K Number
K150915
Device Name
SPINAUT-P
Manufacturer
Date Cleared
2016-03-18

(347 days)

Product Code
Regulation Number
878.4400
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The SPINUAT-P is indicated for ablation, and decompression of disc material to treat symptomatic patients with contained herniated discs.
Device Description
The SPINAUT-P is a minimally invasive RF electrode device offered in 496mm length for percutaneous disc decompression surgery using radiofrequency energy and designed for use with radiofrequency generators in RF procedure. SPINAUT-P is intended to be placed into the epidural space or posterolateral / posterocentral area in the disc to remove, ablate or coagulate disc material in the area. The electrode consists of two stainless steel shafts with straight electrode configuration design. The shaft is housed in a coating composed of Polyamide. The device is single-use gamma radiation sterilized and is compatible with most standard electrosurgical generators that provide a cable with two pin outlet (2-pin, 22mm) with 1kVp maximum electrical capacity.
More Information

Not Found

No
The device description and performance studies focus on the physical characteristics, sterilization, shelf life, biocompatibility, electrical safety, and tissue removal performance of a radiofrequency electrode device. There is no mention of AI, ML, image processing, or any data-driven algorithms.

Yes
The device is indicated for ablation and decompression of disc material to treat symptomatic patients with contained herniated discs. These are therapeutic actions aimed at alleviating symptoms and treating a medical condition.

No

The device description clearly states its intended use is for ablation, decompression, removal, or coagulation of disc material, which are therapeutic interventions, not diagnostic ones.

No

The device description clearly outlines a physical RF electrode device made of stainless steel shafts and polyamide coating, intended for percutaneous surgical procedures. It is a hardware device, not software.

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

Here's why:

  • Intended Use: The intended use is for "ablation, and decompression of disc material to treat symptomatic patients with contained herniated discs." This is a therapeutic procedure performed directly on the patient's body.
  • Device Description: The device is a "minimally invasive RF electrode device" used for "percutaneous disc decompression surgery." It is designed to be placed into the epidural space or disc to remove, ablate, or coagulate disc material. This is a surgical tool.
  • Lack of IVD Characteristics: IVD devices are used to examine specimens derived from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening. The SPINUAT-P does not interact with or analyze such specimens.

The SPINUAT-P is a surgical device used for a therapeutic intervention, not a diagnostic test performed on in vitro samples.

N/A

Intended Use / Indications for Use

The SPINUAT-P is indicated for ablation, coagulation, and decompression of disc material to treat symptomatic patients with contained herniated discs.

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

GEI

Device Description

The SPINAUT-P is a minimally invasive RF electrode device offered in 496mm length for percutaneous disc decompression surgery using radiofrequency energy and designed for use with radiofrequency generators in RF procedure. SPINAUT-P is intended to be placed into the epidural space or posterolateral / posterocentral area in the disc to remove, ablate or coagulate disc material in the area. The electrode consists of two stainless steel shafts with straight electrode configuration design. The shaft is housed in a coating composed of Polyamide. The device is single-use gamma radiation sterilized and is compatible with most standard electrosurgical generators that provide a cable with two pin outlet (2-pin, 22mm) with 1kVp maximum electrical capacity.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

disc (specifically referring to contained herniated discs)
epidural space
posterolateral / posterocentral area in the disc

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)

Non-Clinical Testing:

  • Sterilization validating testing has been performed in accordance with ISO 11137-1, 2, 3 and ISO 11737-1, 2, 3, and the test results met the pre-set criteria.
  • The tests to validate the shelf life of the device through the proposed shelf life were conducted using the accelerated aging method in accordance to ASTM F1980-07 and the test results validated 3 year shelf life.
  • The following biocompatibility tests were performed in accordance with ISO 10993-4, 5, 10, 11 and USP 37 , and the test results supported that the subject device is biocompatible.
  • The following electrical safety and bench tests were performed to evaluate the performance and the safety of the subject device and the test results met the pre-set criteria.
  • Performance Comparison Test: We compared the tissue removal, durability, and ability to navigation in the lesion (performance to be introduced, directed to and extracted from the target lesion) of our RF Electrode SPINAUT-P and the predicate device, L'disQby U and I (K132797) using porcine spines. The test results demonstrated the device being as safe and as 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.

K132099, K132797

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/1 description: The image is a black and white logo for the U.S. Department of Health & Human Services. The logo features a stylized design of three human profiles facing right, with flowing lines extending from their necks. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES-USA" is arranged in a circular pattern around the design.

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

March 18, 2016

IMEDICOM Co., Ltd. c/o Ms. Priscilla Chung LK Consulting Group USA, Inc. 2651 E. Chapman Ave., Ste. 110 Fullerton, CA 92831

Re: K150915

Trade/Device Name: SPINAUT-P Regulation Number: 21 CFR 878.4400 Regulation Name: Electrosurgical cutting and coagulation device and accessoriesv Regulatory Class: Class II Product Code: GEI Dated: February 24, 2016 Received: February 26, 2016

Dear Ms. Chung:

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 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

1

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 contact the Division of Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. 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 Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours.

Jennifer R. Stevenson -A

For Binita S. Ashar, M.D., M.B.A., F.A.C.S. Director Division of Surgical Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K150915

Device Name

SPINAUT-P

Indications for Use (Describe)

The SPINUAT-P is indicated for ablation, and decompression of disc material to treat symptomatic patients with contained herniated discs.

Type of Use (Select one or both, as applicable)

☑ Prescription Use (Part 21 CFR 801 Subpart D)
☐ Over-The-Counter Use (21 CFR 801 Subpart C)

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510(k) Summary

(K150915)

This summary of 510(K) - safety and effectiveness information is being submitted in accordance with requirements of 21 CFR Part 807.92.

Date: Mar 17, 2016

1. Applicant / Submitter

IMEDICOM Co., Ltd. #612, 172, LS-ro, Gunpo-si, Gyeonggi-do, 435-824 Republic of Korea Tel:+82-31-479-1156 Fax:+82-31-479-1157

2. Submission Correspondent

LK Consulting Group USA, Inc. 2651 E Chapman Ave. Ste 110, Fullerton CA 92831 Priscilla Chung Phone: 714.202.5789 Fax: 714-409-3357 Email: juhee.c@lkconsultinggroup.com

3. Device

  • I Trade Name: SPINAUT-P
  • י Common Name: Electrosurgical accessory
  • " Classification Name: Electrosurgical cutting and coagulation device and accessories
  • י Product Code: GEI
  • י Classification regulation: 21 CFR 878.4400

4. Predicate Device:

  • ArthroCare® Coblator IQ™ Perc-D®, SpineWand® (Coblator IQ DLR and DLG י SpineWands) by Arthrocare Corp. (K132099)
  • L'DISQ by U&I Corporation (K132797) י

5. Description:

The SPINAUT-P is a minimally invasive RF electrode device offered in 496mm length for percutaneous disc decompression surgery using radiofrequency energy and designed

4

for use with radiofrequency generators in RF procedure. SPINAUT-P is intended to be placed into the epidural space or posterolateral / posterocentral area in the disc to remove, ablate or coagulate disc material in the area. The electrode consists of two stainless steel shafts with straight electrode configuration design. The shaft is housed in a coating composed of Polyamide. The device is single-use gamma radiation sterilized and is compatible with most standard electrosurgical generators that provide a cable with two pin outlet (2-pin, 22mm) with 1kVp maximum electrical capacity.

6. Indication for use:

The SPINUAT-P is indicated for ablation, coagulation, and decompression of disc material to treat symptomatic patients with contained herniated discs.

7. Basis for Substantial Equivalence

The subject device is the same as the predicate device in the indications for use, materials, energy source, performance specifications, electrode thickness, mode of operation (bipolar) and sterilization method. The major difference is the electrode length but this difference does not raise a question of safety and performance since the electrode is coated with the polyamid to protect the patient and the user from electrical leakage and burn. In this regard, the longer electrode does not raise a question of safety issue. The electrode length would not be a performance affecting factor either since the thickness of the tip would matter the most which is the only part exposed to the patient. The performance test results submitted in this 510K submission also supports that the subject device is substantially equivalent to the predicate devices despite this difference.

| Trade name | SPINAUT-P | ArthroCare®
Coblator IQ™ Perc-

SpineWand®
(Coblator IQ DLR
and DLG
SpineWands) | L'DISQ | |
|------------------|-------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Manufacture | IMEDICOM Co., Ltd. | Arthrocare Corp. | U&I Corporation | |
| 510(k) number | - | K132099 | K132797 | |
| Product Code | GEI | GEI | GEI | |
| | Indications for Use | The SPINUAT-P is indicated for ablation, coagulation, and decompression of disc material to treat symptomatic patients with contained herniated discs. | The ArthroCare Coblator IQ Perc-D Spine Wands (Coblator IQ DLR and Coblator IQ DLG SpineWands) are indicated for ablation, coagulation, and decompression of disc material to treat symptomatic patients with contained herniated lumbar and lumbosacral discs. The Wands are designed to be used exclusively with the ArthroCarc Coblator IQ Controller. | The L'DISQ is indicated for coagulation and ablation of disc material to treat symptomatic patients with contained herniated discs. |
| | Principle of Operation | Electrode is activated using the generator which starts the coblation process to ablate disc tissue. The coblation process involves use of a conductive media to create a plasma layer to ablate tissue. | Electrode is activated using the generator which starts the coblation process to ablate disc tissue. The coblation process involves use of a conductive media to create a plasma layer to ablate tissue. | Electrode is activated using the generator which starts the coblation process to ablate disc tissue. The coblation process involves use of a conductive media to create a plasma layer to ablate tissue. |
| Material | Electrode | Stainless Steel 304 | Stainless Steel 304 | Stainless Steel 304 |
| | Handle | Polyamide | Polyamide | Polyamide |
| Perfor-
mance | RF leakage current | ≤7.2 dfL mA | ≤7.2dfL mA | ≤7.2dfL mA |
| Size | Electrode length | 496.0 mm | 300.0350.0mm | 210.0mm |
| | Electrode thickness | 1.0 mm | 0.8
1.0mm | 0.7mm
1.0mm |
| | Compatibility w/other devices | Standard RF generator | with the ArthroCare Coblator IQ Controller | Standard RF Generator |
| | Chemical Safety | Biocompatible | Biocompatible | Biocompatible |

5

6

  • dfL

d : the cable's smallest external dimension(unit : mm)

f : test frequency(unit : MHz)

L : length of cable submerged in saline solution

8. Non-Clinical Testing

  • · Sterilization validating testing has been performed in accordance with ISO 11137-1, 2, 3 and ISO 11737-1, 2, 3, and the test results met the pre-set criteria.
  • · The tests to validate the shelf life of the device through the proposed shelf life were conducted using the accelerated aging method in accordance to ASTM F1980-07 and the test results validated 3 year shelf life.
No.TestTest Description / Referenced Standard
1AppearanceVisual Inspection
2Electrical Conductivity TestConnect an electric circuit meter to the
device and check electrical conductivity
by electric circuit tester.
3Tensile Strength Test of Electrode
CordTest in accordance with ANSI/AAMI
HF18:2001 Electrosurgical devices
Clause 4.2.5.5
4Package Tensile TestTest in accordance with ASTM D882-12,
standard test methods for tensile
properties of thin plastic sheeting.
(Ophthalmic)
5Package Peeling TestTest in accordance with ASTM
F88/F88M-09, standard test method for
seal strength of flexible barrier materials.
(Sterility)
бPackage Dye Penetration TestTest in accordance with ASTM F1929-12,
standard test method for detecting seal
leaks in porous medical packaging by dye
penetration. (Sterility)
7Sterility TestTest in accordance with ISO 11737-2
Second edition 2009-11-15, sterilization
of medical devices - microbiological
methods - part 2: tests of sterility
performed in the definition, validation and
maintenance of a sterilization process.
(Sterility)

7

  • · The following biocompatibility tests were performed in accordance with ISO 10993-4, 5, 10, 11 and USP 37 , and the test results supported that the subject device is biocompatible.
No.TestTest Description / Referenced Standards
1Extraction Test
2CytotoxicityISO 10993-5:2009/(R) 2014, biological
evaluation of medical devices -- part 5:
tests for in vitro cytotoxicity.
(Biocompatibility)
3Skin SensitizationISO 10993-10 Third Edition 2010-08-01,
biological evaluation of medical devices -
part 10: tests for irritation and skin
sensitization. (Biocompatibility)
4Intracutaneous reactivityISO 10993-10 Third Edition 2010-08-01,
biological evaluation of medical devices -
part 10: tests for irritation and skin
sensitization. (Biocompatibility)
5Acute Systemic Toxicity TestISO 10993-11 Second edition 2006-08-15,
biological evaluation of medical devices
part 11: tests for systemic toxicity.
(Biocompatibility)
6PyrogenUSP 37-NF32:2014, pyrogen test
(usp rabbit test). (Sterility)
7HaemolysisISO 10993-4:2002 Biological evaluation of
medical devices -- Part 4: Selection of tests
for interactions with blood
  • The following electrical safety and bench tests were performed to evaluate the performance and the safety of the subject device and the test results met the pre-set criteria.
No.TestTest Description / Referenced Standards
1Electrical Conductivity TestEvaluate if the electrode is able to pass
electricity.
2Cable Dielectric Strength TestIEC 60601-2-2 Edition 5.0 2009-02,
medical electrical equipment - part 2-2:
particular requirements for the basic safety
and essential performance of high
frequency surgical equipment and high
frequency surgical accessories [including:
technical corrigendum 1 (2014)]. (General
Plastic Surgery/General Hospital)

8

| | | • Clause 201.8.8.3.104 Line voltage
withstanding capability
• Clause 201.8.8.3.103 High frequency
voltage withstanding capability |
|---|---------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------|
| 3 | High Frequency Leakage Test of
Electrode | Test in accordance with ANSI/AAMI HF
18:2001 Electrosurgical Devices
• Clause 4.2.5.2 |
| 4 | Appearance | Visual Inspection |
| 5 | Size Measurement | Measure the size of the test article by
vernier calipers. |
| 6 | Tensile Strength Test of
Electrode Cord | Test in accordance with ANSI/AAMI HF
18:2001 Electrosurgical Devices
• Clause 4.2.5.5 |
| 7 | Sterility test | Korean Pharmacopeia (10th Edition) :
General Requirements for Tests and
Assays / Sterility Test |

  • 〈We compared the tissue removal, durability, and ability to navigation in the lesion (performance to be introduced, directed to and extracted from the target lesion) of our RF Electrode SPINAUT-P and the predicate device, L'disQby U and I (K132797) using porcine spines. The test results demonstrated the device being as safe and as effective as the predicate device.
No.TestTest Description
1Performance Comparison Test with the
predicate device using porcine spines• Tissue Removal Performance
• Durability of Electrode
• Ability to be introduced, directed
to and extracted from the surgical
site(target area)

All the test results supported that the subject device is substantially equivalent to the predicate devices.

9. Conclusion

Based on the similarities, we conclude that the SPINAUT-P is substantially equivalent to the predicate devices.