code GEI); and
Gynecologic electrocautery and accessories (21 CFR 884.4120, Product Code HGI).
Predicate Device:Finesse I (K951032)—Utah Medical Products, Inc.; and
Finesse IEC/601 (K941251) — Utah Medical Products, Inc.
Device Description:The Finesse 3rd Generation combines a high-quality, class I type BF electrosurgical generator and a smoke evacuation system into a single compact unit. This integrated system is designed to perform low-power excision and coagulation procedures of short duration. The Finesse 3rd Generation is comprised of two models: FINESSE+ and FINESSE II+. The FINESSE II+ is identical to the FINESSE+, but does not have as many user adjustable features.

Page 8-1 of 3

.

1

Image /page/1/Picture/0 description: The image shows the logo for Utah Medical Products Inc. The logo features the company name in a simple, sans-serif font, with a horizontal line underlining the text. Below the text is a stylized symbol that resembles a large letter 'U' or an incomplete circle, with a vertical line extending upwards from the center, creating a distinctive and recognizable mark for the company.

Utah Medical Products, Inc.Finesse 3rd GenerationTraditional 510(k) Submission
Indications for Use:The FINESSE+ and FINESSE II+ are intended to deliver high frequency
electrical current for surgical procedures that can be performed with
monopolar cutting and/or coagulation of tissue. One intended use of the
FINESSE+ and FINESSE II+ systems is Loop Excision of the
Transformation Zone (LETZ®).
Comparison to
Predicate Device:The Finesse 3rd Generation is substantially equivalent in design,
composition, and function to the predicate device "Finesse" built and
marketed by UTMD under 510(k) #K941251 (Product Code HGI) and
#K951032 (Product Code GEI). In order to meet the requirements of
AAMI / ANSI ES 60601-1:2005 and AAMI / ANSI / IEC 60601-2-2:2009,
the method of protection against excessive output was improved and the
ability to interface with a monitoring neutral electrode was added to the
Finesse 3rd Generation. The technological characteristics, methods of use,
intended use, indications for use and contraindications are the same as the
predicate devices.
Performance Data:Laboratory testing was conducted to certify the Finesse 3rd Generation's
compliance with the requirements of ANSI / AAMI ES 60601-1:2005,
AAMI / ANSI / IEC 60601-1-2:2007, and ANSI / AAMI / IEC 60601-2-
2:2009. The operating principle of the Finesse 3rd Generation is identical

0

Ben Shirley VP of Quality Assurance & Product Development Utah Medical Products, Inc.

to the predicate device.

2

Image /page/2/Picture/0 description: The image shows the logo for Utah Medical Products Inc. The logo features the company's name in bold, uppercase letters, with a line above the name. Below the name is a stylized symbol that appears to be a combination of the letters 'U' and 'M'. The symbol is black and has a thick, bold design.

Finesse 3rd Generation Traditional 510(k) Submission Utah Medical Products, Inc. · This summary includes only information that is also covered in the Verification: body of the 510(k). · This summary does not contain any puffery or unsubstantiated labeling claims.

  • · This summary does not contain any raw data, i.e., contains only summary data.
  • This summary does not contain any trade secret or confidential commercial information.
  • This summary does not contain any patient identification information.

Ben Shirley VP of Quality Assurance & Product Development Utah Medical Products, Inc.

3

Image /page/3/Picture/0 description: The image shows the logo for the Department of Health & Human Services - USA. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized emblem featuring three abstract shapes that resemble human figures or stylized flames.

DEPARTMENT OF HEALTH & HUMAN SERVICES

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

Utah Medical Products % Regulatory Technology Services, LLC Mr. Mark Job 1394 25th Street, Northwest Buffalo, Minnesota 55313

January 23, 2013

Re: K123310

Trade Name: UTMD Finesse. 3td Generation; Electrosurgical Generator and Smoke Evacuator System

Regulation Number: 21 CFR 878.4400 ·

Regulation Name: Electrosurgical cutting and coagulation device and accessories Regulatory Class: Class II Product Code: GEI, HGI Dated: January 08, 2013 Received: January 09, 2013

Dear Mr. Job:

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 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); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set

4

Page 2 - Mr. Mark Job

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 To a may 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,

Peter D. Rumm -S

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

Enclosure

5

Traditional 510(k) Submission

Indications for Use Statement 7.0

K123310 510(k) Number:

UTMD Finesse 3rd Generation; Electrosurgical Generator and Smoke Device Name: Evacuator System

Indications for Use: The FINESSE+ and FINESSE II+ are intended to deliver high frequency electrical current for surgical procedures that can be performed with monopolar cutting and/or coagulation of tissue. One intended use of the FINESSE+ and FINESSE II+ systems is Loop Excision of the Transformation Zone (LETZ®).

Prescription Use (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 OF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Dwight Yen 2013.01.23 12:57:49 -05'00'

Division of Surgical Devices 510(k) Number: K123310